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 Walthamstow]
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53
Contact Examinations.—In cooperation with the Chest
Physician, the aim now is for the maximum possible examination
of contacts by treating each notified case on the same lines as a
notified case of one of the major infectious diseases. To this end,
both the Tuberculosis Health Visitor and the District Sanitary
Inspector visit the house, and the latter in particular, concentrates
on enquiry as to places of employment with a view to further confidential
enquiries. No disclosure can of course be made without
the patient's consent, and this adds very materially to the difficulties
of such contact examinations.
Rehousing on Medical Grounds.—For many years tuberculosis
has been the only ground for medical priority in rehousing. In
making recommendations the infectivity of the patient, overcrowding
on Housing Act, 1936 standards, and the presence of
young children or adolescents in the house, are taken into consideration.
During 1950 seventeen patients with their families were
rehoused out of a total of 308 changes of tenancy, i.e., say 5.5%.
Care and After-Care.—This matter is dealt with under Section
' G ' of the report.
LABORATORY FACILITIES
Dr. F. Marsh, Pathologist in charge of the Laboratory at Epping, has kindly supplied the following information in regard to work done in Walthamstow :—
Jan. | Feb. | Mar. | Apr. | May | June | July | Aug. | Sep. | Oct. | Nov. | Dec. | Total | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Faeces | 19 | 2 | 2 | 1 | - | 4 | - | 2 | 5 | 3 | 4 | 4 | 46 |
Agglutinations | 15 | 31 | 48 | 35 | 35 | 20 | 21 | 11 | 7 | 16 | 10 | 6 | 255 |
Rhesus, etc. | 16 | 20 | 26 | 10 | 13 | 18 | 13 | 10 | 16 | 13 | 13 | 12 | 180 |
Urine | 23 | 15 | 7 | 5 | 4 | 5 | 4 | 5 | 6 | 9 | 7 | 3 | 93 |
Plates | 8 | 11 | 11 | 5 | 10 | 7 | 13 | 17 | 7 | 11 | 24 | 33 | 157 |
Eye Swab | — | — | 2 | 2 | — | - | 1 | — | — | — | — | — | 5 |
Nose Throat Swabs | 18 | 9 | 51 | 18 | 9 | 11 | 10 | 5 | 6 | 4 | 9 | 8 | 158 |
Ear Swabs | - | - | - | - | - | - | - | - | - | - | - | - | - |
Fluid | - | - | - | - | - | - | - | - | - | - | - | - | - |
Food | — | — | 2 | 1 | 2 | 2 | — | 4 | — | 1 | 1 | 1 | 14 |
Sputum | — | 13 | 2 | — | 8 | — | — | — | — | — | — | — | 23 |
W.R. & Kahn | — | 1 | — | — | — | 1 | — | 1 | — | — | — | — | 3 |
T otals | 99 | 102 | 151 | 77 | 81 | 68 | 62 | 55 | 47 | 57 | 68 | 67 | 934 |