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62
Chelsea Tuberculosis Dispensary.—This Dispensary, located at
Brompton Hospital, provides highly efficient treatment for all cases
resident in the Borough. An annual grant is paid to the Hospital by
the Borough Council to provide for all necessary medical, nursing and
other services. Table No. 40 shows the work done by the Dispensary
during the year, while Table No. 41 summarises, for the past two years,
the number of persons examined at the Dispensary for the first time,
the percentage of these cases in which definite tuberculosis was found,
and the total attendances at the Dispensary.

In addition to the visits to homes of patients made by the Dispensary
staff and recorded in Table No. 40, 52 new cases of Pulmonary and
Non-Pulmonary Tuberculosis were visited by the Municipal Tuberculosis
Visitor in the course of the year. The total number of visits paid by
her in respect of all cases of Tuberculosis and suspected Tuberculosis was
604.
Institutional Treatment.—The London County Council is mainly
responsible for the institutional treatment of Tuberculosis in London.
No institution is maintained by the County Council in the Borough.
The Metropolitan Asylums Board maintains St. George's Home, in
Milmans Street, Chelsea, as a hospital for advanced pulmonary disease
in women. There is accommodation for 50 cases, which are drawn from
all parts of the metropolis. The majority of advanced cases of pulmonary
tuberculosis in Chelsea are isolated and treated in St. Luke's
Hospital under the Board of Guardians, while a smaller proportion receive
treatment in other public institutions. Of the cases which terminated
fatally during the year, 41 per cent. died in St. Luke's Hospital and
25 per cent. in other public institutions, that is to say 66 per cent, died
away from their homes, the corresponding figure for 1927 being 75 per
cent.
Co-operation with Hospitals and Invalid Children's Aid Association
—Existing arrangements with general and special hospitals in the
neighbourhood continue to give satisfaction. Cases under treatment at
St. George's Hospital and St. Luke's Hospital are visited by the Municipal
Tuberculosis Visitor. Arrangements are made with Brompton Hospital
for the X-ray examination of difficult cases, and for the provision of
artificial pneumo-thorax refills. Many patients, both adults and children,