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28
PHTHISIS—PULMONARY TUBERCULOSIS.
118 deaths occurred from this disease, representing a death.
rate of .9 per 1,000 of the population.
In 1908 the Local Government Board issued an Order making
Pulmonary Tuberculosis, occurring among patients under the
control of Poor Law Guardians, a notifiable disease. In 1911,
two further Orders have been issued by the Board—the first one,
which came into operation at the commencement of the year
1911, extended compulsory notification to institutional cases;
and the second, which came into force on 1st January, 1912,
provided for the notification of all cases occurring in the private
practice of Medical Practitioners, including those coming under
the notice of the School Medical Inspectors in the course of their
duties.
By means of these three Orders all cases of Pulmonary
Tuberculosis should be notified to the Medical Officer of Health.
The last Order, the provisions of which do not affect the year
under review, I reported on to the Council, who instructed me
to obtain all the necessary materials for commencing the notification
of cases on the 1st January, 1912.
I further asked for a Health Visitor to enable me, where I thought
the procedure necessary, to have the cases visited at their homes.
The question of making such an appointment has been referred
to a joint Sub.Committee of the Public Health and Education
Committees, who I trust will see fit to recommend such an
appointment to the Council.
As we have no hospitals in Leyton, the provisions of the first
Order of 1911, known as the Pulmonary Tuberculosis (Hospital)