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91
Report of Tuberculosis Officer—continued.
X-ray Diagnosis. The number of X-ray examinations is 138
compared with 90 in the previous year. The increase is chiefly
due to cases X-rayed in connection with the Tuberculin Test.
Insured Persons. I he number of insured persons on the
Dispensary Register remains about the same as in 1930, but, as
the result of more clerical assistance and a circular letter addressed
by the Medical Officer of Health to practitioners, a further
increase in the number of reports from panel doctors in respect
of patients on domiciliary treatment has been manifested; this has
permitted of a more exact estimate of the number of patients
actually keeping under such treatment.
Co-operation with the Medical Profession. Co-operation with
medical practitioners continues on the same lines as hitherto. Of
the new patients attending the Dispensary, 174 were sent by
doctors, compared with 167 in the previous year.
203 reports on " Z " cards were made to doctors regarding
panel patients. In addition, numerous letters were written to
doctors and hospitals about patients.
During the year, alterations were made in the Health Visitors'
districts, by which their visiting areas and attendances at Clinics
were more evenly divided.
Extra Nourishment. 33 recommendations were made to the
Public Assistance Authorities for extra nourishment in addition
to grants made by the Borough to 64 persons.
Institutional Treatment. 177 patients were recommended to
the London County Council for institutional treatment, 19 of
which the London County Council were unable to accept under
the Tuberculosis Scheme, and were referred to general hospitals.
Live patients refused treatment. 277 reports on the condition of
the patients treated in previous years were sent to the County
Council. 22 patients were recommended directly from Dispensary
for admission to London County Council general hospitals.
In the case of patients attending general hospitals who are
recommended for sanatorium treatment, a copy of the discharge
report is always sent to the hospital concerned on the patient's
return, for the information of the doctor in charge of the case.