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

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Fulham 1920

[Report of the Medical Officer of Health for Fulham]

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31
5. Efforts should be made to introduce at the
dispensaries a system by which patients would
be seen, if practicable, by individual appointment,
or other means should be adopted to reduce to a
minimum the time during which patients are kept
waiting at the dispensary.
6. More adequate arrangements than at present
obtain should be made for the examination by the
Tuberculosis Officer of the home "contacts" or
newly notified cases, and for the "following up"
of patients for whose failure to continue in attendance
at the dispensary no satisfactory reason has been
ascertained.
7. It is important that the Tuberculosis Officer
should become personally acquainted, as far as
possible, with all medical practitioners practising in
the area served by his dispensary, in order that
the fullest degree of co-operation may be
secured.
8. The local arrangements should be such as will
enable the Tuberculosis Officer to visit the homes
of dispensary patients, in order to become familiar
with the envirbnmental conditions of the patients
in his district and to enable him to supervise adequately
the work of the dispensary nurses.

Bacteriological Work.—The following bacteriological examinations were made either by Dr. Burnet or at the laboratorv of the Tuberculosis Dispensary:—

Number of Specimens.
Material from Cases of Suspected Diphtheria.
Diphtheria bacillus isolated2941,205
Negative result911
Blood from cases of Suspected Enteric Fever.
Widal or typhoid reaction obtained337
Negative result34
_
Sputa from cases of Suspected Tuberculosis.
Tubercle bacillus found2251,286
Not found1,061
Examinations for other organisms34
Wasserman tests4
Blood examinations12
2,578