MAJORITY REPORT.
Boroughs, who submit to the Minister schemes for the treatment
of persons suffering from tuberculosis at or in dispensaries, sana-
toria. and other institutions. The I.ocal Authorities in - this
matter deal with all classes of persons, insured and uninsured.
In addition to the service given in the tuberculosis dispensaries
and the sanatoria and hospitals, home-visiting by tuberculosis
nurses and health visitors, and extra nourishment for tuberculous
patients receiving treatment at home, are provided. Schemes
are in operation in every County and County Borough, and the
total number of approved tuberculosis dispensaries in England
is 454, under the charge of 353 Tuberculosis Officers. The
number of residential institutions is 458, containing nearly 21,000
beds. Of these beds 13,000 are in institutions belonging to Local
Authorities and 8,000 in institutions belonging to voluntary
bodies. The gross expenditure on all this work was in 1922-93
about £2,600,000, of which about £1,600,000 was met from
Exchequer grants, the remainder being, in large part, borne by
the local rates. At present the distribution of the burden between
the Fxchequer and the Local Authorities is on the basis of an
annual State grant of £315,000, in addition to an annual grant
of 50 per cent. of the approved net expenditure incurred by Local
Authorities. Provision is also made for the treatment of ex-service
men suffering from tuberculosis, attributable to or aggravated by
service in the War, and, through the Ministry of Pensions,
arrangements are made for defraying the cost of treatment so
given,
VENEREAL DISEASES.
37. Treatment centres for venereal disease are established
throughout the country at which all persons may obtain treat-
ment free of cost under conditions of secrecy. Facilities for the
diagnosis of venereal disease by laboratory methods are made
available free of cost not only to the medical officers of the Treat-
ment Centres, but to medical practitioners in general. A
gratuitous supply of approved arsenobenzol compounds is made
to medical practitioners who possess one or other of certain
specified qualifications; and propaganda as to the dangers of
venereal disease and the necessity for treatment is conducted.
These schemes are carried out by the Councils of Counties and
County Boroughs with the aid of a Government grant of 75 per
cent. of the approved expenditure, the remainder being borne by
the rates. There are in England and Wales about 194 of these
treatment centres. The annual expenditure of Local Authorities
on this service is about £420,000. The propaganda work is under-
taken by the British Social Hygiene Council on behalf of the
Ministry of Health, and involves an expenditure of about £6,700
a year, the whole of which is borne by the Exchequer. The Local
Authorities also carry on propaganda work.