The Public Health (Infectious Diseases) Regulations 1988

Regulation 3

SCHEDULE 1 THE ENACTMENTS IN THE ACT APPLIED TO PARTICULAR DISEASES(1)

(1)	(2)
Diseases	Enactments applied
Acquired immune deficiency syndrome	Sections 35, 37, 38 (as modified by regulation 5), 43 and 44.
Acute encephalitis	Sections 11, 12, 17 to 24, 26, 28 to 30, 33 to 35 (as modified by regulation 4), 37, 38, 44 and 45.
Acute poliomyelitis
Meningitis
Meningococcal septicaemia (without meningitis)
Anthrax	Sections 11, 12, 17 to 22, 24, 26, 28 to 30, 33 to 35 (as modified by regulation 4), 37, 38 and 43 to 45.
Diphtheria	Sections 11, 12, 17 to 24, 26, 28 to 30, 33 to 38, 44 and 45.
Dysentery (amoebic or bacillary)
Paratyphoid fever
Typhoid fever
Viral hepatitis
Leprosy	Sections 11, 12, 17, 19 to 21, 28 to 30, 35 (as modified by regulation 4), 37, 38 and 44.
Leptospirosis	Sections 11, 12, 17 to 22, 24, 26, 28 to 30, 33 to 35 (as modified by regulation 4), 37, 38, 44 and 45.
Measles
Mumps
Rubella
Whooping cough
Malaria	Sections 11, 12, 18 and 35 (as modified by regulation 4).
Tetanus
Yellow fever
Ophthalmia neonatorum	Sections 11, 12, 17, 24 and 26.
Rabies	Sections 11, 12, 17 to 26, 28 to 30 and 32 to 38.
Scarlet fever	Sections 11, 12, 17 to 22, 24, 26, 28 to 30, 33 to 38, 44 and 45.
Tuberculosis	Sections 12, 17 to 24, 26, 28 to 30, 35 (as modified by regulation 4),44 and 45; in addition— (a) section 11 shall apply where the opinion of the registered medical practitioner that a person is suffering from tuberculosis is formed from evidence not derived solely from tuberculin tests, and (b) sections 25, 37 and 38 shall apply to tuberculosis of the respiratory tract in an infectious state.
Viral haemorrhagic fever	Sections 11, 12, 17 to 38, 43 to 45 and 48.

Regulation 7

SCHEDULE 2 FORM OF CERTIFICATE

Regulation 9(1)

SCHEDULE 3 TYPHUS AND RELAPSING FEVER

Measures by local authority

1.  The proper officer shall, if he thinks it necessary, report any case of typhus or relapsing fever in his district to the local authority who may, by notice in writing, require—

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

(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.

Addressing of notices

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

Authorisation of proper officer

3.—(1) A local authority may authorise the proper officer generally to issue any notice on their behalf under this Schedule in relation to any particular case if in his opinion it is immediately and urgently necessary for him to do so for the purpose of preventing the spread of infection.

(2) The proper officer shall at the earliest opportunity report any case dealt with under such an authorisation, and the action taken by him, to the local authority.

Regulation 9(2)

SCHEDULE 4 FOOD POISONING AND FOOD BORNE INFECTIONS

Measures by local authority

1.—(1) If a proper officer, after considering the information available to him, forms the opinion—

(a) that a person in the district—

(i) is suffering from food poisoning which may be caused by an infection, or

(ii) is suffering from, or is shown to be a carrier of, any infection mentioned in paragraph 5 of this Schedule, and

(b) that it is desirable for the protection of the public health that measures should be taken to prevent the spread of infection,

he shall report to the local authority accordingly.

(2) On receipt of such a report, the local authority may by notice in writing—

(a) require the person concerned to discontinue or to refrain from engaging in any occupation connected with food until they notify him that the risk of causing infection is removed;

(b) require that such measures shall be taken for the protection of the public health as are specified in the notice, being measures which in the opinion of the proper officer are desirable to prevent the spread of infection by the person concerned; and

(c) require the assistance of any other person reasonably able to assist in securing compliance with any requirement under this paragraph;

and if the person concerned is already engaged in any occupation connected with food, the local authority shall send a copy of any notice served on him under this paragraph to his employer, if any, and to any other person reasonably able to assist in securing compliance with any requirement under this paragraph.

Suspected carriers in food trade

2.—(1) If a proper officer has reason to believe that a person engaged in any trade or business connected with food may be a carrier of any infection mentioned in paragraph 5 of this Schedule, he shall report to the local authority accordingly.

(2) The local authority may give notice in writing to the responsible manager of the trade or business concerned that for the purpose of preventing the spread of infection they consider it necessary for the proper officer or a registered medical practitioner acting on his behalf to make a medical examination of that person, and the responsible manager shall give to the proper officer all reasonable assistance in the matter.

Authorisation of proper officer

3.—(1) A local authority may authorise the proper officer generally to issue any notice on their behalf under this Schedule in relation to any particular case if in his opinion it is immediately and urgently necessary for him to do so for the purpose of preventing the spread of infection.

(2) The proper officer shall at the earliest opportunity report any case dealt with under such an authorisation, and the action taken by him, to the local authority.

Definition of terms

4.  In this Schedule—

(a) “connected with food”, in relation to an occupation, trade or business, means connected with the preparation or handling of food or drink for human consumption; and

(b) the reference to making a medical examination shall be construed as including a reference to making bacteriological tests and similar investigations.

Infections to which this Schedule applies

5.  The infections referred to in paragraphs 1 and 2 of this Schedule are typhoid, paratyphoid and other salmonella infections, amoebic and bacillary dysentery, and staphylococcal infections likely to cause food poisoning.

Regulation 14

SCHEDULE 5 REVOCATIONS

(1)	(2)	(3)
Regulations revoked	References	Extent of revocation
The Public Health (Infectious Diseases) Regulations 1968	S.I. 1968/1366	The whole Regulations
The Public Health (Infectious Diseases) (Amendment) Regulations 1969	S.I. 1969/844	The whole Regulations
The Public Health (Infectious Diseases) (Amendment) Regulations 1974	S.I. 1974/274	The whole Regulations
The Public Health (Infectious Diseases) (Amendment) Regulations 1976	S.I. 1976/1226	The whole Regulations
The Public Health (Infectious Diseases) (Amendment) (No. 2) Regulations 1976	S.I. 1976/1955	The whole Regulations
The Health Services Act 1980 (Consequential Amendments) Order 1982	S.I. 1982/288	Paragraph 3 of Schedule 1
The Public Health (Infectious Diseases) Regulations 1985	S.I. 1985/434	The whole Regulations

(1)

The enactments applied are all sections of the Act which provide for the control of notifiable diseases. Section 11 requires registered medical practitioners to send the local authority certificates in respect of cases of notifiable disease; section 12 provides for the registered medical practitioner to be paid a fee for each certificate under section 11; section 17 creates offences in respect of exposing people to infection; section 18 requires information from occupiers; section 19 restricts persons with notifiable diseases from trading; section 20 provides for the stopping of work; sections 21 and 22 relate to school children; section 23 enables children to be excluded from places of entertainment; section 24 places restrictions on washing and cleaning of infected articles; section 25 is concerned with library books; section 26 prohibits the placing of infected articles in dustbins; section 27 is concerned with the provision of disinfecting stations; sections 28 to 30 impose restrictions in relation to infected premises; section 31 provides for the disinfection of premises; section 32 provides for the removal of persons from infected houses; sections 33 and 34 are concerned with public conveyances; section 35 empowers justices of the peace to order medical examinations; section 36 empowers justices of the peace to order groups of people to be medically examined; section 37 empowers justices of the peace to order removal to hospital; section 38 empowers justices of the peace to order detention in hospital; section 43 provides for the removal from hospital of a person who has died while suffering from a notifiable disease; section 44 provides for the isolation of dead bodies; section 45 restricts the holding of wakes; and section 48 provides for the removal of bodies to mortuaries or for immediate burial.