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

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London County Council 1927

[Report of the Medical Officer of Health for London County Council]

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35
The immediate results of the treatment of patients discharged on completion
of courses of treatment during 1927 are indicated below. The figures in brackets
are those for the previous year. For the purpose of this table patients of 15 years
of age are regarded as adults, owing to the "age" division of patients required
for the purposes of the Ministry of Health, although treatment for them was arranged
in institutions for children.
Immediate results
of treatment.
Classification.
Surgical.
Totals.
A.
Bl.
B2.
B3.
Quiescent 181 (135) 73 (42) 51 (29) — (—) 83 (81) 388 (287)
Much improved 352 (349) 168 (215) 1,021 (1,093) 45 (29) 205 (265)1,791(1,951)
No material improvement
122 (102) 12 (38) 1,152 (1,473) 549 (422) 77 (56) 1,912 (2,091)
Died in institutions
5 (4) — (2) 46 (50) 460 (395) 18 (11) 529 (462)
Totals 660 (590) 253 (297) 2,270(2,645) 1,054(846) 383(413) 4,620 (4,791)
With regard to children, the number recommended for treatment under the
Council's Tuberculosis Scheme during each of the last five years was 865 in 1923,
1,019 in 1924, 1,025 in 1925, 1,163 in 1926, 1,190 in 1927. The increase from 1924
onwards may be attributable partly to the fact that cases formerly sent to Metropolitan
Asylums Board institutions through the Poor Law Guardians are now
referred to the Council, partly to the increased facilities for prompt treatment now
available under the Council's Tuberculosis Scheme and partly to the additional
cases dealt with directly by the Council owing to the termination of the agreement
with the Invalid Children's Aid Association for the "convalescent" treatment of
tuberculous children. There is now no waiting list, either for pulmonary or surgical
cases in children. In dealing with surgical cases arrangements have been made for
the immediate admission to residential institutions of children suffering from
tuberculous of the hip, spine and other joints.
Of the 1,190 children (i.e., patients under 16 years of age) referred to the Council
in 1927,1,164 were accepted for treatment, 26 were not accepted or were withdrawn ;
30 of the accepted cases for various reasons failed to enter institutions after
acceptance. There were 202 children under treatment in voluntary institutions
and 678 in Metropolitan Asylums Board institutions on 1st January, 1927 (total
880) and 1,048 children were admitted during the year, making in 1927 the total
number of children treated 1,928 as against 1,874 in 1926. The number of children
under treatment on 31st December, 1927, was 884, distributed as follows :—
Metropolitan Asylums Board Institutions 664
Voluntary Institutions 220
The condition of the children under 15 years of age who were discharged from
residential institutions in 1927 is indicated in the following table (children of 15
vears of age are included with adults owing to requirements of the Ministry of Health).

The figuresin brackets are those for1926 :—

Immediate results of treatment.A.Classification.Surgical.Totals.
Bl.B2.B3.
Quiescent72 (83) ]- (1)1 (2)- (-)360 (245)433 (331)
Much improved83 (62)1 (2)5 (14)- (2)224 (260)313 (340)
No material improvement19 (25)1 (-)6 (3)7 (27)27 (40)60 (95)
Died in institution1 (3)- (-)2 (-)7 (14)18 (20)28 (37)
Total175 (173)2 (3)14 (19)14 (43)629 (565)834 (803)

In addition to the foregoing arrangements for residential treatment of tuberculous
children the Council has established six open-air day schools for children