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136
tion thereof, to contribute towards the cost of maintenance of
the Dispensary in proportion to the attendances made by
insured patients as compared with the total number of attendances
made at the Dispensary, together with an agreed sum
in respect of other services rendered to the Committee.
The cost of alterations and equipment to instal the
Metropolitan Hospital Dispensary was estimated to be about
£400. Four-fifths of this would probably be contributed by
the Local Government Board, leaving £80 to be found by the
two Boroughs of Hackney and Stoke Newington. About £30
would be Stoke Newington's share of this.
The estimated number of sufferers from Tuberculosis in
Stoke Newington is 350. If each case averaged 15 visits
per year, the cost at 2s. per visit would be £525. Sundry
additional expenses (including shelters) should be added,
amounting to about £50, making a total annual cost of £575.
Taking the contribution by the Insurance Committee as
one-fifth of the total annual expenditure (viz., £115); the
contribution of the Local Government Board as £230; the
contribution of the London County Council as £115, there
would remain an annual sum of to be met out of Local
Rates.
In addition it would be necessary to incur some further
expenditure for the part-time services of a specially trained
nurse.
(5). As to Part-time Services of a Trained Nurse and the
appointment of an After-care Committee:—
The following is an extract from the Circular Letter of
the Local Government Board, dated December 5th, 1912:—
"The Board wish to emphasise the fact that it is the
"duty of the Medical Officer of Health for the Sanitary
"District, upon the receipt of a notification under the