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

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Heston and Isleworth 1932

[Report of the Medical Officer of Health for Heston and Isleworth]

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Those who talk about the value of the semi-open-air school miss altogether what an open-air
revovery school means with its periods of rest in the open-air, its adequate feeding, and the routine
based on the needs of the subnormal child.
In the semi-open-air school all that happens is that the child works the ordinary curriculum,
but gets a little more fresh air during these lesson periods, which in my opinion, is certainly not
worth the contraptions which are put in the school to effect it.
The unfortunate part is, so few Medical Officers, and still fewer Architects, have had anything
to do with a proper open-air recovery school, and in my experience there is more hot air and nonsense
talked about the semi-open-air school and its relationship to open-air schools than any other hygienic
measure for the betterment of the health of the child.
Pulmonary Tuberculosis.—The number of new cases notified during the year was 88.
Sixty-five cases were notified from Institutions:—Sanatoria, 23, Poor Law Institutions 22, General
Hospitals 17, and Tuberculosis Dispensary 3.
There were 51 deaths from Tuberculosis of the Respiratory System. Six of these were not
notified. Of the new cases notified, 70 received institutional treatment during the year, and 20
died.
Other Forms of Tuberculosis.—The number of new cases notified during the year was 17.
Sixteen of them were notified as receiving institutional treatment. There were 7 deaths. Four
of the cases which died were unnotified.
Deaths from Tuberculosis.—Ten deaths occurred in non-notified cases. In two of these
the medical practitioners certifying the deaths thought the patients had already been notified before
coming into their hands. One death occurred elsewhere, and was transferred to this district, and
the others were apparently not diagnosed until just before or after death.

The following Table gives further particulars of new cases notified and deaths in 1932.

TUBERCULOSIS, 1932.

Age Periods.New Cases.Deaths.
Pulmonary.N on-PulmonaryPulmonary.Non-Pulmonary.
M.F.M.F.M.F.M.F.
0......1....12
1....1..........
521322..1..
102..21........
156112122....
2088..128....
251413..158....
3586..24911
4532....42....
5512....21....
65 and upwards..1..........1
Totals444489213034

Six of the deaths from Pulmonary Tuberculosis were not notified and four deaths from Non-Pulmonary
Tuberculosis were not notified.
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