Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for West Ham]
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(2) The practicability of boarding-out very young children
of Tuberculous patients during their time of most liable
susceptibility to infection from the parent. (This plan
has been successfully carried out in some parts of
France.)
(3) The difficulty of those tuberculous parents who are unable
to enter a Sanatorium for treatment owing to not
being in a position to arrange proper provision for the
welfare of their children during their absence.
(4) The value of Day Colonies, or some definite after-care
scheme for post-sanatorium cases.
(5) The establishment of a Hospital Block or Wards for
cases of surgical Tuberculosis.
Cancer.
The question of special provision for the accommodation and
treatment of cancer cases, and for the early diagnosis of this
disease.
Ceneral.
(1) Special facilities for treating sleepy sickness and other
diseases of the nervous system, including border-line
mental cases.
(2) The provision of further institutional accommodation for
sick children to prevent the necessity of their being
treated, as now, in Wards with adults.
(3) Special accommodation, training and other facilities for
promoting the welfate of epileptics, of the deaf, and of
the blind.
(4) Additional residential accommodation for nurses.
(5) The provision of further facilities for home nursing.
(6) The importance of one or more fully equipped out-patient
departments, to work in co-ordination with the general
practitioners and with all the health services of the
Borough, voluntary and otherwise.
I have not overlooked the financial side of these suggestions,
but this is an aspect of the various schemes which can be placed
before you in detail by your financial officer, if and when the principal
is adopted, though I have no doubt whatever that the ultimate
result of the schemes outlined would be one of a valuable
asset to the Borough not only from a standpoint of health but
also financially, having regard to the enormous amount of destitution
arising from sickness and invaliditv.
The dovetailing of the work of the transferred institutions and
the work of the District Medical Officers into that of the work
of the various clinics—of the general hygiene of the Borough
and other municipal and voluntary activities—the carrying
out of the provisions of the Children Act and of the Vaccination
Act, are matters of an administrative nature receiving
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