[Report of the Medical Officer of Health for Hackney] page 145

Hackney 1937

[Report of the Medical Officer of Health for Hackney]

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Table: Enquiries were made in each of the 15 instances in which tuberculous persons died in 1937 without having been notified and the results of these enquiries are summarised below:—

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Enquiries were made in each of the 15 instances in which tuberculous persons died in 1937 without having been notified and the results of these enquiries are summarised below:—

1.	Pulmonary Cases. Notified after death.	Medical practitioner first called in night before patient died. Patient had haemorrhage.
2.	„ „ „	Patient refused medical treatment until very ill. The doctor ordered immediate removal to a nursing home, where the patient died after a few days.
3.	Unnotified	Died at home. Death certified by Coroner after post-mortem examination.
4.	„	Patient died the same day that he was first seen by medical practitioner, who was under the impression that the patient was already a notified case.
5.	„	Treated in hospital as a case of lymphadenoma, for which patient had received deep X-ray treatment, but it was not until final stage of illness that an X-ray suggested miliary tuberculosis. Post-mortem examination confirmed this.
6.	„	Patient admitted to hospital suffering from duodenal ulcer and pyloric stenosis. X-ray films revealed tuberculous zones, and medical superintendent accordingly added "Chronic Pulmonary Tuberculosis," as a contributory cause, to the death certificate.
7.	„	Notified to Stepney Borough Council, where he had resided for seven years. Removed to Hackney shortly before death.
8.	„	Treated by medical practitioner, who was under the impression that the patient was already notified as he had received institutional treatment.
9.	„	Death certified as la. Carcinoma of oesophagus associated with old pulmonary phthisis and chronic bronchitis. Patient had attended the tuberculosis dispensary intermittently since 1917, but no active tuberculous disease could be found.
10.	„	Died at home. Death certified by Coroner after post-mortem examination as 'Acute Bronchitis, Chronic Phthisis."
11.	„	Died in hospital. Death certified by Coroner after post-mortem examination as "1, Acute Phthisis; 2, Carcinoma of Stomach."