London's Pulse: Medical Officer of Health reports 1848-1972

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Hammersmith 1914

Annual report of the Medical Officer of Health of the Borough of Hammersmith for the year 1914

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39
10. The home conditions under which the patient lives
should be considered and, where possible, the housing accommodation
improved. Educating the general public by means
of lectures on the prevention of consumption should be encouraged,
and printed general instructions as to the prevention
of the spread of the disease, etc., should be distributed.
11. Institutional treatment.—This is provided for by the
London County Council, and includes:—
(а) Beds at sanatoriums and hospitals for suitable cases.
(b) Beds at hospitals for surgical cases.
We have approximately 1,200 patients on the Register at
present. When the scheme is in working order and all
contacts examined, the number of tuberculous patients will
probably be increased to about 1,500.
In order to carry out the above scheme it will be necessary
to establish a dispensary in some central part of the Borough,
and for this purpose 1 suggest that a suitable house be rented,
such alterations as are necessary made, properly furnished and
equipped.

I estimate the annual expenditure of such a scheme to be approximately as follows:—

£
Tuberculosis Officer (commencing salary)500
Two nurses (£100 each, rising by annual incre-ments of £10 to £130)200
Dispenser and Secretary100
Rent, rates and taxes70
Light, coal, etc.20
Caretaker, with rooms, light and coal50
Drugs100
Telephone6
Incidentals20
966
Capital Expenditure.
Alterations (estimate)120
Furniture, including laboratory, equipment and appliances (estimate)300

With regard to the capital expenditure, the Local Government
Board will assist by a grant of not more than £240.
As above stated the annual expenditure is estimated at
£966. Probably one-third of the patients treated will be
insured patients and the Insurance Committee will be expected
to pay their share.