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The contrast in the numbers recovered, arrested and died, as
also the different incidence in adults and children, as between the
Pulmonary and Non-pulmonary types of the disease, is most
marked. This Table also emphasises the essential chronicity of the
illness, more particularly in the direction of recovery.
Co-ordination with Medical Practitioner:, and Other Branches of
the Health Department.
During the year 276 cases of suspected Tuberculosis were
referred by private medical practitioners for the Tuberculosis
Officer's opinion ; 124 were diagnosed as suffering from Pulmonary
Tuberculosis and were subsequently notified. 81.2% of all notified
cases were sent for examination to the Dispensary or were seen at
the request of the medical attendant at the patient's home, as
compared with 72.7% in 1930.
Table LXV., 534 new cases were examined during the year.
This is equal to 307 for each 100 deaths from the disease. 268 or
50% were found to be definitely tuberculous.
The contacts of definite cases are urged to attend the Dispensary
for examination (and subsequent supervision). A small proportion
avail themselves of this prophylactic facility. In 1931, 593 contacts
were examined, equal to 340 for each 100 deaths, compared
with 465 in 1930 or 265 per 100 deaths, and of these 15 were considered
to be tuberculous. This is equal to a Tuberculosis rate per
1,000 contacts of 25.3, compared with 1.76 per 1,000 of the general
population. In 333 adult contacts examined the Tuberculosis rate
per 1,000 contacts was 36. 4 of these who had been under observation
from previous years were found to be suffering from Tuberculosis.
The number of reports sent in by Insurance medical practitioners
on their domiciliary cases (Form G.P. 36) was 487. This
is a duty laid on all Medical men accepting service under the
"National Health Insurance Act.
Public Health (Tuberculosis) Regulations, 1930.
Number of cases of Tuberculosis remaining on the registers of
Notifications kept by the Medical Officer of Health of the County
Borough on the 31st December, 1931:—