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40
tion of advanced cases, and with this view I admitted cases into
the Isolation Hospital, at one time having as many as 35 patients
under treatment.
The beds were recognised by the Local Government Board as
being suitable for the purpose, and in 1914 the Board recommended
the Council to erect a special pavilion in the grounds adjacent
to the Isolation Hospital. The admission of such cases to
Isolation Hospitals has since been followed by a large number of
authorities. At the same time arrangements were made for early
cases to be admitted to various Santoria outside the district.
There was objection raised at cases being admitted to the
Isolation Hospital and the Council eventually purchased Harts at
Woodford Green.
The question has been raised as to whether the cost of the
treatment of patients at Harts is economical and full benefit
derived therefrom.
At the enquiry held by the Ministry of Health when Harts
was purchased I stated that the site was not an ideal one for
early cases but it had the advantage of being near the Borough
for removal of advanced cases thereto and convenient for friends
to visit, but as at present arranged the buildings are not suitable
for dying cases.
Roughly speaking, Tuberculosis patients may be divided into
three classes :—
1. Early cases with good general health, whose condition
is curable. Unfortunately these cases are rare owing to
the fact that the case is not often diagnosed early.
2. More advanced cases who will recover to a certain extent
under suitable conditions but will probably lapse after discharge
from the Institution.
N.B.—About 40 per cent. of the cases which have been
admitted to Harts since it was opened had died by
the end of 1925.
3. Advanced cases which may be in an acute or chronic condition
and will probably get worse and die.
The advantage of sanatorium treatment to the first two classes
is that they are educated to live non-infectious lives and thus the