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

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Chelsea 1933

Report of the Medical Officer of Health for the year 1933

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Chelsea Tuberculosis Dispensary.—This Dispensary, located at
Brompton Hospital, provides highly efficient treatment for all cases
resident in the Borough. An annual grant is paid to the Hospital by
the Borough Council to provide for all necessary medical, nursing and
other services. Table No. 51, summarises, for the past two years, the
number of persons examined at the Dispensary for the first time, the
percentage of these cases in which definite tuberculosis was found and
the total attendances at the Dispensary.

TABLE No. 51.Work done at the Dispensary.

Year.Newcases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
193249113 per cent.2,795
193339613 "2.197

Institutional Treatment.—The London County Council is mainly
responsible for the institutional treatment of Tuberculosis in London.
The London County Council maintains St. George's Home, in Milman's
Street, Chelsea, as a receiving hospital for pulmonary cases of tuberculosis
(females). Of the cases which terminated fatally during the year,
46 per cent, died in St. Luke's Hospital and 31 per cent, in other public
institutions, that is to say 77 per cent, died away from their homes, the
corresponding figure for 1932 being 79 per cent.
Co-operation with Hospitals and Invalid Children's Aid
Association.—Existing arrangements with general and special hospitals
in the neighbourhood continue to give satisfaction. Cases under
treatment at St. George's Hospital and St. Luke's Hospital are visited
by the Tuberculosis Visitor. Arrangements are made with Brompton
Hospital for the X-ray examination of difficult cases, and for the provision
of artificial pneumo-thorax refills. Many patients, both adults
and children, who attend the Dispensary for examination, either as
contacts or on their own initiative, are found to be suffering from conditions,
other than Tuberculosis, which require treatment. These
cases are advised as to obtaining such treatment, either from private
practitioners or at general hospitals. Many children are found to be
suffering from anaemia, malnutrition and similar diseases and are referred
to the Chelsea branch of the Invalid Children's Aid Association with
a view to provision of convalescent home treatment.
Co-operation with the School Medical Service.—The relationship
with the School Medical Service continues to be satisfactory. The
School Medical Authorities frequently afford valuable help in deciding