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 Westminster, City of]
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Of these, 61 of the male and 24 of the female pulmonary cases
received institutional treatment—in sanatoria 39, in hospitals 30, in
infirmaries 16.
There were also 8 soldiers, all of whom had hospital treatment.
There were 15 non-pulmonary cases among the insured (11 males,
4 females), 1 had treatment in a sanatorium, 2 in the infirmary and
1 soldier in hospital.
The Insurance Committee provided treatment for 54 patients
(39 males and 15 females) notified in 1915 and previous years, of these
13 were in hospital, 41 in sanatoria; the length of stay varied from
1 week to 3 months in the majority, 10 had from 4 to 6 months.
Uninsured.—Exclusive of casuals there were 54 males and 41 females
above 16 years of age and 38 below that age suffering from pulmonary
disease; of these 39 men and 28 women had some form of institutional
treatment—in sanatoria 11, in hospital 16, in infirmaries 29, in
asylums 9, in nursing homes 2.
Those under 16 years (33) received institutional treatment—11 in
hospitals, 1 in sanatorium, and 10 in poor law institutions.
The County Council provided institutional treatment for 17 patients
of whom 6 were under 16 years of age. Eleven were males and
6 females; 8 were treated in sanatoria, the rest in hospitals.
Of the other forms of tuberculosis there were 12 adults and 43
under 16 years of age and of these 25 had treatment in an institution.
Dispensary Scheme.—The City Council after protracted negotiations
eventually settled a scheme which has now. received the sanction of
the Local Government Board and will come into force in 1916. By it
patients will receive treatment at Charing Cross and St. George's
Hospitals.*
The after-care of patients who are discharged from institutions is
undertaken by the tuberculosis Visitors, assisted by the Health .Society,
and forms one of the most important parts of their work. They are
advised and encouraged to continue the treatment and habits in which
they were instructed in the sanatorium. Patients, especially the
younger ones, are assisted to change their trade from an indoor to an
outdoor occupation. Some are assisted to move to more open parts of
London, or to the country. Help is obtained in the way of additional
food, or grants in aid, of beds and bedding and of clothing.
* At the last moment the Hospitals declined to proceed with the scheme to
which they had agreed, and the Council were forced to institute a Municipal
Dispensary, April, 1916.