London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
City of London 1913
[Report of the Medical Officer of Health for London, City of ]
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The patient has not been associated with other suspicious cases of illness.
Was removed to St. Bartholomew's Hospital 24th November, 1913.
An examination of the blood shows great increase in lymphocytes in cerebro.spinal fluid.
The patient died within a few hours of admission to the Hospital. P.M. showed typical
infiltration and vascular changes in cord and medulla, marked congestion of lungs, kidneys, liver, &c.
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912.
The Regulations for dealing with Tuberculosis, then obtaining and proposed, were
reported upon in the Annual Report for the year 1912. The Local Government Board
Public Health (Tuberculosis) Regulations, 1912, are there described. These new
Regulations came into force upon the 1st February last, their chief effect being that it
is now compulsory that all cases of human Tuberculosis, whether of the lungs or
localised in other parts of the body, be notified, upon prescribed forms, to the
Medical Officer of Health.
The number of cases notified during the year and tabulated according to the ages
of the patients will be found with particulars of infectious diseases upon page 27.
All cases of Tuberculosis have been investigated and such action taken as was possible, to improve the condition of the sufferers, and to prevent the spread of infection. The following tabulation indicates the course of events.
| Removed to Hospi tals or Sanatoria. | Treated in Infirmaries. | At present treated at Home. | Died. | Removed to other District*. | Not traced. | Totals. | |
|---|---|---|---|---|---|---|---|
| — | 3 | 2 | — | . | |||
Twenty.three additional or duplicate notifications were also received referring to
these cases.
TREATMENT AND PREVENTION OF TUBERCULOSIS.
Proposals for the establishment of a Tuberculosis Dispensary for the City have
received careful consideration during the year. This was advisable in consequence of
the passing of the National Insurance Act, 1911, and the necessity which existed for
dealing with the problem of the prevention of tuberculosis.
Upon communicating with the Governing Body of St. Bartholomew's Hospital, it
was ascertained that that Body would view with the greatest favour proposals for the
co.operation between the Corporation of London and the Hospital in a scheme for the
treatment of tuberculosis.
This fundamental principle of utilising the resources of a large general hospital has
lately been approved by the Local Government Board.