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]
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The dispensary services of the Metropolitan Borough Councils continued as Dispensary before and the following is a summary of certain aspects of their work :— services
Table 37
| Metropolitan borough | Deaths from tuberculosis | Ratio of cases on dispensary register to cases on notification register | Number per 100 deaths from tuberculosis in the borough | Total attendances per case on register | Tuberculosis officers' visits per case on register | Total consultations With medical practitioners per case on register | Nurses' visits per case on register | X.ray examinations | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Actual | Per 1,000 inhabitants | Definitely tuberculous persons on dispensary register | T.B. + cases on dispensary register | Examinations | per 100 new cases and contacts | per 100 new cases | ||||||||
| New cases | Contacts | |||||||||||||
| Adults | Children | |||||||||||||
| Battersea | 101 | .71 | .88 | 739 | 410 | 608 | 119 | 122 | 7.0 | .46 | .61 | 5.0 | 235.7 | 329.0 |
| Bermondsey | 76 | .78 | .92 | 1,018 | 441 | 684 | 318 | 317 | 4.8 | 1.28 | .50 | 3.2 | 115.5 | 222.7 |
| Bethnal Green | 80 | .86 | .58 | 815 | 305 | 616 | 179 | 114 | 5.3 | .21 | .41 | 6.5 | 77.3 | 114.0 |
| Camberwell | 179 | .81 | .78 | 894 | 363 | 541 | 86 | 90 | 3.9 | .57 | 1.01 | 4.6 | 98.2 | 130.2 |
| Chelsea | 44 | .79 | .93 | 523 | 273 | 823 | 184 | 102 | 7.7 | .12 | .50 | 13.0 | 120.9 | 163.0 |
| Deptford | 64 | .67 | .63 | 691 | 402 | 627 | 139 | 119 | 5.4 | .40 | .54 | 7.1 | 56.0 | 78.8 |
| Finsbury | 38 | .67 | .98 | 1,042 | 479 | 526 | 79 | 100 | 3.2 | .09 | .62 | 3.9 | 119.0 | 159.5 |
| Fulham | 121 | .88 | .46 | 517 | 268 | 656 | 136 | 89 | 7.5 | .74 | 2.19 | 5.5 | 47.4 | 63.6 |
| Greenwich | 74 | .77 | .77 | 703 | 361 | 586 | 123 | 120 | 4.9 | .20 | .67 | 5.2 | 125.1 | 177.0 |
| Hackney | 127 | .62 | .79 | 946 | 443 | 624 | 179 | 154 | 4.7 | .23 | 1.17 | 3.6 | 71.7 | 110.0 |
| Hammersmith | 87 | .70 | .98 | 972 | 451 | 453 | 149 | 130 | 3.3 | .37 | .84 | 4.6 | 43.2 | 69.8 |
| Hampstead | 37 | .41 | .73 | 646 | 346 | 484 | 132 | 157 | 9.1 | .88 | 1.98 | 2.8 | 91.3 | 145.8 |
| Hoi born | 31 | .91 | .80 | 816 | 394 | 277 | 100 | 74 | 3.9 | .08 | .47 | 3.7 | 163.6 | 266.3 |
| Islington | 235 | .80 | .69 | 595 | 391 | 349 | 134 | 100 | 6.9 | .33 | .56 | 4.4 | 57.4 | 95.9 |
| Kensington | 106 | .61 | .88 | 510 | 265 | 498 | 132 | 108 | 5.4 | .44 | .86 | 6.5 | 82.8 | 122.7 |
| Lambeth | 209 | .77 | .68 | 676 | 311 | 405 | 261 | 147 | 4.4 | .59 | 1.34 | 3.0 | 85.2 | 171.1 |
| Lewisham | 175 | .76 | .89 | 664 | 345 | 343 | 74 | 82 | 3.3 | .23 | .38 | 4.5 | 25.4 | 36.9 |
| Paddington | 81 | .59 | .84 | 922 | 327 | 891 | 137 | 135 | 8.9 | .66 | .56 | 6.5 | 58.3 | 76.0 |
| Poplar | 109 | .81 | .80 | 583 | 327 | 477 | 183 | 138 | 7.7 | .85 | .47 | 9.9 | 64.7 | 107.9 |
| St. Marylebone | 44 | .48 | .65 | 777 | 393 | 573 | 232 | 155 | 6.4 | .43 | .65 | 5.8 | 96.9 | 162.3 |
| St. Pancras | 133 | .74 | .84 | 597 | 322 | 378 | 119 | 97 | 4.3 | .09 | .34 | 4.5 | 47.7 | 75.0 |
| Shoreditch | 57 | .71 | .48 | 939 | 453 | 740 | 158 | 84 | 7.0 | .19 | .27 | 6.0 | 70.0 | 92.9 |
| Southwark | 134 | .92 | .65 | 467 | 242 | 458 | 125 | 113 | 7.9 | .16 | .79 | 3.8 | 229.4 | 348.5 |
| Stepney | 131 | .65 | .74 | 1,073 | 529 | 397 | 211 | 359 | 3.7 | .39 | .67 | 3.6 | 36.2 | 88.3 |
| Stoke Newington | 26 | .52 | .82 | 758 | 373 | 600 | 392 | 173 | 5.5 | .47 | 1.78 | 8.2 | 37.3 | 72.4 |
| Wandsworth | 233 | .69 | .68 | 590 | 337 | 413 | 121 | 91 | 3.4 | .29 | 2.17 | 4.0 | 17.0 | 25.7 |
| Westminster | 69 | .56 | .35 | 846 | 290 | 442 | 72 | 120 | 3.5 | .17 | .65 | 4.7 | 37.4 | 53.8 |
| Woolwich | 128 | .85 | .97 | 679 | 241 | 626 | 234 | 166 | 6.2 | .33 | 1.26 | 5.2 | 88.0 | 144.3 |
| London (excluding City) | 2,937 | .72 | .72 | 720 | 352 | 504 | 154 | 131 | 5.2 | .41 | .90 | 4.8 | 81.2 | 127.0 |
Tuberculosis
care
committees
Tuberculosis care committees functioned in 22 of the 28 metropolitan boroughs.
In the remaining boroughs care work is undertaken by social workers in connection
with the dispensary service. In order to extend the scope of voluntary "care" and
"after.care" efforts, funds have been raised chiefly by means of sales of the Christmas
stamps of the National Association for the Prevention of Tuberculosis.
The object of the work remains the same, namely, to deal with each case of
tuberculosis as an individual problem, particularly as it affects the larger economic
group of the family, to render assistance in the most appropriate form towards
mitigating any adverse social and economic results, and to endeavour to help patients
towards rehabilitation in ordinary life on discharge from sanatoria. Owing to the
long and often permanent disability which is a frequent characteristic of the disease,
much effort and expenditure of money has perforce to be palliative rather than
constructive.
Handicraft, glove-making, dressmaking and cooking classes have been carried on
as before, and to these have been added classes in book-binding and literature with
a view to relieving the tedium of enforced idleness, and, to a very limited extent, to
enabling patients to earn some pocket money as well as to develop a practical hobby.
Metropolitan Borough Councils as public health authorities provide extra
nourishment for certain tuberculous patients.
Workshops
for the
tuberculous
The Central Fund for the Industrial Welfare of Tuberculous Persons provides
workshops in which are carried out the manufacture of leather goods, furniture, wooden
toys and the preparation of firewood. The furniture and woodwork factory employs