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52
The weakness of the notification system is the inability to
relieve the cases when they come to light.
Out-patient letters for one of the London Hospitals are sometimes
obtained—a course which, in my opinion, does more harm
than good. In some cases an in-patient letter is obtained, the
patient improves—comes out, gradually gets worse, goes into the
Union Infirmary and dies.
I have no doubt a local dispensary for Tuberculosis—a small
Hospital for the advanced cases—combined with systematic
visiting, on the same lines as the Children's depot, would soon
make a great reduction in the Phthisis case rate and mortality rate.
Age of persons at which the cases occurred.
Under one 1
1 and under 5 6
5 „ 15 1
15 „ 25 8
25 „ 65 25
41
Cancer.
The number of deaths registered from this disease during 1908
was 16; 1907, 8; 1906, 12. This gives a crude death rate for
the year of .53, as against .27 for the previous year. The number
varies much from year to year.