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55
stage, and treatment given, in a very large proportion of the
cases the disease will become permanently arrested. In 27.2
per cent. of the 1932 notifications tubercle bacilli were found in
the sputum. A large proportion of the remaining 72.8 per cent.
of the cases were notified in the early and curable stage of the
disease.
Our work is, therefore, directed towards a decrease in the
number of infectious cases amongst the primary notifications,
and establishing a diagnosis of tuberculosis in the earliest stage
of the disease.
The total number of notified cases on the Register on 31st
December, 1932, was 909 (Pulmonary and Non-Pulmonary). Of
these 321 were definitely infectious cases, i.e., cases in which
tubercle bacilli have been found in the sputum at some period of
the illness.

It will be observed that there is a tendency towards diminution
of deaths from this disease.
It is of interest to compare the death rates of pulmonary and
non-pulmonary cases in East Ham as compared with the totals for
England and Wales.