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bronchitis. Advice regarding diet is an important part of clinic work.
Several cases of sarcoidosis and atypical mycobacteriosis are now
being treated at this clinic.
An X-ray only service for general practitioners has always been
well catered for by the Woolwich Group Hospitals. There is, therefore,
no need for this service to be provided by the Chest Clinic.
Patients with abnormalities in their X-rays are referred to the clinic
for further assessment.
Ten regular sessions are held weekly at the Woolwich Clinics,
at four of which two physicians are in attendance. An evening
clinic is held on a Monday at the Out-Patient Department of the
Eltham & Mottingham Hospital by arrangement as required.
Patients who require hospital treatment are admitted to Grove Park
Hospital.
Student health visitors and other nurses attend clinics for
observation and instruction. Many domiciliary visits are made at the
request of the general practitioners."
Mass Radiography
In London, Mass Radiography was originally carried out under
the direction of the London County Council, but since January, 1948,
the responsibility for this service has rested with the South East
Metropolitan Regional Hospital Board.
Introduced primarily for the early detection of Tuberculosis,
the Mass Radiography service is responsible for revealing many
other chest malformations and disabilities which would doubtless
have remained undetected perhaps for years.
As a direct consequence of the diagnosis of these ailments
treatment is made possible at a very early age, thereby enabling a
much more favourable prognosis to be entertained.
Although no major surveys were undertaken, in addition to
attendances at regular sites, short visits covering public and factory
surveys (with attention to special groups in each category) were
carried out in the Borough during the year by the South East London
Mass Radiography Unit and I am indebted to Dr. J. M. Morgan,
the Director, for the following analysis of the results received so
far:—
Summary of Surveys Carried Out in the Borough from
1st January to 31st December, 1966