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

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London County Council 1930

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

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The condition of the children under 16 years of age (on admission) who were discharged from residential institutions in 1930 is indicated in the following table. The figures in brackets are those for 1929:—

Immediate results of treatment.Classification.Surgical.Totals.
A.Bl.B2.B3.
Quiescent123 (67)2 (—)5(1)— (—)302 (331)432 (399)
Much improved64 (89)3(2)13 (18)—(—)178 (147)258 (256)
No material improvement16 (20)l(-)12(11)7(14)27 (25)63 (70)
Died in institution3(3)—(—)-(1)5(3)19 (26)27 (33)
Total206 (179)6(2)30 (31)12 (17)526 (529)780 (758)

l'apworth
and Preston
Hall Village
Settlements
The Council sends a number of patients to Papworth Village Settlement both
under its anti-tuberculosis scheme and under the arrangements for public assistance.
A careful selection is made with a view to the admission of patients most likely to be
accepted by the authorities of the sanatorium for settlement in the colony. About
23 of the Council's former patients have been accepted as permanent employees
of the industrial settlement. The serious problem is the patient who, after some
12 or 18 months' treatment and training, has small prospect of entering the settlement.
As the colony is an industrial concern it is necessary that only the most efficient
should be accepted for employment. To discharge patients after 18 months training
is not only a disappointment to the patient but is a waste of time and money. The
Council has accordingly recently entered into an arrangement with the authorities
of the institution concerning those patients, who, although unlikely to be fully selfsupporting,
are yet able to be of some commercial value. The arrangement is that the
Council will pay the difference between the value of the patient as a wage earner
and the cost of his maintenance, subject to periodical review of each case at intervals
of a few months. There are some 23 patients now at the colony under this arrangement.
A similar arrangement operated at the Preston Hall Village Settlement
Burrow
Hill Colony,
Frimley,
Surrey.
In 1929 the Burrow Hill Colony, Frimley, Surrey, which belongs to the National
Association for the Prevention of Tuberculosis, was re-organised into an institution
for the treatment and training in gardening and clerical work of youths between the
ages of 14 and 19 years. The scheme is that youths suffering from tuberculosis who
need to remain under treatment for at least a year are sent to the colony and the
Council has authorised the granting of a second year of training in cases where there
are definite indications that prolonged residence is likely to be of special benefit
to the boys, both as regards health and fitness for employment. The course of instruction
at the colony has received the approval both of the Board of Agriculture
and the Board of Education. The Council maintains an average of about 40 beds.
Last year a scheme was adopted under which arrangements were made for special
training in gardening of selected boys with a view to their subsequent employment
in the Council's parks department as " improvers " after two years training at the
colony. The first group of selected cases will be due for employment early in the
year 1931.
Tuberculosis
dispensary
service.
Detailed information has been furnished by the metropolitan borough councils'
tuberculosis dispensary service as to the work of the tuberculosis dispensaries,
including particulars as to the numbers of new cases and " contacts " examined,
and the number of home visits, etc. The information is summarised in the table
on pages 36 and 37.