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

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London County Council 1925

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

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67
The following tables give the results of the original investigations by the Council
and London Insurance Committee concerning patients treated in 1914-1915 and
the comparable figures for subsequent similar investigations.

After history of the Council's Patients who received residential treatment during part of 1914 and during 1915, and of insured persons recommended for sanatorium benefit in 1914.

Number of cases.Numbers known alter tour years to be
Alive.Dead.
1. Council's patients—
(a) Adults (uninsured)—-
For diagnosis53 (60%)2 (40%)
Early cases5927 (45.8%)32 (54.2%)
Moderately advanced cases9733 (34%)64 (66%)
Far advanced cases234 (17.4%)19 (82.6%)
(b) Children (pulmonary)—4 (16.7%)
Diagnosis doubtful2420 (83.3%)
Early cases8178 (96 2%)3 (3.8%)
Moderately advanced cases4836 (75%)12 (25%)
Far advanced cases104 (40%)6 (60%)
{c) Children (non-pulmonarv)—
Hip1612 (75%)4 (25%)
Spine21 (50%)1 (50%)
Other bones43 (75%)1 (25%)
Glands1412 (85.7%)2 (14.3%)
2. Insurance Committee patients—
Adults (insured)—
Early cases552386 (70%)166 (30%)
Moderately advanced cases1,417361 (25.4%)1,066 (74.6%)
Far advanced61920 (3.2%)599 (96.8%)

Of 306 uninsured adults treated 122 (39.9 per cent.) were not traced, and of
288 children treated 89 had passed out of supervision. Of 3,224 insured adults
recommended for sanatorium benefit 636 (19.9 per cent.) were not traced.
The figures for insured and iminsured adults are not comparable as insured
persons of both sexes work under the stress of industrial conditions, whilst uninsured
persons, principally women, are not engaged in ordinary industrial life. Moreover,
of the 3,244 insured persons recommended for sanatorium benefit only 1,515 received
residential treatment.
After history
of the
patients
treated in
1918.
Number of cases enquired into, 2,987. Of these 47 per cent, were early cases,
29 per cent. moderately advanced, and 24 per cent. far advanced cases.
After 5 years.
Early cases 85% alive 15% dead
Moderately advanced cases 39.9% alive 60.1% dead
Far advanced cases 4.5% alive 95.5% dead
There was a marked increase in the percentage of early cases dealt with in 1918
as compared with the figures for 1914. This was accounted for partly by a higher
level of medical skill and attention and partly by the number of discharged
soldiers who had exceptional advantages in being able to undergo treatment for
longer periods free from financial worries and anxieties about dependants.
Cases dealt
with in 1925.

5,869 applications for institutional treatment of adult patients were received during the year 1925, viz.:—

First applications.Applications for further treatment.
Males (Ex-service men)381Males (Ex-service men) ...598
„ (Civilians). 1,929„ (Civilians) ......605
Females......... 1,829Females .........527
4,1391,730—Total 5,869