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any extra staff and very little additional work. The only difficulty
is that if this department undertakes the assessments, they would
have to be done to a definite scale agreed upon between the County
Council and ourselves, and if we could come to some arrangement
on this point the work of assessment would be very easy. The
advantages of this arrangement are quite obvious, as the only
persons dealing with the patients will be the Tuberculosis Officer and
the nurses. All information with regard to patients will be in the
one department, and one department will be solely responsible for
seeing that no patient in the Borough is neglected for want of proper
advice and assistance.
I, therefore, make the following recommendations :-
(1) That we request the County Council to abolish the
Interim Tuberculosis Care Committee for Bermondsey.
(2) That the duties of the Committee as set out in the above
table be undertaken by the staff of the Dispensary.
(3) That the assessments be done by the Public Health staff
on information supplied by the Tuberculosis nurses, to
a scale agreed to between the County Council and ourselves.
The following report of the work of the Dispensary was submitted
by Dr. D. M. Connan, Deputy Medical Officer of Health, and Clinical
Tuberculosis Officer:—
The following table shows that the ordinary work of the Dispensary
has been well maintained. The practitioners of the Borough make
full use of the Dispensary service and thanks are due to them for
their courtesy in sending case notes with the patients. The defective
housing conditions still remain as a great obstacle to the reduction
of Tuberculosis, and it does not seem likely that any great improvement
in these conditions will be achieved in the near future. In
last year's annual report mention was made of Tuberculosis milk
as a factor in the cause of Surgical Tuberculosis. During this year
there has been a considerable growth in the consumption of Grade
" A " (Tuberculin Tested) Milk and many Dispensary patients have
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