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

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Croydon 1936

[Report of the Medical Officer of Health for Croydon]

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102
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.
376 X-ray examinations were made during the year, an increase
of 9 over 1935. This is equivalent to 53.6 for every 100
new cases and contacts seen, and compares with a rate of 45.2 in
1935, 40.4 in 1934, and 30.4 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.
The new X-ray plant installed at Mayday Hospital during the
year will be available for X-ray examination of Dispensary cases
in the future.
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,
but frequently one finds there is no available space for a shelter in
the garden or yard attached to the patient's bouse. When convenient
to be used they form a useful continuation of Sanatorium
practice for a conscientious patient.