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51
preceding three years. The steady reduction in the cases of nonpulmonary
tuberculosis can be seen from the following figures for
while the number of cases has continued at a fairly constant level
owing to the increasing population, the incidence per thousand of
population has been almost halved since the quenquinium 1912-15.

The total deaths from tuberculosis were 103 (pulmonary 94,
non-pulmonary 9). being four less than in the preceding year.
Eleven persons were certified as dying from pulmonary
tuberculosis and two from non-pulmonary tuberculosis
although they had not been notified as suffering from
the disease. Where the deaths were certified by local medical
practitioners their attention was drawn to the necessity of notifying
under the Public Health (Notification of Infectious Disease)
Regulations, 1918.
The number of cases on the Tuberculosis Register at the end
of the year was 550 (452 pulmonary and 98 non-pulmonary),
this total being somewhat higher than the total of the previous
year of 490. The cases on the Register are revised periodically
and close touch is maintained with the local Tuberculosis Dispensary
to ensure that cases are removed from the Register when they are
cured, or have removed from the district, etc. Where necessary,
the Sanitary Inspectors visit the homes to discover the progress
of patients not under the supervision of the Tuberculosis Officer.
Dr. J. T. Nicol Roe, who is in charge of the local Tuberculosis
Dispensary maintained by the Middlesex County Council, has been
good enough to supply the following information regarding residents
from the Borough who were dealt with during the year.