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42
It will be seen that our hope has not been realised to any great extent
for, whereas we had an average attendance per session in 1922 of less
than three, in 1923 it has fallen to lesS than two.
I am not aware of anything happening at the Clinic that could account
for old patients not continuing their treatment, and by the number ol
extractions, fillings or scalings, as above, there can be no doubt as to the
necessity for dental work. The patients are more difficult to treat than
those in normal health undoubtedly, and possibly "funk" repeated visits
on the same account. Whether the patients are "followed up" thoroughly
I cannot say, but I think the supply of new patients might be increased
if possible.
The arrangements for help at the Tuberculosis Dental Clinic differ
from those at the Maternity Dental Clinic. At the latter, the same Health
Visitor is present at each Session. At the former these Health Visitors
take turns. I cannot consider this arrangement good, the patient is met
by a different Health Visitor each Session, and, though each Health Visitor
is perfectly capable, and a great help to me, I consider the arrangement
bad from the patients' point of view. With one constant attendant at
each Session, I think we can gain the patient's confidence. I trust I
am clear on this point, which presents certain difficulties in explanation,
but which I think is of considerable importance.*
Every precaution is taken in the work to prevent infection. All
instruments are thoroughly sterilized after use, and the room disinfected
with formalin at the close of each Session. A special set of gas masks
is used for anaesthetic cases, as such articles are difficult to render surgically
clean. The patients do appear to appreciate our efforts in the
majority of cases.
I have the honour to remain, Sir,
Your obedient Servant,
C. HAMMOND WILLIAMS, L.D.S., R.C.S., Eng.
"Brooklands,"
Acton Hill, W.3.
10-1-24.
(Note by Medical Officer of Health. This matter is being considered.)