S.I. No. 13/1941 - The Public Health (Infectious Diseases) Regulations, 1941.

STATUTORY RULES AND ORDERS. 1941. No. 13.

THE PUBLIC HEALTH (INFECTIOUS DISEASES) REGULATIONS, 1941.

DEPARTMENT OF LOCAL GOVERNMENT AND PUBLIC HEALTH.

WHEREAS the Minister for Local Government and Public Health is empowered by Section 148 of the Public Health (Ireland) Act, 1878, as amended by the Public Health Act, 1896, from time to time, to make, alter and revoke regulations with a view to the treatment of persons affected with any epidemic, endemic or infectious disease and for preventing the spread of the disease and to provide for the enforcement and execution of the regulations :

AND WHEREAS in pursuance of the Public Health (Ireland) Acts, 1878 to 1919, the Minister for Local Government and Public Health did by the Public Health (Infectious Diseases) Regulations, 1929, make provision for the notification, prevention and treatment of acute primary pneumonia, acute influenzal pneumonia, malaria, and dysentery and the prevention and treatment of enteric fever, relapsing fever, typhus fever and diphtheria :

AND WHEREAS the diseases mentioned in the First Schedule to this Order and the diseases to which the Infectious Disease (Notification) Act, 1889, applies are epidemic, endemic or infectious diseases :

AND WHEREAS it is expedient to revoke the said Regulations and to make the Regulations hereinafter appearing with respect to the notification, prevention and treatment of the diseases mentioned in the First Schedule to this Order and the prevention and treatment of infectious diseases to which the Infectious Disease (Notification) Act, 1889, applies :

NOW, THEREFORE, the Minister for Local Government and Public Health, in exercise of the powers conferred on him by the Public Health Acts, 1878 to 1931, and of all other powers in that behalf enabling him does by this his Order make the following regulations, that is to say :—

PRELIMINARY.

1.—(1) These Regulations may be cited as the Public Health (Infectious Diseases) Regulations, 1941.

(2) These Regulations shall come into operation on the 1st day of July, 1941.

(3) The Public Health (Infectious Diseases) Regulations, 1929, shall on the coming into operation of these Regulations be revoked.

(4) The provisions as to notification contained in these Regulations shall have effect in place of any provisions contained in any order made by a local authority under the Infectious Disease (Notification) Act, 1889, providing for the notification to the medical officer of health of cases of any of the diseases mentioned in the First Schedule to these Regulations.

(5) In these Regulations, unless the contrary intention appears, the following expressions have the meanings respectively assigned thereto :—

"sanitary authority" means, as the case may be, the council of a county borough, borough, or other urban district, a port sanitary authority, a board of public health or a board of health and public assistance :

"district" means the district of a sanitary authority ;

"medical practitioner" means a person for the time being registered under the Medical Practitioners Act, 1927 ;

"medical officer of health" means—

(a) as respects any district, being a county health district or an urban county district, the county medical officer of health for the county in which such district is situate ; or

(b) as respects any district being a county borough, the medical superintendent officer of health of that district ; or

and includes any person duly appointed to perform temporarily the duties of a medical officer of health ;

"occupier" includes a person having the charge, management, or control of a building, or of the part of a building in which the patient is, and in the case of a house the whole of which is let out in separate tenements or in the case of a lodging-house the whole of which is let to lodgers, the person receiving the rent payable by the tenants or lodgers either on his own account or as the agent of another person, and in the case of a ship, vessel, or boat, the master or other person in charge thereof ;

"dysentery" includes amoebic and bacillary dysentery ;

"enteric fever" includes typhoid and paratyphoid fevers ;

"puerperal pyrexia" means any febrile condition (other than a condition which is required to be notified as puerperal fever) occurring in a woman within twenty-one days after childbirth or miscarriage, in which a temperature of 100.4° F. (38°C.) or more has been sustained during a period of twenty-four hours or has recurred during that period ;

"the Minister" means the Minister for Local Government and Public Health.

(6) The provisions of these Regulations shall apply to every ship, vessel, boat, tent, van, shed, or similar structure used for human habitation, in like manner as nearly as may be as if it were a building. A ship, vessel or boat lying in any river, harbour or other water not within the district of any sanitary authority shall be deemed for the purposes of these Regulations to be within the district of such sanitary authority as may be fixed by the Minister, and where no sanitary authority has been fixed, then of the sanitary authority of the district which nearest adjoins the place where such ship, vessel or boat is lying.

(7) The Interpretation Act, 1937 , shall apply to the interpretation of these Regulations.

ENFORCEMENT OF REGULATIONS.

2. These Regulations shall be enforced and executed by every sanitary authority.

NOTICE OF PROVISIONS OF REGULATIONS.

3. The sanitary authority shall forthwith cause notice to be given to all medical practitioners resident or practising within the district of the sanitary authority of the duties imposed upon them by these Regulations and of the alterations which have been effected by these Regulations in the duties which were imposed upon them by the Public Health (Infectious Diseases) Regulations, 1929.

NOTIFICATION BY MEDICAL PRACTITIONERS.

4.—(1) Subject to the provisions of these Regulations, every medical practitioner, as soon as he becomes aware that a person upon whom he is in professional attendance (otherwise than as medical officer of a hospital in which persons suffering from infectious diseases are received) is suffering from any of the diseases mentioned in the First Schedule to these Regulations shall forthwith transmit a notification thereof to the medical officer of health, in the form (Form No. 1) in the Second Schedule to these Regulations.

(2) Subject to the provisions of these Regulations, a medical practitioner who is a medical officer of a hospital in which persons suffering from infectious diseases are received shall forthwith transmit to the medical officer of health a notification on the form (Form No. 2) in the Second Schedule to these Regulations of any case, occurring in his practice as such medical officer, of:—

(a) any infectious disease to which the Infectious Disease (Notification) Act, 1889, applies, or which is mentioned in the First Schedule to these Regulations—

(i) where the patient has been admitted to the hospital as a case of suspected infectious disease without any definite diagnosis and the disease is first definitely diagnosed after admission of the patient to the hospital;

(ii) where the disease is diagnosed after admission of the patient to the hospital and such diagnosis constitutes an alteration of a definite diagnosis made before admission of the patient to the hospital.

(b) diphtheria or scarlet fever where the patient dies as a result of such disease whilst an inmate of the hospital.

(3) A medical practitioner shall not be required to notify to the medical officer of health under this Regulation—

(i) a case of measles or whooping cough occurring in any family, if a previous case of that disease has occurred in the same family and has to his knowledge been notified to the medical officer of health within the preceding period of two months; or

(ii) a case of malaria occurring in an institution in which the infection has been induced for therapeutic purposes; but, at least four days before the discharge of the patient from the institution, the medical practitioner under whose charge the patient has been, shall, if he is of opinion that the patient may be regarded as liable to relapses of malaria, notify the case to the medical officer of health for the area in which the patient proposes to reside, in the form and containing the particulars set forth in the Fourth Schedule to these Regulations.

SUPPLY OF FORMS OF NOTIFICATION.

5. For the purposes of these Regulations every sanitary authority shall provide and maintain a sufficient supply of printed copies of the prescribed forms of notification, and shall from time to time when application is made to them, furnish printed copies of the appropriate form to every medical practitioner practising within the district of the sanitary authority.

TRANSMISSION OF NOTIFICATIONS.

6. A notification to be transmitted to a medical officer of health in pursuance of these Regulations shall be enclosed in a sealed envelope addressed to that officer or shall be so folded and addressed to that officer that the particulars therein contained cannot be observed, and may be transmitted by being delivered to him or by being delivered at his office or residence, or may be sent by prepaid letter post addressed to him at his office or at his residence.

FEES FOR NOTIFICATION.

7.—(1) The sanitary authority shall pay to every medical practitioner for each notification duly made, signed and transmitted by him in pursuance of a requirement of these Regulations, a fee of two shillings and sixpence if the case occurs in his private practice, and of one shilling if the case occurs in his practice as medical officer of any public body or of any institution.

(2) For the purposes of this Article, the medical officer of health shall, at the end of each quarter, send to the sanitary authority, a statement showing the names and addresses of the medical practitioners to whom fees are due in respect of notifications transmitted by them under these Regulations during the quarter, and the number of such notifications received from each such medical practitioner, distinguishing therein the number transmitted in respect of cases which occurred in the private practice of the medical practitioner from the number transmitted in respect of cases which occurred in his practice as medical officer of any public body or institution.

(3) Every fee shall be paid as soon as practicable after the end of the quarter in which the notification was sent, and the sanitary authority shall not require before payment, an account of fees claimed under these Regulations.

(4) The said fees shall in each case be deemed to cover all expenses, including the cost of transmission.

(5) The receipt of such fees shall not disqualify the medical practitioner from serving as a member of a sanitary authority or in any other public office.

DUTIES OF MEDICAL OFFICERS OF HEALTH.

8. A medical officer of health shall keep, in a book to be provided by the sanitary authority, a register containing particulars of all notifications transmitted to him under these Regulations.

9. A medical officer of health on receipt of a notification under these Regulations in relation to a case occurring in a place which is not in his district shall, unless such notification is made under Article 4 (3) (ii) of these Regulations, forthwith forward the notification to the medical officer of health of the district in which the place is situated.

10. Upon receipt of a notification under these Regulations or on becoming aware in any other way of a case or suspected case of any of the diseases to which the Infectious Disease (Notification) Act, 1889, applies, or which are mentioned in the First Schedule to these Regulations, in his district, the medical officer of health or an officer of the sanitary authority acting under the instructions of the medical officer of health, shall make such inquiries and take such steps as are necessary or desirable for investigating the source of infection; for preventing the spread of infection; and for removing conditions favourable to infection; and if no medical practitioner is in attendance on the patient, the medical officer of health shall also take such steps as are necessary or desirable for ascertaining the nature of the case.

11. The duties of a medical officer of health in relation to (i) typhus fever, or relapsing fever, or (ii) enteric fever or diphtheria or dysentery, or (iii) scarlet fever, or (iv) malaria, shall in addition to those set forth in Article 10 of these Regulations comprise the duties set forth in Parts I, II, III, and IV of the Third Schedule to these Regulations respectively.

POWERS AND DUTIES OF SANITARY AUTHORITIES.

12.—(1) The sanitary authority may, subject to the approval of the Minister, provide or contract for the provision of medical and nursing assistance for any person in their district who is suffering from any of the diseases mentioned in the First Schedule to these Regulations, or from any disease to which the Infectious Disease (Notification) Act, 1889, applies and who is in need of such assistance.

(2) In cases of malaria the sanitary authority shall perform the duties imposed on them by Part IV of the Third Schedule to these Regulations.

DUTIES OF RECIPIENTS OF NOTICES UNDER THE THIRD SCHEDULE.

13. A person to whom a notice is given by a medical officer of health under the provisions contained in the Third Schedule hereto shall observe and perform any instructions lawfully given in such notice.

IMMUNISATION AGAINST DIPHTHERIA, SCARLET FEVER, MEASLES AND WHOOPING COUGH.

14.—(1) A sanitary authority, which is not a port sanitary authority, may, from time to time, in accordance with the advice of their medical officer of health, and shall, if at any time required by the Minister, do all or any of the following things, that is to say:—

(a) purchase and keep a supply of such agents as may be approved by the Minister for determining susceptibility to diphtheria and scarlet fever and for producing immunity from infection with diphtheria, measles, scarlet fever, and whooping cough and such instruments and equipment as may be necessary in connection therewith;

(b) make arrangements for the administration of the aforesaid agents to persons resident within their district in accordance with a scheme prepared by the sanitary authority and approved by the Minister;

(c) hire, subject to the approval of the Minister, for use as clinics, for the foregoing purpose, such rooms and buildings and employ such persons for the conduct thereof as the sanitary authority may consider necessary;

(d) supply any medical practitioner employed by the sanitary authority or resident or practising within their district with the aforesaid agents on such reasonable terms as the sanitary authority may fix.

(2) The medical officer of health of a sanitary authority to which this Article applies and every other medical officer of such sanitary authority, in relation to the area for which he is appointed, shall, if so required by any scheme prepared by a sanitary authority and approved by the Minister under this Article, administer, in accordance with such scheme, agents for determining susceptibility to and for producing immunity from any or all of the diseases hereinbefore mentioned in this Article.

GENERAL.

15.—(1) The duties of a medical officer of health or other medical officer of a sanitary authority shall be deemed to extend to and include all action by such medical officer in the execution of these Regulations.

(2) Any expenses incurred by a medical officer of health or other medical officer of a sanitary authority in carrying out the duties imposed on him by or under these Regulations shall be defrayed by the sanitary authority, whose officer he is.

COMPENSATION.

16. The provisions of Section 274 of the Public Health (Ireland) Act, 1878 (which relates to compensation for damage sustained by reason of the exercise of the powers of the said Act), shall apply to any person who sustains any damage by reason of the exercise of any of the powers of these Regulations in relation to any matter as to which he is not himself in default.

SAVING.

17. Where a patient is an inmate of any building, ship, vessel, boat, tent, van, shed, or similar structure belonging to the State, nothing in these Regulations shall be construed as requiring a notification to be transmitted to a medical officer of health in respect of that patient.

FIRST SCHEDULE.

Diseases compulsorily notifiable under this Order :—

Cerebro-Spinal Fever.	Pneumonia (Acute Influenzal)
Dysentery.	Pneumonia (Acute Primary).
Encephalitis Lethargica.	Poliomyelitis (Acute Anterior).
Malaria.	Puerperal Pyrexia.
Measles.	Trachoma.
Ophthalmia Neonatorum.	Undulant Fever.
Pemphigus Neonatorum.	Whooping Cough.

SECOND SCHEDULE.

FORM NO. 1.

PUBLIC HEALTH (INFECTIOUS DISEASES) REGULATIONS, 1941

............................(1)

No...................

To the (2)...........................................

of (3).......................................

In accordance with the requirements of Article 4 of the Public Health (Infectious Diseases) Regulations, 1941, I hereby certify and declare that in my opinion,

(a)............................................................ .............................................

an inmate of (b)............................................................ .......................

is suffering from(c)............................................................ .................

Age of Patient..................

Sex..................

Date of onset of disease (or date of first appearance of symptoms)............................................................ ............................................................ .

(Signed) .................................

Medical Practitioner.

Address............................................................ .................................

Dated this..................day of....................................19......

(1) Insert name of district.

(2) Insert description of medical officer of health.

(3) Insert official address of medical officer of health.

(a) Name in full of person suffering from disease.

(b) Number or name of the house and name of the street or road and of the town, parish or place where the person is resident. In the case of a ship, boat, tent, van, shed or other similar structure the name or description of the dwelling and the name of the place where it is situate should be given. The particulars given should be sufficient to enable the address to be promptly found.

FORM NO. 2.

PUBLIC HEALTH (INFECTIOUS DISEASES) REGULATIONS, 1941.

...........................................................(1)

No...................

To the (2)............................................................ .............................

of (3)............................................................ .......................................

(1) Insert name of district.

(2) Insert description of medical officer of health.

(3) Insert official address of medical officer of health.

In accordance with the requirements of Article 4 of the Public Health (Infectious Diseases) Regulations, 1941, I, being the Medical Officer of............................................................ ..............(a) hereby certify and declare that

(b) ............................................................ ........................................of

(c)............................................................ ..........................................

(*) at present an inmate of the said hospital who was admitted thereto as a case of suspected infectious disease without any definite diagnosis is, in my opinion,

suffering from............................................................ ..................... *

* at present an inmate of the said hospital who was before admission thereto diagnosed to be suffering from..............................................(d), is in my opinion suffering from............................................................ ............................................................ ............................................... (d)

* died on the..................day of..........................................19.........as a result of (diphtheria)* (scarlet fever)* whilst an inmate of the said hospital.

Age of patient..................

Sex..................

Date of onset of disease (or date of first appearance of symptoms)............................................................ ............................................................ ....

(Signed) ................................

Medical Practitioner.

Address............................................................ ...................................

Dated this..................day of....................................19.........

(a) Name and address of hospital.

(b) Name in full of person suffering from disease.

(c) Number or name of the house and name of the street or road and of the town, parish or place where the person is resident. In the case of a ship, boat tent, van, shed or other similar structure the name or description of the dwelling and the name of the place where it is situate should be given. The particulars given should be sufficient to enable the address to be promptly found.

(d) Name of disease.

* Strike out if inapplicable.

THIRD SCHEDULE.

PART I.

TYPHUS FEVER AND RELAPSING FEVER.

1. In any case of typhus fever or relapsing fever occurring in his area of which the medical officer of health becomes aware,

(i) he shall immediately send the name and address of the patient to the Minister ;

(ii) if he is satisfied that it is necessary, he may, by notice in writing require—

(a) that such measures as may be specified in the notice shall be immediately taken to his satisfaction to obtain the complete destruction of lice on the person and clothing of every occupant of the building, and to secure the destruction of lice or their products in the building ;

(b) the temporary segregation, for a period to be specified in the notice, of other inmates of the building or of other persons recently in contact with the patient until their persons and clothing have been completely freed from lice.

(iii) The notice may be addressed to the head of the family to which the patient belongs, or to any person in charge of or in attendance on the patient, or to any other person in the building or place of which the patient is an inmate, or to the occupier of the building or place and also to a person with whom the patient has recently been in contact.

(iv) The medical officer of health shall report to the sanitary authority any action taken by him under this part of this Schedule.

PART II.

ENTERIC FEVER, DIPHTHERIA AND DYSENTERY.

1.—(i) In any case of enteric fever or diphtheria or dysentery occurring in his district of which the medical officer of health becomes aware, and in connection with which he is of opinion after inquiry that such a course is necessary to prevent the spread of infection, he may by notice in writing require that, until a further notice in writing is given by him revoking the first-mentioned notice on the ground that the risk of infection is removed—

(a) the person specified in the notice shall discontinue any occupation connected with the preparation or handling of food or drink for human consumption ;

(b) suitable measures (to be specified in the notice) shall be taken with respect to cleansing, disinfection, disposal of excreta, destruction of flies, and prevention of contamination of articles of food or drink for human consumption.

(ii) The notice may be addressed to the head of the family to which the patient belongs, or to any person in charge of or in attendance on the patient, or to any other person in the building or place of which the patient is an inmate or to the occupier of the building or place.

2.—(i) If a medical officer of health has grounds for suspecting that any person in his district who is employed in any occupation or in any trade or business concerned with the preparation or handling of food or drink for human consumption is a carrier of enteric fever or diphtheria or dysentery infection, he may give notice in writing to the employer of such person or to the responsible manager of the trade or business concerned as the case may require, certifying that for the purpose of preventing the spread of the disease he considers it necessary that he or a medical officer acting on his behalf should make a medical examination of such suspected person, and the employer and the responsible manager as the case may be and all other persons concerned shall give to the medical officer of health all reasonable assistance in the matter.

(ii) If from the result of any such examination, or from bacteriological or protozoological examination of material obtained at any such examination, or from any other evidence which he may deem sufficient for the purpose, the medical officer of health is of opinion that the specified person is or continues to be a carrier of enteric fever or diphtheria or dysentery infection, the medical officer of health may give a notice in writing to that effect to the employer or the responsible manager and to the suspected person with a view to preventing, during a period to be specified in such notice, the employment of the person to whom the notice relates in the occupation or the conduct of the trade or business, or in any other occupation, trade or business concerned with the preparation or handling of food or drink for human consumption.

3.—(i) Where a medical officer of health becomes aware that a person in his district, employed in a trade or business concerned with the preparation or handling of food or drink for human consumption, has contracted enteric fever, diphtheria or dysentery, or he is of opinion as a result of any such examination as aforesaid, that a person so employed is a carrier of any such disease he may, if after inquiry, he is of opinion that the action hereinafter specified is necessary to prevent the spread of infection, by notice in writing to be given to the responsible manager of such trade or business prohibit, until a further notice in writing is given by him revoking such first-mentioned notice, the sale or distribution or removal for human consumption from any premises in which such person is or was employed as aforesaid of any article of drink or milk or other article of food which is ordinarily consumed in an uncooked state or which has been cooked and is intended for immediate consumption in a cold state.

(ii) A medical officer of health may likewise in the manner prescribed in the immediately preceding sub-paragraph prohibit the sale or distribution or removal for human consumption of any article of drink or milk or other article of food such as is referred to in that sub-paragraph, found by him on any premises within his district on which any such trade or business as is referred to in that sub-paragraph is carried on, if he suspects such article of drink, or milk or other article of food to be infected with enteric fever, diphtheria or dysentery.

(iii) The provisions of this Article shall not, so far as regards milk, extend to any dairy in respect of which a prohibition order may be made under Part V of the Milk and Dairies Act, 1935 .

4. A medical officer shall report to the sanitary authority any action taken by him under the preceding Articles of this Part of this Schedule.

5. A medical officer of health shall keep, in a book to be provided by the sanitary authority, a strictly confidential register of the names and addresses, together with any other necessary particulars, of all persons in his district, with respect to whom he is of opinion that they are carriers of enteric fever, diphtheria or dysentery infection.

6. Where a medical officer of health is of opinion that a person, within his district, is a carrier of enteric fever, diphtheria or dysentery infection, he may by notice in writing, require such person to notify the medical officer of health of any change in his address or occupation.

PART III.

SCARLET FEVER.

1.—(i) Where a medical officer of health becomes aware that a person in his district, employed in a trade or business concerned with the sale or distribution of milk for human consumption, has contracted scarlet fever, he may, if after inquiry he is of opinion that the action hereinafter specified is necessary to prevent the spread of infection, by notice in writing to be given to the responsible manager of such trade or business prohibit, until a further notice in writing is given by him revoking such first-mentioned notice, the sale or distribution or removal for human consumption of milk from any premises in which such person is or was employed.

(ii) A medical officer of health may likewise in the manner prescribed in the immediately preceding sub-paragraph, prohibit the sale or distribution or removal for human consumption of any milk found by him in any premises within his district on which any such trade or business as is referred to in the said sub-paragraph is carried on, if he suspects such milk to be infected with scarlet fever.

(iii) The provisions of this Article shall not extend to any dairy to respect of which a prohibition order may be made under Part V of the Milk and Dairies Act, 1935 .

2. A medical officer shall report to the sanitary authority any action taken by him under this Part of this Schedule.

PART IV.

MALARIA.

1. In every case of malaria occurring in his district of which a medical officer of health becomes aware, and in which he considers that action is necessary to prevent the spread of infection he shall take all necessary and practicable steps to ensure that the person suffering from malaria :—

(1) is supplied with efficient mosquito netting,

(2) receives necessary quinine treatment,

(3) receives proper advice as to the continuation of quinine treatment in order to prevent relapses, and

(4) receives proper advice as to the precautions to be taken to prevent the spread of infection.

2. On the occurrence within a district of two or more cases in which the infection has, in the opinion of the medical officer of health, been contracted within the district, the sanitary authority may, and if required by the Minister shall, appoint and pay a medical practitioner approved by him who shall—

(1) make systematic visits to houses where malaria has occurred or where risk of malarial infection arises, and shall offer to examine persons therein who are suspected of being infected with malaria and shall endeavour to obtain material for microscopic examination in order to determine whether malarial infection is present, and

(2) secure that effective measures are taken to prevent the spread of infection by the administration of quinine, by the use of mosquito netting, and by the destruction of mosquitoes, and otherwise.

3. In every case occurring in his district of which the medical officer of health becomes aware and in which he has reason to believe that the infection was contracted in that part of Ireland to which the laws of the Oireachtas for the time being extend (including every case in which the notification relates to a patient in whom the malaria has been induced for therapeutic purposes), the medical officer of health shall immediately send the name and address of the patient to the Minister.

FOURTH SCHEDULE.

THE PUBLIC HEALTH (INFECTIOUS DISEASES) REGULATIONS, 1941.

NOTIFICATION OF MALARIA (INDUCED FOR THERAPEUTIC PURPOSES).

............................................................ ..........................................(1)

To the (2)............................................................ ............................................................ .........

of (3)............................................................ ............................................................ ..................

In accordance with the requirements of Article 4 of the Public Health (Infectious Diseases) Regulations, 1941, I hereby certify and declare that

(a)............................................................ ..........................................

who proposes to reside at (b)............................................................ ............................................................ ..........................................................

at present an inmate of (c)............................................................ ........

and due for discharge on............................................................ ............ has sufferred from Malaria induced for therapeutic purpose ; and, in my opinion, may be regarded as liable to be attacked by relapses of this disease.

(1) Insert name of district.

(2) Insert description of medical officer of health.

(3) Insert official address of medical officer of health

Particulars:—

Age of Patient................... Sex..................

Date of Induction of the disease............................................................ ...

Observations (d)............................................................ ............................................................ ..........................................

............................................................ ............................................................ ............................................................ .

(Signed)...................................................

Medical Practitioner.

Dated this............day of.....................19......

Address............................................................ ............................................................ ..................................................

............................................................ ............................................................ ............................................................ .

(a) Name in full of person who has suffered from the disease.

(b) Number or name of the house, and name of the street or road, and parish or place, in which the person proposes to reside. In the case of a ship, boat, tent, van, shed, or other similar structure, the name or description of the dwelling and the name of the place where it is situate should be given. The particulars given should be sufficient to enable the address to be promptly found.

(d) Notes on the clinical course of the disease and the form of treatment (Quinine, etc.) employed.

Given under the Official Seal of the Minister for Local Government and Public Health this 29th day of May, in the Year of Our Lord One Thousand Nine Hundred and Forty-One

(Signed) PATRICK RUTTLEDGE,

Minister for Local Government and Public Health.

Notice.—Section 1 (3) and Section 4 (b) of the Public Health Act, 1896, provide that if any person wilfully neglects or refuses to obey or carry out or obstructs the execution of any regulation made under Section 148 of the Public Health (Ireland) Act, 1878, he shall be liable to a penalty not exceeding one hundred pounds, and in the case of a continuing offense to a further penalty not exceeding fifty pounds for every day during which the offense continues.