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(9) Do you find that the patients (especially those in the early stages)
resent this notification?
(10) What is your method of disinfecting rooms ?
(11) Have you found any material educational advantage resulting
from it, e.g., greater carefulness in the patients habits ?
(12) Do you only admit those cases as notifications where Tubercle
Bacilli have been found bacteriologically ?
(13) Is notification restricted to Pulmonary Tuberculosis?
(14) Do you send a note of advice as to disinfection, where a patient
with Pulmonary Phthisis resides, or has died ?
(15) What is the source of the fees that you pay medical men for the
notifications? (Metropolitan Asylums Board, Borough funds,
&c.).
(16) Do you include Infirmaries, Hospitals, &c., as institutions
whence notifications are received ?
(17) What other steps do you take in cases notified to you besides
disinfection ? Is there any co-operation in dealing with these
cases between the Local Authority and Voluntary Societies ?
(18) Any further remarks.
Replies were received from the Sanitary Authorities of 10 Metropolitan
and 28 other Boroughs, 12 Urban and 3 Rural District Councils. Of these.
the following constitutes a brief summary : —
Metropolitan Boroughs, with populations ranging from 52,000 to 270,000,
and an average death-rate for the last 5 years for all age periods, due to
Pulmonary Phthisis extending from 1.05 per 1,000 to 2.98 per 1,000.
In all these, voluntary notification has been in force for the last 2 or
3 years, and the fees offered are 2s. 6d. for cases occurring in private practice,
and Is. for cases in public institutions.
Average Annual Cost.
It was lowest in Chelsea—£2 in 1904,—highest in Southwark (£24), and
Holborn—£20 9s. 6d.—The two latter, also, had the highest average deathrate
from Phthisis: Southwark (2.55 per 1,000), Holborn (2.98 per 1,000).