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whole-time tuberculosis health visitors each of whom is responsible, among other
duties, for one of the three districts into which the borough is divided for tuberculosis
work ; one clerk-dispenser, who is also secretary of the Care Committee, and one
clerk. No changes in the staffing of this Service took place during the year.
The service embraces the following ramifications:—
(а) The administration of the Tuberculosis Regulations of 1925 and 1930.
(b) Bacteriological examination of sputum.
(c) The provision of outdoor shelters for use at the homes of patients.
(d) The provision of two Tuberculosis Dispensaries.
(e) Home visiting of tuberculous cases.
(f) Arrangements for following up cases where diagnosis is doubtful.
(g) Arrangements for securing the examination and systematic supervision
of home contacts.
(h) Visiting and medical examination of cases for the Ministry of Pensions.
(i) Provision of extra nourishment.
(j) Agreements with the War Memorial Hospital for X-ray examinations and
with the London County Council for X-ray work at St. Nicholas Hospital.
(k) Co-operation with the medical staff of the local London County Council
General Hospital, the Tuberculosis Officer acting as consultant for
tuberculous patients.
(I) An agreement with the London Hospital for Finsen Light treatment of
lupus, and with the War Memorial Hospital for other forms of Light
treatment.
(m) Agreements with Brompton and other hospitals for the maintenance of
artificial pneumothorax and in conjunction therewith treatment by gold
salts when necessary.
(n) An agreement with the School Treatment Committee for the provision of
dental treatment.
(o) Provision of nursing assistance in certain cases.
(p) Co-operation with the maternity and child welfare service.
(q) Co-operation with the School Medical Service.
(r) Co-operation with the Public Assistance Committee (London County
Council).
(s) Co-operation between the Tuberculosis Officer and the local medical
practitioners.
(t) A Tuberculosis Care Committee.
(u) Institutional treatment through the London County Council.