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66.
There is no doubt that irradiation by the rays of
the sun—heliotherapy—carried out under"natural" conditions
of atmosphere as in the open-air, and especially
when combined with supervised exercises and games,
sea-bathing, etc., is much to be preferred.
However ultra-violet light has distinct benefit in
affections of the bones, joints and glands, especially in
those cases where there is chronic sinus formation with
discharge; and it may be mentioned that certain skin
diseases of parasitic type are often cleared up successfully
by ray-therapy where all drug treatment has proved
unavailing.
The Invalid Children's Aid Association continues
to give the greatest help in dealing with those children,
who, although not actually diagnosed as Tuberculous,
are in special need of fresh air and holidays away to
convalesce after illness; such cases, being very debilitated
and often living in homes where another member of the
family is suffering from active disease, might be considered
specally prone to become infected to such an
extent that resistance would be overcome.
These children are sent away to the country or seaside
on the recommendation of the Tuberculosis Officer;
and the Invalid Children's Aid Association work is very
much to be appreciated by all concerned.
Co-ordination between Local Practitioners and the
Fulham Tuberculosis Department.
It is very gratifying to report that the Co-ordination
between the local General Practitioners and the T.B.
Medical Staff appears to be well-maintained and on a
very friendly footing. The Tuberculosis Staff insist that
the interests of the practitioners are safe-guarded in every
possible way; and no new cases (where there is a definite
practitioner already in attendance) are seen without their
knowledge and consent; and the invariable rule is to
send a written report alter every such case sent up for
examination.