London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Chelsea 1923
Annual report for 1923 of the Medical Officer of Health
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at any time prior to death occurring. Of the Pulmonary Tuberculosis
cases ending fatally, 42 per cent. died in St. Luke's Hospital, and 29
per cent. in other public institutions, that is to say, 71 per cent. died
away from their homes, the corresponding figure for 1922 being 60 per
cent. Fifty-nine specimens of sputum were sent by medical practitioners
to the Lister Institute for examination, as against 47 in 1922. Of the
59 specimens, 22 per cent. were positive for tubercle bacilli, and 78 per
cent. were negative, as compared with 19 per cent. positive and 81 per
cent. negative in 1922.
The death-rate from all forms of Tuberculosis in Chelsea in 1923
was 0.9 per 1,000.
Chelsea Tuberculosis Dispensary, Brompton Hospital. Work done during 1923.
| Under observation on Jan. 1st pending diagnosis. | Examined for the first time. | Total. | Suffering from Tuberculosis. | Not suffering from Tuberculosis. | Under observation Dec. 31st. | Ceased attendance before diagnosis. | |||
|---|---|---|---|---|---|---|---|---|---|
| Pulmonary. | Non-Pulmonary. | ||||||||
| (a) All persons (including contacts). | Adults | 109 | 248 | 357 | 61 | 1 | 252 | 30 | 13 |
| Under 15 | 128 | 194 | 322 | – | 15 | 273 | 33 | 1 | |
| Total | 237 | 442 | 679 | 61 | 16 | 525 | 63 | 14 | |
| (b) Contacts (included in (a) ) | Adults | 10 | 57 | 67 | 2 | – | 61 | 4 | – |
| Under 15 | 30 | 53 | 83 | – | 1 | 76 | 6 | – | |
| Total | 40 | 110 | 150 | 2 | 1 | 137 | 10 | – | |
| (c) Insured persons (included in (a)) | Total | 57 | 124 | 181 | 40 | 1 | 115 | 25 | – |
| Number of patients under treatment or supervision on the 31st December, 1923 | 238 | ||||||||
Total number of attendances at the Dispensary during 1923:—
| Insured | 1157 |
| Uninsured | 1775 |
| 2932 | |
| Number of persons placed under observation for diagnosis | 320 |
| Number of observation cases where observation exceeded 2 months | 54 |
| Number of visits paid by Tuberculosis Officer to homes of patients | 98 |
| Number of visits paid by Nurses to homes of patients | 2995 |
| Number of specimens of sputum examined | 730 |
| Number of X-ray examinations | 92 |
| Number of complement Fixation Tests | 2 |
| Number of Wassermann Tests | 3 |
Number of patients under treatment or supervision on the
31st December, 1923
238