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100
EDMONTON URBAN DISTRICT COUNCIL.
Public Health Department,
Town Hall, Lower Edmonton, N.
9th January, 1913.
NATIONAL INSURANCE ACT, 1911-SANITORIUM
BENEFIT—ADMINISTRATIVE CONTROL OF
TUBERCULOSIS.
This paper is prepared as a response to the criticism from the
County side that, whilst raising many objections to the details of the
scheme as submitted by the County Council to the Local Government
Board, the Local Authorities and their officers are not prepared with any
better alternatives; and, further, in acceptance of the views expressed
by the Middlesex County Council itself (see Appendix C, p. 67, of the
skeleton scheme of the County issued in October last, and approved—so
far as it goes—by the Local Government Board).
The County Council remarks are as follows:—
"It is proposed to secure, as far as possible, the assistance
"of the Local Medical Officers of Health, with a view to close and
"active co-operation between these officers and the staff of the
"Tuberculosis Dispensary.
"This scheme is subject to such amendment as may be found
"to be necessary after consultation and negotiation with the
"Local Authorities concerned."
Tuberculosis Nurses.
They should be on the staff of the Local Medical Officer of Health,
and therefore be appointed, paid, and dismissed by the Local Sanitary
Authority. These nurses must be qualified by examination to undertake
the work of School Nurse (and) or Woman Sanitary Inspector, if her
time is not fully occupied by tuberculosis work. The nurse would report
on all her work to the Medical Officer of Health of the district, and a
duplicate report of such information as relates to her tuberculosis work
would be sent to the Tuberculosis Officer of the area. The County
Insurance Committee might pay towards the salary of such a nurse not
less than One Pound (£1) per thousand inhabitants of the district (as
estimated by the local Medical Officer of Health for midsummer of each
year), or thirteen (13/-) shillings, or seven (7/-) shillings per thousand
people, depending upon whether she devotes three-quarters, or half, or a
quarter of her time to tuberculosis work. The payment from the County