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sixty two contacts of persons with tuberculosis were X-rayed and
two were found to have active tuberculosis, as mentioned earlier.
Seventy two children and young adults were given B.C.G. inoculation
because they were contacts of cases with tuberculosis. Thirty
three positive Mantoux children were referred to us from school but
none was found to have active disease.
Many patients with other chest conditions, including neoplasm
of the lung, bronchitis and asthma are referred to the Chest Clinic
and the examination and investigation of these patients continues to
play a large part of the work carried on at the clinic."
Woolwich and Brook Chest Clinics
I am also indebted to Dr. A. MacManus, Consultant Physician
at the Woolwich and Brook Chest Clinics for the following Report
"During the year 1966 there were 44 new cases of pulmonary
tuberculosis notified in the Woolwich area. This was an increase of
13 on the previous year. Of these 28 were male and 16 female.
Age Group Females Males
0—20 3 2
20—40 5 5
Over 40 8 21
Eight cases of non-pulmonary tuberculosis were notified; three
male and five female. The total number of notified cases of tuberculosis
now on the Register is 687; pulmonary 650 and surgical 37.
Figures for 1965 were 1,074. The reduction in the number since last
year is due to the fact that patients who were unlikely to relapse
were removed from the register which now contains only those who
are infectious or potentially infectious. The total number of attendances
at the Woolwich Clinics for the year was 6,097 (new patients
1,093) as compared with 5,633 in 1965. B.C.G. vaccination was given
to 183 patients. Seventy Mantoux positive schoolchildren were
referred to the clinic but none of these was found to have a tuberculous
lesion. The number of Indians attending the clinic for the
first time was 60. Of these 3 Indian women had tuberculous cervical
adenitis. Two relapses with miliary dissemination occurred in old
cured tuberculosis cases who had been discharged from the clinic
which emphasises the need for indefinite annual check-up examination.
Chest diseases other than tuberculosis, especially bronchitis,
neoplasm, asthma and industrial diseases are now demanding ever
more time and investigation. All modern lines of investigation and
treatment are carried out. I am indebted to Dr. P. Forgacs and
Dr. D. Wraith for performing pulmonary function tests.
Obesity and iron deficiency anaemia are two disorders frequently
detected on routine examination of our old cases of tuberculosis and