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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134
The appreciation of parents and the gratification expressed by hospital and other
authorities for the opportunity of placing these difficult cases under residential
medical care has fully justified the step taken.
The Board have agreed to continue the experiment for a further period of one
year from the 13th November, 1926.
The following table gives an analysis of the admissions and discharges up to
the end of 1926. As cases are received on the application either of the Council or
Boards of Guardians they are allocated in the table accordingly:—
Cases dealt with at the M.A.B.'s Northern Hospital, Winchmore Hill.
| Admissions and discharges. | Councils cases. | Guardians' cases. | Total. | ||||||
|---|---|---|---|---|---|---|---|---|---|
| M. | F. | Total. | M. | F. | Total. | M. | F. | T otal. | |
| Admissions | 59 | 50 | 109 | 16 | 9 | 25 | 75 | 59 | 134 |
| Discharges | 17 | 15 | 32 | 7 | 2 | 9 | 24 | 17 | 41 |
| Re-admissions | 1 | 2 | 3 | — | — | — | 1 | 2 | 3 |
| Still in hospital | 43 | 37 | 80 | 9 | 7 | 16 | 52 | 44 | 96 |
The following table shows the conditions from which the children were reported,
or found, to be suffering on their admission to the Northern Hospital. The information
as regards the Guardians' cases is incomplete as the condition upon admission
in many cases was not known to the Council. It must also be remembered that in
many instances certain defects, e.g., tremors, twitchings, excessive salivation, etc.,
were intermittent, and may not have been noted at the time of examination.
Condition.
Notified.
Non-notified.
Total.
Male. Female. Male. Female.
Sleep disturbance 14 11 27 26 78
Mental—
(а) Retardation or hebetude 14 4 24 20 62
(b) Lack of concentration only 4 3 4 2 13
Character changes 19 12 30 25 86
Emotional 2 3 5 5 15
Restless and fidgety 2 — 6 6 13
Parkinsonism 6 4 9 12 31
Paralysis of limbs 2 — — 1 3
Muscular weakness 1 — 2 3 6
Facial paresis—
(а) Lack of expression 2 1 1 4 8
(б) Facial weakness 1 — 1 1 3
Dribbling 2 1 6 3 12
Speech defects 5 — 2 — 7
Tremors and twitching 3 1 4 3 11
Choreic movements 2 — 3 — 5
Irregularity in gait 2 1 4 4 11
Eyes—
(а) Squint 2 3 — 1 6
(b) Ptosis — — 1 1 2
(c) Irregular movements — — —— 1 1
With regard to the discharged patients, considerable difficulty is presented in
regard to those cases which, on account of their reaching the age limit, are no longer
able to be accommodated at the Winchmore Hill unit. These cases, together with
other adolescents and adults suffering from chronic epidemic encephalitis, for whom
there is no accommodation at present available, present a serious problem.
Admission
examinations.
Defective children.
The total number of examinations conducted under the Education Act during
the year was 25,867. 5,517 examinations with a view to admission to special schools,
were conducted; this is an increase of 228 as compared with the examinations of