Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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Year. | 0— | 1— | 2— | 5— | 10— | 15— | 20— | 25— | 35— | 45— | 55— | 65 + | All ages. |
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Cause of Death. | 1911 to 1914. | 1915 to 1918. | 1919 to 1922. | 1923 to 1920. | 1923. | 1924. | 1925. | 1926. | 1927. |
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Year. | England and Wales (including London). | London. | ||
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Cases. | Deaths. | Cases. | Deaths. |
Years. | October to December. | January to April. | Total (28 weeks.) |
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Age periods. | Under 3. | 3-5. | 5-10. | 10-20. | 20-30. | 30-40. | 40-50. | 50-60. | Over 60. | Total. |
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Year. | 1915. | 1916. | 1917. | 1918. | 1919. | 1920. | 1921. | 1922. | 1923. | 1924. | 1925. | 1926. | 1927. |
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Period. | Deaths. | Death-rates. | ||||
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Males. | Females. | Total. | Males. | Females. | Total. |
Year of onset. | NOTIFIED CASES. | NON-NOTIFIED CASES. | |||||||||||||||
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Under 16 Years of Age. | Over 16 Years. | Under 16 Years of Age. | Over 16 Years. | ||||||||||||||
Stated to have recovered. | Still affected. | Paralysed (including Parkinsonism) | Mentally or morally affected. | Stated to have recovered. | still affected. | Paralysed (including Parkinsonism) | Mentally or morally affected. | Stated to have recovered. | Still affected. | Paralysed (including Parkinsonism) | Mentally or morally affected. | Stated to have recovered. | Still affected. | Paralysed (including Parkinsonism) | Mentally or morally affected. |
Form of tuberculosis notified. | Sex. | Notifications on Form A. (Total of primary notifications received in London boroughs, other than elementary school cases, infra.) | |||||||||||
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0- | 1- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65 + | Total. |
Form of tuberculosis notified. | Sex. | Notifications on Form B. (Primary notifications of cases discovered through medical inspection in elementary schools.) | Notifications on Form C. (Secondary notifications from institutions receiving cases.) |
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Form of tuberculosis notified. | Sex. | New cases of tuberculosis coming to knowledge otherwise than by notification on forms A and B. | |||||||||||
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0- | 1- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65 + | Total |
Site of Cancer. | Death-rate per million living 1911-20. | Site of Cancer. | Death-rate per million living 1911-20. | ||
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Males. | Females. | Males. | Females. |
Males. | Females. |
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Site of Cancer. | Death-rate per million living. | |
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Males. | Females. |
Age period. | Males | London mortality from cancer per 1,000 living among persons born in | |||||||
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1805-17 | 1815-27 | 1825-37 | 1835-17 | 1845-57 | 1855-67 | 1865-77 | 1875-87 | ||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
Age period. | 1805-17. | 1815-27. | 1825-37. | 1835-47. | 1845-57. | |||||
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No. | Per cent. | No. | Per cent. | No. | Per cent. | No. | Per cent. | No. | Per cent. |
Age period. | Percentage of deaths in successive age-periods. Female excess ( + ) or deficiency (—) among persons born in | ||||
---|---|---|---|---|---|
1805-17. | 1815-27. | 1825-37. | 1835-47. | 1845-57. |
Sex and Group. | Lip, Tongue, Larynx, (Esophagus. | Stomach. | Intestines. | Liver. | Other sites. | All cancers. |
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Group and Civil Condition. | Uterus. | Breast. | Ovary. | Total. |
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Metropolitan boroughs. (Arranged in topographical order.) | Estimated civil population, 1927. | Births. | Deaths. | Infant mortal ity (per 1,000 births). | Measles | Scarlet fever. | Diphtheria. | Whooping cough. | Typhoid fever. | Diarrhœa and Enteritis, age0-2(per1,000births). | Phthisis. | Pneumonia. | Bronchitis. | Cancer | Notified cases of Infectious disease, (a) | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Scarlet fever. | Diphtheria. | Typhoid feyer. | Erysipelas. | Puerperal fever (per 1,000births). | Cerebrospinal fever. | Acute pneumonia. |
Sanitary Authority. | Cowsheds. | Slaughterhouses. | Offensive Trades. | Observations. | Smoke nuisances. | Notices. | Common lodging houses. | Cleansing of persons and rooms. | Water supply. | Milk-shops. | Ice cream premises. | Restaurants and Eating Houses. | |||||||||||
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No. licensed. | No. of inspections. | No. licensed. | No. of inspections. | No. authorised. | No. of inspections. | Intimations. | Complaints. | Houses licensed. | Authorised lodgers. | Persons. | Rooms or premises | Tenement houses extra supply. | No. on register. | No. of inspections. | No. on register. | No. ol inspections. | No. of places. | No. of inspections. | |||||
Adults. | Children. | After infectious diseases. | For vermin. |
Borough. | No. of houses. | No. of houses inspected. | No. of notices served. | No. of houses repaired or nuisances remedied under P.H. Act. | No. of houses repaired under Section 3 of Housing Act. | Underground rooms. | Overcrowding. | Houses let in lodgings. | No. of houses closed by owner. | No. of houses for the working classes | Houses unlit for habitation. | |||||||||||||||
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In borough. | Occupied by the working classes. | Under P.H. Act. | Under Housing Act. | Kcpresen tations. | Closing orders. | Demolition orders. | ||||||||||||||||||||
Complaints or illness. | House to house. | Instances found. | No. remedied. | No. on register. | No. of inspections. | |||||||||||||||||||||
No. illegally occupied. | No. closed or otherwise remedied. | Erected during year. | In course of erection. | No. made. | No. of houses. | No. made. | No. determined. | No. made. | No. of houses demolished | |||||||||||||||||
Intimation. | Statutory. | |||||||||||||||||||||||||
In pursuance of orders. | Voluntarily. | |||||||||||||||||||||||||
By owners. | By L.A. |
Sanitary Inspectors. | ||||||
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Male. | Female. | Health Visitors. | ||||
Whole time. | Part time. | Whole time. | Part time. | Whole time. | Part time. |
Year. | Syphilis. | New cases. Soft chancre. | Gonorrhœa. | Total venereal cases. | ||||
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M. | F. | M. | F. | M. | F. | M. | F. |
Year. | Pathological examinations. | |
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For treatment centres. | For private practitioners |
Year. | New cases. | Total. | Attendances. | In-patient, days. | |
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Venereal. | Non-venereal. |
*Class. | Total. | Alive five years after discharge. | Dead. |
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Class. Pulmonary— | Total. | A live, five years after discharge. | Dead. |
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Class. Non-pulmonary (Surgical)— | Total. | Alive five years after discharge. | Dead. |
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Borough and Dispensary. | On Dispensary Register, 1-1-27. | Transferred during 1927 from other areas and lost sight of cases returned | Examined for first time during 1927. (à) New cases excluding contacts. (á) Contacts (printed in italics). | Total number (including contacts) under dispensary supervision during 1927. | Removed from Dispensary Register during 1927. | On Dispensary Register on 31-12-27. | Total attendances. | Visits to homes for dispensary purposes by | No. of specimens of sputum examined. | |||||||||||||
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Diagnosis completed. | Under observation. | Pulmonary. | Non-Pulmonary. | Doubtfully Tuberculous. | Non-Tuberculous. | Total. | (a) Cured. (b) Diagnosis not confirmed or non-T.B. (printed in italics). | (a) Transferred to other areas or lost sight of. (b) Died (printed in italics). | Diagnosis completed. | Under Observation. | ||||||||||||
Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. | Tuberculosis Officer. | Dispensary Nurse. |
Applications for first period of treatment. | Applications for further treatment. | Total applications. | |||||
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Ex-Service. | Civilian male. | Female | Ex-Service. | Civilian male. | Female. |
Immediate results of treatment. | A. | Classification. | Surgical. | Totals. | ||
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Bl. | B2. | B3. |
Desks. | Height of seat. Inches. | Height of front of top. Inches. |
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Table. Height of top. Inches. | Chair. Height of seat. Inches. |
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Approx. Age. | Born in. | No. examined. | Carious teeth temporary. | Carious teeth permanent. | Average per child carious teeth. | Purulent alveolar abscess Sinus or Fistula. | Chronic Pharyngitis. | Enlarged tonsils. | Enlarged submaxillary glands. | Anæmia. | Teeth treated. | ||
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Temporary. | Permanent. | ||||||||||||
Temporary. | Permanent. | ||||||||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) |
No. of children. | Bom in | Carious temporary teeth. | Carious permanent teeth. | Alveolar abscess, sinus, fistula, gingivitis, malocclusion. | Chronic pharyngitis. | Tonsils. | Submaxillary glands. | Anæmia maldevelopment. | Teeth treated. | No treatment. | |||||||||
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Permanent. | Temporary. | ||||||||||||||||||
Very septic. | Very septic. | Severe enlargement. | Mod. enlargement. | Slight or normal. | Sever? enlargement. | Slight enlargement. | Moderate. | Slight. | Fillings. | Extractions. | Fillings. | Extractions. |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
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Class of ailment and number of cases reinspected. | Treated by private doctor or dentist. | Treated under Council's scheme. | Treated at hospitals not under Council's scheme. | He-covered by home treatment. | Improved, needing only observation. | Still needing treatment. | |||
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Cured. | Not cured. | Cured. | Not cured. | Cured. | Not cured. |
Class of ailment and number of cases reinspected. | Treated by private doctor or dentist. | Treated under Council's scheme. | Treated at hospitals not under Council's scheme. | He. covered by home treatment. | Improved, needing only observation. | Still needing treatment. | |||
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Cured. | Not cured. | Cured. | Not cured. | Cured. | Not cured. |
Boys. | % | Girls. | % | Total. | % |
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Complaint. | Children. | Percentage ot total. | ||||||
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1924. | 1925. | 1926. | 1927. | 1924. | 1925. | 1926. | 1927. |
Division. | No. of examinations. | No. of cases examined. | No. of new cases. | Discharged at 1st examination. | No. of lapsed cases. | No. of relapsed cases. | |||||
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Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Patients. | Ears. | Patients. | Ears. |
Division. | Examinations. | Cases. | New cases. | Cured. | Improved. | |||||
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Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. |
Division. | Unrelieved. | Discharged 1st examination. | Lapsed. | Relapsed. | Still under treatment. | |||||
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Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. |
Causes of suppuration. | Total ears. | Cured. | Referred for mastoid operation. | Lapsed. | Still under treatment. |
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Year. | No. of new cases. | No. of attendances. | No. of teeth or roots extracted. | No. of fillings. | No. of other operations. | No. of general anæsthetics. | Average number of operations per child. |
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Original condition. | Condition on discharge. | Present condition on medical certification. | |||||||||
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Slight. A. | Bad. B. | Severe C. | Cured. A. | Much improved. B. | Relapsed. C. | Cured. A. | Much improved. B. | Relapsed. C. | Unchan ged. D. | Worse. E. |
Hospital. | At present in hospital. | Discharged from hospital | Removed by parents against advice. | Died in hospital. | Total. | |||||
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Boys. | Girls. | Boys. | Girls. | Boys. | Girls. | Boys. | Girls. | Boys. | Girls. |
Classification. | Number of cases. |
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Years of age. | V. | VI. | VII. | VIII. | IX. | X. | XI. | XII. | XIII. | XIV. | XV. |
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No pains. | Recurrent pains. | Complaints of tiredness and weakness. | Recurrent sore throats. | Night sweats. | Definitely febrile and feverish attacks. |
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Number in families. | Number of rooms. | ||||||||
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1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
Year. | Examinations at rota visits. | Verminous conditions noted at rota visits. | Per cent. | Verminous children referred to centres. | Subsequently cleansed by parents. | Verminous children cleansed at centres. | Scabies cases bathed at centres. |
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Boys. | Girls. | Total. |
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Tuberculosis (all forms). Cases Notified, 1923-1927. | |||||
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1923. | 1924. | 1925. | 1926. | 1927. |
Years. | -1 | 1 | - 2 | 2 | -3 | 3 | -4 | 4 | Died. | Refused examination. |
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School. | Reason for admission. | Weight. | Care Committee Report. | |||
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Going. | Returning. |
School. | Reason for admission. | Weight. | Care Committee Report. | |||
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Going. | Returning. |
School. | Reason for admission. | Weight. | Care Committee Report. | |||
---|---|---|---|---|---|---|
Going. | Returning. |
A. Definite improvement. | B. Slight improvement. | C. No improvement. |
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Agency promoting the holiday. | No. of pupils who spent holiday away from London. | Total of columns (2)—(4). | Number of pupils shown in column (5) whose absence from London fell within the normal school holidays. | ||
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Holiday of 7 days duration. | Holiday of 8-14 days' duration. | Holiday of 15 days' duration and over. |
Percentage of cases of notifiable infectious diseases. | Percentage non-notitiablc. | Average attendance, 1925-26. |
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Place. | Present No. on roll. | Percentage of children aged |
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Group. | No. of children. | Nutrition. | Teeth. | Tonsils. | Glands. | |||||
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1 | 2 | 3 | 1 | 2 | 3 | Slight. | For treat ment. |
Group. | Anaemia. | Heart. | Lungs. | Shin. | Eye. | Ear. | Deformities. | Other. | Aver, height. | Aver, weight. |
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Term. | Current cases at beginning of term. | New cases during term. | Cases discharged during term (i.e., milk discontinued). | Left, etc. | Not traceable. |
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Disease. | Diphtheria. | Scarlet fever. | Measles and German measles. | Whooping cough. | Chicken pox. | Mumps. | Scabies. | Ophthalmia. | Ringworm. |
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Division. | No. of visits. | No. of depts. visited. | No. of schools visited. | No. of children examined. | No. of visits. | No. of depts. visited. | No. of schools visited. | No. of children examined. |
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District. | 1923. | 1924. | 1925. | 1926. | 1927. | Average (5 years). | ||||||
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S.F. | Diph. | S.F. | Diph. | S.F. | Diph. | S.F. | Diph. | S.F. | Diph. | S.F. | Diph. |
Year. | Fresh cases. | Cured cases. | Cases outstanding at the end of the year. | parcentage of cures effected by X-ray treatment. |
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Institutions. | Occupied beds. | Institutions. | Occupied beds. |
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1925. | Tuberculosis of glands. | Tuberculosis of bones and joints. |
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Location of disease. | Died within 5 years. | Well and at school. | Well and at work. | Fit for work but unemployed. | Keeping well. No information as to employment. | Unfit for work, or condition unsatisfactory. | Undergoing further residential treatment. | Total. |
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Location of Disease. | Survivors. | Fatal Cases. |
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Defect. | Number nominated. | Suitable for admission to | Returned to elementary school. | Invalided. | Notified under M.D. Act. |
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Recommended for | Boys. | Girls. | Total. |
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Morbid condition. | Boys. | Girls. | Total. | Morbid condition. | Boys. | Girls. | Total. |
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Defect. | Cases passed no longer certifiable. | Cases passed fit to return to elementary school. |
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Returned to | Returned to |
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Mental age. | 10. | 9. | 8. | 7. | 6. | 5. | Average mental age. |
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Whether recommended or not recommended for institutional care. etc. | Educational attainments. | Stability. | Handwork. | Home control. | ||||
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Recommended. | Not. | Recommended. | Not. | Recommended. | Not. | Recommended. | Not. |
Ages. | —20. | —25. | —30. | —35. | —40. | —45. | —50. |
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M. | F. | Total. |
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Placed by the Association. | Placed by other means. | Total. | |||||
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Blind. | Deaf. | Crippled. | Blind. | Deaf. | Crippled. |
Diagnosis. | 1927. | |
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Boys. | Girls. |
Cause of deafness. | Boys. | Girls. | Totals. |
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A.—Meningitis— | Boys. | Girls. | Totals. | Per cent. |
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(3) Congenital defects | 1922-3. | 1924-5. | 1926-7. |
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Number of children. | Nutrition. | Teeth. | Tonsils and adenoids. | ||||||
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1. | 2. | 3. | 1. | 2. | 3. | Slight. | For treatment. | Operated upon. |
Position of myopic children in family. | Number of children in family. | ||||||||||
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1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | 11. |
Status. | Number examined. | Number fit. | Number rejected. | Number who withdrew after being referred for remediable defects or were not due for re-examination until the end of the year. |
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Age group. | Boys. | Girls. | Total. | Boys. | Girls. | Total. |
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Disease or defect. | Routine inspections. | Special inspections. | ||||
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Defects. | Defects. | |||||
Requiring treatment. | Requiring observation. | Requiring treatment. | Requiring observation only. | |||
E.S. | S.S. | E.S. | S.S. |
Age group. | Inspected. | Found to require treatment. | Percentage requiring treatment. |
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Blind (including partially blind)— | Boys. | Girls. | Total. |
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Deaf—continued. | Boys | Girls | Total. |
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Defect or disease. | Defects dealt with. | ||
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Under Council's scheme. | Otherwise. | Total. |
Number of defects. | ||||
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Received operative treatment. | Received other forms of treatment. | Total number treated. | ||
Under Council's scheme. | Private practitioner or hospital. | Total. |
Year. | Houses licensed. | Lodgers authorised. | Prosecutions. | Convictions. | Penalties and costs. | Cases of infectious disease. |
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Year. | Houses licensed. | Lodgers authorised. | Prosecutions. | Convictions. | Penalties and costs. | Cases of infectious disease. |
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Year. | Slaughterhouses. | Knackers' yards. | Offensive businesses. |
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