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

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Barking 1928

[Report of the Medical Officer of Health for Barking]

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The following table gives in tabular form the number of patients removed from the Dispensary Register during the year :—

No. on Dispensary Registcr 31-12-27.Numbers removed from the Dispensary Register.Number on Dispensary Register 31-12-28
Died.Left District.Dis charged (Non Tb.)Discharged "Cured "Trans-ferred to another Dispensary. etc.Amended DiagnosisTotal
4943618903203170511

At the end of the year, 439 cases on the Dispensary Register
were definitely diagnosed as suffering from tuberculosis, whilst
in 72 cases the diagnosis still remained in abeyance.
REGISTER OF TUBERCULAR PERSONS.
This register is, I am of opinion, misleading.
It appears to be probable that there are a large number of
patients whose names appear on this register who are either definitely
cured or in whom it might be possible, after careful scrutiny, to decide
that the present evidence does not support the diagnosis.
In order that this register may be brought more up to date a
very great amount of work will be necessary. This work should be
undertaken forthwith, because it is obviously wrong to have a
person's name appearing on such a register unless the evidence on
which it is so included is conclusive.
It is my hope that in my annual report for next year I shall be
able to give you an assurance that a large amount of work has been
done in this direction, that a large number of people have benefited
by having their names removed and that the registers are proportionately
a more reliable index of the grave situation which obtains
in Barking with reference to tuberculosis.
This de-notification of tuberculosis entails not only a large
amount of work by your staff, it entails also a large amount of
work by the general practitioners who are practising, and who have