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37
The scheme of co-operation between the dispensary and the School
Medical Service explained in last year's report, has continued to work
well. 177 children, either of the unsatisfactory type, or children who
are living in contact with a definite case of tuberculosis, have been
referred to the Divisional Medical Officer to lie kept under observation,
and useful reports have been received from time to time on their progress.
By these means the Tuberculosis Officer obtains information
concerning the condition of child contacts whom he has not been able to
examine himself, and is also informed as to subsequent progress of those
contacts who were apparenty healthy when examined at the dispensary,
while reports on the progress of the "unsatisfactory" children help
him to decide whether further investigation of their cases at the dispensary
is required or not.
(iv.) Any special arrangements made to secure the co-operation of
medical practitioners and the working of the arrangements for periodical
reports on insured patients under domiciliary treatment.
The Tuberculosis Officer communicates with every local practitioner
who notifies a case of tuberculosis, offering to confer with him as to
the best means of dealing with the case. The practitioner is also invited
to avail himself of the services of the Care Committee for any case
occurring in his private practice in which he thinks they may prove
useful.
In all cases, whether insured or uninsured, referred to the dispensary
for investigation, a report is sent by the Tuberculosis Officer to
the patient's doctor, giving the result of the investigation. 761 such
reports to private practitioners were sent during the year.
Co-operation with insurance practitioners in respect of their panel
patients has been continued under the scheme outlined last year. By
means of the appropriate form the panel doctor is notified whether his
patient is (1) Under observation at the dispensary, (2) being sent to
sanatorium or hospital, (3) being placed under Domiciliary (viz., panel
doctor) Treatment, (4) given Dispensary Treatment, or (5) placed under
"general supervision" by the Tuberculosis Officer, no active treatment
being required.
As soon as possible after a patient's return from sanatorium a copy
of the sanatorium report on his case is sent to the panel doctor, with
a statement as to what further treatment is considered necessary.