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

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Croydon 1934

[Report of the Medical Officer of Health for Croydon]

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254
Nose and Throat.
In all the groups 581 boys and 518 girls had enlarged tonsils;
54 boys and 31 girls had adenoids only; 359 boys and 358 girls
had adenoids and enlarged tonsils; 69 boys and 30 girls were
mouth breathers; 752 boys and 486 girls exhibited enlarged
glands in the neck.
Taking the two groups of cases of adenoids, and enlarged
tonsils with adenoids, as requiring operative measures, it is seen
that 4.8 per cent. of all school children examined in the three
groups were in need of surgical attention to the throat and nose.
In 1933, dealing with another group of children, the figure was
8.6 per cent. The importance of training in correct methods of
breathing after the removal of adenoids and tonsils cannot be too
strongly emphasised. All cases are invited to attend Breathing
Exercises Classes held at St. Andrew's Hall and 108 attendances
were made. This is 50 per cent. of the children who were operated
upon, and is a disappointing proportion. The distance of the
Remedial Exercises Clinic from the homes of the children,
together with the dangers of traffic, played a part in deterring
parents from sending the children.
Of all children examined at Routine Medical Inspection, in
the Entrant group 21.0 per cent. had enlarged tonsils; 1.6 per
cent. had adenoids alone; 16.6 per cent. enlarged tonsils and
adenoids; and 17.2 per cent. had enlargement of the submaxillary
or cervical glands. In the Intermediate group the respective percentages
were 15.9 per cent., 1.4 per cent., 12.0 per cent. and 17.5
per cent.; and in the Leaver group, 13.3 per cent., 0.8 per cent.,
2.5 per cent., and 25.3 per cent. The percentages for the three
groups, in relation to the total number of children examined, were
17.3 per cent., 1.3 per cent., 11.3 per cent., and 19.6 per cent.
Table IV. gives in summary the percentage of Nose and
Throat defects and of enlarged glands in the various groups
examined.

Table IV.

SUMMARY.

Group.*Nose and Throat Defects.Enlarged Glands.
Boys.Girls.Boys.Girls.
Entrants42.440.219.514.7
Intermediates80.132.119.015.8
Leavers19.915.831.218.3
Other Ages50.030.8

*Does not include mouth breathers, but includes other defects of nose and throat.