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It will be seen that in the years 1926 to 1936 (inclusive) there
have been 24 deaths in children, and 17 of these were found to
have a positive sputum. It will also be seen that during this period
there is no record of recovery or of arrest of the disease in a single
child with a positive sputum. It is fortunate that such cases are
very rare.
In sufferers from Non-Pulmonary Tuberculosis who first attended
prior to 1926, 46 adults and 565 children have been discharged
as recovered, and of those first attending in 1926 and following
years, 44 adults and 154 children. 15 adults and 10 children died
in the pre-1926 class; 37 adults and 18 children died in the 1926
and following years group.
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.
Co-ordination with Medical Practitioners, and Other Branches of
the Health Department.
During the year 182 cases of suspected Tuberculosis were
referred by private medical practitioners; 56 were diagnosed as
suffering from Tuberculosis and were subsequently notified. In
addition, 46 children were referred by the School Medical Service,
and 26 cases from the Maternity and Child Welfare section of the
Public Health Department. 78.3% of all notified cases were sent
for examination to the Clinic or were seen at the request of the
medical attendant at the patient's home, as compared with 83.9%
in 1935, 84.2% in 1934, and 79.3% in 1933.
The number of reports sent in by Insurance medical practitioners
on their domiciliary cases (Form ft.P. 36) was 435. This
is a duty laid on all Medical men accepting service under the
National Health Insurance Act.
Pregnancy and Tuberculosis.
Women suffering from Pulmonary Tuberculosis who become
pregnant are referred to the Assistant Medical Officer of Health
for Obstetrics and usually recommended for admission to Mayday
Hospital under his care. After their confinement these patients
are advised to enter a sanatorium. If interference with the course
of pregnancy is not considered necessary or advisable and tin
patient requires sanatorium treatment this is arranged for a period
prior to admission to Hospital for confinement.