THE ADMINISTRATIVE ASPECTS OF TUBERCULOSIS 1 5 



with the treatment of the disease. In such cases, arrangements might 

 be made for his going to work during the day and sleeping in the 

 Hospital at night. He would thus be kept under continuous medical 

 supervision, and at the same time enabled to follow his occupation without 

 danger to others. This arrangement could be made at a Sanatorium or 

 other Hospital or Colony. 



D. Convalescent Colonies and Homes — Work Colonies. 



It has been found that patients, after treatment in a Sanatorium, are 

 apt to relapse when they return home. Accordingly, it is desirable to 

 provide Convalescent Work Colonies or Homes for such cases. Such 

 Colonies or Homes, if well organised, might be made almost, if not 

 entirely, self-supporting. The patients would be specially selected. 

 They would continue the open-air treatment. They would be provided 

 with light labour, as a preparation for their ultimate return to full work. 

 Certain satisfactory experiments have been made in this direction. 



E. Hospital Wards for Educative Treatment and Control. 



In several localities, vacant wards of the Hospital for ordinary 

 infectious diseases have been used for educative treatment of phthisical 

 patients. The most striking example is the town of Brighton. Here, 

 patients are admitted for one month. They are placed under full 

 Sanatorium treatment for the time. They are taught to sleep with 

 wide-open windows or in the outdoor shelters. They are taught how to 

 disinfect and dispose of their sputum. They are provided with sputum 

 flasks and paper handkerchiefs. They have their blood examined as a 

 test of their condition. Meanwhile, their homes, their clothing and bed- 

 clothing are disinfected. Their friends are instructed in the open-air 

 methods and in the precautions necessary for safety. Their employers 

 are communicated with and advised. At the end of the month in 

 Hospital, they return home. They are then visited periodically by 

 officers of the Medical Officer's Staff. They are further assisted when 

 necessary. In the event of death, disinfection is thoroughly carried out. 



In this way, large numbers of cases are brought under systematic 

 control. The cost to the Local Authority of Brighton is relatively small. 

 This system, which was first elaborated by Dr. Arthur Newsholme, 



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