(b) Admissions
190. The details of treatment in Government Hospitals were as follows:
(a) Number of patients remaining in hos-
pital at last day of previous year... 293
1951 1050
291
483 400
192. In addition the following collapse measures were carried out:
A. P. T.
זז,
68
306
Induction
Refills
I'neumolysis
7
P
Abandoned
7
(c) Discharges:
Phrenic Operations
71
(A) Completed Treatment-
(1) Improved 351 269
A. P. P.
(ii) In same
Induction
Refills
28
251
condition 62
46
Bronchoscopy
9
(iii) Worse
Thoracoplasty
10
(R) Discharged against medical advise 27
26
(C) Died
38
36
(D) Transferred to other hospitals
11
19
Total discharges during the year 491
898
235 293
(d) Number of patients remaining in hospital as at last day of the year
Apart from the substantial drop in the average dura- tion of treatment there is little of note in comparing the two years.
191. During the year a satisfactory start has been made in the establishment of major surgical treatment for pulmonary tuberculosis. The results have been eminently satisfactory as re- garded from an immediate standpoint but the long term results will have to be awaited. In all 10 thoracoplasty operations have been completed without untoward result and the further exten- sion of these activities is restricted not by the demand but by the shortage of beds.
10-1 --
Streptomycin was administered to 136 patients, in all cuses with P.A.S.
Social Work.
193 All patients on first diagnosis are interviewed in the Almoners department where detailed records of the social con- ditions of all tuberculous patients are prepared and retained for future reference. Such problems as exist are dealt with accord- ing to the extent of the available facilities and every effort is made to ensure that the patient, if he is fortunate enough to secure admission to hospital can do so free of anxiety.
194. As there is no general social security scheme the need for an efficient and well provided Almoners department is of paramount importance. Few tuberculosis sufferers can afford to give up work for the length of time necessary to effect reasonably satisfactory treatment. Some employers, mainly the larger firms, are prepared to grant prolonged sick leave with
105