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

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Bermondsey 1926

Report on the sanitary condition of the Borough of Bermondsey for the year 1926

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of definite opinion. In one instance, where the patient suffered
from advanced Pulmonary Tuberculosis, a secondary Tuberculous
ulceration of the cheek healed after a few exposures, although it
had previously resisted all other forms of treatment for months.
All the Lupus cases have done well; a particularly gratifying
result was obtained by "general light treatment" only, in a case
of Lupus of the Nasal Septum. The lesion healed in a few weeks,
and has remained healed ever since, a matter now of about five
months. Striking improvement was noted in the cases of Pleurisy.
With regard to the patients included under the heading Debility,
Malnutrition and Scrofula, the results on the whole have been
good. Some of these patients have done very well indeed;
others have not made so much improvement. In general those
patients who do not do well are just those ones who attend irregularly,
feed irregularly, live in bad home conditions, and keep late
hours. In some cases of this class the results of light treatment
seem to be delayed. That is to say, treatment does not produce
manifest results at once, but after a time, and sometimes after
treatment has ceased, the child makes steady and obvious improvement.
One or two very striking cases of this kind have been noted.
Thirty-two cases of Rickets have been treated, and on the
whole improvement has been satisfactory. The remarkable
thing is that not a single case of active Rickets has yet been seen
in the clinic. All of these cases showed clinical evidence of
Rickets, but in those cases which appeared clinically to be active
X-ray examination did not bear out the clinical findings.
With regard to the other diseases treated there is not yet
sufficient evidence to justify definite conclusions.
Two cases of Rheumatoid Arthritis were greatly relieved by
the treatment, sufficiently so to make the difference between
misery and comparative happiness; in others the degree of
improvement has been less marked, but in no case has harm
resulted.
The case of aortic disease in the list above calls for special
mention. This man, suffering from a severe heart lesion, complained
of insomnia and bad dreams which awakened him every
night. The improvement in- his general condition was very
striking after a few exposures, and he was delighted with the
result, though, of course, there was no change in the physical signs."