London's Pulse: Medical Officer of Health reports 1848-1972

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Hackney 1912

[Report of the Medical Officer of Health for Hackney]

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49
"(2) If, upon such inquiry being held, it is proved to the satisfaction
of the person holding the inquiry that the amount of such
sickness has
(i.) during a period of not less than three years before the
date of the enquiry; or
(ii.) if there has been an outbreak of any epidemic, endemic,
or infectious disease, during any less period ;
been in excess of the average expectation of sickness by more than
10 per cent., and that such excess was in whole or in part due to
any such cause aforesaid, the amount of any extra expenditure
found by the person holding the enquiry to have been incuired
under this Part of this Act by any societies or committees where
the allegation is made by the Insurance Commissioners, or, if the
allegation is made by a society or committee, by the society or
committee, in question, by reason of such cause shall be ordered
by him to be made good in accordance with the following provisions:—"
(a)
"(b) Where such excess or such part thereof as aforesaid
is due to bad housing or insanitary conditions in the locality,
or to any neglect on the part of any local authority to observe
or enforce any such Act or regulation or such precautions as
aforesaid, it shall be made good by such local authority as
appears to the person holding the inquiry to have been in
default, or, if due to the insanitary condition of any particular
premises, shall be made good either by such authority or by
the owner, lessee, or occupier of the premises who is proved
to the satisfaction of the person holding the inquiry to be
responsible."
The average expectation of sickness due to small pox is practically
nil where efficient vaccination is enforced, therefore almost
any outbreak arising from neglect of vaccination should engage the
attention of the Insurance Commissioners, with a view to apportioning
the extra expenditure, due to the excessive sickness on the
defaulting authorities, in accordance with the above section.
d