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48
mittees, and transmitting copies of the Board's Order, prescribing the manner of
domicilary treatment of injured persons suffering from Tuberculosis, the following .
sentence appears :—
" The Board contemplate that when the provision for combating this
" disease, which has been recommended by the Departmental Committee
" on Tuberculosis, is complete, a Dispensary with an expert consulting
" officer will be available in every area as part of the general public health
" organisation."
The Order provides (inter alia) that the consulting officer of a dispensary
approved by the Board should be the consulting officer for the purposes of the
regulations, and that until such officer is appointed, the Medical Officer of Health
of the Sanitary Authority (in London) should act in that capacity.
After considerable discussion and having regard to all the conditions existing
in Stepney, we came to the conclusion that it wou'd be desirable that a scheme for
the Dispensary Treatment of Tuberculous Patients should be prepared, especially
in view of the fact that without the Local Government Board's approval, the Government
grant of half of the cost of the treatment of non-insured persons would not be
received in this Borough, and we therefore instructed the Medical Officer of Health
to submit a draft scheme to us.
The Medical Officer of Health submitted a lengthy report and advised that
there were three methods which might be adopted by the Council having regard
to the existing dispensaries.
1. The sole management and control of the dispensaries should be vested
in the Borough Council.
2. The management and control should be vested in a consultative
mittee, composed of members of the Borough Council and of the existing
Voluntary Committee.
3. The management and control should be vested in the Voluntary
mittee, with a representative or two from the Borough Council.
The Medical Officer of Health had some difficulty in drafting his scheme as he
found it necessary to consult the Dispensaries Committee, the Local Sanatorium
Sub-Committee appointed by the County Insurance Committee, and the local
medical practitioners, as well r.s to bear in mind the views expressed by the Council
and ourselves on various occasions, and also to have regard to the probable cost
of the scheme and the amount of the grants which would be likely to be received
in respect of the treatment of insured persons and the question of the performance
of domicilary treatment, &c.