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57
practically complies with the "Astor" Report and with the requirements
of the Local Government Board and the London County
Council.
We have communicated with the Medical Officer of Health and
he informs us that, from 1st February, 1913 (the date when the Public
Health (Tuberculosis) Regulations, 1912, came into operation) to
January 3rd, 1914, a period of eleven months, out of an estimated
population of 160,222 for the Borough, 1,057 cases of tuberculosis
were notified:—Bow, 244; Bromley, 446; Poplar, 367, out of which
121 were from the Isle of Dogs; and that the eleven-monthly rate
per thousand was in each case respectively:—Borough, 6.04; Bow,
5.53; Bromley, 6.37; Poplar, 6.04 (inclusive of Isle of Dogs) and
Isle of Dogs, 5-98 (approximate).
So far as the Isle of Dogs is concerned the means of travelling
to and from the Dispensary are by motor omnibus from Cubitt
Town and Millwall, and trains from North Greenwich and Poplar,
and we understand from the Executive Committee of the Dispensary
that where patients are unable to afford the fares, they are paid
for them.
We, therefore, recommend that the Council undertake the
payment of the sum of £1,200 in quarterly instalments, during the
year 1st April, 1914, to 31st March, 1915, and thereafter from year
to year with an adjustment at the end of each year, providing
always that the total payment by the Borough Council shall in no
year exceed fifty per cent. of the total expenditure incurred at the
Dispensary; and that an agreement be drawn up to this effect and
submitted to the Council for approval and also to the Local Government
Board and the London County Council, such agreement being
determinable by either party giving the other six months' notice
in writing to that effect."
The Council had already adopted the scheme in principle and the
General Purposes Committee were of opinion that the proposed contribution
of the Council of £1,200 per annum is reasonable. Certain amounts
will be recoverable from the Government, the London County Council
and the Insurance Committee, the net cost to the Council of the proposed
scheme being £250 per annum. The General Purposes Committee
recommended that the scheme be approved, and submitted to the Local
Government Board and London County Council for approval.
On the 21st May the General Purposes Committee reported to the
Council—
We, your Committee, beg to report that we have further considered
the scheme for Dispensary treatment of Tuberculosis in the Borough.