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7
tuberculosis register was removed but in the accompanying Ministry
circular the hope was expressed that the register would continue
to be maintained. As the requirements for the notification of
the transfer of cases from one district to another was removed at
the same time, it seemed unlikely at first that an accurate
register could be maintained. Medical Officers of Health
generally have continued to exchange information on cases and, in
Tottenham, the Chest Physician (Dr. T. A. C. McQuiston) continues to
co-operate fully so that there has been little change in the
information reaching the Department, ensuring that an approximately
accurate register remains.
The principal diffulty experienced continues to be in respect
of those cases who fail to maintain contact with the Chest Clinic.
These may move from the district or may die from a cause other
than tuberculosis without the information coming to the notice of
the department.
For this reason a review is made periodically of the register
and in all cases where no recent entry is recorded the name is
checked against the register of electors. Where it is found that
the person is no longer registered, the Chest Clinic is notified
and the register corrected. In this way 102 cases were removed
from the register during 1952.
The number of cases on the register continues to rise. At
the 31st December there were 1,682 (1,503 pulmonary and 179 nonpulmonary)
which represented an increase of 87 on the previous
year.
There were 179 new cases of tuberculosis notified in 1952,
163 being pulmonary cases, compared with 201, 192 of which were
pulmonary cases in 1951.