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

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Woolwich 1938

[Report of the Medical Officer of Health for Woolwich]

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90
There is misunderstanding about the notification of pneumonia. All primary
pneumonias—lobar or broncho—have to be notified. Secondary pneumonias, with
the single exception of acute influenzal pneumonia, are not notifiable. The main
objects underlying notification are to provide (a) statistical evidence of the prevalence
of the disease or diseases and (b) nursing assistance if required.
Nursing.—Nursing assistance is provided by the Council for cases of pneumonia,
and during the year 23 cases were nursed, 517 visits being paid by the nurses of
the local nursing associations. The total cost to the Council was £32 7s. 6d.
Anti- Pneumococcal Serum.—During the year the Council provided free of charge
to medical practitioners, anti-pneumococcal serum (Felton's) for the treatment of
persons suffering from pneumonia. The total cost to the Council was £27 10s. 0d.
Tuberculosis.
The Council's Tuberculosis Service is under the general administrative control
of the Medical Officer of Health and is in charge of a whole-time Tuberculosis Officer.
Three assistant Medical Officers, who are whole-time Officers in the service of the
Council, spend three half days per week each on tuberculosis work and eight half
days on maternity and child welfare work. There are three whole-time tuberculosis
visitors, one clerk-dispenser who acts as Secretary to the Tuberculosis Care Committee
and one clerk.
Deaths.—The following Table No. 47 shows the number of deaths and death
rates every year since 1934. Ninety-one or 71 per cent, of the deaths occurred
while patients were undergoing residential treatment.

TABLE No. 47. Tuberculosis—Deaths and Death Rates.

Year.Deaths.Death-rates.
All Forms.Pulmonary.Non-Pulmonary.All Forms.Pulmonary.Non-Pulmonary.
1934146120261.000.820.18
1935136121150.930.820.10
1936116104120.790.710.08
1937119105140.790.700.09
1938128117110.850.780.07

In addition to the above, four cases, who had been notified as suffering from
pulmonary tuberculosis, died during the year from other causes which are set out
in the following Table No. 48.