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8
RE-INFORCING INJECTIONS AGAINST DIPHTHERIA:
Prior to 1st January, 1946. During Year, 1946. Total.
849 1702 2551
The supervision of smallpox and typhus fever contacts
arriving in this country was continued, 209 smallpox and 64
typhus contacts being kept under supervision; no case of
either disease occurred in the district.
TUBERCULOSIS:
The following Table shows the notifications of tuberculosis
during the last, six years:—

I am indebted to Dr. McCallum, the County Tuberculosis
Officer for the following observations:—
"The situation as regards tuberculosis in Hendon for
the year 1946 cannot be considered quite so optimistically
as in the previous year. This is mainly because of the
steadily increasing difficulty of obtaining institutional
treatment for cases of all types owing to the shortage of
usable beds from lack of staff, both nursing and domestic.
In addition the death rate is once more nearer the 1944
level. During the year there were in all 75 deaths, giving
a rate of 49 per 100,000 as compared with -39 in 1945 and
61 in 1944. Of the total number of deaths 63 were due
to pulmonary disease and the remainder to non-pulmonary
disease. Male deaths again preponderated and were 43
compared with ,32 in females. Correlating deaths with