Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[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) | 6 | 7 | 13 |
Infectious fevers | 14 | 5 | 19 |
Tuberculosis (suppuration) | 2 | 0 | 2 |
Congenital syphilis | 4 | 5 | 9 |
Primary ear diseases (catarrh or suppuration) | 22 | 33 | 55 |
Injuries | 2 | 3 | 5 |
50 | 53 | 103 |
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. | ||||||
Boys | 3,544 | 10,991 | 20,840 | 4,875 | 1,054 | 41,304 | 33,494 | 34,587 | 38,822 | 148,207 | 1,226 | ||
Girls | 3,189 | 9,935 | 21,004 | 5,182 | 1,088 | 40,398 | 33,530 | 34,020 | 38,397 | 146,345 | 1,029 | ||
Total | 6,733 | 20,926 | 41,844 | 10,057 | 2,142 | 81,702 | 67,024 | 68,607 | 77,219 | 294,552 | 2,255 | ||
(b) SPECIAL INSPECTIONS. | (c) TOTAL NUMBER INSPECTED. | ||||||||||||
Special cases. | General cases. | Children examined. | |||||||||||
Boys | 19,161 | 18,623 | 187,156* | ||||||||||
Girls | 20,109 | 15,679 | 183,121* | ||||||||||
Total | 39,270 | 34,302 | 370,277* |
*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. | |
Malnutrition | 964 | 1,674 | 581 | 339 |
Ringworm (head) | 55 | 10 | 203 | 33 |
„ (body) | 80 | 4 | 113 | 4 |
Scabies | 327 | 8 | 3,237 | 22 |
Impetigo | 518 | 19 | 814 | 24 |
Other skin defects (non-tubercular) | 1,481 | 380 | 734 | 102 |
Blepharitis | 1,215 | 158 | 384 | 31 |
Conjunctivitis | 433 | 44 | 435 | 47 |
Keratitis | 8 | 7 | 62 | 46 |
Corneal ulcer | 23 | 9 | 114 | 44 |
Corneal opacities | 14 | 36 | 40 | 12 |
Defective vision | 23,098 | 8,157 | 3,198 | 382 |
Squint | 1,705 | 684 | 610 | 31 |
Other eye defects | 458 | 76 | 161 | 29 |
Defective hearing | 897 | 519 | 390 | 71 |
Otitis and otorrhœa | 2,327 | 904 | 1,606 | 186 |
Other ear defects | 730 | 168 | 231 | 35 |
Enlarged tonsils | 7,223 | 6,724 | 1,364 | 281 |
Adenoids | 1,893 | 866 | 586 | 94 |
Enlarged tonsils and adenoids | 3,186 | 1,057 | 472 | 40 |
Other nose and throat defects | 1,893 | 723 | 1,161 | 386 |
Enlarged cervical glands | 455 | 1.717 | 230 | 213 |