149. The fact that the tuberculosis beds are dispersed in three institutions adds to the administrative and other difficulties of the Tuberculosis Service which would, no doubt, achieve more were all the beds concentrated in a special tuberculosis hospital. That there is a great need for such a hospital, con- structed and staffed on the cheapest lines, is undoubted, but financial considerations and the Department's commitments in other directions make it unlikely that such a hospital will be available for some years to come. In present circumstances not only is administration and supervision of available beds mude difficult for the Tuberculoais Service but it is also not possible to organize a proper sanatorium regime and institute an adequate system of occupational therapy.
150. Despite these difficulties the results of treatment are reasonably satisfactory and the readmission rate was just over 10%. The total number of patients admitted during the year was greater than in any previous years on account of the careful policy adopted with regard to the selection of cases.
151. Details of admissions and results of treatment are as follows:
152. The number of deaths recorded above is very low indeed and this of course results from the policy of admitting only cases in which prognosis is good. This policy is relaxed, to some extent, in the case of Government officers and their dependants, school teachers etc. The majority of the deaths recorded occurred among dependants of Government officers.
153. The following is a summary of treatment given in hospitals:-
A. T T-
A. P. P.
Initial Refilla
Pneumolysis keskkonnangedagp
Abandoned
Initial
Refilla
{'hrenic operatione
Bronchoscopy
Thoracoplasty"
-----
196
GRA*1
30
1951
159
3,266
38
28
148
150
3,273
2.76a
140
207
11
$5
67
4
1958
Remaining in hospital at last day of
previous year
300
9K
Admissions
308
Ka-admitted after temporary transfer
478
6
1
Discharge:
(a) Completed treatment.
(1) No abnormality delected
(ii) Improved
(ii) Unchanged
1
ተጎ
སྒྱུ་
124
300
66
(lv) Worae «---+---+--kboom-urmESTEEM
3
1
(6) Against medical advice
*
akakakakak
26
(*) Died
(2) Transferred
LG
15
3
12
N
Rembining at last day of the year
306
309
j
40
Other cbeat operation ................
154. As was the case in the previous year A.P.T. is still considered by the medical staff to be the treatment of choice in a large number of cases and, in general, more appropriate than A.P.P.
155. The response of the patients to treatment has been gratifying. It has, in general, been almost immediate, no doubt on account of the high resistance of the local population to the infection. In many cases the type of the disease is such that permanent lung collapse is indicated and in such cases thoraco- plasty is the treatment generally adopted. Results from this have been good and no death had resulted from operation. Physiotherapy is instituted very soon after operation and results have been functionally and aesthetically satisfactory, Thera- peutically also results have been good and failure to render the sputum free from tubercle bacilli have been exceptional.
41
No comments yet.
Private notes are available after approval.