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tuberculous patients, diabetic children, thirteen-year old schoolchildren, students at
further education establishments and mentally subnormal persons at training centres,
are shown in Table 14 on page 103.
OTHER PREVENTIVE MEASURES
In addition to the B.C.G. vaccination scheme, other preventive measures include the
chest X-ray of all newly appointed staff and an annual X-ray of those who are likely to
work in close and frequent contact with children, staff at the Council's training centres
for mentally subnormal persons and tuberculin reactors discovered among thirteen-year old
schoolchildren, students and others tested with a view to B.C.G. vaccination.
Epidemiological investigations are made among the contacts of cases of tuberculosis
notified in children, staff or residents in the Council's establishments. Similar
investigations are carried out at secondary schools where the reactor rates disclosed
by tuberculin surveys are significantly higher than the average for secondary schools
in the area.
CHEST CLINICS
In conjunction with the North-east Metropolitan Regional Hospital Board and the
Brompton Hospital, and in accordance with proposals under Section 28 of the National
Health Service Act 1946, tuberculosis prevention, care and after-care services for
patients living at home are provided at three chest clinics in the borough staffed by
chest physicians, tuberculosis visitors, welfare officers and clerks.
Services include:-
(i) B.C.G. vaccination of persons who have been in contact with tuberculous patients;
(ii) Home visiting by health visitors;
(iii) Social Work by welfare officers;
(iv) Assistance in cash or kind not available from official sources by chest clinic
voluntary committees from their voluntary funds. The welfare officers act as
secretaries to these voluntary committees;
(v) Boarding-out of child tuberculous contacts;
(vi) Home nursing including the loan of bedding and nursing equipment;
(vii) Home helps;
(viii) Extra nourishment;
(ix) Rehousing of selected tuberculous families;
(x) Recuperative holidays;
(xi) Maintenance during industrial rehabilitation at voluntary village settlements;
(xii) Admission to hostels for homeless tuberculous men.
Statistics relating to these services are on page 102.
20.