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P.A.S. and I.N. A.H.) is likely to give way to '' rotating therapy"
in which streptomycin is also used; each pair of drugs is given
for one month. There have been considerable difficulties in
arranging for such a large number of patients to receive this
treatment despite the enthusiastic co-operation of the Queen's
and Ranyard Nurses. There is some evidence that long-term
treatment with only P.A.S. and I.N.A.H. may result in new
cases being discovered with an infection that is resistant to
both these drugs.
Contact examination of schoolchildren by means of the
Mantoux (tuberculin) test continues and in addition a number
of children, who, when they come for their examination at
school for B.C.G. vaccination, are found to have already had a
tuberculous infection are referred for further examination and
chest X-rays. B.C.G. vaccination has been given to 306
persons.
The number of cases of chronic bronchitis referred to the
clinic increases annually as this condition is noted more and
more frequently, especially among males. Deaths from bronchitis
totalled 196 compared with 226 from coronary disease. There
was a fall in deaths from carcinoma of the bronchus from 114
to 91 but no particular significance need be attached to this
fall in view of the ever increasing cases that are diagnosed. It
is interesting that deaths from carcinoma of the bronchus are
nearly four times those from pulmonary tuberculosis.
During the year there was the fullest co-operation from both
departments under the control of Dr. Chalke in his capacity as
Medical Officer of Health for Camberwell and Divisional Medical
Officer for the London County Council. We also received
considerable assistance from the various voluntary and nursing
organisations in the district and the London County Council
Ambulance Service.
KENNETH MARSH,
Consultant Physician.