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lungs in its very early stage; also cases somewhat more advanced
but showing symptoms of only slightly active disease of the lungs.
(b) Surgical Cases.—Children suffering from various forms of
tuberculous disease of bones or joints, tuberculous children discharged
from residential institutions, and special gland cases after
operation.
The type of child most suitable for a Day Sanatorium is one
suffering from active pulmonary tuberculosis but, for one reason or
another, not deemed suitable for, or unable to be admitted to,
a sanatorium or open-air school. Such a child should, for choice,
be in attendance at a dispensary.
The Fulham Day Sanatorium.
There are several Day Sanatoria in London, varying somewhat
in their arrangements and working; but the one which seems to
fulfil most efficiently the functions of a Day Sanatorium, is that
instituted by the Fulham Borough Council and opened in May,
1917, in connection with their Tuberculosis Dispensary* in the New
Kings Road, Fulham.
By the kindness of Dr. Jackson, the Medical Officer of Health,
I was allowed to visit this institution and obtain from the Secretary
and the Teacher-in-Charge full information as to its working.
The site is the garden at the rear of the Tuberculosis Dispensary,
which has an area of about 50 feet by 80 feet. It is
walled in, but there are no high buildings in its neighbourhood
except on one side, neither are there any factories in the immediate
neighbourhood, and, being close to Fulham Common, the children
get the benefit of fresh and clean air.
* I am informed by Dr. Jackson that their Tuberculosis Dispensary, to
which the Day Sanatorium is connected, is not directly under the Fulham
Borough Council, though they subscribe £700 a year towards its support, but
it is managed by a voluntary Committee.