Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
TUBERCULOSIS DISPENSARY. The following report on the working of the Dispensary has been given me by Dr. D). M. Connan, Assistant Tuberculosis Officer (Clinical). I consider that the Council did the right
Bermondsey at present, and in one house of six rooms, three adults —all suffering from advanced Pulmonary Tuberculosis, with Tuberculosis bacilli in their sputum —are living with nine children and two other adults. These persons always object
Medical Officer's Report on Maternity and Child Welfare 24 Municipal Dental Officer's Report 29 TUBERCULOSIS— Assistant Tuberculosis Officer's Report 34 APPENDIX TABLES— Local Government Board Tables 39 Outworkers 45 Deaths from Zymotic
Assistant Tuberculosis Officer writes concerning tuberculosis cases: "One or two have undoubtedly shown immediate improvement, and in the majority of cases some general improvement has been noted. There can be no doubt whatever that a
examined. On page 31 is a return showing the work done at the Tuberculosis Dispensary during the year. There has been a slight increase both in the number of new cases of tuberculosis seen at the Dispensary and in the number of cases referred for investigation.
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
In Table II. it will be noted that eleven cases of pulmonary tuberculosis were not notified to me before death, an actual increase of four over the number of such cases in 1931. Of these 11 cases 4 males
Age Periods | Formal notifications | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Number of primary notifications of new cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
DISPENSARY. Deputy Medical Officer of Health and Clinical Tuberculosis Officer—C. H. C. Toussaint, M.R.C.S., L.R.C.P., D.P.H. Assistant Medical Officer of Health and Assistant Tuberculosis Officer—E. J. MacIntyre, M.D., D.P.H. Lady Almoner —Olive
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In addition to the services of the district nurses, the Tuberculosis Officer has authority to supply a small amount of extra nourishment to tuberculous patients, which takes the form of milk
Dwellings 8 Rateable Value 8 Population 8 Births 8 Deaths 9 Marriages 9 Infantile Mortality 10 Deaths from Tuberculosis 10 Vital Statistics of District 11 Causes of Deaths 14 Deaths from Zymotic Diseases 16 INFECTIOUS DISEASES— Diseases Notifiable
PAGE Public Health (Prevention of Tuberculosis) Regulations, 1925 30 Work of the Tuberculosis Dispensary 31 Summary of Notifications 32 Cases on the Register 33 LIGHT TREATMENT— Work done
186 5,188 Average for years 1922-1931 56 4,143 67 1932 103 TUBERCULOSIS OF THE RESPIRATORY SYSTEM. In the following Table will be found particulars of deaths from Tuberculosis of the Respiratory System since the year 1922. Bermondsey Rotherhithe
Primary and Acute Influenzal) 113 126 53 167 119 102 125 243 110 119 Tuberculosis: — Respiratory System 206 184 245 175 177 250 226 231 194 208 Other forms of Tuberculosis 86 90 59 65 54 40 46 40 35 76 1,580 1,408 1,585 1,478 1,530 1,494 1,083 1,149 Totals
630 Women 1117 1214 1050 93 186 94 1836 1838 23 67 Men 1768 1898 3236 1920 40 252 43 228 101 3189 110, GRANGE ROAD Tuberculosis Cases 91 3 72 149 58 29 92 8 5 224 Children (Table I.) 1086 174 947 716 264 2773 2 - - 1891 Totals 5442 10354 3832 1098 867 100 248
from phthisis between the ages of 15 and 25. In Table II. it will be noted that 9 cases of pulmonary tuberculosis and 11 cases of non-pulmonary tuberculosis were not notified to me before death. Of the 9 pulmonary cases, one death occurred in Guy's
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London |
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arrive at a diagnosis and arrange for treatment at the earliest possible moment. Of 183 new cases of tuberculosis entered on the dispensary register in the year, 34 had already been admitted to the local hospital, on the recommendation of their
the matter of diagnosis by preparing a morning and evening temperature chart for the Tuberculosis Officer. In advanced cases of tuberculosis where the patient is living at home, it has been our practice for a long time now to arrange for daily
Age Periods | Formal notifications | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Number of primary notifications of new cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
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DISPENSARY. Deputy Medical Officer of Health and Clinical Tuberculosis Officer—C. H. C. Toussaint, M.R.C.S., L.R.C.P., D.P.H. Assistant Medical Officer of Health and Assistant Tuberculosis Officer─E. J. MacIntyre, M.D., D.P.H. Lady Almoner—Olive
Dwellings 8 Rateable Value 8 Population 8 Births 8 Deaths 9 Marriages 9 Infantile Mortality Rates 10 Deaths from Tuberculosis 10 Vital Statistics of District 11 Causes of Deaths 14 Deaths from Zymotic Diseases 16 Infantile Mortality, Causes of Deaths
PAGE Public Health (Prevention of Tuberculosis) Regulations, 1925 31 Work of the Tuberculosis Dispensary 32 Summary of Notifications 33 Cases on the Register 34 LIGHT TREATMENT— Work done
Average for years 1923-1932 164 69 4,894 65 1933 92 61 3,377 60 TUBERCULOSIS OF THE RESPIRATORY SYSTEM. In the following Table will be found particulars of deaths from Tuberculosis of the Respiratory System since the year 1923. Bermondsey Rotherhithe
pulse rate before and after treatment is desirable. Special prominence must be given to this treatment in tuberculosis of the bones, joints, glands, and serous membrances. It is the specific treatment when combined with orthopædic care.
195 1642 Women 1129 1276 2074 23 119 1839 124 983 140 55 1971 1977 1864 210 32 206 3100 Men 3261 37 105 115 7 56 19 Tuberculosis Cases 49 3 47 26 153 - Children (Table I.) 3043 703 361 2098 - 996 941 354 2 - Totals 4941 10903 3853 837 77 507 235 8832 5083 1066
Sub-District | Bermond. sey | Rotherhither | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
27 Cases Notified for last ten years 28 TUBERCULOSIS— New Cases and Deaths 29 Period between Notifications and Deaths 29 Nursing, Extra Nourishment and Shelters 30 Lady Almoner 30 Work of the Tuberculosis Dispensary 31 Summary of Notifications
HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the Ist January, 1938, to the 31st December, 1938. Formal notifications Total Notifications Number of primary notifications of new cases of Tuberculosis
AGE—PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non- Pulmonary | Pulmonary | Non- Pulmonary | |||||
M. | F. | M. | F. | M. | F. | M. | F. |
Respiratory System | Other Forms | |||
---|---|---|---|---|
M. | F. | M. | F. |
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Age Periods | Formal notifications | ||||||||||||
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Number of primary notifications of new cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
DISPENSARY. Deputy Medical Officer of Health and Clinical Tuberculosis Officer— C. H. C. Toussaint, M.R.C.S., L.R.C.P., D.P.H. Assistant Medical Officer of Health and Assistant Tuberculosis Officer— J. Marshall, M.B., Ch.B., D.P.H. Tuberculosis
Whooping Cough 110 167 - 101 - - - 103 275 - Measles - - - - - 7 85 889 - - Tuberculosis:- Respiratory System 175 177 182 141 112 194 208 129 142 147 Other forms of Tuberculosis 40 46 40 35 34 32 34 34 31 18 Totals 1,536 1,494 1,083 1,149 1,512 1,371 1,004 966
CENTRE, GRANGE ROAD Women 1306 1619 2666 34 1242 112 336 196 177 2472 Men 2342 2565 5233 2597 127 446 148 4416 71 269 - Tuberculosis Cases 18 19 58 18 4 14 2 4 68 Children (Table I.) 794 891 2536 466 579 472 5 1 1 1991 Totals 6051 13013 1053 1397 138 5197 4993 697
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1939, to the 31st December, 1939. Formal Notifications Number of Primary Notifications of New Cases of Tuberculosis 65 and upwards
AGE PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non-Pulmonary | Pulmonary | Non-Pulmonary |
Age Periods | Formal Notifications | ||||||||||||
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Number of Primary Notifications of New Cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
25 Cases Notified for last ten years 26 TUBERCULOSIS- New Cases and Deaths 27 Period between Notifications and Deaths 27 Nursing, Extra Nourishment and Shelters 28 Lady Almoner 28 Work of the Tuberculosis Dispensary 29 Summary of Notifications
Whooping Cough 103 275 101 383 - - - - - - Measles 7 85 889 39 - - - - - - Tuberculosis — Respiratory System 208 175 177 182 141 129 142 147 112 94 34 32 34 34 31 18 20 Other forms of Tuberculosis 46 40 35 Totals 1,494 1,083 1,149 1,512 1,371 1,004 966 1,145 1,730 973
83 16 206 85 2037 Women 1240 1203 2039 998 147 208 30 177 113 2566 Men 2060 2024 4061 1982 109 339 59 264 149 4135 Tuberculosis 20 22 44 11 8 7 - 10 1 74 Cases Children (Table I.) 660 674 1770 261 463 314 10 3 I 1496 Totals 4732 4675 10325 3752 971 951 115 660
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
(22) III.- TUBERCULOSIS. In Table I are set out particulars of new cases and deaths during the year, and Table II shows the period elapsing between notification and death. TABLE I. TUBERCULOSIS, 1940—NEW CASES
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1940, to the 31st December, 1940. Formal Notifications Number of primary notifications of new cases of Tuberculosis Age Periods
AGE—PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non- Pulmonary | Pulmonary | Non- Pulmonary | |||||
M. | F. | M. | F. | M. | F. | M. | F |
Age Periods | Formal Notifications | ||||||||||||
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Number of primary notifications of new cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 65 to 65 | 65 and upwards | Total (all ages) |
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DISPENSARY. Deputy Medical Officer of Health and Clinical Tuberculosis Officer—C. H. C. Toussaint, M.R.C.S., L.R.C.P., D.P.H. Assistant Medical Officer of Health and Assistant Tuberculosis Officer—*H. T. Levi, M.B., Ch.B. Tuberculosis Nurse
20 Cases Notified for last ten years 21 TUBERCULOSIS- New Cases and Deaths 22 Period between Notifications and Deaths 22 Nursing, Extra Nourishment and Shelters 23 Lady Almoner 23 Work of the Tuberculosis Dispensary 24 Summary of Notifications
102 136 121 113 125 170 103 275 Whooping Cough - - - - - Measles 7 85 - - - - - Tuberculosis:— 141 129 147 Respiratory System 175 177 182 142 Other forms of Tuberculosis 40 35 34 32 34 34 31 1,083 1,149 1,512 1,371 1,004 966 1,145 Totals
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
19 Cases Notified for last ten years 20 TUBERCULOSIS— New Cases and Deaths 21 Period between Notifications and Deaths 21 Nursing, Extra Nourishment and Shelters 22 Lady Almoner 22 Work of the Tuberculosis Dispensary 23 Summary of Notifications
HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1942, to the 31st December, 1942, Age Periods Formal Notifications Number of Primary Notifications of New Cases of Tuberculosis Total
AGE PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non-Pulmonary | Pulmonary | Non-Pulmonary |
Age Periods | 0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total |
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Age Periods | Formal Notifications | ||||||||||||
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Number of Primary Notifications of New Cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
125 170 121 383 - - - 103 275 101 Whooping Cough 889 39 Measles - - 7 85 - 94 Tuberculosis — Respiratory System 182 141 129 142 147 112 34 34 31 Other forms of Tuberculosis 34 32 18 20 Totals 1,512 1,004
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
deaths during the year, and Table II shows the period elapsing between notification and death. TABLE I. TUBERCULOSIS, 1949—NEW CASES AND DEATHS. AGE PERIODS NEW CASES DEATHS Pulmonary Non- Pulmonary Pulmonary Non- Pulmonary M. M. F . M. F.
HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1949, to the 31st December, 1949. Formal Notifications Age Periods Number of Primary Notifications of New Cases of Tuberculosis 0
VITAL STATISTICS— Area 7 Population 7 Births 7 Deaths 8 Marriages 8 Infantile Mortality Rates 9 Deaths from Tuberculosis 9 Vital Statistics of District 10 Causes of Death 11 Infantile Mortality, Causes of Deaths 13 Extracts from Vital Statistics,
AGE PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non- Pulmonary | Pulmonary | Non- Pulmonary | |||||
M. | F. | M. | F. | M. | F. | M. | F. |
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Period Between Notification and Death | Respiratory System | Other Forms | ||||||
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Males | Females | Total | Percentage of Total Deaths | Males | Females | Total | Percentage of Total Deaths |
Age Periods | 0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 t0 65 | 65 and upwards | Total |
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Age Periods | Formal Notifications | ||||||||||||
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Number of Primary Notifications of New Cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
Average for years 1939-1948 43 2,144 1949 33 29 1,517 27 TUBERCULOSIS OF THE RESPIRATORY SYSTEM. In the following Table will be found particulars of deaths from Tuberculosis of the Respiratory System since the year 1939. Sub-District Bermondsey
- - - Scarlet Fever - - - - - - - - - Whooping Cough - - - - - - - - - Diphtheria 5 2 3 - - - - - - Tuberculosis of Respiratory System 41 - - - - 6 10 21 4 Tuberculosis —other forms 1 - - - - - - 1 - Syphilitic Disease 3 - - - - - - 1 3 Influenza 3 - - - - - - 2 1 Measles - - - - - - - - -
233 297 Measles 229 381 600 345 345 544 521 334 Scabies - - - 283 489 366 253 81 Tuberculosis— Respiratory System 97 106 100 109 111 126 129 100 Other forms of Tuberculosis 6 19 14 18 14 14 16 9 Totals 855 1,120 1,120 1,411 1,482 1,349 1,366 1,125
Sub-District | Bermondsey | Rotherhithe | St.Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
new cases and deaths during the year, and Table II shows the state of the Notification Register. TABLE I. TUBERCULOSIS, 1950—NEW CASES AND DEATHS. AGE PERIODS NEW CASES DEATHS Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary M. F. M. F. M.
HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the Ist January, 1950, to the 31st December, 1950. Age Periods Formal Notifications Number of Primary Notifications of New Cases of Tuberculosis Total
VITAL STATISTICS— Area 7 Population 7 Births 7 Deaths 8 Marriages 8 Infantile Mortality Rates 9 Deaths from Tuberculosis 9 Vital Statistics of District 10 Causes of Death 11 Infantile Mortality, Causes of Deaths 13 Extracts from Vital Statistics,
AGE PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non-Pulmonary | Pulmonary | Non-Pulmonary | |||||
M. | F. | M. | F. | M. | F. | M. | F. |
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Respiratory System | Other Forms | |||
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Males | Females | Males | Females |
Age Periods | Formal Notifications | ||||||||||||
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Number of Primary Notifications of New Cases of Tuberculosis | Total Notifications | ||||||||||||
0 to 1 | 1 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 and upwards | Total (all ages) |
Average for years 1940-1949 42 43 2,055 43 1950 23 20 1,372 26 TUBERCULOSIS OF THE RESPIRATORY SYSTEM. In the following Table will be found particulars of deaths from Tuberculosis of the Respiratory System since the year 1940. Sub-District Bermondsey
45 45 and under 65 Certified 724 23 1 5 2 6 187 All Causes 39 1 - - Uncertified - - - - - Tuberculosis of Respiratory System 23 - - - 1 6 11 - Tuberculosis, Other Forms - 1 1 - 1 2 5 - - - Syphilis and its Sequelæ 3 - - - - - - - Typhoid Fever - - - - - - Cholera - - - - - - -
Measles 381 600 345 345 544 521 334 899 771 Scabies - - 283 489 366 253 81 42 7 Tuberculosis— Respiratory System 106 100 109 111 126 129 100 105 120 Other forms of Tuberculosis 9 19 14 18 14 14 16 27 12 Totals 1,120 1,120 1,411 1,482 1,349 1,366 1,125 1,638 1,164
Sub-District | Bermondsey | Rotherhithe | St. Olave | Whole Borough | London | ||
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Year | No. | No. | No. | No. | Rate | No. | Rate |
(20) TABLE II. TUBERCULOSIS, 1951— NOTIFICATION REGISTER Other Forms Respiratory System Males Females Males Females 48 Number of Cases on Register
HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1951, to the 31st December, 1951. Age Periods Formal Notifications Number of Primary Notifications of New Cases of Tuberculosis Total
VITAL STATISTICS— Area 7 Population 7 Births 7 Deaths 8 Marriages 8 Infantile Mortality Rates 9 Deaths from Tuberculosis 9 Vital Statistics of District 10 Causes of Death 11 Infantile Mortality, Causes of Deaths 13 Extracts from Vital Statistics,
AGE PERIODS | NEW CASES | DEATHS | ||||||
---|---|---|---|---|---|---|---|---|
Pulmonary | Non-Pulmonary | Pulmonary | Non-Pulmonary | |||||
M. | F. | M. | F. | M. | F. | M. | F. |
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Respiratory System | Other Forms | |||
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Males | Females | Males | Females |
Age Periods | 0 to 1 | 1 to 2 | 2 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 to 75 | 75 and upwards | Total |
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Age Periods | Formal Notifications | |||||||||||||
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Number of Primary Notifications of New Cases of Tuberculosis | ||||||||||||||
0 to 1 | 1 to 2 | 2 to 5 | 5 to 10 | 10 to 15 | 15 to 20 | 20 to 25 | 25 to 35 | 35 to 45 | 45 to 55 | 55 to 65 | 65 to 75 | 75 and upwards | Total (all ages) |
and under 15 Certified 743 27 1 2 5 7 48 178 All Causes - - - - Uncertified - - - - 21 - - - - - 9 9 Tuberculosis of Respiratory System - - - - 2 1 Tuberculosis, Other Forms 4 - - 2 Syphilis and its Sequelæ 2 - - - - - - - - - - - Typhoid Fever - - - - - Cholera - - - - - - - - 2 1 -
345 544 521 334 899 771 367 1197 Scabies - 283 489 366 253 81 42 7 2 6 Tuberculosis— Respiratory System 100 109 111 126 129 100 105 120 105 89 Other forms of Tuberculosis 19 14 18 14 14 16 27 12 10 9 Totals 1,120 1,411 1,482 1,349 1,366 1,125 1,164 863