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

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Holborn 1911

Report for the year 1911 of the Medical Officer of Health

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Of the total number 187 notifications received, 68, or 36 per cent. were
residents of common lodging houses, and were all but 4 at once or soon afterwards
removed to workhouse infirmaries. With few exceptions the remaining 119 lived
in tenement houses. 58 of these were soon removed to infirmaries or hospitals so
that 61 remained at home, and some of these had previously been in
sanatoria or infirmaries.
In previous Annual Reports I gave details as to the action that is taken
and the various results that were obtained from the enquiries made. I may,
however, remind the Council that a printed leaflet on the Prevention of Consumption,
giving instructions for measures to be taken to prevent the spread
of the disease, is left in all cases occurring in tenement houses, and spitting flasks
are supplied free of charge where required.
After death, or removal to infirmary or hospital, disinfection is advised.
Consent for this was obtained in 56 cases.
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1911.
The Local Government Board issued an Order, which came into operation
on the 1st May, 1911, embodying further Regulations to provide for the
notification of cases of pulmonary tuberculosis occurring amongst the in-patients
or out-patients at hospitals, or other similar institutions for the treatment of the
sick, which are supported wholly or partially otherwise than by the contributions
of the patients (or of their relatives or guardians) and otherwise than from rates
and taxes.
By a subsequent Order of the 15th November, 1911, which came into force
on the 1st January, 1912, the system of notification was completed by extension
to all medical practitioners including school medical inspectors.
For the purposes of these Regulations, and of the Poor Law Regulations, and
of the Hospital Regulations, a Council on the advice of their Medical Officer of
Health may supply all such medical or other assistance, and all such facilities and
articles as may reasonably be required for the detection of pulmonary tuberculosis,
and for preventing the spread of infection and for removing conditions favourable
to infection, and for that purpose may appoint such officers, do such acts and
make such arrangements as may be necessary.
A Council on the advice of their Medical Officer of Health may provide and
publish or distribute in the form of placards, handbills or leaflets suitable
summaries of information or instruction respecting pulmonary tuberculosis, and
the precautions to be taken against the spread of infection from that disease.