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(c) The appointment of a Dispenser, who would
also act as Secretary.
(d) The appointment of one or two nurses or
Health Visitors, who should keep the home conditions
of the patients under observation and see that the
medical instructions are faithfully carried out.
(e) Finally, when patients are too ill to attend at
the Dispensary, arrangements should be made with the
private practitioners in the district to attend them at
their own homes, as I am of opinion that domiciliary
treatment, as such, should be no part of the duty of
the Tuberculosis Officer (unless called into consultation
by the attending doctor), as he would have plenty of
visiting to do for the purpose of advising upon home
conditions and of examining contacts.
In submitting these remarks, which are of course
somewhat sketchy, I need scarcely remind the Committee
that although there is no legal obligation on this Council
to provide a Tuberculosis Dispensary, yet the Government
evidently expects that it will be done, and I strongly urge
that the matter should receive early consideration.
GEORGE P. BATE, M.D.,
Medical Officer of Health.
Extract from the Interim Report of the Departmental Committee
on Tuberculosis.
27. The chief tuberculosis officer of the dispensary
should be independent of control by any other medical man
so far as his clinical duties are concerned, and should,
subject to his relationship to other officers as defined by the
local authorities' regulations, be responsible for the management
of these institutions. He should be in intimate
relationship not only with Medical Officers of Health, but