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and in disinfecting on their removal. T hope that this system of
notification will be extended to all residential institutions receiving
tuberculous patients, in any additions or amendments that may be
made to the regulations in the future; and also that the time during
which notifications arc to be made may be limited to forty-eight hours
after the admission of patients. Under the present arrangement very
considerable delay often occurs between the removal of a patient to a
sanatorium or poor law institution and the receipt by me of the
notification of his admission. Such delay often entails delay in disinfection
and the continued use of infectious rooms and bedding by the
patient's family or other persons.
In accordance with the terms of the regulations, I keep a register
containing the full particulars set out in each notification received by
me; and also at the end of each week a statement of all notifications
received during the week is sent to the Medical Officer of Health for
the county. The notes of the investigations made in each case are
carefully indexed and filed, and a most valuable record of tuberculosis
in the Borough is thus being compiled, which is found to be of
assistance in the steps which are taken to control the disease.
The notifications were received from the following sources:—
Pulmonary cases.
Private Practitioners 101
School Doctors 1
Hospitals and Dispensaries 115
Medical Officers of Sanatoria—
On admission of patients 43
On discharge of patients 29
Poor Law District Medical Officers 29
Medical Officer of Hampstead Workhouse Infirmary—
On admission of patients 35
On discharge of patients 13
Medical Officers of outlying Poor Law Institutions—
On admission of patients 5
On discharge of patients 5
Medical Officers of Asylums 7
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