Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Stepney]
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The Council are empowered to (1) take necessary measures for disinfecting
infected premises and articles, and to secure the destruction of infectious discharges ;
(2) supply all such reasonable assistance as will tend to diminish the risk of infection
arising from the conditions affecting the use or occupation by the patient of a room
as a sleeping apartment, and to supply for the use of the patient any appliance,
utensil, or article (such as sputum boxes, or bottles, paper hand-kerchiefs, and disinfectants)
which may be of assistance in preventing the spread of infection.
The conditions under which the patient has been living are to be investigated,
special attention being paid to the abatement of overcrowding, the provision of
ample through ventilation, the removal of conditions causing dampness of the
dwelling, the avoidance of dust, and to any other conditions tending to injure the
health of the occupants of the dwelling.
The Order allows the provision of appliances or apparatus such as temporary
shelters with the necessary furniture and utensils for the use of the patient. By
these means patients may sometimes be treated at their homes under suitable
sanitary condnitions, or continue treatment at home after a short stay in a sanatorium
Public Health (Tuberculosis) Regulations, 1911.
These Regulations came into operation on January 1st. 1912.
Every case of Pulmonary Tuberculosis is to be notified within 48 hours, and the
Doctor is to be paid 2s. 6d. for each certificate. The School Medical Inspector
receives no payment.
On receiving a notification relating to a patient, whose place of residence is not
within the area for which he is Medical Officer of Health, the Medical Officer of
Health shall forthwith transmit the notification certificate to the Medical Officer of
Health for the area in which the place of residence of the patient is situate, and at the
same time inform the doctor notifying, of that fact.
The Medical Officer of Health shall enter in a register the full particulars
contained in every notification, name, address, age, date and name of notifying
practitioner. It is also suggested that he shall keep a separate record of all particulars
bearing on the probable factors concerned in producing the disease, on the existence
of the disease in persons in contact with the patient, and on the action taken to obviate
infection, to remove insanitary conditions and to aid the patient himself or any
additional patients who may be discovered.
He must send a weekly list of notifications to the Medical Officer of the London
County Council, containing the age, address, sex, and date of notification.
Upon receipt of a notification, the Medical Officer of Health, or an Officer acting
under his instructions shall make such inquiries and take such steps as may appear
to him to be necessary or desirable for preventing the spread of infection, and
for removing conditions favourable to infection.