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regret that more medical men have not reported. These results have
been twofold—
(1.) The patient has been led to take better precautions for
preventing the spread of the disease to others. In some cases
means have been found of getting him away to a sanatorium,
convalescent home, or hospital, and of assisting his family in his
absence. In some eases it has been possible to supply additional
food to the patient, and when recovered, as some have done, to
enable them to obtain more suitable employment in London or the
country, or to emigrate to Canada. These results have been
largely due to the co-operation of various societies and agencies
whicl the Health Society have been able to obtain, working in
conjunction with the Public Health Department.
(2.) Removal of insanitary conditions in the premises in which
patients lived or worked has been effected in many instances. In
37 dwelling-houses insanitary conditions of a serious character
were discovered, and in several workshops conditions were found
requiring amendment.
An attempt has been made to ascertain the relative influence in
a number of cases of personal contact and family history, with the
following results:—
1904.—Family history as to tuberculosis, and contact with tubcrcvlar
persons.
1. History of tuberculosis in previous generations:—
(a) With contact with tubercular members of family 10
(b) Without contact with tubercular members of family 8
(c) With contact with tubercular associates —
2. No history of tuberculosis in previous generations:—
(a) With contact with tubercular members of family 20*
(b) Without contact with tubercular members of family 35
(c) With contact with tubercular associates 4
3. Tuberculosis in previous generations, contact with which
cannot be definitely excluded 19*
96
* One case in each of these classes had been also in contact with a tubercular associate.
D