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in many of the others why the person had ceased to attend; that is, it
was not clear if the person was expected to re-attend, or if he had been
told he was not considered tuberculous and need not re-attend, or in the
case of persons definitely considered tubercular, whether he was told
condition was considered " cured," and lie need not re-attend.
What was done with regard to these was that in the case of those
not definitely diagnosed tuberculous, but in which it appeared there
were very definite suspicious signs or symptoms, and in the case of
those who were evidently definitely considered tuberculous but no note
to show how they had been disposed of, i.e., if they were considered
cured or discharged, etc., they were reckoned "on the Register" at the
beginning of 1926, and an endeavour made to secure their re-attendance
during the year.
In this way many came up, and it was possible to write them off as
"cured"; others have refused to attend and were written off as "lost
sight of."Vide note 11 under Table 1, in connection with item 2.
As regards item 3, Table I, several of our cases have been fortunate
enough to transfer to the new housing estates at Downham and
Becontree.
Re Item 4. These are deaths of anyone on the Register, not
necessarily a "patient."

Re Item 5. A large percentage of these were under observation
for over two months owing to non-attendance or irregular attendance.
Re Item 7. For parts of the country outside of London there have
been established "Orthopaedic Outstations," where cases of tuberculous
bone and joint disease can be supervised regularly after discharge from
Institutional treatment, and repairs or replacements of surgical appliances
can be made. In London, such cases are mostly cases that have
been recommended for Institutional Treatment from a hospital, and at
the completion of this they return to "the hospital of origin" for their
"after care" and supervision. Many of these who have been treated
at Alton or at M.A.B. institutions are seen regularly at outpatient