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

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London County Council 1902

[Report of the Medical Officer of Health for London County Council]

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Circumference of chest at forced inspiration.

Inches.Number of cases.Percentage of total cases.
24 to 252.8
25 „ 26135.3
26 „ 27249.7
27 „ 286225.1
28 „ 295723.1
29 „ 304518.2
30 „ 31228.9
31 „ 32124.9
32 „ 3383.2
33 „ 342.8

Degree of chest expansion.

Inches.Number of cases.Percentage of total cases.
1 to 2104.0
2 „ 312349.8
3 ,, 49940.1
4 ,, 5145.7
5 ,, 61.4

Lungs.—There was 110 case of lung disease.
Heart.—In two cases there was a distinct valvular murmur indicating mitral regurgitation.
In neither case was there any history of previous disease to which the cardiac affection could
be attributed, and in neither case was the general health in any way affected. There were
no cases of anaemic murmurs.
Spine.—In 28 cases, nearly 10 per cent., there was some tendency to lateral curvature of the
spine, but in none did this amount to permanent bony deformity. A course of gymnastics was
recommended in most of these cases.
Extremities.—Four children had slight flatfoot, 2 had bow legs, and one rickety curving of the
tibiae, all slight in degree. One scholar had some congenital contraction of the little fingers ;
this was also of a slight degree.
Nervous system.—A tendency to slight twitching of the fingers was. noticed in 9 cases,
otherwise no abnormalities of the nervous system were observed.
Eyes.—There was no case of colour blindness.
Acuteness of vision.—105 children, nearly 43 per cent., possessed perfect vision. 39, i.e, 15
per cent., were below " army standard." In 15 of these one eye only was below this standard,
the other eye being normal or defective to a less degree. 11 had glasses already, 20 were
recommended to consult an oculist.
There were two cases of strabismus, one corrected by glasses, the other, as yet, without
treatment.
Throat and nose.—There was one case of adenoids and 10 of enlarged tonsils. In none of
them was any deafness present. Three cases were advised to have treatment.
Hearing.—In 9 cases the hearing was below normal. In one case a watch which should
have been heard at 20 inches was audible at 2 only on either side. The deafness followed
severe earache 1^ years ago and is not likely to increase. Slight deafness was known to exist,
but it is not noticeable in ordinary conversation, and is not likely to interfere seriously with
her success in life. In another case the watch was inaudible even in contact on one side, but
on the other side the hearing was normal, and neither the girl nor her relations were aware of
the existence of any deafness. In the other cases the defect in hearing was of slight degree,
and was present on one side only. One case was advised to have treatment from an aurist.
Urine.—Albumen was found in the urine in 36 cases, 14'5 per cent. 23 of these were
examined twice; 19 of these had albuminuria on both occasions. All these scholars were in
good health, and none showed any other symptoms of kidney disease.
Analysis of the examination of 29 intermediate scholan.
General appearance.—Good 18, fair 8, delicate 3.
Previous illness.—28 had had measles, 16 whooping cough, 7 scarlet fever, 7 bronchitis, 1 diphtheria,
2 rheumatic fever, 2 croup, 1 pneumonia, and 1 jaundice.