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tioner of ordinary professional skill and competence, and who are either
insured persons or can afford to pay for medical attendance, should
not be encouraged to attend the dispensary for routine treatment."
Personally, I am inclined to agree with those who hold the view
that all cases of tuberculosis, excepting patients who are receiving
institutional treatment or who are too ill to attend, should be treated
at the Dispensary, as it is impossible properly to supervise a case
receiving treatment elsewhere. If a patient is being treated at the
department he will generally attend quite regularly, but great difficulty
is experienced in getting a patient to attend, say, at intervals of two
or three months for the purpose of supervision only, the result being
that the Tuberculosis Officer loses touch with him.
In conclusion I should like to thank the Dispensary Committees,
the Medical Officer of Health, the Hospital Physicians, and the Hospital
Secretary for their help and advice, and also the Dispensers, the Clerk,
the Nurse, and the Porter, all of whom have done their work very
efficiently.
(Signed) H. TYLFORD HOWELL.
1st February, 1921.