London's Pulse: Medical Officer of Health reports 1848-1972

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East Ham 1929

[Report of the Medical Officer of Health for East Ham]

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26
NOTES TO TABLE I.—TUBERCULOSIS.
(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 is
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 are classed as adults.
(7) New Cases.—
(a) All persons examined for the first time at, or in
tion 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, are included.
(b) Persons who have been dealt with previously by the
Dispensary and discharged 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 are 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