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

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Woolwich 1946

[Report of the Medical Officer of Health for Woolwich]

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14
scheme, namely, immunisation by the family doctor, there was no great fall in the
incidence of the disease, but during the last five years the numbers have fallen
considerably. Although the fall was originally associated with evacuation, the
introduction of immunising sessions at welfare centres to supplement the "family
doctor" scheme secured the immunisation of increasing numbers of children. The
return of the population has caused no rise in the incidence of diphtheria. On the
Registrar General's estimated mid-1946 child population (27,600) the percentage
of the child population in the Borough immunised is 69.5, but it is considered that
this figure is low; many children who have returned to the Borough undoubtedly
were immunised whilst evacuated, of which there is no record in the Department.
There was one death from Diphtheria giving a death rate of .007 per 1,000 of the
population.
Whooping Cough. Immunisation against whooping cough is provided by
means of a "family doctor" scheme, under which injections are given by the family
doctor whose fees are paid by the Council. During the year, 426 children received
injections, compared with 387 in 1945. Not all of these children received the full
course of four injections.

Tuberculosis. The work of the Tuberculosis Dispensaries is shewn below in tabular form, with figures for 1938 and 1945 for comparative purposes. It will be noted that the work of the Dispensaries has increased considerably:—

1938.1945.1946.
Number of primary notifications248260247
Number of persons examined for first time1,3121,4431,691
Number of these found to be tuberculous231241234
Number of contacts examined512332403
Number of contacts found to be tuberculous211210
Total number of attendances5,4156,5028,263
Number of patients referred by Medical Practitioners437776926
Number of patients referred by Medical Boards11091
Visits to homes of patients by Tuberculosis Visitors4,5223,7423,560
Visits to homes of patients by Tuberculosis Officer2856675
Number of X-ray examinations1,1561,8432,494
Number of specimens of sputum examined1,059759970
Number of specimens of sputum positive15793118
Number of patients admitted to hospital or sanatorium344394318
Number of patients given dental treatment3875
Number of cases on register at end of year8741,2161,263