Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Shoreditch]
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Particulars of the cases are given below:—
Cases referred to in last year's report in which treatment had not been completed
on December 31st, 1935.
Male, aged 35, carman, stage B.I., notified 21/11/32. A.P. commenced 9th January, 1933;
discontinued temporarily in December, 1935, owing to fluid. Under treatment in
hospital for hæmaturia till June, 1930. Aspirations of fluid carried out from time to
time, but no refills given and lung now being allowed to expand. Pulmonary disease
practically quiescent. Not working.
Male, aged 34, tinker, stage B.2, notified 21/1/35. A.P. commenced 24th April, 1935. In
and out of hospital during 1930 owing to domestic difficulties. 14 refills through
dispensary while on domiciliary treatment. A.P. discontinued in October owing to
obliteration of pleural space. In hospital at close of year. Disease still active.
Male, aged 20, woodcarver, stage B.2, notified 2/1/32. A.P. commenced 8th January, 1932.
Nine refills during 1930. Progress very satisfactory, sputum consistently negative
in 1936, disease appears quiescent; treatment likely to be terminated shortly. Fit
for light work.
Female, aged 33, housewife, stage B.2, notified 18/9/35. A.P. commenced 28th October,
1935. In and out of hospital and sanatorium during 1930. Developed pleural effusion
in June. Fifteen refills or aspirations with air replacements during year through the
Dispensary. Disease still slightly active. Does part of her housework.
Male, aged 20, office boy, stage B.l, notified 27/4/34. A.P. commenced 23rd August, 1934.
No refills through this Dispensary in 1930 ; removed to another district in January.
Female, aged 20, umbrella polisher, stage B.2., notified 3/10/28. After a period of
quiescence, disease became active again in 1932 and the patient has been in hospital
or sanatorium most of the time since. A.P. commenced in June, 1934, but treatment
has not been very successful and surgical measures are now being considered. Patient
was in sanatorium throughout 1930.
Male, aged 24, window-cleaner, stage B.2, notified 27/2/34. A.P. commenced 9th April,
1934; 7 refills through Dispensary in 1936. Failed to attend Dispensary during 1930
until October and was irregular in attendance at hospital for refills. Extensive disease
developed on opposite side. Admitted to hospital early in November and bilateral
A.P. commenced but abandoned in December. Disease still advancing and patient
in hospital at end of year.
Female, aged 31, coat-presser, stage B.2, notified 28/9/33. A.P. commenced 10th October,
1933. Six refills through Dispensary in 1936. Admitted to hospital for phrenic evulsion
in May, after which refills were discontinued. Removed to an unknown address in
November: was then keeping well and fit for work, but unemployed.
Cases coming under Dispensary for A.P. treatment for first time in 1936.
Female, aged 22, clerk, stage B.2., notified 16/8/35. In hospital until December, 1935, but
refused transfer to sanatorium. Left A.P. commenced on 2nd September, 1935; some
disease developed on right side, but improved after right phrenic evulsion. Refills
continued at the expense of the hospital out-patient department for first three months,
but liability accepted by Council from April onwards. Nine refills through Dispensary
prior to August, when she was re-admitted. Refills then discontinued. Disease
extending and patient confined to bed.
Female, aged 35, housewife, stage B.2, notified 28/5/35. A.P. commenced 30th October,
1935. Residential treatment from June, 1935, to April, 1936; 31 refills through Dispensary
in 1936. Awaiting re-admission to hospital for section of adhesions. General
condition good; sputum negative.
Female, aged 23, leather machinist, stage B.2, notified 13/10/33. A.P. commenced
7th October, 1933. Monthly refills during 1936 until August, when an oleothorax was
performed. Pleural effusion followed and patient was in hospital till November,
three aspirations of fluid being carried out. A.P. now discontinued. General
condition now fair, sputum negative.