Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Annual report of the Medical Officer of Health for Chelsea, 1929
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19
In the case of all patients suffering from notifiable infectious disease,
it is the practice of the Department to advocate admission to an appropriate
hospital for isolation and treatment.
Reference has already been made to the numbers of persons in the
Borough who utilised the arrangements for outdoor medical relief made
by the Board of Guardians.
CAUSES OF SICKNESS IN THE BOROUGH.
The Ministry of Health directs that any causes of sickness and invalidity
which have been specially noteworthy in the area during the
year should be specified.
It is difficult to write definitely on this section of the Annual Report,
as the Medical Officer of Health has no access to sickness returns such
as those which are available to the officers of approved societies under
the National Insurance Act. The information that can be given is
therefore mainly based on impressions gleaned from local general practitioners,
from deductions on the incidence of certain diseases in the
death returns and from details as to persons who received medical relief
from the Board of Guardians.
The year, generally, was an unfavourable one from a meteorological
point of view. The weather was very cold, particularly in the early
months. As a consequence, there was an abnormal amount of respiratory
and rheumatic affections, and the deaths from diseases of this character
were higher than in previous years. The number of deaths is, of course,
no measure of the amount of sickness and can only be regarded as an
index. Influenza, more severe in type than that which has been experienced
in preceding years, occurred in January, February and March,
its distribution being general throughout the Borough. Judged by the
notifications received, there was an increase in the amount of pneumonia,
196 notifications being received, compared with 109 in the previous year.
This number probably under-estimates the incidence of the disease,
as many cases still escape notification. During the year every medical
practitioner in the Borough was supplied with a list of the notifiable
diseases, and efforts were made to ensure prompt notification in every
case.
There was an increase in the number of cases of infectious disease.
The incidence of gastro-intestinal diseases was comparatively low.