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

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Ilford 1951

[Report of the Medical Officer of Health for Ilford]

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83
2. Procedure. At each Clinic, the procedure has been as follows:—
(a) Examination of urine by Health Visitor (sugar, albumen,
reaction).
(b) History of enuresis is taken.
(c) Physical examination (as far as concerns the enuresis is made).
(d) The approachability of the child and parent is noted particularly.
(e) General advice, and advice re charting all dry nights is given in
each case.
(f) Medicinal treatment is issued or prescribed (vide 3).
3. Treatment. Of the 86 cases on the list at 21st February, 1952,
42 cases (28 boys and 14 girls) had been seen up to 5th March, 1952. The
treatment issued or prescribed for them was as follows:—
(a) Benzedrine (either 5 mgms. or 2.5 mgms.) at night at a time decided
upon for each individual child—32 cases.
(b) Benzedrine (either 5 mgms. or 2.5 mgms.) + Mist. Potassium
Citrate e hyoscyamus at night at a time decided upon for each individual
child—4 cases.
(c) Phenobarbitone grs. ½ at night—4 cases.
(d) Advice only, without medicinal treatment—2 cases.
N.B.—The phenobarbitone and the Mist. Pot. Cit. with hyoscyam. were not
issued by the Area Health Office. In addition, it was necessary to send a
small number of cases for investigation of physical defects (e.g. a case of right
inguinal hernia).

4. Analysis of Results in respect of these 42 cases:

Cases
Not yet re-attended10
Completely dry10
Marked improvement (i.e. more than 14 dry nights in 28 since treatment)12
Improvement (i.e. 5—14 dry nights in 28 since treatment4
No improvement (i.e. less than 5 dry nights in 28 since treatment)5
Self-discharged1
42

5. Conclusions. Although the clinic has only been in existence for
three months, and therefore cannot show as yet any scientific conclusions,
the attitudes of both parents and children have been of interest and cooperative."
G