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

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London County Council 1921

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

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The acquired cases were due to the following causes:-

Boys.Girls.Total.
Meningitis (various forms)6713
Infectious fevers14519
Tuberculosis (suppuration)202
Congenital syphilis459
Primary ear diseases (catarrh or suppuration)223355
Injuries235
5053103

There are 7 residential (industrial) schools, 6 residential schools (2 for blind, 2 for deaf, 1 for
defective deaf and 1 for mentally defective children), with a total accommodation for 1,100 residential
and 115 day scholars. To each institution is allocated a medical officer and provision has been made
for dental inspection and treatment. During the year 900 boys were admitted to Pentonville-road
Place of Detention and 306 girls and infants to Ponton-road.
Residential
schools.
Classes in health subjects.
In the first aid section of the handbook for classes in health subjects, concerning transport of the
injured, instruction in the use of "Thomas' Splints" has been introduced with special reference to
fractures of the thigh. The use of these splints makes safer transport possible, and allows of ready
examination of the injured limb, and even, when necessary, of continued treatment without disturbance.
The thigh or hip splint consists of a padded ring, through which the injured limb is passed until the
pad rests on the seat. From this ring a wire frame several inches longer than the limb passes down,
turns in a loop, and returns on the other side again to join the limb.

TABLE I. Number of Children inspected 1st January, 1921, to 31st December, 1921. (a) ROUTINE MEDICAL INSPECTION, 1921.

Entrants.Age 8.Age 12.Age 13.Total at routine medical inspection.
3.4.5.6.Over 6.Total.Elementary.Special schools.
Boys3,54410,99120,8404,8751,05441,30433,49434,58738,822148,2071,226
Girls3,1899,93521,0045,1821,08840,39833,53034,02038,397146,3451,029
Total6,73320,92641,84410,0572,14281,70267,02468,60777,219294,5522,255
(b) SPECIAL INSPECTIONS.(c) TOTAL NUMBER INSPECTED.
Special cases.General cases.Children examined.
Boys19,16118,623187,156*
Girls20,10915,679183,121*
Total39,27034,302370,277*

*Only 102 children were noted as having been seen previously the same year; the "general" cases relate to examinations en masse
and individual records are not kept.
The number of children re-inspected was 180,699 (of these, 24,450 were inspected in the same year, and 16.391 were previously re
inspected in the year).

TABLE II. Return of Defects found in the Course of Medical Inspection in 1921.

Defect or disease.Routine examination.Special.
Number referred for treatment.Number noted for observation.Number referred for treatment.Number noted for observation.
Malnutrition9641,674581339
Ringworm (head)551020333
„ (body)8041134
Scabies32783,23722
Impetigo5181981424
Other skin defects (non-tubercular)1,481380734102
Blepharitis1,21515838431
Conjunctivitis4334443547
Keratitis876246
Corneal ulcer23911444
Corneal opacities14364012
Defective vision23,0988,1573,198382
Squint1,70568461031
Other eye defects4587616129
Defective hearing89751939071
Otitis and otorrhœa2,3279041,606186
Other ear defects73016823135
Enlarged tonsils7,2236,7241,364281
Adenoids1,89386658694
Enlarged tonsils and adenoids3,1861,05747240
Other nose and throat defects1,8937231,161386
Enlarged cervical glands4551.717230213