M 81
324. Investigations have been made on the Mantoux reactions of a group of in-patients chosen at random, and they show clearly that the percentage of positive reactions rises with age, only 15% of the one to five year group being positive whereas over 80% of the above twenty groups give a positive reaction. These results seem to indicate that it is a waste of time and material to Mantoux test adults of over twenty.
325. The provision of after-care for cases of tuberculosis and cardiovascular disease constitutes a formidable problem. The position as regards tuberculosis will not improve until the disease is attacked from the social side for the simple reason that there is not hospital accommodation in the Colony for a fiftieth of the cases which exist. The cardiac cripples are in equally unhappy cases and are compelled to eke out their existence by alternating between hospital and slum home. The majority of the children who suffer from cardiac disease are classified as cases of rheumatic carditis, but it is worthy of note that Sydenham's chorea and rheumatic nodules are never seen clinically, nor is it common to find Aschoff's nodes when the myocardium is examined.
326. The two outstanding aetiological problems which confront us here at the moment are the carditis of children and the cirrhosis of the liver which is so common in young adult males. The former is not distinctively "rheumatic" in the European sense of the term, and whatever the latter is, and no factor has yet been incriminated, it is certainly not alcoholic.
327. Cases treated as inpatients in the university teaching medical wards :-
Men 211 344 Women 133 Children (under 12 years old) 130 Total 474 Number of cases died during the year. Adults 36 Children 28 Total death 64328. Cases treated as out-patients at the university medical out-patient clinics :-
(a) Afternoon clinic (general medical cases)
Mondays and Thursdays: 1,646 new cases seen and treated: many of these cases attended more than once, bringing to a total of 4,395 attendances.
(b) Children's clinic.
Thursday mornings: 461 new cases seen and treated: many of these cases attended more than once, bringing to a total of 1,286 attendances.
The total number of cases seen and treated by the medical unit at out-patients department both general and children during the year 1939 was 5,681 (this figure included old and new cases, men, women and children).
+
M 81
324. Investigations have been made on the Mantoux reactions of a group of in-patients chosen at random, and they show clearly that the percentage of positive reactions rises with age, only 15% of the one to five year group being positive whereas over 80% of the above twenty groups give a positive reaction. These re- sults seem to indicate that it is a waste of time and material to Mantoux test adults of over twenty.
325. The provision of after-care for cases of tuberculosis and cardiovascular disease constitutes a formidable problem. The position as regards tuberculosis will not improve until the disease is attacked from the social side for the simple reason that there is not hospital accommodation in the Colony for a fiftieth of the cases which exist. The cardiac cripples are in equally unhappy cases and are compelled to eke out their existence by alternating between hospital and slum home. majority of the children who suffer from cardiac disease are classified as cases of rheumatic carditis, but it is worthy of note that Sydenham's chorea and rheumatic nodules are never seen clinically, nor is it common to find Aschoff's nodes when the myocardium is examined.
The
326. The two outstanding aetiological problems which confront us here at the moment are the carditis of children and the cirrhosis of the liver which is so common in young adult males. The former is not distinctively "rheumatic" in the European sense of the term, and whatever the latter is, and no factor has yet been incriminated, it is certainly not alcoholic.
327. Cases treated as inpatients in the university teaching medical wards :-
Men
2111
344
Women
133
Children (under 12 years old)
130
Total
474
Number of cases died during the year.
Adults
Children
Total death
36
28
64
328. Cases treated as out-patients at the university medical out-patient clinics :-
(a) Afternoon clinic (general medical cases)
Mondays and Thursdays:
1,646 new cases seen and treated: many of these cases attended more than
once, bringing to a total of 4,395 attendances.
(b) Children's clinic.
Thursday mornings :
461 new cases seen and treated: many of these cases attended more than
once, bringing to a total of 1,286 attendances.
The total number of cases seen and treated by the medical unit at out-patients department both general and children during the year 1939 was 5,681 (this figure included old and new cases, men, women and children).
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