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

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Croydon 1934

[Report of the Medical Officer of Health for Croydon]

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112
There were 8 observation cases sent in: 4 males and 4
females. Of the 4 males 3 were not tubercular, and of the 4
females 1 was not tubercular; therefore, there were 4 observations
in non-tuberculars which are shown above. The 4 that
were tubercular are in with the tubercular cases and are not
shown as observation.
Artificial Pneumothorax cases discharged but still under
treatment, 8 males, 10 females (see above), making total discharges
: males 80, females 75.
These 18 Artificial Pneumothorax cases only refer to cases
discharged in 1934; those discharged in 1933 and still having
refills have not been included.
Dental Report.
Nearly all the patients were examined, treatment being
provided in all cases necessary. Completed treatment was undertaken
for the suitable patients, while those whose general condition
demanded as little dental interference as possible were treated
for the relief of pain only.
Patients were only treated when the Medical Officer reported
that they were sufficiently fit. A few cases were dealt with in the
wards, but most of the patients attended the special dental
surgery in the hospital.
It should be pointed out that the cases reviewed were treated
for the extraction of teeth.
The number of extractions carried out at each sitting was
restricted according to the patient's general condition, and the
maximum number of teeth extracted at one visit was three. It is
particularly desirable that at each visit work of an extensive
nature should be avoided, and the value of such a procedure is
proved by the figures quoted above. Only three patients showed
an increase in temperature following the removal of septic teeth,
and in 25 cases there was no change. As regards the pulse rates,
it will be observed that in 27 cases the pulse remained the same,
and only five cases showed a variation. It is of interest to point
out that five cases classified as Advanced showed no increase in
temperature or pulse rate. It is imperative to avoid the risk of
the patient's general condition being lowered by the rapid
absorption of toxins through multiple extractions.