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A patient who changes his residence from one Sanitary District to another in
the same County may properly be the subject of Primary Notification in each such
District. Only the first of such notifications, however, are recorded in columns
(2)-(13) of the Return for the County concerned, the subsequent notification(s) being
included in column (14).
(c) Column (14). All formal notifications, whether duplicate or not, are
included in this column.
General.—Patients notified as suffering from combined pulmonary and nonpulmonary
tuberculosis are included among the "pulmonary" returns only.
If a patient already notified as suffering from one form of tuberculosis is subsequently
notified to the Medical Officer of Health of the same Sanitary District as
suffering from another form of tuberculosis, the fact is noted in the Notification
Register, but such notification is recorded as a duplicate notification.
Part II.
(a) New cases of tuberculosis first coming to knowledge otherwise than by
formal notification may in some instances afterwards be formally notified under the
Regulations. Should such formal notification be received within the same year as
that in which the case first came to the knowledge of the Medical Officer of Health.
it is recorded as a "Primary Notification" and excluded from the Supplemental
Return. If the formal notification is received in a subsequent year, such notification
is regarded as duplicate, as the case has already been included in the Supplemental
Return for a previous year.
(b) A formal notification which is not received until after the death of the patient
is included in the Supplemental Return as a "posthumous notification."
(c) No 'case is included both in the Summary of Notifications and in the
Supplemental Return for the same year.