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Of these 470 were not accepted for treatment under the Council's scheme;
924 patients were examined at the County Hall, and their disposal then determined;
1,283 were referred to observation hospitals for admission as a preliminary step
to their disposal; 2,832 were accepted for admission direct to institutions on the
reports of the medical officers recommending the cases, and in 125 cases the applications
for various reasons were not proceeded with. In 327 of the cases for residential
treatment, the patients for various reasons failed to enter observation hospitals or
other institutions, and their applications were treated as withdrawn. In 170 other
cases treatment was not commenced before the end of the year.
As a general principle, the cases passed through the observation beds are
patients in whom the diagnosis has not been confirmed by the presence of tubercle
bacilli in the sputum; patients with acute symptoms; and patients with wellmarked
disease whose suitability for sanatorium treatment can be determined only
after a few weeks' close observation. Cases examined at the County Hall are those
in which the diagnosis has been confirmed by the presence of tubercle bacilli in the
sputum and which appear, from their reports, to be suitable for sanatorium treatment,
and cases of surgical tuberculosis. Cases sent direct to sanatoria are chiefly
applicants for further treatment, whose condition and prospects are already known.
Action taken with regard to adult patients examined at the County Hall during
1924
Observation hospital. Sanatorium. Home for advanced cases. Not accepted. Total.
93 729 49 53 924
During the year 1,365 patients were discharged from observation hospitals
and 4,385 from other institutions.
The classification of the 1,365 patients discharged after observation in hospitals :
Classification—Group A 283 oases or 25.11%
„ B1 74 „ 6.57%
„ B2 515 „ 45.69%
„ B3 201 „ 18.10%
Surgical cases 51 „ 4.53%
Total diagnosed as tuberculous 1,127
Diagnosis of tuberculosis not confirmed 238
Total discharged from observation beds 1,365

Tuberculous
children.
At the commencement of 1924 the Council had in use 713 beds for children in
hospitals and sanatoria, of which 197 were in voluntary institutions and 516 in
Metropolitan Asylums Board institutions. The number of cases under treatment
on 31st December, 1924, was 746 (192 in voluntary institutions and 554 in Metropolitan
Asylums Board institutions). On 1st January, 1924, 384 boys and 323
girls were under treatment and 477 boys and 438 girls were sent away during the