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

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City of London 1960

[Report of the Medical Officer of Health for London, City of ]

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61 had been examined previously and were already using spectacles. Of these 48 needed
further correction and appropriate lenses were fitted to existing frames or to new frames of the
patient's choice.
Medical Examinations
During the year 365 persons were medically examined. The distribution by Departments and
the reason for medical examinations are shown in Table 3.
232 persons were medically examined for admission to the Superannuation Scheme; 4 were
rejected as unfit and 4 were deferred. The clinical conditions causing rejection are shown in
Table 1.
Of the 4 candidates deferred one has been passed fit, having been re-examined after serving
a probationary period. The other candidates who were deferred have yet to be re-examined.
52 persons were medically examined owing to prolonged absence on sick leave. At the time
of examination, 30 were reported as fit for duty, 11 were reported unfit for duty, and 11 were
reported as unfit for further service. The clinical conditions causing unfitness are shown in
Table 2.
74 persons who had reached retirement age were medically examined and 73 were reported
as fit to continue in the Corporation's service for a further 12 months. One person was reported
as unfit owing to senility.
3 persons were medically examined for temporary appointments and 4 were examined to
verify the nature of a disability, referred to as "special" in Table 3.
13 candidates for teaching and canteen posts were x-rayed and all were reported as showing
no abnormality of the lungs.
There has been a considerable increase in the number of medical examinations (365 for
1960 as compared with 226 for 1959) and the investigation of cases referred owing to sickness
has involved a considerable amount of documentary research, correspondence and telephone
calls as well as physical examination.
The liaison between the Medical staff of the Corporation and Hospitals and patients' doctors
is all that can be desired.

TABLE 1 CLINICAL CONDITIONS EXCLUDING THE CANDIDATES FROM THE SUPERANNUATION SCHEME

DiseaseMalesFemales
Hypertension2-
Heart Disease1
Thyrotoxicosis1
TOTALS4-

TABLE 2 CLINICAL CONDITIONS LEADING TO PREMATURE RETIREMENT

DiseaseMalesFemales
Osteo-Arthritis21
Duodenal or Peptic Ulcer2-
Heart Disease2
Prolapsed intervertebral disc1
Carcinoma of bronchus1
Bronchitis and Emphysema1
Anxiety Neurosis1
TOTALS101