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53
The County death-rate of Middlesex in 1910 was 0.72 per 1,000 living for
consumption and 1.08 for all forms of tubercle, including consumption; in 1913
the consumptive rate was higher at 076 and all forms lower at 1.00.
Perhaps it is too soon to expect good results from the County scheme.
An agreement was entered into with the Middlesex Districts Joint SmallPox
Hospital Board for the use of not less than 80 beds from July 1st, 1913,
upon terms varying with the number under treatment; at the same time 12
beds were reserved for one year at Fairlight Sanitorium, Hastings.
Thirty beds for advanced cases have since been reserved at the Northern
Hospital, Winchmore Hill, by agreement with the Metropolitan Asylums Board
and a few at the Brompton Hospital when possible. It is proposed to provide
for 20 cases at the Willesden Fever Hospital.
In July, 1913, the County Public Health Committee decided to look out
for a site to build a sanitorium of their own.
In the annual report of the County Public Health Committee for 1913-14,
pages 84-5, the desirability of ascertaining the home conditions of patients and
their families is mentioned and the formation of voluntary aid committees and
women workers suggested; further that extra nourishment might be provided
through the medium of the Poor Law.
DISPENSARIES AND THEIR WORK IN MIDDLESEX.
The Head Dispensary at 56, Silver Street, Upper Edmonton (Dr. Cogill is
the Tuberculosis Officer here for the County), serves Enfield also; Tottenham
has a sub-dispensary at Tynemouth House, Tottenham.
The work which is carried out at, or in connection with the dispensaries,
is said to include the following:—
1. The examination of patients at the dispensary.
2. The examination of the "contacts" to these patients.
3. The treatment by tuberculin, or other means, of patients, and their
supervision at home—if unsuitable for, or unable to go to, an
institution.
4. The selection of cases for institutional treatment, and the class of
institution to which they should be sent.
5. The supervision of cases after discharge from sanitorium or hospital.