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is desirable as a means of discovering not only cases of tuberculosis in early stages
of infection, but also advanced and infective cases which may be disseminating
infection although remaining undiscovered and untreated.
Arrangements were continued during the year for fuller co-operation with the
school medical services so as to ensure that no contacts of school age will remain
unexamined; if such examination cannot be carried out at the Dispensary the
School Medical Officers are notified so that the examination may be carried out at
the school. Information as to the results of such examinations, whether at the
Dispensary or the schools is interchanged as necessary.
Prevention of Spitting.
The necessity for the prevention of spitting, with a view to minimising the
spread of tuberculosis has been emphasised by the issue of warning cards on the
subject. These have been exhibited in the various buildings in the control of the
Council, also in common lodging houses, and in the workrooms of a number of
large firms in the Borough.
Deaths from Pulmonary Tuberculosis.
The number of deaths from pulmonary tuberculosis during the year was
forty-five, a death rate of 1.03 per thousand in comparison with 100 for 1922.

The following is the Report of the Tuberculosis Officer, R. Hilton, M.A.,
M.B., M.R.C.P., for the year 1923: —