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39
Inclusion of Local Institutions.
All Boroughs, except one, include infirmaries, hospitals, and other local
institutions, as places whence notifications may be received.
Other Steps.
These are: —
(a) Periodical visits by the Medical Officer of Health, Inspector or
Health visitor, with a report as to the sanitary condition of the
house at the time of visit, and the efficiency with which the instructions
given, are carried out, as well as on the progress of the case.
One Borough appoints two special Tuberculosis Inspectors.
(b) An endeavour to impress the necessity of the open air treatment, and
an attempt to institute a modified variety, adapted to home treatment,
by insisting on open windows night and day, &c.
(c) A sanitary inspection of the premises with the rectification of auy
defects thus brought to light.
(d) Bacteriological examination of the milk supply.
(e) Issue of leaflet of instruction, and precautions to be left at house of
patient, and placards for workshops and public places.
(/) Provision of paper or fibre handkerchiefs, and appropriate spittoons,
either gratis or for payment.
(g) Restriction of indiscriminate spitting.
(h) Disinfection which may be periodical, or at death, or removal of
patient, or, on the entrance of a new family into a house.
(i) Provision of disinfectants for personal use and for spittoons.
(/') One Borough endeavours to secure removal of patients to the Borough
Hospital, where it retains a block of 18 beds for that purpose, and
has erected shelters in the grounds. Another notifies the cases to
the local branch of the National Association for the Prevention of
Consumption, which tries to obtain removal of the case to a
Sanatorium.