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73
patient shall attend if not actively Tuberculous. I have again to express
my appreciation of the help rendered by the Invalid Children's Aid
Association, through their local secretary, Miss Harrison; 17 children
have been sent away for a total period of 147 weeks ; and also to the
Interim Care Committee who have helped me in many cases.
During the past year 44 cases have been admitted to Sanatorium
by the London County Council. It is a matter for regret that the
patients are often kepi waiting so long for admission ; five weeks is a
long period in the case of a domestic servant, and in the case of a
working man it is even more serious, often meaning that he will go on
working when he should not; the patient usually attends the doctor
because the disease has become active and this is the very time when
early treatment is valuable ; one can often trace marked advance in the
disease in 5 or 6 weeks. I hope now the new Sanatoria are open that
the waiting period will be materially reduced.
From notifications received in the year 1922, 160 potential
Contacts accrued.
During the year 223 Contacts have been examined. Of these, 101
were eases which had accrued as contacts during the year. That is to
say, that 63 per cent, of the contacts of cases notified and attending
the Dispensary, have attended.
Of the residue man y are contacts of cases notified last year, but
who have attended this year, and a good number are contacts of cases
who have not attended the Dispensary as they were admitted direct to
Hospital or died before attending.
Non-Tuberculous.
Tuberculous.
Doubtful.
Male.
Insured
21
14
6
1
Non-Insured
12
8
4
0
Female.
Insured
16
15
1
0
Non-Insured
45
38
6
1
Children .
129
114
14
1
A word of explanation is advisable as to the definition of a contact:
lack of uniformity in the cases grouped under this heading leads to
widely different results as to the number of positive cases from various
dispensaries.
At this Dispensary' it is the custom to call every case a Contact
which comes from a family in which there is a notified case of