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31
Two patients had been previously nursing Consumptive cases.
Two patients worked where others were consumptive.
Four patients had been in contact with cases of Phthisis.
There were 106 instances where no Phthisis was known amongst
the family.
The conditions of the dwellings at the time of first visit after
notification was:—
Satisfactory 112
Damp 20
Other defects 39
These defects have since been remedied.
Occupations of Patients.
Factory and Workshop 24
Building lines, Labourer, or other Outdoor 24
Workers 25
Clerk, Shop Assistant, or Printer 10
Publicans 3
Glass-blower 1
Domestic Service 8
Police 2
Others 6
No Occupations 95
174
The Head Dispensary for Area No. 1, which includes Enfield
under the Scheme of the Middlesex County Council for dealing
with Tuberculosis is situated at No. 56, Silver Street, Edmonton,
and is under the charge of Dr. Cogill, one of the Tuberculosis
Medical Officers in the Public Health Department of the County
Council, who sees patients brought there, visits them at their own
homes, and is also, I believe, responsible for the detection of contact
cases.
On receipt of a notification the case is invariably visited within
twenty-four hours. Full inquiries are made with a view to ascertaining
the existence of other cases in the same house or amongst
the relatives and associates of the patient, and also as to the conditions
under which he works and lives; printed instructions are
given as to the precautions necessary to be taken to prevent the
spread of infection; spitting bottle and disinfectants are supplied,
and when the case is kept at home every endeavour is made to
impress on the patient and family the importance of adhering
strictly to the instructions, and more especially to see that the
window of his room is always kept open. The cases are also visited