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58
In one small room is to be found dressing rooms for both sexes,
and throat examination room. In this same room confidential
histories have to be taken; weights, temperatures and pulse rates
to be recorded; outfits to be given to patients for the collection of
sputum, and, after clinical examination has been effected, further
appointments made. There is the most urgent need for a new
up-to-date Clinic which should be a credit to the Borough—with
adequate hygienic accommodation, and with Pathological, Radiological
and Dental Services, and, if possible, "Observation" beds
in close association to the Clinic.
There is some consolation in the fact that such a Clinic, it is
to be hoped, is now very close at hand.
Clerical Work.
The appointment of a new Tuberculosis Administrative Clerk
has oiled the internal machinery of the work of the Clinic.
The Clinic is now run on efficient lines, the whole of the
administration of which has been thoroughly re-organised.
Card-index systems, to cope with the requirements of the
Ministry of Health, and new forms have been brought into use.
Statistics are readily available, and returns can be rendered
without delay.
Finally, in an excellent report on Tuberculosis Dr. A. S.
Macnalty, Senior Medical Officer of Tuberculosis, Ministry of
Health, the following suggestions on the future development of
the work of Clinics such as ours is made:—
(a) That the preventive side of dispensary work should
receive more sustained attention.
(b) That special efforts should be made to secure early
nition of the disease.
(c) To arrive at prompt decision in cases of " Suspects " under
observation.
(d) That due discrimination should be exercised in the selection
of patients for different types of residential institutions,
prompt admission to sanatoria being secured for
all cases in whom arrest of the disease seems likely.