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73
APPENDIX I.
SEVENTH ANNUAL REPORT
on
THE KENSINGTON RHEUMATISM SCHEME
(1st October, 1933—30th September, 1934)
BY
JAMES FENTON, M.D., M.R.C.P., D.P.H., JANET K. AITKEN, M.D., M.R.C.P.,
and LUCY E. ELLIOTT, M.B., B.S.
PART I.
General
by JAMES FENTON, M.D., M.R.C.P., D.P.H.
The seventh year of work at the rheumatism supervisory centre of the Royal Borough of Kensington was
completed on the 30th September, 1934.
The functions of this centre are to assist in the early diagnosis of rheumatism in children (the early
treatment of this disease being of paramount importance) and also to compile statistics with a view to
determining etiological factors and thereby assist in the prevention of rheumatism.
Under the Kensington (Acute Rheumatism) Regulations, 1930, acute rheumatism was made a notifiable
disease for a further period of three years from the 1st October, 1930. On the 1st October, 1933, the Minister of
Health made new Regulations for a further period of three years. The regulations, like their predecessors of
1927 and 1930, define acute rheumatism as denoting the following conditions, occurring separately or together in
a child under the age of sixteen years :—
(a) rheumatic pains or arthritis, if accompanied by a rise of temperature;
(b) rheumatic chorea ;
(c) rheumatic carditis.

PART II.
The Work of the Centre
by JANET K. AITKEN, M.D., M.R.C.P.,
and LUCY ELEANOR ELLIOTT, M.B., B.S.
In the seven years 1927-34 during which the centre has been in existence, 1,600 cases of rheumatism or
potential rheumatism have been supervised. Although the centre was primarily established to deal with cases
from Kensington, it has been the custom to accept cases from other boroughs whenever advice was required.