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By the Order of the Local Government Board, dated March
23rd, 1891, article 18, section 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 year.
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 seem superfluous for the latter,
may often be needed by the former bodies.
Under section 132 of the Factory and Workshop Act, 1901,
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.