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

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London County Council 1942

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

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7
Arrangements were made by the Camberwell Borough Council for the assistant
tuberculosis officer to carry on the normal weekly sessions, and for the giving of
artificial pneumothorax refills by the Southwark tuberculosis officer. At Hammersmith,
where the dispensary is now established at the Council's Hammersmith
Hospital, the tuberculosis officer's duties are being performed by a member of the
staff of the British Post-Graduate Medical School.
After-care
clinics
The after-care department of Queen Mary's Hospital for Children, formerly
held at Carshalton, was transferred to the County Hall; those after-care clinics
for other hospitals already held there continued to function on the usual lines.
Boardingout
of
child
contacts
The Invalid Children's Aid Association experienced great difficulty in placing
children under the age of 5 years, and arrangements were made for vacancies to be 1
allocated for this purpose in some of the Council's evacuated nurseries. During \
the year, 140 child contacts were boarded-out with foster-parents, or in children's
homes or nurseries, an average number of 83 being maintained. At the end of
the vear 98 children were still boarded-out.
Open-air
schools
(type T)
The children from the open-air school at the Riviera Lido Holiday Camp,
Bognor, were transferred to a country mansion in Hertfordshire. An open-air
school for children aged 2-5 years was opened in Devon in September, and one for
older boys in Hertfordshire in November. A number of children were waiting
for vacancies in residential open-air schools at the end of the year.
Residential
treatment

The number of recommendations for residential treatment with the corresponding figures for 1941, 1940 and 1938 (the last pre-war year) were:—

YearMenWomenChildrenTotal
19423,3942,5947546,742
19413,3562,3106306,296
19403,8542,6814797,014
1938 (last pre-war year)4,3413,1219968,458

The large increase in the number of recommendations in respect of children
in 1941 over 1940 continued in 1942. The decrease noted in the recommendations,
both men and women, in 1941 compared with 1940, was not maintained in 1942,
when the number of recommendations for both sexes increased, particularly for
women.
Pleural
effusion unit
Early in the year a ward of 30 beds was set aside at Queen Mary s Hospital,
Sidcup, for the observation and treatment of adult male patients suffering from
pleurisy, pleural effusion and symptomless minimal lesions of non-infectious pulmonary
tuberculosis. Within a few weeks of the establishment of this special
unit it was fully occupied. Subsequently the provision was increased and at the
end of the year accommodation was available for 60 male and 48 female patients
(exclusive of nurses from the Council's own hospitals, who are treated in accommodation
reserved for sick nurses). It is intended that the experience gained at this
unit should be specially noted for future guidance, particularly as to the proportion
of the patients who ultimately develop lung lesions.

The numbers of beds occupied by patients under the tuberculosis scheme on 31st December, 1942 (with corresponding figures for 1941 and 1938) were as follows:—

AdultsChildren
194219411938194219411938
Council's special hospitals and sanatoria1,264 (129)1,081 (65)1,299 (1)525497658
Council's general hospitals654 (18)577 (15)1,010 (6)101513
Voluntary institutions1,170 (106)1,195 (78)1,134 (16)575660
Total3,088 (253)2,853 (158)3,443 (23)592568731

The figures in brackets represent the number of ex-Service men (included in the
figures) whose tuberculous condition has been accepted by the Ministry of Pensions
as connected with war service.