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Notes.
(N.B.—Notes 1 to 5 below repeat definitions (d) to (h) on p. 7 of Memorandum 37/T.)
(1) Public Medical Treatment.—Treatment at a dispensary or residential
institution or "general supervision," under a scheme approved by the Minister of
Health for the treatment of tuberculosis, of a person who has been diagnosed to be
suffering from tuberculosis. (Note.—A patient under domiciliary treatment should
be regarded as also under "general supervision" by the Tuberculosis Officer.)
(2) Patient.—A person who has been diagnosed to be suffering from tuberculosis
and is under public medical treatment for tuberculosis.
(The term does not include a person who is kept under observation pending
the establishment of the diagnosis, and who is referred to in the Memorandum
as an "observation case," but includes all persons on the Dispensary Register
who are under "general supervision," even if not in receipt of any treatment.)
(3) Dispensary Treatment.—Treatment by a Tuberculosis Officer in cases where
the patient is seen not less frequently than once in every month, and is examined not
less often than once in three months.
(4) Domiciliary Treatment.—Treatment of an insured patient by his Insurance
practitioner on the recommendation of the Tuberculosis Officer.
(5) Year.—The calendar year ending on the 31st day of December.
(6) Adults.—For the purposes of Tuberculosis Records all patients of 15 years
and upwards should be classed as adults.
(7) New cases.—
(a) All persons examined for the first time at, or in connection with, the
Dispensary, except definite cases of tuberculosis transferred from the
areas of other local authorities. Persons seen in consultation, who will
subsequently be dealt with by their own private practitioners, should be
included.
(b) Persons who have been dealt with previously by the Dispensary and
charged as "cured," or provisionally diagnosed as not, at that time,
suffering from tuberculosis, who return to the Dispensary as suspected
cases of tuberculosis.
(8) Observation Cases.—Persons attending at, or in connection with, the
Dispensary, in whose cases the Tuberculosis Officer cannot, within a period of one
month from his first examination of the case, come to a definite diagnosis after
physical examination and the application of the necessary tests. In completing
sections A and B, such cases should be entered under sub-head (b) in each section.
(9) Dispensary Register.—List containing names of all persons attending at, or
seen in connection with, the Dispensary for diagnosis or for treatment for tuberculosis,
including patients under "general supervision" (whether or not accompanied by
domiciliary treatment), and patients or observation cases in residential institutions,
and "contacts." (This must be distinguished from the Notification Register kept
by the Medical Officer of Health.)