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

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London County Council 1956

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

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Pupils referred for treatment

Age group and sex195419551956
NurseryBoys12.711.110.9
Girls10.38.48.2
EntrantsBoys13.812.411.5
Girls11.910.59.7
7 years oldBoys16.815.315.3
Girls15.414.114.0
11 years oldBoys14.514.013.7
Girls15.914.614.2
LeaversBoys11.711.610.4
Girls15.614.913.4
Other agesBoys16.315.414.4
Girls18.217.715.7
All pupils*14.813.712.9

* Exclusive of special schools, training colleges and annual surveys in secondary schools.

The following table shows the percentages of the principal defects (other than infestation, teeth or errors of refraction) found in pupils of all age groups inspected at general medical inspections and referred for treatment or observation, with comparable figures for 1954 and 1955.

195419551956
Numbers examined186,774176,637163,489
Percentages
Skin diseases1.391.351.10
External eye diseases0.720.580.57
Defective hearing0.590.590.60
Otitis media0.740.660.66
Enlarged tonsils and adenoids6.925.975.88
Defective speech0.720.750.77
Enlarged cervical glands1.451.301.22
Heart and circulation0.870.790.74
Lung disease (not T.B.)1.551.411.35
Orthopaedic defects5.104.824.41
Defects of nervous system0.370.390.34
Psychological defects0.970.970.94
Anaemia0.190.140.13
Enuresis1.561.571.62

* Excluding special schools, training colleges and annual surveys in secondary schools.
Compared with 1955 a reduction in the number of skin diseases was shown in all
groups except girls in the nursery and entrant groups, whilst all age groups showed
lower rates for orthopaedic defects.
In the case of the all other defects there was insufficient variation in the figures to
justify comment.
Tonsillectomy
In September, 1955, with a view to initiating a study of tonsillectomy in children, the
Ministry of Education asked if it could be arranged for examining medical officers to
record whether or not each child examined at routine medical inspections at day
and nursery schools and classes from 1st January, 1956, onwards (i.e., in subsequent
years also) had undergone tonsillectomy at any time previously.
The tabulated results of this inquiry show that of nearly 140,000 children inspected in
five age groups, 19.8 per cent. had previously undergone tonsillectomy, the rate rising
from 4.7 per cent. in the nursery group to 30.8 per cent. in the leavers' group, with
sightly more boys than girls having had the operation in all age groups except leavers.
Currently the greatest number of tonsillectomy operations are performed on children
aged between 5 and 11 years, with rather more between 5 and 7 than between 7 and 11.
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