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

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City of Westminster 1925

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

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52
&c. Many residents are also employed as hotel, club, and domesti^ servants.
The tailoring and dressmaking industry also provides work for
a goodly proportion of the adult population. In the northern area
of the City (Soho) those chiefly engaged in making clothes are of foreign
nationality, and they work in their homes finishing garments for the large
. shops. In the southern area a large number of Westminster residents
are employed at the Army Clothing Depot. It is not unexpected to
find, therefore, that of the occupations of male and female adult sufferers
from tuberculosis, clerks are the most numerous; next come hotel, club)
restaurant servants and waiters, and then those engaged in the making
of clothing.
XVI.—Special Methods adopted or proposed for the Prevention of Tuberculosis.—The
preventive methods used in connection with the Tuberculosis
Scheme were sketched in the survey report of 1920, and no addition of
any importance has been made to them. The free examination of
specimens of sputum is widely taken advantage of by medical practitioners;
the distribution of cards of information and instruction and the provision
of sputum flasks is carried out. Early diagnosis of cases, the examination
of contacts, and the isolation of advanced cases have already been described
as prominent activities of the scheme. Subsequent reference is made
to the administration of laws and regulations relating to tuberculosis
which have come into force. during the year.
XVII.—Any difficulties which have been encountered in dealing with
the prevention and treatment of tuberculosis have arisen from the social
circumstances of unemployment and inadequate housing. The former
shows signs of declining, and progress has been made in overtaking the
shortage of accommodation which is always a factor to be reckoned
with in trying to combat the spread of this infection.
The following figures relate to the work performed at the Tuberculosis
Dispensary during the year as compared with similar data since 1921:—

Table IX. Tuberculosis Dispensary.

1921.1922.1923.1924.1925.
New Patients609421529603395
Old Patients attending588825800652474
Contacts examined281183245271150
Individuals who attended1,1971,2461,3291,255809
Total Attendances3,0953,2753,1333,2922,637
Written Medical Reports to London County
Council and Medical Practitioners1,0091,5541,6521,8841,280
Consultations with Medical Practitioners17818120924390
Other visits paid by Medical Offiecr320315227178'87
Visits by Health Visitors to Dispensary Cases4,9414,9954,7174,9075,636
Sputum Kxaminations308327300232443
X-Ilay Examinations2816522