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NOTES.
PA RT I
(f) Forma/ Notifications are notifications which are made in pursuance of Article 5 of the Public Health (Tuberculosis) Regulations, 1930, or by
Naval, Military or Air Force Medical Authorities, in pursuance of Section 5 (b) of the Local Government (Emergency Provisions) Act, 1916.
(b) Primary Notifications for the purpose of columns (2) — (13) relate to patients who have never previously been formally notified in the area
to which the Return relates.
A patient who changes his residence from one Sanitary District to another in the same County may properly be the subject of Primary Notification
in each such District. Only the first of such notifications, however, should be recorded in columns (2) — (13) of the Return for the County concerned,
the subsequent notification(s) being included in column (14).
(c) Column (14). All formal notifications, whether duplicate or not, should be included in this column.
General. Patients notified as suffering from combined pulmonary and non-pulmonary tuberculosis should be included among the "pulmonary"
returns only. If a patient, already notified as suffering from one form of tuberculosis, is subsequently notified to the Medical Officer of Health of the
same Sanitary District as suffering from another form of tuberculosis, the fact should be noted in the Notification Register, but such notification should
be recorded as a duplicate notification.
PART II.
(a) New cases of tuberculosis first coming to knowledge otherwise than by formal notification may, in some instances, afterwards be formally notified
under the Regulations. Should such formal notification be received within the same year as that in which the case first came to the knowledge of
the Medical Officer of Health, it should be recorded as a "Primary Notification," and excluded from the Supplemental Return. If the formal notification
is received in a subsequent year, such notification should be regarded as duplicate, as the case has already been included in the Supplemental Return
for a previous year.
(b) A formal notification which is not received until after the death of the patient should be included in the Supplemental Return as a " posthumous
notification."
(c) Particulars of cases coming to knowledge through the Death Returns, as well as of cases notified posthumously, are required by Article 10(2)
of the Regulations to be entered in the Notification Register. It follows that such cases will also be duly included in the number of cases removed
from the Register during the year by reason of "death " (cf. Head 3 of the second section of Part III. of the Form overleaf).
(d) No case should be included both in the Summary of Notifications and in the Supplemental Return for the same year.
(e) In Counties, the particulars for the purposes of this Return should be obtained by the procedure suggested in paragraph 2 of Part II. of
Circular 549.
... PART III.
In Counties the information should be compiled from the quarterly statements for the year 1932, which are required to be furnished to the
Cpuntv Medical Officer of Health by the Medical Officer of Health of each District in the County, in pursuance of Article 10 (8) of the Regulations, and
should represent the surn of the figures relating to each District in the County. If any of these quarterly statements has not been duly received by the
County Medical Officer of Health, the Ministry should be furnished with particulars, including the name of the District concerned. Further, if the
County Medical Officer of Health is in any doubt as to the accuracy of the figures included in his Return, he should record the fact, giving reasons.