Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Lewisham Borough]
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will be utilized for the activities of the Care Committee. On the
ground floor the accommodation will comprise a patients' waiting
room, a record room, a history and weighing room, dressing cubicles,
a doctor's consulting room, an office dispensary, health visitors' offices
and lavatories. On the first floor there will be a large committee
room, a small waiting room, secretarial offices and store, clerk's
office, members' and staff cloak room and lavatories. The heating
will be by means of a low pressure hot water system.
Report of the Tuberculosis Officer.
Cases on Register.— The number of cases on the Town Hall
Register on December 31st, 1934, was 1,463, comprising 1,126
cases of pulmonary tuberculosis and 337 cases of non-pulmonary
tuberculosis. The number of cases on the Dispensary Register
was 947, of which 780 were of pulmonary and 167 of nonpulmonary
tuberculosis, showing that 64 per cent, of all tuberculous
cases in the Borough have attended the Dispensary for
examination. Every notified case of tuberculosis is visited at home
by the Dispensary staff, whether or not they have attended the
Dispensary.
Attendance of Patients.—During the year the new cases who
attended the Dispensary numbered 672 and the total attendances were
2,847. Of the new cases 200 were referred to the Dispensary by
their own doctors, 132 applied on their own initiative, while 228 of
the patients seen were contacts of tuberculous cases. A summary of
first attendances is shown in Table D.
Table A shows the condition at the end of 1934 of all patients
diagnosed as suffering from pulmonary tuberculosis who have
attended the dispensary since its foundation in June, 1916. All cases
remaining in the Borough are followed up year by year and the
records of those who leave the Borough are transferred to the
district to which they remove.
Home Visiting—The number of visits paid to the homes of the
patients was considered insufficient by the Inspector of the Ministry
of Health and for this reason a third Health Visitor was appointed
in April and the Borough was divided into three districts, each
Health Visitor taking charge of the homes of tuberculous patients in