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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Poliomyelitis
in 1955

During 1956 an attempt was made to estimate the number of children who would be likely eventually to require special educational treatment as a result of poliomyelitis contracted in 1955. The figures were as follows :

SexNotificationsNumber with residual paralysisNumber estimated to require special educational treatment
AllParalytic
Boys41521515048
percentage51.836.111.6
Girls28415111334
percentage53.239.812.0
Total69936626382
percentage52.437.611.7

While the usual male excess is present in the incidence of paralytic cases, the percentage
figures suggest no sex difference in the severity of paralysis.

An analysis of the degree of severity in the 263 cases with residual paralysis was as follows :

Slight11744.5%
Moderate9636.5%
Severe5019.0%
263

These figures may be compared with those quoted in the Monthly Bulletin of the Ministry of Health, 1950.9. p.218, in respect of the 1947 and 1949 epidemics :

England and WalesLondon
1947%1949 %1955%
Slight41.140.544.5
Moderate38.538.536.5
Severe20.421.019.0

The figure of 82 children likely to require special educational treatment is only an
estimate, but it must be regarded as realistic, indeed it may be an underestimate, since
146 children were recorded with either moderate or severe paralysis.

The 82 cases may be analysed as to age group and sex as follows :

Age groupBoysGirlsTotal
0-4331245
5-11141832
12-16145
483482

This shews that the majority of the 82 will eventually need to be placed in special
schools, which should not involve any difficulty.
Juvenile rheumatism
The diminishing volume of work in the rheumatism advisory clinics is demonstrated
below :
116