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* The classification adopted is as follows: —
A. Cases in which tubercle bacilli have not been demonstrated in the sputum
B. Cases in which tubercle bacilli have been demonstrated in the sputum
B.l Early eases
B.2 Moderately advanced cases and
B.3 Advanced cases.
Particulars obtained as to the fitness for work in 1927 of the 1,103 surviving
adult patients who were discharged from treatment in 1922 show that out of a total
of 452, A. and B.l cases, 65 per cent, were at work. The corresponding percentage
for the A. and B.l cases in the 1921 group was 68. The percentages at work in the
other categories and also the corresponding figures for the 1921 group (shown in
brackets) are as follows: B.2, 39 (40) per cent. B.3, 22 (25) per cent. and surgical,
73 (71) per cent. Of the total number of 1,103 in all categories, 53.5 (57.5) per cent.
were at work, 3.7 (4.4) per cent, were fit for work but were unemployed, 42.8 (37.5)
per cent, were unable to work (including cases receiving further residential treatment).
Children.—The particulars obtained as to the after histories of children discharged
in 1922 relate to 513, of which 307 are pulmonary and 206 non-pulmonary.
Venereal
disease.
Hostel
tion.
From the outset the necessity was recognised for accommodation where young
women and children under treatment could be lodged during the period of infectivity.
Certain hostels managed by or independently of hospitals have received grants in
aid for this purpose, and experience has proved the value of these hostels for the
more efficient treatment of certain cases and for preventing the spread of disease.
During the year 1928, the number of patients dealt with at these institutions from
the areas in the scheme was 235 the aggregate number of days in residence
being 23,377.
Rescue
homes.
The desirability of maintaining treatment and observation of girls and women
for whom residence in hostels has been provided during the acute stages of venereal
disease, engaged the attention of the Public Health Committee of the Council during
the year. As a result, arrangements were made with the authorities of certain
Rescue Homes providing vocational training in domestic and other work, to receive
young women and girls who had been certified by the medical officer of a clinic, that
although requiring continued treatment and observation they could reside in any
institution without danger to other residents. These arrangements were not
completed until late in the year, and it was only possible to fill two of the eleven
beds available for the purpose.
Tuberculosis
dispensary
service.
The Council's Tuberculosis Scheme.
Detailed information has been furnished by the metropolitan borough councils
as to the work of the tuberculosis dispensaries, including particulars as to the numbers
of new cases and" contacts" examined, and the number of home visits, etc. The
information is summarised in the table on pages 40 and 41.
Afterhistories
of
tuberculous
patients.
An investigation has been made into the after-histories after a period of five
years, of adult and child patients treated in residential institutions during the year
1922.
Adults.—The number of adult cases investigated was 3,017, which included 192
surgical cases. The following table shows the result of the enquiry and also (in
brackets) the corresponding figures ascertained from last year's enquiry into the
1921 cases.