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

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City of London 1968

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

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Tuberculosis Health Visiting

19671968
Cases notified (residents)39
Home visits542
Shops and offices contact tracing.
No. of investigations64142

One Assistant Health and Welfare Officer attends the Chest Clinic at St. Bartholomew's
Hospital and also visits in their own homes all City residents who attend the clinic. A large
proportion of the work is the "follow-up" of contacts of diagnosed cases amongst staff of shops
and offices within the City. Many visits are also made to known clinic patients living in the
Salvation Army Hostel within the City, to encourage them to adhere to their drug therapy, if
ordered, and to urge them to keep their hospital appointments.

SECTION 25 - HOME NURSING The home nursing service is provided by the Metropolitan District Nursing Association. Over 90% of visits have been to those persons over 65 years of age, who are suffering from long term illnesses. Details are as follows:—

19671968
Visits to children under 5 years5
Visits to age group 5 years to 64 years208228
Visits to persons aged 65 or over25052713

Type of Nursing Care and Treatment

Injections only344429
Injections plus nursing treatment12
Nursing care and treatment23572517
Total of Nursing visits27132946
Number of patients at the end of the year1914

SECTION 26 – VACCINATION AND IMMUNIZATION
(See School Health Section for vaccination and immunization of school children)
Adults Children under five years
Smallpox 130 (41) 6 (15)
Poliomyelitis — 14 (16)
(primary courses and booster
doses)
Diptheria/Whooping Cough/Tetanus — 5 (28)
(primary courses and booster
doses)
In accordance with Ministry of Health instructions that smallpox vaccine should be distributed
to medical practitioners by the Local Authority in whose area they practise, arrangements
were made, commencing in June 1967 for the vaccine to be distributed to City doctors.
During 1968, 4,992 (2,657) doses have been issued to private doctors, general practitioners, St.
Bartholomew's Hospital, the medical department of Unilever, and various City business houses.
Vaccine is also issued for the vaccination of trainee ambulance drivers at a City centre.
Poliomyelitis vaccine is also issued at the request of St. Bartholomew's Hospital, Unilever
Ltd., and City medical practitioners. In all 2550 (3260) doses were issued.
SECTION 27 - AMBULANCE SERVICE
The Greater London Council are responsible for the ambulance service in the Greater London
Area.
SECTION 28 - PREVENTION OF ILLNESS, CARE AND AFTER CARE
The City of London Chest Clinic is incorporated within the St. Bartholomew's Hospital Chest
Clinic and so provides services for investigation and medical treatment for a wide range of
diseases of the chest.
33