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PATHOLOGICAL EXAMINATIONS.—Specimens of sputum examined for the
Tubercle Bacillus:—
Positive 28
Negative 119
147
In addition to the above one other pathological examination was made.
TREATMENT IN SANATORIA.—The number of patients who were recommended
for admission to Sanatoria was 37, viz.:—
Residents recommended to:—
(a) London County Council 6, of whom 5 were admitted; for 1 (an advanced case)
accommodation was not immediately available, hospital treatment was
obtained through a voluntary agency.
(b) London Insurance Committee 9, all of whom were admitted.
(c) Voluntary Agencies 4, all of whom were admitted.
Non-residents, working in the City, recommended to:—
(a) London County Council 4, of whom 3 were admitted, the result in 1 case
being unknown.
(b) London Insurance Committee 8, all of whom were admitted.
(c) Voluntary Agencies 2, both of whom were admitted.
Non-residents, not working in the City, recommended to:—
(a) London Insurance Committee 3, of whom 1 was admitted, the result in
2 cases being unknown.
(b) Voluntary Agencies 2, both of whom were admitted.
THE TUBERCULOSIS NURSE.—The work of the Tuberculosis Nurse has
continued on the same lines as in former years. Of patients attending the Dispensary
72 have been visited at their homes and 700 visits were made in connection with
after-care and following up. In addition nine patients have been nursed in their own
homes, the nurse working under the direction of the practitioners attending the
patients. Seven of these persons were in an advanced stage of the disease and four of
them died at home, while one was admitted to a voluntary institution where she died.
One, an ex-soldier, who was acutely ill, was removed to St. Bartholomew's Hospital,
and later transferred to a sanatorium where he made a good recovery. For nursing
purposes 123 visits were made.
The following information is supplied in accordance with the requirements of the
Ministry of Health. The paragraph numbers correspond with those in Circular 168,
and where a number is omitted the subject matter does not concern City work :—
(i.) The Tuberculosis Dispensary is at St. Bartholomew's Hospital; the
Tuberculosis Officer is Dr. H. B. Gibbins; one Tuberculosis Nurse is engaged in the work.
Treatment in residential institutions is provided by the London County Council and the
London Insurance Committee.
(iii.) Patients are referred to the Tuberculosis Dispensary from hospitals, school
clinics and other institutions, with all of which there is close co-operation.
The services of the Staff and all the resources of St. Bartholomew's Hospital are
available for diagnosis and treatment. Many patients are referred to departments of the
Hospital for these purposes.
(iv.) The Tuberculosis Officer is in constant consultation and communication with
general practitioners, so that there is close co-operation between them and the
Dispensary.
The London Insurance Committee request practitioners to provide reports
periodically on insured patients under domiciliary treatment, and these are supplied.
(v.) When the diagnosis is in doubt and the patient is under the care of a
practitioner, arrangements are made with him for re-examination; in other cases
arrangements are made with the patient, but should he fail to attend, either the
Tuberculosis Nurse calls upon him or he is reminded of the appointment in writing.