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32
is Chairman of the Committee) nominated by a Society of Medical
Practitioners in the Borough. The Tuberculosis Officer and Nurse
attend all meetings and report as to cases. At present no School
Medical Officer is a member of this Committee, but one would be
welcome, and we are taking steps to have the schools directly
represented.*
All cases needing financial assistance are referred from the
Care Committee to the Executive Committee and, if approved,
additional nourishment, clothing, beds, bedding and shelters are
provided. The Dispensary has two beds at Sanatoria, one for male
and one for female suitable cases. Children of necessitous parents,
needing change of air, are also sent away to suitable homes at the
expense of the Dispensary.
The Executive Committee, of which the Medical Officer for
the Borough is ex officio a member, is in close touch with the Board
of Guardians, Insurance Committee, and all charitable and social
organisations in the Borough. In fact, everything is being carried
out according to the Interim Report of the Departmental Committee
on Tuberculosis.
The Tuberculosis Officer of the Dispensary is Deputy Medical
Officer of Health for the Borough, and is in close touch with the
Public Health Department.
So far as paragraph 4 on page 3, with regard to expenditure is
concerned, this is, of course, included in the general expenditure
towards which cost your Council have agreed to contribute onehalf
of the expenditure, such one-half not to exceed the sum of
£1,200 per annum
(6) Nursing
Generally speaking, so far as nursing is concerned, it is our
opinion that, judging from the cases that come before us needing
nursing in their own homes, it would be better if such cases were
treated in Institutions provided in the Borough. In one or two instances
we have provided a nurse from the Institutions mentioned
later on in this letter and if necessity demanded it, the same steps
would be taken again, but we very much doubt, at this critical period,
whether it would be possible for us to obtain the necessary nurses
to perform the work.
* Dr. George Chaikin, Divisional Medical Officer (School) London County Council,
is now a member of the Care Committee.