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 East Ham]
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Table Showing the Causes of Malnutrition, the Treatment adopted and the Results of such Treatment in East Ham School Children found to be Suffering from Subnormal Nutrition.
Classified Causes of Malnutrition. | Treatment Adopted. | Results. | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Number of Cases. | School Clinics. | Cod Liver Oil, Parrish's Food or Virol. | Light Clinic. | Additional Nourishment (Public Assistance). | Referred for School Dinners. | Admitted to Schools of Recovery. | Hospital. | Admitted to Sanatorium. | Referred to N.S.P.C.C. | Under Treatment—No Definite improvement at present. | Treatment effective and still in opreation. | Regained normal nutrition, treatment discontinued | Diagnosis not confirmed, progress satisfactory. | ||
Surgical. | Medical. | ||||||||||||||
Circulatory:— | |||||||||||||||
Anaemia | 28 | 28 | 21 | 18 | 4 | 9 | 12 | — | 2 | — | 2 | 4 | 10 | 13 | 1 |
Cardiac disease | 15 | 15 | 8 | 7 | 4 | — | 6 | — | 11 | — | — | 2 | 10 | 3 | — |
Respiratory:— | |||||||||||||||
Bronchitis | 26 | 26 | 23 | 15 | — | — | 8 | — | 4 | — | — | 3 | 5 | 18 | — |
Asthma | 4 | 4 | 3 | 3 | — | — | 2 | — | 1 | — | — | 1 | 2 | 1 | — |
Pneumonia | 6 | 6 | 5 | 4 | 1 | — | 1 | — | — | — | — | 2 | — | 4 | — |
Empyema | 1 | 1 | 1 | — | — | — | 1 | 1 | — | — | — | — | 1 | — | — |
Alimentary:— | |||||||||||||||
Dental caries and oral sepsis | 21 | 21 | 7 | 1 | — | — | 1 | — | — | — | 4 | 2 | 6 | 12 | 1 |
Gastro-enteritis | 8 | 8 | 4 | 3 | — | — | 1 | — | 5 | — | — | 2 | 1 | 5 | — |
Appendicitis | 3 | 3 | 3 | 2 | — | — | — | 3 | — | — | — | 1 | — | 2 | — |
Constipation | 11 | 11 | 9 | — | — | 3 | — | — | 2 | — | — | 2 | 4 | 5 | — |
Threadworms | 18 | 18 | 1 | 1 | — | 6 | — | — | 6 | — | 4 | 2 | 8 | 7 | 1 |
Chronic Naso-Pharyngeal Infection (Enlarged tonsils, adenoids, etc.) | 40 | 40 | 30 | 19 | 3 | 8 | 2 | 27 | — | — | 7 | 5 | 11 | 23 | 1 |
Ear disease (Otitis media, mastoiditis, etc.) | 5 | 5 | 4 | 3 | — | — | 1 | 3 | — | — | — | 1 | — | 4 | — |
Acute Infectious Diseases:— | |||||||||||||||
Whooping Cough | 16 | 16 | 16 | 8 | — | — | 6 | 2 | 1 | — | — | 2 | 2 | 12 | — |
Diphtheria | 6 | 6 | 5 | 4 | — | — | 2 | — | — | — | — | — | 1 | 5 | — |
Scarlet Fever | 5 | 5 | 5 | 5 | 1 | — | — | — | — | — | — | — | 2 | 3 | — |
Measles | 26 | 26 | 26 | 15 | 3 | 4 | 11 | 3 | — | — | 2 | 3 | 6 | 17 | — |
Small Pox | 1 | 1 | 1 | — | — | — | — | — | — | — | — | — | — | 1 | — |
Influenza | 16 | 16 | 16 | 12 | — | 3 | 3 | 2 | — | — | — | 2 | 4 | 10 | — |
T uberculosis | 7 | 7 | 5 | 6 | — | — | — | — | 1 | 6 | — | 3 | 3 | 1 | — |
Other diseases:— | |||||||||||||||
Rickets | 13 | 13 | 12 | 11 | 4 | 8 | 4 | 1 | 1 | — | — | 1 | 4 | 8 | — |
Infantile Paralysis | 5 | 5 | 5 | 3 | — | — | 1 | 2 | — | — | — | — | 3 | 2 | — |
Subacute Rheumatism | 16 | 16 | 14 | 12 | 3 | 2 | 4 | 1 | 1 | — | — | 3 | 4 | 9 | — |
Chorea | 3 | 3 | 3 | 1 | — | — | 1 | — | 2 | — | — | — | 2 | 1 | — |
Herpes | 1 | 1 | 1 | — | — | — | — | — | — | — | — | — | — | 1 | — |
Pyelitis | 1 | 1 | 1 | — | 1 | — | — | — | 1 | — | — | — | 1 | — | — |
Social and Domestic Conditions:— | |||||||||||||||
Shortage of food (Necessity) | 15 | 15 | 13 | 5 | 7 | 12 | 9 | — | — | — | — | 4 | 2 | 7 | 2 |
Errors in dietary, unhygienic mode of life, etc. (Vitamin deficiency) | 38 | 38 | 19 | 17 | — | 11 | 2 | — | — | — | — | 6 | 18 | 13 | 1 |
Indifference and neglect | 13 | 13 | 13 | 10 | — | 9 | 8 | — | — | — | 9 | 5 | 3 | 5 | — |
Totals | 368 | 368 | 274 | 185 | 31 | 75 | 86 | 45 | 38 | 6 | 28 | 56 | 113 | 192 | 7 |