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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In the remaining 291 cases the diagnosis of tuberculosis was not confirmed. Of
the 917 cases definitely diagnosed as tuberculous, 651 pulmonary cases were sent to
sanatoria, 75 to institutions for advanced cases, 16 died in the"observation" hospitals,
9 cases were transferred to surgical institutions, and 166 were discharged home
or arrangements made for them independently of the Council's Tuberculosis Scheme.
The total number of adults admitted to institutions during 1928 was 5,087 as
against 5,311 in 1927. 1,946 were under treatment at the commencement of the
year, so that the total number of adults treated in 1928 was 7,033 as against 7,152 in
1927. The number under treatment on 31st December, 1928, was as follows (the
corresponding figures for the previous year are shown in brackets):—
Discharged soldiers. Civilian adults. Totals.
Voluntary institutions 99 (129) 479 (507) 578 ( 636)
Metropolitan Asylums Board 26 (37) 1,316(1,273) 1,342 (1,310)
Total 125 (166) 1,795 (1,780) 1,920 (1,946)
The immediate results of the treatment of patients discharged on completion
of treatment during 1928 and the two preceding years are indicated in the subjoined
table. All percentages are shown in italics. The upper line of percentage figures
under each classification heading indicates the percentage of cases falling within
each classification group, and the second line of percentage figures shows the percentage
of cases falling under each division into which results of treatment are
classified. For the purpose of this table patients of 15 years of age on admission
are regarded as adults, owing to the "age" division of patients required for the
purposes of the Ministry of Health, although treatment for them was arranged in
institutions for children.
Immediate _ Classification.
results of A B1 B2 B3 Surgical. Totals.
treatment.1926 1927 1928 1926 l927 1928 1926 1927 1928 1926 1927 1928 1926 1927 1928 1926 1927 1928
Quiescent . 135 181 275 42 73. 84 20 51 86 — — — 81 83 78 287 388 523
47 466 52.6 14.6 18.8 16.1 10.1 13.2 16.4 — — — 28.3 21.4 14.9 100 100 100
22 0 27.4 36.9 14.1 28.8 38.2 1.1 2.2 3.8 — — — 19 .6 21.7 21.6 6 8.4 11.4
Much 340 352 371 215 168 124 1,093 1,021 1,172 29 45 49 265 205 202 1,951 1,791 1,918
improved 17.9 19.6 19.3 11 9.4 6.5 56 57 61.1 1.5 2 .5 2.6 13.6 11.5 10.5 100 100 100
59.2 53.3 49.8 72.4 66.5 56.3 4.3 45 51.7 3.4 4.3 4.9 64.3 53.5 56 40.7 38.8 41.7
No material 102 122 91 38 12 12 1,473 1,152 978 422 549 514 56 77 69 2,091 1,912 1,664
improve- 4 9 6 4 5 5 IS .6 .7 70 4 60 3 58 8 20.2 28.7 30.9 2'7 4 4 1 100 100 100
ment 17.3 18.5 12.2 12.8 4.7 5.5 55.7 50.7 43.14.9 52.1 51.3 13.5 20.1 19.1 43.7 41. 4 36.2
Died in in 4 5 8 2 — — 50 46 30 395 460 440 11 18 12 462 529 490
stitutions.9 .9 1.6 .4 — — 10.8 8.7 6.1 85.5 86.9 89.8 2.4 3.5 2.5 100 100 100
.6 .8 11 . — — 1.9 2.1 1.4 46.7 3.6 43.8 2.6 4.7 3.3 9.6 11.4 10.7
Totals 590 660 745 297 253 220 2,645 2,270 2,266 846 1,054 1,003 413 383 361 4,791 4,620 4,595
12.3 14.3 16.2 6.2 5.5 4.8 55.2, 49.1 49.3 17.7 22.8 21.8 8.6 8.3 7.9 100 100 100
100 1001 100 100 100 100 100\ 100 100 100 100 100 100 100 100 100 100 100
With regard to children, the number recommended for treatment under the
Council's Tuberculosis Scheme during each of the last five years was respectively
1,019 in 1924, 1,025 in 1925, 1,163 in 1926, 1,190 in 1927, 1,081 in 1928. There is
now no waiting list, either for pulmonary or surgical cases in children. In dealing
with surgical cases arrangements have been made for the immediate admission
to residential institutions of children suffering from tuberculosis of the hip, spine
and other joints.
Of the 1,081 children (i.e., patients under 16 years of age) referred to the Council
in 1928,1,048 were accepted for treatment, 33 were not accepted or were withdrawn
25 of the accepted cases for various reasons failed to enter institutions after
acceptance. There were 219 children under treatment in voluntary institutions
and 669 in Metropolitan Asylums Board institutions on 1st January, 1928 (total