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

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Croydon 1932

[Report of the Medical Officer of Health for Croydon]

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127
In sufferers from Non-pulmonary Tuberculosis who first attended
prior to 1926, 39 adults and 543 children have been discharged
as recovered, and of those first attending in 1926 and following
years, 19 adults and 80 children. 12 adults and 9 children died
in the pre-1928 class; 24 adults and 14 children died in the 1926
and following years group. Two adults attending for the first
time in 1932 died during the year.
The contrast in the numbers recovered, 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.
Co-ordination with Medical Practitioners, and Other Branches of
the Health Department.
During the year 331 cases of suspected Tuberculosis were
referred by private medical practitioners for the Tuberculosis
Officer's opinion ; 105 were diagnosed as suffering from Pulmonary
Tuberculosis and were subsequently notified. 78.9% of all notified
cases were sent for examination to the Clinic or were seen at the
request of the medical attendant at the patient's home, as compared
with 81.2% in 1931 and 72.7% in 1930.
Table LXV., 552 new cases were examined during the year.
This is equal to 332.5 for each 100 deaths from the disease. 240
or 43.4% were found to be definitely tuberculosis.
The contacts of definite cases are urged to attend the Clinic
for examination (and subsequent supervision). A small proportion
avail themselves of this prophylactic facility. In 1932, 464 contacts
were examined, equal to 279.5 for each 100 deaths ; compared
with 593 in 1931 or 340 for each 100 deaths, 465 in 1930 or 265
per 100 deaths; and of these 15' were considered to be tuberculosis.
This is equal to a Tuberculosis rate per 1,000 contacts of 32.3,
compared with 1.76 per 1,000 of the general population. In 265
adult contacts examined the Tuberculosis rate per 1,000 contacts
was 49.5 of these who had been under observation from previous
years were found to be suffering from Tuberculosis.
The number of reports sent in by Insurance medical practitioners
on their domiciliary cases (Form G.P. 36) was 629. This
is a duty laid on all Medical men accepting service under the
National Health Insurance Act.