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41
The total number of visits made by the Health Visitor 011
receipt of primary notifications was 63.
(b) Subsequent Visits.
Subsequent visits are made to the homes by the Health
Visitor to see that the instructions given on the primary visit
are being duly observed. 87 such visits were made during the
year.
(c) Nature of any arrangements for the detection of unrecognised
cases of Tuberculosis associated with notified cases of the
disease.
Arrangements have been made whereby Medical Practitioners
may forward suspected samples of sputum for bacteriological
examination to the Royal Lister Institute of Preventive
Medicine. The outfits for the collection and transmission of
such sputum are kept at the Health Department. The
expenses of such examinations are defrayed by the Health
Committee.
The sub-dispensary proposed to be established in the
Borough by the Surrey County Council is not yet in existence.
(d) IV|easures of Cleansing and Disinfection.
Disinfection is carried out when the patient is removed to
an institution or vacates the premises.
Occupiers are also advised to have the bedding, clothing,
and other articles likely to retain infection removed and disinfected.
Where necessary, owners of houses occupied by
tubercular patients are requested to strip and cleanse the walls
and ceilings, &c., of infected rooms.
The work arising out of disinfection of premises has grown
considerably, since compulsory notification of all cases of
Tuberculosis came into force.
During the past year 299 rooms at 208 houses were disinfected
from various causes, and bedding was removed in 139
instances. Of these, 61 were in connection with tubercular
cases.