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

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East Ham 1943

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

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X-RAY EXAMINATIONS OF THE CHEST.
The number of these examinations, 1344 for 1943, is the
highest ever recorded siace the war These X-Ray examinations
in conjunction with carefal clinical, bacteriological and ancillary
examinations, continue 1 o assist us in classifying the various
pulmonary diseases encomtored, "and afford a means of selecting
them for appropriate treatments, Technically satisfactory radiographs
continue to be or aim, and an increasingly high standard will
continue to be maintaired with the appointment of Miss R.Saldanha of
Guy's Hospital as was the case with Mrs.MacDonald, as our radiographer.
TREATMENT OF CASES FOUND THROUGH MASS RADIOGRAPHY.
It was only to he expected that with the improved establishment
of mass radiography there would be an increased demand for admissions
to sanatorium. This added to the burden on our waiting list,
more particularly among women but the effort is well worth while,
since most cases thus discovered are in the early stages of the
disease and hence very amenable to treatment.
NEW FINANCIAL ALLOWANCES INTUBERCULOSIS.
This scheme is Solosely linked to the discovery of the early
case of pulmonary tubculosis, It assists enormously in
work, and has proved valuable incentive to the patient to accept
treatment at an early stage and be free from anxiety an worry
instead of continuing to work at the risk of complete
As a long term prpgrame it should greatly assist in restoring
patients to health ar1 to their normal working capacity.its
extension to a wider riety of caaos of pulmonary
other than the very early ones, and a more generous allow
greatly add to its reel value. Moreover if the Scheme
to cover cases of non pulmonary tuberculosis it woula grea y
us in our work.
DIET AND TUBERCULOSIS,
The dietic history of most of our cases is continuing
to be an important feature of our work both at the Clinic and in
the homes of the patients, where tho visiting nurses lay the
greatest stress on a well-balanced, nutritious diet, compatible
with war-time possibilities. Any obvious vitamin deficiency is
stressed, advice about the correct cooking/vegetables is frequently
necessary, and the replacement of liquid milk and shell eggs with
powdered milk and eggs, both of first class food value,is encouraged
WAR AND TUBERCULOSIS.
The disease affects two main groups of the population; those
engaged on active military service and those remaining In civil life
whether as industrial workors or merely carrying on, as far as is
possible, in their ordinary occupations. We are more particularly
concerned with:-
a. Young women called into industrial services, who have
proved in this war, as in the last, the principal victims
of pulmonary tuberculosis,
b. The Increase in adolescent and childhood tuberculosis,
moreso this year perhaps than any time since tho war#
Long hours little opportunity for fresh air and wellregulated
leisure, black-out conditions,and now environment,are no
doubt in no small measure responsible. In children evacuation
with accompanying exposure to unaccustomed unpasteurised milk,
is In our experience an important factor
30.