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

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City of Westminster 1922

[Report of the Medical Officer of Health for Westminster, City of]

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36
Extra Nourishment.—Nine persons have been in receipt of milk and
eggs at the Council's expense on the recommendation of the Tuberculosis
Medical Officer. The applications were duly considered by the After
Care Committee. The cost of the extra nourishment was £55 1s. 1½d.
Institutional treatment.—Of the new cases in 1922 with pulmonary
disease, institutional treatment was afforded to 36 of the Common
Lodging House cases, to 52 males and 46 females in the general
population, and to 27 of the non.pulmonary.
Of old pulmonary cases 7 casuals, 36 males and 23 females of the
general section and 14 non.pulmonary cases received institutional treatment,
making a total of 200 pulmonary and 41 non.pulmonary.
Dental treatment.—10 patients received dental treatment at the
Council's expense, necessitating 47 attendances, at which 81 teeth were
extracted, 11 teeth filled and 16 other dental operations performed.
General anaesthetics were administered on 17 occasions. Eight dentures
were provided and fitted. The Council contributed £4 6s. 6d. towards
the cost.
Special Treatment.—Three patients had 14 pneumo.thorax refills at
a cost of £7 7s. and one patient had X.ray treatment at a cost of 15s.
Bacteriological Diagnosis.—Sputum was examined in 456 instances,
327 being specimens sent from the Dispensary and 129 from private
practitioners. The cost was £67 18s. 6d.
Deaths.—The net number registered as dying from tuberculosis were—
Pulmonary: Males, 82; females, 62; Non.pulmonary: Males, 12;
females, 9. Total, 165, but in addition 14 persons who had been notified
were certified as dying from other complaints. The causes of death of
the pulmonary cases were stated as Bronchiectasis, perforated gastric
ulcer (2); penumonia (2); influenza, chronic bronchitis, cardiac disease (2);
cancer, 7 males and 3 females. Of the non.pulmonary, death was ascribed
to chronic bronchitis, influenza, drowning and sarcoma, this last was
not really a case of tuberculosis, although at first it was so diagnosed,
the others were 2 males and 1 female. In several of these cases the
tuberculosis was cured or at least quiescent.
84 deaths occurred of the 1922 pulmonary cases, and 70 among those
notified in previous years.
The duration of illness from the appearance of the first symptoms,
so far as could be ascertained in 117 cases was under 6 months in 16 cases,
and between 6 months and 1 year in 20, between 1 year and 3 years in
30, between 3 and 6 years in 23, between 6 and 10 years 11, between 10
and 15 years 6, between 15 and 20 years 2, and between 20 and 30
years 9.