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64
The numbers sent up during the year under review
indicate that the Dispensary continues to hold its position
as a consultation centre for Tuberculosis.
Bacteriological Examinations.
In addition to a large amount of other specialized
investigation both bacteriological and pathological, Miss
Robinson has carried out in the Borough Laboratory
1141 tests for Tubercle Bacilli. It should be pointed out
that the London County Council carry out their own tests
lor patients in Eulham Hospital under the present
regime, and this has accounted for a slight drop in the
laboratory figures during 1932 in this one particular.
As, however, it has been decided to test the Dispensary
cases rather more frequently in the future, it is probable
that the succeeding years' total will be very much increased
and the extra testing may be valuable in bringing
to light suspected cases of tuberculosis, as well as
shewing important variations in the samples from existing
notified cases.
Institutional Treatment.
The London County Council is the authority responsible
for the provision of sanatorium and other
institutional treatment for notified cases—such patients
being recommended to them by the Tuberculosis Officer.
Periods of intensive observation are also given in
cases of difficult and doubtful diagnosis chiefly at
Brompton Hospital in the case of adults, and at High
Wood Hospital for children.
In the great majority of cases recommendations for
observation and treatment are accepted; though it occasionally
happens that a heavy waiting list at Headquarters
may defer or cause non-acceptance of a recommendation
for some special institution.