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39
a case is to be notified. There are four different forms on which
the cases may be notified—Forms A, B C, D—and some confusion
exists as to the kind of form on which a particular case
is to be notified. In the circular of the Local Government
Board which accompanied the Regulations, the directions are
plainly given. The confusion arises between Forms A and C.
In the circular it is stated that the notifications to be made
by medical practitioners may be divided into two classes, which
are described for convenience as " primary " and " supplemental
" modifications. Primary notification is required of every
case of Tuberculosis unless the practitioner has reasonable
grounds for believing that the case has already been previously
recognised and notified as such to the Medical Officer of Health
of the appropriate district.
A supplemental notification is an additional notification of a
case which has been previously notified.
Except in the case of notifications by School Medical
Inspectors, all primary notifications are to be made on Form A.
School Medical Inspectors not'fy on Form B.
Supplemental notifications are to be made on Forms C and I)
bv Medical Officers of Poor Law Institutions and Sanatoria only.
A certain number of cases of Tuberculosis will be recognised
for the first time after the admission of the patient to an institution,
and cases may occur among the staff of the institution.
Primary notification of such cases is required to be made by the
Medical Officer of the institution under Article V. on Form A.
The notification is to be sent to the Medical Officer of Health
for the district within which the place of residence of the patient
was situated before his admission to the institution. But the
majority of the patients at these institutions will have been notified
before their admission, and supplemental notification is to
be made on Form C, to be completed, after the end of each week,
of all cases admitted during the week and believed by the Medical
Officer to have been previously notified. Supplemental notification
is also required to be made after the end of each week on
Form D of all cases discharged from the institution during the
\Veek.