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87
Report of Tuberculosis Officer—continued.
(b) The health of Contacts, and whether they will attend
the Dispensary for examination or go to their own doctors.
(c) The extent to which the patient is taking care to
prevent the spread of infection by following the advice given.
(d) The sanitary condition of the home, defects reported
and action taken to abate nuisances.
In general, the aim has been to concentrate not only on the
patient but on the family to prevent infection, to see that early
disease is detected, and to improve home conditions from the
sanitary and economic viewpoints.
189 of the new attenders were referred by the Council's staff.
Bacteriological examinations of Sputa. The number of
specimens sent by practitioners for examination was 257 as
against 368 in 1931. The number of examinations of specimens
for Dispensary cases was 756, as compared with 669 in 1932.
X-ray Diagnosis. The number of X-ray examinations is 164
compared with 149 in the previous year. Cases were X-rayed
in connection with the Tuberculin Test as reported last year.
Extra Nourishment. Recommendations were made to the
Public Assistance Authorities for extra nourishment in the case
of patients receiving Public Assistance in addition to grants
made by the Borough to 63 persons.
Institutional Treatment. 158 patients were recommended to
the London County Council for institutional treatment, 9 of
which the London County Council were unable to accept under
the Tuberculosis Scheme, and were referred to general hospitals.
Two patients refused treatment. 298 reports on the condition
of the patients treated in previous years were sent to the County
Council. Recommendations were also made from Dispensary
for direct admission to London County Council general hospitals.
In the case of patients attending general hospitals who are
recommended for sanatorium treatment, a copy of the discharge
report is always sent to the hospital concerned on the patient's
return, for the information of the doctor in charge of the case.
Reports are asked for subsequently each year from the hospital
doctor so that the patient's progress can be supervised.