London's Pulse: Medical Officer of Health reports 1848-1972

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West Ham 1925

[Report of the Medical Officer of Health for West Ham]

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87
Officer after consideration of the financial and other circumstances
of the case. There is constant supervision of the
cases thus supplied to ensure that patients carry out general
instructions re precautions, medical treatment, etc., to
ascertain that they are really in need of and require the
grant.
(9) Treatment of Non-Pulmonary Tuberculosis.
Tuberculosis of Skin.
These cases are treated at the London Hospital as outpatients.
In the event of Finsen or Artificial Sunlight being
recommended, payment is made.
Tuberculosis of Bones and Joints.
adults.—There are no special institutions. Two or three
cases have been sent to the Royal Sea-Bathing Hospital.
Others are treated at the various London and Local Voluntary
Hospitals.
Children.—-These are sent to the Alexandra Hospital,
Swanley. The authorities have arranged to let us have the
use of ten beds.
Provision of Surgical Apparatus.
Surgical Apparatus have been provided in certain cases,
recommended by the Surgeon-in-Charge, after examination
of the case and careful consideration of all the circumstances
by the Tuberculosis Officer.
(10) Arrangements for Care and After-Care, etc.
On return from Residential Treatment, the patient is
examined at the Dispensary, if able to attend. In the case
of insured persons, domiciliary treatment is usually recommended.
The Panel Practitioner is informed of this fact and
of other essential details of the case. Extra Nourishment
is granted when the circumstances require it. The Tuberculosis
Nurse visits periodically and reports to the
Tuberculosis Officer. Form G.P. 36 is received periodically.