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

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Kensington 1914

[Report of the Medical Officer of Health for Kensington Borough]

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The death-rate in North Kensington from phthisis was more than twice as great as the rate
in the South, and the heaviest mortality in the North under both heads fell on the Ward of
Norland.
A summary may be given here of the Table in the Appendix, which contains the number of
persons dying in the successive age periods of life from tuberculosis: —

Deaths from Tuberculosis in Age Periods.

Age Periods.Under 5 years.5 to 1515 to 45.45 and upward.Total.
Number ofPulmonary Tuberculosis5311170189
Deaths fromOther Forms of Tuberculosis451513478

The bulk of the deaths from phthisis occurred to the number of 111 between the ages of 15
and 45 in the best working years of life. A large majority of the deaths from other forms of
tuberculosis took place in children under the age of 5 years.

The place at which death occurred affords some indication of the provision made in institutions for persons in the last stages of tuberculous disease:—

Place of Death.Number of Deaths frcm
Pulmonary Tuberculosis.Other Forms.
Kensington Infirmary7828
Patient's Home7224
General or Children's Hospitals1317
Lunatic Asylums82
Brompton Hospital10
Other Institutions for the Sick93
Other places beyond the Borough84
Total18978

109, or considerably more than half the total deaths from consumption, and 50 or two-thirds
of the deaths from other forms of tuberculosis occured in institutions for the sick.
Tuberculosis Regulations.—All previous Regulations in regard to the compulsory
notification of consumption have now been superseded by the consolidating Order known as the
Public Health (Tuberculosis) Regulations, 1912, which came into force on February 1st, 1913.
By the new Order compulsory notification has been extended from consumption or tuberculosis of
the lungs to all forms of tuberculosis. In addition to the primary certificate (on the form
described in the Regulations as Form A), which every medical practitioner is required to send to
the Medical Officer of Health on first becoming aware that a patient is suffering from tuberculosis,
the following notifications are required, viz.: I. Weekly lists of cases of tuberculosis admitted to
or discharged from Poor Law Infirmaries or Institutions, and from Sanatoriums which for the
purpose of the Regulations mean residential institutions approved by the Local Government Board
under the National Insurance Act, 1911, for the treatment of tuberculosis. Admissions are notified
on Form C.; discharges on Form D. II. On Form B. School Medical Inspectors are required to
furnish weekly lists of children examined in school and found to be suffering from tuberculosis.

Notifications Received.—The notifications received duringthe year numbered 1,321, and have been classified in the following Table:—

Number of Notifications.
A.B.C.D.Total.
Pulmonary Tuberculosis68201582141,054
Other Forms19332645267
Totals87531742591,321