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64.
matter to persuade those with advanced disease to apply
for admission through the medium of the Relieving
Officer: and a certain number are sent by the London
County Council to special Hospitals such as Grove Park
and Colindale.
It is to be hoped that the accommodation for these
cases, the saddest of all, will be provided for by the
London County Council on a more generous scale; for
one feels that really marked progress in the campaign
against tuberculosis cannot be maintained whilst so\
many sources of infection are scattered through such
populous areas as are found in certain districts in
London.
Tuberculosis in Children.
During recent years investigations as to the infection
by the Tubercle Bacillus have been carried out by various
workers; and it is generally accepted that a primary
infection or Tuberculization occurs in the great majority
during the first few years of life.
Such an infection, or tuberculization, if of massive
proportion in a very young child, would very probably
cause death from acute disease, generally a meningitis;
but a mild tuberculization gives rise to few symptoms,
if indeed any at all, and thus only a comparatively few
children shew definite signs of disease in active forms.
The number of children 011 the Dispensary register
is considerable, but the great majority are only infected
to a slight extent, and make good progress under ordinary
dispensary supervision and without specialized treatment.
For those who require more active measures, institutional
treatment in Sanatoria, Surgical Homes, and
Convalescent Homes can be provided, either through
the London County Council or the Fulham Board of
Guardians.