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

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Tottenham 1941

[Report of the Medical Officer of Health for Tottenham]

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- 6 -
One great advantage of this method is that a child
can have a course of suction without any risk, discomfort
or expense, and if at the end of this we are satisfied
that the tonsils are still "diseased" or septic, or the
conditions for which it was undertaken are not showing
signs of relief, we can always have recourse tc operation.
The method is diagnostic as well as curctive. The
presence of pus in the tonsil crypts is easily demonstrated.
It is well tolerated by children as young as four or five
years of age. As it is repeated at only fortnightly
intervals for six tc twelve sessions, there is no groat loss
cf time from school, or much inconvenience in attendance
and there is no "in-between" treatment. One very well
worked effect that we have noticed is the reduction in
what the parents describe as "the constant tendency tc colds".
We wish to point out here that in nearly all the tonsil
suction cases, we also do, as a routine, Proetz "Displacement".
This is in accordance with the theory that nearly all cases of
"diseased tonsils" arise from infections in the nasal sinuses.
If after one displacement we find the sinus "clear", we
discontinue, but it will be surprising in how many cases
(otherwise unsuspected) - muco-pus will be found in the
nasal sinuses. Treatment is continued until this is cleared
up, roughly about half a dozen applications, concurrently
with the tonsil treatment.
One thing to be kept constantly in mind in order tc
get the best results, is, not to regard the ear, the nose
or the throat as separate entities. They are all interrelated
and each, as influencing the other, must receive
appropriate sttenticn, even when the physical signs and
symptoms point only towards the one.
ihave not been able tc make a complete audi cine trie
survey of all the schools as we had hoped, but a large
number have been done and a special session is set aside,
cnce a month for all cases attending the aural clinic
with any special cases referred from the schools or other
clinics.
The majority of the parents are grateful and
appreciative of what is being done, and the teachers are
also very helpful in getting the children to attend for
their treatment."

The following are the tables of class ification:- MISCELLANEOUS.

CONDITIIN.TOTAL.TREATMENT.RESULT.
1.Wax in the ear.15Removed,Cured.
2.Epistaxis (nose bleeding).5Cauterised.do
3Furuncle, (boil in t he ear).6Treated.do.
4.Referred for examination.12No treatment required.-
5.Foreign body in2.Removed.do.
6 .Foreign body in the nose.3.dodo.
7.Nasal Polypii.1.do.do.
Total.44.