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110
to the Tuberculosis Officer for an opinion. As no treatment is carried out
at the school the scheme has no doubt failed in its main object—the reduction
of the numbers of children attending the Dispensary, since the
children return to the department when the parents think that treatment
is necessary. Neither can it be said that as a result of this scheme any
fresh cases of Tuberculosis have been brought to light that would have
otherwise escaped notice, but probably the child of poor general physique
and health receives more systematic supervision.
It has always been my pleasant duty to comment on the happy relationship
that exists between the General Practitioners in the district and the
Tuberculosis Officers. Our relationship could not be more cordial, and
there is a mutual appreciation of respective difficulties with an entire absence
of petty annoyances or misunderstandings.
I submit at the end of the report a statistical summary of the work of
the Dispensary for the year. It is not to be expected that these figures will
show any striking variation from year to year, as it would appear that the
work of the department has now reached a stage at which it is likely to
remain for some time. Thus the total number of new cases for both
boroughs is practically the same as in the preceding year. In these circumstances,
it is not proposed to enter into any detailed examination of the
figures.
In conclusion I would like to thank the Medical Officers of Health, the
Hospital Physicians and Surgeons, the Resident Medical Officer, and the
Hospital Secretary for their valuable help and advice, and the Dispiensary
Staff for their efficient work and loyal support.
(Signed) H. TYLFORD HOWELL.
8th March, 1929.