[Report 1929] / Medical Officer of Health, Cumberland County Council.
- Cumberland County Council
- Date:
- 1929
Licence: Attribution 4.0 International (CC BY 4.0)
Credit: [Report 1929] / Medical Officer of Health, Cumberland County Council. Source: Wellcome Collection.
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![EXTENSION OF THE INYESTIOATION DURINO i9;u). In view of the fact that my work in this County is almost entirely confined to assisting in the administration of the Health De})artment and that my opportunities for clinical work are becoming steadily less, I am extremely glad to be able to say that a number of medical men who are all experts on iuberculosis have been good enough to agree to carry the investigation further during 1930 in their own areas. These are Dr. Burrell at the Brompton Hospital, London; Dr. Goodchild at Blencath’ra Sana- torium; Dr. Peile at the Sanatoriiim, Bridge-of-Weir; Dr. Varrier-Jones at Papworth; Dr. W. H. Dickinson at Newcastle. It may also be possible to arrange for the treatment to be investigated at one of the Sanatoria belonging to the Lancashire County Council through Dr. Lissant-Cox. Investigations by various observers have shown that the presence of albumen in the sputum may be of equal or even more importance in early pulmonary tuberculosis than the presence of tubercle bacilli, both for diagnosis and for estimating the pi’obable pi-ogress of the case. Moxeyl2 in a recent article has set out the position very clearly. Bioadly speaking the position is this, albumen in the sputum indicates destruction of lung- tissue, and is present in any condition which causes this destruction. It is ])resent, for example, in certain acute lung diseases such as pneumonia, but in the more chronic conditions in which it is present the diagnosis between these and tuberculosis should not prove difficult. I have therefore arranged with Dr. Faulds that the sputum of new cases placed under treatment subsequent to the transfer of the Bacteriological work of the County Council to the Pathological Department of the Cumber- land Infirmary will be examined for albumen as well as for the determination of the numbers of tubercle bacilli present. I have had cojisideialjle correspondence with tlie Glaxo Laboratories and have seen some of their Directors and chemical ex])erts, and these Laboratories have agreed to prepare a cod liver oil emulsion containing Iodine as usual and with a guaranteed Vitamin D content at a very](https://iiif.wellcomecollection.org/image/b29132903_0065.jp2/full/800%2C/0/default.jpg)
