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IV
(e) prosecuted for failure
(i) to attend for, and submit to,
medical examination — —
(ii) to submit to and continue treatment
— —
With the demobilisation of large numbers of persons from
the Forces, the new attendances at the Clinic have shown a
marked increase for both men and women, the number of the
latter being the highest recorded. The apparent great increase
in venereal disease which these figures might suggest is, however,
not an actual increase, as the figures are swollen by patients
(671) who were found on examination not to be suffering from
venereal disease. This is an encouraging sign of the value of the
National Press propaganda which the Ministry of Health has
been carrying out.
Cancer shows another increase in incidence, the most usual
sites of the body attacked being: For males—the bowels (30 per
cent.), the lungs (19.6 per cent.), and the stomach (17.7 per cent.),
and for women—the bowels (24.0 per cent.), the breast (18.0 per
cent.), and the uterus (15.6 per cent.). Among these figures the
high rate of attack upon the lungs is significant and cannot be
dissociated from certain manufacturing processes which worked
at high pressure during the war vears.
Tuberculosis showed a small incidence rate increase from
1.66 to 1.86 per 1,000 of the population, including pulmonary and
non-pulmonary forms, but the death-rate declined, namely, from
all forms of Tuberculosis 0.46 per 1,000 population as compared
with 0.57 in 1944, and for Pulmonary Tuberculosis from 0.51 in
944 to 0.37 in 1945.
Mass Radiography was carried out during the year. The
Unit conducted by the Surrey County Council paid 2 visits and
7,551 personssubmitted to examination of these 654 were referred
for further and more detailed investigation, and 255 were ultimately
found to have Tuberculosis, of which number 187 had
healed primary or post-primary lesions. It should, however, be
remembered that Mass Radiography is not only of value in
detecting Tuberculosis of the lungs; through its medium other
pathological lung conditions can be diagnosed, and it is also of
value in the detection of certain forms of heart abnormalities or
disease.
Details are given (pp. 72 and 73) of the administration of the
Ministry of Health's Tuberculosis Maintenance Allowances
(Memo 266/7) and of the local extension of this scheme, the cost
of which falls entirely upon the Council.