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39
1. Compulsory notification of Consumption. Many of
the objections raised against compulsory notification
of Consumption would be negatived if the certificate
form contained questions to be answered where a
private doctor was in regular attendance. This
would in many cases obviate the necessity for a call
on the part of the Medical Officer of Health, and prevent
unnecessary interference by the Sanitary
Authority.
2. Power on the part of the Sanitary Authority to insist
on efficient isolation, either at home or in hospital,
for so long as necessary, in special cases when both
the medical practitioners in attendance and the
medical officer of health are agreed as to the necessity.
This would apply mainly to patients on the verge of
pauperism, but who not infrequently refuse to seek
admission to the Poor Law Infirmaries and are a constant
source of danger to their own families and the
public.
3. Expressly stated powers to insist on the cleansing and
disinfection of premises occupied by Consumptive
persons, and on the proper disposal of sputum.
4. Prohibition from engaging in certain employments
milk vendor, baker.
5. The vendor of milk containing tubercle bacilli should
be liable to prosecution. The Dairies, Cowsheds, and
Milkshops Order of 1885, as amended by the Order
of 1899, prohibits the sale for human food of milk
from a cow certified by a veterinary surgeon to be
suffering from tubercular disease of the udder. In
pratice it is frequently impossible to ascertain the