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135
"Provided that nothing in this Sub-section shall be deemed
to authorise a Council to take any of the measures herein
mentioned at any Poor Law Institution or any Hospital."
"(2) A Council, on the advice ot their Medical Officer of
Health, may provide and publish or distribute in the form of
placards, handDills or leaflets suitable summaries or information
and instruction respecting Pulmonary Tuberculosis, and the
precautions from that disease."
Measures already Applied by the Borough Council
in Hackney.
It will be seen from the above that the Council have power to
provide assistance, medical or otherwise, and facilities and articles,
and may appoint officers and do such acts and make such arrangements
as may be necessary for—
1.—The detection oi Pulmonary Tuberculosis.
2.—The prevention of the spread of infection.
3.—The removal of conditions favourable to infection.
I will now consider to what extent the Borough Council have
used the powers given them for the above purposes:—
(1) The notification of a case of Pulmonary Tuberculosis
will only follow after its diagnosis by the medical attendant.
To facilitate this diagnosis the Borough Council have arranged
for the gratuitous bacteriological examination of samples of
sputa from patients residing in the Borough, and suspected to
be suffering from Pulmonary Tuberculosis, when forwarded by
their medical attendant. During the year 1911 there were 121
samples so examined.
(2) On the receipt of a notification of Pulmonary Tuberculosis
in any dwelling in the Borough, a visit is made by an
inspector and enquiries made as to the sleeping accommodation
and the ventilation of the bedroom. If these are unsatisfactory
J