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

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Croydon 1931

[Report of the Medical Officer of Health for Croydon]

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142
In Class T.B. Minus, 15 males and 18 females were discharged
with the disease in a quiescent condition, i.e., 70.2% of the total
cases in this class; 1 male and 6 females were not in a quiescent
condition, 14.8% ; 1 male died, 2.1%.
In Class T.B. Plus, Croup I., the corresponding figures were 6
males quiescent, 35.3% ; 10 males were not quiescent, 58.8% ; there
were no deaths in this group.
In Class T.B. Plus, Group II., 10 males and 11 females
quiescent, 21.2% ; 48 males and 27 females not quiescent, 70.7%;
and 4 males and 4 females died, 8.0%.
In Class T.B. Plus, Group III., or advanced group, 1 female
was discharged quiescent, 2.5% ; 17 males and 10 females not
quiescent, 69.2% ; and 5 males and 5 females died, 25.6%.
Taking all groups together, 33.1% of cases were discharged as
quiescent; 57.4% as not quiescent; and 9.4% died.
These figures prove, what has been so often proved before,
that if tuberculosis is to be cured and eradicated the first essential
is to educate the patients themselves and the medical profession in
the paramount necessity for early and thorough treatment.
General Observations on the Results of Treatment.
The onset of Pulmonary Tuberculosis is insidious and considerable
bodily damage has been caused before the majority of cases
seek advice. The process of arrest is slow; once damaged, lung
tissue does not regenerate, and the most that can be aimed at is
prevention of an extension of the damage, and healing of the tissue
affected, by the formation of scars.
The greatest factors making for success are patience on the
part of the sufferer and helpful optimism on the part of his medical
adviser. All who are unfortunately attacked sufficiently severely
to cause symptoms should reconcile themselves to the fact that for
the rest of their lives they will have to be circumspect, and that
errors of judgment or carelessness will be visited by a retribution
more severe than in the case of healthy people.
No Tuberculous person, able to work, should lead a life of
idleness. Occupation suited to their medical needs is far more
beneficial than any medicine known to medical science, but the