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 1935
[Report of the Medical Officer of Health for London County Council]
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The subjoined table gives a detailed analysis of all cases of otorrhcea treated,
showing number of acute conditions, cause of the persistence of discharge in chronic
cases, the number cured, the number referred for operation, those lost sight of and
the numbers still under treatment on 31st December, 1935. This table includes
otorrhcea cases among children from residential schools.
Table 16—Special ear clinics—totals for all clinics.
| Cause of suppuration. | Total ears. | Cured. | Referred for mastoid operation. | Lapsed. | Stilt under treatment. |
|---|---|---|---|---|---|
| Acute otitis media suppurativa | 200 | 158 | 8 | 6 | 28 |
| Chronic otitis media suppurativa due to | |||||
| (I) Tympanic Conditions | |||||
| (a) Tympanic sepsis (T.S.) | 1,823 | 1,319 | 9 | 107 | 388 |
| (6) T.S. + granulations | 251 | 139 | 11 | 20 | 81 |
| (c) T.S. + polypi | 33 | 11 | 8 | 1 | 13 |
| (<2) T.S. + caries | 16 | 5 | 2 | — | 9 |
| (e) T.S. + other conditions | 17 | 16 | — | — | 1 |
| (II) Tympanic Conditions + | |||||
| 170 | 110 | 5 | 9 | 46 | |
| (b) Nose conditions | 272 | 180 | — | 17 | 75 |
| (e) Mouth conditions | 1 | 1 | — | — | — |
| (III) Tympanic Conditions + | |||||
| (a) Attic disease | 80 | 18 | 42 | 2 | 18 |
| (6) Mastoid disease (no operation yet done) | 106 | 1 | 100 | _ | 5 |
| (c) Mastoid disease (operation already done) | 743 | 396 | 38 | 57 | 252 |
| (IV) Tympanic Conditions + | |||||
| (a) External otitis | 30 | 26 | — | — | 4 |
| (6) Stricture of meatus | — | — | — | — | — |
| External otitis | 91 | 80 | — | 1 | 10 |
| Cause undetermined | 1 | 1 | — | — | — |
| Total | 3,834 | 2,461 | 223 | 220 | 930 |
From these fierures it will be seen that the percentage of " cases cured " is 68.
After-care
clinic.
St. George's
dispensary.
At the St. George's dispensary a special aural centre is maintained where
children suffering from otorrhcea from the Council's residential school are treated,
and where also the after-care of children who have returned home from the Downs
hospital after mastoid operations is carried out.
The number of " ears " dealt with in children from the residential schools was
196, and the percentage of cure 80 • 8. The number of children attending as " after
care " cases was 632.
Charges to
parents.
Under Section 81 of the Education Act, 1921, the Council is bound to make
a charge, not exceeding the cost, for any medical or dental treatment given under
its school medical arrangements.