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

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Islington 1949

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

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Scabies Clinic.—A consultant dermatologist is in attendance.

Number of Clinics held52
Number of cases attended445
Adults241
Children under 5 years78
School children126
Diagnosis of cases—445
Scabies338
Other conditions107

Home Visiting. Follow-up home visiting for cases of scabies and vermin was carried out by the Home Visitors of the Cleansing Station, as under :—

Families VisitedRevisitsIneffective VisitsTotal
Scabies29119181491
Vermin1.259*748982,231
(* 10 cases were treated at home)

Bacteriological Examinations.

Total
Swabs (Diphtheria)503
Sputum (Tuberculosis)84
Faeces (Typhoid)8
Blood (Typhoid)
Faeces (Dysentery)126
Faeces (Food poisoning)25
Swabs (Streptococci)23
Total769

Tuberculosis.
The notification rates per 1,000 population for new cases of pulmonary
tuberculosis for the last three years have been—1947—2.18 ; 1948—2.34 ; 1949—
2.39. This is disquieting in spite of the fact that pulmonary tuberculosis death-rates
are falling very slowly. Although such increase may in part be due to better
ascertainment, there is certainly no evidence that the real incidence is falling.
There is much concern over our failure to tackle this problem successfully.
There is no single road to success and attacks must be made on many fronts. Thus
there is the medical aspect with improvements in treatment, the hospital problem
of how to increase the number of beds for the treatment of cases in hospitals and
sanatoria and reduce the waiting period at home of the diagnosed infective case,
the problem of special provision for the chronic infective case and linked with these,
the rehousing problem for tuberculous families.