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 London County Council]
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Metropolitan borough | Deaths from tuberculosis | Ratio of cases on dispensary register to cases on notification register | Number per 100 deaths from tuberculosis in the borough | Total attendances per case on register | Tuberculosis officers' visits per case on register | Total consultations per case on register | Nurses' visits per case on register | X-rav examinations | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Actual | Per 1,000 inhabitants | Definitely tuberculous per. sonson dispensary register. | T.B ‡ cases on dispensary register | Examinations | per 100 new cases and contacts | per 100 new cases | ||||||||
New cases. | Contacts | |||||||||||||
Adults | Children | |||||||||||||
126 | .85 | 635 | 313 | 457 | 75 | 104 | 4.3 | .37 | .37 | 4.4 | 25.4 | 35.4 | ||
108 | 1.05 | .89 | 758 | 301 | 419 | 168 | 262 | 4.5 | 115 | .36 | 3.3 | 63.6 | 128.9 | |
63 | .63 | .58 | 1,144 | 433 | 684 | 180 | 120 | 4.9 | .20 | .33 | 4.4 | 68.9 | 99.3 | |
192 | .82 | .80 | 871 | 400 | 351 | 173 | 189 | 3.5 | .35 | .35 | 5.5 | 55.2 | 112.2 | |
41 | .72 | .89 | 749 | 304 | 953 | 136 | 163 | .15 | .30 | 11.0 | 100.8 | 132.5 | ||
89 | .9 | .73 | 555 | 296 | 438 | 58 | 77 | 4.5 | .36 | .17 | 6.7 | 37.0 | 48.5 | |
54 | .5 | .60 | 812 | 377 | 364 | 103 | 162 | 4.7 | .37 | .56 | 5.0 | 44.0 | 76.1 | |
128 | .89 | .43 | 585 | 268 | 528 | 111 | 87 | 5.9 | .59 | 1.18 | 3.9 | 37.6 | 51.8 | |
78 | .81 | .82 | 678 | 323 | 571 | 98 | 88 | 4.5 | .26 | .56 | 5.7 | 90.0 | 119.5 | |
139 | .66 | .67 | 897 | 387 | 501 | 185 | 125 | 4.4 | .25 | .83 | 2.3 | 52.4 | 84.9 | |
119 | .93 | .76 | 673 | 318 | 328 | 215 | 186 | 3.0 | .37 | .97 | 4.6 | 24.3 | 54.0 | |
38 | .2 | .51 | 573 | 302 | 328 | 86 | 78 | 4.2 | .08 | .46 | 5.5 | 45.2 | 68.0 | |
30 | .5 | .70 | 753 | 393 | 153 | 103 | 93 | 2.9 | .27 | .48 | 4.4 | 41.0 | 93.5 | |
222 | .3 | .59 | 610 | 316 | 332 | 113 | 107 | 5.9 | .28 | .48 | 4.7 | 46.9 | 78.0 | |
89 | .49 | .83 | 707 | 322 | 402 | 158 | 174 | 2.9 | .10 | .37 | 3.4 | 18.2 | ||
218 | .78 | .58 | 627 | 292 | 355 | 153 | 131 | 4.7 | .62 | 1.32 | 3.2 | 92.6 | 166.8 | |
147 | .66 | .64 | 663 | 384 | 246 | 55 | 86 | 3.1 | .39 | .48 | 4.9 | 20.8 | 32.8 | |
88 | .63 | .6 | 989 | 283 | 900 | 138 | 135 | 7.9 | .51 | .31 | 6.2 | 25.8 | 33.7 | |
130 | .90 | .73 | 597 | 334 | 409 | 205 | 218 | 7.6 | .75 | .37 | 8.2 | 25.6 | 52.1 | |
72 | .78 | .49 | 572 | 290 | 267 | 68 | 75 | 5.6 | .32 | .25 | 4.7 | 30.5 | 46.9 | |
139 | .75 | .63 | 505 | 289 | 279 | 114 | 82 | 4.6 | .05 | .27 | 6.8 | 29.8 | 50.8 | |
76 | .86 | .42 | 818 | 352 | 578 | 143 | 168 | 5.9 | .25 | .22 | 4.5 | 28.1 | 43.2 | |
146 | .93 | .41 | 416 | 249 | 204 | 103 | 103 | 4.8 | .56 | .35 | 6.4 | 18.8 | 37.8 | |
170 | .80 | .88 | 1,014 | 467 | 382 | 138 | 184 | 3.3 | .11 | .10 | 30 | 16.4 | 30.2 | |
39 | .77 | .71 | 546 | 300 | 348 | 197 | 141 | 5.6 | .36 | 1.53 | 6.5 | 30.2 | 59.6 | |
249 | .72 | .66 | 553 | 322 | 387 | 73 | 75 | 3.5 | .63 | 1.24 | 3.0 | 16.8 | 23.2 | |
70 | .56 | .44 | 935 | 300 | 521 | 64 | 90 | 3.7 | .11 | .57 | 51 | 16.5 | 21.4 | |
136 | .93 | .90 | 647 | 242 | 518 | 188 | 148 | 5.9 | .46 | 1.34 | 5.6 | 58 5 | 96.6 | |
3,196 | .76 | .66 | 693 | 327 | 412 | 129 | 131 | 4.6 | .39 | .58 | 4.7 | 42.5 | 69.3 |
Tuberculosis
contact
scheme.
The tuberculosis contact scheme was put into operation on 1st April, 1925,
and provides:—
(a) for the removal of children from heavily infected and overcrowded homes
occupied by a member of the family suffering from advanced tuberculosis ;
(b) for the boarding.out of children who cannot otherwise be satisfactorily
provided for while their mothers are undergoing residential treatment for
tuberculosis.
With regard to (b), it is also found that the boarding-out of children is sometimes
necessary in cases where the patient is a widower.
The scheme is carried out through the Invalid Children's Aid Association,
who secure suitable homes, make all arrangements for the admission and discharge
of children referred to them by the county medical officer of health, and keep them
under supervision during the time they are boarded out. The Association also
arrange for the homes to be periodically inspected.
The scheme continued to operate satisfactorily during 1935 with the co-operation
of the Association.
There were 226 applications during 1935, concerning 369 children, of whom 252
were accepted, the remaining 117 being withdrawn or regarded as unsuitable. At the
end of the year 107 children were being maintained under this scheme.
The total number of children dealt with (252) is an increase over that for the
previous year (246). The number still being cared for at the end of the year (107)
is 33 less than the previous year's figure.
Reference was made in last year's annual report (pp. 51-53) to an investigation
conducted by Dr. F. J. Bentley, divisional medical officer, as to the proportion of
cases of tuberculosis in which there had been known intimate association with a
" Contact "
investigation