View report page

59
NOTES.
(N.B.—Notes 1 to 5 below repeat definitions (d) to (h) on p. 7 of
Memorandum 37/T.)
(1) Public Medical Treatment.—Treatment at a dispensary or residential
institution or “general suDervision," under a scheme approved by the Minister
of Health for the treatment of tuberculosis, of a person who has been diagnosed
to be suffering from tuberculosis. (Note.—A patient under domiciliary treatment
should be regarded as also under “general supervision" by the Tuberculosis
Officer.)
(2) Patient-A person who has beer, diagnosed to be suffering from tuberculosis
and is under public medical treatment for tuberculosis.
(The term does not include a person who is kept under observation
pending the establishment of the diagnosis, and who is referred
to in the Memorandum as an “observation case," but includes all
persons on the Dispensary Register who are under “general supervision,"
even if not in receipt of any treatment.)
(3) Dispensary Treatment.—Treatment by a Tuberculosis Officer in cases
where the patient is seen not Jess frequently than once in every month, and is
examined not less often than once in three months.
(4) Domiciliary Treatment.—Treatment of an insured patient by his Insurance
practitioner on the recommendation of the Tuberculosis Officer.
(5) Year.—The calendar year ending on the 31st day of December.
(6) Adults.—'For the purposes of Tuberculosis Records all patients of 15
years and upwards should be classed as adults.
(7) New Cases.—
(a) All persons examined for the first time at, or in connection with, the
Dispensary, except definite cases of tubercuiosis transferred from
the areas of other local authorities. Persons seen in consultation,
who will subsequently be deal: with by their own private practitioners,
should be included.
(b) Persons who have been dealt with previously bv the Dispensary and
discharged as cured," or provisionally diagnosed as not, at that
time, suffering from tuberculosis, who return to the Dispensary
as suspected cases of tuberculosis.
(8) Observation Cases.—Persons attending at, or in connection with, the
Dispensary, in whose cases the Tuberculosis Officer cannot, within a period of
one month from his first examination of the case, come to a definite diagnosis
after physical examination and the application of the necessary tests. In
completing sections A and B, such cases should be entered under sub-head (b)
in eadh section.
(9) Dispensary Register.—List containing names of all persons attending
at, or seen in connection with, the Dispensary for diagnosis or for treatment
for tuberculosis, including patients under “general supervision" (whether or
not accompanied by domiciliary treatment), and patients or observation cases
in residential institutions, and “contacts." (This must be distinguished
from the Notification Register kept by the Medical Officer of Health.)