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Of the 23 who were referred to hospital:—
7 were found to require operation (6 have been operated on ; 1 is awaiting operation);
9 required treatment (7 are still receiving treatment and are under observation ; 2 have
been relieved and discharged);
5 were reassured and discharged;
2 failed to keep their appointments (1 has left the district ; 1 is still under observation).
The pathological conditions from which the 58 new cases suffered are briefly as follows:—
2 cases had Cancer;
(1 required operation ; 1 had been operated on and required observation);
10 cases had abnormal breast conditions;
1 had a tumour;
1 had a eyst;
8 had mastitis;
8 cases had affections of the generative organs often found to be pre-cancerous (3
required operation);
15 cases had conditions affecting the digestive tract which occasionally lead to Cancer;
4 cases had similar conditions of the mouth and throat;
5 cases had innocent tumours of the skin or body wall;
14 cases had conditions unconnected with cancer, but which were causing anxiety or
required treatment.
The nurse attached to the Clinic pays following-up visits to the homes of patients attending.
During last year 57 such visits were paid. The nurse also visits homes where disinfection has been
requested, generally after a death from cancer has taken place or after a patient has been moved
elsewhere. 12 houses were visited in this way. The information obtained is often incomplete but
n 3 cases there appeared to have been avoidable delay in obtaining early treatment.
INFECTIOUS DISEASES.
During the year 1935, 2,315 cases of Infectious Disease were notified as compared with 2,503
in the previous year. The total of 2,315 includes 451 notifications of Diphtheria as compared with
365 in 1934. 486 cases of Scarlet Fever as compared with 811 in 1934, 258 cases of Pneumonia as
compared with 324 in 1934, 643 cases of Whooping Cough as compared with 480 in 1934, and 91
cases of Erysipelas as compared with 111 in 1934. The number of cases of Diphtheria is the highest
since 1930, in which year 491 cases were recorded.
Return Cases of Scarlet Fever.—The following statement gives the return cases that
have occurred during 1935:—
I. Home Cases.—53.
(a) No. of infecting cases giving rise to return cases not longer than
28 days after release from isolation 0
„ return cases they gave rise to 0
,, infecting cases per cent. of total home cases 0
,, return cases per cent. of total home cases 0
(b) No. of infecting cases giving rise to return cases more than 28
days after release from isolation 0
,, return cases they gave rise to 0
„ infecting cases per cent. of total home cases 0
„ return cases per cent. of total home cases 0
II. Hospital Cases.—433.
(a) No. of infecting cases giving rise to return cases not longer than
28 days after discharge 23
,, return cases they gave rise to 30
,, infecting cases per cent. of total hospital cases 5.3
,, return cases per cent. of total hospital cases 6.9
Note.—Two of these return cases occurred after the 28 days but the first return case had occurred
within the 28 days.