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(c) Medical Officer of one of His Majesty's Prisons or of a Certified
Reformatory School.
(d) Medical Officer of an Institution for Lunatics.
(e) Medical Examiner of Candidates for some office or appointment.
( f) Medical Examiner on behalf of an Insurance Company of a person proposing
to insure his life at the risk of that Company ; or
(g) Medical Examiner of the passengers and crew of an emigrant ship.
Article XI.—Nothing in these Regulations or in the Hospital Regulations
shall have effect so as to require a notification to be transferred to a Medical Officer
of Health in respect of any person whose place of residence is not situated in
England and Wales.
Article XII.— Nothing in these Regulations shall have effect so as to require
a notification to be transmitted to a Medical Office of Health in respect of any
inmate of any building, ship, vessel, boat, tent, van, shed, or similar structure
belonging to His Majesty the King.
Article XIII.—Nothing in these Regulations shall have effect so as to apply,
or so as to authorise or require a Medical Officer of Health or a Council, or any
person or authority, directly or indirectly, to put in force with respect to any
patient in relation to whom a notification in pursuance of these Regulations has
been transmitted to a Medical Officer of Health, any enactment which renders the
patient, or a person in charge of the patient, or any other person, liable to a
penalty, or subjects the patient to any restriction, prohibition, or disability affecting
himself, or his employment, occupation, or means of livelihood, on the ground of
his suffering from Pulmonary Tuberculosis.
The prevalence of Pulmonary Tuberculosis amongst seamen is much greater than
is supposed. A sailor's life is supposed to be particularly healthy, but the conditions
under which sailors live and to which attention has been drawn repeatedly in my Annual
Reports, are such as favourably pre-dispose to the dissemination of this disease.
By the courtesy of Dr. Murdock McKmnon, Medical Registrar and late Medical
Superintendent of the Seamen's Hospital at Greenwich, I am enabled to give some tables
which show the total number of admissions, to the Dreadnought Hospital, of patients
suffering from this disease.
"These tables have been compiled to show the total number of admissions to
the Dreadnought Hospital, of patients suffering from Pulmonary Tuberculosis in
21 years (1890-1910 inclusive) ; the annual number of admissions under each class,
and the death-rate, also the percentage death-rate from phthisis, calculated from
the total number of deaths from all causes. In Table I. is given the total annual
admissions under each rating ; in Table II., the total annual admissions of phthisis
cases with the percentage death-rate ; and in Table III., the total deaths from all
causes, and the death-rate from phthisis calculated from such total."