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difficult to assess the value of the various drugs because
as pointed out earlier, the weather during the winter
months was mild and the incidence of exacerbations was
much lower than usual. It would seem, however, that
bronchitic patients can be given some protection against
secondary lung infections if they are given a prolonged
course of antibiotics, and especially if the course is
begun in September, that is before the weather is likely
to become bad, and the course is maintained until the
late spring.
Health Visitors made 3,506 visits; these were
chiefly connected with patients on the tuberculosis
register and families where tuberculin positive children
were known to be living. A survey of patients on the
register who are over 60 carried out with the help of the
Health Visitors and the Lady Almoner, has shown that there
are a number who could benefit from the extra assistance
they are entitled to from the National Assistance Board
and the Ministry of Pensions & National Insurance. In
some instances it has been possible to interest patients
in outside activities and it is to be hoped that a number
of them will be persuaded to attend the projected
Camberwell Association for Employment for the Elderly.
Dr. Mower White and her staff have been most helpful
and so too has Dr. Chalke and his staff. We wish to
thank the District Nursing organisations and the London
County Council Ambulance Service for their co-operation
throughout the year.
KENNETH MARSH
Consultant Physician
Chest Department,
St. Giles Hospital.