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

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Croydon 1933

[Report of the Medical Officer of Health for Croydon]

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141
Types of Cases Treated.
In Class T.B. Minus, 20 males, 17 females and 4 children
were discharged with the disease in a quiescent condition, i.e.,
71.9% of the total cases in this class; 4 males and 10 females were
not in a quiescent condition, 24.5%; 1 male and 1 child died, 3.5%.
In Class T.B. Plus, Group I., the corresponding figures
were 4 males quiescent, 40% ; 5 males and 1 female were not
quiescent, 60% ; there were no deaths in this group.
In Class T.B. Plus, Group II., 13 males and 5 females
quiescent, 13.8% ; 46 males and 38 females not quiescent, 64.6%;
and 16 males and 12 females died, 21.5%.
In Class T.B. Plus, Group III., or advanced group, 1
female was discharged quiescent, 1.4%; 21 males and 9 females and
1 child not quiescent, 44.9%; and 25 males and 12 females died,
53.6%.
Taking all groups together, 24% of cases were discharged aquiescent
; 50.7% as not quiescent; and 25.1% died.
An increase is recorded in the percentage of infectious cases,
mostly advanced cases, dying in institutions. Prom the public
health point of view this is to be desired as it keeps these patients
away from their homes at a time when they are most infectious and
most dangerous to those with whom they would normally come into
contact. This factor, in conjunction with the removal of the strain
and worry of nursing these cases at home, should help to reduce
the incidence of new cases among the contacts.
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.
Non-Pulmonary Tuberculosis.—32 patients were discharged
during the year and 56.2% of these were quiescent.