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

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Paddington 1911

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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38
TUBERCULOSIS.
Lunatic Asylums.
Pulmonary tuberculosis present on admission.
f. 47— Admitted 21. xii. '08. Died 3. v. '11.
m. 50— „ 28. i. '10. „ 1. iii. '11.
m. 19— „ 25. ii. '11. „ 17. vii. '11.
No signs of pulmonary tuberculosis on admission.
.... Dates of diagnosis u
Admission. of p.tuberclosis. Death.
f. 69 4. i. '07 vi. '09 23. iv. '11
f. 62 30. vii. '06 iv. '09 14. viii. '11
m. 34 27. v. '05 iv. '11 27. vii. '11
f. 22 3. viii. '03 vii. '11 20. viii. '11
Notification.—Cases of pulmonary tuberculosis receiving medical treatment from the Poor
Law have been notified since January 1st, 1909, under the Order of the Local Government
Board of December 18th, 1908. Last year compulsory notification was extended to patients
attending " hospitals " by the Board's Order of March 22nd—" The Public Health (Tuberculosis
in Hospitals) Regulations"—a "hospital" being defined by the Order as "any hospital,
dispensary or similar institution for the treatment of the sick, which is partially or wholly
supported otherwise than by the contributions of the persons treated thereat, or of their relatives
or guardians, or otherwise than from rates and taxes." The Order came into force on May 1st
last. Medical officers of institutions within the Borough are required to forward certificates
relating to patients seen by them to the Medical Officer of Health of the Borough, no matter
where the patients' homes may be. Certificates relating to patients residing outside the
Borough * are sorted out and sent on to the medical officers of health of the districts in which
the patients' homes are situated. With the exception of the "clearing-house" system just
referred to, the Order of last year is on all fours with that of 1908.
Although " voluntary" notification has never been established in the Borough, cases of
consumption (that loose term is used for brevity's sake only) have been reported to the Department
in increasing numbers since 1903. Prior to 1909, 356 cases had been so reported, 109
of the patients being alive at the end of 1910. A statement of the numbers of cases reported
during the eight years 1903-10 is appended, the statement including the numbers of cases which
are known to have terminated fatally and the records of other cases. The histories of those
surviving to 1911 during that year is given in Table 24.
Last year 730 medical and other certificates were received under the Board's Orders, and, in
addition, one certificate from a private practitioner and 27 informal communications from lay
persons. Table 25 shows the number of certificates received under the Orders during each
quarter of the year distinguishing the numbers of "repeat" certificates. The actual number of
new cases reported was 397, the total of 420 given in Table 25, which represents the result of
*A record was kept of the total number of certificates received and the number forwarded to other districts.
The number received from May 1st to the end of the year was 1,155, and the number sent on, 495, involving 990
separate communications.
Pulmonary Tuberculosis.
Total
Cases
Reported.
Known to have died during year
Reported
recovered.
Original
Report
not
confirmed.
Lost
sight of,
removed,
&c.
Living
(known)
at end of
1910.
1903.
1904.
1905.
190c
». 1907.
1908.
1909.
1910.
1903
4
2

2









1904
20
5
1
1
1
1




10
1
1905
18
10
3
1

1



3

1906
57
17
5
7
1
1

2
12
12
1907
84
14
12
6


8
20
24
1908
173
25
11
7
3
31
24
72
1909
629
65
25

4
61
474
1910
610
42
1
2
13
552