title: The perils of public transport.
abstract: Section 33 of The Public Health (Control of Disease) Act 1984 makes it an offence for a person in England and Wales who is suffering from a notifiable disease, e.g. cholera, to use any bus, tram or train; or use a taxi without notifying the driver or owner of the vehicle, or their carer to allow them to do so. Section 34 of the same act prohibits the owner, driver or conductor of a bus, train or tram from carrying a person who he knows is suffering from one of these diseases However, a taxi can carry an affected person, provided this individual pays a sum in addition to the fare to cover the costs of disinfection. Assuming that the owner or driver did not know that a passenger was suffering from one of these diseases, he must inform the local authority, which is required to disinfect the taxi for free. A literature review using PubMed did not reveal any evidence that buses, trains, trams or taxis provide a significant vehicle for transmission of notifiable diseases. Is it therefore about time that a non-evidence-based and little-used law is removed from the British statute books?
authors.affiliation: National Public Health Service for Wales (NPHS) and Institute of Medical & Social Care Research (IMSCaR), University of Wales Bangor, UK. Robert.Atenstaedt@nphs.wales.nhs.uk
authors.forename: R L
authors.initials: RL
authors.lastname: Atenstaedt
mesh_terms: D018563:Disease Notification / Q000331:legislation & jurisprudence*; D004739:England; D006801:Humans; D011634:Public Health; D014186:Transportation / Q000331:legislation & jurisprudence* / Q000379:methods*; D014195:Travel