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

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London County Council 1960

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

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of physically handicapped children, the results of which were given in my report for 1957
(page 125). In addition, in nearly a quarter of the cases two or three conditions were stated
on the returns. To overcome this difficulty and to secure uniformity of classification as
between schools, Dr. R. E. C. Copithome, assistant principal medical officer, who is
familiar with the work of the schools for the delicate, undertook a scrutiny of the diagnoses
given for each individual pupil in the survey, devised an ad hoc scheme of classification,
and indicated which condition should be regarded, for the purposes of the survey, as the
primary diagnosis.
As can be seen from table (i), two.thirds of the pupils fall into the 'respiratory' group
of conditions and half of these suffer from asthma. A quarter of the pupils come into the
'nutrition' group, whilst the remainder, some ten per cent., have a wide range of miscellaneous
conditions.

T able (i)— Primary medical reasons for admission to day schools for the delicate

Reasons for admissionBoysGirlsTotalNumbers with dual defectNumbers with triple defect
No.Per cent.No.Per cent.No.Per cent.
Group 1—'Respiratory'
Asthma12836.25827.518632.9312
Bronchitis5214.72411.47613.5202
Bronchiectasis102.8136.2234.13-
Primary T.B. Other respiratory ..36 2410.2 6.818 118.5 5.254 359.6 6.26 91 2
Sub-total25070.712458.837466.3
Group 2—'Nutrition'
Debility, etc4813.65626.510418.4341
Malnutrition144.094.3234.14-
Coeliac disease20.6--20.4--
Sub-total6418.26530.812922.9
Group 3—E.N.T.
Otitis media20.6--20.4--
Recurrent catarrh30.8--30.51-
Group 4—C.N.S.
Epilepsy20.631.450.95-
Meningitis20.620.940.71-
Maladjusted10.320.930.51-
Pink disease10.3--10.2--
Group 5—Blood conditions
Anaemia10.341.950.911
Leukaemia--10.510.2--
Group 6—Rheumatism and
heart disease30.831.461.12-
Group 7—Other conditions
T.B. contact113.252.4162.841
Non-pulmonary T.B.30.8--30.5--
Orthopaedic30.810.540.7--
Adenitis30.8--30.5--
Fibrocystic disease20.6--20.4--
Renal20.610.530.51-
Grand Total353100.0211100.0564100.012310