London's Pulse: Medical Officer of Health reports 1848-1972

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Fulham 1959

[Report of the Medical Officer of Health for Fulham Borough]

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attendances now form 20.3% of the attendances against the 27.2% of notified cases
attending, the balance of 52.4% being contact attendances. This figure of 20.3% for
the non-pulmonary attendances will continue to rise in the next ten years.
The pilot survey, the preliminary to the Nuffield population survey of respiratory
symptoms was started in May, 1959. Six months were spent in studying the methodology,
with particular reference to the structure of the population in this borough. The
borough was divided into ten distinct ecological sub-areas, based on housing,
proximity to the river, main roads, type of dwelling, etc.
Invaluable assistance was given in this preliminary work by the public health
department and other local authority departments.
Towards the end of the year a small pilot survey was carried out in the
Hammersmith area to test the questionnaire and interviewing techniques. The main
Fulham survey was scheduled to start in January, 1960, and 2,500 will be completed
shortly on the basis of visiting all the families in dwellings selected at random.

COMPARATIVE SUMMARY OF STATISTICS

Number of New Patients Attending
Non-Tuberculous cases228( 175)
Contacts126( 177)
Transfer-in notifications63( 83)
Number of New Notifications by Fulham Chest Clinic28( 38)
Of these 12 (8) were referred by the M.R.U.
Number of Clinic Attendances
Notified Cases2,086(2,207)
Contacts4,019(2,842)
Non-Tuberculous1,558(1,187)
7,663(6 236)
Notifications in Fulham Borough
Pulmonary74( 95)
Non-Pulmonary2( 9)
Number of Deaths
Pulmonary21( 30)
Non-Pulmonary-(-)
Number Taken off Register as Cured
Pulmonary25( 40)
Non-Pulmonary-( 14)
Number of visits by Chest Physician62( 113)
Number of visits by Health Visitors3,409(3. 537)
Number of X-Rays taken3,616
Number of patients undergoing treatment at home ..8
Number of B.C. G. vaccinations158( 136)
Number of notified cases on Register at 31.12.591,262(1,312)
Figures in brackets are the comparative figures for 1958.