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H.—3la

TUBERCULOSIS CONFERENCE.—AGENDA PAPER. It is proposed to discuss the details of the proposed campaign against consumption under the following headings : — 1. Educational: — (a.) Dissemination of literature; the nature of the pamphlets to be issued. (b.) Lectures; syllabus considered desirable, by whom such lectures should be given, and by what means. 2. Administrative : What measures are needed in addition to the present methods of administration 1 — (a.) Compulsory notification. (6.) Compulsory detention of refractory patients. (c.) Prohibition of spitting. (d.) Consumptives in public institutions and conveyances. (c.) Town-planning. (/.) Condemnation of insanitary areas. 3. Institutional: What institutions are required? — (a.) The dispensary; suggestions with regard to staff and equipment. (&.) The consumptive sanatorium; number of beds required. (c.) Instructions for incurables; number of beds required (d.) The hospital annexe. (c.) The farm colony; suggestions with regard to scope and situation. 4. Professional and technical : Officials required and r6le to be assumed by each class : — (a.) The District Health Officer. (b.) The Medical Inspector of Schools. (c.) The Bacteriologist. (d.) The District Nurse. (c.) The Sanitary Inspector. The part to be assumed by the medical practitioner in conjunction with the above. 5. General:— (a.) The efficacy of the tuberculin treatment. (5.) Co-operation with private philanthropic agencies; what agencies are available, and what part may they be asked to take in the campaign ? (c.) The employment of consumptives—(l) at the sanatorium, (2) at the farm colony. 6. Protection of food-supplies : The conveyance, storage, and distribution of milk; cooperation with the Agricultural Department. 7. Financial.

MINUTES OF PROCEEDINGS AND RESOLUTIONS PASSED IN CONNECTION WITH THE TUBERCULOSIS CONFERENCE HELD IN THE PARLIAMENTARY BUILDINGS, WELLINGTON. Tuesday, 22nd October, 1912. Present: Hon. R. Rhodes, Minister of Public Health; Hon. Dr. Pomare, Member of the Executive Council representing the Native Race; T. H. A. Valintine, M.R.C.S., D.P.H., &c, Chief Health Officer and Inspector-General of Hospitals; Jos. P. Frengley, M.D., F.R.C.S., 1., D.P.H., &c, Medical Secretary; H. E. Finch, M.8., D.P.H., &c, District Health Officer (Canterbury); Sydney T. Champtaloup, M.8., B.Sc. (Pub.Hlth.), &c, District Health Officer (Otago); G. J. Blackmore, M.8., M.D., D.P.H., &c, Medical Superintendent, Cashmere Hills Sanatorium, Christchurch; H. Hardwick-Smith, M.8., F.R.C.S., &c, Medical Superintendent, Wellington Hospital; A. L. Lewis, M.8., &c, Medical Superintendent, Te Waikato.Sanatorium, Cambridge; C. E. W. Lyth, M.8., M.R.C.S., &c, Medical Superintendent, Pleasant Valley Sanatorium; C. J. Reakes, D.V.Sc, M.R.C.V.S., Chief Veterinarian. Later in the proceedings the Conference was also attended by—R. H. Makgill, M.D., D.P.H., &c, District Health Officer and Bacteriologist, Auckland; Hon. W. E. Collins, Bach. Med., M.R.C.S.; H. E. Gibbs, M.8., F.R.C.S., &c.; and H. J. McLean, M.D., M.8., &c, representatives of the New Zealand Branch, British Medical Association. The Hon. Mr. Rhodes addressed the Conference. In the temporary absence of Dr. Valintine, Dr. Frengley read an address intended to be given by the former. It was unanimously agreed to first deal with items 2 and 3 on the agenda paper. 2. Administrative: What Measures are needed in Addition to the Present Methods of Administration 1 (a.) Compulsory Notification. After some discussion Dr. Hardwick-Smith moved, That compulsory notification of all cases of pulmonary tuberculosis be carried out. Seconded by Dr. Blackmore. Carried unanimously. Moved and seconded, That the medical practitioner be requested to state on the notification form whether a visit by the Sanitary Inspector is desirable or not. Dr. Frengley stated that he would like to propose an addition from a departmental point of view : That no such intimation to the District Health Officer shall prevent his taking such steps as he may deem necessary, by inspection or otherwise, but that in all such cases where he proposes further action the District Health Officer shall duly acquaint the notifying medical practitioner nf his intention. Carried.

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