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52
any disadvantage accruing from duplication would be easily outweighed by the
advantage of the additional encouragement to promote early notification which
would ensue from the withdrawal of this proviso from the Regulations.
The Regulations also require notification of the admission and discharge of
patients to poor law institutions and sanatoria. It has been found necessary
during the year to communicate with both classes of institution drawing attention
to the Regulations and urging strict compliance therewith.
Institutional Treatment.
During the year notifications were received of 131 admissions to institutions.
These admissions represent 103 patients, some of whom are transferred from one
institution to another, and others are discharged, or take their own discharge,
and subsequently are re-admitted.

Twenty-eight of these admissions were transfers from one institution to
another or re-admissions.
Visitation of Homes, etc.
Arrangements have been made for the home visitation of all non-Dispensary
cases by the Sanitary Inspectors. Any patients attending a Tuberculosis Dispensary
or Hospital come under the care of the Tuberculosis Nurse; all others are
re-visited at least once a quarter by the Sanitary Inspectors in order to secure the
proper disposal of the sputum and the best use possible of the sleeping
accommodation.
The visitation of tuberculous patients is frequently rendered difficult because
the patients are away from home; in the early stages of the disease patients are
not necessarily kept from work and the proper visitation of such patients
frequently entails two or three calls by the Inspector or Visitor.
Owing to the migratory character of a fair proportion of the notified cases
it is somewhat difficult to keep the Tuberculosis Register of a district such as
Holborn correctly revised: a considerable number of visits by the staff must be
made for this purpose.
Contacts.
All contacts are invited to attend for examination at the Tuberculosis
Dispensary.
Seventy-nine, 33 adults and 46 children under fifteen years of age, responded
to this invitation and were examined for the first time during the year 1923. Of
these, five, namely three adults and two children, were found to be suffering from
pulmonary tuberculosis; two, both children, from non-pulmonary tuberculosis.
Seventy-one were definitely diagnosed as not suffering from the disease and one
remained doubtful at the end of the year. The routine examination of contacts