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5.3

The following report on the work in the Borough for the year is made under
the headings given in Para. 13, Memo. 37/T of the Ministry of Health.
The close co-operation with the Local Authorities in matters connected with
the Dispensary work has been maintained. All the notifications received by the
M.O.H. of the Borough are forwarded to the Tuberculosis Officer. The statutory
visit to the homes is made by the Sanitary Inspector and if the patient has not
already attended the Dispensary he is advised to do so without delay, unless he
is already attending some other Dispensary in the neighbourhood. Periodic
consultations between the T.O. and the M.O.H. of the Borough are held and the
T.O. submits a return of the work done in the Dispensary to the M.O.H. at the
end of each month. The lists of cases in the two Departments are frequently
compared and corrected.
The Medical Officers of the School Clinics and the Child Welfare Centres
regularly refer to the Dispensary any patient upon whose condition they desire
an opinion.
Co-operation with the medical practitioners and the Dispensary is improving
and a fair proportion of the new cases seen are sent on the advice of the
practitioner.
Every effort is made to secure the attendance for examination of all contacts
of notified cases; it is found that fit members of a family are sometimes reluctant
to come. In such cases selected contacts from the family are examined, i.e., the
nurse enquires carefully after the health of each member of the household, and
if there is any doubt as to the complete fitness of any individual, an appointment
for examination in the Dispensary is arranged.
All the homes of notified cases are periodically visited by the Dispensary
Nurse (if Dispensary cases) or the Sanitary Inspector and reported on; these visits
are made at three monthly intervals and more often if necessary.