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50
INFLUENZA.
This disease showed no epidemic tendencies during the year. The deaths
certified as due to Influenza numbered 43 as against 14 in 1921.
PNEUMONIA.
Figures with regard to notification will be found on page 75, and information as
to methods of prevention, etc., adopted in relation to this disease will be found in
previous reports.
The services of the nurses were requisitioned in 58 cases and 760 visits were
paid.
TUBERCULOSIS.
In all 194 notifications were received, 170 relating to pulmonary tuberculosis,
the remainder (24) to cases in which structures other than the lungs were affected.
The table given on page 51 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 10 as against 20 in 1921.
From time to time reference is made to the difficulty associated with the obtaining
of notifications sufficiently early, and the following figures are introduced because
they are interesting in this connection. They relate, as will be seen, to cases in
which death had taken place before the fact that the individual was suffering from
the disease had been brought to the notice of the Medical Officer of Health, as
required by the regulations:-
1920
1921
1922
1. Total number of deaths from tuberculosis in the Borough 122 117 127
2. The number of cases only notified at death 46 32 49
3. The number of cases notified within a month of death 9 7 6
4. The number of cases notified within three months of death 12 9 8
5. The number of cases notified within six months of death 8 12 1
In collating these figures it has been ascertained that of the 117 deaths in 1921
32 were certified at death only and were not notified; the majority dying in Mental
Hospitals. The same remark applies to 1922, when 49 cases were certified on the
death returns, which had not been previously notified. Of these 27 were cases of
pulmonary tuberculosis, 15 being adults, 3 children and 9 inmates of asylums. The
remaining 22 related to other forms of tuberculosis, 7 of the patients being adults,
11 children and 4 inmates of asylums.
Treatment of Tuberculosis.—Of the cases notified 159 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 103 were insured persons: of these 67 were admitted to sanatorium
or hospital treatment and 50 to St. Marylebone Hospital. Non-insured persons
numbered 91 of whom 42 (21 being children) received sanatorium treatment and 11
were admitted to the St. Marylebone Hospital. Nurses were sent in to 25 cases and
380 visits were paid.