London's Pulse: Medical Officer of Health reports 1848-1972

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Barnes 1914

[Report of the Medical Officer of Health for Barnes]

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Hospital Administration.
89
These figures are explained by the fact that practically all the
cases admitted have the disease in an advanced stage.
On looking over the 77 patients admitted during 1913, we find
that 36 are still alive, 36 are dead, and 5 are untraced.
TUBERCULOSIS ADMINISTRATION.
Judged from the standpoint of the present medical knowledge
of Tuberculosis, the campaign against the spread of the disease
must be in the main preventive rather than curative, and must
continue so until some specific means are found of destroying
the Tubercle Bacillus.
All the Dispensary can do at present is to advise, educate, and
prescribe such remedies as will alleviate distress or stimulate the
patients' powers of resistance.
The Hospital treatment is purely preventive by reducing the
risks of spreading infection.
The Sanatorium treatment is purely educational.
Domiciliary treatment is next to useless among the working
classes.
SANATORIUM TREATMENT.
Sanatorium treatment is quite distinct from Hospital treatment,
and as much so as Hospital treatment is distinct from
Dispensary treatment.
What can be done in Barnes ?
1. We can treat Hospital cases, i.e., advanced and brokendown
cases in our wards.
2. We can treat early cases, and chronic resistant cases at our
Dispensary.
3. Can we treat the intermediate case as well as some other
Institutions ?
By the intermediate case, I mean a case with a pronounced but
not an advanced lesion, and one whose resistance is lowered, i.e.,