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

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St Pancras 1933

[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]

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The X-ray work which is necessary in connection with patients suffering or suspected
to be suffering from Tuberculosis is carried out at the University College Hospital.
Tuberculosis.
It was decided during the year that the Tuberculosis Officer of the Borough Council
should act as Honorary Consultant for Tuberculosis at the General hospitals of the London
County Council in the Borough—the matter to be subject to revision at the end of the year.
Sanocrysin Treatment.
Arising out of a communication from the Secretary of Brompton Hospital, it was
decided bv the Borough Council, with the concurrence of the London County Council, that
financial responsibility would be accepted for the treatment by Sanocrysin of certain patients
suffer ins: from Tuberculosis.
The eases were to be approved by the Medical Officer of Health and the Tuberculosis
Officer, and the Council's liability to be limited to a sum of three shillings for each injection.
Artificial Light Treatment.
Provision as part of Ttdterculosis Dispensary Service.
The experimental arrangements which had been made by the London County Council
for the provision of the above-mentioned form of treatment as part of the Tuberculosis
Dispensary Service at certain approved hospitals and other centres in London expired on March
31st, 1929.
It was decided that the arrangements should not be renewed, but the County Council
state that they have decided to continue the existing arrangements for the treatment of lupus
at the London Hospital on the basis of 5s. an attendance for treatment by Finsen lamp,
and Is. an attendance for general ultra violet light treatment; and at the St. Thomas's
Hospital on the basis of payment of Is. an attendance for treatment by Kromeyer lamp, and
to extend these arrangements to include any hospital providing the requisite facilities and
approved for the purpose. Particulars of such hospitals will be communicated in due course.
Report on the Work carried out at the Tuberculosis Dispensary.
The following report on the work of the Dispensary has been furnished by the
Tuberculosis Officer, Dr. Hack:—
"The number of new tuberculous patients dealt with at the Dispensary during 1933
shows little change from the previous year. Though the number of living patients
notified has decreased by thirty-one, there has been no corresponding decrease at the
Dispensary owing to the inclusion under the Tuberculosis Scheme, since April 1st, of all
tuberculous patients admitted to the L.C.C. General Hospitals. The number of nontuberculous
patients shows a slight increase and there is a marked decrease in the number
of patients undiagnosed at the end of the year. Owing to this decrease and to an increased
number of deaths, the total on the Dispensary Register on December 31st has fallen by
forty-nine. The number of contacts who attended, though slightly increased, is still low,
and efforts are being made to improve the figure during 1934 by distributing special
contact cards and sending out letters when contacts have not attended after a reasonable
period.
Altogether 404 applications for admission to institutions were made during the year,
345 for treatment and 59 for investigation. Of the former 197 were recommended for
sanatorium treatment, 113 from the Dispensary and 84 from Hospitals; the remainder