The following Report has been prepared by Dr. Crane, the Superintendent of the Sanatorium:-
“Throughout the year, as in 1936, 84 beds were available for the treatment of patients suffering from pulmonary tuberculosis. The allocation of these beds was a follows:- Men 35, Women 35, Children 14 (boys 7, girls 7). Of these beds, 28 are specially kept for acute and advanced cases, 14 for men and 14 for women. There is also an emergency bed fitted up in a separate room in the administrative block for an acute or advanced case when required.
No beds are specially kept for observation cases, but accommodation is always made for such cases, as and when required.
During the year, five children and one man were admitted for observation. Three of the children were diagnosed as tuberculous abdominal glands, and two as tuberculous peripheral glands. The man was diagnosed as non-tuberculous and discharged.
An average of 81.7 beds was occupied throughout the year. The decrease in the average number of beds occupied is due to the falling off of the number of children admitted, which bears out the advice of the Ministry of Health not to rebuild the Children’s Block. London County Council kept an average of 5.19 beds occupied throughout the year.
The majority of children admitted recently have been suffering from the non-pulmonary type of the disease.
There were 152 admissions (60 males, 75 females, 17 children) and 147 discharges (60 males, 72 females, 15 children). Once again a large percentage of the adult cases admitted were of a serious and heavy type with widespread disease. One man, with well-marked pulmonary symptoms, and who had an old standing peritonitis, suddenly developed intestinal obstruction due to adhesions. He was sent to hospital for immediate operation and on his return to the Sanatorium, made a good recovery. Another case admitted with tuberculous epididymitis was successfully operated on in hospital and returned to the Sanatorium. Five children were successfully operated on for the removal of tuberculous cervical glands. One female adult case of pulmonary tuberculosis, complicated by diabetes, was treated with Insulin during her stay at the Sanatorium.
Routine periodical sedimentation tests have been carried out on all patients during the year, and in addition some blood counts, including a modified Von Bonsdorff Count. Several cases were treated with injections of gold, intramuscular and intravenous, and several other cases received intramuscular injections of Cadmium Sulphide.
Artificial Pneumothorax was induced in one case of very severe haemoptysis, and the collapse was maintained with a good result. Thirty-nine refills were given during the year, without the aid of X‑rays, as no X‑ray apparatus was available at the Sanatorium.
One sixth of the adult patients admitted were engaged in the boot and shoe industry, and a large number of married women, admitted as housewives, had previously been engaged in this industry.
As heretofore, the roads and paths have been kept in good repair by the County Surveyor.