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During the year the number of acute social problems
associated with difficult and anti-social patients with
tuberculosis was fortunately not very high. Six patients,
all after a period of treatment, were found to be excreting
tubercle bacilli resistant to one of the three standard
drugs and three unfortunate patients had organisms
resistant to all three drugs. These latter patients have
very extensive disease and they are a considerable cause
for anxiety in case they should infect others with their
resistant organisms. The Central Register mentioned in
the 1961 Report, which was established in June, 1962,
has very fortunately not become very large.
The Health Visitors were able to make 2,618 visits
during the year, which is highly commendable in view of
the climatic conditions, and their work is of very great
value.
The Department has had very considerable help from
Dr. Mower White and her staff and from Dr. Chalke,
Medical Officer of Health. The London County Council
Ambulance Service has always been as helpful as possible
and we are greatly indebted to the Camberwell District
Nursing and Ran yard Nursing organisations for their
continued help.
KENNETH MARSH,
Consultant Physician.
Chest Department,
St. Giles' Hospital.