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

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City of London 1923

[Report of the Medical Officer of Health for London, City of ]

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16
B.— PATIENTS RESIDENT OUTSIDE THE CITY OF LONDON,
Number of
Under
observation
at the
Dispensary
on
Jan. 1st.
pending
diagnosis.
Examined
for the
first time
during
the year.
Total.
Found to be
Under
observation
at the
Dispensary
on
Dec. 31st,
pending
diagnosis.
Ceased
attendance
before
completion
of
diagnosis.
Suffering from
Tuberculosis.
Not
suffering
from
Tuberculosis.
Pulmonary.
NonPulmonary.
(a) All persons
(no
contacts)
Adults
M
2
116
118
84
1
23
6
4
F
2
146
148
88
7
36
12
5
Children
under 15
M
2
27
29
3
8
17
1
....
F
1
28
29
4
5
18
1
1
Total
7
317
324
179
21
94
20
10
(b) " Contacts"
Adults
M
Contacts from the homes of non-resident patients are not
examined at the City Dispensary.
F
Children
under 15
M
F
(c) Insured persons (included
in (a))
M
2
80
82
58
2
15
4
3
F
1
46
47
17
6
17
6
1
PATIENTS REFERRED TO THE HOSPITAL.— The following is the
summary of patients referred to the various departments of St. Bartholomew' hospital
for help in diagnosis or treatment:-
Resident.
Non-resident.
Total.
Referred to X -Ray Department 11 57 68
„ Surgical ,, 1 2 3
„ Dental „ 8. 8
,, Throat „ 9 15 24
„ †pathological „ 1 3 4
„ Other „ 5 6 11
27 91 118
† This does not include examinations of sputum.
PATIENTS ADMITTED TO THE HOSPITAL FOR DIAGNOSIS.— The
wards of the Hospital are open for the reception of cases presenting difficulties of
diagnosis which can only be overcome by observation as In-patients. Two resident
and 10 non-resident patients were admitted for this purpose.
EXAMINATIONS OF SPUTUM. —The following is a summarv :—
City Residents.
Non-Resident
Total
Positive 5 28 33
Negative 38 159 197
RESIDENTIAL TREATMENT.— The number of patients for whom residential
treatment was arranged was 48. They are summarised as follows :—
Admitted to
L.C.C. Institutions
Poor Law
Institutions.
Other
Institutions.
Total
Patients resident in the City 12 2 3 17
Patients non-resident but working in
the City 30 1 31
42 2 4 48
Persons neither resident nor working in the City are transferred immediately to
their own Tuberculosis Officer and subsequent arrangements are made by him.
This system has worked satisfactorily.
PERSONS TREATED AND SUPERVISED AT THE DISPENSARY.—
(A) Patients resident in the City. All persons suffering from tuberculosis who are
resident in the City may be supervised and treated at the Dispensary. The total
number of cases so treated was 73.
The number of cases under supervision on December 31st, 1923, was 55, classified
as follows:—
Arrested 10
Quiescent 19
Active 22
Non-attendances 4