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valuable time, which must of necessity be lost if removal is left until
the Sanitary Authority becomes aware of the existence of the case.
During the year the expert of the London County Council and
myself have on several occasions been called in to see doubtful cases
of small-pox. None, however, proved to be small-pox.
That the local medical profession should thus be in harmony with
the preventive work of the Council is a matter for congratulation, for
preventive and curative medicine cannot be divorced from each other
without great loss to both services. The tendency in recent years for
the public health service to include special branches of work which,
while preventive, yet of necessity trenches upon the curative also, has
been met in Hampstead without friction between the practitioners and
the Council. As an instance of this I would refer specially to the
Municipal Tuberculosis Dispensary and to the Specialist in charge,
whose valuable work, both preventive and curative, is carried on in
complete accord with the general practitioners.