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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Of these 514 were not accepted for treatment under the Council's scheme ;
197 patients were examined at the County Hall, and their disposal then determined ;
1,313 were referred to observation hospitals for admission as a preliminary step
to their disposal; 3,766 were accepted for admission direct to institutions on the
reports of the medical officers recommending the cases, and in 79 cases the applications
for various reasons were not proceeded with. In 369 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other institutions, and their applications were treated as withdrawn.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 182 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 wellmarked
disease whose suitability for sanatorium treatment can be determined only
after a few weeks' close observation. Cases examined at the County Hall aremainly
those in which the diagnosis has been confirmed by the presence of tubercle
bacilli in the sputum and in respect of which there appears, on examination of the
reports, to be doubt as to the suitability of the patients 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.

Action taken with regard to adult patients examined at the County Hall during 1925 :—

Observation hospital.Sanatorium.Home for advanced cases.Not accented.Total.
26142910197

During the year 1,334 patients were discharged from observation hospitals
and 4,878 from other institutions.

The classification of the 1,334 patients discharged after observation in hospitals :

Classification—Group A374 cases or 34.82% of total pulmonary cases.
„ B166 „ 6.15%
B2465 „ 43.30%
„ B3169 „ 15.73%
Total pulmonary cases1,074
Surgical cases31
Total diagnosed as tuberculous1,105

In the remaining 229 cases the diagnosis of tuberculosis was not confirmed. Action taken with regard to 1,105 cases in which tuberculosis was diagnosed, compared with the figures for 1924 :—

Year.
1925.1924.
Discharged home271
Made their own arrangements or refused further treatment117136
Transferred to institutions for advanced cases66157
Elected to go to infirmaries3714
Transferred to surgical hospitals413
Transferred to general hospitals-5
Transferred to training centres-2
Died during observation6948
Discharged for misconduct32
Transferred to sanatoria807679
Totals1,1051,127

At the commencement of 1925 the Council had in use the following number of beds:—

Adults.
Discharged soldiers.Civilians.Total adults.Children.Total children.
Voluntary Institutions1504811,623191744
Metropolitan Asylums Board Institutions115877553