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(b) The care of The patient after his return from a sanatorium. In many
cases, if the patient returns to his former employment and surroundings,
he soon has a relapse, and the good influence of the sanatorium
treatment is undone.
(c) Providing an extra bedroom for the use of the very poor consumptives,
who live and sleep in the same room with the rest of the family.
These matters can only be undertaken by a Voluntary Committee, as money
from the State is not available for the purpose.
The Tuberculosis Dispensary of the Council.—There are three ways in which
the Borough Council can arrange for the treatment of Tuberculosis by means of the
Tuberculosis Dispensary.
(1) The sole management and control to be by the Borough Council. A
charge could be made to the Insurance Committee for the treatment
of insured persons. The deficit would be ma.de up equally from the
rates and a grant from the Government.
(2) The management and control to be by a joint committee, called a
Consultative Committee, composed of members of the Borough Council
and the Voluntary Committee.
In this case, the appointment of the Staff and the internal
management would be by the Consultative Committee.
There would be a subsidy from the Insurance Committee as in
No. 1, and after deducting this amount, as well as the amount of the
grant from the Voluntary Association, the deficit would have to be
made up in equal proportions from the rates and from the Government.
(3) The management and control to be as formerly, by the Voluntary
Committee, together with a representative or two from the Borough
Council, provided the Borough Council assisted the Voluntary Committee
financially by a small grant annually from the rates. This
grant is suggested so that the Medical Officers and other members
of the Staff of the Dispensaries can be appointed nominally as officers
of the Public Health Department, and, as such, have power to enter
the homes of the people and examine contacts, &c., as representatives
of the Medical Officer of Health, as in Nos. 1 and 2.
At the request of the Public Health Committee I beg to submit an estimate
of the cost of maintaining the present three Dispensaries:—
(1) If they are taken over by the Borough Council;