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34
in which they were living in close contact with advanced consumptives. During 1927,
208 applications were received and 146 children accepted, the remaining 62 being
withdrawn or unsuitable. At the end of the year 53 children were being maintained
under this scheme. The fund is also used for defraying the travelling or incidental
expenses of children, providing surgical appliances required by children after discharge
from institutional treatment and for supplying clothing in certain cases to children
under the tuberculosis scheme.
Tuberculosis,
residential
treatment.

Of the 5,767 adult cases recommended for residential treatment during 1927, only
32 were subsequently withdrawn, 5,205 were accepted and 530 were not accepted.
The 5,205 cases were disposed of as follows : (a) 1,309 were passed for admission to
"observation" beds in order to determine "diagnosis" or "suitability for sanatorium
treatment"; (6) 3,896 were admitted direct to sanatoria or hospitals. Of
the foregoing accepted cases, 320 for various reasons failed to enter institutions and
59 were awaiting vacancies at the end of the year.
The cases referred to "observation" hospitals were generally (1) patients in
whom the diagnosis of tuberculosis was doubtful; (2) acute cases; and (3) patients
with well-marked symptoms whose suitability for sanatorium treatment could only
be satisfactorily determined after a period of observation in hospital.
During the year 1,284 patients were discharged from "observation beds" and
their classification was as follows (the corresponding figures for 1926 in pulmonary
cases are also given) :—
Pulmonary. 1927. 1926.
Group A 355 (36.30%) 352 (37.65%)
Group B1 60 ( 6.13%) 58 ( 6.20%)
Group B2 484 (49.49%) 413 (44.17%)
Group B3 79 (8.08%) 112 (11.98%)
Total pulmonary cases 978 935
Surgical cases 18 13
Total diagnosed as tuberculous 996 948
For definition of classification see footnote on page 30.
In the remaining 288 cases the diagnosis of tuberculosis was not confirmed. Of
the 996 cases definitely diagnosed as tuberculous, 761 pulmonary cases were sent to
sanatoria, 50 to institutions for advanced cases, 15 died in the "observation" hospitals,
15 cases were transferred to surgical institutions, and 155 were discharged home
or arrangements made for them independently of the Council's Tuberculosis Scheme.
The total number of adults admitted to institutions during 1927 was 5,311 as
against 5,203 in 1926. 1,841 were under treatment at the commencement of the
year, so that the total number of adults treated in 1927 was 7,152 as against 6,871 in
1926. The number under treatment on 31st December, 1927, was as follows (the
corresponding figures for the previous year are shown in brackets ):—
Discharged soldiers. Civilian adults. Totals.
Voluntary institutions 129 (104) 507 (421) 636 (525)
Metropolitan Asylums Board 37 (55) 1,273 (1,261) 1,310 (1,316)
Total 166 (159) 1,780 (1,682) 1,946 (1,841)