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

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Bermondsey 1928

Report on the sanitary condition of the Borough of Bermondsey for the year 1928

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M.C. (female, aged 11). Tuberculosis of Sternum, treated at
Princess Mary's Hospital, Margate, from 1925 to 1928. On
return home there was still a small sinus present. Ultra-violet
light treatment was started in June 1928 and by October the
sinus was quite healed and remains so at the time of writing.
The results in cases of tuberculous adenitis, without abscess
formation, have with two exceptions been satisfactory, but the
progress in these cases is slow and not nearly so striking as in the
type of case mentioned above.
The cases of Bazin's Disease have done well with healing of
the ulcers and improvement of the general condition.
The four cases of Lupus are doing well. Two of them had
already received institutional treatment. One was an early
case that had not yet been away and the fourth was a mild relapse
in a case that originally started in 1915, and had previously had
a prolonged course of treatment elsewhere.
The number of cases of pulmonary tuberculosis under treatment
is small. In these cases the chest is not exposed to the
Ultra-violet Rays and Dr. Rollier's practice of gradual insolation,
i.e., exposure first of the ankles only, then of the legs up to the
knee and so on, is used. While there have been no adverse
effects none of the cases have shown marked improvement.
In the Maternity and Child Welfare section 475 patients were
treated and made 8,939 attendances. Most of the children were
suffering from general debility, chronic bronchitis, and rickets in
various stages ; a small number from adenitis, rheumatism,
anaemia, chilblains, urticaria, marasmus, knock-knee, enlarged
tonsils, poliomyelitis, and naevus. Several patients were sent
from Great Ormond Street, the National Orthopaedic and St.
Vincent Square Hospitals. All the children who attended
regularly showed very definite improvement in the general condition
even although no great increase of weight occurred and
most of the bronchitis cases showed a decrease in the frequency
and severity of the attacks even if these did not entirely disappear.
Thirteen ante-natal mothers attended, ten of whom have had
normal confinements and exceptionally healthy babies —the
remaining three have not yet been confined.