Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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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) | 415 | Males (Ex-service men) | 801 |
„ (Civilians) | 1,597 | „ (Civilians) | 347 |
Females | 1,338 | Females | 397 |
3,350 | 1,545—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hospitals or other institutions, and their applications were treated as withdrawn.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.
Classification—Group A | 416 cases or 19.8% |
„ B1 | 249 „ 11.9% |
„ B.2 | 999 „ 47.5% |
„ B.3 | 438 „ 20.8% |
Surgical cases | 102 |
Total diagnosed as tuberculous | 2,204 |
Diagnosis of tuberculosis not confirmed | 290 |
Total discharged after observation | 2,494 |
Year. | ||
---|---|---|
1922. | 1921. | |
Discharged home—further institutional treatment not needed | 189 | 247 |
Made their own arrangements | 169 | 170 |
Transferred to institutions for advanced cases | 292 | 195 |
Elected to go to infirmaries | 49 | 32 |
Transferred to surgical hospitals | 11 | 12 |
Transferred to general hospitals | 3 | - |
Transferred to training centres | 12 | 3 |
Died during observation | 48 | 82 |
Discharged for misconduct | 4 | 11 |
Transferred to sanatoria | 1,427 | 1,677 |
Totals | 2,204 | 2,429 |
10161
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