S.I. No. 99/1948 - Infectious Diseases Regulations, 1948.


S.I. No. 99 of 1948.

INFECTIOUS DISEASES REGULATIONS, 1948.

ARRANGEMENT OF ARTICLES.

PART I.

PRELIMINARY AND GENERAL.

Article

1. Citation.

2. Definitions.

3. Commencement.

4. Revocations.

5. Enforcement of Regulations.

6. Notice of provisions of Regulations.

PART II.

SPECIFICATION OF INFECTIOUS DISEASES.

7. Diseases which are infectious diseases.

8. Exclusion of certain infectious diseases from application of Sections 33, 34, 35, and 36 of the Act.

9. Exclusion of certain infectious diseases from application of section 38 of the act.

10. Exclusion of certain infectious diseases from application of section 41 of the act.

11. Exclusion of certain infectious diseases from application of section 44 of the act.

PART III.

DIAGNOSIS AND TREATMENT OF INFECTIOUS DISEASES AND PREVENTION OF THE SPREAD OF INFECTION.

12. Diagnosis and treatment.

13. Prevention of the spread of infection.

14. Examination of persons.

15. School children.

16. Public conveyances.

17. Disposal of infected bodies.

18. Infected, infested or dirty articles.

19. Cleansing, disinfection and disinfestation.

Article

20. Importation of used clothing, etc.

21. Special provisions in relation to venereal disease.

22. Special provisions in relation to psittacosis.

PART IV.

IMMUNISATION AND VACCINATION.

23. Diagnostic and immunising agents.

24. Vaccination against smallpox.

25. Immunisation against diphtheria.

26. Certificates.

PART V.

NOTIFICATION.

CHAPTER I.

Infectious Diseases other than Tuberculosis and Venereal Disease.

27. Definition for Chapter I.

28. Notification by general medical practitioners.

29. Notification by medical officers of infectious disease institutions.

30. Notification of malaria induced for therapeutic purposes.

31. Notification of case of acute anterior poliomyelitis leaving institution.

32. Notification by persons other than medical practitioners.

CHAPTER II.

Tuberculosis and Venereal Disease.

33. Notification of case of tuberculosis.

34. Intimation of suspected case of tuberculosis.

35. Notification of case of venereal disease.

Chapter III.

General and Ancillary Provisions.

36. Returns by registrars of births and deaths of deaths from infectious disease, etc.

Article.

37. Supply of prescribed forms.

38. Fees for notification.

39. Duties of chief medical officers in relation to notification.

40. Transitory provisions relating to notification.

PART VI.

MISCELLANEOUS.

41. Contraventions of the Regulations.

42. Records and confidential nature of documents.

43. Directions by Minister.

44. Saving for mails.

45. Infected premises notice.

First Schedule Regulations and orders revoked.

Second Schedule Diseases specified to be infectious diseases.

Third Schedule Forms prescribed for immunisation and vaccination.

Fourth Schedule Forms prescribed for notifications.

S.I. No. 99 of 1948.

INFECTIOUS DISEASES REGULATIONS, 1948

The Minister for Health, in exercise of the powers conferred on him by the Health Act, 1947 (No. 28 of 1947), after consultation with the Minister for Industry and Commerce, hereby makes the following Regulations:—

PART I. PRELIMINARY AND GENERAL.

1 Citation.

1.—These Regulations may be cited as the Infectious Diseases Regulations, 1948.

2 Definitions.

2.—In these Regulations:

the expression "the Act" means the Health Act, 1947 ;

the word "carrier" means a person who, without apparent symptoms of an infectious disease, harbours the specific micro-organisms of such disease and is a probable source of infection with such disease;

the expression "chief medical officer" means a county medical officer or a city medical officer and includes also an assistant county medical officer or assistant city medical officer to whom duties under these Regulations have been assigned and any other medical officer authorised by the Minister, or by a health authority with the consent of the Minister, to perform specific duties or exercise specific powers under these Regulations;

the word "district" means the functional area of a health authority;

the word "dysentery" includes amœbic dysentery and bacillary dysentery;

the expression "epidemic diarrhœa and enteritis" means any condition in an infant under two years associated with frequent motions and constitutional disturbance;

the expression "health officer" means an officer of a health authority authorised by the health authority to enforce or execute any provisions of these Regulations;

the word "home" when used in relation to a person includes any dwelling (including a temporary dwelling) in which such person may be residing for the time being;

the expression "infectious disease institution" means an institution in which persons suffering from infectious disease (other than tuberculosis or venereal disease) are received and in respect of which the Minister has not made an order under Section 45 of the Act prohibiting absolutely the admission to such institution of persons suffering from an infectious disease (other than tuberculosis or venereal disease);

the word "measles" does not include German measles (otherwise known as rubella);

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

the expression "the Minister" means the Minister for Health;

the expression "officer of customs and excise" includes any person acting under the authority of the Revenue Commissioners and (so far as any provisions of these Regulations are applied to a customs-free airport in pursuance of the Customs-Free Airport Act, 1947 ) means an officer of the Minister for Industry and Commerce duly authorised to discharge the appropriate duties;

the expression "puerperal pyrexia" means any febrile condition (other than a condition which is required to be notified as puerperal sepsis) 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 expression "streptococcal sore-throat" means a sore throat caused by infection with streptococcus hæmolyticus;

the expression "tuberculosis institution" means an institution in which persons suffering from tuberculosis are received and in respect of which the Minister has not made an Order under Section 45 of the Act prohibiting absolutely the admission to such institution of persons suffering from tuberculosis;

the expression "venereal disease" means syphilis, gonorrhœa or soft chancre;

the expression "venereal disease institution" means an institution in which persons suffering from venereal disease are received and in respect of which the Minister has not made an order under Section 45 of the Act prohibiting absolutely the admission to such institution of persons suffering from any venereal disease.

3 Commencement.

3.—(1) These Regulations (except Chapters I and II of PartV) shall come into operation on 1st day of April, 1948.

(2) Chapters I and II of Part V of these Regulations shall come into operation on 1st day of May, 1948.

4 Revocations.

4. The Regulations mentioned in the First Schedule to these Regulations shall be revoked as from 1st day of April, 1948.

5 Enforcement of Regulations

5. These Regulations shall, subject to any arrangement for joint action by health authorities under Section 101 of the Act, be enforced and executed by every health authority through their health officers.

6 Notice of provisions of the Regulations.

6. A health authority shall forthwith cause notice to be given in such manner and form as the Minister may direct to medical practitioners resident or practising in their district and to other persons in their district of the duties imposed on them by these Regulations.

PART II. SPECIFICATION OF INFECTIOUS DISEASES.

7 Diseases which are infectious diseases.

7. The diseases listed in the Second Schedule to these Regulations are hereby specified to be infectious diseases and the expression "infectious disease" shall, except where otherwise provided, be construed as meaning any disease so listed.

8 Exclusion of certain infectious diseases from application of Sections 33, 34, 35 and 36 of the Act.

8. All the infectious diseases listed in the Second Schedule to these Regulations, except tuberculosis and typhus, shall be excluded from the application of Sections 33, 34, 35 and 36 of the Act.

9 Exclusion of certain infectious diseases from application of Section 38 of the Act.

9. All the infectious diseases listed in the Second Schedule to these Regulations, except acute anterior poliomyelitis, cholera, diphtheria, gonorrhœa, paratyphoid A, paratyphoid B, smallpox, syphilis, tuberculosis, typhoid and typhus, shall be excluded from the application of Section 38 of the Act.

10 Exclusion of certain infectious diseases from application of Section 41 of the Act.

10. All the infectious diseases listed in the Second Schedule to these Regulations, except acute anterior poliomyelitis and tuberculosis, shall be excluded from the application of Section 41 of the Act.

11 Exclusion of certain infectious diseases from application of Section 44 of the Act.

11. All the infectious diseases listed in the Second Schedule to these Regulations, except acute anterior poliomyelitis, diphtheria, paratyphoid A, paratyphoid B, tuberculosis, typhoid and typhus shall be excluded from the application of Section 44 of the Act.

PART III. DIAGNOSIS AND TREATMENT OF INFECTIOUS DISEASES AND PREVENTION OF THE SPREAD OF INFECTION.

12 Diagnosis and treatment.

12.—(1) A health authority shall make arrangements for the diagnosis and treatment of infectious disease in persons in their district.

(2) Subject to the provisions of sub-articles (3) and (4) of this Article, no charge shall be made by a health authority for any services (including institutional services) provided by them in the performance of their duties under this Article.

(3) Where institutional services, which are provided in a private or semi-private ward or which are otherwise of a type for which it is customary to make an extra charge, are provided for a person suffering from an infectious disease at the request of such person or of the person in charge of him, the provisions of sub-article (2) of this Article shall not apply.

(4) Nothing in sub-article (2) of this Article shall affect any agreement with an authority in another State for the making of payments to health authorities for the treatment of infectious disease.

13 Prevention of the spread of infection.

13.—(1) On becoming aware, whether from a notification or intimation under these Regulations or otherwise, of a case or a suspected case of an infectious disease or of a probable source of infection with an infectious disease in his district, the chief medical officer or the district medical officer or other health officer acting on the instructions of the chief medical officer shall make such inquiries and take such steps as are necessary or desirable for investigating the nature and source of the infection, for preventing the spread of infection and for removing conditions favourable to infection.

(2) A chief medical officer may in particular, having regard to the circumstances of each case and the nature of the disease, require

(a) an adult person to remain in his home or the parent of a child to keep such child in his home and such adult person or parent to take in his home precautions by way of isolation or otherwise against the spread of infection,

(b) an adult person to remain away from a specified place or places (which may include his home) or the parent of a child to keep such child away from a specified place or places (which may include his home),

(c) a person to discontinue any occupation in relation to food or drink for human consumption or in relation to the nursing of the sick or the care of children or any other occupation where there is special danger of his spreading infection,

(d) the compulsory cleansing, disinfection or disinfestation of persons, buildings, structures, vehicles, vessels, aircraft or articles.

(e) measures to be taken for the destruction of animals or insects.

14 Examination of persons.

14.—(1) Where a chief medical officer is' making investigations or taking steps to prevent the spread of infection he may require an adult person to submit himself or the parent of a child to submit such child to an examination by a medical practitioner to find out whether such adult person or child is a probable source of infection and require such adult person or parent to afford to such practitioner all reasonable facilities for such examination, including permission to take blood or other specimens for examinations or tests.

(2) Except where the chief medical officer is satisfied that, on grounds of urgency, it is inexpedient, reasonable notice of the time and place of such examination shall be given in writing to the person concerned and the convenience of the person (or the parent in the case of a child) shall receive due consideration when fixing the time and place for the examination.

(3) Where a child is submitted to an examination in pursuance of a requirement made under sub-article (1) of this Article, his parent shall be entitled to be present at such examination and a notice given under sub-article (2) of this Article shall include information to the effect that such parent is so entitled.

(4) If it is expected that samples of blood or other specimens will be likely to be required at an examination, notice thereof shall be included in any notice under sub-article (2) of this Article.

15 School children.

15.—(1) A parent who knows that his child is suffering from or is a probable source of infection with an infectious disease shall not allow him to attend school or college save with the permission of the chief medical officer of the district and under such restrictions or conditions as such chief medical officer may impose.

(2) Where a child is in a boarding school or college and is isolated therein under the supervision of a medical practitioner such child shall be deemed, for the purposes of this Article, not to be attending such school or college.

(3) The imposition of restrictions or conditions under sub-article (1) of this Article shall, if requested by a parent concerned, be notified in writing.

(4) The Manager of a school or college a pupil of which has contracted an infectious disease shall furnish to the chief medical officer immediately on request a list of the names and addresses of all pupils or of pupils of a particular class on the attendance rolls of the school or college or alternatively shall give facilities on request to the chief medical officer for the compilation of such a list.

16 Public conveyances.

16.—(1) For the purposes of this Article:

the word " patient " means a person suffering from acute anterior poliomyelitis, cerebro spinal fever, diphtheria, measles, paratyphoid A, paratyphoid B, scarlet fever, smallpox, typhoid or typhus.

the expression "public conveyance" includes a conveyance available for private hire.

(2) A person who knows he is a patient shall not:—

(a) enter a public conveyance used for the conveyance of passengers at separate fares, or

(b) enter any other public conveyance unless the owner or person in charge of the conveyance knows that he is a patient and consents to his entry.

(3) A person having the care of another person whom he knows to be a patient shall not permit the patient to enter:—

(a) any public conveyance used for the conveyance of passengers at separate fares, or

(b) any other public conveyance unless the owner or person in charge of the conveyance knows that such other person is a patient and consents to his entry.

(4) The person in charge of a public conveyance used for the conveyance of passengers at separate fares shall not convey therein a person whom he knows to be a patient.

(5) Where a person in charge of a public conveyance who is not the owner of the conveyance learns that a patient has been conveyed in the conveyance he shall so inform the owner of the conveyance as soon as is practicable.

(6) Where the owner of a public conveyance learns that a patient has been conveyed in the conveyance such owner shall:—

(a) forthwith take the conveyance out of service;

(b) as soon as is practicable inform the chief medical officer of the county or county borough in which the conveyance is usually kept that a patient has been conveyed in the conveyance, and

(c) cause the conveyance to be disinfected to the satisfaction of such medical officer and keep it out of service until so disinfected.

(7) The owner or person in charge of a public conveyance not used for the conveyance of passengers at separate fares may refuse to convey therein a person whom he knows to be a patient either absolutelyor until he has been paid a sum sufficient to cover any expense which will be incurred in complying with the provisions of paragraph (6) of this Article.

17 Disposal of infected bodies.

17.—(1) This Article applies only to plague, smallpox and typhus.

(2) Where a person dies while a probable source of infection with an infectious disease to which this Article applies, the chief medical officer of the district in which such person dies may direct all or any of the following things:—

(a) that the body of such person be enclosed in a suitable coffin and that such coffin be not opened thereafter unless such opening is directed in accordance with law.

(b) that such body be placed in a room and that admittance to such room while the body is therein be limited to such persons as may be specified by the chief medical officer.

(c) that all persons or persons of a specified class be prohibited from entering the premises in which such body is kept.

(d) that such body be removed direct from the premises in which the person died to the place of burial.

(e) that burial takes place within a specified period and in a specified manner.

(3) Where the body of a person who has died while a probable source of infection with an infectious disease to which this Article applies is retained in a room where people live or sleep, the chief medical officer may have such body removed to a specified mortuary or other similar place at the cost of the health authority.

(4) The person responsible for arranging for the disposal of the body of a person who has died while a probable source of infection with an infectious disease to which this Article applies shall give any information in respect of such disposal (including the name of the undertaker) required by the chief medical officer.

(5) An undertaker arranging for the disposal of the body of a person who has died while a probable source of infection with an infectious disease to which this Article applies shall comply with all directions and requirements of the chief medical officer in respect of such disposal.

(6) A wake shall not be held over the body of a person who has died while a probable source of infection with an infectious disease to which this Article applies.

18 Infected, infested or dirty articles.

18.—(1) A chief medical officer may, if he is satisfied that such action is necessary to prevent the spread of infection, require the destruction, or the disposal in a specified manner, of

(a) any infected, infested or dirty substance or article or any substance or article which has been exposed to infection or infestation or

(b) any substance or article of a type likely to harbour infection or infestation which has been imported from a country where a serious outbreak of infectious disease has occurred.

(2) A chief medical officer may direct that a specified substance or article be not moved or be moved to a specified place pending investigation as to whether it is of a type which might be destroyed or disposed of under sub-article (1) of this Article.

19 Cleansing, disinfection and disinfestation.

19.—(1) A health authority shall make arrangements for any cleansing, disinfection or disinfestation of persons, buildings, structures, vehicles, vessels, aircraft or articles required by or under these Regulations unless such cleansing, disinfection or disinfestation is otherwise performed to their satisfaction.

(2) Cleansing, disinfection or disinfestation of female persons under this Article shall be carried out only by a medical practitioner or a woman duly authorised by the chief medical officer.

(3) Save as is provided in Article 20 of these Regulations, no charge shall be made by a health authority for the cleansing, disinfection or disinfestation under this Article of

(a) a person or his clothing or

(b) an article other than clothing, a building, a structure, a vehicle, a vessel or an aircraft if the owner is not in default.

20 Importation of used clothing, etc.

20.—(1) For the purposes of this Article:

the expression "specified article" means:—

(a) an article of clothing, a towel, a handkerchief, or a similar article which has been in use;

(b) bedclothing, a mattress or a similar article which has been in use;

(c) rags;

but does not include any such specified article which is part of the personal luggage of an importer and is imported for his sole personal use or for the use of his household.

the expression "recognised port" means the port of Dublin, Cork, Limerick or Waterford or an airport which is declared to be a sanitary airport in accordance with the International Sanitary Convention for Aerial Navigation, 1933.

the word "importer" means any person in the State who either as owner or consignee, agent or broker, is entitled to the possession, custody or control of a specified article.

(2) No person shall import into the State a specified article from a place situate outside Great Britain and Northern Ireland save and except through a recognised port.

(3) No person shall import into the State a specified article from any place in Great Britain or Northern Ireland save and except through a recognised port unless:—

(a) such article shall be accompanied by a certificate of a medical officer of health of the place in Great Britain or Northern Ireland from which the article has been imported that it has been effectually disinfected by steam or, in the case of an Article liable to be damaged by steam, by other recognised means which shall be specified in the certificate; or

(b) such article shall be accompanied by a certificate of a medical officer of the port of entry into Great Britain or Northern. Ireland if such article has been imported into Great Britain or Northern Ireland from abroad that the article has been effectually disinfected by steam or, in the case of an article liable to be damaged by steam, by other recognised means which shall be specified in the certificate.

(4) The health authority shall make such charges as they think necessary to cover the costs arising under this Article and shall notify the importer as soon as possible of the amount due.

(5) If in any case an officer of customs and excise is of opinion that an offence has been committed under this Article he shall communicate to the Minister the name of the importer and such other information as he may possess or obtain as to the destination of the specified article.

(6) For the purposes of disinfection as hereinafter provided an officer of customs and excise shall cause to be detained at such place as he thinks proper any specified article which is imported into the State through a recognised port under sub-article (2) of this Article or (if not accompanied by a certificate of a medical officer of health) under sub-article (3) of this Article and notice of such detention and of the place at which the specified article is detained shall be given by the officer of customs and excise in writing to the importer, and to the chief medical officer of the health authority.

(7) Upon being informed by the officer of customs and excise that a specified article has been detained by him under the preceding sub-article the chief medical officer of the health authority shall forthwith cause the same to be effectually disinfected and for that purpose the officer of customs and excise shall authorise the removal by such medical officer of the specified article from the place at which it is detained.

(8) Upon completion of disinfection the chief medical officer of the health authority shall cause the specified article to be delivered to the officer of customs and excise at the place at which the same wasdetained or at such other place as the officer of customs and excise shall specify accompanied by a certificate that the specified article has been effectually disinfected.

(9) Where a specified article (other than one covered by sub-article (3)) is imported into the State otherwise than through a recognised port it shall be detained by the officer of customs and excise and if it is not exported from the place where it was imported within twenty-four hours after being thereunto required by the officer of customs and excise, the health authority shall, on being notified by the officer of customs and excise, cause it to be destroyed or else to be disinfected and otherwise suitably disposed of under the supervision of the chief medical officer or other health officer who shall if the article is destroyed certify the fact of such destruction to the officer of customs and excise and, if he proposes to have the article otherwise disposed of, notify the officer of customs and excise accordingly and cause it to be returned to such officer for disposal.

(10) No person shall remove or cause to be removed a specified article from the place at which it is detained by an officer of customs and excise for the purposes of this Article except with the permission of such officer.

(11) Nothing in this Article shall have effect so as to prohibit the transit through the State of a specified article consigned to a destination outside the State where the specified article is so packed and so carried as effectually to prevent actual and direct contact of the specified article with any person while the specified article is on its way to such destination.

21 Special provisions in relation to venereal disease.

21.—(1) A health authority shall make arrangements in accordance with a scheme which shall be subject to the approval of the Minister:

(a) for the diagnosis and treatment of persons suffering from venereal disease;

(b) for placing at the disposal of a medical practitioner resident or practising in their district such skilled assistance in the treatment of venereal disease as may be required;

(c) for supplying such medical practitioner on such reasonable terms as the health authority may determine or, with the consent of the Minister, free of charge, with salvarsan and arseno-benzene compounds and such other preparations and compounds as may be approved by the Minister for the treatment and prevention of venereal disease;

(d) for the payment of the expenses incurred by persons undergoing treatment under the arrangements, in travelling to and from any place where such treatment is given;

(e) for enabling a medical practitioner to obtain at the cost of the health authority a scientific report on any materials which such medical practitioner may submit from a patient suspected to be suffering from venereal disease.

(2) The name and address of a person receiving treatment under a scheme made under this Article shall be regarded as confidential and such person shall be referred to in correspondence under an identification number assigned to him in accordance with such system as may be directed by the Minister from time to time.

(3) Every scheme in relation to venereal disease in operation before the commencement of these Regulations shall be deemed to have been made under this Article and shall continue in force, until replaced by new arrangements under this Article.

22 Special provision in relation to psittacosis.

22.—(1) For the purposes of this Article the word " parrot " includes a cockatoo, parakeet, budgerigar or any other bird of the parrot species.

(2) No person shall import into the State any parrot unless such person is the holder of a permit (hereinafter referred to as an import permit) granted by the Minister under this Article authorising him to import such parrot and such parrot is imported under and in accordance with such permit.

(3) The Minister may grant a permit to import one or more parrots—

(a) to the Royal Zoological Society of Ireland for the purpose of the maintenance or improvement of a rare species of parrot in the said Society's Zoological Gardens, and

(b) to any association or institution engaged in medical or veterinary research (including in particular research into psittacosis) for the purpose of such research.

(4) Every import permit shall—

(a) be expressed and operate to allow the importation of the number of parrots specified in such permit within the time stated in such permit, and

(b) be granted subject to such conditions as the Minister may think fit to impose.

(5) Where a parrot has been imported in contravention of these Regulations it shall be forfeited and the proper officer of customs and excise shall notify the health authority of such importation and forfeiture.

(6) Whenever a health authority receives under sub-article (5) of this Article a notification in respect of any parrot they shall cause such parrot to be destroyed under the supervision of the chief medical officer or authorised health officer, and such officer shall certify the fact of such destruction to the officer of customs and excise from whom such notification was so received.

(7) For the purpose of this Article, a parrot which is transported by sea or air shall not, so long as it remains in the ship or aircraft in which it is so transported, be deemed to have been imported.

PART IV. IMMUNISATION AND VACCINATION.

23 Diagnostic and immunising agents.

23.—(1) A health authority may, from time to time in accordance with the advice of their chief medical officer, and shall, if at any time required by the Minister, do all or any of the following things :

(a) purchase and keep a supply of such agents as may be approved by the Minister for ascertaining whether or not a person is infected with an infectious disease or for determining susceptibility to or for increasing resistance against or for producing immunity from infection with any infectious disease, together with such instruments and equipment as may be necessary in connection with such agents ;

(b) make, subject to the Minister's approval, arrangements for the administration of any such agent to persons resident within their district ;

(c) supply any medical practitioner employed by the health authority or practising in their district with any such agent on such reasonable terms or conditions as the health authority may determine.

(2) A medical officer of health of a health authority shall, if so required by the health authority or by the Minister, administer in his area, any agents provided by the health authority under this Article and shall in particular carry out vaccination against smallpox or immunisation against diphtheria required in pursuance of Articles 24 and 25 of these Regulations.

(3) Sub-article (2) of this Article shall not be construed as requiring a medical officer of health to administer any agent provided by a health authority under this Article to any person where, in his opinion, such person's state of health is such that it would not be proper to administer such agent at the time.

24 Vaccination against smallpox.

24.—(1) In this Article the word " vaccination " means vaccination against smallpox.

(2) A health authority shall make arrangements for the vaccination of children in their district with such vaccinating agent as may be approved by the Minister.

(3) A chief medical officer shall give notice in the appropriate form set out in the Third Schedule to these Regulations to the parent of a child not less than three months after the birth of the childrequesting such parent to submit such child for vaccination at a specified place, at a specified time or times.

(4) A notice under sub-article (3) of this Article may be given either by delivering it to the parent or by sending it by post to the address at which he ordinarily resides and shall be given not less than seven clear days before the time mentioned in the notice.

(5) Subject to the provisions of sub-articles (6) and (7) of this Article a parent who does not comply with a request in a notice given under sub-article (3) of this Article shall be guilty of a contravention of these Regulations.

(6) If a parent sends to the chief medical officer before the time stated in the notice—

(a) a statement in writing to the effect that

(i) he objects to the submission of his child to the vaccination, or

(ii) the child's state of health is such that he considers that it would not be proper to vaccinate him at the time, or

(b) a statement in writing signed by a medical practitioner to the effect that—

(i) the child has been vaccinated within the preceding three years or—

(ii) two attempted vaccinations in the child have been unsuccessful

such parent need not comply with the request in the said notice unless an order made by the Minister under Section 32 of the Act is in force in respect of all children or of the class of children to which the child belongs.

(7) If, where an order made by the Minister under Section 32 of the Act is in force in respect of all children or of the class of children to which the child belongs, a parent sends to the chief medical officer, before the time stated in the notice, a statement in writing signed by a medical practitioner to the effect that—

(a) the child has been vaccinated within the preceding three years, or

(b) two attempted vaccinations in the child have been unsuccessful, or

(c) the child's state of health is such that it would not be proper to vaccinate him at the time

such parent need not comply with the request in the said notice.

(8) If the child is in attendance at the place stated in the notice at or about the time stated therein and if a statement as providedfor under sub-article (6) or (7) of this Article in relation to such child has not been received by the chief medical officer, the parent of such child shall be deemed to have submitted him for vaccination.

(9) Where a child is submitted for vaccination under this Article, his parent shall be entitled to be present at such vaccination.

25 Immunisation against diphtheria.

25.—(1) In this article the word " immunisation " means immunisation against diphtheria.

(2) A health authority shall make arrangements for the immunisation of children in their district with such immunising agent or agents as may be approved by the Minister.

(3) A chief medical officer may give notice in the appropriate form set out in the Third Schedule to these Regulations to the parent of a child requesting such parent to submit such child for immunisation at a specified place at a specified time or times.

(4) A notice under sub-article (3) of this Article may be given either by delivering it to the parent or by sending it by post to the address at which he ordinarily resides and shall be given not less than seven clear days before the earliest time mentioned in the notice.

(5) Subject to the provisions of sub-articles (6) and (7) of this Article, a parent who does not comply with a request in a notice given under sub-article (3) of this Article shall be guilty of a contravention of these Regulations.

(6) If a parent sends to the chief medical officer before the time stated in the notice—

(a) a statement in writing to the effect that

(i) he objects to the submission of his child to the immunisation, or

(ii) the child's state of health is such that he considers that it would not be proper to immunise him at the time, or

(b) a statement in writing signed by a medical practitioner to the effect that the child has completed a course of immunisation within the preceding five years,

such parent need not comply with the request in the said notice unless an order made by the Minister under Section 32 of the Act is in force in respect of all children or of the class of children to which the child belongs.

(7) If, where an order made by the Minister under Section 32 of the Act is in force in respect of all children or of the class of children to which the child belongs, a parent sends to the chief medical officer, before the time stated in the notice, a statement in writing, signed by a medical practitioner, to the effect that—

(a) the child has completed a course of immunisation within the preceding five years, or

(b) the child's state of health is such that it would not be proper to immunise him at the time,

such parent need not comply with the request in the said notice.

(8) If a child is in attendance at the place stated in the notice at or about the time stated therein and if a statement as provided for in sub-article (6) or (7) of this Article in relation to such child has not been received by the chief medical officer, the parent of such child shall be deemed to have submitted him for immunisation.

(9) Where a child is submitted for immunisation under this Article, his parent shall be entitled to be present at such immunisation.

26 Certificates.

26.—(1) Where a medical officer of a health authority has vaccinated a person against smallpox or immunised a person against diphtheria or has administered to a person any agent provided under Article 23 of these Regulations, he shall, if requested by such person or, if such person is a child, by his parent, give to such person or parent (as the case may be) a signed and dated certificate that he has vaccinated or immunised such person or administered to him such agent (as may be appropriate).

(2) Where a medical officer of a health authority has twice administered the agent for vaccinating against smallpox to a person and he is satisfied that the attempted vaccination is unsuccessful he shall give a signed and dated certificate to that effect to such person, or, if such person is a child, to his parent.

PART V. NOTIFICATION.

CHAPTER I. Infectious Diseases other than Tuberculosis and Venereal Disease.

27 Definition for Chapter I

27. For the purposes of this Chapter of this Part of these Regulations, the expression " infectious disease " does not include impetigo contagiosa, influenza, tuberculosis or venereal disease, or, except insofar as it occurs in a county borough, borough or urban district, scabies.

28 Notification by general medical practitioners.

28.—(1) Subject to the provisions of Article 30 of these Regulations, a medical practitioner, as soon as he becomes aware or suspects that a person on whom he is in professional attendance (otherwise than as a medical officer of an infectious disease institution) is suffering from or is a carrier of an infectious disease, shall—

(a) forthwith transmit a written notification to the chief medical officer of the district in the form (Form A) prescribed in the Fourth Schedule to these Regulations and

(b) in a case of acute anterior poliomyelitis, cerebro-spinal fever, cholera, plague, psittacosis, puerperal sepsis, smallpox, typhus or yellow fever, or where he is of opinion that there is a serious outbreak of infectious disease in a locality, give immediate preliminary notification thereof to the chief medical officer by telephone or telegram.

(2) A preliminary notification by telegram under sub-article (1) of this Article shall not include the name or address of a patient unless the patient or, where the patient is either a child or an adult person who, for any reason, is unable to act for himself, the person in charge of the patient, has consented to such inclusion.

(3) A notification under this Article of a suspected case of infectious disease or a suspected carrier shall, unless the patient is admitted to an infectious disease institution, be confirmed or cancelled by a notice in writing to the chief medical officer as soon as possible by the medical practitioner who gave it.

(4) Where a patient in respect of whom a notification is given under this Article is subsequently admitted to an institution, the medical practitioner who gave the notification shall cause its terms to be communicated to the medical officer of such institution.

29 Notification by medical officers of infectious disease institutions

29.—(1) A medical practitioner who is a medical officer of an infectious disease institution shall forthwith transmit to the chief medical officer of the district a notification in the form (Form B) prescribed in the Fourth Schedule to these Regulations of any case of infectious disease or of any carrier of an infectious disease occurring in his practice as such medical officer, where—

(a) the patient has been admitted to the institution as a case of suspected infectious disease or as a suspected carrier without any definite diagnosis and the disease or the fact that the person is a carrier is first definitely diagnosed after admission of the patient to the institution or

(b) the disease or the fact that the person is a carrier is diagnosed after the admission of the patient to the institution and such diagnosis constitutes an alteration of a definite diagnosis made before admission of the patient to the institution or

(c) the disease was contracted by a person in the institution.

(2) Where a medical officer of an infectious disease institution is required under sub-article (1) of this Article to notify a case of acute anterior poliomyelitis, cerebro-spinal fever, cholera, plague, psittacosis, puerperal sepsis, smallpox, typhus or yellow fever or where he is of opinion that there is a serious outbreak of infectious disease in a localityhe shall give immediate preliminary notification thereof to the chief medical officer by telephone or telegram.

(3) A preliminary notification by telegram under sub-article (2) of this Article shall not include the name or address of a patient unless the patient or, where the patient is either a child or an adult person who, for any reason, is unable to act for himself, the person in charge of the patient, has consented to such inclusion.

(4) Where a patient is admitted as a suspected case of infectious disease or as a suspected carrier to an infectious disease institution and he is found on examination neither to be suffering from nor to be a carrier of any infectious disease, the medical officer in charge of such patient shall transmit a notification to that effect in the form (Form B) prescribed in the Fourth Schedule to these Regulations.

30 Notification of malaria induced for therapeutic purposes.

30. Where malaria is induced for therapeutic purposes in a patient in an institution the provisions of Article 28 of these Regulations shall not apply but the medical practitioner in charge of the patient in the institution shall, if he is of opinion that the patient may be regarded as liable to relapses of malaria, transmit at least four days before the discharge of the patient from the institution, to the chief medical officer of the district in which such person proposes to reside a notification in the form (Form C) prescribed in the Fourth Schedule to these Regulations.

31 Notification of case of acute anterior poliomyelitis leaving institution.

31. Where a patient has been treated in an institution for acute anterior poliomyelitis, the medical practitioner in charge of such patient in such institution shall at least four days before the discharge of the patient from the institution transmit to the chief medical officer of the district in which such person proposes to reside a notification in the form (Form D) prescribed in the Fourth Schedule to these Regulations.

32 Notification by persons other than medical practitioners.

32. Where a patient suspected to be suffering from an infectious disease is not attended by a medical practitioner, a notification of his name and address and the disease from which he is suspected to be suffering shall be sent to the chief medical officer of the district by—

(a) if he is in a school or college, the person in charge of such school or college ;

(b) if he or she is in a hotel, club, guest house, boarding house, lodging house, holiday camp, maternity home, nursing home, convalescent home, preventorium, or similar establishment, the person in charge of such establishment.

(c) if he is working in a factory, workshop, shop, office, store, restaurant or similar establishment, the person in charge of such establishment.

CHAPTER II. Tuberculosis and Venereal Disease.

33 Notification of case of tuberculosis.

33.—(1) A medical practitioner, as soon as he becomes aware that a person on whom he is in professional attendance (otherwise than as a medical officer of a tuberculosis institution) is suffering from tuberculosis, shall forthwith transmit a written notification to the chief medical officer of the district in the form (Form E) prescribed in the Fourth Schedule to these Regulations.

(2) The provisions of sub-article (1) of this Article shall not apply where the medical practitioner has made an intimation under Article 34 of these Regulations in respect of such person and has received a report as a result of such intimation that the person is suffering from tuberculosis.

34 Intimation of suspected case of tuberculosis.

34.—(1) A medical practitioner may make an intimation to the chief medical officer of the district in the form (Form F) prescribed in the Fourth Schedule to these Regulations that a person on whom he is in professional attendance exhibits any sign or symptom indicating the possible existence of a tuberculous condition in such person and requesting that such person be examined to ascertain if he is suffering from tuberculosis.

(2) The chief medical officer shall send to the medical practitioner who made the intimation a confidential report of the result of any examination of such person made as a result of the intimation.

35 Notification of case at venereal disease.

35.—(1) A medical practitioner, as soon as he becomes aware that a person on whom he is in professional attendance (otherwise than as a medical officer of a venereal disease institution) is suffering from venereal disease shall forthwith transmit a written notification, properly numbered in accordance with the provisions of sub-article (3) of this Article, to the chief medical officer of the district in the form (Form G. 1) prescribed in the Fourth Schedule to these Regulations.

(2) A medical practitioner shall, three months after the notification of a case of venereal disease under this Article, make a report on such case to the chief medical officer in the form (Form G. 2) prescribed in the Fourth Schedule to these Regulations and shall also make such other reports as may be required by the chief medical officer on any such case.

(3) A notification or a report under this Article shall not include the name or address of a person suffering from venereal disease but shall be numbered in accordance with such system as may be directed by the Minister from time to time.

CHAPTER III. General and Ancillary Provisions.

36 Returns by registrars of births and deaths of deaths from infectious disease, etc.

36. A registrar of births and deaths shall send to the chief medical officer of the district such returns of deaths from infectious diseases as may be specified by the Minister and such other returns as may be required from time to time.

37 Supply of prescribed forms.

37. A health authority shall provide and maintain a sufficient supply of copies of the forms prescribed under this Part of these Regulations and shall from time to time, when application is made to them, furnish to any medical practitioner practising in their district, copies of any of the appropriate forms required by him.

38 Fees for notification.

38.—(1) Where, under this Part of these Regulations, a medical practitioner—

(a) sends a notification that a person is suffering from or is a carrier of an infectious disease or

(b) sends a notification or intimation that he suspects that a person is suffering from or is a carrier of an infectious disease and such suspicion is subsequently confirmed,

the health authority shall pay to him the appropriate fee in respect of such notification or intimation.

(2) The appropriate fee shall be—

(a) in the case of a notification of venereal disease, five shillings ;

(b) in the case of a notification of any other infectious disease or an intimation of tuberculosis, two shillings and sixpence.

(3) Where a medical practitioner makes a preliminary notification under paragraph (b) of sub-article (1) of Article 28 or under sub-article (2) of Article 29 of these Regulations, the cost of the telephone call or telegram shall be recouped to him by the health authority.

(4) Save as is provided in this Article, no expenses incurred by a medical practitioner in making a notification or intimation shall be recoverable by him from a health authority.

(5) Fees and costs payable under this Article to a medical practitioner shall be paid by the health authority as soon as practicable after the end of each quarter and for this purpose the chief medical officer shall furnish the health authority with such returns and certificates as may be required.

(6) A chief medical officer, for the purpose of certifying payments to a medical practitioner under this Article in respect ofnotifications of venereal disease, may require the medical practitioner to produce for his inspection, any records kept in relation to a case of venereal disease.

(7) The receipt of fees and costs under this Article shall not disqualify a medical practitioner from serving as a member of a local authority or in any other public office.

39 Duties of chief medical officer in relation to notification.

39.—(1) A chief medical officer shall keep, in books to be provided by the health authority, registers containing particulars of all notifications and intimations transmitted to him in accordance with the provisions of these Regulations.

(2) A chief medical officer on receipt of a notification or intimation under these Regulations in relation to a case occuring in a place which is not in his district shall, unless such notification is made under Article 30 or Article 31 of these Regulations, forthwith forward the notification or intimation to the chief medical officer of the district in which the place is situated.

(3) A chief medical officer shall furnish to the Minister by Monday, or at the latest Tuesday morning of each week a return of the cases of infectious diseases notified to him in the week ended on the previous Saturday.

(4) A chief medical officer shall furnish to the Minister as soon as possible a detailed report, in such form as the Minister may require from time to time, on each case of such infectious diseases as the Minister may specify from time to time.

40 Transitory provisions relating to notification.

40. A medical practitioner shall send to the chief medical officer of the district, in respect of any case of infectious disease of which he becomes aware during the month of April, 1948, and which he would have been required to notify under the Infectious Disease (Notification) Act, 1889, or under the Public Health (Infectious Diseases) Regulations, 1941 to 1947, a notification in the appropriate form prescribed by those Regulations.

PART VI. MISCELLANEOUS.

41 Contraventions of the Regulations.

41. A person who refuses to comply with a requirement or direction given or a request for information made in pursuance of any of the provisions of these Regulations shall be guilty of a contravention of these Regulations.

42 Records and confidential nature of documents.

42.—(1) A health authority and its officers shall keep such records as may be directed by the Minister from time to time in relation to the exercise of their powers and the performance of their duties under these Regulations.

(2) Any records kept in pursuance of this Article and any notifications or intimations made to a chief medical officer under Part V of these Regulations shall be regarded as confidential and shall not be available for inspection except to persons authorised by the health authority or by the Minister.

(3) When any record, report, notification or intimation or any other communication in relation to a person who is or is suspected to be suffering from or to be a carrier of infectious disease is sent by post, it shall be enclosed in a sealed envelope.

(4) A document in the care of a health authority or of any of their officers which is obtained or compiled under these Regulations (or a part of or an extract from such a document) which contains the name of an individual shall not be published save with the consent in writing of such individual.

43 Directions by Minister.

43. A health authority shall comply with any directions given by the Minister from time to time as to the exercise of their powers and the performance of their duties under these Regulations.

44 Saving for mails.

44. Nothing in these Regulations shall render liable to detention, disinfection or destruction any article forming part of any mail (other than a parcel mail) conveyed under the authority of the Minister for Posts and Telegraphs or of any other postal administration or shall prejudicially affect the conveyance and delivery in due course to the Post Office of any such mail (other than a parcel mail) in accordance with the provisions of the Post Office Acts.

45 Infected premises notice.

45. The infected premises notice to which reference is made in Sections 33, 34 and 36 of the Act shall be given either by delivering it to the person to whom it is addressed or by sending it by post to the address at which he ordinarily resides.

FIRST SCHEDULE.

Article 4.

REGULATIONS AND ORDERS REVOKED.

Title of Enactment

Statutory Rules and Orders No. or Statutory Instrument No.

Public Health (Venereal Disease) Regulations (Ireland—County Boroughs), 1917

Smallpox (Importation of Clothing, etc.) Temporary Regulations, 1927

S.R. & O., 1927, No. 62.

Public Health (Infectious Diseases) Regulations, 1941

S.R. & O., 1941, No. 13.

Public Health (Infectious Diseases) (Amendment) Regulations, 1945

S.R. & O., 1945, No. 122.

Importation of Parrots Regulations, 1946

S.R. & O., 1946, No. 348.

Public Health (Infectious Diseases) (Amendment) Regulations, 1946

S.R. & O., 1946, No. 349.

Public Health (Infectious Diseases) (Amendment) Regulations, 1947

S.R. & O., 1947, No. 297.

Public Health (Influenza) Regulations, 1947

S.R. & O., 1947, No. 413.

Infectious Diseases (Temporary Provisions) Regulations, 1948

S.I., No. 20 of 1948.

SECOND SCHEDULE.

Article 7.

DISEASES SPECIFIED TO BE INFECTIOUS DISEASES.

Acute anterior poliomyelitis

Pemphigus neonatorum

Anthrax

Plague

Brucellosis (undulant fever)

Primary pneumonia

Cerebro-spinal fever

Psittacosis

Cholera

Puerperal pyrexia

Diphtheria

Puerperal sepsis

Dysentery

Rubella

Encephalitis lethargica

Scabies

Epidemic diarrhoea and enteritis

Scarlet fever

Erysipelas.

Smallpox

Gonorrhoea

Soft chancre

Haemorrhagic jaundice (Weil's Disease)

Streptococcal sore-throat

Impetigo contagiosa

Syphilis

Infective hepatitis

Tinea capitis

Infective mononucleosis

Tuberculosis

Influenza

Trachoma

Influenzal pneumonia

Typhoid

Malaria

Typhus

Measles

Whooping cough

Ophthalmia neonatorum

Yellow fever

Paratyphoid A.

Paratyphoid B.

THIRD SCHEDULE.

FORMS PRESCRIBED FOR IMMUNISATION AND VACCINATION.

Article 24.

Form A.

For use for the purposes of Article 24 (3) where an Order made by the Minister under Section 32 of the Act is not in force.)

INFECTIOUS DISEASES REGULATIONS, 1948.

VACCINATION AGAINST SMALLPOX.

Ref. No..........

Office of the County/City Medical Officer.

...........................................................(Address).

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

...........................................................(Date).

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

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

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

Your child (2) ........................................ is now at an age when he/she should be vaccinated against smallpox. You are accordingly requested to submit the child for vaccination at (3) .................... on (4) ........................................ at (5) ....................

You need not comply with this request, if, before the time stated above, you send to me—

(a) a statement in writing to the effect that you object to the submission of your child to this vaccination or that the child's state of health is such that you consider that it would not be proper to vaccinate him or her now, or

(b) a statement in writing, signed by a medical practitioner, to the effect that the child has been vaccinated within the last three years or that two attempted vaccinations in the child have been unsuccessful.

If your child is in attendance at the place mentioned above at or about the time stated, and if a statement as mentioned above has not been received by me you will be deemed to have submitted such child for vaccination. You are entitled to be present at the vaccination if you so wish.

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

(6) ....................County/City Medical Officer.

(1) Name and address of parent.

(2) Name of child.

(3) Place

(4) Day and date.

(5) Time.

(6) Name of County or City.

Form B.

Article 24.

(For use for the purposes of Article 24 (3) where an Order has been made by the Minister under Section 32 of the Act).

INFECTIOUS DISEASES REGULATIONS, 1948.

VACCINATION AGAINST SMALLPOX.

Ref No....................

Office of the County/City Medical Officer.

...........................................................(Address).

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

...........................................................(Date).

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

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

The Minister for Health has made an Order entitled (2) .................... under Section 32 of the Health Act, 1947 , declaring that it is necessary for the purpose of preventing the spread of smallpox that (3) ........................................

Your child (4) ........................................is covered by this Order and you are accordingly requested to submit him/her for vaccination at (5) ........................................ on (6) .................... at (7) ....................

You need not comply with this request if you send to me, before the time stated, a statement in writing, signed by a medical practitioner, to the effect that :—

(a) the child has been vaccinated within the last three years ; or

(b) two attempted vaccinations in the child have been unsuccessful ; or

(c) the child's state of health is such that it would not be proper to vaccinate him or her now.

Otherwise you will be liable to the penalties provided for in Section 31 of the Health Act, 1947 , if you do not comply with the request.

If your child is in attendance at the place mentioned above at or about the time stated, and a statement as mentioned above has not been received by me, you will be deemed to have submitted such child for vaccination.

You are entitled to be present at the vaccination if you so wish.

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

(8) ....................County/City Medical Officer.

(1) Name and address of parent.

(2) Title of order.

(3) Such words as the Minister may specify when the Order is made should be inserted here.

(4) Name of child.

(5) Place.

(6) Day and date.

(7) Time.

(8) Name of county or city.

Article 25.

Form C.

(For use for the purposes of Article 25 (3) where an Order made by the Minister under Section 32 of the Act is not in force.)

INFECTIOUS DISEASES REGULATIONS, 1948.

Immunisation against Diphtheria.

Ref. No....................

Office of the County /City Medical Officer.

Office of the County/City Medical Officer.

......................................................(Address).

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

.....................................................(Date).

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

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

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

Your child (2) ........................................ is now at an age when he/she should be immunised against diphtheria. You are accordingly requested to submit the child for immunisation at (3) ............................................................  on (4) ............................................................ ....

at (5) ...............................................

You need not comply with this request if, before the time stated above you send to me :—

(a) a statement in writing to the effect that you object to the submission of your child to this immunisation or that the child's state of health is such that you consider that it would not be proper to immunise him or her now ; or

(b) a statement in writing, signed by a medical practitioner, to the effect that the child has completed a course of immunisation within the last five years.

If your child is in attendance at the place mentioned above at or about the time stated and a statement as mentioned above has not been received by me, you will be deemed to have submitted such child for immunisation.

You are entitled to be present at the immunisation if you so wish.

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

(6) ....................County/City Medical Officer,

(1) Name and address of parent.

(2) Name of child.

(3) Place.

(4) Day and date or days and dates.

(5) Time or times.

(6) Name of county or city.

Article 25.

Form D.

(For use for the purposes of Article 25 (3) where an Order has been made by the Minister under Section 32 of the Act.)

INFECTIOUS DISEASE REGULATIONS, 1948.

IMMUNISATION AGAINST DIPHTHERIA.

Ref. No....................

Office of the County/City Medical Officer.

.......................................................(Address).

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

......................................................(Date).

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

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

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

The Minister for Health has made an Order entitled (2)........................................ under Section 32 of the Health Act, 1947 , declaring that it is necessary for the purpose of preventing the spread of diphtheria that (3) ........................................

Your child (4) ........................................is covered by this Order and you are accordingly requested to submit him/her for immunisation at (5) ....................on (6) .................... at (7) ....................

You need not comply with this request if you send to me before the time stated a statement in writing, signed by a medical practitioner, to the effect that :—

(a) the child has completed a course of immunisation within the last five years ; or

(b) the child's state of health is such that it would not be proper to immunise him or her now.

Otherwise you will be liable to the penalties provided for in Section 31 of the Health Act, 1947 , if you do not comply with the request.

If your child is in attendance at the place mentioned above at or about the time stated and a statement as mentioned above has not been received by me, you will be deemed to have submitted such child for immunisation. You are entitled to be present at the immunisation if you so wish.

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

(8) ....................County/City Medical Officer.

(1) Name and address of parent.

(2) Title of Order.

(3) Such words as the Minister may specify when the Order is made should be inserted here.

(4) Name of child.

(5) Place.

(6) Day and date or days and dates.

(7) Time or times

(8) Name of county or city.

FOURTH SCHEDULE.

FORMS PRESCRIBED FOR NOTIFICATIONS.

Form A.

Article 28.

Counterfoil           Form A

Confidential           Form A.

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 28)

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 28)

NOTIFICATION

To: The ............................................County/City

Patient's Name............................................................ .

Medical Officer.

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

NOTIFICATION

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

Patient's Name......................................................

Age..........Sex...............

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

Disease............................................................ ............

Age..........Sex................

Datenotified............................................................ ..

Occupation and Place of Employment

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

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

Infectious Disease................................................

(a) Disease diagnosed/ Disease suspected/carrier/suspected carrier.

Tear off here

Date of onset of disease or first appearance of symptoms........................

Patient has been removed to (name institution, if any)........................

I declare that in my opinion the above information is correct.

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

Medical Practitioner.

Date............................................................ .

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

(a) The appropriate heading should be marked by an x above it.

FORM B.

Article 29.

Counterfoil           Form A

Confidential           Form B.

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 29)

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 29)

Notification

To: The..........................................County/City

Medical Officer.

Patient's Name.................................................

Notification

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

Hospital...........................................

Age..........Sex...............

Patient's Name.........................................

Disease..........................................

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

Notified in respect (1), (2), (3)

Age..........Sex...............

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

Occupation and place of employment

Date notified...........................................................

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

Tear off here

Date ..............................

Date of onset of disease or first appearance of symptoms..........................................

1. Patient who was admitted to the hospital as a case of suspected infectious disease without any definite diagnosis, is in my opinion suffering from (a).........................................

2. Patient who, before admission, was diagnosed to be suffering from....................................is in my opinion suffering from (a)................................

3. Patient is suffering from..............................which he contracted while in this institution.

I declare that, in my opinion, the above information is correct.

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

Medical Officer

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

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

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

(a) Insert " no infection disease " if appropriate. Cross out headings not applicable.

FORM C.

Article 30.

Counterfoil            Form C.

Confidential           Form C

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 30)

INFECTIOUS DISEASE REGULATIONS, 1948 (ARTICLE 30)

Notification

To: The.................................County/City

Medical Officer.

Malaria induced for therapeutic purposes.

Notification

Patient's name.............................................

Malaria induced for therapeutic purposes.

Proposed Residence..................................

I hereby certify and declare that

Age..........Sex..........

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

Date of induction of disease............

at present in................................................

and due for discharge on..............................

Date of discharge........................

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

Observations...........................................................

who proposes to reside at......................................

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

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

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

Tear off here

has suffered from malaria induced for therapeutic purposes and in my opinion may be regarded as liable to be attacked by relapses of that disease.

Patient's Age............Sex...............

Date of induction of the disease

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

Observations (Notes on clinical course of disease and form of treatment employed)....................

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

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

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

Medical Practitioner.

Date............................................................ ........

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

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

FORM D.

Article

Counterfoil          Form D.

Confidential          Form D.

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 28)

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 28)

Notification.

To: The..................County/City

Medical Officer.

Case of acute anterior poliomyelitis leaving institution.

Notification.

Patient's name......................................................

Case of acute anterior poliomyelitis leaving institution.

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

Patient's name....................

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

Address at which patient proposes to

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

reside............................................................ .................

Age..........Sex...............

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

Age..........Sex....................

Date of discharge........................

Date of proposed discharge..................................

Observations.........................

Observations on present condition of

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

the patient............................................................ ....

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

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

Tear off here

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

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

I declare that, in my opinion, the above information is correct.

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

Medical Practitioner.

Date............................................................ ...................

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

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

FORM E.

Article 33.

Counterfoil.            Form E.

Confidential.         Form E.

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 33).

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 33).

NOTIFICATION OF TUBERCULOSIS.

To: The..................................................County/City

Medical Officer.

Patient's name..........................................

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

NOTIFICATION OF TUBERCULOSIS.

Age............Sex........................

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

Date of examination.............................................

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

Date notified.........................................................

Age...............Sex........................

Observations :.....................................................

Occupation and place of employment

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

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

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

Date of examination........................

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

Suffering from pulmonary/non-pulmonary tuberculosis.

Tear off here

Medical Condition.............................................

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

Nature of attention required under the Tuberculosis Scheme............................

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

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

I declare that, in my opinion, the above information is correct.

Signed...........................................

Medical Practitioner

Date.............................................

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

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

FORM F.

Article 34.

Counterfoil.           Form F.

Confidential.         Form F.

INFECTIOUS DISEASES REGULATIONS, 1948 (ARTICLE 34).

INFECTIOUS DISEASES REGULATIONS, 1948. (ARTICLE 34).

INTIMATION OF SUSPECTED CASE OF TUBERCULOSIS

To: The................................................County/City

Medical Officer.

INTIMATION OF SUSPECTED CASE OF TUBERCULOSIS.

Patient's name..............................

I hereby declare that I have examined

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

the patient named below and I suspect that this patient may be suffering from

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

pulmonary/non-pulmonary tuberculosis.

Age............Sex........................

Patient's name.................................

Date of examination....................................................

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

Particulars of Disease :................................................

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

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

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

Age............Sex...........................

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

Occupation and place of employment

Date of intimation.......................................................

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

Confidential report received on

Medical condition and symptoms

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

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

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

Confirmed.

I should be grateful if this patient

Not confirmed.

could be specially examined for

Tear off here.

Tuberculosis and a confidential report sent to me. Attendance at a Tuberculosis Clinic can/cannot be arranged.

Signed ....................

Medical Practitioner.

Date............................................................ ...........

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

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

For Office Use.

ARTICLE 35.

FORMS G. 1 and

FORMS G. 1 and G. 2.

Tear off here

CONFIDENTIAL.

FORM G. 2.

Tear off here

CONFIDENTIAL.

FORM G. 1.

COUNTERFOIL.

INFECTIOUS DISEASES REGULATIONS,

INFECTIOUS DISEASES REGULATIONS

INFECTIOUS DISEASES REGULATIONS,

1948.

1948.

1948.

(ARTICLE 35.)

(ARTICLE 35).

(ARTICLE 35.)

To: The .............................................County/City Medical Officer.

To: The.......................................County/City Medical Officer.

NOTIFICATION OF VENEREAL DISEASE.

REPORT ON CASE OF VENEREAL

NOTIFICATION OF VENEREAL

Patient's name...............................................

DISEASE NOTIFIED.

DISEASE.

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

Identification number of case..............................

I hereby certify that I have on..................... ......................................... 19..........., diagnosed a case of gonorrhœa/syphilis/soft chancre.

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

Disease............................................................ ........

Identification No..........................................

Patient has:

Pathological report is herewith/as follows:

Disease..........................................................

(1) Satisfactorily completed course of treatment.

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

Date diagnosed............................................

(2) Undergone part only of course of treatment and I am of opinion that he is

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

Pathological Report.....................................

(3) Gone to live in (a).............................................

I have made arrangements as follows for the treatment of this case............................

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

(4) Died.

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

Arrangements for treatment......................

If patient has not completed course of treatment, give opinion as to why he did not

The identificatin number of the case is

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

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

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

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

Observations ........................................................

(Signed) ........................................................... Medical Practitioner.

Date notified.................................................

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

Date of Report on Form G. 2.......................

(Signed) ............................................................ ........ Medical Practitioner.

Date............................................................ ....

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

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

Date............................................................ .............

(a) Insert name of town or townland and county.

GIVEN under the Official Seal of the Minister for Health, this twenty-fourth day of March, One Thousand Nine Hundred and Forty-eight.

(Signed) NOÉL C. BROWNE,

Minister for Health.

The Minister for Finance hereby consents to the enforcement and execution of Articles 20 and 22 of these Regulations by officers of Customs and Excise.

(Signed) J. J. McELLIGOTT,

Secretary, Department of Finance.

GIVEN under the Official Seal of the Minister for Finance, this twenty-fourth day of March, One Thousand Nine Hundred and Forty-eight.