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21
TUBERCULOSIS.
The hours at which the Dispensary was open for diagnosis and treatment of Tuberculosis
were:—
Tuesdays 12.30 p.m.—2.30 p.m.
2.30 p.m.—4.30 p.m. For the Artificial Pneumothorax Clinic.
5.0 p.m.—7.0 p.m.
Fridays 12.30 p.m. (New cases only.)
3.30 p.m.—4.30 p.m.
In all, 240 sessions have been held.
New Patients.—The number of new patients examined was 312, as compared with
318 last year:—
Patients Referred to the Hospital.—The following is the summary of patients referred to
the various departments of St. Bartholomew's Hospital for help in diagnosis or treatment:—
Resident. Non-Resident. Total.
Referred to X-ray Department 94 198 292
„ Surgical „ 3 2 5
„ Dental „ 2 3 5
Throat „ 10 23 33
„ Pathological,, 2 4 6
„ Other „ 0 6 6
111 236 347
Patients Admitted to the Hospital for Diagnosis.—The wards of the Hospital are available
for the reception of cases presenting difficulties of diagnosis, which can only be overcome
by observation as In-patients. Five residents and one non-resident patient were admitted
for this and other purposes.
Examination of Sputum.—The following is a summary:—
City Residents. Non-Residents. Total.
Positive 4 5 9
Negative 25 53 78

Persons neither resident nor working in the City are usually transferred immediately
to their own Tuberculosis Officer, and subsequent arrangements are made by him. This
system has worked satisfactorily.
Persons Treated and Supervised at the Dispensary.—(i.) Patients resident in the City.
All persons suffering from Tuberculosis who are resident in the City may be supervised and
treated at the Dispensary. The total number of cases so treated and referred to as patients
on the register in Table on page 26 was 57.
In addition, 54 contacts were kept under observation.
(ii.) Patients non-resident in the City.
(a) Who work in the City.
On diagnosis, these patients are informed that they can be treated and advised at the
Dispensary or transferred to the Tuberculosis Officer of their own Borough.
(b) Who do not work in the City.
On diagnosis, these patients are usually transferred to the Tuberculosis Officer of
their own Borough. The total number of cases so transferred was 183.
Total Attendances:—
Residents 389
Non-Residents 754
1,143
In view of the fact that the cases in the last stages of the disease are extremely infectious,
especially in crowded houses, the Corporation have made arrangements to pay for the maintenance
of selected City cases at St. Columba's Hospital, Swiss Cottage. One case was
admitted in 1933.
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