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

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Marylebone 1930

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

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46
INFLUENZA.
This disease showed no epidemic tendencies during the year. The deaths
certified as due to Influenza numbered 8, as against 59 in 1929.
PNEUMONIA.
Figures with regard to notification and information as to methods of prevention,
etc., adopted in relation to this disease will be found on pages 38 and 80.
The services of the nurses were requisitioned in 28 cases and 154 visits were
paid.
TUBERCULOSIS.
In all 161 notifications were received, 141 relating to pulmonary tuberculosis,
the remainder (20) to cases in which structures other than the lungs were affected.
The table given on page 47 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 1, the same as in 1929.
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

84

2.The number of cases unnotified or notified at death27
3.The number of cases notified within a month of death14
4.The number of cases notified within three months of death6
5.The number of cases notified within six months of death .6

Treatment of Tuberculosis.—Of the cases notified 160 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 those 50 were admitted to sanatorium
or hospital treatment, and 28 to St. Charles' Hospital. Non-insured persons
numbered 64, of whom 21 (7 being children) received sanatorium treatment and
9 (5 being children) were admitted to St. Charles' Hospital. Nurses were sent in
to 7 cases and 201 visits were paid.
Public Health (Prevention of Tuberculosis) Regulations, 1925.—In no case
was it necessary for action to be taken under these regulations, which empower
the Council to call upon a person suffering from tuberculosis engaged in the milk
trade to discontinue such employment.