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These figures speak for themselves, and require no special
comment.
Sanatorium Treatment.— An increasing number of the
patients seen for the first time have been found to be in a
sufficiently early stage to justify expectation of permanent
arrest of the disease by Sanatorium treatment. Unfortunately,
there are not sufficient beds available to make the early admission
of these patients to Sanatorium possible. They have,
therefore, to wait several weeks before commencing treatment.
The scarcity of beds also prevents patients remaining
in Sanatorium for a sufficient length of time.
The opening of a new ward at Dagenham will, it is hoped,
bring this very unsatisfactory state of affairs to an end.
A certain number of cases too ill for Sanatorium treatment
to hold out any hope of improvement are seen every year.
A Home for Advanced cases, in West Ham, would be a
suitable way of dealing with them. At present they remain at
home, where they fail to obtain the careful nursing they require,
and are a constant source of danger to all in contact
with them, or end in Whipps Gross Poor Law Hospital, or are
transferred to Dagenham Hospital, where they have a depressing
effect on the other patients.
After-Care.— A more extensive After-Care Scheme is
needed if permanent good results are to be expected from
Sanatorium treatment. Provision of Extra Nourishments
cannot be said to have helped very much in the treatment of
patients. I should like to draw attention to the late Tuberculosis
Officer's suggestion in last year's report that the