London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Kensington 1914
[Report of the Medical Officer of Health for Kensington Borough]
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23
In its main features the distribution of the notified cases has been much the same as that of
the deaths from tuberculosis.
| Tuberculosis. | Under 5 years. | 5-15. | 15-25. | 25-35. | 35-45. | 45-55. | 55 and upwards. | Total. | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | ||
| A. Pulmonary | 5 | 4 | 45 | 28 | 44 | 36 | 54 | 72 | 42 | 49 | 39 | 33 | 20 | 30 | 249 | 252 | |
| B. Other Forms | 50 | 30 | 31 | 26 | 7 | 16 | 4 | 5 | 2 | 5 | — | — | 3 | 2 | 97 | 84 | |
| Total at ages for both sexes | A. | 9 | 73 | 80 | 126 | 91 | 72 | 50 | 501 | ||||||||
| B. | 80 | 57 | 23 | 9 | 7 | — | 5 | 181 | |||||||||
The incidence of notification on the two sexes is important, but in pulmonary tuberculosis
bears no resemblance to the incidence of the cases which actually occur. The notified males exceed
the females up to the age of 15 years, and represen children who were examined in school or taken
by their mothers to the tuberculosis dispensary, to hospitals or to private medical practitioners,
but at the ages 25-45 there is a deficit in male notifications. There is no such difference
between the sexes in the returns of fatal phthisis (v. Appendix) and the explanation is that men at
work will not seek medical advice until they are seriously ill, whilst women can generally find time
to attend at a hospital in the usual afternoon hours. The provision of evening sessions at tuberculosis
dispensaries would accordingly appear to be a measure of the first importance in securing
treatment for male patients before they become incurable and a source of danger to others.
| Site of Disease. | Number of Cases. |
|---|---|
| Lungs | 479 |
| Lymphatic Glands other than the Mesenteric | 71 |
| Larger Joints and Bones above Wrist and Ankle | 24 |
| Vertebral Column (Spine) | 12 |
| Smaller Joints and Bones, Wrist, Ankle, Hand, Foot | 7 |
| Mesenteric Glands, Bowel, Peritoneum | 54 |
| Urinary Organs, Kidney, Bladder | 5 |
| Meninges of Brain | 17 |
| Skin | 4 |
| Other Parts | 9 |
| Total Cases | 682 |
Interpreted, the above figures show that out of 203 persons notified as the subjects of nonpulmonary
tuberculosis, 43 were suffering from tuberculous conditions of the spine or other bones
and joints, which frequently lead to partial or total crippling and disablement.
In the following Table, showing the number of rooms occupied by tuberculous patients and
their families, persons who died unnotified have been added to the new cases notified during the
year. The number of rooms in the case of persons under treatment in institutions refers to their
home accommodation before admission: —