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

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Greenwich 1971

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

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113
of the anti-leprosy drug dapsone) has only recently been made
known. With suitable safeguards, it may yet perform a useful
function for humanity in the treatment of this tuberculous type
organism.
Tuberculosis
There were 48 notifications received during the year of which
one was subsequently not confirmed. Of the 47 confirmed cases,
39 were of the pulmonary type and 8 non-pulmonary, i.e. tuberculosis of parts of the body other than the lungs. From sources
other than formal notification there were 4 cases, 3 pulmonary
and one non-pulmonary, three derived from the deaths returns
and a pulmonary case was notified via the Coroner's Officer. In
1970 there were 37 pulmonary and 4 non-pulmonary cases notified.
Although not always essential, disinfection was offered and
carried out in respect of 13 premises during which 15 rooms and
210 articles were disinfected.
During 1971, some 2,472 Greenwich school children and students received B.C.G. vaccination under the direction of School
Medical Officers. A further 169 contacts were also vaccinated.

The number of notified cases of tuberculosis remaining on the Register at 31st December, 1971, was as follows: —

PULMONARYNON-PULMONARY
MenWomenChildrenTotalMenWomenChildrenTotal
MFMF
470350111084137421383

During the current year restrictions were imposed on the
operations of Mass Radiography Units in general and, in this
Borough, examinations carried out under these arrangements fell
by approximately 33½% to a total of 7,809.
Greenwich Chest Clinic
I am indebted to Drs. P. Forgacs and D. G. Wraith, Consultant Physicians at the Greenwich Chest Clinic, for the following
Report on their work during 1971:
"There were 8 new cases of pulmonary tuberculosis notified
during the year. This included 4 males over 45 years of age, one
under 45 and 3 women under 45. There were two cases of nonrespiratory tuberculosis.
Some 78 persons were X-rayed because they had been in con-