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

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London County Council 1931

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

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27
1931, was as follows (the corresponding figures for the previous year being shown
in brackets):—
Ex-service pensioners for tuberculosis. Civilian adults. Totals.
Voluntary institutions 51 (50) 618 (626) 669 (676)
London county council institutions
25 (22) 1,304 (1,319) 1,329 (1,341)
Total 76 (72) 1,922 (1,945) 1,998 (2,017)
In addition there were 257 patients receiving treatment in sanatoria as "municipal"
cases.
The immediate results of the treatment of patients discharged on completion
of treatment during 1931 and the two preceding years, including those discharged
from approved sanatoria as "municipal" cases, are indicated in the subjoined table.
All percentages are shown in italics. The upper line of italic figures under each
classification heading indicates the percentage of cases falling within each
horizontal classification group, and the second line of italic figures shows the
percentage of cases falling under each vertical division into which results of treatment
are classified. For example, 569 patients were discharged in 1929 with the disease
"quiescent." Of these 278 or 48.9 per cent. were cases of pulmonary (Group A)
tuberculosis and 108 or 19 per cent. were in Group B. The total number of Group
A cases in 1929 was 685, and 278 of these or 40.6 per cent. were discharged as
"quiescent." 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.
Classification.
Immediate
results of
treatment.
A B1 B2 B3 Surgical. Totals.
1929. l930. 1931. 1929. 1930. 1931. 1929. 1930. 1931. 1929. 1930. 1931. 1929. 1930.. 1931. 1929. 1930. 1931.
Quiescent
278 320 356 108 77 100 91 200 162 — — — 92 105 93 569 702 711
48.9 45.6 50.1 19.0 11.0 14.1 15.9 28.5 22.7 — — — 16.2 14.9 13.1 100 100 100
40.6 47.0 46.9 51.2 46.4 49.3 3.9 9.1 7.4 — — — 22.7 25.7 22.9 12.3 15 .7 15.3
Not
Quiescent
400 348 397 103 89 103 2,239 1,959 1,988 541 667 834 290 288 300 3,579 3,351 3,622
11.2 10.4 11.0 2.9 2.7 2.8 62.6 58.4 54.9 15.1 19.9 28.0 8.2 8.6 8.3 100 100 100
58.4 51.1 52.2 48.8 53.6 50.7 95.5 89.5, 90.8 55.4 64.1 75.7 73.1 70.4 73.9 77.4 74.7 77.7
Died
in
institution
7 13 7 — — — 13 30 39 436 373 267 17 16 13 473 432 326
1.5 3.0 2.1 — — — 2.7 7.0 12.0 92.2 86.3 81.9 3.6 3.7 4.0 100 100 100
1.0 1.9 0.9 — — — .6 1.4 1.8 44.6 35.9 24.3 4.2 3.9 3.2 10.3 9.6 7.0
Totals
685 681 760 211 166 203 2,343 2,189 2,189 977 1040 1,101 405 409 406 4,621 4,485 4,059
14.8 15.2 16.3 4.6 3.7 4.4 50.7 48.8 47.0 21.1 23.2 23.6 8.8 9.1 8.7 100 100 100
100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
With regard to children, the numbers recommended for treatment under the
Council's tuberculosis scheme during each of the last five years were respectively
1,190 in 1927, 1,081 in 1928, 1,069 in 1929, 1,121 in 1930 and 1,201 in 1931. In dealing
with surgical cases, arrangements have been continued for the immediate admission
to residential institutions of children suffering from tuberculosis of the hip, spine
and other bones.
Of the 1,201 children (i.e., patients under 16 years of age) referred to the Council
in 1931, 1,115 were accepted for treatment, and 86 were not accepted or were withdrawn;
78 of the accepted cases for various reasons failed to enter institutions after
acceptance. There were 949 children (including 59 cases admitted by late boards of
guardians) under treatment at the beginning of the year, and 1,097 children were
admitted during the year, making the total number of children treated in 1931
2,046, compared with 1,884 in 1930. The number of cases under treatment on
31st December, 1931, was 898, distributed as follows:—
London County Council institutions 733
Voluntary institutions 165