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(1) Institutional Treatment.
This should include treatment in sanatoria, hospitals, homes for the advanced
cases, and homes for the dying. It is very necessary, especially in a Borough
containing such a large number of poor inhabitants, that provision should be made
for advanced cases to be properly segregated. Institutional treatment is to be provided
by the London County Council.
(2) Non-institutional Treatment.
Non-institutional treatment should be organised as follows:—
1. Notification of all cases of Tuberculosis. After February 1st, 1913,
all Tuberculous diseases became notifiable.
2. The establishment of a Tuberculosis Dispensary or Dispensaries.
3. The provision of a few observation beds in connection with one of the
Dispensaries.
4. Retention of beds at Sanatoria for non-insured persons.
5. Examination of Contacts.
6. Bacteriological examination of sputum of persons suspected to be
suffering from consumption. The sputum of Dispensary patients are
examined at the Dispensary, and of other persons at the Borough
Council's Laboratory.
Opportunities are given to general practitioners to examine the sputum
of their patients at the Council's Laboratory.
7. The examination of school children and in connection therewith the
provision of open-air schools and the recommendation of children
for such schools. (The London County Council have established such
schools in other parts of London.)
8. Disinfection of premises after death or removal.
9. Nursing of advanced cases.
10. The supply of shelters, beds and bedding.
11. The conditions under which the patient lives should be considered,
and housing accommodation should be continually improved. Educating
the general public by means of lectures on the prevention of
consumption should be encouraged, and the issue of printed general
instructions as to the prevention of the spread of the disease, &c.,
by Health Visitors should be continued.
The organisation of schemes should be undertaken as part of the Public Health
Administration of the area to which they relate, and the Medical Officer of Health
should be the Chief Executive and Organising Officer.