[Report 1934] / Medical Officer of Health, Birmingham.

  • Birmingham (England). Council.
Date:
1934
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1934] / Medical Officer of Health, Birmingham. Source: Wellcome Collection.

    91/168 (page 87)
    Condition of Teeth and Gums. Number of Teeth with infected pulp chambers. None. lto4. More than 4. Masticatory power in molars and bicuspids. Six or More. Less than 6. None. Healthy State of Gums. Gingivitis Pyorrhoea 2,542 2,126 299 3,542 907 518 3,893 666 434 Laboratory Work. A very large number of sputum examinations are undertaken during the year on behalf of persons who are referred for an opinion. If the first examination gives a negative result, subsequent and repeated specimens are examined. •As soon as a patient is referred for examination, a sputum outfit, with instructions and a request for its early return, is posted. Amongst the new adult patients examined for the first time during the year, in whom a definite diagnosis of pulmonary tuberculosis was made, i.e., 930, there were 514 or 55.2 per cent, who presented tubercle bacilli in their sputum. Amongst the total number of children primarily examined in whom a definite diagnosis of pulmonary tuberculosis was made, i.e., 152 there were 7 or 4.6 per cent, who presented tubercle bacilli in their sputum. The difficulty of obtaining sputum from children, even when it exists, is recognised, so all children, whether admitted for observation or treatment, have the faeces and a gastric lavage examined for acid fast bacilli, they are also submitted to a Mantoux tuberculin test. All adult patients who enter the observation pavilions have a blood sedimentation test undertaken, and have the faeces examined for acid fast bacilli in addition to sputum examinations. •At the Centre during the year 4,966 specimens of sputum were examined, and 50 other specimens were also examined. At Yardley Green Road Sanatorium 6,472 specimens of sputum were examined during the year, and 3,398 specimens of urine. Romsley Hill Sanatorium records show that 1,016 specimens of sputum were examined during the year and 1,326 specimens of urine, and at West Heath Sanatorium 1,197 specimens of sputum were examined and 400 specimens of urine. Salterley Grange Sanatorium returns show that 822 specimens of sputum were examined (luring the year and 519 specimens of urine. Completed Cases. During the year 1,772 patients completed a course of treatment, or supervision, etc., at the Centre, of whom 1,459 were adults and 313 were children. In the next table the working capacity at the commencement and at the end of a completed period of treatment is given for those patients who were examined during the year. The group of disease quoted was determined at the first examination. Working Capacity of Patients Attending Centre. Unimpaired working capacity becoming impaired ... Unimpaired capacity for work persisting Impaired capacity for work becoming unimpaired ... Impaired capacity for work becoming totally incapacitated Impaired capacity for work persisting Total incapacity becoming impaired Total incapacity becoming unimpaired Total incapacity persisting GROUP I. CROUP II. GROUP III. CROUP IV. Adults. Children. Adults Children Adults Children Adults CbUd< ren. 2 2 — — — — 2 2 — — — — — — — 1 150 90 158 35 12 2 24 41 10 2 48 21 1 3 1 136 43 410 20 107 1 33 29 24 3 96 3 91 1 20 7 10 3 34 10 6 3 11 10 — 1 13 1 33 — 5 1 332 144 759 69 270 8 98 92 In the following tables are set out, as briefly as possible, the main points in connection with an investigation undertaken to ascertain the conditions of those past patients who received treatment at the Centre between the years 1913-1934 inclusive.