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]
More detailed information as to the conditions dealt with is given in the following table :—
|Disease.||Cases.||Visits.||Average no. of visits.|
|Circulatory and lymphatic system||97||2,746||28|
|Digestive, abdomen, etc.||95||1,812||19|
|Skin and underlying tissues||151||6,430||43|
|Bones and joints||61||3,268||53|
|Nose, ear and throat||47||898||19|
|Senility and debility||41||1,758||43|
The average number of visits paid to diabetic patients was no less than 262.
Out of a total of 53,413 visits, more than half (28,807) were paid to diabetics. Of
the 110 diabetics, 71 were "new" cases commencing during 1934, while 39, more
than one-third, were " old " cases where treatment was continued from 1933. The
proportion of " old " cases among the non-diabetics was less than one-seventh. It
would seem that the diabetics are accumulating, and that next year a further increase
in the amount of work in the treatment of this condition may be anticipated.
A large proportion of the cases classified under "nervous system" are cases of
paralysis which accounts for the high average of visits. Included under " bones
and joints " are chronic cases of rheumatoid arthritis which raise the average considerably.
Also under " skin and underlying tissues " are included cases of bed
sores requiring dressing, which, except for this condition, would have been shown
under " senility and debility."
The following table shows the sources of reference of cases to district nursing
|District Nursing Association.||Medical supt. of L.C.C. hospital or district medical officer.||Persons in receipt of relief.||Total.|
|Voluntary hospital.||Private or panel doctor.||Other sources.|
|Metropolitan (St. Pancras)||32||15||3||3||53|
|Woolwich and Plumstead||133||15||16||2||166|
Many of the 111 patients under private or panel doctors were short cases. It
appears probable that these are patients on relief only for a short time, probably
owing to illness, their private doctors continuing to treat them without fee. The
remainder are persons in receipt of relief but still receiving treatment from a
National Health Insurance doctor.
The 21 cases shown under "other sources" include patients under the care of
voluntary dispensaries, infant welfare centres, etc.