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letter to county councils, sanitary authorities and
insurance committees, making temporary arrangements
for the domiciliary treatment of insured tubercular
persons. These arrangements have now terminated.
9. On the 6th December, 1912, the Local Government
Board issued a further letter with reference to
schemes for institutional treatment, and a copy of a
letter from the Chancellor of the Exchequer to Mr.
Henry Hobhouse with regard to the financial arrangements
contemplated, was appended.
10. Under "Preventive Measures" it stated that
the Board wished to emphasize the fact that it was the
duty of the Medical Officer of Health of a sanitary
district, upon receipt of a notification under the
Tuberculosis Regulations, either himself or through an
officer acting under his instructions, to make such
enquiries and to take such steps as might appear to him
necessary or desirable for preventing the spread of
infection and for removing conditions favourable to
infection, e.g., investigation into cases of infection, search
for contacts, and enquiry into housing conditions.
11. Under "Finance," and in regard to maintenance
grants, the letter stated that the Act required
Insurance Committees to make arrangements for insured
persons to receive treatment, and empowered them to
extend their arrangements to include the dependants, or
any class of dependants, of insured persons. Further, it
had been definitely decided that the Exchequer would
pay half of the deficiency (i.e., the call on the local rates)
in all cases where the Local Authority (the County
Council) had accepted the like responsibility. The
desirability of schemes which would include, not only
insured persons and their dependants, but also those