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97
As regards the arrangements for co-operation with the Unemployment
Exchange and King's Roll Committee, very little satisfaction has
resulted as regards obtaining work for tuberculous adults considered
fit to take up some occupation, nor could it be expected that there would
be satisfactory results in the present state of wide-spread unemploy-
ment among the general population.
Co-operation with the School Medical Officer.
When a notification of Tuberculosis is received the Visitor, as
explained previously, on calling at the home, urges, unless the patient's
doctor has expressed a wish to examine the contacts himself, that all
the contacts should attend at Dispensary for examination. In the
case of school child contacts the results are sent to the School Medical
Officer in the case of children examined at Dispensary and he is
informed of contacts who have not attended. These children are
then examined periodically at school. Informxtion is also sent where
available as to whether Tubercle germs have been found in the sputum
of the notified person, if a Pulmonary case, as of course contacts of
such cases require more careful and prolonged watching.
In the case of these or any other children who present suspicious
symptoms the School Medical Officer refers them to the Tuberculosis
Officer for opinion. Similarly any school children seen at Dispensary
requiring treatment for minor defects such as carious teeth, tonsils,
adenoids, etc., are recommended for treatment at the school clinic.
Suitable cases either of definite Tuberculosis or of delicate children
not definitely tuberculous are recommended for Open Air School.
Children such as those last mentioned are also recommended in
many instances to the Invalid Children's Aid Association for Convalescent
Treatment. In 1922 the County Council issued a circular on the subject
of boarding out of children from homes, where a case of Pulmonary
Tuberculosis was in the terminal stages and under conditions likely
to cause infection. This scheme was extended somewhat later in a
further circular. This is an excellent work, and a number of children
have been removed from massive infection and had their resistance
to Tuberculosis and other disease raised by residence in improved
surroundings.
Considering the views of infection now widely held it would seem
that extension of work in this direction, and more particulary work on