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

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Marylebone 1929

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

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Ophthalmia Neonatorum .

The following table gives information with regard to 3 cases of this disease —inflammation of the eyes in newly-born children—notified during the year :—

NotifiedCases TreatedVision UnimpairedVision ImpairedTotal BlindnessDeaths
At HomeAt Hospital
3213

Nurses were sent in 1 case and 13 visits were paid.
INFLUENZA.
This disease showed no epidemic tendencies during the year. The deaths
certified as due to Influenza numbered 59, as against 13 in 1928. Nurses were
sent in to 21 cases and 273 visits were paid.
PNEUMONIA.
Figures with regard to notification will be found on page 66, and information
as to methods of prevention, etc., adopted in relation to this disease will be found
in previous reports. As already noted, because of the severity of the weather,
particularly during the earlier months of the year, the number of deaths was very
high, totalling no fewer than 154.
The services of the nurses were requisitioned in 34 casts, and 779 visits were
paid.
TUBERCULOSIS.
In all 173 notifications were received, 147 relating to pulmonary tuberculosis,
the remainder (26) to cases in which structures other than the lungs were affected.
The table given on page 39 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 1928 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 98
2.The number of cases unnotified or notified at death 29
3.The number of cases notified within a month of death 13
4.The number of cases notified within three months of death 5
5.The number of cases notified within six months of death 6
Treatment of Tuberculosis.—Of the cases notified 199 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 90 were insured persons; of these 51 were admitted to sanatorium
or hospital treatment, and 25 to St. Marylebone Hospital. Non-insured
persons numbered 83, of whom 39 (13 being children) received sanatorium treatment
and 11 (5 being children) were admitted to St. Marylebone Hospital. Nurses
were sent in to 10 cases and 365 visits were paid.
Public Health (Prevention of Tuberculosis) Regulations, 1925.—In no case
was it necessary for action to be taken under these regulations.