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

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City of Westminster 1971

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

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66
Paddington Chest Clinic — Dr. P. A. Zorab, Consultant Physician
Chest disorders in the Paddington area continued at a high level in 1971, in particular, lung cancer
proved to be an increasing anxiety. As the danger of smoking becomes more widely accepted, it is hoped
that the anti-smoking advice given to patients at this clinic will be generally accepted.
Research projects and teaching continue to be important but subsidiary to the main function of the
clinic, which is patient care.
Close contact with local practitioners is maintained and there was a large attendance of practitioners at
the Clinical Meeting here on "Lung Cancer".
Paddington After-Care Committee were most successful in their fund-raising efforts and were able to
help a number of our patients. In addition, the old-age pensioner patients were given a first-class Christmas
Party in the home of one of the Committee members.
St. Marylebone Chest Clinic — Dr. G. Shneerson, Consultant Physician
The past year has seen an appreciable drop in the number of newly notified cases of tuberculosis as
compared with the previous three years. The number of deaths from lung cancer has continued to increase.
The diagnostic facilities remain unchanged.
Westminster Hospital Chest Clinic — Dr. P. A. Emerson, Consultant Physician
The total number of patients attending the Clinic in 1971 remained the same as the previous year and
the number of newly diagnosed cases of tuberculosis decreased considerably compared with 1970. Only
sixteen new cases of tuberculosis were notified; 9 were males and 7 females.
Of the tuberculous patients referred to the Clinic, three were sent by their general practitioners, nine
were discovered by the South West London Chest X-ray Service and the remainder were notified by various
hospitals and mass X-ray units.
The research project studying the effects of atmospheric conditions and air pollution on the condition of
patients with bronchitis and asthma living in Westminster has been completed. The effects of changes in the
atmospheric condition has proved much less than was expected — probably because the levels of
atmospheric pollution have fallen since the introduction of the Clear Air Act.
Statistics relating to notifications of tuberculosis in Westminster, and deaths, during 1971 are set out in
Table 4, page 72, whilst further statistics dealing with care and after-care of tuberculous patients, and work
undertaken at the three Chest Clinics, are set out in Table 52, page 101.