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by the order of the Local Government Board, dated March 23rd,
1891, article 18. jjsction 14, it is prescribed that the Medical Officer
of Health shall make an Annual Report to the Sanitary Authority,
up to the end of December in each year, comprising a summary of the
action taken, or which he has advised the Sanitary Authority to take,
during the year, for preventing the spread of disease, and an account
of the sanitary state of his district generally at the end of the vear.
The report shall also contain an account of the inquiries which
he has made as to conditions injurious to health existing in the district,
and of the proceedings in which he has taken part or advised
under any Statute, so far as such proceedings relate to those conditions;
and also an account of the supervision exercised by him,
or on his advice, for sanitary purposes, over places and houses that
the Sanitary Authority have power to regulate, with the nature and
results of any proceedings which may have been so required and
taken in respect of the same during the year.
The report shall also record the action taken by him. or on his
advice during the year, in regard to offensive trades, to dairies, cowsheds
and milk-shops.
The report shall also contain tabular statements (on Forms to
be supplied by us. or to the like effect) of the sickness and mortality
within the district, classified according to diseases, ages and localities.
In a memorandum issued by the Local Government Board in
November, 1906. it is recommended that the report shall deal with
the extent, distribution and causes of disease within the district; and
should give an account of any noteworthy outbreak of epidemic
diseases during the year under review, stating the result of investigations
into their origin and propagation, and the steps taken to
check their spread.
As these reports are for the information of the Local Government
and of the County Council, as well as of the Council of the
District, a statement of the local circumstances and a history of local
sanitary questions, which may seen superfluous for the latter, may
often be needed by the former bodies.
Under section 132 of the Factory and Workshop Act, i9or. the
Medical Officer of Health is also required in his Annual Report to
report specifically on the administration of the Act in workshops and
workplaces, and to send a copy of his Annual Report, or so much of it
as deals with this subject, to the Secretary of State.