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size, inasmuch as accommodation (in each) will have to be provided for one
or more consulting rooms, a laboratory, a waiting room, dressing rooms for
patients, an office, caretaker's quarters and the usual domestic offices, and, if
possible, several bedrooms for observation beds, and sleeping quarters for the
nurses. As regards sub-centres it will be found generally that two or three
rooms will probably suffice for this purpose, as the sub-centres will mainly be
required as places at which patients may attend to be examined by the
Tuberculosis Officer.
To enable the Committee to select the most suitable localities and to meet
the wishes of the Local Authorities, conferences were arranged with the
District Councils representing each of the dispensary areas.
The work which will be carried out at or in connection with the dispensaries
will 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.
DISTRICT COMMITTEES,
Under section 59 of the National Insurance Act, the Insurance Committee
is required, after consultation with the County Council, to prepare a scheme
for the appointment of District Committees. The section provides that a
District Committee shall be constituted for each Borough within the County,
and also for each Urban District with a population of not less than 20,000.
A scheme of District Committees was accordingly prepared by the Insurance
Committee and subsequently approved by the County Council. Each District
Committee consists of 27 members, two of whom are appointed by the County
Council.
LOCAL CO-OPERATION DURING 1913.
At the meeting of the Sanitary Committee on the 8th January, I submitted
the new regulations of the Local Government Board, dated 20th December,
1912, and also an epitome of the additional work which these regulations would
place on the Public Health Department. On the recommendation of the