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

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Marylebone 1913

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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46
1913, and of these 99 were insured persons and 319 were not insured. The
total attendance of same, including home visits by the Medical Officer, were as
follows:—
Insured persons 1,430
Not insured 8,059
Making a total of 9,489
With regard to the sending of insured patients to the State Sanatoriums,
23 patients were sent from this Dispensary since the Act became operative to
the end of 1913."
Dr. Sutherland's letter is accompanied by a table which contains most interesting
information with regard to the after-history of the insured persons sent to sanatoria.
The table is rather long to give in full, but the information it contains may be
summarized. The average duration of stay in the sanatorium was 80 days; of the
23 patients, 12 remained a longer time than the average, the remainder shorter.
The longest stay was 134 days; the shortest 22. Of the 23 at discharge the
condition was stated to be worse in 2 cases, arrested in 3, improved in 5 and not
improved in 3. That the patient was fit for work was the verdict in 5 cases; the
disease was considered to be still active in 3.
Two of the patients were discharged at their own request and one was discharged
for breach of regulations.
Practically all of the patients were seen by Dr. Sutherland after their discharge,
and at the time when he constructed his table, 10 were found to be at work, one as
late as 12 months after discharge. In the other cases the period was shorter—one
or two up to 10 months. Of the remaining 13, one died 6 months after discharge
and the others were not working, two, 13 months after discharge, the remainder from
2 up to 12 months afterwards.
Practically all the patients after discharge again went under treatment, the
majority of them at the dispensary, though one or two went into an infirmary or
hospital.
Work of the women inspectors:—The total number of cases seen by the
women inspectors was 871, 680 of which were new cases.
Of the patients seen 166 were removed to hospital, 213 were insured persons, of
whom 42 went to a sanatorium.
Disinfection of premises was carried out in 116 instances.
The following tables constructed from information obtained by the women
inspectors in the course of their investigations have been prepared and are printed
here at the request of the Medical Officer of Health of the London County Council,
who is desirous of obtaining a body of information sufficiently extensive to allow of
conclusions of value being arrived at.
The information analysed and tabulated relates to 377 males and 414 females.