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

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London County Council 1936

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

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22
having more than one defect) were reviewed. At the second re-inspection, which
takes place after the lapse of a clear term after the first re-inspection, 47,201 cases
not cleared up at a first re-inspection were again reviewed. By combining the results
of both re-inspections it is found that 83.9 per cent, of the children re-inspected
were treated or discharged as no longer requiring treatment. This figure is a great
improvement over that of the year 1934, when only 75.1 per cent, were found by
the time the second inspection was reached to have been satisfactorily dealt with.
The result in 1936 is the best ever attained in London. In 1935 the percentage was 82.3.
It is the dental cases, which contribute more than half of the cases to be
followed-up, that cause the most difficulty and give the worst results. If these
be eliminated the cases of defect satisfactorily dealt with, at the time of the second
re-inspection, reached the proportion of 85.0 per cent.
The relatively poor result in 1934 was almost entirely due to failure to obtain
dental treatment. The better results in this respect in 1935 and 1936 correspond
with the better condition of the teeth found at inspections, and reinforce the
impression of redoubled efforts on the part of social workers in response to the
statements contained in my recent reports.
It will be observed in table 11 that 17 per cent, of the children obtaining dental
treatment went outside the Council's scheme to get relief. The figures refer only
to children recommended for dental treatment from medical examinations.
During the year the results of following-up of 3,219 children dentally inspected
by dentists were minutely analysed by the organisers, and it was found that, while
57.1 per cent, of those needing dental treatment obtained it, of these 21.1 per cent,
obtained their treatment outside the scheme.

Table 11 First Re-inspections, 1936 (Percentages are given in italic type.)

Defect treatedNo. of defectsTreatedUntreated
By private doctor or dentistUnder Council's schemeAt other hospitalsDischarg'dImproved. For observation onlyStill needing treatment
Discharg'dNot discharg'dDischarg'dNot discharg'dDischarg'dNot discharg'd
Refraction14,48579603,4351,9923001361,2903,0834,110
0.50.423.713.82.10.98.921.328.4
Minor ailments4,854111361,1913502921381,424628684
2.30.724.67.26.02.829.412.914.1
Nose and tdroat10,17622103,405215494671,1961,3593,408
0.20.133.52.14.80.711.713.433.5
Teetd43,9401,10427817,1177502,2631103,05195618,311
2.50.639.01.75.10.36.92.241.7
Otder ailments9,211123685096058237032,2762,7131,391
1.30.75.56.68.97.624.829.515.1
Total82,6661,43945225,6573,9124,1721,1549,2378,73927,904
1.70.531.14.75.01.411.210.633.8
Second Re-inspections, 1936
Refraction11,22544381,8521,6392221278832,9223,498
0.40.316.514.62.01.17.926.031.2
Minor ailments2,574291742928210969743408488
1.10.716.710.94.22.728.915.8190
Nose and tdroat6,206651,52880326369699902,266
0.10.124.61.35.30.615.616.036.4
Teetd21,2675971757,2003531,274611,6765619,370
2.80.833.81.7600.37.92.644.1
Otder ailments5,92934322855094164641,5691,941679
0.60.54.88.67.07.826.532.711.5
Total47,20171036711,2942,8632,3477575,8406,82216,301
1.50.623.9615.01.612.414.431.5