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The Immediate Results of Institutiona1 Treatment.
The immediate results of treat:sent of patients discharged from
residential institutions during the year are as follows:-
Among the pulmonary cases 31.9% were classified as early cases, the
percentage of early cases receiving treatment in institutions was in women
36.0%; in men 27.0%. 49.0% of the total cases were intermediate cases,
the males showing an excess in this group, 58.7 males to 40.0% females,
and 19%. were definitely advaned. Of the total Pulmonary cases treated in
Institutions 76.0% were potentially infectious.
133 males, 114 females end 7 children suffering from Pulmonary tuberculosis
were discharged from, or died in Institutions in connection with the
Croydon tuberculosis scheme during 1941.
The Tuberculosis Clinic and Home Visiting.
The subjoined table gives a summary of the work done in connection
with the Clinic.
553 new cases were examined during the year, this is equal to 507 for
each 100 deaths from the disease. 149 or 137 for each 100 deaths were
found to be definitely tuverculous.
The total number of attendances st the Clinic "as 4,515, The
Tuberculoisis Officer paid 91 home visits, and the District Health Visitors
£,424 visits, for Clinic purposes. In addition, the Health Visitors made
270 primary visits for the purpose of the Notification Register.
The Tuberculosis Officer paid 43 visits to Mayday Hospital, in a
consultive capacity, and there examined 169 patients.
Patients requiring home nursing or surgical dressings are attended
to by the nurses from the Croydon Nuring Service, by arrangement with that
organisation, and 694 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 (subsequent supervision). This is an important preventative
measure. During the year 227 contacts were examined, equal to 208 for each
100 deaths, compared with 278 in 1940; 525 in 1939; or 301 in 1938 par 100.
Of these 5 were considered to be tuberculous. This is equal to a
tuberculosis rate per 1,000 contacts of 22.0, compared with 1.55 per 1,000
of the general population.
459 appointments for examination were offered to new contacts during
1941 but only 227 new contacts attended and were examined.
The Clinic Register of Cases.
The number of casses of Tuberculosis under the supervision of the Clinic
at the end of the year was 785. This is equivalent to 4.2 persons per
1,000 of the population.
During the year 94 Clinic cases died, of this number 19 or 20.2%
were seen for the first time in 1941,
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