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

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London County Council 1937

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

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2G
were found to be deficient in protein content. Ten per cent. of the diets were therefore,
certainly deficient in vitamin C, and 16.5 per cent. were probably low in this
vitamin. The ease with which this defect can be remedied by ascorbic acid preparations
raises the question whether vitamin C in this form should not be available for
school children in the same way as vitamin D is available on the school doctors'
advice in the form of cod.liver oil.
As regards protein, there was no evidence of widespread deficiency; diets of
boys taking milk regularly showed no sign of deficiency in this respect.
Dr. Leslie Harris of the Dunn nutritional laboratory, Cambridge, carried out
an investigation in connection with the Poplar nutrition centre, first of child patients
attending the centre, and later of unselected boys attending a Council school in
east London. The investigation consisted in the estimation by photometric methods
of the activity of the visual purple in the retina. When the eye is exposed for a
few minutes to a bright light a proportion of the visual purple is destroyed by
bleaching, and the ability to see a dimly.lit object in the dark is lessened. The extent
to which the sight returns to normal will depend on the amount of visual purple
which can be regenerated in a given time. In vitamin A deficiency there is a
diminished degree of recovery in the dark.
The following tables have been taken from an article giving the results of the
investigation published by Drs. Maitra and Harris in the Lancet, 30th October, 1937.

Table 14.—Incidence of hypovitaminosis among various groups of subjects

DescriptionAgeNumber examinedPercentage found
NormalSlightly below. normalDefinitely subnormal
Boys and girls. School treatment centre in east London.8.1231451936
Council school in east London11.1492403822
Council school clinic, Cambridge8.1370442531
Boys, public school, east of England13.143090100
Mothers, Council school, Cambridge.25.353850500
Undergraduates, research workers, medical men and dentists, Cambridge.20.502281145

Table 15.—Incidence of hypovitaminosis among boys and girls at an elementary school in east London

Boys—11.12 years259 (36)8 (32)8(32)
„ 13.142611 (42)9 (35)6(23)
Total boys5120 (39)17 (33)14 (28)
Girls—11.12 years196 (32)8 (42)5 (26)
„ 13.142211 (50)10 (45)1 (5)
Total girls4117(41)18 (44)6(15)
Grand total9237 (40)35 (38)20 (22)

Note.—Figures in brackets express percentages.