Social Conditions

Many of the children admitted to the sanatorium came from impoverished backgrounds and had poor living conditions, nearly certain to be a contributing factor to them contracting TB.  Some of the common risk factors for contracting tuberculosis include overcrowding, malnourishment, a weakened immune system, being either very young or very old and a lack of access to medical care to ensure treatment and prevention.  Consequently, the following account from the records of Stannington Sanatorium hardly comes as a surprise and is by no means unusual.

 

This particular case from the 1940s perfectly illustrates the challenging conditions and the effect of childhood diseases.  The girl, patient 145/1946, was admitted to Stannignton Sanatorium in October of 1945 at the age of 3.  Her case notes indicate that she had already had measles and pneumonia and had been suffering from her present condition of tuberculosis of the right knee for the past 18 months.  After 4 years of treatment she was considered fit for discharge at which point the living conditions she had left behind at the age of 3 are made clear.  The local medical officer reports that

“The home conditions in this case are appalling.  The housing accommodation is only two rooms, in which are already living four adults and five children.”

With this borne in mind the medical staff, unsurprisingly, consider it counterproductive to discharge the girl home and within 3 months she is instead discharged to the Briarmede Nursery in Gateshead.  Medical staff were obliged to take into consideration the living conditions of all patients and consult with local medical officers in the relevant districts before discharging their patients or risk undoing much of the good that had been achieved during the child’s stay in the sanatorium.  Where conditions were not satisfactory children could be discharged to other institutions, as above, or could find themselves staying at the sanatorium longer than was medically necessary, a situation which the doctors were obviously keen to avoid.

 

For many children coming from backgrounds such as this, being removed to the sanatorium, whilst it may have been difficult being separated from family at such a young age, may in fact have been a blessing in disguise.  Even without the effective drug treatments we have today, the instant improvement in living conditions would have made untold differences to their health and wellbeing.  In each child’s case file it is quite common to see descriptions of their living conditions in their general and family history, taking into account the type of house they were living in, the number of occupants, and the sanitation available.  This information alongside correspondence from the children’s parents requesting support for applications for improved housing gives us a great insight into some of the social conditions across the North East during this period.

 

The image below is taken from a brochure produced by the sanatorium in 1936 to promote their services and show images of one patient at four different points in time to illustrate the success of the treatment that Stannington provided. (HOSP/STAN/9/1/1)

NRO 3000-69 PAGE 9 1NRO 3000-69 PAGE 9 2

See also our later post on Harris Lines.

Osteomyelitis Part 1 – A Case Study of Patient 90/1951.

Patient 90/1951 was initially transferred from the Newcastle Royal Victoria Infirmary (RVI), having been treated for a lesion on the left os-calcis (heel bone). The pus taken from the lesion was tested and returned positive for tubercle bacilli, tuberculosis infection. The patient was admitted to Stannington in June 1951. Later, in July 1951, a cold abscess formed in the right cuboid. According to the patient’s medical notes both sinus lesions were healed by January 1952, following a course of dihydrostreptomycin which, as a result of the healing, was discontinued.

In March 1952, radiographic imaging revealed the patient had developed tuberculosis osteomyelitis.

Osteomyelitis is an infection of the bone marrow, whereby the bone undergoes inflammatory destruction to create lesions. These lesions, or sinuses, can allow pus formation and ultimately new bone begins to form in repair. Osteomyelitis is caused by non-specific bacterial infection and as such is not a specific indicator of tuberculosis. In cases of tuberculosis, osteomyelitis is likely to be caused by haematogenous spread, also known as miliary tuberculosis.

Patient 90/1951, shown below, developed tuberculosis osteomyelitis affecting the tibiae. The radiograph shows the left leg, both laterally (left) and anteroposteriorly (right). Extensive bone destruction can be seen, as well as swelling with some new bone growth to the proximal tibia. The patient notes indicate that the patient was admitted to the RVI for an operation to incise the abscesses on their left leg in August 1952.

HOSP-STAN-07-01-02-2011-33
HOSP-STAN-07-01-02-2011-33

 

This is but one example of osteomyelitis in connection with tuberculosis. Further examples are evident within the patient files and will be discussed as the project continues.

For those of you who find the radiographic images of interest, more can be seen on our Flickr stream at https://www.flickr.com/photos/99322319@N07/sets/72157648833066476/

Sources:

C. Roberts & K. Manchester, The Archaeology of Disease Third Edition (New York: Cornell University Press, 2005)

This Week in World War One, 5th February 1915

Berwick Advertiser title 1915

5th FEBRUARY 1915

MINDRUM

Louvain town hall in ruins
Rubble in front of the ruined town hall in Louvain after its sacking by the German army in 1914.
© IWM (Q 53271)

On Thursday, January 28th, a lecture was given in the school in aid of the Belgian Relief Fund.  The lecturer was M. Wouters of Antwerp, whose account of his personal experiences of the war was listened to by a deeply interested audience.  M. Wouters went through the whole of the earlier part of the war, including the sieges of Liege and Antwerp, and the sacking of Louvain and Namur.  Thereafter he was invalided to England.

His account of these terrible times was thrilling and showed what a heroic part gallant little Belgium had played for the saving of Liberty and Civilization. The lecture was illustrated by lantern views of some of the horrors wrought by the ruthless Germans, and concluded with a passionate appeal to Englishmen for more help in men and money.  The proceeds amounted to £5, and this will be sent to assist in a small way in relieving the distress prevailing among the unfortunate people the story of whose self-sacrificing bravery will forever “re-echo down the long corridors of Time.”

Belgain refugees
Belgian refugees in 1914. Image from Wikimedia Commons.

 GIFTS FOR SICK SOLDIERS AT BELL TOWER HOSPITAL

Mr Robertson, books; Miss Pearson, eggs; Mrs Young, St Leonard’s Cakes;Miss Weatherhead, 31 Castlegate, eggs; Miss Herriot, scones; Miss Tait, Bridge Street, currant loaf; Miss B Fair, illustrated papers; Mrs Wilsden, The Elms, apples and oranges; Miss Alder, Halidon, soup; Miss Wood, Horncliffe, beef jelly; “A Friend”, morning papers; “A Friend”, bananas; Mrs A. Darling, Bondington, scones; Mrs Herriot, Sanson Seal, cakes; Miss Herriot, do, loan of gramophone and records; Mrs Gemmel, 25 Low Greens, daily papers and vegetables; “A Friend”, Two puddings.

 

Advert for Fairnington & Sons drapers
Advert from the Berwick Advertiser 5th February 1915