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

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London County Council 1938

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

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Treatment of tuberculosis

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 boroughDeaths from tuberculosisRatio of cases on dispensary register to cases on notification registerNumber per 100 deaths from tuberculosis in the boroughTotal attendances per case on registerTuberculosis officers' visits per case on registerTotal consultations With medical practitioners per case on registerNurses' visits per case on registerX.ray examinations
ActualPer 1,000 inhabitantsDefinitely tuberculous persons on dispensary registerT.B. + cases on dispensary registerExaminationsper 100 new cases and contactsper 100 new cases
New casesContacts
AdultsChildren
Battersea101.71.887394106081191227.0.46.615.0235.7329.0
Bermondsey76.78.921,0184416843183174.81.28.503.2115.5222.7
Bethnal Green80.86.588153056161791145.3.21.416.577.3114.0
Camberwell179.81.7889436354186903.9.571.014.698.2130.2
Chelsea44.79.935232738231841027.7.12.5013.0120.9163.0
Deptford64.67.636914026271391195.4.40.547.156.078.8
Finsbury38.67.981,042479526791003.2.09.623.9119.0159.5
Fulham121.88.46517268656136897.5.742.195.547.463.6
Greenwich74.77.777033615861231204.9.20.675.2125.1177.0
Hackney127.62.799464436241791544.7.231.173.671.7110.0
Hammersmith87.70.989724514531491303.3.37.844.643.269.8
Hampstead37.41.736463464841321579.1.881.982.891.3145.8
Hoi born31.91.80816394277100743.9.08.473.7163.6266.3
Islington235.80.695953913491341006.9.33.564.457.495.9
Kensington106.61.885102654981321085.4.44.866.582.8122.7
Lambeth209.77.686763114052611474.4.591.343.085.2171.1
Lewisham175.76.8966434534374823.3.23.384.525.436.9
Paddington81.59.849223278911371358.9.66.566.558.376.0
Poplar109.81.805833274771831387.7.85.479.964.7107.9
St. Marylebone44.48.657773935732321556.4.43.655.896.9162.3
St. Pancras133.74.84597322378119974.3.09.344.547.775.0
Shoreditch57.71.48939453740158847.0.19.276.070.092.9
Southwark134.92.654672424581251137.9.16.793.8229.4348.5
Stepney131.65.741,0735293972113593.7.39.673.636.288.3
Stoke Newington26.52.827583736003921735.5.471.788.237.372.4
Wandsworth233.69.68590337413121913.4.292.174.017.025.7
Westminster69.56.35846290442721203.5.17.654.737.453.8
Woolwich128.85.976792416262341666.2.331.265.288.0144.3
London (excluding City)2,937.72.727203525041541315.2.41.904.881.2127.0

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