London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1935

[Report of the Medical Officer of Health for Croydon]

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99
specialised examination is being increasingly used. By this means
the number of beds necessary for the observation of such cases has
been reduced and cases of Bronchiectasis, Pulmonary tumour, etc.,
were discovered which otherwise would have been classed as suffering
from Pulmonary Tuberculosis.
Without a good X-ray plate, properly interpreted, suspected
Tuberculosis can never be ruled out. Ordinary physical examination
can find Tuberculosis, but it cannot, except rarely, find early
Tuberculosis. It cannot demonstrate pathological changes and
cannot follow accurately the progress of disease or of healing.
X-ray plates, however, must be well made and accurately interpreted
or they become a source of diagnostic errors.
369 X-ray examinations were made during the year, an increase
of 38 over 1934. This is equivalent to 45.2 for every 100
new cases and contacts seen, and compares with a rate of 40.4 for
every 100 new cases and contacts seen in 1934, and 30.4 for every
100 new cases and contacts seen in 1933. In addition a certain
number of cases who have already been examined at various Hospitals
are referred to the Clinic. There were also a number of new
cases examined in Mayday Hospital whose X-ray examinations
are not counted in the above figures
Extra Nourishment.
Provision of special nourishment in the form of milk was
granted to a number of selected cases for varying periods.
Sleeping Shelters.
The loan of such shelters is made to suitable cases. That is,
to patients in an infectious condition or on account of overcrowding,
lot fluently one finds there is no available space for a shelter in
the garden or yard attached to the patient's house. When convenient
to be used they form a useful continuation of Sanatorium
practice for a conscientious patient.