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

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Hackney 1919

Report on the sanitary condition of the Metropolitan Borough of Hackney for the year 1919

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40
The number of children on the Register attending the School
at the end of 1919, was 35. (The attendance is now, October,
1920, 73.)
ACCOMMODATION FOR ADVANCED CASES OF TUBERCULOSIS.
In May, 1919, I reported to the Public Health Committee on
this question, as follows:—
"Both for their own comfort and welfare, and, more especially
in the interests of their relatives and friends, and of the community
generally, I have for many years held the opinion that the segregation
of patients suffering from advanced pulmonary tuberculosis
is very desirable; it is, in fact, urgently required.
"Enquiries have been made of the doctors who attend Infant
Welfare Centres, who, I assumed, would be well acquainted with
local conditions and requirements, and as a result I have been
informed that a large proportion of those dying from the complaint
have, as a last resource, resorted to the Union Infirmary. So long
as possible, it seems, they remained at home; but, ultimately,
they tire of home, or their people tire of nursing them, or are too
poor to feed them adequately, and then only the Workhouse
Infirmary remains for them. I think I may safely say that all
the doctors attending the Welfare Centres are in favour of providing
accommodation for advanced cases of the disease. Dr. Wilks
especially favours such provision, and insists upon its being local
accommodation so that there may be facilities for the visiting of
patients by friends and relations.
"Dr. Tylford Howell, Tuberculosis Officer of the Victoria Park
Hospital Dispensary, strongly urges the necessity for such accommodation;
and he as strongly urges that it should be provided
locally, because patients in advanced stages would refuse to go
to places far removed from their friends and relations. He points
out that such cases are not suitable for admission to Sanatoria
which exist for the cure of, or amelioration of the conditions affecting.