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

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City of London 1937

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

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22
The hours at which the Dispensary was open for diagnosis and treatment of Tuberculosis
were :—
Tuesdays 12.30 p.m.—2.30 p.m.
2.30 p.m.—4.30 p.m. For the Artificial Pneumothorax Clinic.
5.0 p.m.—7.0 p.m.
Fridays 12.30 p.m. (New cases only.)
3.30 p.m.—4.30 p.m.
In all, 260 sessions have been held.
New Patients.—The number of new patients examined was 303, as compared with
265 last year :—

Patients Referred to the Hospital.—The following is the summary of patients referred to the various departments of St. Bartholomew's Hospital for help in diagnosis or treatment :—

Resident.Non Resident.Total.
Referred to X-ray Department118154272
„ Dental „044
,, Throat ,,42630
,, Other ,,11415
123198321

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. One resident and 4 non-resident patients were admitted
for this and other purposes.

Examination of Sputum.—The following is a summary :—

City Residents.Non-Residents.Total.
Positive82735
Negative20127147

Residential Treatment.—The number of patients for whom residential treatment was arranged was 28.

Admitted to L.C.C. Institutions.Other Institutions.St. Colurabas Hospital. Corpn. Expense.St. Joseph's Hospice. Corpn. Expense.Brompton Corpn. Expense.Total.
Patients resident in the City42-l-7
Patients non-resident46-—-10
88_l-17

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 was 63.
In addition, 42 contacts were 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.
(b) Who do not work in the City.

On diagnosis, these patients are usually transferred to the Tuberculosis Officer of their own Borough. The total number of cases so transferred was 150.

Total Attendances :— Residents358
Non-Residents1,037
1,395