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I have to report, with satisfaction, that one of the patients
who was treated at the Burrow Hill Colony received also training'
in Gardening and that since his discharge home, in July, 1933,
he has been accepted for trial as a worker in the Parks Department
of the Borough.
Children. The Children's Sanatorium at Langdon Hill has
been in full use.
Domiciliary Treatment. Insured persons, awaiting admission
to Institutions, or after discharge, have been placed on Domiciliary
Treatment. Periodic reports are furnished by Panel Practitioners.
Six hundred and thirty-five reports have been received during
the year ; 372 patients were under treatment at the end of the year.
Dispensary Treatment. Children and non-insured persons
have been treated at the Dispensary. At the end of the year 580
cases were receiving Dispensary Treatment.
Artificial Pneumothorax. Seventeen cases have been under
regular treatment. One hundred and twenty refills have been
given at the Dispensary.
Non-Pulmonary Tuberculosis. Adult cases have been sent to
the Royal Sea-Bathing Hospital, Margate. Children have been
treated in different Orthopaedic Hospitals; the majority at the
Lord Mayor Treloar Cripples' Hospital, Alton.
Tuberculosis of Skin. Twenty-one cases have been under
treatment by Finsen Light or Artificial Sunlight at the London
Hospital.
After Care. All cases on return from Institution are examined
at the Dispensary or in their own homes, if necessary, and appropriate
treatment arranged.
Orthopaedic cases are referred either to the original Surgeon
or to the Orthopaedic Surgeon at the Balaam Street Children's
Hospital.
Extra Nourishments.
The number of cases has been gradually increasing. At the
end of the year 260 cases were receiving grants; this number includes
children.
Aetiology of Tuberculosis.
Investigations into the causation of Tuberculosis have been
continued. Particular attention has been directed to the relation
of the onset of the disease to some discouragement or worry. In
some 200 cases investigated, approximately, 50% have given a
story of some associated discouragement—shock, disappointment
or bereavement. The presence of such an association is regarded
as important in the subsequent treatment and progress of the
disease.
In consequence of these observations, Tuberculosis Nurses
are visiting families some six months after the decease of a
patient to enquire as to the health of the rest of the family.
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