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Class 3 shall be examined as soon after reference as possible, classified
by the School Medical Officer, and dealt with as Class 1 or
Class 2 as the case may be.
In spite of the reduction in the number of new cases and the total number
of attendances, the general work of the Dispensary has increased in amount.
The total number of systematic examinations has increased from 4,123* to
4,700,* the home visits from 200* to 248,* and the number of letters and
reports from 3,567* to 3,610.*
It would be to the advantage of the patients if the number of reports
could be reduced, as at present the Tuberculosis Officer spends only just over
one-third of his time on clinical work, the remaining two-thirds being taken up
with reports, visiting, attending various committees, etc.
Our relationship with the local general practitioners continues to be quite
cordial, and the percentage of new cases referred by them to the department
for an opinion remains high. The figures given below are not a true indication
of the number of patients sent by doctors during the year for consultation,
as those cases who had at any time previously attended the department, either
as contacts or sent from some other source, would not be shown.
In conclusion, I should like to thank the Dispensary Committees, the
Medical Officers of Health, the Hospital Physicians and Surgeons, and the
Hospital Secretary, for their help and advice, and also the Dispensers, the
Clerk, the Nurse, and the Porter, all of whom have done their work very
efficiently.
(Signed) H. TYLFORD HOWELL.
1st March, 1923.
*Including Bethnal Green and Hackney cases.