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115
is made for a period of twelve weeks, after which the case is reconsidered.
The amount of expenditure sanctioned by the Ministry of Health has been
found to be sufficient up to the present, but owing to the fact that the
Guardians have been obliged to reduce their scale of relief, a larger number
of patients have received a grant from the dispensary service during the
latter part of the year. 79 patients have been in receipt of extra nourishment
for varying periods during the year. Of these, 35 were still receiving
it on December 31st.
For the convenience of patients living in the southern end of the
borough the weekly allowance can be drawn at Simpsons Road, Poplar,
instead of at the Dispensary.
(x.) The arrangements for treating non -pulmonary tuberculosis, especially
tuberculosis of bones and joints in adults and in children, and for
the provision of surgical apparatus, etc.
Non-pulmonary cases which can suitably be treated as outpatients
are referred for treatment to the London Hospital under the
arrangement already referred to.
Cases requiring residential treatment are dealt with under the London
County Council's scheme.
Cases of tuberculosis of the skin, as stated above, are sent to the
London Hospital for Finsen or other light treatment; other cases for light
treatment are referred to Victoria Park Hospital.
The patient who was sent to Leysin in 1927 has still remained under
treatment there. According to the latest report received, she has made
definite though slow progress towards arrest of the disease.
No special arrangements exist for the provision of surgical apparatus.
Generally speaking, what is required is provided through the almoner's
office of the hospital where the patient has been under surgical treatment.
In the event of any difficulty, the matter would be referred to the Care
Committee for them to deal with.
(xi.) The arrangements for "care" and "after-care" and their working.
Care and after care are in the hands of the Tuberculosis Care
Committee. The Secretary reports as follows:—
The Tuberculosis Care Committee continues to meet fortnightly at
the Dispensary and to deal with the treatment of tuberculosis from the
social or economic point of view, and much interest is taken by the
Committee in this aspect of the work. During 1928 there have been twenty