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contracted outside the district, the changes occurring in these ages
result in most deaths being now due to disease contracted locally.
This contrasts with deaths of females 25-44 in whom in two-thirds
of the cases the disease was acquired before the patient resided in
the area. Probably the most valuable indication of the trend of
tuberculosis will be the determination of the standardized death
rate worked out on the residence of cases contracted locally, ignoring
the transferred cases. This information will be of value only after
a period of years, when the effect of residence elsewhere will
presumably have passed off.
Deaths.
57 persons died from pulmonary tuberculosis, of whom
3(5 were males and 21 females. Of the 52 cases in respect of whom
particulars were obtainable, 33 eases were first notified as suffering
from tuberculosis when living in this district, 28, namely. 16 males
and 12 females, occurring in estate houses, and 4 males and one
female in the older property. Of the transfers, 14. namely. 8 male
and 6 female, were occupants of estate houses, 2 males lived in the
older property, and 1 male and 2 females in the new property.
7 cases of pulmonary tuberculosis were not notified before
death. One was resident in a mental hospital and two had been
admitted to other institutions, being sent in for conditions other
than tuberculosis. One unnotified case was a person here on a
visit of a few days, and another was a person who had transferred
here some 4 weeks previously.
Of the 20 deaths from non-pulmonary tuberculosis, 13 were of
males and 7 of females. 12 of these occurred in children under 5,
of whom 10 were born here. Meningitis was the cause of death in
13, miliary tuberculosis 2, kidney disease 2 and spine, hip and peritoneum
1 each. 10 of these deaths were un-notified, of which
miliary tuberculosis or meningitis was the cause in 7. All but one
of the deaths occurred amongst the residents of estate houses.
Sputum Analysis.
317 samples of sputa were submitted for analysis during the
year at the Essex County Public Health Laboratories.
Public Health Act, 1925, Section 62.
No action was taken during the year for compulsory removal
to hospital of any infectious tuberculous person.
Tuberculosis After-Care Association.
This Association has held many meetings throughout the year,
giving grants to necessitous cases.