according to age, those below the age of 8 years being examined by Mantoux Test and vaccinated with B.C.G. if negative, and X-rayed if positive. Those above this age proceed straight to X-ray, attending the Chest Clinie only if the X-ray findings are abnormal. The findings were as follows:
(4) Under & præra of «pe.
Toberculin teats {
Clinical findings
of toberçulin tested positive MOSICA
Percentage of active
Negative
Positive
Active tuberculosis Inactive tuberculosis. Suspicious
1966.
1956.
1,143
RGA
2,295
2,292
157
109
16
54
212
315
Free of tuberculosis . tuberculosia
1830
1814
4.45
3.49
Active tuberculosis
372
ination following
Inactive tuberculosis.
22%
169
contact X-ray
Suspicious
452
633
Free of tuberculosis.
8,380
4.535
Percentage of contacts over 8 years with
active tuberculosis
4.75
માસવ
Grand total of contacts examined
12,954
IBST
() Quer N years of age.
89.
Resulta of exam-
The Orthopaedic Tuberculosis clinic now in its second year of operation is proving to be a most valuable adjunct to the Tuberculosis Service and a convenience to patients-many of whom suffer from both pulmonary and orthopaedic tuber- culous disease and can therefore have both conditions treated in the same premises, All cases are investigated as to their chest condition in the first instance so that by the time the patient attends the orthopaedic session he is fully documented and home visited, and the treatment for his chest condition already arranged. There is at present no provision for bone and joint X-rays on the premises and patients have to travel to Queen Mary Hospital for this purpose. Patients who require hospital treatment are admitted to either Queen Mary Hospital or Ruttonjee Sanatorium by the arrangement of the Consulting Orthopaedic Surgeon who conducts the clinic. The results of treatment so far are very encouraging. Total attendances for the year were 556.
90. A surgical chest clinic is held once per week by the thoracic surgeon, using the resources of the chest clinic, for the benefit of patients suffering from tuberculosis who appear to require surgical treatment to effect control of their pulmonary
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!
disease. Cases for the most part originate in the Chest Clinics, This session also affords the Thoracic Surgeon an opportunity to review cases who have previously had surgical treatment.
91. The total altendances for the year were 619.
Radiolupien! Examinations.
92. All X-ray work is done by the respective X-ray depart- ments which are controlled by the Senior Radiological Specialist. X-ray facilities are available in the main clinics for both day and evening sessions. In the branch clinics no facilities are available on the spot but may be provided by the monthly visit of the mobile X-ray unit or by sending the patients to central X-ray departments. During the latter half of the year the mobile unit was not available.
93. First examinations are normally carried out on 35 mm, Gim. Special examinations such as tomography and broncho- grams are available only in the two main general hospitals.
94. Details of work done during the year on behalf of the clinica are as follows:
1958.
1950.
(Including Wanchai,
Cheung Chao, Aberdeen, Stanley & Mobile Unit)
35 mm.
50,847
37,221
Large film or paper. 20,618
29.695
14,599
1.467
Kowloon Chest Clinic
& New Territories Clinics
1
25 mm. Large film or puper. 22,042 5′′ X ***
9,008
17,434
10,330
20,629
R12R
95. It will be seen that the 35 mm, figures are substantially reduced as a result, mainly, of the mobile unit not being available. The use of large filma and papers has increased due to increase in the number of patients dealt with and partly at the expense of 5" X 4" films which do not find universal acceptance,
96. It has not been found possible, mainly for administrative reasons, to avoid the time between X-ray and communication to patient below one week. This adds unnecessarily to the time taken to arrive at a diagnosis but this cannot, at present be avoided.
97. All laboratory work done in connexion with the Tuberculosis Service is the responsibility of the Government
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