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

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Greenwich 1948

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

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71
The Pneumothorax Clinic has continued to increase in size.
On the 31st December, 1948, there were 86 patients attending the
Clinic, and during the year 2,500 refills were performed.
Tuberculosis Dispensary.—
No. of New Cases examined 969
No. of Cases of Tuberculosis notified 117
No. of X-rays reported on by Chest Physician 1,550
No. of Artificial Pneumothorax Refills 2,500
No. of patients' attendances 3,357
No. of Nurses' visits 2,583
No. of Medical Consultations in Patients' homes 416
CARE COMMITTEE
The Secretary, Miss Chave-Jones, reports that in tuberculosis
development there are many important factors including age, sex,
heredity, and environment. There is little that can be done to
affect age, sex, and heredity, but the environmental factor is one in
which the skill of the trained social worker can be excerised.
A detailed knowledge of social legislation brought to bear
upon the circumstances can enable the patient to take advantage of
facilities hitherto unknown. Financial burdens are lessened now
by the provisions of the National Assistance Act, but these sometimes
prove inadequate. The Care Committee funds are then able
to assist, or other sources of material help can be called upon.
Approximately 200 patients have been assisted in this way and a
total sum of £262 4s. 4d. expended. Co-operation with other
agencies is important for balanced and constructive aid.
Frequently the problem is a peculiarly personal one, and
professional skill and experience are needed to solve intangible
difficulties or make some social adjustment, without which the
patient cannot fully respond to treatment.