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40
The intention of the Local Government Board is obvious,
despite any ambiguity in the wording of the Regulations, but
many cases which should be notified on Form C have been notified
on Form A.
The notifications received were as follows :—
Form A 219
Form B 1
Form C 46
Form D 41
The modifications of the previous Regulations are summarised
in the Report of the Medical Officer of the Local
Government Board, and are as follows :—
The practitioner is not required to notify if he has reasonable
ground for believing that the Tuberculous patient when first seen
by him has already been notified to the Medical Officer of Health
of the district in which the patient resides at the time when seen.
The Medical Officers of Poor Law Institutions and of
approved Sanatoria are now required to notify all patients admitted
to the Medical Officers of Health of the districts from which the
patients have been admitted, and all patients discharged to the
Medical Officers of Health of the district to which they are
discharged.
The diagnosis leading to notification must be based upon
evidence other than that derived solely from Tuberculin tests
applied to the patient. A positive Tuberculin reaction furnishes
no information as to the site of the Tuberculous Focus, nor as to
the activity or inactivity of the Tubercular process. It indicates
simply that the organism at some time or in some way has been
infected with Tubercle bacilli. A positive reaction has been
obtained with undiluted Tuberculin in from 90 to 98 per cent, of
all adults.
The confidential character of notifications is more strongly
emphasised than in the previous Regulations.