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

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Bethnal Green 1933

[Report of the Medical Officer of Health for Bethnal Green Borough]

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76
Notification is fairly satisfactory on the whole,
but delay is sometimes experienced in the receipt of
notifications of admissions to and discharges from
sanatoria.
There were 17 deaths certified from Tuberculosis
in which the deceased person had not previously been
notified. This represents 20 per cent, of the deaths
from Tuberculosis during the year. Enquiry of the
certifying practitioner in each case elicited the following
explanations:—
Assumed previously notified 6
Due to oversight or pressure of work 5
Diagnosis only reached at or immediately
before death 3
Certified by Coroner 1
No reply 2
Late notification, probably due to delay in seeking
medical treatment, is shown by the following figures:—
Notified practically at time of death 8
„ within 1 month ,, „ 8
„ „ 3 months „ „ 4
„ „ 6 months „ „ 6
The chief difficulty about delay or failure in the
notification of Tuberculosis lies in the nature of the
disease and the poverty of the residents in the borough.
A man may suspect that he is suffering but dare not
admit the fact for fear of losing his employment.
Consequently he does not call in a doctor until his
physical weakness compels him to give in. Until some
adequate provision is made for the tuberculous as a
disabled man, I am afraid this state of things is likely
to continue.