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

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East Ham 1938

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

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84
Observation Cases.
Of the 16 observation cases:
3 were found to be suffering for Pulmonary
losis ;
5 were cases of Bronchiectasis;
4 were diagnosed as cases of chronic focal pneumonia-
non-Tuberculous;
1 patient discharged himself against advice after 9 days
stay and before investigations could be completed;
1 patient who died, was found after examination to have
been suffering from Cancer of the right lung;
2 cases found to be suffering from lung carcinoma were
transferred.
Eleven lipiodol examinations were carried out in order to
facilitate diagnosis.
Complications.
(a) Tuberculous.
Larynx, 4; Bowel, 3; Epididymitis, 1; Otitis Media, 1;
Ischo-restal fistula, 1; Teno-synovitis left hand, 1.
(b) Non-tuberculous.
Bronchitis and Emphysema, 5; Bronchiectasis, 2; Diabetes,
2; Psoriasis, ,1; Asbestosis, 2; Anaemia, 1;
Arterio-sclerosis, 1; Rheumatic Carditus, 1.
Dr. Crawford's observations are contained in the following
report:—
Rest
The use of fairly prolonged complete rest in bed in cases
where this is likely to prove of value continues to be the mainstay
of treatment. Its assistance in the healing of lesions is shown in
the disappearance of sputum, the great improvement in general
condition, gain in weight, and the clearing of shadows seen in
the X-Ray picture.
Artificial Pneumothorax.
Twenty-seven inductions were performed, 10 of which were
discontinued after a short period, since adhesions, impracticable