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The Immediate Results of Institutional Treatment
The immediate results of treatment of patients discharged from
institutions during the year are as follows.
Among the Pulmonary cases 27,7% were classified as early cases; the
percentage of early cases receiving treatment in institutions was in
women, 9.9%; in men, 16.6%; 51.6% of the total cases were intermediate
cases, the males showing an excess in this group - 29.0% males to 22.2%
females - and 20.6% were definitely advanced. Of the total Pulmonary
cases treated in Institutions 77.7% were potentially infectious.
151 males, 97 females and 4 children, suffering from Pulmonary
Tuberculosis, were discharged from or died in Institutions in connection
with the Croydon Scheme during 1939.
During the year 86 Clinic cases died; of this number, 25 or 29.1%
were seen for the first time in 1939.
The Tuberculosis Clinic and Home Visiting.
The subjoined table gives a summary of the work done in connection
with the Clinic.
475 new cases were examined during the year; this is equal to 439
for each 100 deaths from the disease. 191, or 177 for each 100 deaths,
were found to be definitely Tuberculous.
The total number of attendances at the Clinic was 5,000. The
Tuberculosis Officer paid 171 home visits, and the District Health
Visitors 3,055 visits for Clinic purposes. In addition, the Health
Visitors made 363 primary visits for the purpose of the Notification
Register.
The Tuberculosis Officer paid 70 visits to Mayday Hospital, in
a consultative capacity, and there examined 253 patients.
The Croydon Nursing Service, by arrangement with that organisation
paid 1,445 visits 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 preventative
measure. During the year 325 contacts were examined, equal to 301 for
each 100 deaths, compared with 341 in 1938, or 249 per 100 deaths. Of
these, 10 were considered to be Tuberculous. This is equal to a Tuberculous
rate per 1,000 contacts of 30.7, compared with 1.14 per 1,000 of the
general population. Included in the 10 contacts found to be Tuberculous
are 5 who had been under observation from previous years.
569 appointments for examination were offered to new contacts during
1939, but only 325 new contacts attended and were examined.
The Clinic Register of Cases.
The number of cases of Tuberculosis under the supervision of the
Clinic at the end of the year was 829. This is equivalent to 3.6 persons
per 1,000 of the population.
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