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

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London County Council 1961

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

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Diseases of the respiratory system—In this case men slightly exceeded women and the
commonest conditions investigated were acute and chronic bronchitis (246), pneumonia
pneumonitis (128), upper respiratory tract invections (57), sinusitis (47), tonsillitis (26).
There were seven spontaneous pneumothoraces, all between the ages of 16 and 30.
Diseases of the blood and blood-forming organs—These were mainly anaemias. Including
only those outside the lowest recognised normal limits gave men (86) and women (367)
suffering from hypochronic anaemia. The males were either very young or elderly. The
women were mainly of child-bearing age, 42 of them being pregnant.
it is hoped to study anaemia in the age group 60 years and above in relation to malignant
disease of the gastro-intestinal tract.
Diseases of bone and organs of movement—There were largely osteoarthritic and disc
lesions including 266 women and 148 men. The remainder were mainly forms of arthritis,
muscular rheumatism and fibrositis.
Accidents and violence—These were equally distributed between male and female, nearly
all in the young, and many of them injuries connected with sport and recreation.
Diseases of the genito-urinary system—The great preponderance were women and almost
all investigations were connected with cystitis and pyelonephritis.
Diseases of circulatory system—These were equally divided between men (90) and women
(85). They were mainly cases of arteriosclerotic heart disease and coronary thrombosis.
As would be expected, the cases of arteriosclerosis were mainly in the higher age range.
There were a proportion of cases of hypertension and functional heart disease.
Patients with Age groups
evidence of: Ma!e female 5/15 16/19 20/29 30/39 40/49 50/59 60/69 70+
Arteriosclerosis and
coronary disease 40 18 - 2 2 7 15 27 5
Other cardiac conditions 19 19 1 — 2 1 5 15 12 3
Of those with definite evidence of ischaemic heart disease, 11 were known to have had
previous attacks. It is assumed that of the remainder the majority were first attacks. In all
types 59 of the patients were working, 37 were not.
Diseases of allergic origin, metabolic, nutritional and endocrine diseases—These were
nearly all associated with the allergy service and skin sensitisation tests. The distribution
related to the presenting symptoms was asthma (35), hay fever (53), dermatoses (23), other
allergic disorders (26). thyroid disorders (8), myxoedema (3), gout (7).
Allergic conditions tested
Patients Age groups
Male Female 0/4 5/15 16/19 20/29 30/39 40/49 50/59 60/69 70+
61 69 3 25 14 28 25 24 10 1 —
Of these patients, 15 had previously been tested and eight treated; five with substantial
improvement and three were free for two years. It is not known how many of those tested
at the Centre have been treated but it is intended to carry out a follow-up check.
The lowest age group comprised two cases of asthma and one of eczema.
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