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てつ
b. A. P. T.
Initial
Refill
(Unsatisfactory
Abandoned (Completed treatment
6. P. P. T.
Initial..
Refill
d. Specific Drug Treatment
Streptomycin ..
P. A. S.
Aspiration ...
Contact xamination.
17
1,459
102
4
2
80
For the first two months of the year the only method of ensuring contact examination was to encourage the examination of contacts through the patients themselves. In Marchi, however, the first batch of six tuberculosis workers completed their training. These Visitors, all girls, had no preliminary nursing or hospital training, but started off on the course of training for tuberculosis workers with no knowledge of medical or social work whatever. After five montha training they were considered fit to comence work. They work under the immediate direction of the Almoner. Their prinicpal duties are in connection with the examination of contacts. Each Visitor is responsible for a district and visits the home of each case known in her wrŒEL. The addresses of patients are obtained from the Harcourt Clinic and from the notification returns. The reception given by the patients to the Visitors, who are designedly not uniformed, has been much better than expected and gradually it has been possible to gain the confidence of the patients. Generally speaking it has been com- paratively easy to persiade contacts to come for examination. The system in operation is that children 8 years and under are tuberculin tested and only the positive are X-rayed. For simplicity a patch test is used. In the case of contacts over 8 years of age Xray is arranged so as to avoid the necessity of the contacts' visiting the clinic. If positive X-ray findings are recorded the patient is encouraged to attend the Clinic for treatment. The figures obtained are as follows:-
Contacts 8 years and under Tuberculin Tested,
Positive ans subsequently X-rayed 307 Negative
Contacts all ages --- X-rayed
(Active
(Inactive
X-ray findings
(Suspicious
930
..
623
3,144
235
194
165
(Not Tuberculous....2,550
In addition these Visitors assist the patients by advice aa to diet and prevention of spread of infection, and they encourage regular attendance at the Clinic. The details of the work for the ten months ending 31st December, 1949 are as follows :-
(1) Total number of first vistim
Number of addresses not found
(3) Total mımber of visits
(4) Patients known to have died
2,921
510
4,886
366
(5) Patients known to have returned to village. 172