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

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City of Westminster 1923

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

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30
Tuberculosis.
In 1923, 254 new cases of pulmonary disease were notified and 14
persons died who had not been notified in Westminster, a total of 268.
Non-pulmonary forms of tuberculosis gave 56 new cases. The figures for
a series of years are shown below
Pulmonary.
Non-Pulmonary.
Total
of all
forms.
General
Population.
C.L.H. and no
Address.
Total.
Males.
Females.
Males.
Females.
Males.
Females.
Total.
1911 193 119 109 3 424 — — 77 501
1912 233 154 115 10 512 — — 59 571
1913 203 174 89 8 474 91 86 177 651
1914 186 105 94 4 390 34 38 72 462
1915 155 95 59 8 317 46 26 72 389
1916 183 135 64 9 391 42 39 81 472
1917 209 164 51 7 431 42 34 76 507
1918 293 225 40 4 562 50 55 105 667
1919 197 122 30 4 353 35 23 58 411
1920 143 133 29 4 309 29 29 58 367
1921 118 114 37 2 271 19 22 41 312
1922 119 110 42 2 273 24 30 54 327
1923 111 114 42 1 268 24 32 56 324
[Military ciaes which were ex-luded during the war were again mide notifiable in 1920.)
A return required by the Ministry is appended, also a table showing
the distribution of the cases in the various wards of the city.

Non-notified cases.—Pulmonary cases not notified in Westminster were 5.2 per cent, of the total, non-pulmonary 14.2 per cent.

1914.1915.1916.1917.1918.1919.1920.1921.19221923.
Pulmonary46403135412733202614
Non-pulmonary1324211014877128

Enquiry is made in each case as to the reason for non-notification;
the majority of the pulmonary cases had been notified elsewhere, several
of them came to London for treatment, some were sudden deaths, the
cause being only discovered on post-mortem examination, and some were
deaths in asylums. Among the non-pulmonary failure to notify was
chiefly due to the shortness of the illness and difficulty of diagnosis.
Included are 3 deaths from ordinary or generalised tuberculosis, one of
which had been notified as typhoid fever. One medical practitioner was
cautioned for failing to notify.