Annual Report T U B E R C U L O S I S R E F E R E N C E STATIST I C A L HANDBOOK. New York Tuberculosis and Health Association. 1942. 386, Fourth Avenue, New York City, U.S.A. This mimeographed publication, as usual every year, contains a wealth of statistical matter set forth in tabular form concerning morbidity and mortality from tuberculosis in large American cities, together with useful maps showing the districts in New York served by tuberculosis clinics. But the value of the publication loses much, very much, for lack of any text wherein the meaning of the data is discussed. Failing any such text, the gain would be great, if, in future issues, a table could be included setting forth mortality in past years, and not just for one year. Only thus can any estimate be made regarding the value of the campaign against tuberculosis which is being waged by the Association responsible for this report. From the data given all we can deduce is that for the City
of New York there was a slight rise in the mortality from tuberculosis in i94i as compared with i94o. Great variations are reported for 194 ~ in the mortality-rates for different American cities; St. Paul, Minn., comes lowest with 28 per Ioo,ooo, while Springfield, Mass., and Minneapolis, Minn., are close up at 29; at the other end San Antonio, Tex., stands out with I44 , with Baltimore next at 95, and Washington at 9 ~ . Falls in the mortality occurred in several cities, the largest being in Milwaukee, Buffalo and Providence with 13 per cent; but more cities recorded rises, the greatest being in Omaha with 3~ per cent and Akron with 27 per cent. These changes all took place before America entered the war. The height of the mortality in the different cities is often determined by the proportion of the population which is negro, since negroes experience a far higher mortality than do whites from tuberculosis; it was I96 , in I94O , compared with 43 for whites.
Note THE
BRITISH
ACQUISITION
LEGION AND TREATMENT
TUBERCUI,OSIS
OF NAYLAND SANATORIUM
For some time it has been felt that the facilities available for the treatment of tuberculosis in males at the British Legion Village, Preston Hall, a n d at Douglas House, Bournemouth, should be extended to females, especially to those w o m e n who are now being discharged from the Services. T h e Council of M a n a g e m e n t of Preston Hall have, therefore, concluded arrangements with the authorities of the former East Anglian Sanatorium, near Colchester, to take over that Institution, which will in future be known as N a y l a n d Hall, for the provision of m o d e r n
treatment of tubereulosis in females. It is proposed to develop Occupational T h e r a p y a n d Training in industrial pursuits on the same lines as have been followed at Preston Hall a n d Douglas House, a n d to link up the industrial activities of all three Institutions for the benefit of the patients in each. T h e Sanator!um at N a y l a n d has been well-known to tuberculosis workers for m a n y years as the Institution which was pioneered by the late Dr J a n e Walker. T h e administration of Nayland Hall in the future will be underlaken primarily from Preston Hall u n d e r the direction of Dr J. B. McDougall. T h e British Legion have decided to embark on extensive alterations to certain sections of the property at Nayland as and when labour a n d material becomes available, but, as from M a y i, i943, the direction of the Institution will pass to the British Legion.