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106
The Clinic Register is revised annually, so as to make it a
correct record of the cases in the Borough who are under the supervision
of the clinic.
During the year 101 Clinic cases died; of this number, 26 or
25.7% were seen for the first time in 1938.
The Tuberculosis Clinic and Home Visiting.
The subjoined table gives a summary of the work done in
connection with the Clinic.
488 new cases were examined during the year; this is equal
to 356 for each 100 deaths from the disease. 205, or 150 for each
100 deaths, were found to be definitely Tuberculous.
The total number of attendances at the Clinic was 4,753. The
Tuberculosis Officer paid 160 home visits, and the District Health
Visitors 2,913 visits for Clinic purposes. In addition, the Health
Visitors made 335 primary visits for the purpose of the Notification
Register.
The Tuberculosis Officer paid 66 visits to Mayday Hospital,
in a consultative capacity, and there examined 234 patients.
Patients requiring home nursing or surgical dressings are
attended to by nurses from the Croydon Nursing Service, by
arrangement with that organisation, and 680 such visits were made
during the year. Their assistance is a valuable adjunct in the care
of domiciliary cases.
Contact Examination.
The contacts of definite cases are urged to attend the Clinic
for examination (and subsequent supervision). This is an important
preventive measure. During the year 341 contacts were
examined, equal to 249 for each 100 deaths, compared with 296 in
1937, or 191 per 100 deaths. Of these, 7 were considered to be
Tuberculous. This is equal to a Tuberculous rate per 1,000 contacts
of 20.5, compared with 1.36 per 1,000 of the general population.
Included in the 7 contacts found to be Tuberculous are 2 who had
been under observation from previous years.
642 appointments for examination were offered to new contacts
during 1938, but only 341 new contacts attended and were examined.