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Request Cases are those cases which have been sent by a
Medical Practitioner, a General Hospital, or other Authority
to the Tuberculosis Dispensary for diagnosis or advice. In
this connection the co-operation between the Tuberculosis
Officer, the Doctors, and the various Hospitals and Institutions,
both within and Without the Borough, is complete and cordial.

Observation Cases consist of several classes of cases, e.g.,
those cases in whom the diagnosis is for a time uncertain, and
who are examined at frequent short intervals pending a definite
diagnosis (expectant cases), as also those in whom the disease
has become quiescent or arrested and who are examined at more
or less long intervals (supervision cases).
Pre-Tubercular cases, so classified, are those (mostly the
offspring of Tuberculous parents) in whom, though no actual
sign of Tuberculosis is present, tne general condition of health
is one bordering on Tuberculosis.
Treatment.—Treatment given consists of either Dispensary,
Sanatorium, Hospital or Domiciliary, according to the
state of the disease and other guiding factors.
Though the number of cases treated at outside Institutions
is decreasing, the retention of a small number of beds at these
extraneous Institutions is advantageous, as there are a few
patients whom it would, for exceptional reasons, be unwise to
send to the Dagenham Sanatorium.