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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The following table shows the percentage of children of all ages noted for treatment or observation of the defects listed for the years 1958 to 1960. These percentages remain fairly stable over the period. The slight but steady yearly decrease in the incidence of enlarged cervical glands continues. The slight upward trends in defective speech and defective hearing noted last year now appear to have levelled off.

195819591960
Numbers examined172,271136,263150,790
Percentages
Skin diseases1.191.221.22
External eye diseases0.480.550.56
Defective hearing0.770.910.85
Otitis media0.570.670.56
Enlarged tonsils and adenoids4.915.114.28
Defective speech0.810.930.88
Enlarged cervical glands0.950.890.68
Heart and circulation0.750.880.83
Lung disease (not T.B.)1.251.491.38
Orthopaedic defects4.124.163.93
Defects of nervous system0.400.390.43
Psychological defects0.930.931.02
Anaemia0.100.170.12
Enuresis1.591.751.80
A child can be noted for more than one defect.

A new method of recording, introduced on 1 January, 1960 permits new defects discovered
at special medical inspections to be related to the source of reference. The following
table shows clearly how certain types of defect are most often brought to notice through a
particular source of reference.

Defects found at special medical inspections—1960

Head teacherSchool health visitorReferred by. Divisional officer (Education)Care committeeParent
Number of pupils seen6,5133,2618887251,669
Number of defects found3,1771,8342312441,010
Number of defects per 1,000 pupils:
Skin diseases26981416
Defective vision133558205798
External eye diseases28333122
E.N.T. conditions90992432122
Orthopaedic defects5269181940
Defects of nervous system371510620
Psychological defects28426293961
Enuresis231952655
Speech defects54293625
Nutritional defects2133111928
All other defects202153135128119

Attendance of parents and care committee representatives at periodic inspections—The
percentage of medical inspections at which a parent is present decreases as children get
older (range 90.5 per cent.—7.7 per cent.). The overall percentage was 50.6, slightly lower
than in 1959, when it was 52.7 per cent.
Care committee representatives attended 85.9 per cent. of all periodic general inspections
and in the infant and junior school age groups the figure was over 90 per cent.
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