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who attend the Dispensary for examination, either as contacts or on their
own initiative, are found to be suffering from conditions, other than
Tuberculosis, which require treatment. These cases are advised as to
obtaining such treatment, either from private practitioners or at general
hospitals. Many children are found to be suffering from anæmia, malnutrition
and similar diseases and are referred to the Chelsea branch
of the Invalid Children's Aid Association with a view to provision of
convalescent home treatment.
Co-operation with the School Medical Service. —The relationship
with the School Medical Service continues to be satisfactory. The
School Medical Authorities frequently afford valuable help in deciding
what supervision is desirable in connection with children. Many children
are referred direct to the School Clinic for the treatment of minor ailments
and dental caries.
Co-operation with Medical Practitioners. —During the year the
Tuberculosis Officer examined 40 new cases at the homes of the patients,
and 49 cases were referred to him at the Dispensary by medical practitioners
in the Borough.
Insured persons under the care of local medical practitioners are visited
by the Municipal Tuberculosis Visitor.
Home Contacts. —The number of home contacts of tuberculous
patients examined at the Dispensary during the year was 96, a decrease of
24 compared with the previous year. Special arrangements are made for
following up patients in cases where the diagnosis is doubtful. Such
cases are again examined at intervals and, when necessary, X-ray or
other special investigation is made. The Social Worker at the Dispensary
maintains regular observation in connection with these patients.
Artificial Pneumo-thorax Treatment. —On the recommendation
of the Tuberculosis Officer, patients are supplied with refills in connection
with artificial pneumo-thorax treatment. Payment is made
by the Borough Council for these refills.
Home Nursing.—The Dispensary organization includes home nursing,
which is much appreciated by such patients as are confined to bed.
During the year, the number of visits paid by Nurses to the homes of
patients was 3,479, an increase of 348 over the number for the previous
year. Fifteen cases of Tuberculosis were certified by the Tuberculosis
Officer during the year to require extra nourishment as part of their
treatment. These cases were supplied with foods such as milk, egg s,
and butter. The total cost of extra nourishment (£24 15s. 6d.) w as
borne by the Borough Council. The Council lent a bedstead and bedding
to one case during the year.