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

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City of London 1915

[Report of the Medical Officer of Health for London, City of ]

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25
Treatment in Sanatoria.
The number of patients who have been recommended for admission to Sanatoria is
39. In regard to non.residents the result is not always known, so that for them the
figures are approximate only; they can be thus classified:—
Residents recommended to—
London Insurance Committee 12, of whom 11 were admitted.
London County Council 3, all of whom were admitted.
Charitable Agencies 2, both of whom were admitted.
Total recommended—17, of whom 16 were admitted.
Non.residents recommended to—
Various Insurance Committees 16, of whom at least 14 were admitted.
London County Council 2, of whom 1 was admitted.
A County Borough Council 1, for whom the Authority had no suitable
accommodation.
Various Charitable Agencies 3, of whom 2 at least were admitted.
Total recommended—32, of whom at least 17 were admitted.
In addition to the above many non.residents were very strongly advised to apply
for admission to Sanatoria, and would have been recommended had they consented to do
so; they objected to apply on various grounds, chiefly the difficulty of maintaining the
home during the absence of the bread.winner, 10s. per week received as "Sickness
Benefit" under the National Insurance Act being quite insufficient for this.
Five children under 16 years of age, and therefore uninsured, were found to be
suffering from tuberculosis, two being residents; for one of these institutional treatment
was obtained by charitable help, and arrangements are on hand for the other to be
admitted to Lord Mayor Treloar's Hospital at Alton.
Tuberculosis in children, especially surgical, is very amenable to treatment when
this is begun in an early stage; residence in an institution is often necessary, but the
accommodation is at present very limited, so that considerable delay is liable to occur
with unfavourable consequences; an increase in the number of beds seems necessary.
The Tuberculosis Nurse.
The work of the Tuberculosis Nurse has developed considerably during the year;
it is confined entirely to residents. Of patients attending the Dispensary 26 homes
have been visited, and 81 visits made; in some cases the patients were under
observation only, no diagnosis having been made, this especially applies to children.
The services of the Nurse have been offered to practitioners attending patients not
under treatment at the Dispensary (and who may never have been); in three cases the
practitioner has availed himself of this offer; all these patients are in an advanced stage
of the disease, and very ill, one has a wound requiring frequent dressing.