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out one thousand, eight hundred and two tests for
Tubercle Bacilli in sputum, and fourteen special
tests for the same organism in Excreta.
Out of one thousand, eight hundred and sixteen
examinations, three hundred and eighty-seven have
shewn a positive result: but it must not be assumed
that these are all indications of new cases of the
disease, a number being "repeat" specimens which
are taken at intervals in already notified (and
possibly old) cases of consumption.
I wish to express my great appreciation of Miss
Robinson's excellent work in the bacteriological
department; and also for her great help in preparation
of tuberculin dilutions, carrying out of Mantoux
tests, and keeping of detailed records regarding them.
Institutional Treatment.
The London County Council is the authority
responsible for the provision of Sanatorium and
other kinds of institutional treatment for notified
cases of tuberculosis—such patients being recommended
either through the Dispensary, or from
various Hospitals.
Adult patients requiring special institutional
observation for the purpose of diagnosis in cases of
doubt are admitted to Brompton Hospital: whilst
children are usually sent to Highwood, Brentwood,
Essex. The great majority of recommendations
both for observation and treatment are accepted;
though it occasionally happens that a heavy waiting
list at County Hall may defer or cause non-acceptance
for some special institution.
In making recommendations for Sanatorium,
due consideration has to be given in regard to age,
type of disease and individual mentality in patients:
and also whether there is reasonable prospect of
benefit to be expected.