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49
"We consent to the principle of the County Council undertaking
the duty of the organization of sanitorium benefit, but reserve our
opinion on matters of detail, such as the use of our Small Pox and
Fever Hospitals for the purpose.
We consider that all Medical Officers of Health should be co-opted
on the Local Committees appointed for their respective districts."
Also in Appendix C it is stated that the Tuberculosis nurses could
be appointed in conjunction with the District Councils, and that
arrangements will be made, where possible, to utilize the services of
existing officers.
The Middlesex Districts' Councils' Association, at a conference on
28th November, 1912, passed the following resolutions:-
(1) That in their opinion (a) The County Council should be the
Organising Authority generally; (b) The Tuberculosis Officers appointed
by the County Council should be consultants only, and not undertake treatment
or, any administrative work; and (c) That the Local Public Health
Service in each District should be used t-o the fullest extent in order to
prevent friction and overlapping and unnecessary expense, and avoid
what would be a separate and distinct Health Authority for one disease
only.
(2) That the scheme submitted by the Middlesex County Council
contravenes the principles set forth in the above resolution, and that the
County Council be asked not to proceed further therewith; that they be
requested to formulate an amended scheme in detail, on the lines of the
above resolution, and that each Local Authority be given ample time for
offering observations thereon, with a view to making a scheme which
should be satisfactory both to the County Council and the Local
Authorities.
(3) That the Local Government Board be asked not to approve
the scheme submitted by the Middlesex County Council.
Our Sanitary Committee deferred consideration thereon to
January 8th, 1913, and then asked the Council to formally adopt the first
one, which was done.
In December, our Accountant reported on the finance of the County
Scheme to the Sanitary Committee and Council.
Dated 6th December, 1912, the Local Government Board issued a
circular entitled" Schemes for Institutional Treatment of Tuberculosis."
This circular, although only addressed to County Councils and County
Boroughs was apparently sent to us as a matter of courtesy by the Board.