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75.
tated and in special need of a holiday away in the country
or at the seaside.
Some of these children are convalescent after
whooping-cough, pneumonia and acute bronchitis, and
home conditions may be very inadequate both from a
financial standpoint or from over-crowding : and such
cases (especially if contacts) might become liable to
severe infection at a time when their bodily resistance
was much impaired.
The work and help given by this fine voluntary
Association in this connection is extremely important:
and I might add that their intimate knowledge of the
district, families and homes, has been of the greatest
value in dealing with the social and economic aspect of
Tuberculosis in other directions.
Institutional Treatment.
The London Country Council is the authority
responsible for the provision of sanatorium treatment,
and such cases considered to be in need of this are
recommended to them by the Tuberculosis Officers. In
the great majority of cases such recommendations are
accepted, though it occasionally happens that a heavy
waiting list at Headquarters may defer or cause nonacceptance
of a recommendation for some special
institution.
This may either refer specially to those with disease
of certain type or stage, or to such patients who have
already completed a course of Sanatorium treatment
within a comparatively recent period.
Occasionally patients may be recommended for
hospital treatment with a view to sanatorium should their
progress permit; these being cases whom for reasons of
age or type of disease it would not be suitable to recommend
immediately for sanatorium. The number of
beds being limited it is unfortunately only possible to
give the latter form of treatment in cases where a
reasonable prospect of benefit can be entertained, and
the early and "recoverable" type is naturally selected
prima rily.