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101
Insurance Committee towards the salary of each Tuberculosis Nurse would
have to be higher than aforesaid, if the total salary of each nurse is to
be £100 (as stated in the County scheme) and not the usual one of £80
—say £1 2s. 6d. for three-quarter tuberculosis work, fifteen (15/-) shillings
for one-half tuberculosis work, and seven shillings and sixpence (7/6)
for one-quarter tuberculosis work.
The Local M.O.H.
The local Medical Officer of Health should be a member of each
local sub-committee, and act as the medical adviser thereof, and on the
committee for the dispensary area (should such a committee be formed).
The local Medical Officers of Health should choose from amongst themselves
two or three to represent them on the County Insurance Committee.
The Tuberculosis Officer or Assistant T.O.
He should not visit patients at home, except in consultation with
a general practitioner, and no patient should visit the dispensary
except on the recommendation of a general medical practitioner, or the
Medical Officer of Health of the district. The Tuberculosis Officer should
only give special treatment with vaccines or serums at the dispensary,
as his main work will consist of diagnosis or verification of the existence
of consumption, consultation with the general practitioner, and selection
of suitable cases for the sanitorium or hospital. In the circular of
December 6th, 1912, the Local Government Board suggest that if the
Tuberculosis Officers are not fully occupied in work at the Dispensary,
he, or they, might, for the purpose of the Public Health (Tuberculosis)
Regulations, 1912, act as an officer of the Local Sanitary Authority
under the direction of the local Medical Officer of Health.
Clerical.
The Clerk of the local Sanitary Authority, or one of his staff,
should be the Clerk of the Local Sub-Committee, and if a dispensary
committee be appointed, the Clerk thereof should be chosen from amongst
the Clerks of the local sub-committees. The municipal training and local
knowledge of these gentlemen would be invaluable, and productive of
efficiency.
SIDNEY C. LAWRENCE.
Medical Officer of Health.