View report page

40
(b) School Cases.—A list of the contacts who attend school will be
sent to the Divisional Medical Officer Who will arrange for their
examination by the School Medical Officers. Arrangements will
be made to examine doubtful cases at one of the dispensaries.
In this way the Divisional Medical Officer can arrange for the
periodical weighing of the contacts, and the results sent to the
Public Health Offices to be entered on the Records. The
Divisional Medical Officer can also arrange for the better or more
suitable feeding, of such children if they are poor, as well as for
their attendance at open-air schools if possible, and when
necessary.
(c) Dispensary Contacts.—The contacts of the patients attending at
the dispensaries would generally be examined at such dispensaries,
as well as those of Poor-Law patients, Hospital patients and
those not attended by general practitioners.
(5) Bacteriological Examination of Sputum.—The bacteriological examination
of sputum of persons suspected to be suffering from Consumption
is now, and can be continued, to be examined free of charge at the
Borough Council's Laboratory.
(6) Satisfactory arrangements should be made with the present three
Voluntary Dispensaries if possible, as well as with the London
Hospital Dispensary:—
(a) For curative treatment.
(b) For examination of contacts.
The London Hospital will provide a Tuberculosis Dispensary as
well as act as a Consultative Institution where doubtful cases of
Tuberculosis of all kinds can be referred to experts of both branches—
Medical and Surgical. The most modern methods of diagnosis, e.g.,
X-rays, can be utilised at this Institution.
Institutional treatment of Surgical Tuberculosis can be obtained
at the Hospital in the future as it has been in the past.
(7) Disinfection.—Premises are disinfected by the staff of the Public
Health Department, after the removal or death of persons who have
suffered from Pulmonary Tuberculosis.
(8) Advanced Cases.—Arrangements can be made for the nursing of
advanced cases at the patients' own homes by the East London
Nursing Society.
(9) Shelters with beds and bedding in connection therewith for the open-
air treatment of patients at their own homes, where they may have a
suitable open space, can be supplied by the Borough Council. There
are, unfortunately not many spaces in connection with the homes of
the patients in this borough that can be utilised in this respect, and
therefore few shelters will be required.