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52
A very large amount of the treatment for tuberculosis which has been
received by insured persons has been provided for them by the panel doctors.
Indeed, except for treatment in residential institutions, this represents the
greater part of the treatment provided by the Insurance Committee.
The circular letter of the Local Government Board of 27th July, 1912, in
reference to the domiciliary treatment of tuberculosis (set out in the annual
report for 1912) in which it is suggested that the medical practitioner should
act in consultation with a "Consulting Officer" and inform the Medical
Officer of Health of conditions adversely affecting the patient, appears to have
become practically a dead letter in St. Pancras.
In a few cases the Insurance Committee, on the application of the panel
doctor, have sanctioned the provision out of insurance funds of foodstuffs such
as eggs and milk as accessories to domiciliary treatment. About a score of
such cases have come to the knowledge of this department.
Bacteriological Examinations.— 198 specimens of sputum from St. Pancras
patients have been examined for medical practitioners by the Lister Institute
of Preventive Medicine at the expense of the Borough. 40 of these were
reported as containing tubercle bacilli and 158 as negative.
SCARLET FEVER.
568 patients were notified during 1913 as suffering from scarlet fever.
Of these 32 were afterwards returned as not suffering from this disease (31
by the Medical Superintendents of Metropolitan Asylum Boavd Hospitals, and
1 by a private practitioner).
This gives the net number of oases of scarlet fever notified during the year
as 536, equal to an incidence rate of 2.41 per 1,000 population.
The number of deaths from scarlet fever certified during the year was 6,
equal to a death-rate of 0.03 per 1,000 population, and a case-mortality of
1.12 percent. of cases notified.

The figures in brackets are corrected for errors of diagnosis. The other figures are not corrected.