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(i) Co-operation with Local Practitioners. During the
year 39 new cases were seen by the Tuberculosis Officer at
the home of the patients, and 172 were referred to the Dispensary
by medical practitioners in the Borough.
(j) Co-operation with the School Medical Service. There
is intimate relationship with the School Medical Service and
the Dispensary. Many cases are referred to the Dispensary
by the School Medical Officers, and the child contacts of tuberculous
patients are referred to the School Medical Service for
special observation and supervision. The Divisional School
Medical Officer and the Tuberculosis Officer, in personal consultation,
discuss these contacts and decide on the supervision
desirable. Other children whose condition is unsatisfactory are
referred to the School Clinic for the treatment of minor ailments
end dental caries, or to the School Care Organiser with a recommendation
as to the provision of milk and cod liver oil to
be given at school.
(k) Extra Nourishment. It is a well known fact that the
income of many families, where there is a case of tuberculosis,
is insufficient for their needs, and the provision of extra
nourishment is regarded as an essential part of the patient's
treatment. The expenditure ranking for grant on this
service is limited to a maximum rate of £2 per annum per
1,000 population, and so every effort has been made to secure
that the funds available are expended to the best possible
advantage, and that grants of food are made only to patients
who are likely to benefit materially thereby. In carrying
out the administration of this work every case is certified in
the first instance by the Tuberculosis Officer to be in need of
such assistance, and in giving this certificate he is guided by
the following conditions which are laid down in Circular 257
of the Ministry:—