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43
The staff should consist of:—
(a) A Medical Officer, possessing expert knowledge and
special experience in tuberculosis, who would be
styled "Consultive Tuberculosis Officer and Assistant
Medical Officer of Health." This Officer
would devote the whole of his time to the work,
and for administrative purposes would be under
the direction of the Medical Officer of Health,
who should be the chief executive officer responsible
to the Council.
(b) One health visitor, with nursing experience, to visit
cases.
(c) One trained nurse attendant at the Dispensary.
(d) One clerk-dispenser.
Position of Dispensary.
A central position should be chosen, and one easy of
access for the working-class population of the Borough.
Accommodation.
The building should be a detached one, allowing free
circulation of air and sunlight. In design the building should
be made as attractive as possible, and contain one storey only.
Where possible all the rooms should be provided with cross
ventilation, so that it is possible to completely flush them
with air.
Provision should be made for the following offices:—
Waiting-room, size about 12 ft. by 16 ft., with two
dressing-rooms attached.
Consulting-room, about 12 ft. by 18 ft.
Lavatory and w.c. accommodation attached to consulting-room
and waiting-room.
Laboratory and dispensary.
The interior of the building should be so constructed
that all the surfaces could be easily and completely washed.
I have visited several dispensaries, and I gathered the
most useful information at Portsmouth, thanks to the courtesy
of Dr. Mearns Fraser, the Medical Officer of Health, and
Dr. Clark, the Dispensary Medical Officer. This dispensary
has proved a great success. It forms part of the machinery
instituted by the Corporation for the treatment and prevention
of consumption, and is completely under the control of the