London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Marylebone 1938
[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]
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P art III.—N otification R egister.
| Pulmonary. | Non-pulmonary. | Total cases. | ||||||
|---|---|---|---|---|---|---|---|---|
| Males. | Females. | Total. | Males. | Females. | Total. | |||
| Number of cases of tuberculosis remaining at the 31st December, 1938, on the register of notifications kept by the Medical Officer of Health | 324 | 153 | 477 | 30 | 46 | 76 | 553 | |
| Number of cases removed from the register during the year by reason inter alia of:— | ||||||||
| (1) Withdrawal of notification | 2 | 3 | 5 | 4 | 3 | 7 | 12 | |
| (2) Recovery from the disease | 7 | 11 | 18 | 8 | 5 | 13 | 31 | |
| (3) Death | 20 | 14 | 34 | 5 | 5 | 10 | 44 | |
| (4) Removal from district | 63 | 58 | 121 | 21 | 22 | 43 | 164 | |
Treatment of Tuberculosis.
Of the cases notified, admissions to hospital and sanatorium numbered 218,
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, 79 were insured
persons who were admitted and re-admitted from time to time during the year to
sanatoria and hospitals for treatment, the total admissions numbering 90. Noninsured
persons numbered 50, the total admissions for these patients (including
5 children) being 48. District nurses were sent in to 3 cases and 86 home visits were
paid.
The London County Council continued the arrangement whereby the Borough
Tuberculosis Officer is deemed to be an honorary consultant for tuberculosis in the
general hospitals under the County Council's control. The hospital attended by the
Tuberculosis Officer for this purpose is St. Charles', Ladbroke Grove, North Kensington,
W.10, to which the majority of St. Marylebone patients for hospital treatment
are admitted.
Extra Nourishment for Tuberculous Persons.
Under arrangements made by the Council and sanctioned by the Minister of
Health under section 219 of the Public Health (London) Act, 1936, milk was supplied
to tuberculous persons under the tuberculosis dispensary scheme. The number of
orders issued during the year ended 31st December, 1938, was 284, the amount
expended being £119 lls. 31/2d.
Non-Pulmonary Tuberculosis.
Eleven of the total notifications—24 as against 17 in 1937—in the case of this
form of tuberculosis came from institutions where the patients were undergoing
treatment. Visits were paid to the homes and, where necessary, advice offered.
Prevention of Tuberculosis.
The dispensary continued to occupy temporary accommodation at the Old
Baths Establishment, Marylebone Road, pending the erection of Health Centre
No. 1 (of which the dispensary will form part) on a portion of the site adjoining the
Town Hall.
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.