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Where dried milk is used, some orange juice should be given daily.
Of course, infants under nine months should be fed "on the breast."
Nothing can hope to rival breast milk. No mother should refrain from
breast feeding except on medical advice.
TUBERCULOSIS.
"Specify the ratio of non-notified tuberculosis deaths to total
tuberculosis deaths, and add a note as to the efficiency of notification
of tuberculosis in the district, and the action taken, if any, including
particulars of any proceedings taken in cases of wilful neglect or refusal
to notify." (Note from Ministry of Health's circular).
In 1922, twenty-five deaths occurred from cases of Pulmonary
Tuberculosis not notified during life, and eighteen deaths from other
Tuberculosis not notified. The deaths from Pulmonary Tuberculosis
were 133 and from other Tuberculosis 31. The notifications of Pulmonary
Tuberculosis were 208, and from other Tuberculosis 75.
Practically one death in six of Pulmonary cases was not notified
during life and more than half the other Tuberculosis cases.
The attention of the Council was drawn to the failure of practitioners
re notification to the Local Authority.
It was pointed out that in 1921, forty-three deaths occurred of cases
not notified during life. It was felt that it might be difficult to prove
wilful neglect on the part of a medical practitioner who had failed to
notify a case which had terminated fatally, inasmuch as he might in
defence plead that he was not aware that the patient was suffering from
the disease. It was agreed that representations should be made to the
Ministry of Health to amend the Regulations by prescribing a penalty
for failure to notify, as is the case of other infectious diseases under
the Public Health (London) Act, 1891. The Ministry replied by
referring the Council to paragraph 6 of circular 194, issued on the
4th April, 1921, and suggested that unless any recent action had been
taken by the Borough Council to direct the attention of all medical
practitioners practising in the borough to the importance of strict
compliance with their obligations under Article V of the Public
Health (Tuberculosis) Regulations, 1912, this should now be done.
The Ministry pointed out that under the Public Health Act, 1896,
penalties are recoverable for wilful neglect or refusal to carry out the