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68
67. There was a considerable increase last year of deaths
from both tuberculous and simple meningitis. There was
also an increase of abdominal tuberculosis.
68. The chart on the opposite page shows the course of
the phthisis death-rate in Woolwich in the past 24 years,
compared with Greenwich, Lewisham, London, and England.
It shows that in London, Greenwich, and Lewisham, as in
Woolwich, there has been a rise or arrested fall of the
phthisis death-rate in the past three or four years.
69. 97 of those who died from phthisis were males,
and 66 females. The diminution of deaths has been greater
among females than among males.
70. Notification Regulations. Voluntary notification of
phthisis has now been in foroe in the Borough for nine
years. In 1909 notification of cases attended by Poor Law
Medical Officers was made compulsory by an Order of the
Local Government Board, made under Section 130, Public
Health Act, 1875.
Under the same Section, the Board, by Regulations issued
in 1912, made it compulsory on the Medical Officers of all
Public Hospitals and Public Dispensaries to notify cases of
pulmonary tuberculosis attending such institutions, and in
November, by further regulations, made the notification of
this disease compulsory on all medical practitioners. The
regulations also authorise local authorities to supply all
such medical and other assistance, and all such facilities and
articles, as may reasonably be required for the detection of