X1000307-1948-49_Part01 — Page 43

TABLE I

TUBERCULOSIS (ALL FORMS) NOTIFICATIONS AND DEATHS.

02

Population

Year

Estimated

Estimated

Notifica-

tion

Deaths

D/N

Ratio

Death

Rates per 100,000 pop.

(1)

(2)

Estimated

(3)

Estimated

(2)

1928

005'901

970.440

2.537

330.9

258

1920

802.900

1.047.280

2,158

L'897

200

068T

838.800

1.047.400

1.994

237.7

190.3

168T

840.473

378.947

1932

900.812

900.812

1983

022.643

$19'226

1934

944.492

944.492

2(QPPION 10N

7.983

235.9

225.6

2.042

226.6

226.6

2.325

241.2

241.2

2.179

230.7

230.7

1935

966,341

966.341

2.237

231.5

231.5

1936

061 986

988.190

2416

244.5

24.5

1937

1,281,982

1.004.982

4.028

314.2

400.0

1938

1.478.619

1,028.010

4.920

332.7

+78.3

DEBT

1.750,256

1.050.254

TRO'Z

1.443

1 to 1.7

253.6

423.0

LFBI

DIGI

1.800.000

1.168.814

2.801

1,752

1 to 1.6

109.50

149.9

1,750.000

1.214.762

4.855

1.861

1 to 2.6

106.3

153,2

1949

1.800.000

1.128,316

8.279

TBO'T

1 to 3.3

108.0

174.1

In

It will be seen from the above that the progressive reduction in the tuberculosis death rate evident from 1928 onwards showed a marked adverse tendency from 1937 onwards accompanied by a andden rise in the population due to the influx of war refugees from China – The outstanding feature of the table, however, is the drop in the figures for 1946-48 which, though increasing slightly over the period, have remained relatively steady. consideration of the rate as a whole some comfort can be obtained from the fact that even considering the local conditions the figure is only double that shown in U.K. where social conditions are immeasurably better, where relief is available for all and where a comprehensive scheme for the diagnosis and treatment of tuber- culosis has been in existence for many years. The second out. standing feature is the improvement of the deaths/notification figures again exhibiting the resistance of the population to the disease. This recovery power is apparent in the shortness of the period of hospitalisation required to stabilise patients. This tendency is apparent in the local population only and is not true of Europeans in whom the disease runs an expected course; it must, however, be emphasised that this is merely an impression gained from limited observation and that it is not yet" backed Atatistically.

One very disquieting feature of the tuberculosis picture is the very high and increasing number of deaths from tubercular meningitis. This rising figure is out of all proportion to the onaller increase in the deaths from tuberculosis (all forms) and shows a progressive reduction in the age at death. This in a measure of the deterioration in the social conditions and indicates an increase in the intensity of infection. The rise may be due to an increase in the number of younger children at risk but is more probably a true increase, as it is not apparent in the other forms of tuberculosis.

TABLE II

TUBERCULAR MENINGITIS

Deaths 1946-48.

1948

1947

1948

M. F. Total

M. F. Total

M. F. Total

5

63

48 1

111

10 100 1 216

IS

18

10

28

JG 13

29

183 | 138

17

295

19

36

25

1 I

5

18

35

3

4

5

-

2

-15

55

-65

-75

-75 + F........ Unknown

Total

98

70

189

137127

204

190 | 157 |

347

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