M 155
VI. NOTIFIABLE DISEASES
The notifiable Diseases in this Colony are, at present: Plague; Cholera; Small-pox; Diphtheria; Scarlet Fever; Enteric and Paratyphoid Fevers; Relapsing Fever; Cerebro-Spinal Meningitis; Typhus Fever; Yellow Fever; Puerperal Fever, and Rabies (Human and Animal).
Notifications are sent in to the Medical Officer of Health on the usual forms, signed by a registered Medical Practitioner or by the Mortuary Pathologist.
There is only one small Isolation Hospital (for Non-Chinese Small-pox cases), and other infectious diseases are either nursed at home (on the doctor's recommendation) or in the General Hospitals.
Proper Infectious-disease Hospitals, under a Medical member of a Public Health Department, are urgently needed.
Notification is followed up by the District Inspectors; details obtained for the information of the Medical Officer of Health, and disinfection carried out.
In spite of this, serious fallacies and difficulties arise owing to the large number of concealed or 'dumped' cases; the former, as a fertile source of spread and a loss to our records and the latter, by providing no data, such as address or contacts. In the great majority of cases, our first and only information is the Post-Mortem diagnosis. For many of the infectious fevers this must, of necessity, be unreliable. The penalty for concealment is very inadequate.
(1) Case incidence and Nationality.
The incidence of notifiable diseases was much greater in 1928 than the previous year, the total number of cases notified being 1009 (only 612 in 1927). Of these, 64 were definitely imported.
The following Table shows Cases of and Deaths from the Notifiable Diseases, in 1928. (In order of Prevalence).
M 155
VI. NOTIFIABLE DISEASES
The notifiable Diseases in this Colony are, at present : Plague; Cholera; Small-pox; Diphtheria; Scarlet Fever: Enteric and Paratyphoid Fevers; Relapsing Fever; Cerebro- Spinal Meningitis; Typhus Fever; Yellow Fever; Puerperal Fever, and Rabies (Human and Animal).
Notifications are sent in to the Medical Officer of Health on the usual forms, signed by a registered Medical Practitioner or by the Mortuary Pathologist.
There is only one small Isolation Hospital (for Non- Chinese Small-pox cases), and other infectious diseases are either nursed at home (on the doctor's recommendation) or in the General Hospitals.
Proper Infectious-discase Hospitals, under રી Medical member of a Public Health Department, are urgently needed.
Notification is followed up by the District Inspectors; details obtained for the information of the Medical Officer of Health, and disinfection carried out.
In spite of this, serious fallacies and difficulties arise owing to the large number of concealed or 'dumped' cases; the former, as a fertile source of spread and a loss to our records and the latter, by providing no data, such as address or contacts. In the great majority of cases, our first and only information is the Post-Mortem diagnosis. For many of the infectious fevers this must, of necessity, be unreliable. The penalty for concealment is very inadequate.
(1) Case incidence and Nationality.
The incidence of notifiable diseases was much greater in 1928 than the previous year, the total number of cases notified being 1009 (only 612 in 1927). Of these, 64 were definitely imported.
The following Table shows Cases of and Deaths from the Notifiable Diseases, in 1928. (In order of Prevalence).
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