Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Lambeth, Metropolitan Borough of]
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TABLE I.
Lambeth Municipal Tuberculosis Dispensaries Scheme.
Return as to Work carried out in connection with the Two Tuberculosis Dispensaries (Central and Branch) for the Period from January 1st to December 31st, 1917.
Central Dispensary. | Branch Dispensary. | Totals. | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Insured. | Uninsured. | Insured. | Uninsured. | ||||||||
Males. | Females | Childr'n under 16. | Adults. | Males. | Females | Childr'n under 16. | Adults. | ||||
Males | Females | Males. | Females. | ||||||||
1. (a) Number of persons examined for the first time during the above period at or in connection with the Dispensaries | 311 | 79 | 233 | 63 | I 158 | 209 | 138 | 232 | 27 | 142 | 1592 |
(b) Number included under 1 (a) who were found to be suffering from pulmonary tuberculosis | 109 | 37 | 21 | 18 | 28 | 82 | 35 | 9 | 13 | 33 | 385 |
(c) Number included under 1 (a) who were found to be suffering from non-pulmonary tuberculosis | 2 | 5 | 133 | 2 | 8 | 8 | 14 | 57 | 1 | 9 | 239 |
(d) Number included under 1 (a) who were found to be non-tuberculous* | 72 | 10 | 50 | 9 | 56 | 71 | 58 | 100 | 6 | 67 | 499 |
(e) Number included under 1 (a) in whom the diagnosis was found to be doubtful | 128 | 27 | 29 | 34 | 66 | 48 | 31 | 66 | 7 | 33 | 469 |
Central Dispensary. | Branch Dispensary. | Totals. | |||||||||
Insured. | Uninsured. | Insured. | Uninsured. | ||||||||
2. (a) Total attendances at the Dispensary (including attendances at the Dispensary of persons included under 1 (a)) | 2892 | 5626 | 2458 | 2733 | 13709 | ||||||
(b) Number of the above attendances at which systematic physical examinations and records were made | 618 | 860 | 983 | 833 | 2994 | ||||||
3. Number of visits to patients at their own homes by the Dispensary Medical Officers in connection with the supervision of home conditions” | 19 | 90 | — | — | 109 | ||||||
4. Number of visits to patients at their own homes by the Dispensary Nurses in connection with the supervision of home conditions and “following up”§ | 604 | — | — | ||||||||
5. Number of persons suffering from or suspected to be suffering from tuberculosis referred to the Hospital to which the Dispensary is affiliated | 1029 | 1633 | |||||||||
6. Number of consultations with the- (a) Medical Adviser of the Insurance Committee | 15 | 10 | 103 | 112 | 240 | ||||||
(b) Consulting Physicians at the Hospital to which the Dispensary is affiliated | — | — | — | — | — | ||||||
(c) Practitioners at the homes of patients‡ | — | — | — | — | - | ||||||
7. Number of written reports concerning individual patients made to— | 4 | 5 | — | — | 9 | ||||||
(a) Public Authorities | 445 | 182 | 362 | 89 | 1078 | ||||||
(b) Practitioners | 310 | 99 | 211 | 69 | 689 | ||||||
8. Number of specimens examined | 316 | 146 | 103 | 90 | 655 |
* From physical signs.
†Under the Lambeth Scheme. the Tuberculosis Medical Officer connected with the Branch Dispensary (St. Thomas's
Hospital) does not visi at the patients' own homes, such visit to be paid, as required, by the Medical Officer connected
with the Central Dispensary (73 Effra Road, Brixton).
§ The number are approximate only, no exact figures for the Branch Dispensary being available, properrecord not
having been kept during the' first half of the year 1917. Other visits, in addition, were made during 1917 by the Council,s
Health Visitors to houses, wherein tuberculosis patients were notified, as following:-(a) area covered by the Central Dispensary,
1060; (i) area covered by the Branch Disoensirv 914;making a total of 1917.
N.B.-Nurse Mary S. Angus resigned her appoinment as tuberculosis nurse at the Central Dispensary during1917, and was succeeded
by Nurse Cissy Small, appointed temporarily on April 26th, 1917, and permanentil on October 19th, 1917.