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

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Harrow 1935

[Report of the Medical Officer of Health for Harrow]

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70
Per 100,000 population, the numbers of pulmonary cases on
the register at the end of the year were 173 males and 147 females.
The corresponding figures for the country as a whole at the end
of 1933 were 306 and 263.
The large number of erasures from the register on account of
persons having removed from the district, or having died, is due to
the fact that during the year the register was revised by a visit
being paid to every house at which a case was supposed to be
living. In this way it was discovered that the names of many
persons were erroneously still retained, many having removed
from the district, some having died and a few having been cured.

The following table is a summary of cases removed from the register with the reasons for their removal:—

Pulmonary.N on-Pulmonary.
Male.Female.Male.Female.
Left the District424766
Died362643
Cured46-
Diagnosis not confirmed or withdrawn----

Deaths.
60 persons died from pulmonary tuberculosis during the year
and 12 from non-pulmonary tuberculosis. Nearly one-third of
the pulmonary cases had not been notified in this district and more
than one-half of the non-pulmonary. To a limited extent the
failure to notify is due to a diagnosis being made only after the
admission of the patient to a hospital outside the district. Many
failures, however, are accounted for by a lack of appreciation on
the part of the patient's medical attendant that he is required to
notify locally a patient who transfers into the district, even though
that patient had previously been notified elsewhere.
Of the 60 deaths from pulmonary tuberculosis, 36 were males
and 24 females. Of the males eight were in the age group 25—34
and a similar number in 45—54; six each were in groups 35—44
and 55—64 and five in the age group 15—24. Of the 24 females,
11 were in the age group 35—44 and six in the group 25—34.
Of the 12 non-pulmonary deaths seven were of males and five
females. Meningitis accounted for seven of these deaths, of which
two were of children under five, and four of children age 5—14.
The death rate per 100,000 population for males from pulmonary
tuberculosis was 25, and for females 17, compared with the
figures of 39 and 30 for the country as a whole in 1933. The
corresponding local figures for non-pulmonary tuberculosis were
5 and 3.5, compared with the figures of 7 and 6 for England
and Wales in 1933.
Of the 60 deaths from pulmonary disease 35 took place in an
institution outside the district. The removal of patients in the