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29
Voluntary notification has been in force since the last quarter of
1903, and since January 1st, 1909, all cases treated by Poor Law
Medical Officers have been compulsorily notifiable.
The number of cases notified in each year was as follows:—
Year. Cases Notified.
1903 (part of) 57
1904 129
1905 75
1906 96
1907 83
1908 106
1909 139
1910 130
Of the 130 cases notified in 1910, 58 were notified by the Medical
Officers of the Croydon Union Infirmary, and 11 by the local
district medical officers. The notifications received from the latter are
incomplete.
All the notified cases are visited by one of the health visitors who
makes the necessary enquiries and give verbal instructions in accordance
with the local handbill on the prevention of consumption. The
premises are in addition inspected by the sanitary inspectors. As just
pointed out the notifications are very incomplete, but 1 am not hopeful
that very much success will attend our efforts until some further
provision is made for phthisis either by means of a special clinic or in
the shape of hospital accommodation.
TUBERCULOSIS AND MILK.
Pending fresh legislation, no samples were taken under the Model
Milk Clauses during the year.
MIDW1VES ACT, 1902.
An inspection of the midwives was carried out by Dr. Jackson.
The practice for gain by these unqualified women became illegal
in April, 1910.
During the year one registered midwife withdrew from practice,
and six new names were added, leaving 35 on the register on
December 31st, 1910.
Three midwives were cautioned.