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that it has become more difficult because of the lack of
co-operation among certain families. In this connection
it should be pointed out that the West Indians are always
very co-operative and there is never any difficulty in
arranging for extensive contact examination.
Once again I wish to thank Dr. Chalke and Dr. Mower-White
and their respective staffs for their help throughout the
year. I also wish to thank the District Nursing Organisations
and the London County Council Ambulance Service for their
continued co-operation.
KENNETH MARSH
Chest Department,
St. Giles' Hospital.
Consultant Physician.