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

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Croydon 1946

[Report of the Medical Officer of Health for Croydon]

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71
In Class T.B. Plus, the corresponding figures were 16 males
and 14 females quiescent; 30.6 per cent.; 30 males and 29 females,
not quiescent, 60.2 per cent.; 5 males and 4 females died, 9.2
per cent.
Taking the groups together, 44.1 per cent, of cases were
discharged as quiescent; 50.0 per cent, as not quiescent; and 5.9
per cent. died.
Non-Pulmonary Tuberculosis.
17 patients were discharged during the year, and 58.8 per
cent, of these were quiescent.
The Chest Clinic and Home Visiting.
The subjoined table gives a summary of the work done in
connection with the Clinic.
1,088 new cases were examined during the year. This is
equal to 989 for each 100 deaths from the disease. 242 or 220
for each 100 deaths were found to be definitely tuberculous.
The total number of attendances at the Clinic was 6,143. The
Tuberculosis Officer paid 124 home visits and the District Health
Visitors 2,243 visits for Clinic purposes. In addition, the Health
Visitors made 382 primary visits for the purpose of the Notification
Register.
The Tuberculosis Officer paid 100 visits to Mayday Hospital,
in a consultative capacity, and there examined 480 patients.
Patients requiring home nursing or surgical dressings are
attended to by the nurses from the Croydon Nursing Service, by
arrangement with that organisation, and 441 such visits were
made during the year. Their assistance is a valuable adjunct in
the care of domiciliary cases.
Contact Examination.
The contacts of definite cases are urged to attend the Clinic
for examination (and subsequent supervision). This is an
important preventive measure. During the year 323 contacts
were examined, equal to 294 for each 100 deaths, compared with
153 in 1945, 181 in 1944, 267 in 1943, 238 in 1942, 227 in 1941,
278 in 1940, 325 in 1939, and 301 in 1938. Of these, 7 were
considered to be tuberculous. This is equal to a tuberculosis
rate per 1,000 contacts of 21.6 compared with 1.49 per 1,000
of the general population.