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Tuberculosis reports from Lancashire and Cheshire
PUBLIC HEALTH and happier for the change, and that the same could be said %r all, were it not for financial anxiety.
DECEMBER
attention to the increasing use of surgical measures and includes some interesting photographs of patients who have undergone the major operation of thoracoplasty, showing the slight deformity Tuberculosis Reports from Lancashire that may result. and Cheshire Another report on tuberculosis work to hand The Annual Report for 1935 on the Lancashire is that of the Cheshire Joint Sanatorium, by Dr. Tuberculosis Scheme, by Dr. Lissant Cox, Central Peter Edwards. One of the many interesting Tuberculosis Officer, is again full of interest. features is an account of the extensive laboratory He reports that the death rate from pulmonary work undertaken, and included in this are details tuberculosis is the same as in 1934 when it was the of a method of arriving at a new index for blood lowest recorded in the county, while that for sedimentation rate by the Westergreen technique non-pulmonary tuberculosis has reached a new which Dr. Edwards considers gives a more reliable low record, being 0-10 per 1,000 of the population. picture. Concentration and cultural methods of Alongside this fall in the death rate is also a gratify- sputum examination are much favoured in this ing fall in the number of new cases. This figure institution and figures are given showing the has again created a record, both in the case of favourable results obtained. An innovation during the year under review pulmonary and non-pulmonary conditions. The death rate for the county.was 0-57 per 1,000 as has been in the nature of a " cottage " scheme, compared with 0.71 for the whole of England and similar to that carried out by the North Wales Sanatorium. A beginning has been made with Wales. Probably most of our readers are now familiar one cottage which accommodates four patients, with the Lancashire Scheme, the special feature but it is hoped that eventually six cottages will be of which is the combination of dispensary work provided. Patients are accommodated in two with that of hospital and sanatorium. The county bedded rooms, because it is felt that this is so often is divided into five large areas, each with an average the condition in the patient's own home. Less population of 317,000 with a small sanatorium- space is devoted this year to the table showing hospital and three small dispensary areas connected after results, but the " follow-up " of past patients with the three major institutions. This means is successfully carried on and the actual number of that each Tuberculosis Officer has beds and there patients lost sight of is remarkably small. The is no divorce between dispensary and sanatorium patients at the Cheshire Joint Sanatorium publish work--a system which has undoubted advantages. their own magazine " The Germ," of which we A new feature of the report for the year under have received a copy. This is a very cheery little review is a chapter dealing with the after history publication and reflects great credit on those for five years of the 2,734 new cases of tuberculosis responsible for it. We are not aware how many which were reported in 1930, ~and in connection similar institutions in this country publish their with this survey Dr. Cox emphasises the import- own magazine, but we shall be very glad'to receive ance of prevention, points out that while new copies of any others. methods of diagnosis are helpful, the real sheet anchor of anti-tuberculosis work is the prevention Bacteriology and Public Health Practice of the disease, and stresses the necessity for isolating The appearance of the second edition of and treating the adult positive sputum case. Topley and Wilson's Principles of Bacteriology and As in previous years members of the medical Immunology* is a notable point in the application staff have contributed papers on various technical of these sciences to public health. In the light aspects of tuberculosis. The report under review of this indispensable vade mecum--though on includes papers on " Infra Red Radiation in the second thoughts this is hardly a suitable term for Treatment of Pulmonary Tuberculosis," by Dr. a volume of 1643 pages--it is well to take stock G. Barker Sharnock; " Standardisation of Sedi- of the progress of bacteriology in the past seven mentation Tests," by Dr. F. C. S. Bradbury; years. The addition of some three hundred a joint paper by Dr. A. B. Jamieson and Dr. H. J. pages and the rewriting of a number of sections Villiers on " Mantoux Tests," and a further one indicate that marked advance has been made by Dr. Dobson on " The Culture of Tubercle Bacilli." * The Principles of Bacteriology and Immunology. By Dr. Cox reports an alteration in the age group W. W. C. Topley, M.A., M.D., M.SC., F.R.C.P., F.R;S., of the greatest mortality among females, which has Professor of Bacteriology and Immunology, University of London, and G. S. Wilson, M.D., F.R.C.P., D.P.H., occurred in the age group 15 to 25 in 1935, to the Professor of Bacteriologyas applied to Hygiene, University age group 25 to 35; it is to be hoped that this of London. London: Edward Arnold & Co.; 1936, is a happy augury for the future. He also draws pp. 1643. Price 50s. net. 70
DECEMBER
attention to the increasing use of surgical measures and includes some interesting photographs of patients who have undergone the major operation of thoracoplasty, showing the slight deformity Tuberculosis Reports from Lancashire that may result. and Cheshire Another report on tuberculosis work to hand The Annual Report for 1935 on the Lancashire is that of the Cheshire Joint Sanatorium, by Dr. Tuberculosis Scheme, by Dr. Lissant Cox, Central Peter Edwards. One of the many interesting Tuberculosis Officer, is again full of interest. features is an account of the extensive laboratory He reports that the death rate from pulmonary work undertaken, and included in this are details tuberculosis is the same as in 1934 when it was the of a method of arriving at a new index for blood lowest recorded in the county, while that for sedimentation rate by the Westergreen technique non-pulmonary tuberculosis has reached a new which Dr. Edwards considers gives a more reliable low record, being 0-10 per 1,000 of the population. picture. Concentration and cultural methods of Alongside this fall in the death rate is also a gratify- sputum examination are much favoured in this ing fall in the number of new cases. This figure institution and figures are given showing the has again created a record, both in the case of favourable results obtained. An innovation during the year under review pulmonary and non-pulmonary conditions. The death rate for the county.was 0-57 per 1,000 as has been in the nature of a " cottage " scheme, compared with 0.71 for the whole of England and similar to that carried out by the North Wales Sanatorium. A beginning has been made with Wales. Probably most of our readers are now familiar one cottage which accommodates four patients, with the Lancashire Scheme, the special feature but it is hoped that eventually six cottages will be of which is the combination of dispensary work provided. Patients are accommodated in two with that of hospital and sanatorium. The county bedded rooms, because it is felt that this is so often is divided into five large areas, each with an average the condition in the patient's own home. Less population of 317,000 with a small sanatorium- space is devoted this year to the table showing hospital and three small dispensary areas connected after results, but the " follow-up " of past patients with the three major institutions. This means is successfully carried on and the actual number of that each Tuberculosis Officer has beds and there patients lost sight of is remarkably small. The is no divorce between dispensary and sanatorium patients at the Cheshire Joint Sanatorium publish work--a system which has undoubted advantages. their own magazine " The Germ," of which we A new feature of the report for the year under have received a copy. This is a very cheery little review is a chapter dealing with the after history publication and reflects great credit on those for five years of the 2,734 new cases of tuberculosis responsible for it. We are not aware how many which were reported in 1930, ~and in connection similar institutions in this country publish their with this survey Dr. Cox emphasises the import- own magazine, but we shall be very glad'to receive ance of prevention, points out that while new copies of any others. methods of diagnosis are helpful, the real sheet anchor of anti-tuberculosis work is the prevention Bacteriology and Public Health Practice of the disease, and stresses the necessity for isolating The appearance of the second edition of and treating the adult positive sputum case. Topley and Wilson's Principles of Bacteriology and As in previous years members of the medical Immunology* is a notable point in the application staff have contributed papers on various technical of these sciences to public health. In the light aspects of tuberculosis. The report under review of this indispensable vade mecum--though on includes papers on " Infra Red Radiation in the second thoughts this is hardly a suitable term for Treatment of Pulmonary Tuberculosis," by Dr. a volume of 1643 pages--it is well to take stock G. Barker Sharnock; " Standardisation of Sedi- of the progress of bacteriology in the past seven mentation Tests," by Dr. F. C. S. Bradbury; years. The addition of some three hundred a joint paper by Dr. A. B. Jamieson and Dr. H. J. pages and the rewriting of a number of sections Villiers on " Mantoux Tests," and a further one indicate that marked advance has been made by Dr. Dobson on " The Culture of Tubercle Bacilli." * The Principles of Bacteriology and Immunology. By Dr. Cox reports an alteration in the age group W. W. C. Topley, M.A., M.D., M.SC., F.R.C.P., F.R;S., of the greatest mortality among females, which has Professor of Bacteriology and Immunology, University of London, and G. S. Wilson, M.D., F.R.C.P., D.P.H., occurred in the age group 15 to 25 in 1935, to the Professor of Bacteriologyas applied to Hygiene, University age group 25 to 35; it is to be hoped that this of London. London: Edward Arnold & Co.; 1936, is a happy augury for the future. He also draws pp. 1643. Price 50s. net. 70