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

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London County Council 1922

[Report of the Medical Officer of Health for London County Council]

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41
Applications for institutional treatment were received in respect of 4,895 adults.

These applications were as indicated below:—

First applications—Applications for further treatment—
Males (Ex-service men)415Males (Ex-service men)801
„ (Civilians)1,597„ (Civilians)347
Females1,338Females397
3,3501,545—Total 4,895

Of the total of 4,895 applications, 486 were not accepted tor treatment under the
Council's scheme; 653 patients were examined at the County Hall, and their disposal
then determined; 2,281 were referred to observation hospitals for admission
as a prehminary step to their disposal; 1,380 were accepted for admission direct
to institutions without previous observation or examination, and in 95 cases the
applications for various reasons were not proceeded with. In 70 of the cases for
residential treatment, the patients for various reasons failed to enter observation
hospitals or other institutions, and their applications were treated as withdrawn.
In 302 other cases treatment was not commenced before the end of the year.
As a general principle, the cases passed through the observation beds are
patients in whom the diagnosis has not been confirmed by the presence of tubercle
bacilli in the sputum; patients with acute symptoms; and patients with well-marked
disease whose suitability for sanatorium treatment can be determined only after
a few weeks' close observation. Cases examined at the County Hall are those in
which the diagnosis has been confirmed by the presence of tubercle bacilli in the
sputum and which appear, from their reports, to be suitable for sanatorium treatment,
and cases of surgical tuberculosis. Cases sent direct to sanatoria are chiefly applicants
for further treatment, whose condition and prospects are already known.
Adult vatients examined, at the Country Hall during the year 1922 and disposal thereof.
Sent to:—
Observation
hospital.
Sanatorium.
Home for
advanced cases.
Not
accepted.
Total.
188 393 64 8 653
During the year 2,494 patients were discharged from observation hospitals
and 3,718 from other institutions.

The classification of the 2,494 patients discharged after observation in hospitals.

Classification—Group A416 cases or 19.8%
„ B1249 „ 11.9%
„ B.2999 „ 47.5%
„ B.3438 „ 20.8%
Surgical cases102
Total diagnosed as tuberculous2,204
Diagnosis of tuberculosis not confirmed290
Total discharged after observation2,494

Disposal of 2,204 cases in which tuberculosis was diagnosed with comparable figuresfor 1921.

Year.
1922.1921.
Discharged home—further institutional treatment not needed189247
Made their own arrangements169170
Transferred to institutions for advanced cases292195
Elected to go to infirmaries4932
Transferred to surgical hospitals1112
Transferred to general hospitals3-
Transferred to training centres123
Died during observation4882
Discharged for misconduct411
Transferred to sanatoria1,4271,677
Totals2,2042,429

10161
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