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The Immediate Result suits of Institutional Treatment.
The immediate results of treatment of patients discharged from
residential institutions during the year are as follows-
Among the pulmonary cases 30.4% were classified as early cases; the
percentage of early cases receiving treatment in institutions was in women
15.7% in men, I4.7% 44.5% of the total cases were intermediate cases, the
males showing an excessin this group-24.4% males to 19.5% females- and
25% were definitely advanced. Of the total Pulmonary cases treated in
Institutions 73.9% were potentially infectious
98 Males, 85 females and 1 child suffering from Pulmonary tuberculosis
were discharged from, or died in, Institutions in connection with the
Croydon tuberculosis scheme during 1940.
The Tuberculosis Clinic and Home Visiting.
The subjoined table gives a summary of the work done in nonnection
with the Clinic.
521 new-cases were examined during the year; this is equal to 349
for each 100 deaths from the disease. 159, or 107 for each 100 deaths
were found to be definitely tuberculous.
The total number of attendances at the Clinic was 4,637.
Tuberculosis Officer paid 111 home-visits, and the District Health
Visitors 2,470 visits for Clinic purposes. In addition, the
Health Visitors made 273 primary visits for the purpose of the Notification
Register.
The Tuberculosis Officer paid 50 visits to Mayday Hospital, in a
consultative capacity, and there examined 221 patients.
Patients requiring home nursing or surgical dressings are attended
to by nurses from the Croydon Nursing Service, by arrangement with that
organisation, and 1,012 such visits were made during the year. Their
assistance is a valuable adjunct in the care of domiciliary cases.
Contact examination.
The contacts of definite cases are urged to attend the Clinic for
examination (and subsequent supervision). This is an important
preventive measure. During the year 278 contacts were examined, equal
to 186 for each 100 deaths, compared with 325 in 1939, or 301 per 100
deaths. Of these 5 were considered to be tuberculous. This is equal
to a tuberculosis rate per 1,000 contacts of 18.0 compared with 1.31 Per
1,000 of the general population. Included in the 5 contacts found to
be tuberculous are 2 who had been under observation from previous years.
516 appointments for examination were offered to new contacts
during 1940 but only 278 new contacts attended and were examined.
The Clinic Register of Cases.
The number of cases of Tuberculosis under the supervision of the
Clinic at the end of the year was 759. This is equivalent to 3.8
persons per 1,000 of the population.
During the year 119 Clinic cases died; of this number 29 or 24.3%
were seen for the first time in 1940.
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