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in 1933 was the lowest ever recorded. The mortality in 1934,
for which year the death-rate from tuberculosis is 0.80, shows a
fairly substantial increase which it is impossible to explain.
Nine persons were certified as dying from pulmonary
tuberculosis although they had not been notified as suffering from
the disease. Six of these cases died in the Borough and were
attended by local doctors, the other three deaths occurring outside
the Borough. Two deaths from non-pulmonary tuberculosis had
not been previously notified, one death being certified by a local
practitioner and the other occurring outside the district. When a
local medical practitioner fails to notify a case previous to death
a communication is sent drawing his attention to his failure to
comply with the requirements of the Public Health (Notification
of Infectious Disease) Regulations, 1918.
The number of cases remaining on the Tuberculosis Register
at the end of the year was 490 (410 pulmonary and 80 nonpulmonary),
these figures being less than twelve months previously
when the register contained 514 cases (416 pulmonary and 98 nonpulmonary).
Particular care is taken to ensure that this register
contains the latest information and close touch is maintained with
the local Tuberculosis Dispensary which is provided by the Middlesex
County Council.
The Tuberculosis Officer in charge of this Dispensary has
been good enough to supply the following information with respect
to patients from the Borough who came under his supervision
during the year:—
Number of persons examined for the first time:
(a) Tuberculosis of Lungs 109
(b) Other forms of Tuberculosis 8
Number of persons in Institutions at end of year:
(a) Tuberculosis of Lungs 54
(b) Other forms of Tuberculosis 10
Number of persons under observation at end of year 173
Number sent to Sanatoria during year 63
Number sent to Hospital during year 37