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

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St Pancras 1921

[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]

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56
Every case notified was promptly visited by a lady sanitary inspector and such assistance
given as the case seemed to require. The District Nursing Associations were paid by
the Council for the nursing of cases of pneumonia and influenza. In 1921, 125 cases of influenza
and pneumonia were dealt with at the Council's expense, 1,379 nursing visits being paid.

The following is an analysis of the cases notified and visited:—

Age and Sex.Acute Primary Pneumonia.Influenzal Pneumonia.
Males13544
Females10755
0—1461
1—5596
5—15318
15—25168
25—555847
55 and over3229

Other statistical details will be found on pages 34 to 36.
Of the 242 cases of acute primary pneumonia, 165 were treated in their own homes and
77 in hospitals. Of the hospital cases, 34 were treated in the St. Pancras Poor Law Hospitals
and 43 in voluntary hospitals. The cases were already in hospital when visited after notification,
with the exception of 6 which were sent to hospital after being visited. In regard to
the 165 cases which were treated at home, 73 were under the care of visiting nurses (in 62 of the
cases the nurse was sent in as a result of the sanitary inspector's visit).
With regard to the 99 cases of acute influenzal pneumonia, 56 were nursed at home
and 43 in hospitals. Of the hospital cases, 30 were treated in the St. Pancras Poor Law
Hospitals and 13 in voluntary hospitals. The cases were already in hospital when visited,
with the exception of 7 who were sent to hospital after being visited. In regard to the 56
cases which were treated at home, 28 were under the care of visiting nurses (in 22 of these
cases the nurse was sent in as a result of the sanitary inspector's visit).
Most of the hospital cases were notified by the hospital authorities.
That the accommodation for home nursing was inadequate for many of the cases which
were not removed to hospital is shown by the fact that only 40 out of the 165 acute primary
pneumonia cases and 16 out of the 56 acute influenzal pneumonia cases were nursed in a sick
room devoted to their exclusive use. In the other cases the patient was nursed in a room used
as a family living room or as a bed room for other members of the family. In many of the
homes where the family succeeded in providing the patient with a separate sick room this was
only done at the expense of grave overcrowding of the rest of the family.
After-care visits were made to 21 of the cases (20 acute primary, 1 acute influenzal).
OTHER NOTIFIABLE INFECTIOUS DISEASES.
Puerperal fever, ophthalmia neonatorum, and measles (as well as whooping cough) are
dealt with on pages 30 to 33.
No cases of typhus, cholera, plague or human anthrax, glanders or hydrophobia, were
reported in St. Pancras in 1921.
A number of persons who had proceeded to St. Pancras after having been in contact
with smallpox and other dangerous diseases (mostly on shipboard) were reported and kept
under observation, with negative results in all cases.