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

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Holborn 1924

[Report of the Medical Officer of Health for Holborn, Metropolitan Borough]

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57
In the cases of travellers from ports infected with smallpox it was possible
to see 12 of the 15. In one case the passenger was "not known," and in another
although the passenger had visited the hotel he had left giving no address of
subsequent destination before the notice was received by me. In the remaining
case the passenger had also left the hotel in this Borough, but it was possible to
obtain his new address and forward information to the medical officer of health
concerned.
In the case of the 20 persons arriving from cholera and plague infected ports
suitable letters were sent. In two cases the names were "not known," and in
one case the letter was subsequently returned marked " not claimed."
From time to time it is found that incorrect addresses are given, or, before
a visit can be made, the traveller has departed leaving no information respecting
his subsequent destination. It would seem desirable that regulations respecting
fhe movements of travellers from infected ports should be strengthened so as to
ensure the possibility of their being traced until all danger of development of
disease is past. When there is a question of smallpox more information should
be given, especially the date of occurrrence of the case, the degree of contact of
the individual concerned with the patient and the condition as regards vaccination
of the contact.
Tuberculosis.
The initiation of the Tuberculosis Care Committee as a local institution and
the administrative change whereby all correspondence concerning tuberculous
patients is sent to the Borough Medical Officer of Health have at once proved
beneficial; the knowledge of the local Public Health Staff of the patients is
increased in a natural and easy way and the interest in the work encouraged.
Total number of cases on the Register of Tuberculosis in the
Borough on the 31st March, 1925 268
Number of these patients residing in common lodging houses
(about) 19
The number classified as Dispensary patients, i.e., patients
who have attended the Dispensary at the University
College Hospital or have returned home from institutional
treatment 189
The average number of cases notified annually during the
past ten years 133
The number notified in the year 1924 87
Of the 87 cases notified in 1924, the number who attended
the Dispensary 30
Total number of new cases examined at the Dispensary for
the first time in 1924, including the above 30, and all
contacts 108
Total attendances and examinations at the Dispensary in
1924, attendances 654
examinations 605
Supervision of home conditions; visits paid by—
Tuberculosis Officer 11
Dispensary Nurse 998
Sanitary Inspectors . 518