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

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Bermondsey 1933

Report on the sanitary condition of the Borough of Bermondsey for the year 1933

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appear to be some inhibition of the development of the spots. A
long standing case in which I recently tried painting the right
arm with Sodium Fluorescin and giving local exposures on both
arms, which were equally affected, showed a remarkably rapid
healing of the lesions of the right arm within three weeks. This
may have been a matter of coincidence. Fibroid lupus is resistant
to treatment unless the Finsen lamp is used.
No direct exposure of the eyes should be attempted. The
nose and throat are good fields for treatment, and inflammatory
conditions respond well. It is important to take swabs of inflamed,
excoriated, and discharging noses, and suspicious throats,
and to exclude carriers of diphtheria bacilli from contact with
others in group treatment.
Acute bronchitis requires rest in bed and medical treatment,
but chronic bronchitis is greatly helped by a prolonged course of
ultra violet light. Fibrosis of the lungs following pneumonia
may require a period of convalescent treatment in the country,
but this should always be followed up by Ultra Violet light
treatment. Bronchiectasis is difficult to treat with drugs, and
light treatment does help to improve the health of the bronchial
musosa. In many children suffering from chronic cough, particularly
following whooping cough, a mild degree of emphysema
can be detected. Much good can be done by treating such cases
by Ultra Violet light, as I have no doubt that the origin of many
of the gross cases of emphysema in adults with severe incapacity
could be traced back to the untreated cough of childhood.
Cases of acute primary pneumonia and broncho-pneumonia
may attend a centre in the first stages of their illness and should be
referred to their private doctors or to hospitals. The same
applies to pleurisy, with or without effusions, but after the acute
phase is passed, resolution is aided by the application of Ultra
Violet light.
It is necessary to exclude cases of active pulmonary tuberculosis
from treatment. Carefully selected cases with much