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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38
Following up
of discharged
cases.

The following table shows the result of the enquiry and also (in brackets) the corresponding figures ascertained from last year's enquiry into the 1923 cases:—

Classification.Total.Percentage alive five years after discharge.Percentage dead.
A440 (414)75.9 (78.9)24.1 (21.1)
B 1255 (284)65.5(63.0)34.5(37.0)
B 21,871 (1,669)32.3(32.5)67.7 (67.5)
B 3821 (784)4.4 (6.9)95.6 (93.1)
Surgical244 (245)75.4 (77.6)24.5(22.4)

* The classification adopted is as follows :—
A.—Cases in which tubercle bacilli have not been demonstrated in the sputum.
B.—Cases in which tubercle bacilli have been demonstrated in the sputum.
Bl.—Early cases.
B2.—Moderately advanced cases.
B3.—Advanced cases.
Particulars obtained in 1929 as to the fitness for work of the 1,324 surviving
adult patients who were discharged from treatment in 1924 show that out of a total
of 501, A and Bl cases, 65.4 per cent, were at work. The corresponding percentage
for the A and Bl cases in the 1923 group was 69 4. The percentages at work in the
other categories and also the corresponding figures for the 1923 group (shown in
brackets) are as follows :—B2, 46.4 (47) per cent.; B3, 26.9 (31.5) per cent.; and
surgical, 65.6 (63.1) per cent. Of the total number of 1,324 in all categories, 55.6 (57.5)
per cent, were at work, 5.7 (7.8) per cent, were fit for work but were unemployed,
36.6 (35.8) per cent, were unable to work (including cases receiving further residential
treatment).
Children.—The particulars obtained as to the after histories of children discharged
in 1924 relate to 559, of which 240 are pulmonary and 319 nonpulmonary.

The mortality records are as follows. (The figures in brackets refer to last year's enquiry into the 1923 cases):—

Classification.Total.Percentage alive five years after discharge.Percentage dead.
A113(136)92.9 (88.7)7.1 (11.3)
B 13 (7)100.0(71.4)— (28.6)
B 222 (18)22.7 (11.1)77.3(88.9)
B 337 (35)2.7 (14.3)97.3(85.7)
Surgical384 (278)88.8 (89.9)11.2 (10.1)

The mortality rates of the non-pulmonary cases classified according to the location of the disease are as follows:—

Total.Percentage alive five years after discharge.Percentage dead.
Hip6981.2 (88.7)18.8 (11.3)
Spine4971.4(73.7)28.6(26.3)
Other bones8992.0 (98.4)8.0 (1.6)
Glands14995.3 (93.0)4.7 (7.0)
Other parts2892.9 (78.6)7.1 (21.4)

Of the 114 surviving pulmonary cases 27 were at school and 75 at work, and of
341 surviving non-pulmonary cases, 126 were at school and 174 at work.