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

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Greenwich 1946

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

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56
TUBERCULOSIS REPORT
I am indebted to Dr. C. W. L. Jeanes, Tuberculosis Officer, for
the following report.
New Cases and Transfers in 1946 numbered 191, of which 171
were entered on the Dispensary register. Of these, 156 were suffering
from Pulmonary Tuberculosis and 15 from Non-Pulmonary
Tuberculosis.
This is the highest number of new cases since 1921 and is
accounted for chiefly by the large number of transfers (65) to new
houses in the Borough. The incidence of Tuberculosis generally is
higher, however, than it was before the war owing to bad living
conditions and inadequate diet. It is hoped that the new housing
schemes will eventually not only provide better homes for those
who have contracted Tuberculosis, but will tend to decrease the
incidence of the disease.

Figures for recent years are:—

Year.Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.Deaths.
19381533853
1939931460
19401251773
19411383274
19421641864
19431172660
19441131647
19451491653
19461731856

It is interesting to note that in 1941 the incidence of Pulmonary
Tuberculosis started to increase. In these figures, however, the
apparent decrease from 1940 to 1945 is accounted for by the much
diminished population of the Borough during these years.
There has, however, been a definite decrease in the number of
cases of Non-Pulmonary Tuberculosis during recent years. The
reason for this is not entirely clear but must, in part at least, be due
to elimination of milk as a source of infection by pasteurisation.
At the Clinic, 634 new cases were examined during the year:
of these, 96 were found to be suffering from Pulmonary Tuberculosis
and 6 from Non-Pulmonary Tuberculosis. There were 56 deaths.
Analysis of these cases is as follows:—