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79
Acute rheumatism as defined by the Regulations means—
(i.) Rheumatic pain or arthritis, if accompanied by a rise in
temperature;
(ii.) Rheumatic chorea (St. Vitus' dance);
(iii.) Rheumatic carditis.
Nineteen cases were notified in 1930. As regards the source of information
relating to the total number of notifications in 1929 and 1930:—
6 were notified by doctors in private practice.
7 were notified by an Assistant School Medical Officer.
12 were notified by doctors in institutional practice.
13 were notified by the Medical Officer of the Rheumatism Supervisory
Clinic.
29 were notified by the District Organiser of the L.C.C. Care Committee as
having been definitely stated medically to be suffering from rheumatism.
Rheumatism in children attending school is from time to time reported to the Health Visitors
by parents; if the child is not already notified as suffering from rheumatism, the information is
given to the District Organiser of the L.C.C. Care Committee (Miss H. Bell, to whom we have
reason to be grateful) at a monthly conference between the Organiser and the Health Visitors.
Miss Bell arranges for medical examination of the child at school.
Of fifty-seven cases reported by parents to the Health Visitors, the diagnosis of rheumatism
was confirmed in nineteen.