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

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London County Council 1926

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

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115
and for adenoids in the out-patient department. The number discharged cured was
777, and 375 were reported by the care committee as requiring no further treatment.
The arrangement by which the Council's ambulance takes home the children after
operation has been continued, and is found to work well.
The number of school children under treatment and observation in the orthopædic
department at the end of the year was 523. These children are visited by
the care committees if any are overdue to return to hospital, and in most cases the
visits result in reattendance. The checking of attendances in the massage department
has been continued, and is proving to be of value. In the eye department
1,721 children attended, and glasses were ordered for 868. Of these, 759 are
definitely known to have obtained glasses, and 102 children were tested, whose
vision was found not to require correction. In the skin department 1,301 children
were treated, 43 of these were suffering from ringworm of the head and 45 from
scabies.
The reports on children attending in other departments of the hospital which
are so invaluable to care committees and which are obtained through the Almoner,
have been many and various. This side of the work is increasing. There has been
an extension of the work of the assistant organiser working in the ear, nose and throat
department during the year. This organiser now attends the weekly clinic for
reputed diphtheria carriers, which was started by the hospital in July, and she keeps
the records of children attending there for the information of the school medical
officer.
At the London Hospital an important new departure has taken place whereby
for the first time a Children's Consultation Department has been formed under
the charge of Dr. Maitland Jones.
A scheme of co-operation between the department and the school medical
service has been instituted.
The following figures relate to the attendances of London County Council
children in the Children's Department from October 26th to December 23rd, 1926.
1. Number of L.C.C. children already in attendance, October, 1926 76
2. ,, of new cases referred from Receiving Room or transferred from other 95
department 125
3. „ of appointments made by school doctor under new scheme 37
4. „ of appointments kept 30
5. „ of cases discharged 10
6. Total number of current cases 191
London
Hospital.
There is an average attendance of 35-40 old cases each week.
Great Ormond Street Hospital for Sick Children now refers children requiring
operations for tonsils and adenoids to the Council's care organisation for reports
upon home conditions, so that arrangements can be made in certain cases for the
children to be kept in the hospital after operation. During the last three months
of 1926, as many as 166 such enquiries were made. This hospital also maintained
a close co-operation with the care organisation in all cases of rheumatic children.
Special reports are provided from the hospital for the use of the school doctors, and
a complete enquiry on home conditions is made by the school care committees and
transmitted to the hospital.
Great
Ormond
Street
Hospital
The Westminster Hospital also requires reports upon children suffering from
enlarged tonsils and adenoids.
These and other hospitals frequently refer special cases of difficulty to the care
organisation, asking them to arrange for children to reattend at hospital for daily
nursing treatment for otorrhœa, for provision of spectacles, for special feeding at
school or for reports on home conditions.
Westminster
Hospital.
In return the hospitals give information when asked on special cases which is
of great help to the school doctors and the care organisation. Amongst the other
hospitals with whom definite liaison and systematic exchange of information are
Other
hospitals