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

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East Ham 1935

[Report of the Medical Officer of Health for East Ham]

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70
Of the 150 cases discharged or deceased, 24 had already had
one course of treatment at the Sanatorium; three had had two
courses, and one patient four courses.
Thirty-five patients were admitted by ambulance (20 males,
15 females). Of these 15 (8 M. 7 F) were admitted from general
hospitals, and 20 (12 M. 8 F.) from their homes.
Complications.
(a) Tuberculous.
Bone, sternum, 2; spine, 1; Larynx, 9; Bowel and
peritoneum, 3; Kidney, 1; Epididymo-orchitis, 2;
Ischio-rectal abscess with cellulitis of thigh, 1; Fistulain-ano,
1; Eye, retino-choroiditis, 1.
(b) Non-tuberculous.
Bronchitis and Emphysema, 4; Diabetes mellitus, 3;
Asbestosis, 2; Mastoid abscess, 1; Arthritis, knee-joint,
1.
Artificial Pneumothorax.
The majority of cases admitted have bilateral disease, and
are unsuitable for this form of treatment. A few cases may have
a gross lesion in one lung and the other lung only slightly
involved; in this type a pneumothorax is often helpful. The
number of unilateral cases, in which this treatment is most useful,
has been small.
During the year 24,1 refills were given to 17 patients, some
of whom had their treatment commenced elsewhere.
Gold Salts.
The course of treatment extends over 15 to 20 weeks, weekly
injections being given.
Twenty-nine patients had courses of treatment, 10 of which
were current at the end of the year. Five courses were discontinued
owing to complications, which cleared up with treatment.