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

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London County Council 1946

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

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The number of beds occupied by patients under the tuberculosis scheme on 31st December, 1946 (with corresponding figures for the years 1938 to 1945, inclusive) were as follows ; the figures in brackets represent the number of ex-Service men and women (included in the figures) whose tuberculous condition has been accepted by the Ministry of Pensions as connected with war service:—

YearCouncil's special hospitals and sanatoriaCouncil's general hospitalsVoluntary institutionsTotal
ADULTS
19461,134(109)615(49)1,246(120)2,995(269)
19451,233(160)596(23)1,316(145)3,145(328)
19441,419(242)490(30)1,399(157)3,308(429)
19431,249(184)713(33)1,323(120)3,285(337)
19421,296(129)654(18)1,170(106)3,120(253)
19411,102(65)577(15)1,195(78)2,874(158)
1940983(6)579(5)1,303(17)2,865(28)
1939853(3)787(2)1,128(8)2,768(13)
19381,299(1)1,010(6)1,134(16)3,443(23)
CHILDREN
194642221167610
194543713127577
19444161255483
1943519943571
19425801057647
19414941556565
1940400468472
1939496855559
1938658660724

*Including 237 Service patients (201 in the Council's special and general hospitals and 36 in voluntary
institutions).
†Including 176 Service patients (165 in the Council's special hospitals and 11 in voluntary institutions).
The decrease in the number of beds occupied, both in the Council's special
hospitals and sanatoria and in voluntary institutions, is due to staffing difficulties
prevalent throughout the country.
Domiciliary
treatment
by collapse
therapy
During the year, many beds at suitable hospitals and sanatoria remained
unoccupied, due to the shortage of nursing and other staff; and, in consequence, the
number of patients on the waiting list for residential treatment tended to increase,
With a view to alleviating anxiety arising through failure to commence treatment in
the early stages of the disease, active treatment, limited to artificial pneumothorax
therapy, was started as an experiment in two metropolitan boroughs for suitable
patients still at home. The Council authorised free conveyance by its ambulances
of such patients between their homes and the local tuberculosis dispensaries, foi
purposes of radiological control. The experiment proved satisfactory in carefully
selected cases as, apart from the cancellation of a number of recommendations foi
residential treatment, the patients received active treatment earlier than would have
been the case had this been delayed until their admission to sanatoria.
Dental
treatment
and provision
of spectacles
Dental treatment, (including the provision of dentures where necessary), and
spectacles, were provided for patients undergoing residential treatment for tuberculosis
where such provision was considered a necessary aid to treatment. No charge
is made to patients for dental treatment except that any grants received from approved
societies under the National Health Insurance Acts are taken into consideration.
Provision of
clothing and
boots (and
repairs)
Where it was certified to be essential to enable patients to benefit from residential
treatment, clothing and boots (and repairs) were provided free in cases where the
patients could not make such provision. Verification of the patients' circumstances