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34
to be specially enforced in only one of the London
Boroughs. That policy, however, has now been changed.
Several diseases are notifiable in only one of the London
Boroughs, e.g., measles in Stepney, and whooping cough
and zymotic enteritis in Greenwich. The disease may be
made notifiable under Section 56, Public Health (London)
Act, by resolution passed at a meeting of the Council of
which due notice has been given. The Order for compulsory
notification must first receive the approval of the
Local Government Board. The effect of the Order will
make failure to notify on the part of a medical man or
other person responsible an offence but will not entail any
obligation on the patient notified. Probably making notification
compulsory will cause a larger number of cases
to be notified, and it will also enable the Borough Council
to Teoover half the notification fees from the Metropolitan
Asylums Board. I recommend that the necessary action
be taken for making zymotic enteritis notifiable under
the Public Health (London) Act."
This was done, and zymotic enteritis is now compulsorily
notifiable.
Children absent from school on account of measles and
whooping-cough are notified by the school teacher or attendance
officer. Thus some form of notification is in existence
for, altogether, 19 diseases.
SMALL-POX.
26. Not a single case of small-pox was notified.
27. The number of cases of small-pox notified in London
was 3. There were no deaths.