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136
Each Saturday morning session at the Dispensary is entirely given
over to the examination of children of, and under, school age. In
specially urgent cases children are of course seen at other times and by
special appointment.
Children of school age, who are examined as contacts of notified
cases of Pulmonary Tuberculosis, are referred to the School Medical
Service for constant supervision. Should the School Medical Officer at
any time consider that the health of these children is not entirely satisfactory,
they are again referred to the Dispensary for further examination
and, if necessary, observation by the Tuberculosis Officer.
INSTITUTIONAL TREATMENT.
During the year 219 patients were recommended to the London
County Council for sanatorium treatment. 27 recommendations were
made to the same authority for patients to be admitted to Hospital for
the purposes of observation and diagnosis.
Recommendations for children to attend an Open Air School after
the completion of sanatorium treatment numbered 13.
65 patients were recommended to the London County Council for
admission to one of their General Hospitals as they were considered
unsuitable for sanatorium treatment on account of their chest condition
and the extent of the disease found to be present.
Convalescent treatment through the L.C.C. was recommended in 11
cases.
The total number of recommendations to the L.C.C. for all forms
of Institutional treatment was 335.
NON-PULMONARY TUBERCULOSIS.
All cases of Surgical Tuberculosis, such as Tuberculosis of Bones,
Joints and Glands, are sent by the L.C.C. to special Sanatoria which
deal only with this type of case.
On the completion of the sanatorium treatment, arrangements are
made for these patients to attend at either the Orthopaedic Department
of a General Hospital, or at the After-Care Clinic, held at the County
Hall, at frequent intervals of the Medical Superintendent of the sanatorium
at which their treatment was obtained.