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(2) To keep a register containing the full particulars set out in each
notification received by him; and
(3) To send to the Medical Officer of Health for the County after the
end of each week, a statement of all notifications received during
the week.
This last duty is entirely a new one undertaken for the benefit of the
County Council only. Article XII requires the M.O.H., on receipt of a
fication, to take steps to investigate the source of infection, the state of the
home and the health of the other inmates (contacts) of the house, as well as
of the patient; if he thinks it necessary, he will act in consultation with the
notifying practitioner. The circular advocates close co-operation between the
M.O.H. and the Tuberculosis Officer of the Dispensary, but it does not explain
how that can be secured beyond saying:—
"It may be desirable that this Officer or some other Officer of
"the Dispensary should undertake the duties, or some of the duties
"of the Medical Officer of Health under the Order, and for this pur"pose,
act as an Officer of the Sanitary Authority under the direction
"of the Medical Officer of Health."
Responsibility for the enforcement and execution of this Order is
entrusted to the Local Sanitary Authorities who have to meet its expense,
the circular stating that:—
"The expenses of the execution of the Order are such as should
"be met out of the rates levied for the purposes of the Public Health
"Acts, and accordingly, by Article III of the Order, the responsibility
"for the enforcement and execution of the Order is entrusted to the
"Sanitary Authorities."
Note that the term "General Order" has been applied to these
regulations and those of November, 1911, but not to those of 1908 and
March, 1911.
Diagnosis by tuberculin injection test alone is not to be accepted.
Form of Notification. There are two classes
(1) Primary on form "A," but on form "B " by School Medical
spector.
(2) Supplemental on forms "C" and "D"—of one previously notified.
Cases merely transferred from one poor law institution or sanitorium to
another are not to be notified on form "D.'
Notification by non-medical Superintendents or Relieving Officers
of Guardians is abolished.