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

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Stepney 1913

[Report of the Medical Officer of Health for Stepney]

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29
These Regulations repealed the three previous series of Regulations and were
meant to simplify the system of notification as well as to extend it to all forms of
Tuberculosis.
The working of the Regulations has meant a great increase in the clerical work
of the Public Health Department, but a greater increase was inevitable in the work
of supervision (visiting, &c.) of patients, unless the Regulations were allowed to
degenerate into a mere machinery for collecting statistical data.
In 1913,2,542 new cases were notified, of which 2,038 referred to Pulmonary
Tuberculosis or Consumption of the Lungs. For these cases we received 3,931
notifications, so that 1,389 were duplicate certificates.

The Pulmonary Tuberculosis cases were distributed as follows, together with the deaths in each district:—

Notifications.Deaths.Percentage.
Limehouse District3871062.73
St. George's District252562.22
Mile End Old Town8521391.63
Whitechapel District5471462.66

The number of notifications and deaths per 1,000 of the population was as follows:—

Notifications.Deaths.
Limehouse District7.342.01
St. George's District5.411.20
Mile End Old Town7.691.25
Whitechapel District8.372.23
Whole of the Borough7.401.62

The death-rate for the whole of London during the same period was 1.30 per
1,000 of the population.
The namber notified by the three voluntary tuberculosis dispensaries was 572,
of which 561 referred to Pulmonary Tuberculosis.
The number of new cases notified during the year by the three dispensaries is
a little less than 28 per cent. of the total number of Pulmonary Tuberculosis, and
less than 23 per cent. of new cases of Tuberculosis of all kinds notified during
the year.
It has been stated that this number is materially increased by the number of
cases sent by general practitioners to be treated at the dispensaries which have
already been notified by the doctors who sent them. This is not the case, as will
be seen later on when the actual number of cases treated at the dispensaries since
their inception are considered.