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After-Care.
After-care remains one of the chief problems to be solved in the campaign
against Tuberculosis. During the year, the Interim Tuberculosis Care
Committee has ceased to exist and its place had been taken by the Care
Committee of the Borough Council.
Adequate help and supervision of the tuberculous adult in particular after
discharge from Sanatorium is probably the most difficult problem to be faced.
Much work has been done in Great Britain in the past few years with regard
to the training of such patients at Training Colonies of one description or
another, but at present there is a certain amount of chaos.
The Ministry of Pensions has instituted Training Colonies, where a
number of Stepney War Pensioners have received further treatment and
instruction in various suitable occupations. The chief difficulty arises after
training is completed and efforts are made to find work in the particular
occupations learnt. In a few cases only has it proved possible to obtain such
work, and at present it would appear that the time and money spent has in
consequence been largely wasted.
There is clearly little advantage to be gained by such training (beyond
the extended course of treatment) unless work, adequately remunerated, can
be found for these patients on the completion of training.