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

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West Ham 1930

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

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Cancer.
The question of special provision for the accommodation and
treatment of cancer cases, and for the early diagnosis of this
disease.
General.
(1) Special facilities for treating sleepy sickness and other
diseases of the nervous system, including border-line mental cases.
(2) The provision of further institutional accommodation for
sick children to prevent the necessity of their being treated, as
now, in wards with adults.
(3) Special accommodation, training and other facilities for
promoting the welfare of epileptics, of the deaf and of the blind.
(4) Additional residential accommodation for nurses.
(5) The provision of further facilities for home nursing.
(6) The importance of one or more fully equipped out-patient
departments to work in co-ordination with the general practitioners,
and with all the health services of the Borough, voluntary or
otherwise.
I have not overlooked the financial side of these suggestions,
but this is an aspect of the various schemes which can be placed
before you in detail by your financial officer, if and when the principle
is adopted, though I have no doubt whatever that the ultimate
result of the schemes outlined would be one of a valuable
asset to the Borough, not only from a standpoint of health but
also financially, having regard to the enormous amount of destitution
arising from sickness and invalidity.
The dovetailing of the work of the transferred institutions and
the work of the District Medical Officers into that of the work of
the various clinics—of the general hygiene of the Borough and
other municipal and voluntary activities—the carrying out of the
provisions of the Children Act and of the Vaccination Act, are
matters of an administrative nature receiving concentrated thought
and entailing much detailed work, and which, though worthy of
mention, need not be enlarged upon in a memorandum only meant
to outline matters which will in due course need the careful deliberation
of the Council.
Obviously, however, owing to the extent of the schemes suggested,
a very considerable time must elapse before the fruition of
the proposals, if adopted, can be attained in its entirety.
F. GARLAND COLLINS.
March, 1930.
165