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

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Acton 1934

[Report of the Medical Officer of Health for Acton]

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80
At the 31st December, there were 283 children on the feeding
list. Of these, 204 were receiving milk and meals, 76 were receiving
milk only, and 3 were receiving meals only.
A total of 28, 152 meals and 48,060 bottles of milk were provided
during the year.
Report on Aural Cases.
During 1934, 81 children attended the Clinic for some ear
condition.
We have worked along the same lines as in the previous
two years. Parents and teachers have been urged to send.the
children to the Clinic on the first suspicions of earache or ear trouble
of any kind, and in this way we have been able to get our cases
early at a time when we can do most for them.
There has been a good deal of home visiting of these ear
cases by the School Nurses and the results have well repaid the
work.
A discussion of the types of cases which attend the Clinic
is interesting and will perhaps indicate the lines along which further
improvement in this branch of the School Medical Service could be
made.
11 cases came up complaining of earache or deafness which
was found to be due solely to impacted wax. All the symptoms
cleared up after suitable treatment.
In 2 cases there was furunculosis of the meatus which cleared
up in about a week.
18 children came up complaining of severe earache. In 4
of these, the drum was bulging, there was a high temperature and
perforation of the drumhead occurred. The children were excluded
from school and referred to their own doctor. In all cases
there was recovery with a healed drum. In 3 of the children there
was fulness of the drum and the temperature was raised. The
children were excluded from school and the homes visited. All
cleared up without perforation of the drumhead. In the other 11
cases of this group there was some redness of the drum with pain
but no temperature. The children were kept under observation and
all recovered without any perforation.
37 children already had discharging ears on the first visit
to the clinic, but all were early cases. We still carry out our