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The records of work done in the prevention and treatment of
tuberculosis in the Borough of Lambeth, since the inauguration
of this Scheme in 1913, speak for themselves, and, whilst statistics
must be read with caution, there seems justification to attribute
the lessening of the tuberculosis rates, especially in the Inner (more
congested) Districts, to the measures that the Council is taking.
Thus, the tuberculosis death rates and incidence rates (notifications)
per 1,000 of the population for (a) pulmonary tuberculosis and (b)
tuberculosis (all forms) from 1913 to 1916, i.e., from the year when
the Lambeth Tuberculosis Dispensaries were first opened to the
Public to the end of 1916, are as follows :—
Death Rates.
Incidence Rates.
Year.
Pulmonary
Tuberculosis.
Tuberculosis
(all forms).
Pulmonary
Tuberculosis
Tuberculosis
(all forms).
2.1
1913
Inner Districts
Outer Distrcits
Boorugh
1.6
6.6
8.5
0.9
1.2
1.2
4.3
5.6
6.8
1.6
5.3
1914
Inner Districts
Outer Districts
Borough
1.5
1.9
4.4
5.5
1.2
1.5
4.0
4.9
1.3
1.7
4.2
5.1
1915
Inner Districts
Outer Districts
Borough
1.9
2.3
4.6
6.2
1.4
1.2
2.8
3.5
1.4
1.8
3.6
4.6
Averages, 1913-14-15
Inner Districts
Outer Districts
Borough
2.1
1.6
5.2
6.7
1.1
1.4
3.7
4.7
1.7
1.3
4.4
5.5
2.1
Inner Districts
1916
Outer Districts
Borough
1.6
3.5
4.8
1.2
1.5
2.9
4.2
1.7
1.4
3.2
4.5
N.B.—These figures are noteworthy having regard to the following facts :
(1) the low estimated populations for 1915 and 1916 (civil populations only) :
(2) the more exact methods of diagnosis introduced in connection with the
opening of the Lambeth Tuberculosis Dispensaries as centres for diagnosis
and consultation as well as treatment in 1913 (February 3rd and July 23rd
respectively), and (3) the introduction of the Public Health Tuberculosis
Regulations, 1912, which came into operation on February Ist, 1913, making
all cases of tuberculosis compulsorily notifiable. The incidence rates (notifications)
are specially noteworthy. The slight increase in the death rates is
apparent only, due to more exact certification and the 1914 and 1915 lessened
estimated populations (civil).