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In one both mother and father.
In one the father's relations.
In one the brother.
In one the sister.
In three cases, the father, mother, brother and other relations.
In four families the mother and her relations.
In three families there were histories of rheumatism in the mother's
relations only.
Contacts.
Fourteen of the notified cases had no contacts.
A history of rheumatic pains was reported in the contacts of eight cases. Nine
of the contacts were examined at the Rheumatism Supervisory Centre, and as a
result one is being kept under observation.
The names of all the other contacts going to school were passed on by the
London County Council district organiser to the Divisional School Medical Officer
in order that they might be observed and examined if necessary.
History of Patients after leaving School.
Eight of those notified have ceased to attend school and are at work, viz.:—
(1) Boy (A.M.,æt 16) works as a lift attendant at a local store.
(2) Girl (G.H., æt 15) works as a clerk.
(3) Girl (G.M., æt 15) works as a relief stamper.
(4) Girl (M.C., æt 15) is a box folder.
(5) Girl (Q.W., æt 16) is a checker in a laundry receiving office.
(6) Girl (R.P., æt 15) is a lamp-shade maker.
(7) Girl (L.C., æt 15) is at home being unable to work owing to carditis.
(8) Girl (P.M., æt 14) is an embroideress.
Four of these (A.M., Q.W., R.P. and L.C.) reached 16 years of age during
the year 1930 and are no longer under supervision as notified cases nor as
"children" under any Children's Care Organisation.
Three of these (A.M., Q.W. and R.P.) are keeping well, but would probably
benefit by attendance at a Rheumatism Supervisory Centre in the Borough where
they could be kept under observation and visited at home if required, the fourth
(L.C.) is still receiving treatment from her own doctor.
Obviously the nature of employment to be followed by any child who has
suffered from rheumatism requires careful consideration by all concerned,