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97
arrangements made and one patient died pending such
arrangements. The reasons for the non-acceptance of
the other cases were not communicated to the Clinical
Tuberculosis Officer or myself. Eight children were
recommended and admitted to the open-air school at
Stormont House, Hackney. No patients were sent away
either to Preston Hall or Papworth. I regret that
greater use is not made of these Tuberculosis Settlements,
which represent the most valuable and constructive
contributions to the solution of the Tuberculosis problem
of recent years. It cannot too clearly be stated that
Tuberculosis is not only a medical question: it is
equally a social and economic question. The provision
of medical treatment alone is of little avail if the
patient is unable to earn an adequate living to maintain
himself and his family in good health.
GRANTS OF EXTRA NOURISHMENT.
The arrangements with regard to extra nourishment
to necessitous tuberculous patients were fully
reported in the Annual Report for 1921, and were
continued during 1930. Since 21st February, 1926,
Grade A (Tuberculin Tested) Milk has been given
instead of ordinary milk.
During the year 170 grants of milk and eggs were
made to 73 patients at an estimated cost of £207.
Eleven patients were receiving nourishment at the end
of the year.
TUBERCULOSIS DISPENSARY.
A full report on the work of the Dispensary, by
Dr. H. T. Howell, the Clinical Tuberculosis Officer,
together with a copy of the new Annual Return to the
Ministry of Health appears in the appendix to this
report on page 134.