JAMA. 1926;87(13):1047-1048. doi:10.1001/jama.1926.02680130061024.
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More Stringent Regulations for Notification of Puerperal Fever  The ministry of health has sent a communication to county councils and local sanitary authorities enclosing new and more stringent regulations relating to the notification of puerperal fever. It is pointed out that while puerperal fever has been notifiable since the infectious diseases (notification) extension act of 1899 came into force, for a variety of reasons notification of the disease has been far from complete, with the result that not only are the statistics inaccurate and misleading (particularly as regards incidence and fatality rate), but measures for prevention and effective treatment have been seriously hampered. The main reason for the comparative failure to notify is in the fact that puerperal fever is ill defined and is not a specific disease comparable with scarlet fever or diphtheria. There is frequently, therefore, a genuine doubt as to the diagnosis. The term, moreover, bears a


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