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

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London County Council 1930

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

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47
whilst it was quite impossible to do so in Paddington. This is no doubt due to a
difference in the type of basements in the two boroughs.
Although the numbers are not very large, yet the children were examined with
great care and the investigation shows that the basement child appears to be deficient
in vitality. This is revealed in its physical measurements, its physical condition, and
in its progress at school. It seems significant also that whilst basement children are
not unduly affected by rickets, a disease of the first year or two of life, they fall a
readier prey to rheumatism which attacks children after the rickets period. Figures
demonstrating the incidence of phthisis amongst basement dwellers would be of
great interest for this disease follows rheumatism in age incidence amongst children..
The effect of basement dwelling is more likely to be cumulative than having its
maximum effect in infancy.
Analysis of the data at various stages of the investigation showed the ratio of
defects between the basement dwellers and their controls to be fairly constant.
For this reason it appears as though little further information would be obtained by
conducting an inquiry on a wider basis.

In the following tables figures shown in italic type are percentages:—

Basement.Controls.
Defective nutrition35.719.1
Pallor44138.8
Affections of throat and nose7.43.3
Rheumatism2.2.8
History of diphtheria5.12.5
Subnormal school progress43.624.8
Irregular school attendance11.85.9
Number examined254508
Cleanliness—
Good 188 (34.6)194 (38.2)
Fair 2141 (55.5)270 (53.1)
Bad 325 (9.8)44 (8.3)
Nutrition—
Good 137(24.6)95 (18.9)
Fair 2126 (49.6)316(62.2)
Bad 391 (35.7)97 (19.1)
Pallor112 (44.1)197 (38.8)
Affections of throat and nose19 (7.4)17 (3.3)
Vision—less than 6/9 either eye49 (24.4)78 (24.8)
Rheumatism6( 2.2)4 (.8)
Rickets18 (7.1)37 (7.3}
Medical History.
Diphtheria13 (5.1)14 (2.5)
Affections of throat and nose14 (5.5)32 (6.1)
Pneumonia or bronchitis37 (14.6)64 (12.4)
Rheumatism3 (1.1)1 (.2)
School Data.
Progress above normal43 (16.9)109 (21.)
„ normal100 (39.3)273 (53.7)
„ below normal111(43.6)126 (24.8)
Irregular attendance30 {11.8)30 (5.9)
Age.Basement. .Controls.
Number.Average height (cms.).Number.Average height (cms.).
47102.214102.2
514109.028106.1
615110.430111.7
729115.758117.0
823121.846121.9
927125.254125.3
1041131.782132.4
1123133.746135.4
1224140.348141.3
1317146.234152.5