London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Paddington 1911
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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40
TUBERCULOSIS.
The 1,135 "survivors 1911 " included 572 medically certified cases and 563 others. During
the past year there were added 397 cases which had been medically certified and 274 others;
so that the total of 1,806 cases on the Register during the year included 969 medically certified
cases and 837 others. The cases not medically certified as " consumptive " include a large
proportion of patients under treatment at the "Dispensary" as "suspects," of whom, past
experience teaches, a great many will ultimately be certified. Conservative estimates of the
proportions of "non-consumptives" in each class would give 10 per cent, of "errors" among
those already medically certified and 33 per cent, among the others. Making such allowances,
the known cases of consumption—excluding patients under private treatment—may be put at
1,430, or 1 per 1,000 of the total population, and 200 less than ten times the total deaths (163)
certified during the year as due to pulmonary tuberculosis. The latter estimate was put forward
in these reports some two or three years ago. The estimate of 1,430 living cases is almost
certainly too low, as a considerable number of consumptive patients were known to be under
institutional treatment during the past year, but had not been reported before the end of the
year.
TABLE 25. Pulmonary Tuberculosis. Summary of Weekly Analysis of Certificates received. 1911.
| Quarters. | Year. | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | ||||||||
| Total Certificates received | 68 | 180 | 173 | 310 | 731 | ||||||
| ,, New Cases certified | 29 | 125 | 107 | 159 | 420† | ||||||
| Total Numbers* of Certificates received under Order No. II. I. | |||||||||||
| District Medical Officers | 34(17) | 22(10) | 34(18) | 23 (10) | 113(55) | ||||||
| Medical Superintendent— | |||||||||||
| Admissions | 26(15) | 19(13) | 31(24) | 23(16) | 99(68) | ||||||
| Discharges | 6(6) | 14(11) | 7(7) | 7(5) | 34(29) | ||||||
| Relieving Officers | 1(1) | - | - | 1(1) | 2(2) | ||||||
| Hospitals and Institutions | 125 (21) | 101(17) | 256(119) | 482(157) | |||||||
| Other Medical Practitioners | 1(-) | — | l(-) | ||||||||
| Allocation of New Cases. | M. | F | M. | F | M. | F. | M. | F. | M. | F. | |
| Queen's Park | 3 | - | 9 | 9 | 11 | 13 | 13 | 16 | 36 | 38 | |
| Harrow Road | 5 | 2 | 14 | 19 | 15 | 17 | 15 | 27 | 49 | 65 | |
| Maida Vale | 1 | — | 6 | 4 | 4 | 6 | 3 | 8 | 14 | 18 | |
| Westbourne | 4 | 1 | 8 | 18 | 7 | 13 | 17 | 23 | 36 | 55 | |
| Church | 4 | 4 | 10 | 14 | 12 | 5 | 15 | 17 | 41 | 40 | |
| Lancaster Gate, West | — | — | 2 | 3 | — | 2 | — | — | 2 | 5 | |
| ” ” East | — | 1 | 1 | — | — | 1 | — | — | 1 | 2 | |
| Hyde Park | 2 | 1 | 3 | 3 | 1 | 1 | 1 | 7 | 5 | ||
| Common Lodging Houses | - | - | 1 | - | - | - | 1 | — | 2 | — | |
| No fixed homes | 1 | - | 1 | - | - | - | 2 | - | 4 | - | |
*The numbers of certificates relating to cases previously reported are shown in parentheses.
†This total is 23 in excess of the actual number, the difference representing certificates not traced to
previously reported cases when the analysis was made.