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

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Marylebone 1920

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

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49
of 1920. The total number of cases notified was 46, as against 22 in 1919. Visits
were paid to all notified cases by the Health Visitors and in 23 cases arrangements
were made for one of the Nurses of the Paddington and Marylebone Nursing
Association to attend and apply treatment, and in this connection 1288 visits were
made. In bad cases removal to hospital is carried out, special arrangements having
been provided at St. Margaret's Hospital for receiving and dealing with children
suffering from this condition. As is shown in the tabular statement, of all the cases
with which the department was able to keep touch, it is possible to report that they
were cured.
PNEUMONIA.
Figures with regard to notification and information as to methods of
prevention, etc., adopted in relation to this disease will be found on page 41.
The services of the nurses were requisitioned in 46 cases and 1,922 visits were
paid.
TUBERCULOSIS.
In all 246 notifications were received, 202 relating to pulmonary, the remainder
(44) to cases in which structures other than the lungs were affected.
The table given on page 52 contains the information required by the Ministry
of Health with regard to notifications. Notifications on Form B relate to school
children. The number it will be noted was 14 as against 8 in 1919.
Treatment of Tuberculosis.—Of the cases notified 130 received some form of
institutional treatment, and during the year every effort was made to obtain
admission to sanatoria of cases deemed suitable for such treatment. Of the total
new cases notified 101 were insured persons: of these 65 were admitted to sanatorium
or hospital treatment and 19 to the Infirmary. Non-insured persons numbered 123,
of whom 38 (17 being children) received sanatorium treatment and 8 were admitted
to the Infirmary. Nurses were sent in to 49 cases and 1,372 visits were paid.
Prevention of Tuberculosis.—During the year the Council's scheme worked
satisfactorily and, despite the fact that a number of institutions and bodies are
involved, there was a complete absence of friction.
During 1920, 1,535 visits were paid by Miss Baker to the homes of patients
and to 106 suspects. In addition the attendances of the inspector at the consultations
numbered 252, at Middlesex Hospital 114, Margaret Street Hospital 84, and at the
Anti-Tuberculosis Dispensary 54. Attendances at the latter dispensary were less
frequent for the reason that the nurse attached to the dispensary does all that is
required in following up cases.
The Tuberculosis Care Committee continued to meet fortnightly throughout
the year.
The Open Air School in Regents Park, which was established in 1911,
continued in operation throughout 1920. The number of children on the roll was
50—23 Boys and 27 Girls—and the attendances numbered 11,871.