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the two Consultants. This has resulted in a much closer watch
being kept on the progress and welfare of Camberwell patients.
and whilst in hospital speedy transfer to sanatorium can now be
arranged as soon as the patient is fit enough. It also enables the
home conditions of patients to be gone into more thoroughly prior
to their discharge from hospital, especially where the case is in
need of special nursing or attention.
2. With General and Special Hospitals. Many of our patients
when requested to go to a hospital for further examination and
opinion asked to be sent to the hospital they knew best, and the
following hospitals were selected :—
St. Thomas's. Sick Children's Hospital.
Guy 's ". Great Ormond Street.
Throat Hospital, Golden Square. South London Hospital for
Brompton. Women.
Evelina. Royal Waterloo
Belgrave. King's College Hospital.
All Saints'
3. With School Clinic. All contacts of school age are referred
by the Dispensary to the Divisional School Medical Officer for the
area for special and periodical observation by the School Medical
Officers. Doubtful cases of tuberculosis are referred back to the
Dispensary for special examination.
4. With Ante-Natal Clinic. Camberwell cases attending the
St. Giles Hospital ante-natal clinic suspected to be suffering from
lung disease are now seen by the Tuberculosis Officer in consultation
with the clinic medical Officer at the Friday morning clinic.
Classification of New Patients.
(a) Pulmonary Tuberculosis. During the year 230 patients who
attended the Dispensary for the first time and were found to be
suffering from tuberculosis were reported by the Tuberculosis
Officer to be in the Undermentioned stages of the disease at the time
of diagnosis:-
T.B. minus (sputum negative or absent) ... ... 98, or 42.61 per cent.
T.B. plus 1 (early cases, sputum positive) ... ... 19, or 8.26 per cent.
T.B. plus2 (intermediate cases, sputum positive) ... 99, or 43.04 per cent
T.B. plus 3 (advanced cases, sputum positive) ... 14 or 6.09 per cent.
(b) Non-Pulmonary Tuberculosis. There were 37 cases of
non-pulmonary tuberculosis in the following forms :-
Bones and joints.
Abdomen.
Other organs.
Peripheral glands.
Skin.