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

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London County Council 1935

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

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52
department of the Council as " improvers." Since 1931, 20 youths have been
accepted for employment, and only one left the service on health grounds, which
is undoubtedly very gratifying. Three are now on the permanent adult staff and
one other is eligible, but has not passed the medical examination for entrance ; he
will be re-examined in October next. Two others are expected to qualify in
horticulture before long, and will then be submitted for medical examination with a
view to permanent appointment. In no case has a bad report been received.
The boys are evidently keen to do well, and are rendering the Council good value
in their work. Time lost owing to sickness has been approximately 4 per cent.,
which is considered very satisfactory.
Following-up
of discharged
cases.
Adults.—During the year investigations were made concerning the adult cases
discharged from hospitals or sanatoria in 1929 ; the number investigated was 3,829,
including 276 non-pulmonary cases. The following table shows the result of the
enquiry and also (in brackets) the corresponding figures ascertained from last year's
enquiry into the 1928 cases :—

Table 58.

ClassificationTotalPercentage ulive five years after dischargePercentage dead
A514 (579)76.6 (75.1)23.4 (24.9)
B 1169 (187)72.1 (65.7)27.9 (34.3)
B 21,975 (2,149)35.2 (34.6)64.8 (65.4)
B 3895 (964)4.4 (4.7)95.6 (95.3)
Non-pulmonary276 (261)74.3 (75.8)25.7 (24.2)

Particulars obtained in 1934 as to the fitness for work of the 1,455 surviving
adult patients who were discharged from treatment in 1929 show that out of a total
of 516 A and B1 cases, 68.4 per cent. were at work. The corresponding percentage
for the A and B1 cases in the 1928 group was 74.2. The percentages at work in the
other categories and also the corresponding figures for the 1928 group (shown in
brackets) are as follows :—B2, 52.2 (54.3) per cent.; B3, 38.5 (34.8) per cent. ; and
surgical, 63.4 (67.2) per cent. Of the total number of 1,455 in all categories, 59.2
(62.5) per cent. were at work, 6.5 (6.7) per cent. were fit for work but were unemployed,
29.3 (30.8) per cent. were unable to work (including cases receiving further
residential treatment).
Children.—The particulars obtained as to the after histories of children discharged
under 16 years of age in 1929 relate to 592, of whom 173 are pulmonary
and 419 non.pulmonary.

The mortality records are as follows, the figures in brackets referring to year's enquiry into the 1928 cases :—

Table 59.

ClassificationTotalPercentage alive five years after dischargePercentage dead
A132 (147)91.7 (87.8)8.3 (12.2)
B 12 (1)100.0 (100.0)-(-)
B 222 (30)45.5 (36.7)54.5 (63.3)
B 317 (28)5.9 (.)94.1 (100.0)
Non.pulmonary419 (475)90.3 (94.1)9.7 (5.9)

The mortality rates of the non-pulmonary cases classified according to the location of the disease are as follows :—

Table 60.

Location of diseaseTotalPercentage alive five years after dischargePercentage dead
Hip52 (70)84.6 (91.5)15.4 (8.5)
Spine40 (41)75.0 (92.7)25.0 (7.3)
Other bones108 (108)94.5 (95.4)5.5 (4.6)
Glands181 (233)92.3 (95.3)7.7 (4.7)
Other parts38 (23)92.1 (87.0)7.9 (13.0)