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 1930
[Report of the Medical Officer of Health for London, City of ]
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In all, 260 sessions have been held, and, in addition, the Tuberculosis Officer has visited
cases at their homes when necessary.
New Patients.—The number of new patients examined was 407, as compared with
346 last year.
| Resident. | Non-Resident. | Total. | |
|---|---|---|---|
| Referred to X-Ray Department | 42 | 150 | 192 |
| „ Surgical „ | 4 | 7 | 11 |
| „ Dental „ | 1 | 3 | 4 |
| „ Throat „ | 4 | 16 | 20 |
| „ Pathological „ | - | 3 | 3 |
| „ Other „ | 10 | 19 | 29 |
| 61 | 198 | 259 |
Patients Admitted to the Hospital for Diagnosis.-—The wards of the Hospital are available
for the reception of cases presenting difficulties of diagnosis, which can only be overcome
by observation as In-patients. Eight resident and 17 non-resident patients were admitted
for this purpose.
| City Residents. | Non-Residents. | Total. | |
|---|---|---|---|
| Positive | 2 | 32 | 34 |
| Negative | 20 | 113 | 133 |
| Patients non-resident | 62 | 4 | — | — | 66 |
| 75 | 4 | 3 | — | 82 |
Persons neither resident nor working in the City are usually transferred immediately
to their own Tuberculosis Officer, and subsequent arrangements are made by him. This
system has worked satisfactorily.
Persons Treated and Supervised at the Dispensary.—(i.) Patients resident in the City.
All persons suffering from Tuberculosis who are resident in the City may be supervised and
treated at the Dispensary. The total number of cases so treated and referred to as patients
on the register in Table on page 21 is 54.
In addition, 74 contacts are kept under observation.
(ii.) Patients non-resident in the City.
(a) Who work in the City.
On diagnosis, these patients are informed that they can be treated and advised at the
Dispensary or transferred to the Tuberculosis Officer of their own Borough. The majority
decide to remain patients at the Dispensary.
(b) Who do not work in the Citv.
On diagnosis, these patients are usually transferred to the Tuberculosis Officer of
their own Borough. The total number of cases so transferred was 123.
| Total. | |
| Residents | 407 |
| Non-Residents | 1,118 |
| 1,525 |
In view of the fact that the cases in the last stages of the disease are extremely infectious,
especially in crowded houses, the Corporation have made arrangements to pay for the maintenance
of selected City cases at St. Columba's Hospital, Swiss Cottage. These facilities
were not utilised in 1930.