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

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Poplar 1928

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

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144
Asthma, i case aged i\ years. Did well, 25 exposures and gained
weight well. No attacks while attending.
Malnutrition, 73 cases.
Of these: 44 were successful.
15 ,, moderately successful.
14 failed to improve.
This large group contained both very young infants, failing to assimilate
their feeds, and a good many elder children of 4 and upwards. Of the
elders, a fair number were found to have worms. This condition had
brought them often to a very low state, sometimes even suggesting tuberculosis
, but when adequately treated, as I urged on the mothers, these cases
at once improved.
At least 6 failures were persevering attendants but derived no benefit,
and after a good trial I had to discharge them. The rest were irregular
attendants.
Debility, 70 cases.
Of these: 34 were successful.
13 ,, moderately successful.
23 failed to improve.
Mothers. 24 mothers could be classed as 'successes' the rest were
unable to attend regularly.
A few came for deficient lactation, one for depression in pregnancy
(a marked success), one for persistent rheumatism with fibrositis (a
moderate success), and most for general debility, exhaustion and overwork.
In future I hope to have under treatment at an earlier stage more cases
of deficient lactation and especially expectant mothers who have failed in
lactation with previous babies.
I cannot at present give any useful figures for these.
The difficulty mothers experience in attending regularly is unavoidable
, particularly in the cases of mothers with large or ailing families.