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Case (3)—Male aged 61 years, admitted to mental institution
in 1938, admitted to hospital September, 1952, for
loss of weight. Diagnosis not possible without Post
Mortem.
The reasons given for non-notification of the three pulmonary
cases in 1951 were as follows:—
Case(l)—Male aged 60. Died from Coma, Emaciation and
Phthisis. Family Doctor stated that this man only
moved into the Borough 14 days before death, that
he was previously under the care of his own doctor
for tuberculosis and was therefore presumably notified
in a London Borough but the notification was
not transferred.
Case (2)—Male aged 25. Died prior to 11th July at a mental
institution from pulmonary tuberculosis and
amentia. Apparently at an institution for 15 years
and not notified in Walthamstow.
Case (3)—Male aged 68. First seen by family doctor 6.9.51
and still working. Diabetes diagnosed 21.9.51 and
admitted to hospital 30.9.51. Rapidly deteriorated.
Cause of death found to be miliary tuberculosis with
chronic pulmonary tuberculosis at Post Mortem.
Unfortunately, the transfer of notifications between sanitary
districts on change of domicile leaves much to be desired.
Notification.
The issue of Circular 6/52 in April, 1952, has caused considerable
disquiet amongst Health Workers in the tuberculosis
field. It is understood that the Public Health (Tuberculosis) Regulations
1930, were revoked in spite of strong representations from
the Joint Tuberculosis Council.
The new (1952) regulations no longer require a Medical
Officer of Health to keep a Register of Tuberculosis notifications,
although the Ministry urges that he should do so. The " essential
Tuberculosis Registers" are to be those maintained at chest clinics.
The requirement contained in the 1930 regulations for providing
information in regard to a tuberculosis patient entering or leaving
a sanatorium or hospital is also omitted from the new regulations.
Heat-Treated Milk and Non-Pulmonary Tuberculosis.
The table gives particulars of fifteen non-pulmonary cases
notified in 1952 and the observations of Dr. Ramsay, Chest
Physician, who found no evidence that the infection was due to
raw or untreated milk.