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examined at the dispensary or not, are referred to the Divisional
Medical Officer, who arranges for them to be kept under observation and
periodically examined. After a suitable interval these cases are sent
back, with a report to the Tuberculosis Officer, who decides what further
action, if any, is to be taken. Generally, delicate children—though not
contacts—in whom there is a special likelihood of tuberculosis developing
are dealt with in the same way. Under this scheme, 100 children have
been dealt with in 1926.
(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. 806 such reports to
rivate 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" bv 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.
In all cases on "Domiciliary Treatment," the panel doctor is asked
to furnish periodical reports on the patient's progress and the need for
continued or altered treatment. In addition, these patients are examined
periodically by the Tuberculosis Officer. On December 31st, 1926, 242
patients were receiving "Domiciliary Treatment."