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has begun to produce symptoms and not always with certainty even
then. The insidious onset of Pulmonary Tuberculosis and the fact
that often considerable damage to the lungs is present before any
definite symptoms develop makes it very difficult to detect it in its
early stages. In the majority of cases, once symptoms have
developed, the disease cannot be regarded as in an early stage.
The initiative to seek treatment when ill rests with the patient
himself, and the remedy partly lies in the education of the public
as to the symptoms and common dangers of Tuberculosis and the
need for securing early treatment. It is unfortunate that 59.4%
of the new cases were more or less advanced in the disease.
Non-Pulmonary Tuberculosis.
There were 23 cases examined at the Clinic and found to have
Non-pulmonary Tuberculosis in the following forms:—
Bones and Joints 10
Abdominal 5
Other Organs 4
Peripheral Glands 4
23
Tables LXVI. and LXVII. summarise the condition of all
patients whose records are at the Clinic at the end of 1933. These
tables show that of patients who came under treatment for Pulmonary
Tuberculosis before 1926, 376 adults and 103 children have
been discharged as recovered. Of these all but 14 were early cases.
Of the 1926 cases, 19 adults, and of the 1927 cases, 21 adults,
have recovered.
Of patients who first attended in 1933, 13 have been lost sight
of or otherwise removed from the Clinic Register. Of the 1932
cases 38 were lost sight of.
Of patients wno attended prior to 1926, 241 adults and 13
children are known to have died ; since 1926, 684 adults and 13
children are known to have died. Of patients attending for the
first time in 1933 31 have died.
It will be seen that in the years 1926 to 1933 there have only
been 41 cases of Pulmonary Tuberculosis in children—12 of these