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

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Marylebone 1931

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

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42
INFLUENZA.
This disease showed some epidemic tendencies during the year, though correct
information as to the number of cases was, of course, unobtainable. The deaths
certified as due to Influenza numbered 28, as against 8 in 1930.
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 85 and 78.
The services of the nurses were requisitioned in 33 cases and 463 visits were
paid. The number of deaths certified as due to all forms of this disease was 106.
TUBERCULOSIS.
In all 162 notifications were received, 145 relating to pulmonary tuberculosis,
the remainder (17) 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.
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 92
2. The number of cases unnotified or notified at death 36
3. The number of cases notified within a month of death 18
4. The number of cases notified within three months of death 4
5. The number of cases notified within six months of death 5
Treatment of Tuberculosis.—Of the cases notified 197 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 65 were insured persons; of those 38 were admitted to sanatorium
or hospital treatment, and 14 to St. Charles' Hospital. Non-insured persons
numbered 97, of whom 42 (13 being children) received sanatorium treatment and
19 were admitted to St. Charles' Hospital and St. Mary Abbots Hospital. Nurses
were sent in to 8 cases and 321 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.