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All testing and vaccinating during 1963 under this scheme was carried out in Southall by
the Middlesex County Council Staff.
Mass X-ray
The mobile Mass X-ray Unit paid only two routine visits to Southall factories during
1963, i.e.
Associated Equipment Company Limited—number X-rayed 2,399
North Thames Gas Board Works ... —number X-rayed 292
In these surveys, one active case of pulmonary tuberculosis, and one observation case,
i.e. showing signs of old disease but no symptoms, were found. No cancer cases were
discovered.
There is now available at the West Middlesex Hospital a static Mass X-ray Unit, the
second to be introduced in Middlesex, and while primarily intended for the use of hospital
patients, there is an open invitation for any member of the public to attend, at any time when
the Unit is working, for a check. This is a most useful undertaking and supplements the work
done during the visit of the Mobile Unit to Southall. It also saves the need, in most cases, of
reference by appointment to the Chest X-ray Clinic for a large film to be taken.
Dr. J. T. Nicol Roe, Chest Physician, Uxbridge Chest Clinic, reports on the need for
continued aggressive action in detecting the new case of pulmonary tuberculosis, for only
by so doing and treating this case effectively will the marked improvement in the control of
tuberculosis in this country be maintained. The increase of new cases of pulmonary and
other forms of tuberculosis experienced in Southall in 1963 has chiefly been due to the increase
in Indian and Pakistani and West Indian immigrants to the Borough.
Once again we must express indebtedness to the General Practitioners in Southall in
continuing to refer newly arrived Indians and their families for X-rays and/or Tuberculin
testing to the Chest Clinic. Appeal is made that the co-operation be stepped up to improve
the anti-tuberculosis programme.
Patients in the Southall area, as before, are admitted to Harefield Hospital. Dr. Nicol
Roe considers it is still a desirable thing for anti-tuberculous drugs to be initiated in hospital,
as a certain risk always exists towards the development of sensitivity reactions.

•Indians and Pakistanis
fWest Indians
With regard to prevention and early detection of cases, contacts both at home and
factory or workshop should have regular X-rays and/or Tuberculin Tests. Full use should
continue to be made of the Mass X-rav Unit's visits to the Boroueh.
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