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86
SECTION V.
PREVENTION AND CONTROL OF TUBERCULOSIS.
The Tuberculosis Clinic is situated at 13, Katharine Street.
The premises are not suitable, being cramped and noisy. The only
redeeming feature is its central situation. Sessions are held daily
in the morning and afternoons except on Monday mornings and
Thursday afternoons. An evening session is held on Tuesdays.
The Clinic is primarily a diagnostic and advisory centre. To it
come patients sent by private doctors, hospitals, etc., also cases and
contacts under observation and cases under treatment at home.
From it patients are drafted to various Sanatoria and Hospitals or
back to their private practitioner.
I am indebted to Dr. J. C. McMillan, the Assistant Medical
Officer of Health for Tuberculosis, for the greater part of this section
of the report.
An efficient Clinic dealing with Tuberculosis should have an
X-ray plant on the premises. Although the facilities for obtaining
X-ray reports and films are good, the medical officer in charge of
the Clinic ioses the great advantage of making his own screen
observations and taking his X-rays. The patients also are put to
some inconvenience by the present arrangements. For the carrying
out of Collapse Therapy X-ray control is absolutely essential, consequently
the Clinic is unaple to undertake artificial pneumothorax
refills and the Council has to pay for these to be done at a London
hospital. As this treatment is being used at the Cheam Sanatorium
it would be advantageous to the patients if they could, on their
discharge from the Sanatorium, obtain necessary refills in Croydon,
instead of, as at present, having to go up to London or to Cheam.
Notification of Tuberculosis.
Two hundred and nineteen cases of Pulmonary Tuberculosis
and 36 of Non-Pulmonary Tuberculosis were notified on Form A
(primary notifications), of these 125 males and 94 females were
Pulmonary cases, 20 males and 16 females Non-Pulmonary. In
addition 50 Pulmonary cases and 28 Non-Pulmonary came to our
notice as new cases otherwise than by notification.