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

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London County Council 1932

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

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The number of cases under treatment on 31st December, 1932, was 811, distributed as follows:—

London County Council institutions641
Voluntary institutions170

The condition of the children under 15 years of age (on admission) who were discharged from residential institutions in 1932 is indicated in the following table, the figures in brackets being those for 1931:—

Immediate results of treatment.Classification.Surgical.Total.
ABl.B2.B3.
Quiescent143 (102)3(6)6 (1)-(-)387 (426)539 (535)
Not quiescent42 (63)- (6)15 (30)12 (16)76 (147)145 (262)
Died in institution2 (2)-(-)2 (3)6 (8)19 (19)29 (32)
Total187 (167)3(12)23 (34)18 (24)482 (592)713(829)

Papworth
and Preston
Hall village
settlements.
The Councilsends a number of patients to Papworth village settlement, near Cambridge,
and to the Preston Hall colony, Aylesford, Kent, both under its tuberculosis
scheme and as "municipal" cases. A careful selection is made with a view to the
admission of patients most likely to be accepted later as suitable for settlement in the
colony; 26 of the Council's former patients have been accepted as permanent employees
of the industrial settlement at Papworth and 24 at Preston Hall. The serious
problem is the patient who, after some 12 or 18 months' treatment and training,
has small prospect of entering a settlement. As both colonies are industrial concerns
it is necessary that only the most efficient should be accepted for employment. The
Council has accordingly entered into arrangements with the authorities of the
institutions for a reduction of the fee charged in respect of those patients who,
although unlikely to be fully self-supporting, are yet able to be of some
commercial value. These cases are subject to periodical review at intervals
of a few months. At the end of the year 100 patients at Papworth and 88 at
Preston Hall were being treated under this arrangement. The corresponding figures
for 1931 were 71 in each institution.
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.
A scheme has been adopted under which arrangements are 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
colonv.