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individual case are carefully considered, and efforts are made to
meet those needs. Certain selected cases have been sent to the
Papworth Village Settlement, Preston Hall Colony, and Burrow
Hill with the purpose of permanent settlement.
Admitted Settled Discharged
4 2 3*
* including one admitted in 1928.
Children. The Children's Sanatorium has been in full use
throughout the year. There has been a "Waiting List,"
chiefly of girls; this is due to the fact that there are seven cases
with positive sputum which have had prolonged periods of treatment.
Of these seven cases, six are girls.
Domiciliary Treatment. Insured persons, while awaiting
admission to Institutions and after discharge, have been placed
under domiciliary treatment under their Panel Practitioner. During
the year, 974 reports in respect of such cases have been received.
These reports are completed quarterly by the Panel Practioner
and sent to the Tuberculosis Officer who, in this way, keeps
in touch both with the patient and the Medical Attendant. At the
end of the year, 346 patients were under domiciliary treatment.
Dispensary Treatment. Children and non-insured persons
have been treated at the Dispensary. At the end of the year, 533
cases were under treatment.
Artificial Pneumothorax. One afternoon session per fortnight
has been devoted to this form of treatment. Eight patients
have been in attendance, and 93 refills given.
Non-Pulmonary Tuberculosis. Institutional Treatment.
Adults. Some 12 beds have been in constant use at the Royal
Sea-Bathing Hospital, Margate.
Children. The number of children receiving institutional
Treatment at the end of the year was 45. Beds for these cases
have been found in a dozen different Institutions.
Out-Patient Treatment.
Tuberculosis of Skin. These are treated at the London Hospital.
During the year 35 patients have been under treatment by
Finsen or Artificial Sunlight.
Tuberculosis of Bones and Joints. Some Orthopaedic cases
are referred, on discharge from Hospital, to the Surgeon who
originally diagnosed the case, or to the Surgeon treating the case
in Institution, at his Out-Patient Clinic. Other cases are referred
to the Balaam Street Children's Hospital.
After-Care. Extra Nourishment grants have been made as
usual. At the end of the year there were 116 such cases.
Visiting of Patients. The Tuberculosis Nurses have made
4,463 visits to the homes of patients ; this total is the highest number
since 1922. The carrying out of prophylactic measures is
considerably hindered by the lack of means and adequate housing
accommodation.
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