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

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London County Council 1931

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

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42
Children
discharged
from
hospital.

The ages of the children treated for the first time were :—

Disease or conditionAge in year.
3456789101112131415
Articular rheumatism—
Boys248111421221722231363
Girls3712827202632374722104
Chorea—
Boys-1145145158241-
Girls-129132212121612713
Totals5132332597765768384461810

The condition of the heart in these children was :—

Disease or condition.Normal.Heart affected.Valvular disease of heart.
Articular rheumatism— Boys5710954
Girls8716872
Chorea— Boys32289
Girls783212
Totals254337147

In 154 cases the children came from unsuitable homes, in 26 of which the houses
were overcrowded, and in 128 the home was damp.

residential treatment under the scheme were re-admitted to hospital. The condition of these children on re-admission was :—

Disease or condition.Boys.Girls.
Rheumatic fever_1
Subacute rheumatism210
Subacute rheumatism and heart disease712
Chorea410
Chorea and heart disease37
Totals1640

Of the uncomplicated cases of subacute rheumatism, 8 had been in hospital
in 1930, 2 in 1929, and 2 in 1928. Of the subacute cases with heart disease, 7 were
treated under the scheme in 1930, 7 in 1929, 2 in 1928, 2 in 1927, and 1 in 1926.
Of the choreic children whose hearts were not affected, 5 had been in hospital in 1930,
6 in 1929, 2 in 1928, and 1 in 1927. The choreic children with heart disease who had
had residential treatment were grouped as follows: 5 in 1930, 3 in 1929, and 2 in
1927. Of the above children 4 had already been in hospital twice under the scheme.
During the year 425 children were discharged from hospital (59 of whom were
removed by their parents before the completion of their treatment) and 4 died in
hospital.
Of these 425 children, 280 (93 boys and 187 girls) were suffering from the articular
form of rheumatism, and 145 (40 boys and 105 girls) from chorea. The heart was
unaffected in 276 children, 89 were suffering from mitral regurgitation, 48 from mitral
stenosis and regurgitation, and 12 had aortic and mitral disease.
When discharged from hospital 13 children were over school age, and 15 were
held to be unfit for school. Of those children who were sent to school 89 were certified
for schools for the physically defective, 66 were recommended for elementary schools
with restrictions as to games and drill, and 242 children were deemed fit for the
ordinary curriculum of an elementary school.