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Non-residents, working in the City, recommended to—
(a) London County Council 2, both of whom were admitted.
(b) London Insurance Committee 2, both of whom were admitted.
(c) Voluntary Agencies 2, both of whom were admitted. ,
Non-residents, not working in the City, recommended to—
(a) London County Council 2, the result is not known in either case.
(b) London Insurance Committee 4, of whom 3 were admitted, the result in 1 case
being unknown.
(c) Voluntary Agency 1, the result is not known.
THE TUBERCULOSIS NURSE.—The work of the Tuberculosis Nurse
has continued on the same lines as in former years. Of patients attending the
Dispensary 56 homes have been visited and 461 visits made in connection with
after-care and following up. In addition to this 8 patients have been nursed in
their own homes, the nurse working under the direction of the practitioners attending
the patients ; one of these persons was in an advanced stage of the disease
and died at home, while one was admitted to St. Bartholomew's Hospital, where
he died. For nursing purposes 71 visits were made.
FUTURE POLICY.—The chief matter to bring to your notice is the question of
the provision for the treatment of this disease. Members of the Sanitary Committee
will recollect that some few years ago, before each sanitary authority in London
had provided a centre for the treatment of tuberculosis, the Corporation decided
to establish at St. Bartholomew's Hospital a clinic to which not only City residents
might have the right of entrance, but also City workers. It was considered that
this facility, in view of the fact that there was only limited provision outside the
City, would be to the advantage of the workers in general. Conditions have now
changed. In practically every district ample provision is made for the treatment
of tuberculous persons, and as a consequence the number of City workers availing
themselves of the hospital clinic becomes fewer in number each year, and the
tendency now is, not for employers to send doubtful cases of illness to the City
clinic, but to advise the worker to attend the clinic established within his own
area.
In these circumstances, and in view of the fact that sanatorium benefit has
now been removed from the administration of Insurance Committees, it seems
desirable the City Corporation should reconsider its position in this matter. I
have refrained from making any report on the subject, and will hesitate still a
little longer until the Ministry of Health, in view of the transfer of administration,
publishes information as to the lines on which a tuberculous person, whether
insured or otherwise, is to be provided for in the future.
PUBLIC HEALTH (INFLUENZA) REGULATIONS, 1918.
PUBLIC HEALTH (INFLUENZA) REGULATIONS (NO. 2), 1918.
The first of the above-mentioned regulations provided that no entertainment
should be carried out in any place of public entertainment for more than three
hours consecutively, and that there should be an interval of not less than 30
minutes between any two entertainments, during which interval such place of
public entertainment should be effectually and thoroughly ventilated.
Provision was made for relaxation of the requirements on the approval of
the Medical Officer of Health.
The second of these regulations extended the period of continuous entertainment
at a Cinematograph Exhibition from three hours to four hours, and provided
that wherever notice was given to the proprietor of such an exhibition to the
effect that a public elementary school in the district, or any contributory place to
the district, was temporarily closed on account of the prevalence of influenza,
children were not to be admitted to the exhibition during the continuance of the
closure of any such school.