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114
During the year 1917-18 the following were the figures for Willesden .—
Total tons removed 23,569
Contract price £9,828 0 0
Cost per ton 8 4.07d.
Recommendations.
(1) That the Council make arrangements for the collection and removal of house refuse
in the Willesden area for the year, 1920-21 by direct labour.
(2) That in view of the estimated costs submitted and the estimated tonnage to be moved
daily per man by horse-drawn and electrically propelled vehicles, the Committee
determine whether horse-drawn or electrically propelled vehicles are to be acquired.
G.F.B.
APPENDIX G.
30th April, 1919.
To the Chairman and Members
of the Health Committee.
HOME NURSING.
I beg to report in accordance with the following Minute of the Council:—
MINUTE.
"We have had under consideration :—
(a) The Public Health (Pneumonia, Malaria, Dysentery, etc.) Regulations,
1918, and Circular from Local Government Board, dated January, 1919.
(b) The Memorandum and Circular from Local Government Board on
tion of Influenza.
(c) The Home Nursing of Influenza, Pneumonia, Measles and Whooping
Cough.
"The Regulations above mentioned enable the Council to provide medical and
nursing assistance in suitable cases. We have requested the Medical Officer of Health to
report fully on the above matters."
REPORT.
(a) The Public Health (Pneumonia, Malaria, Dysentery, etc.) Regulations, 1918, came
into operation on March 1st, 1919, and—
(1) Impose the duty on every medical practitioner of notifying all cases of Malaria,
Dysentery, Trench Fever, Acute Primary Pneumonia or Acute Influenzal Pneumonia
occurring in his practice.
(2) Provide for the payment to the medical practitioner of a fee of 1s. for each notification.
(3) Impose the duty on the Medical Officer of Health of making such enquiries and
taking such steps as are necessary or desirable for investigating the source of
infection for preventing the spread of infection and for removing conditions
favourable to infection, and if a medical practitioner is not in attendance, tor
taking such steps as are necessary or desirable for ascertaining the nature of
the case.
(4) Impose special duties on the Medical Officer of Health in respect of Malaria,
Dysentery, Trench Fever, Enteric Fever, Typhus Fever, and Relapsing Fever.
(5) Impose the duty on the Local Authority of defraying any expenses incurred in
the carrying out of the Regulations.
(6) Empower the Local Authority to provide or contract for the provision of medical
assistance which includes nursing for patients suffering from any of the diseases
mentioned above.
(b) The Memorandum and Circular from the Local Government Board on the
Prevention of Influenza, state that Local Authorities should publish the local arrangements
made as to nursing, domestic assistance,, hospital accommodation and ambulance provision.
(c) The Home Nursing of Influenza, Pneumonia, Measles and Whooping Cough.
According to the Board's Circular M. & C.W. 4, home nursing may be undertaken in respect of