London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1933

[Report of the Medical Officer of Health for Croydon]

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249
Taking the total school population as 27,083 the mortality
rate from Pulmonary Tuberculosis in school children was 4 per
100,000, and the incidence rate 18 per 100,000. For Non-pulmonary
Tuberculosis the respective figures were 7 and 40.
Nose and Throat.
In all the groups 587 boys and 596 girls had enlarged tonsils;
66 boys and 48 girls had adenoids only; 297 boys and 337 girls
had adenoids and enlarged tonsils; 53 boys and 28 girls were
mouth breathers; 666 boys and 578 girls exhibited enlarged glands
in the neck.
Taking the two groups of cases of adenoids, and enlarged
tonsils with adenoids as requiring operative measures, it is seen
that 8.6 per cent. of all school children examined in the three
groups were in need of surgical attention to the throat and nose.
In 1932, dealing with another group of children, the figure was also
8.6 per cent. The importance of training in correct methods of
breathing after the removal of adenoids and tonsils cannot be too
strongly emphasised. All cases are invited to attend Breathing
Exercises Classes held at St. Andrew's Hall and 216 attendances
were made.
Of all children examined at Routine Medical Inspection, in
the Entrant group 18.1% had enlarged tonsils; 1.8% had adenoids
alone; 11.7% enlarged tonsils and adenoids, and 21.3% had
enlargement of the submaxillary or cervical glands. In the
Intermediate group the respective percentages were 12.5%, 1.2%,
6.0% and 12.7%; and in the Leaver group, 8.7%, 0.7%, 3.0% and
7.8%. The percentages for the three groups, in relation to the total
number of children examined, were 13.1%, 1.2%, 7.3% and 14.0%.
Table IV. gives in summary the percentage of Nose and
Throat defects and of enlarged glands in the various groups
examined.

Table IV.

SUMMARY.

Group.Nose and Throat Defects.Enlarged Glands.
Boys.Girls.Boys.Girls.
Entrants83.233.022.620.1
Intermediates20.422.212.113.4
Leavers12.717.79.16.4
Other Ages25.420.314.511.3

*Does not include mouth breathers, but includes other defects of nose and throat.