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the notified case is investigated, and as a result 36 persons
were referred for examination to their medical attendant
under the scheme provided by the Council. The actual
number of contacts so examined was 32, five of whom were
found to be affected with tuberculosis.
In five cases the diagnosis was doubtful, and these were
referred for further examination to the County Tuberculosis
Officer.
Disinfection, Cleanliness, Disposal of Discharges.
—Disinfection is carried out only in cases where the house
is dirty and disinfection appears desirable. The Health
Visitors endeavour to secure a constant state of cleanliness
in the home which is essentially important in connection
with the spread of tuberculosis. In 24 cases notified to the
Health. Department and visited by the Health Visitors,
the method of disposal of discharges, i.e., sputum, etc.,
was considered unsatisfactory, but instruction and subsequent
visitation effected the necessary remedy.
Treatment.—This area as far as the treatment of
tuberculosis is concerned, is under the control of the
Middlesex County Council. During the year the arrangements
to be made for the treatment of persons suffering
from tuberculosis in Willesden were not completed.