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110
CHEST CLINIC REPORT
I am indebted to Dr. C. W. L. Jeanes, Chest Physician at the
Greenwich Chest Clinic for the following Report on Tuberculosis in
the Borough.
"Staff.—Dr. V. H. Springett who had worked at the Clinic
since 1950, resigned on his appointment as Medical Director of the
Birmingham Chest Clinic. We were very sorry to lose his most
valuable services and offer our congratulations to him on obtaining
this important appointment. Dr. Joyce Brown came to replace
him and we are very pleased to welcome her.
Miss A. Derry, who had been Care Secretary at the Clinic for
three years, left to take up another appointment, and her place as
Almoner was taken by Mrs. B. M. Campbell.
The year 1954 was a very busy one at the Greenwich Chest
Clinio, and, as far as progress and advances in methods of treatment
were concerned, a highly successful one.
At the end of the year there were 993 patients on the Chest
Clinic Register consisting of:—
Pulmonary Tuberculosis. Non—pulmonary Tuberculosis
Men Women Children Men Women Children
479 395 53 14 35 17
Of these 86 were new notifications of Pulmonary Tuberculosis
and 13 of Non—pulmonary Tuberculosis.
The number of new notifications was two less than last year.
These figures are very gratifying and instructive as there now seems
to be a very definite drop in the incidence rate of Tuberculosis, in
spite of intensive case finding methods including several visits of the
Mass X—ray Unit to Greenwich.
There was a further marked fall in the number of deaths;
22 patients on the Clinic register, 18 men and 4 women died during
the year. In a population of 90,600 these figures are extremely
small and in relation to other causes of death Tuberculosis is now well
down the list. The average age of the 18 male patients who died was
52 years with a variation from 18 to 80 years. Two of these deaths
were immediate post operative in patients undergoing major chest
surgery; 11 deaths were directly due to Pulmonary Tuberculosis
and the remaining 5 were not related to Tuberculosis in any way,