- Email: [email protected]
Equipment of clinics & welfare centres
r54
PUBLIC
s t a n d p o i n t of intelligence, likely to be a m o s t useful m e m b e r Of the c o m m u n i t y , and a f t e r the war it was e s s e n t i a l t h a t as m a n y as possible of s u c h children should b e saved. Sanatorit~m t r e a t m e n t in s u r g i c a l t u b e r c u l o s i s was v e r y n e c e s s a r y , so t h a t the p a t i e n t m i g h t have the a p p r o p r i a t e appliances. A r m y huts were v e r y suitable for c o n v e r s i o n to t u b e r c u l o s i s wards, and could at p r e s e n t be p u r c h a s e d cheaply. F r o m the point of view of r e a s o n a b l e cosL wood was the b e s t m a t e r i a l f o r the buildings, The S t a n n i n g t o n Sanitorqum cost only £120 p e r b e d , as a g a i n s t N350 at B a r r a s f o r d and £1:;000 at the King E d w a r d S a n a t o r i u m . H e f h o u g h t it a m i s t a k e to have pavilions facing south. G u m m e r h e a t , at a n y r a t e for children, was depressing. T h e w a r d s would b e t t e r run north and south, a n d the patients could be p r o t e c t e d f r o m cold winds in the lee of the buildings and b r o u g h t into s h a d e in the middle of the day. All s a n a t o r i a should h a v e f a r m s . A b o u t one a c r e per patient w o u l d e n s u r e a c o m m e r c i a l success. Stannington was being run a t 30s. per patim~t pe r week, which was chiefly due to the f a c t t h a t t h e y had their own farm. Dr. Dickinson said t h a t a d e q u a t e provision for the t r e a t m e n t of t u b e r c u l o s i s could only be o b t a i n e d be the c o - o p e r a t i o n of authorities, and the M i n i s f r y o f H e a l t h had a l r e a d y s u g g e s t e d such a scheme. F o r v a r i o u s reasons, institutions should not h a v e less than 250 beds. S m a l l institutions were not economical. F a r m colonies Could deal with a small p r o p o r t i o n of fhe c a s e s only, but they m i g h t well be used for tuberculosis ex-service men. D r . Leigh said t h a t no ratio of beds t o population had been laid down. T h e M i n i s t r y of H e a l t h m i g h t o b j e c t to m a k e a g r a r i t ; 0 n capital e x p e n d e d on a r m y huts f o r use as s a n a t o r i a . T h e cost of l a n d n e a r t o w n s was prohibitive. H i s C o r p o r a t i o n had r e c e n t l y b e e n asked J~500 per acre, but a g r e e m e n t had been r e a c h e d with a n e i g h b o u r i n g auttlority for a joint institution. D r . C a m e r o n pointed out t h a t the Ministry :of H e a l t h , i n addition t o g r a n t on capital, allowed a n y deficit on t h e capital a c c o u n t to r a n k for t h e g r a n t o n r e v e n u e expenditure. H i s Co.un~y C o u n c i l hoped s h o r t l y to h a v e
HEALT[t.
a c c o m m o d a t i o n for f r o m 300-400 tuberculosis patients. Dr. K e r r said that provision for operative. t r e a t m e n t was an o u t s t a n d i n g necessity. H e expected s h o r t l y that t h e r e would be a c o n f e r e n c e of a u t h o r i t i e s in the N o r t h E a s t e r n D i s t r i c t to discuss the question of a joint institution for surgical t u b e r c u l o s i s . The housing of the t u b e r c u l o s i s was the c r u x of the m a t t e r . Money spent on t r e a t m e n t was w a s t e d if the patient was to r e t u r n h o m e to conditions too often entirely unsuitable, and his S a n i t a r y and H o u s i n g C o m m i t t e e s were m a M n g specia! provision for t h e r e t u r n e d s a n a t o r i u m patient u n d e r the v a r i o u s housing schemes. Dr. Allison, replying to the discussion, said he t h o u g h t that no institution should have m o r e t h a n 200 beds, in c h i l d r e n ' s s a n a t o r i a at any rate. E a r l y d i a g n o s i s was essential f o r the c u r e of the disease. P r o b a b l y 1 bed per 1,000 population was a r e a s o n a b l e provision to make. A s a n a t o r i u m at a d i s t a n c e f r o m the town had advantages. After careshouldinclude measures f o r t h e p r e v e n t i o n of s p r e a d o f : i n f e c t i o n to o t h e r m e m b e r s of the p a t i e n t ' s f a m i l y . : THE
ANGUS
MEMORIAL
FUND.
FOURTH LIST.
( s~ d. Dr. \¥. A. Bond . . . . . . . . . 2 2 0 Dr.W. Hanna . ........ 2 2 0 Dr. T. W. N. Barlow, O . B . E .... 1 11 0 Cheques, made payable to the Angus Memorial Fund, and crossed, should be sent to Dr. Jervis, Market Buildings; Vicar Lane, Leeds, o r to the Executive Secretary, Society of ~d[edical Officers of Health, 1, Upper Montague Street, Russeii Square, ~i~r.C. 1~ EQUIPMENT OF CLINICS & "VVELFARE CENTRES.
An interesting exhibit of all the necessary equipment of school clinics, infant welfare centres, &e., m a y be seen at the headquarters of Messrs. R. Sumner & Co., Ltd., 4o, Hanover Street, Liverpool. With considerable experience of the requirements of such institutions, Messrs. Sumner are in a position to supply all furni}ure, instruments, foods, drugs, and appliances essential for their various purposes. For the benefit of medical .officers who cannot visit the Liverpool showrooms, Messrs. Sumner have prepared a full descriptive price
list, which will be sent to applicantsby return °f post.
PUBLIC
s t a n d p o i n t of intelligence, likely to be a m o s t useful m e m b e r Of the c o m m u n i t y , and a f t e r the war it was e s s e n t i a l t h a t as m a n y as possible of s u c h children should b e saved. Sanatorit~m t r e a t m e n t in s u r g i c a l t u b e r c u l o s i s was v e r y n e c e s s a r y , so t h a t the p a t i e n t m i g h t have the a p p r o p r i a t e appliances. A r m y huts were v e r y suitable for c o n v e r s i o n to t u b e r c u l o s i s wards, and could at p r e s e n t be p u r c h a s e d cheaply. F r o m the point of view of r e a s o n a b l e cosL wood was the b e s t m a t e r i a l f o r the buildings, The S t a n n i n g t o n Sanitorqum cost only £120 p e r b e d , as a g a i n s t N350 at B a r r a s f o r d and £1:;000 at the King E d w a r d S a n a t o r i u m . H e f h o u g h t it a m i s t a k e to have pavilions facing south. G u m m e r h e a t , at a n y r a t e for children, was depressing. T h e w a r d s would b e t t e r run north and south, a n d the patients could be p r o t e c t e d f r o m cold winds in the lee of the buildings and b r o u g h t into s h a d e in the middle of the day. All s a n a t o r i a should h a v e f a r m s . A b o u t one a c r e per patient w o u l d e n s u r e a c o m m e r c i a l success. Stannington was being run a t 30s. per patim~t pe r week, which was chiefly due to the f a c t t h a t t h e y had their own farm. Dr. Dickinson said t h a t a d e q u a t e provision for the t r e a t m e n t of t u b e r c u l o s i s could only be o b t a i n e d be the c o - o p e r a t i o n of authorities, and the M i n i s f r y o f H e a l t h had a l r e a d y s u g g e s t e d such a scheme. F o r v a r i o u s reasons, institutions should not h a v e less than 250 beds. S m a l l institutions were not economical. F a r m colonies Could deal with a small p r o p o r t i o n of fhe c a s e s only, but they m i g h t well be used for tuberculosis ex-service men. D r . Leigh said t h a t no ratio of beds t o population had been laid down. T h e M i n i s t r y of H e a l t h m i g h t o b j e c t to m a k e a g r a r i t ; 0 n capital e x p e n d e d on a r m y huts f o r use as s a n a t o r i a . T h e cost of l a n d n e a r t o w n s was prohibitive. H i s C o r p o r a t i o n had r e c e n t l y b e e n asked J~500 per acre, but a g r e e m e n t had been r e a c h e d with a n e i g h b o u r i n g auttlority for a joint institution. D r . C a m e r o n pointed out t h a t the Ministry :of H e a l t h , i n addition t o g r a n t on capital, allowed a n y deficit on t h e capital a c c o u n t to r a n k for t h e g r a n t o n r e v e n u e expenditure. H i s Co.un~y C o u n c i l hoped s h o r t l y to h a v e
HEALT[t.
a c c o m m o d a t i o n for f r o m 300-400 tuberculosis patients. Dr. K e r r said that provision for operative. t r e a t m e n t was an o u t s t a n d i n g necessity. H e expected s h o r t l y that t h e r e would be a c o n f e r e n c e of a u t h o r i t i e s in the N o r t h E a s t e r n D i s t r i c t to discuss the question of a joint institution for surgical t u b e r c u l o s i s . The housing of the t u b e r c u l o s i s was the c r u x of the m a t t e r . Money spent on t r e a t m e n t was w a s t e d if the patient was to r e t u r n h o m e to conditions too often entirely unsuitable, and his S a n i t a r y and H o u s i n g C o m m i t t e e s were m a M n g specia! provision for t h e r e t u r n e d s a n a t o r i u m patient u n d e r the v a r i o u s housing schemes. Dr. Allison, replying to the discussion, said he t h o u g h t that no institution should have m o r e t h a n 200 beds, in c h i l d r e n ' s s a n a t o r i a at any rate. E a r l y d i a g n o s i s was essential f o r the c u r e of the disease. P r o b a b l y 1 bed per 1,000 population was a r e a s o n a b l e provision to make. A s a n a t o r i u m at a d i s t a n c e f r o m the town had advantages. After careshouldinclude measures f o r t h e p r e v e n t i o n of s p r e a d o f : i n f e c t i o n to o t h e r m e m b e r s of the p a t i e n t ' s f a m i l y . : THE
ANGUS
MEMORIAL
FUND.
FOURTH LIST.
( s~ d. Dr. \¥. A. Bond . . . . . . . . . 2 2 0 Dr.W. Hanna . ........ 2 2 0 Dr. T. W. N. Barlow, O . B . E .... 1 11 0 Cheques, made payable to the Angus Memorial Fund, and crossed, should be sent to Dr. Jervis, Market Buildings; Vicar Lane, Leeds, o r to the Executive Secretary, Society of ~d[edical Officers of Health, 1, Upper Montague Street, Russeii Square, ~i~r.C. 1~ EQUIPMENT OF CLINICS & "VVELFARE CENTRES.
An interesting exhibit of all the necessary equipment of school clinics, infant welfare centres, &e., m a y be seen at the headquarters of Messrs. R. Sumner & Co., Ltd., 4o, Hanover Street, Liverpool. With considerable experience of the requirements of such institutions, Messrs. Sumner are in a position to supply all furni}ure, instruments, foods, drugs, and appliances essential for their various purposes. For the benefit of medical .officers who cannot visit the Liverpool showrooms, Messrs. Sumner have prepared a full descriptive price
list, which will be sent to applicantsby return °f post.