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35
Notification.
(1) Notifiable diseases, as defined by S. 343 of the Public Health
Act, 1936: Smallpox, cholera, diphtheria, membranous croup, erysipelas,
scarlet fever, typhus, typhoid, enteric and relapsing fevers.
(2) Diseases declared by the Local Authority under S. 147 of the
Public Health Act, 1936, to be notifiable: Pemphigus of the new-born.
(3) Diseases notifiable by regulation: Plague, acute poliomyelitis,
tuberculosis, puerperal pyrexia, ophthalmia neonatorum, malaria,
dysentery, acute primary pneumonia, acute influenzal pneumonia,
measles, whooping cough, acute encephalitis, meningococcal infection.
Aids to Diagnosis.
(1) Laboratory service (see page 20).
(2) Services of a consultant—
(a) Ordinary infections: Dr. Livingstone, of the Hendon
Isolation Hospital (Tel. No. Colindale 8182).
(b) Smallpox and typhus fever: The patient's doctor can be put
into touch with one of the Ministry of Health's panel of
consultants by means of the Public Health Office, or
the Hendon Isolation Hospital.
(c) Tuberculosis: Physicians at the Chest Clinics.
Isolation in Hospital.
(a) The usual infectious diseases: Most patients removed to hospital
are admitted to the Hendon Isolation Hospital, Goldsmith Avenue,
Hendon. When there is no accommodation here patients may be admitted
to one of a number of isolation hospitals around London, arrangements
being made either by the staff of the Hendon Isolation Hospital or by the
patient's doctor applying to the Emergency Bed Service.
(b) Smallpox or Typhus Fever: Patients suffering or suspected to be
suffering from these complaints are admitted to special hospitals. The
removal to hospital can be arranged only if the patient has been seen by
one of the consultants on the Ministry's list.
(c) Tuberculosis: Arrangements for admission are made by the
staff of the Tuberculosis Service, mostly to special but sometimes to
general hospitals.
Exclusion of Contacts.
Except for the exclusion from school of child contacts of those
suffering from one of a number of infectious complaints, exclusion of
contacts is practised only in those rare instances where, because of the
nature of his work, there is risk of the contact spreading infection to
others.
Disinfection.
Except after cases of smallpox, typhoid fever, tuberculosis and
scabies, and in any exceptional cases approved by the Medical Officer of
Health, where disinfection cannot be carried out in the home, terminal
fumigation and removal of bedding and other articles for stoving after