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

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West Ham 1927

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

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cases, is undoubtedly the most efficient and reliable treatment
available. The beneficial results obtained in a large percentage
of cases cannot be maintained owing to home conditions, as is
proved by the number of cases that relapse and return to the
Sanatorium.
Training Colonies play a useful part, and much time and
thought has been given to the case with a limited earning capacity
that frequently relapses. There is, however, another type of case
that deserves much more thought, viz., the one that leaves the
Sanatorium with full earning capacity and suitable work to return
to. Unfortunately, owing to the distance of their work from
home they have to make an early start in the morning and return
home late, in all weathers, after hours in crowded conveyances,
little rest and unsatisfactory food. If provision was made in large
industrial areas where they could reside and board during the
working days under suitable supervision, and at a reasonable cost,
a big problem would be solved and many useful lives saved.
The more advanced cases sooner or later break-down, and go
back to an Institution, or struggle out their existence in their
homes infecting other members of the family. After years of research
even the most optimistic cannot hope for an early specific
cure, and though much has been done of recent years in locating
cases, keeping them under observation, building of Sanatoria by
local authorities, there is much to be clone in after care work before
the disease can be brought to a satisfactory level.
Artificial light treatment has been tried during the latter
months of the year in a limited number of selected cases. It is
early to come to any definite conclusions, however, there is no
doub't that some of the cases treated here received benefit.
The following are the daily average readings of ultra violet
light from sun and sky shine, at the Sanatorium during 1927,
taken by the method of Professor Leonard Hill:
Jan. 1.02, Feb. 1.16, Mar. 1.94, April 2.37, May 5.41, June
4.44, July 4.03, Aug. 4.03, Sept. 2.39, Oct. 2.34, Nov. 1.12,
Dec. 5. The highest reading was taken on May 1st, i.e., 24
hours from April 30th, and registered 10.00.
The number of beds available is the same as last year, viz.,
1-8. 80 beds for male cases and 48 for female.
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