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(a) Section 62 of the Public Health Act, 1925, provides for the
removal to institutions of cases of pulmonary tuberculosis
who are a danger to others in their homes owing to inadequate
care and isolation.
(b) The Public Health (Prevention of Tuberculosis) Regulations,
1925, prohibit persons suffering from tuberculosis of
the respiratory tract taking part in the milking of cows, the
Handling of milk or milk vessels.
(c) The Tuberculosis Order No. 1, 1925, makes provision for the
discovery of tubercular cattle, their exclusion from milking
herds, for their slaughter and for compensation to the owner.
In the body of the report I have referred to other recent Acts
of Parliament and Orders of the Ministry under the heading of the
subject to which they relate. There was one important communication
sent by the Ministry of Health to Local Authorities during the
year which, although it does not deal directly with the prevention
of any particular disease, will have very far-reaching effects on the
Public Health Services, and it may be appropriate to refer to it
here. It is entitled, "Provisional proposals for Poor Law Reform
prepared in the Ministry of Health for circulation to the London
County Council, Associations of Local Authorities, and others concerned
as a basis for consideration and discussion.''
The proposals embody very great changes in the present system
of administration, and if adopted will affect very seriously the status
of many Local Sanitary Authorities, especially those autonomous
areas within Counties such as large Urban Districts and Municipal
Boroughs. The changes involved are considered under two
headings:—
(1) The transfer of the duties of Boards of Guardians to County
Councils and to County Borough Councils.
(2) The conferring upon County Councils of the duty of supervising
and controlling all health services in the County outside
the County Borough.
Apart from the question whether the changes contemplated
under heading (2) will lead to more economical and more efficient