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

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Croydon 1930

[Report of the Medical Officer of Health for Croydon]

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116
In sufferers from non-pulmonary tuberculosis who first attended
prior to 1926, 27 adults and 454 children have been discharged as
cured, and of those first attending in 1926, 3 adults and 20 children.
Of the 1927 cases 4 adults and 7 children have been discharged as
cured. 6 adults and 84 children attending prior to 1926 for the
first time had the disease arrested. Of patients attending for the
first time in 1926, 1927, and 1928, 17 adults and 76 children have
had the disease arrested. 10 adults and 8 children died in the
pre-1926 class; 15 adults and 13 children died in the 1926 and
following years group. One child attending for the first time in
1930 died during the year. 173 cases covering the whole period
have been lost sight of or otherwise removed from the register.
The contrast in the numbers cured, arrested and died, as also
the different incidence in adults and children, as between the pulmonary
and non-pulmonary types of the disease, is most marked
This Table also emphasises the essential chronicity of the illness,
more particularly in the direction of recovery.
Co-ordination with Medical Practitioners and Other Branches of the
Health Department.
During the year 335 cases of suspected tuberculosis were
referred by private medical practitioners for the Tuberculosis
Officer's opinion; 117 were diagnosed as suffering from Pulmonary
Tuberculosis and were subsequently notified. 72.7% of all notified
cases were sent for examination to the Dispnesary or were seen at
the request of the medical attendant at the patient's home.
Table LVI. 524 new cases were examined during the year.
This is equal to 299 for each 100 deaths from the disease. 221 or
42% were found to be definitely tuberculous.
The contacts of definite cases are urged to attend the Dispensary
for examination (and subsequent supervision). A small proportion
avail themselves of this prophylactic facility. In 1930, 465 contacts
were examined, equal to over 265 for each 100 deaths,
compared with 389 in 1929 or 195 per 100 deaths, a.nd of these 9
were considered to be tuberculous, this is equal to a tuberculosis rate
per 1,000 contacts of 19.3, compared with 1.7 per 1,000 of the
general population. In 226 adult contacts examined the tuberculosis
rate per 1,000 contacts was 30.3. In addition 5 contacts
who had been under observation from previous years were found
to be suffering from tuberculosis.