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vaccination, but we are by no means certain yet as to whether we
have a useful and safe method of applying this means of protection.
The removal of the source of infection, so very desirable when
practicable, is likely to prove more difficult than the removal of a
child at risk, for the sufferer is often contributing something, by
light work, to the support of his family. Nevertheless, the compulsory
power of removal of a sufferer who is putting others at
considerable risk, which has been conferred recently by the Public
Health Act, 1925, is a valuable addition to the means of reducing
the spread of infection.
Dr. Young reports that the
"Scheme formulated by the London County Council for the
Boarding-out, or Convalescence, of children from infected homes, was
put on trial on April 1st, 1925, for a year, and in July was extended to
cover 'weakly children' living under conditions likely to subject
them to infection. An arrangement was made for the working of
the scheme to be carried out in co-operation with the Invalid
Children's Aid Association, but it was encumbered with formalities,
and beset with parental and financial difficulties, that so far as this
area is concerned, the progress of the scheme has not, up to the
present, been very satisfactory."
It is to be hoped that every effort will be made to find and
develop a really effective scheme.
The Tuberculosis Dispensary, under the able management of
Dr. L. U. Young, continues to furnish a good record of work, and
the Tuberculosis Nurse is also giving valuable services under the
direction of Dr. Young and myself, her Home Visits during
1921-25 amounting to 4,054.
Table III sets out certain facts in respect to the work of the
Tuberculosis Dispensary during the period under review. It will
be seen that the "Home Visits" made by Dr. Young have been
increased, although the time available for such visits over a wide
area is necessarily limited. He has expressed his regret on several
occasions that, owing to the lack of proper housing accommodation,