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 East Ham]
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Fifty-four courses ended during the year, of which thirty-seven
were full courses. Seventeen courses were incomplete for the
following reasons: (a) Complications of the treatment : Albuminuria,
2; buccal ulcers, 2; erythematous rashes, 2. (b) Marked
deterioration in patients' conditions, 5. (c) Patients who discharged
themselves, 5. (d) Transferred, ,1.
Of the 37 full courses given to patients discharged during
the year, 8 cases were considered quiescent, 28 improved, and 1
not improved. A cautious opinion has been given on the results
of treatment, a number of cases having been considered
"improved" only, although the sputum may have become negative
prior to discharge.
Tuberculin
Fourteen courses of Tuberculin were given to selected cases
during the year; in all 259 injections were given, the dilutions
being made up as required.
Insulin
The use of Insulin continues to be of value where the nutritional
state of the patient requires stimulation. While not all
patients gain greatly in weight, some may put on a stone in eight
to ten weeks; the majority report an increase in appetite, and an
improvement in general well-being. Twenty courses of injections
were given, ranging from six to ten weeks.
Bacteriology.
A monthly sputum examination is done at each routine clinical
examination of a patient, besides special sputum examinations,
and in all 670 specimens were examined in 1937.
Microscopic examination of all pleural fluids withdrawn is
also done.
Radiography.
The Radiographer has continued her weekly visit enabling
all necessary films to be taken. Three hundred and eighty-one
films were produced during 1937.