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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Table III.
Downham, | " Elizabeth Bullock ' | Putney | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Rheumatism. | Doubtful Rheumatism. | Non-Rheumatism. | Total. | Rheumatism with Carditis. | Non-cardiac Rheumatism. | Doubtful Rheumatism. | Non-Rheumatism. | Total. | Rheumatism with Carditis. | Non-cardiac Rheumatism. | Doubtful Rheumatism. | Non-Rheumatism. | Total. | |
Discharged free from rheumatism | 1 | 17 | 31 | 49 | _ | _ | 18 | 15 | 33 | _ | _ | 5 | 7 | 12 |
Transferred to other centres | 13 | 6 | 19 | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | |
Left school | 3 | 4 | 2 | 9 | 7 | 9 | 4 | 3 | 23 | 1 | - | - | 1 | 2 |
Left district or failed to attend | 4 | 1 | 2 | 7 | 1 | 3 | _ | _ | 4 | _ | 2 | _ | __ | 2 |
Died | 1 | 1 | - | 2 | - | — | - | 1+ | 1 | 1 | — | - | _ | 1 |
Totals | 22 | 29 | 35 | 86 | 8 | 12 | 22 | 19 | 61 | 2 | 2 | 5 | 8 | 17 |
* Died from Diphtheria. f Killed (motor accident).
The subjoined table shows a classification of the cases seen:— Table IV.
Classification. | Downham. | "Elizabeth Bullock." | Putney. | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Boys. | Girls. | Total. | Boys. | Girls. | Total. | Boys. | Girls. | Total. | |||||||||||
Cases with a definite history of acute arthritis. | C(i) with carditis | 14 | 19 | 25 | 39 | 39 | 58 | 17 | 17 | 31 | 34 | 65 | 2 | 6 | 6 | 1 | 8 | ||
(ii) no carditis | 5 | 19 | 17 | 14 | 31 | 4 | 4 | 8 | |||||||||||
Cases with a definite history of chorea. | (i) with carditis | 7 | 21 | 8 | 22 | 16 | 43 | 7 | 13 | 11 | 19 | 18 | 32 | 1 | 3 | 11 | 5 | 2 | 8 |
(ii) no carditis | 14 | 14 | 28 | 6 | 8 | 14 | 2 | 4 | 6 | ||||||||||
Cases with a history of insidious illhealth regarded" as " True rheumatism.'' | '(i) with carditis | 13 | 26 | 12 | 32 | 25 | 58 | 7 | 21 | 7 | 34 | 14 | 65 | 8 | 12 | 4 | 14 | 12 | 26 |
(ii) no carditis | 13 | 20 | 33 | 14 | 27 | 41 | 4 | 10 | 14 | ||||||||||
Cases with indefinite history, doubtfully rheumatic and no carditis | 46 | 52 | 98 | 23 | 43 | 66 | 4 | 21 | 25 | ||||||||||
Cases definitely diagnosed as nonrheumatic | 40 | 29 | 69 | 13 | 23 | 36 | 4 | 7 | 11 |
°Including 2 cases of congenital morbus cordis,
+ „ 1 case „ „ „
+,,2 cases ,, ,, ,,
§ ,, 1 case ,, ,, ,,
|| „ 1 case „ „ ,,
9 cases of acute arthritis also had chorea.
The following table shows the arrangements which have been made for institutional treatment
of the children in attendance:—
Table V.
Downham. | "Elizabeth Bullock." | Putney. | Total. | |
---|---|---|---|---|
Carshalton or Brentwood | 25 | 28 | 7 | 60 |
Downs | 4 | 7 | 4 | 15 |
I.C.A.A. heart homes | 2 | 2 | 2 | 6 |
I.C.A.A. ordinary convalescent homes- | 15 | 15 | 6 | 36 |
Other convalescent homes | 1 | 3 | 4 | 8 |
Residential open-air schools | 7 | 4 | 3 | 14 |
Other institutions (hospitals, etc.) | 9 | 6 | 2 | 17 |
Total | 63 | 65 | 28 | 156 |