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The system has been altered so as to meet, as far as possible, the
uggestions of the Ministry of Health, which are given below:—
Circular 149.
(1) Complete co-ordination with the work of the Public Health
Department.
(2) One whole-time Tuberculosis Officer to about 160 deaths
and a thirty-six hour week.
(3) Consultation Centres.
(4) Diagnosis at the earliest possible date.
(5) Treatment limited to patients unable to obtain other
adequate medical attendance and to patients whose
treatment requires special knowledge.
(6) Education of patients out of the belief in the efficacy of
drugs.
(7) Co-operation with school medical service.
(8) One evening session a week and session on Saturday morning
for school children.
(9) Examination by appointment.
(10) Examination of contacts and 'following up' of patients.
(11) Personal acquaintance of Tuberculosis Officer with practitioners
of the neighbourhood.
(12) Tuberculosis Officer should visit the home of each patient
at least once.
(13) Adequate clerical staff.
The two most important alterations have been in:—
(1) The method of recording cases.
(2) The hours of attendance.
(1) All definite Tuberculosis cases are recorded upon the
standard case sheet, which is modelled upon Form 'A' of the
L.C.C. The examination of all other cases is entered on a Temporary
card on which provision is made for three examinations in two
months. If one of these latter cases is diagnosed, at any time during
the two months, as Tuberculosis, the entries on the Temporary card
are transferred to a case sheet. Where the diagnosis is negative, a
permanent record of the examination is made, and the case discharged.
In cases which are still doubtful at the end of two months,
an appointment is made for another examination at a later date.
(11408)q
c
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