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is to prevent the enlistment of tuberculous men, whom I have to notify weekly
to the War Office.
A circular of 9th May asked County and County Borough Councils for
the assistance of their Tuberculosis Officer in the examination of recruits, etc..
Tuberculosis Regulations, 1916 (No. 2).
Addressed to County Councils, Local Sanitary Authorities and Insurance
Committees of England, dated 19th September, with circular letter of 20th.
This repeals the Order of July 26th, 1912, and institutes new methods of
domiciliary treatment of insured persons suffering from tuberculosis. It
comes into force on January 1st, 1917. A schedule is attached showing form
of report on each case, once a quarter, by the practitioner to the County
Tuberculosis Officer, who shall examine the patient at least once every year.
Article II. (6) provides that practitioners shall inform the M.O.H. of any
conditions which, in the practitioner's opinion, are insanitary and prejudicial
to the patient.
Venereal Disease Regulations.
In September I submitted to my Sanitary Committee a pamphlet issued
by the L.G.B. containing:—
1. Regulations of 12th July, which forthwith came into force throughout
England and Wales.
2. Circular letter of 13th July from the Board to County Councils,
County Borough Councils, the Common Council of the City of London, and
to Boards of Guardians, and to managers of hospitals
3. A memorandum of the Chief Medical Officer of the Board.
Of these documents little need be said, as the administration is left in
the hands of the County Council. The Government contribute 75 per cent. of
the cost.
On 29th August the Local Government Board issued a circular to County
Councils, County Borough Councils and the Common Council of the City of
London, commending the advice of the British Medical Association that
medical consultants and practitioners should be associated with these bodies
in forming a scheme or schemes; also that the drugs should be distributed
through the Medical Officer of Health free for intravenous administration by
registered practitioners qualified to administer it.
On December 29th I received from the County Council particulars of
their scheme for Middlesex, a circular letter addressed by their M.O.H. to
the medical practitioners, and eight forms or leaflets relating thereto.