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61
Co-operation with Hospitals and Invalid Children's Aid
Association. The existing arrangements for special hospital
examination and treatment continue to give satisfaction.
These arrangements are with the Seamen's Hospital for
X-ray examinations of difficult cases, with the London
Hospital for the treatment of lupus, and with the Brompton
Hospital for the provision of artificial pneumo-thorax refills.
Sixty-five cases were referred to the Seamen's Hospital. One
case, involving 50 attendances, was referred to the London
Hospital, and six cases, involving 58 attendances, to the
Brompton Hospital. Many patients, both adults and
children, who come to the Dispensary for examination, either
as contacts or on their own initiative, are found to be suffering
from conditions, other than Tuberculosis, which require
treatment, and so it is necessary to advise them to obtain
this treatment, either from private practitioners or at general
hospitals. During the year 140 children who were suffering
from anemia, malnutrition, and kindred diseases, were referred
to the Woolwich branch of the Woolwich Invalid Children's
Aid Association for convalescent home treatment, or for
treatment at the remedial clinic of the Association. In
considering dispensary work one is very apt to fail to realise
what a valuable asset this preventive work is to the Dispensary.
Co-operation with the School Medical Service. The relationship
between the School Medical service and the Tuberculosis
Dispensary continues to prove satisfactory. The District
School Medical Officer and the Tuberculosis Officer meet at
intervals to discuss various children and decide what supervision
is desirable. Many children are referred direct to the
School Clinic for the treatment of minor ailments and dental
caries.