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(c) Nurse.—A nurse is necessary to be in attendance at the Dispensary.
(d) A Clerk-Dispenser.
(e) A Caretaker, who will also act as Porter.
Non-insured persons will usually be referred to the Dispensary by their own
doctor, or by the Medical Officer of Health.
The procedure in regard to insured persons will be in accordance with the
arrangements made with the Insurance Committee.
II. It would be an advantage for a few observation beds to be available for
use in connection with the Dispensary.
III. Arrangements can be made with the East London Nursing Society for
the nursing of advanced cases at their own homes—patients too far advanced to
be taken into Sanatoria or Hospitals.
IV. Shelters and other articles which could be suitably used by the patient
in his own home should be lent for the use of patients when required.
V. Examination of School Children.—The medical examination of school
children resolves itself into two classes—the " periodical " and the " occasional."
By the " periodical " inspection, all the children are systematically examined
at certain ages, and by the " occasional " examination, selected children are brought
to the notice of the Medical Inspector for suspected defects or diseases.
Under the Regulations of the Board of Education there are two groups of
children who must be medically inspected by every Education Authority, viz.:—
the " entrants " and " leavers." In other words, every child in his fifth and
thirteenth year is medically examined, and these " entrants " and " leavers "
constitute the periodical examination. Different authorities have extended the
scope of the periodical examination, and in some districts all the children are also
examined in their eighth and eleventh year.
As far as we are at present concerned, I believe that an extension of the
occasional examination is of more importance. The services of the teachers could
be utilised, and the children who exhibit any symptons of malnutrition could be
kept under observation and brought to the notice of the Medical Inspector.
The examination of children suspected to be suffering from Tuberculosis could
be made at the Dispensary.
During the year 1912, the number of children notified to be suffering from
Tuberculosis of the Lungs by School Medical Officers was 15.