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62
be provided through the London County Council or the
Public Assistance Committee. This will in most of the
cases be sufficient to arrest the disease and many of these
children arc afterwards sent in to Special schools
according to their specific disability.
From Fullam and the surrounding Boroughs,
notified tuberculous children are referred to the
Elizabethan Open-Air School, which is situated in
Broomhouse Lane. These little patients are very largely
mild gland cases with little or 110 active disease : there
are also a few pulmonary cases of doubtful type where
"fibrosis" or "scarring" of the lung is all that can be
discovered after a period of sanatorium.
This school has accommodation for sixty scholars
and amongst them are many whose condition has never
been sufficiently serious to necessitate their being sent
away, or whose parents have been unwilling for them to
leave home.
These school children are under constant supervision
by one of the Tuberculosis Nurses, and the Tuberculosis
Officer of the Borough makes a weekly inspection at
which a number of the children are examined in rotation,
all children being seen at least once every four or five
weeks.
Classes are held under open-air conditions and when
fine, accommodation is provided in two specially
constructed canvas shelters built on the playground;
whilst in severe weather the children have their classes
in the lofty school-hall in the main building.
The daily routine is divided into hours of work, rest
and exercise under close supervision of the Head-mistress,
Miss Clarke, who also controls the diet.
The mid-day dinners are excellent, varied and wellcooked
and both meals and kitchen are periodically
inspected by the Tuberculosis Officer. Each child has
also an allowance of milk during the morning and
special extra medicaments such as Extract of Malt,
Cod-Liver Oil and Malt and Emulsion, Virol etc., are
ordered according to individual requirements.