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In certain cases it is necessary for the patients to undergo a period
of observation in a Special Hospital for Diseases of the Chest before a
final diagnosis can be made. Such patients are usually sent to Brompton
Hospital. This Hospital also accepts early cases of tuberculosis, and
oases requiring specialised surgical treatment. High Wood Hospital
admits children for observation and diagnosis and definite cases of
Pulmonary Tuberculosis.
The great majority of cases are sent to Sanatorium as soon as a
diagnosis is completed. Sanatorium routine is the mainstay of all
treatment of tuberculosis and of great educational value after the
patient's discharge as he has then been taught the mode of life which
gives him the best chance of maintaining the improvement in his health
which he has gained while being away.
General Hospital treatment is usually advised for those patients
whose condition is so acute or advanced that removal to a sanatorium is
inadvisable, but it must be remembered that many of these patients
improve so much after a few months in a general hospital that they are
subsequently transferred to a sanatorium.
General Hospitals also accept chronic cases who are not expected to
benefit from a further period of sanatorium treatment.
Another type of Institutional treatment is the Sanatorium Colony—
Papworth near Cambridge, Preston Hall near Maidstone. Papworth
takes both male and female adult patients, and Preston Hall takes male
patients only. After a suitable period of Sanatorium routine the
patients are trained in various spheres of useful work, e.g., Cabinet
Making, Gardening, Poultry Farming, Leather Work of all kinds and
Printing, etc., and the patients are paid for the work they do.
Suitable cases are allowed to "Colonise," that is to say, they make
the Colony their' home, and if married they are given adequate accommodation
for their families.
Burrow Hill Colony, near Frimley, trains male adolescents between
the ages of 13 and 19. They specialise in two distinct courses of training—
(1) Clerical; (2) Horticultural. These patients may be kept in the
Colony for a period of up to two years and on their discharge, after a
complete course of training, should be fitted both physically and economically
to take their place in the outside world.