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Co-operation with the School Medical service as explained in previous
reports continues to work satisfactorily. Some 125 children, either
"unsatisfactory children" or contacts, have been dealt with under this
scheme. Suitable cases of definitely tuberculous children are attending
the London County Council special school for tuberculous children at
Geare House, Stepney Green, while other delicate children attend the
Open Air School in Bow Road.
(iii.) 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.
On receipt of a notification the Tuberculosis Officer at once
communicates with the notifying practitioner offering his assistance in
dealing with the case and calling attention to the services the Care
Committee may be able to render the patient and his family.
In all cases where patients are referred to the Dispensary a report is
sent to the practitioner and where necessary arrangements are made for
treatment. 693 reports of this kind have been sent during the year.
Co-operation with insurance practitioners continues under the scheme
which has been explained in previous reports and close touch with panel
doctors has been maintained by means of the customary forms. 488
reports have been sent to, and 227 received from, panel doctors in respect
of patients having "domiciliary" treatment. 198 patients were on
"domiciliary" treatment on 31st December.
(iv.) The arrangements for following up patients in cases where the diagnosis
is doubtful.
Cases in which a diagnosis cannot be arrived at after a reasonable
period of dispensary observation are referred to the London County Council
for admission to Brompton or Victoria Park Hospitals for further investigation
. Cases of doubtful non-pulmonary tuberculosis are sent to the London
Hospital. In other doubtful cases, where admission to hospital is not
considered necessary, arrangements are made for the patient to attend the
dispensary after a lapse of a suitable period of time so that the case can
be reconsidered.
(v.) The arrangements for securing the examination and systematic
supervision of "home contacts."