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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49
Prevention of Tuberculosis.—As is in general the case the Dispensary continued
to prove most valuable, the members of the staff rendering excellent service
in relation to preventive work.
Particulars with regard to patients dealt with during the year are shown in
a table at Pages 51-53, while the following short table summarises the information
as to visits paid by Dr. Saner and the staff of the Dispensary:—
No. of visits by Tuberculosis Officer New, 52 Old, 78
No. of cases at Dispensary New, 333 Old, 1,173
No. of attendances at Dispensary 2,224
No. of visits by Miss Baker First visits, 147 Re-visits, 1,422
No. of visits by Miss Kenion First visits, 55 Re-visits, 918
No. of Committee Meetings attended 23
The Tuberculosis Care Committee continued to meet fortnightly throughout
the year, Dr. Saner, Miss Baker and Miss Kenion attending and assisting in every
way possible. The representatives of the Council on this Committee were:
Councillor Dr. C. A. Fuller and Councillor G. B. Ramsay. In addition to the
Council's representatives this Committee includes Sir Francis Morris (Chairman),
Miss Broadbent (Invalid Children's Aid Association), Dr. Lewis, Divisional
Medical Officer, Miss Marriott, District Organiser, Children's Care Committee
(London County Council), Miss Bowen (Local War Pensions Committee), Miss
Higgin (Portland Town Association), Mrs. Hawthorne (Margaret Street Hospital),
Miss Price (Middlesex Hospital),Miss O. Lazarus (Central Jewish Synagogue),
Miss Wetherall, Senior Almoner (St. Mary's Hospital), Mrs. Somerville Hastings
(The Working Classes), Miss Bennett (Paddington and St. Marylebone District
Nursing Association), Miss McWilliams (Charity Organisation Society), and Mr.
H. F. Lesser (London Insurance Committee).
The Open Air School, which was in full operation in 1925, unfortunately had
to close down in 1929. As noted in the report for that year the necessity for this
step was greatly regretted, but less perhaps than might otherwise have been the
case since the L.C.C. having made provision, any children for whom education in
the open air is desirable can now be dealt with, as they certainly could not have
been during the greater part of the time since the school was established as a
pioneer in 1911.
The following extract from a report by the Tuberculosis Officer (Dr. Saner)
contains reference to a number of points that may be of interest:—
"The statistics for the year are set out in the tables and need no comment.
During the year 95 patients have been sent for treatment under the London County
Council's scheme and 76 patients have been discharged either home for return to
work, or to St. Charles' Hospital, these latter being cases who have unfortunately
not responded to treatment. Children have been sent away through the Invalid
Children's Aid Association, and some contacts of open cases have been boarded
out under the London County Council's Contact Scheme.
"Seventy yearly progress reports on the condition of patients who have
received treatment have been forwarded to the London County Council.
"Two hundred and twenty re-examinations over and above those of new cases
have been carried out during the year.
"The X-ray department of the Middlesex Hospital has been used frequently
in cases of doubtful diagnosis with the best results, and some very early cases have
been found and sent for treatment.
"Brompton Hospital, as heretofore, have carried out the 'refills 'for artificial
Pneumothorax on those patients who have received this form of treatment at
sanatorium.