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

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Lewisham 1971

[Report of the Medical Officer of Health for Lewisham Borough]

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CONGENITAL MALFORMATIONS
Figures are supplied to the Registrar-General of all congenital malformations
recorded at birth or observed during a child's first year of life. The co-operation
of hospitals and general practitioners in this arrangement is, of course, essential
and the periodic publication by the Registrar-General of the collated returns enables
changes in national and regional patterns to be detected and examined. Children
are not identified individually to the Registrar-General but locally all such children
are considered for placing on the Lewisham Observation Register of handicapped
and those at risk of becoming handicapped. An intensive follow-up of children
placed on the register is now a routine procedure.
During the year a total of 79 children were reported, which figure represents
2.07 per cent, of total live births in the Borough.

Table: Table 11CONGENITAL MALFORMATIONS REPORTED

Table 11

CONGENITAL MALFORMATIONS REPORTED

0.1Anencephalus5
0.4Hydrocephalus4
0.5Microcephalia1
0.6Other specified malformations of brain or spinal cord2
0.8Spina bifida8
Total: Central Nervous System20
1.8Accessory auricle1
1.9Other specified malformations of ear1
Total: Eye and Ear—2
2.0Unspecified malformations of alimentary system1
2.1Cleft lip3
2.2Cleft palate3
2.4Tracheo-oesophageal fistula, oesophageal atresia and stenosis1
2.7Rectal and anal atresia and stenosis2
2.9Other specified malformations of alimentary system1
Total: Alimentary System—11
3.0Unspecified malformations of heart and circulatory system3
3.9Specified malformations of heart and circulatory system2
Total: Heart and Circulatory System—5
4.1Malformations of nose1
4.9Other specified malformations of respiratory system1
Total: Respiratory System—2
5.0Unspecified malformations of urino-genital organs1
5.1Indeterminate sex and true hermaphroditism2
5.4Malformations of male external genitalia2
5.7Hypospadias, epispadias4
Total: Urino-genital System—9
6.0Polydactyly12
6.1Syndactyly1
6.2Reduction deformity hand or arm3
6.5Talipes14
6.6Congenital dislocation of hip2
6.7Other specified malformations of upper limb or shoulder1
6.8Other specified malformations of leg or pelvis2
6.9Unspecified limb malformations1
Total: Limbs—36
7.1Malformations of skull or face bones1
7.4Malformations of sternum or ribs1
Total: Other parts of Musculoskeletal System—2
9.0Other and unspecified congenital malformations1
9.6Down's syndrome (mongolism)4
9.9Multiple congenital malformations not specified1
Total: Other Malformations—6
93