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

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East Ham 1939

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

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HARTS SANATORIUM.
PREFACE.
On September 1st twenty five patients returned home in order
to make the Hospital Block available for the transference of cases
from the Infectious Diseases Hospital.
This, of course, means that now there is only half the
previous accommodation available for the treatment of pulmonary
tuberculosis. Although dealing with lesser numbers, the work of
the sanatorium is proceeding as formerly. Modern methods of treatment
are carried out, which include graduated rest, artificial
pneumothorax, gold salts, tuberculin, insulin, drug, medicinal and
vitamin therapy.
Increasing use is being made of the Thoracic Surgical Units
of the London Hospitals.
In the control and assessment of pulmonary disease, serial
radiograms, monthly sputum examinations, and when required other
bacteriological investigations, are now an established routine.
Toward the end of the year, the technique of measuring the blood
sedimentation rate was introduced: this is proving a most valuable
additional aid in assessing the amount of activity present and
in estimating the prospects of recovery.
Mention must be made of the Occupational Therapy, which is
just as necessary in the scheme of successful treatment as the
other therapeutic measures.
Finally, there continues to be complete co-operation and
co-ordination of the work at the Chest Clinic and the Sanatorium.
STATISTICS.
Discharges, including deaths 169 (95M. 73F. 1Ch.)
Deaths 15 (11M. 4F.)
Insured Patients 124 (82M. 42F.)
Non-insured Patients 45 (12M. 52F. 1Ch.)
Number of Bods available at end of Year 43
Average number of beds occupied(Jan.-Aug) 74 (94.86%)
" " " " " (Sep.-Doc) .. 39.75 (92.44%)
Admissions by Ambulance 37 (15M. 22F.)
From Hospitals 21 ( 9M. 12F.)
From Home 16 ( 6M. 10F.)
Immediate Results of Treatment (of Tuberculosis Cases)
Discharged quiescent 47 (28M. 19F.)
(inc. 1 obsn. case notified as tuberculous.)
Discharged not quiescent 98 (48M. 49 1Ch.)
(inc. 2 obsn.cases notified as tuberculous.)
Of these:-
Improved 78 (37M. 40F. 1Ch.)
Not improved 20 (11M. 9F.)
Observation Cases.
Of the 12 observation cases:-
3 were found to be suffering from pulmonary tuberculosis
4 were cases of bronchiectasis
1 was a case of unresolved pneumonia
4 cases were doubtful for pulmonary tuberculosis.
28.