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Of the new cases, 149 were found to be suffering from Pulmonary
Tuberculosis, and 20 from Non-pulmonary Tuberculosis, 167 were
doubtful and kept under observation, or did not return for completion
of diagnosis. The remainder was discharged as non-tubercular.
To secure the co-operation of the general practitioners, the procedure
suggested by the Ministry of Health has been adopted, and on receipt
of a notification a letter is sent to the practitioner asking, (1) Is the
case insured? (2) Does he desire to consult with the Tuberculosis
Officer as to the form of treatment most suitable to the circumstances of
the case?
If the practitioner then sends the case to the Dispensary, or asks
the Tuberculosis Officer to see the case at home with him, satisfactory
arrangements can generally be made as to treatment, and the examination
of contacts either by the Tuberculosis Officer or the practitioner.
When the practitioner states that he does not desire to consult the
Tuberculosis Officer, the latter cannot interfere, and it is more difficult
to get satisfactory information as to contacts. Some steps were taken
to reach a solution of the difficulty by approaching practitioners, but no
definite result has been reached so far.
The Health Ministry have laid down that when a practitioner first
notifies a case as needing treatment (?exact wording of Ministry's
circular) he is to send a report to the Regional Medical Officer of the
district and the latter is to forward it to the Tuberculosis Officer.
This arrangement has not so far been carried out thoroughly, only
one report having been received from the Regional Medical Officer.
The practitioner is subsequently to furnish three monthly reports on
cases on domiciliary treatment to the Tuberculosis Officer when a case
seen at the Dispensary is put down for such treatment a report is sent
to the general practitioner on the patient's condition, and he is requested
to send a report in three months to the Tuberculosis Officer on Form
G.P. 17.
The practitioner then can make recommendations re subsequent
treatment or ask to have the case seen again at the dispensary.
Should the practitioner not furnish these reports after reminder
from the Tuberculosis Officer, the Regional Medical Officer is to be so
informed.
Co-operation between the School Medical Service and the Dispensary
is maintained, and when an opinion is directly asked for as to a
child's condition, or his fitness to attend school, it is given by the