It will be seen have risen by 5% have risen by 31%. before the age of 5 1946 respectively.
G
that while deaths from tuberculosis (all formLA) over 1947 the tuberculous meningitis deaths Furthermore 85% of these deaths occurred years as ngaiust $1% and 66% in 1947 and
Deaths from tuberculosis (other forms) have remained fairly atcudy over the past 3 yêurs and have not shared the rise showi in the meningitis deaths nor is thume any significant alteration in the age of incidence. It is of interest to note that the deaths from Tuberculosis (other forms) constitute 8.7% of all tuberculosis deaths, about the same proportion as is shown in the figures for United Kingdom. The origin of those infections is highly un- likely to be from milk in view of the small amount of milk consumed in the Colony, There is no specialised service for dealing with non pulmonary disease and little accurate information is available on the subject.
TABLE II
DEATHS FROM TUBERCULOSIS (OTHER FORMS)
1946-1948.
165
The very substantial inereuses in the number of cases of pulmonary tuberrulusis notified can be accounted for by several considerations, In the first place the settling of roaditiona generally has resulted in more stabilised and organised medical services. Secondly, efforts are being made to ensure that all diagnosed cares are notified. Thirdly, the government bas established a diagnostic service available to all without charge with the result that a large number of individuds who would other- wise be druied Treatment on economic grounds are now being seen. and notified. The principal feature of interest is the preponderance of mule cases in all except the 65-75 age groupe. How much of this preponderance is due to an increased morbidity rate and how touch is due to variation in the sex distribution is difficult to determine exactly though it is thought likely that adult males autoumber females in the same age groups an account of the attractions in the nature of employment offered by the Colony, In the 1981 census it was found that males constituted about 60% of the population between the ages of II and 55 years. Aasuming that conditions are now relatively the same, as would appear likely we have the explanation of the apparent higher morbidity in males. On the other hand the case mortality which is lowest in the 36-46 age groups is higher in females until this age after which the rates are fairly similar.
1946
1947
1948
M.
F Total M. F.
Total M.
Total
#44 1 1 1 1
5
54
37 #1
49 130
88
48
116
15
19
18
97
39
27
-28
5
14
7
14
2
48
2
13
1
9
10
6
58
68
2
74
+
Unknown
|||
Total
!
fug 75
174
105 74 179
98 73
171
Deaths from pulmonary tuberculosis have remained fairly constant over the past 3 years when considered numerically in spite of the deterioration" in social condition. Rased on the estimated population (1) the rate has fallen steadily 92, 81, 80 per 100,000 in 1946, 1947 and 1948 respectively. Based on the estimated population (2) the figures for the same years are 126, 117 and 128 per 100,000. In consideration of the fact that the two sets of figures show different tendencies it would be futile to draw conclusions. It is obvious, however, that these figures do not reflect the increases apparent in the meningitis deaths. It would appear therefore that the increased intensity of infection has been, to some extent at least, offset by the improved economic conditions resulting in improved resistance in adults.