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89
Tuberculosis.
The Council's Tuberculosis service has the following ramifications:—
The administration of the Tuberculosis Regulations of 1925 and 1930.
The supply and supervision of shelters at the homes of patients.
Bacteriological examination of specimens of sputum.
The provision of Tuberculosis Dispensaries.
Home visiting of tuberculous cases.
Visiting and medical examination of cases for the Ministry of Pensions.
Arrangements for securing the examination and systematic supervision of
home contacts.
An agreement with the War Memorial Hospital for X-ray examinations in
doubtful cases.
Arrangements for following up cases where the diagnosis is doubtful.
Co-operation with the medical staff of St. Nicholas Hospital, the Tuberculosis
Officer acting as Consultant for tuberculous patients.
Co-operation between the Tuberculosis Officer and the local medical practitioners.
Co-operation with the School Medical Service.
Provision of extra nourishment for tuberculous persons.
An agreement with the School Treatment Committee for the provision of
dental treatment.
An agreement with the London Hospital for Finsen Light treatment of lupus.
An agreement with the Brompton Hospital for the induction of artificial
pneumo-thorax.
The formation of a Care Committee.
Institutional treatment through the London County Council.
Details of the Council's Tuberculosis Service are given in the following pages,
but before dealing with them it is convenient to deal here with the mortality statistics.
Deaths.—The deaths from pulmonary tuberculosis during 1933 numbered 116,
giving a death-rate of 0.79 per 1,000 of the population. The corresponding figures
for 1932 were 139 and 0.95 respectively. Deaths from other forms of tuberculosis
numbered 19, as against 15 in the preceding year, the death-rate being 0.13 per
1,000 of the population. The total number of deaths from tuberculosis during the
year was 135, and the combined mortality rate 0.92. The deaths and death-rates
from tuberculosis, classified by type of disease, annually since 1929, have been as
follows:—