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It is again noted that the incidence of significant cases of tuberculosis in persons not previously
examined by Mass X-ray is considerably higher than in those who had previously been
examined i.e. 1.66 per 1,000 compared with .465 per 1,000 (see Table V). Every effort should be
made to attract the proportion of the population who have never been X-rayed before.
Fifteen cases of carcinoma of the lung (all males) were discovered during the year — five
less than in the previous year.
Doctors' Referrals
Doctors in our zone have been kept aware of the services of the Unit, and although only 241
patients were directly referred to the Unit these produced one active case of tubercle, giving an
incidence rate of 4.15 per 1,000.
Medical Procedure
As in former years, abnormal cases were referred to the appropriate Chest Clinic through the
examinee's own doctor. Cases outside the purview of a chest clinic have been referred to St.
Bartholomew's Hospital, and the ready co-operation of Dr. N.C. Oswald and Dr. Graham Hayward
is gratefully acknowledged.
Conclusion
This will be my last Annual Report for the Unit, as I am to retire at the end of June 1967 —
and I must record my appreciation of the friendly and helpful relationships which have been
maintained with Dr. W.G. Swann, Medical Officer of Health for the City of London, and the services
rendered by the Regional Hospital Board and the East London Group Hospital Management
Committee.
The end of 1966 saw the retirement of Mr. ELG. Crowsley — the Organising Secretary of the
Unit since 1950. I would like to take this opportunity of expressing my appreciation for the
excellent way in which he served the Unit throughout his years of Office. All the members of the
Unit Staff have carried out their respective duties conscientiously and my sincere thanks are due
to them.
Future Plans for the Unit
1967 will see changes for the Unit, as it will become necessary to vacate the Administrative
Office at the Fins bury Health Centre. The Regional Hospital Board have decided to amalgamate
this Unit with Unit 6B at Plaistow and Mr. T»H.S. Addison is to take on the responsibility of
Organising Secretary of the combined Units as from 1st January 1967. We welcome Mr. Addison
and know that happy relationships will be established all round.
As from 1st April 1967 the Thames Group Hospital Management Committee will be responsible
for the Unit. Dr. D.J. Lawless the Medical Director of Unit 6B will assume the Medical responsibilities
of the Unit when I retire."
Hostels for Ambulant Tuberculous Men
Two (3) men were in such hostels at 31st December, 1966 and maintenance costs were
guaranteed by the Corporation.
Meals for invalid and sick persons
Arrangements have been made with the Luncheon Room Committee of the Corporation of
London Staff Association for individual diet meals to be available for delivery by departmental
transport. Further details will be found in the section dealing with Welfare.
Recuperative Holidays
Two (3) recuperative holidays for adults were arranged during this period.
Chiropody
There is a growing and continuous demand for this service, and considerable efforts were
made throughout the year to maintain it at an efficient level. Three different chiropodists were
employed at various times and a new clinic fitted out at Milton Court.
Figures for the period are as follows:—
No. of domiciliary treatments by chiropodists
on sessional basis 122 (92)
No. of clinic treatments by chiropodists on
sessional basis 18 (6)