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

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Deptford 1921

Annual report on the health of the Metropolitan Borough of Deptford

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Death—Notification Interval. An examination of deaths belonging to the Borough attributed to tuberculosis in the death returns reveals the following information :—

Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.
Cases not notified2716
Cases notified at death106
Cases notified one month before death94
Cases notified three months before death18
Cases notified six months before death13
Cases notified more than six months before death445
Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.
Cases not notified2716
Cases notified at death106
Cases notified one month before death94
Cases notified three months before death18
Cases notified six months before death13
Cases notified more than six months before death445

Of the cases not notified, almost all were deaths occurring in
Institutions. Whatever the condition of the patient on admission, a
diagnosis of tuberculosis must have been arrived at before death and
ought to have been notified. It must be borne in mind that notification
is the only means of bringing the disease to the knowledge of the
Public Health Department, and that the earlier the notification the
more valuable the information.
During the year 291 notifications (225 pulmonary and 66 nonpulmonary)
were received. The distribution of the cases is shewn
below:—

WARD DISTRIBUTION.

E.N.N.W.S.S.E.S.W.Total
Pulmonary Tuberculosis79624052514225
Non-Pulmonary Tuberculosis22181315766
101805363021291

This gives an incidence figure of 2.6 per 1,000 of the estimated
population.