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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71
(v) (a) Waking at night, (b) limited fluid intake over 24 hours, and (c)
prevention of tiredness by excessive exertion are all helpful in dealing with
cases.
(vi) Results are not to be expected too quickly.
(vii) The gaining of the patient's interest and confidence are essential
before cure.

Diet, stone children's homes was studied in the biochemical department of King's College hospital, and the following averages were calculated:—

Boys of 14Girls of 13
Calories per diem3,1092,516
Grammes per diem—
Animal protein.5342
Protein9172
Fat115101
Carbohydrate406313
Milligrams per diem—
Calcium766682
Phosphates1,4351,094
Iron17.912.7

The intake of both boys and girls is well above the intake of other children of
the same age investigated elsewhere, and the mineral intake is exceptionally good.
The children were on the ordinary diet supplied for all the residential schools.
Hospital schools
Reference has been made in various sections of this report to the manifold
benefits conferred upon the general school population of London by the appropriation
of the special children's hospitals previously maintained by the former poorlaw
authorities, in particular the Metropolitan Asylums Board.
These hospitals are under the direction of the Hospitals and Medical Services
Committee, and full details of the year's work will be found in Vol. IV., Part I, of
the Annual Report of the Council.
The special children's hospitals are, however, now recognised by the Board of
Education as hospital schools, and education is now being provided in eleven of
these establishments. The following is a list of the hospitals at which schools are
conducted, with their classification and nominal accommodation:—

Table 38

Hospital schoolClassificationNominal accommodation
Downs, SuttonMastoiditis, otitis media, rheumatism and convalescence360
Goldie Leigh, Abbey WoodSkin diseases and convalescence248
Heather wood, AscotSurgical tuberculosis244
High Wood, BrentwoodPulmonary tuberculosis, rheumatism482
Millfield, LittlehamptonConvalescent tuberculosis and other convalescents98
Northern, Winchmore HillPost-encephalitis lethargica84
Norwood children'sSevere crippling, rheumatism210
Queen Mary's, CarshaltonRheumatism, tuberculosis (non-pulmonary), poliomyelitis, osteomyelitis and congenital malformations1,284
St. Anne's home, Herne BayConvalescence127
St. Faith's, BrentwoodEpilepsyA small number.
White Oak, SwanleyTrachoma, interstitial keratitis, and other acute eye diseases364