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The Clerk of the Council in his letter said:—
'You will no doubt appreciate that under the above Articles you are
liable for prosecution for failing to report the animal above referred to.
This Local Authority, however, do not propose to institute legal proceedings
against you in this instance, but I am to warn you that in the event of a
similar occurrence the necessary legal proceedings will be instituted under the
Articles referred to above.'
The animal referred to was sold for slaughter on July 22nd, but unfortunately I have
not been able to obtain particulars of the condition of the animal 'post-mortem.' I think,
however, it can quite safely be concluded that this was the source of tubercle in the milk.
The last bulk sample of the remaining six cows, you will no doubt remember, proved negative."
Tuberculosis Order.
The Tuberculosis Order referred to in the above letter is administered by County Councils
and County Borough Councils. The particular Article against which the farmer offended appears
to be Article 11, which is as follows:—
"11.—(1) Every person having in his possession or under his charge any cow which
is, or appears to be, suffering from chronic disease of the udder, or any bovine animal which is,
or appears to be, suffering from tuberculous emaciation, or is suffering from a chronic cough
and showing definite clinical signs of tuberculosis, shall keep the animal isolated as far as
practicable from other bovine animals, and also keep the animal in his possession or under
his charge until the animal has been examined by a Veterinary Inspector in accordance with
the provisions of this Order, and the owner or person in charge thereof has been notified that
this Article has ceased to apply to the animal.
(2) A Local Authority, or a Veterinary Inspector on their behalf, shall by written
notice to the owner or person in charge of the animal, apply this Article to every bovine animal
examined under this Order, and such Article shall apply accordingly."
GEORGE F. BUCHAN,
November, 1931. Medical Officer of Health.
APPENDIX L.
WILLESDEN URBAN DISTRICT COUNCIL.
MATERNITY AND CHILD WELFARE.
MATERNAL MORTALITY.
NOTES BY THE MEDICAL OFFICER OF HEALTH ON CIRCULAR 1167 AND
MEMO. 156/M.C.W. OF THE MINISTRY OF HEALTH.
These documents state that not less than 50 per cent. of maternal deaths are preventable
by:—
(1) Ante-natal care.
(2) Better practice and treatment by doctors and midwives.
(3) Reasonable facilities for effective medical care.
(4) Better attention by the patient to the medical advice offered.
Ante-Natal Care.
This has to be provided for the following classes:—
(1) Insured women—
(a) who arrange for hospital confinement:
(b) who arrange for confinement at home by a midwife ;
(c) who arrange for confinement at home by a doctor.
(2) Uninsured women—
(a) who arrange for hospital confinement;
(b) who arrange for confinement at home by a midwife;
(c) who arrange for confinement at home by a doctor.
Insured Women.
(a) Who arrange for their confinement at a hospital. These women usually receive antenatal
care at or in connection with the hospital.
(b) Who arrange for confinement at home by a midwife. These women may have antenatal
care at the Municipal Health Centres. Otherwise they may have ante-natal care from their
Panel Doctor, as according to Memo. 156/M.C.W., p. 3, para. 4, the insurance practitioner is responsible
for medical attendance during pregnancy.
(c) Who arrange for confinement at home by a doctor. These women may have ante-natal
care from the doctor engaged for the confinement or from their Panel Doctor.