London's Pulse: Medical Officer of Health reports 1848-1972

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Paddington 1936

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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5. The financial circumstances of all new cases will be considered by the Tuberculosis Care Committee
together with all expiring cases requiring renewal. No grant to be made for a longer
period than three months, without renewal of the recommendation by the Tuberculosis
Officer or Consultant Medical Officer and reconsideration by the Tuberculosis Care
Committee.
Extra nourishment usually consists of milk, eggs and butter, a typical grant being 1 pint of
"Pasteurised" milk and 1 new laid egg daily, and £lb. of butter weekly for the period
recommended.
From May, when the scheme was put into operation, until the end of the year, 28 patients
received grants, the cost to the Council being approximately £60.
DISPENSARY TREATMENT OF TUBERCULOSIS.
For administrative purposes the Borough is divided into two dispensary areas, the line of
division passing down Inverness Terrace, Porchester Road, Ranelagh Road, Formosa Street to its
junction with Shirland Road, and Shirland Road to its junction with Kilburn Park Road. The
portion of the Borough to the east of this line is served by the St. Mary's Hospital Dispensary, and
the portion to the west of the line by the Paddington Tuberculosis Dispensary.
PaddingtOn Tuberculosis Dispensary, 20, Talbot Road.
This is a voluntary agency supported by voluntary subscriptions, and a grant from the Paddington
Borough Council which last year amounted to £1,600.
During the year a definite forward step was taken with regard to the transfer of the Dispensary
service to a larger and more convenient building, approval of the London County Council and
Paddington Borough Council having been obtained to the site in Newton Road and the draft
plans for the building. There is uow every reason to hope that the building will be commenced in
the near future.
The artificial sunlight department has worked to full capacity during the winter months, 23
delicate children attending for this special treatment. 488 exposures were given.
X-ray examinations made at the Dispensary numbered 220. The value of such examinations
in connection with early diagnosis and consequent prevention of Tuberculosis is now universally
accepted.
A number of patients continued to attend for artificial pneumothorax refills. We find by
experience that patients who are working prefer to attend the Dispensary for this treatment, as
regular visits at short intervals are usually entailed, and the Dispensary, being a small establishment,
can treat such people at times which do not interfere with their hours of employment. It is,
of course, impossible for large hospitals to make special arrangements for each patient.
Visits to the Dispensary of parties of students from the London School of Hygiene and Tropical
Medicine have now become an established custom, two such parties being received each year. These
parties which usually comprise about 40 students from all parts of the world, spend an afternoon
here when lectures are given by Dr. Harley Williams, Medical Commissioner to the National Association
for the Prevention of Tuberculosis, and Dr. R. S. Walker, the Tuberculosis Officer.
A number of trained nurses, studying for the Public Health Certificate at the College of
Nursing and Battersea Polytechnic, attended the Dispensary for short courses of practical experience
in connection with Tuberculosis work. We also received for a similar course, a Canadian
nurse who was studying English Public Health Methods through the Florence Nightingale International
Foundation.
This Dispensary was selected to provide Nurse Jayes with an intensive course of practical
experience before she went to Cyprus to join the staff of Dr. Noel Bardswell, who is organising an
anti-tuberculosis scheme there for the National Association for the Prevention of Tuberculosis.
The Glove Class continues satisfactorily and there is no doubt that the work taught provides
a number of women patients with a definite interest as well as a little pocket money.