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

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Marylebone 1927

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

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37
INFLUENZA.
This disease showed no epidemic tendencies during the year. The deaths
certified as due to Influenza numbered 42, as against 14 in 1926.
PNEUMONIA.
Figures with regard to notification will be found on page 64, 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 27 cases, and 439 visits were
paid.
TUBERCULOSIS.
In all 190 notifications were received, 155 relating to pulmonary tuberculosis,
the remainder (35) to cases in which structures other than the lungs were alfected.
The table given on page 38 contains the information required by the Ministry
of Health with regard to notifications. Notifications on Form B relate to school
children. Of these as in 1926 only 1 was received.
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 94
2. The number of cases unnotified or notified at death 35
3. The number of cases notified within a month of death 12
4. The number of cases notified within three months of death 10
5. The number of cases notified within six months of death 7
Treatment of Tuberculosis.—Of the cases notified 208 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 114 were insured persons; of these 41 were admitted to sanatorium
or hospital treatment, and 31 to St. Marylebone Hospital. Non-insured
persons numbered 76, of whom 34 (10 being children) received sanatorium treatment
and 11 were admitted to the St. Marylebone Hospital. Nurses were sent in
to 9 cases and 148 visits were paid.