ABSTRACT

This chapter concerns the relation of private medical practitioners to official medical action against tuberculosis, and discusses sanitary measures for securing a tubercle-free milk supply. In 1928 there were 382 approved tuberculosis officers in England and Wales carrying out the special official antituberculosis work, and in particular conducting clinical and preventive work in 473 dispensaries throughout the country. The National Insurance Act when enacted included a "Sanatorium Benefit", and local authorities were expected on payment to provide treatment for tuberculous insured patients. The function of the dispensary forms the special bureau of the Public Health Department, in which all the anti-tuberculosis work of the public health authority is concentrated, including the making of arrangements for the provision of institutional treatment. The proportion between number of new cases of tuberculosis and deaths from tuberculosis gives an indication of the completeness of notification of sickness.