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

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London County Council 1912

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

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Report of the County Medical Officer—Education.
189
Suicidal tendency 1
Religious mania 1
Albinism 1
Microcephaly 19
Hydrocephaly 32
Cretinism 13
Mongolism 29

Size of head.— The size of head was formerly regarded as an important aid to diagnosis. The following table shews the maximum horizontal circumference of the head in 500 boys in schools for the mentally defective grouped according to age last birthday:—

Size of head in inches.Age
6789101112131415
18-4-6-21---
18½25363-2
191151010631
19½43328989711
2029231781095--
20½1241881012313
212171519118111-
21½585743
22233141
22½12
2312

The maximum circumference of the head is thus clearly restricted. Adequate figures for comparison of these dimensions with those of children from the ordinary elementary schools of London are not available, but the comparison with American and Continental records is shown below:—

Age.Average maximum circumference in millimetres.
London (mentally defective).New York (Hrdlicka).Washington (Macdonald).Posen (Landsburger).Zurich (Hoesch Ernst).
6495----
7506518
8508516520513520
9506519522517520
10515520525518522
11510525526519525
12517525529525531
13508530532523527
14508533 .536531
15549----

Family history.— The family histories contained in most cases considerable information as to
the health and physical conditions. From 2,000 records of—so far as is known—separate families
the following data were obtained of the affections of relatives:—
Consumption—
In parent 239
„ brothers or sisters 171
„ collaterals 273
,, grandparents 81
Heart disease 65
Repeated miscarriages of mother 81
Intemperance—
In father 241
„ mother 122
„ both parents 68
Cancer 123
Insanity—
In father 24
„ mother 49
„ brothers and sisters 19
„ collaterals 189
„ grandparents 108