Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Lambeth, Metropolitan Borough of]
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3. The Tuberculosis Dispensary to be the centre of
prevention, detection, and treatment of the disease,
and of the education of the inhabitants of the Borough
in the nature of the disease, its detection in the early
stages being especially important.
4. The Tuberculosis Dispensary to be a receiving
house and centre of diagnosis and curative treatment
(both tuberculin injections and other equally important
methods), as well as a clearing house for the (a) sending
off of all persons suffering from tuberculosis within
the Borough to institutions (sanatoria or hospitals), or
(b) arranging for their domiciliary or dispensary treatment
(including tuberculin treatment), as may be found
necessary and practicable—not only "insured" persons
under the National Insurance Act, 1911, by agreement
with the National Insurance Commissioners, and the
London County Insurance Committee, but also noninsured
persons.
5. The Tuberculosis Dispensary to be linked up to
existing public health and medical work of the Borough
Council, so as to both supplement and centralise generally
the public health administration of the Borough,
the Tuberculosis Dispensary to be regarded as a central
tuberculosis institution or clinic.
6. The Tuberculosis Dispensary to work, as far as
practicable, in relationship and sympathy with the
general medical practitioners practising within the
Borough, more especially in regard to the domiciliary
treatment of tuberculosis in "insured" persons under
the National Insurance Act, 1911, as laid down in the
General Order of the Local Government Board of 26th
July, 1912, under such conditions and terms, as to
fees, etc., as the National Insurance Commissioners and
the Insurance Committees may decide.
7. The main Dispensary Building to be placed centrally
within the Borough, near to the Town Hall, the
Council's Health Department, and the Borough Bacteriological
Laboratory, for the use of the Inner and
Outer Wards, and arrangements to be made, if found
to be necessary and otherwise practicable, for the additional
use of the Inner Wards with (a) a Tuberculosis
Out-patient Department of St. Thomas' Hospital,
separate and distinct (administratively and otherwise)