Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
An alternative to the “colony” proposal, which will probably be found
practicable in a much larger number of cases is to arrange for the
ex-patient to be housed at his home under special conditions and
for his work to be graduated according to his physical condition,
assistance being given by way of payment of rent, or otherwise to
ensure that the patient and his family live under satisfactory
conditions. Proposals have been made by Dr. Chapman in a report
to the English Local Government Board that in connection with new
housing schemes a certain proportion of the houses erected should
have rooms providing free perflation of air reserved for consumptive
patients. If with this is combined the assistance indicated above,
the risk of the ex-patient relapsing will be materially reduced, and
the risk of other members of the family becoming consumptive may be
obviated.
Whatever methods are employed, the principle already enunciated must
be maintained that the patient in his own interest and in that of his
family must be the subject of uninterrupted care and supervision.
In securing this end _Care Committees_ play a valuable part. Owing to
the war their development has been retarded; but a local scheme for
such supervision and assistance as the members or agents of a Care
Committee can give forms an essential part of a complete tuberculosis
scheme.
These Committees are formed of non-official persons, inasmuch as a
large share of their work is at present beyond the scope of official
possibilities, outside the poor-law organization; they can help,
(_a_) in obtaining appropriate work for the ex-patients;
(_b_) in supplementing his wages;
(_c_) in providing separate sleeping accommodation for the patient,
additional food or clothing, or in loaning out an additional bed or
bedding;
(_d_) in aiding the family during the absence of the patient
in a sanatorium, and thus reducing the temptation to terminate
institutional treatment prematurely, and
(_e_) in encouraging each patient to take the necessary precautions
and to adopt the special treatment recommended for him.
Some of these activities overlap into the activities of the
tuberculosis officer and of the visiting nurse of the local
authority; but there need be no practical difficulty in adjusting
this. It is important that Care Committees should act in coöperation
with local authorities, insurance committees, and charitable
agencies, and should have representatives of these bodies on them.
The medical officer of health and tuberculosis should also be
ex-officio members of their committee.
_Summary_.—The preceding review of the problem of tuberculosis may be
summarised in a few final statements.
1. Our knowledge of tuberculosis, if fully applied by combined attack
on the disease by all known methods, is adequate to secure a great
reduction in its prevalence, if not its absolute abolition.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account