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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67
The subjoined statement deals with 2,000 consecutive admissions in 1937 according to sex
and age group. It will be observed that there was a steady increase in admission rate in succeeding
age groups in females, but in males there was a sharp decline in the 15th year. While there is
no single explanation for this, it is thought that one factor is the fresh interest in, and the new
outlets of, the life which begins on leaving school. The boy has not yet become dissatisfied, discouraged
or apathetic. The uniform increase in succeeding female age groups is accounted for
by the large number of female offences associated with puberty.
Age Males Females
Less than 8 years 20 6
8 - 9 „ 22 6
9 - 10 „ 50 2
10 - 11 „ 110 11
11 - 12 „ 140 12
12 - 13 „ 182 14
13 - 14 „ 251 33
14 - 15 „ 170 58
15 - 16 „ 274 97
Over 16 „ 397 145
With but few exceptions, every case was examined physically in considerable detail. The
aim of this examination was threefold. The state of health was determined in order to exclude
the introduction into, and spread of infection in, the remand home, and to increase the personal
welfare of the individual examined. A decision was reached as to fitness for approved schools,
and (in the case of males) for training in a nautical school. The influence, if any, of the physical
state as a factor in the disordered conduct was assessed.

The physical anomalies and chronic diseases which were diagnosed are shown below:—

ConditionNumber of casesConditionNumber of cases
Dental caries839Epilepsy16
Defects of vision516Former tuberculosis12
Knock-knee169Hypospadias3
Other sequelae of rickets139Hydrocele2
Colour blindness128Congenital syphilis2
Flat-foot109Phimosis1
Incontinence of urine99Lymphadenoma1
Deformities of the feet and toes (other than flat-foot)66Haemophilia Asthma1 1
Impaired hearing42Torticollis1
Enlarged tonsils40Kyphosis1
Varicocele37Hydrocephalus1
Deformities of the limbs33Tuberculous glands1
Varicose veins32Encephalitis lethargica1
Minor anomalies30Endocrine gland dystrophies :—
Undescended testicle29Thyroid (simple goitre)2
Heart disease28„ (hypothyroidism)1
Stammer and allied defects of speech27„ (hyperthyroidism)4
Well-defined postural spinal curvature21Pituitary15
Adrenal1
Hernia16Gonodal9

The group of disorders of the endocrine glands, though small in number, is of interest, in
that in several cases the condition was a factor, direct or indirect, in the aetiology of delinquency.

During the year, 1257 cases of illness or injury were treated. Details of these are given below:—

ConditionNumber of casesConditionNumber of cases
Infectious and contagious maladiesNon-infective skin disease217
Scarlet fever19Diseases of the ear67
Influenza8lungs11
Diphtheria2„ „ nervous system16
Chickenpox2„ „ alimentary system24
Measles1Vaginal discharge65
Mumps1Accidents139
Trachoma1Injuries existing on admission69
Tonsillitis160Rheumatic infection7
Pharyngitis50Anaemia and debility69
Laryngitis1Toothache63
Coryza33Pyorrhoea5
Scabies42Minor septic lesions94
Impetigo17Other minor maladies62
Pubic lice6Total
Body ringworm41,257
Conjunctivitis1
Balanitis1