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49
The Holborn children attend Rheumatism Supervisory Clinics at the Hospital
for Sick Children, Great Ormond Street, and at the Royal Free Hospital.
Housing Conditions.
Enquiries into housing conditions of the notified cases showed that one lived in a
satisfactory self-contained flat; four lived in houses let in lodgings; one of these houses has
since been closed and the family removed to a self-contained flat.
In two cases there was overcrowding which is being dealt with.
Three children had separate beds in shared rooms, the other two shared a bed.
Social Conditions.
In one home the circumstances were such that there was a constant struggle against
poverty.
Contacts.
The names of all contacts going to school were passed on by the London County Council
district organiser to the Divisional School Medical Officer in order that they might be
observed and examined if necessary.
Holidays for Rheumatic Children.
An annual holiday in the country or by the sea is of benefit to all children;
it is even more necessary for children who are handicapped by rheumatism.
Co-operation with the school organisation was continued, and in nearly
every case a holiday was arranged for each child who was physically fit for a holiday
home, special arrangements being made for those attending schools for the
physically defective.
Typhoid and Paratyphoid Fever.
Enteric Fever.
No notifications were received of Holborn residents suffering from enteric
fever.
Typhus Fever.
No case of typhus fever was notified in the Borough during the year.
Cerebro-Spinal Fever.
No case of cerebro-spinal fever was notified in the Borough.
Dysentery.
There were ten cases of Sonne Dysentery. The patient in one case was a
nurse in the ward of a hospital where there were several cases. The source of
the infection was not traced. Two other cases also occurred in hospital; and in
these instances also the source of infection was not discovered; seven occurred
in private houses.
Malaria.
No case of malaria was notified.
Encephalitis Lethargica.
No case of encephalitis lethargica was notified in the Borough during the year.
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