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543
A most important change in procedure is contained in Item 10,
Section 1, viz.: "All communications from the Council respecting
the Tuberculosis Dispensary will be addressed to the Borough
Medical officer, except (i) as provided in Section 26 of the 'Scheme
for the Treatment of Tuberculosis in London (Revised 1922), 'and
(ii) on matters of urgency."
This practically ensures still closer co-ordination between the
Public Health Departments of the Boroughs and the Tuberculosis
Dispensary.
"Memo. 286, National Health Insurance, Tuberculosis," by
which additional responsibilities and clerical duties are placed on
the Tuberculosis Officer, was also brought into force at the same
time.
The Borough Health Visitors have attended the Dispensary
regularly throughout the year, and much detailed work has been
accomplished at the interviews.
A limited number of patients have been supplied through the
Borough Councils with extra diet, in the form of milk and eggs
and have derived benefit accordingly.
During the year the Tuberculosis Officer paid 189 home Visits
and investigated the home conditions, many of which were found
to be most unsatisfactory.
There has been no apparent improvement in the housing
conditions in the Dispensary area, and this lack of proper accommodation
forms a great stumbling-block to the working of the
Tuberculosis Scheme.
It is pleasing to note that the number of new cases sent by
general practitioners has increased. There has been a tendency
on the part of many local practitioners to interest themselves more
in the Dispensary service.
The Sessions for School Children have now been in existence,
for two years, and the attendances have been well maintained.