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doubtful, and little or no experience, except as to incidence,
has been gained. There is reason to believe, however, that
more cases are now being notified than was the case last year,
but there appears to be a good deal of uncertainty amongst
medical practitioners as to which cases of Pneumonia are
notifiable. For this reason the following extracts from the
Pneumonia, etc. Regulations and accompanying memoranda
are published.
"Article V.—Subject to the provisions of these Regulations
and subject to the provisions of Section 5 of the
Local Government (Emergency Provisions) Act, 1916,
every Medical Practitioner, as soon as he becomes aware
that a person upon whom he is in professional attendance
is suffering from Malaria, or Dysentery, or Trench Fever
or Acute Primary Pneumonia, or Acute Influenzal Pneumonia,
shall forthwith make and sign and send or deliver
to the Medical Officer of Health a notification of the case
in the form and containing the particulars set forth in
Schedule A. or Schedule B., as the case may be, of the
Public Health (Notification of Infectious Disease) Regulations,
1918, and shall transmit the notification to the
Medical Officer of the district.
Provided that a Medical Practitioner shall not be
required to notify a case of Malaria, or Dysentery, or
Trench Fever, under this Article, and shall not be paid a
fee for so doing, if the case has already to his knowledge
been notified under these Regulations or under the Infectious
Disease (Notification) Act, 1889, within the period
of six months immediately preceding the date on which
he first becomes aware of the disease in that case."
In a Memorandum issued by the Local Government Board
in January, 1919, it is stated:—
(a) "Acute pneumonia may be defined as a febrile
disease characterised by inflammation of the lungs, and