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

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Marylebone 1924

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

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43
INFLUENZA.
This disease showed no epidemic tendencies during the year. The deaths
certified as due to Influenza numbered 40, as against 15 in 1923.
Nurses were sent in to 10 cases, and 112 visits were paid.
PNEUMONIA.
Figures with regard to notification will be found on page 69, 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 62 cases, and 1,123 visits
were paid.
TUBERCULOSIS.
In all 224 notifications were received, 178 relating to pulmonary tuberculosis,
the remainder (46) to cases in which structures other than the lungs were affected.
The table given on page 44 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 17, as against 9 in 1923.
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:—
1. Total number of deaths from tuberculosis in the Borough 121
2. The number of cases unnotified or notified at death 39
3. The number of cases notified within a month of death 17
4. The number of cases notified within three months of death 13
5. The number of cases notified within six months of death 4
Treatment of Tuberculosis.—Of the cases notified 182 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 94 were insured persons; of these 31 were admitted to sanatorium
or hospital treatment, and 10 to St. Marylebone Hospital. Non-insured
persons numbered 130, of whom 30 (20 being children) received sanatorium treatment
and 4 were admitted to the St. Marylebone Hospital. Nurses were sent in
to 19 cases and 306 visits were paid.