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brought up-to-date, partitions were constructed to increase the number of room, a separate room was set up for massage and ultra violet rays, a garden was laid out and a pavilion for convalescents erected, and at the end of the year work was started on the remodeling of the barrack partly occupied by the children's ward to convert the whole building into a contagious section with a capacity of 40 beds.
These improvements were effected in the face of a growing number of reports which took more and more of the medical officer's time, and in spite of greatly increased duties assumed by Dr. van Ackere in October when she became Area Medical Officer.
Some idea of the work of the hospital can be gained from the following memo dated March 15th. addressed to the Director, Mrs. Laborde, and covering the preceding two weeks:
"During reporting period 79 patients were hospitalized.
In other hospitals hospitalized 7 patients.
An average of 30 - 35 people attend sick call and dental clinic per day.
110 laboratory analyses have been made.
58 X-rays have been made.
57 typhus and typhoid immunizations have been made,
1 child has been immunized for smallpox and
1 child has been immunized for diphtheria."
On February 13., a French Red X team fluoroscoped 789 inhabitants of the camp and found 139 old cases of tuberculosis which had been cured, and 135 persons who required further examination.
Beginning March 23rd., a Swiss Red Cross team X-rayed 877 members of the camp and reported 35 positive cases, of whom 16 were already known to Dr. van Ackere, and of whom 11 were found on further examination to be negative. Out of the 28 others reported as requiring further examination, three were found positive, but they were already known to the hospital a TB cases. Among the persons reported as negative were eleven TB cases known to the team Medical Officer as such and confirmed as such after further examination. Eleven TB cases were already in sanitaria. The TB rate was found to be the unusually high one of five per cent, but it is said that such a
high
