London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1927
[Report of the Medical Officer of Health for London County Council]
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Deaf Cases—continued.
| Division. | Unrelieved. | Discharged 1st examination. | Lapsed. | Relapsed. | Still under treatment. | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | |
| S.E. | — | — | 4 | 7 | 5 | 6 | — | — | 21 | 42 |
| N.E. | 1 | 2 | — | — | 6 | 11 | 2 | 4 | 16 | 31 |
| E | 3 | 5 | — | — | — | — | — | — | — | — |
| S.W. | 1 | 2 | — | — | 5 | 8 | 3 | 3 | 18 | 34 |
| N.W. | — | — | — | — | — | — | — | — | 7 | 10 |
| Totals | 5 | 9 | 4 | 7 | 16 | 25 | 5 | 7 | 62 | 117 |
Analysis of Otorrhœa Cases.
| Causes of suppuration. | Total ears. | Cured. | Referred for mastoid operation. | Lapsed. | Still under treatment. |
|---|---|---|---|---|---|
| 70 | 50 | 10 | — | — | |
| I. Tympanic conditions— | |||||
| (a) Tympanic sepsis | 840 | 675 | — | — | — |
| (6) T.S. + granulations | 259 | 153 | 3 | — | — |
| (c) T.S. + Polypi | 83 | 41 | 1 | — | — |
| 28 | 7 | 2 | — | — | |
| (e) T.S. + other conditions | 35 | 20 | — | — | — |
| II. Tympanic conditions + | |||||
| (a) Tonsils and adenoids | 233 | 133 | 1 | — | — |
| 120 | 82 | — | — | — | |
| (c) Mouth conditions | 4 | 2 | — | — | — |
| III. Tympanic conditions + | |||||
| (a) Attic disease | 218 | 87 | 32 | — | — |
| (6) Mastoid disease (no operation yet) | 334 | 33 | 184 | — | — |
| (c) Mastoid disease (operation already done) | 246 | 144 | 25 | — | — |
| IV. Tympanic conditions+ | |||||
| 30 | 15 | — | — | — | |
| 18 | 5 | 1 | — | — | |
| External otitis | 50 | 32 | 1 | — | — |
| Cause undetermined | 2 | 1 | — | — | — |
| Total | 2,557 | 1,485 | 260 | 350 | 462 |
" The above table shows a complete analysis of the otorrhœa cases seen by the
aurists at all the special centres. It gives the cause of suppuration in each case ;
the cause of chronicity; the number cured; the number referred to hospital for
mastoid operation ; the number of lapsed cases, i.e., those that left school while
under treatment or for some other reason were lost sight of; and the number still
under treatment at the end of the year. From the figures given it will be seen that
the percentage of cases ' discharged cured,' after deducting those that lapsed, is
67'2 per cent. This figure takes no account of the result of those cases which were
operated on for mastoid disease, which are given later in this report. Including
these the percentage is 77'9. This percentage of ' discharged cured ' cases is approximately
the same as that obtained in 1926.
" The following are the details of the work done at the After Care Clinic at
Kentish Town, which embraces the after treatment of the mastoid operations done