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

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Croydon 1949

[Report of the Medical Officer of Health for Croydon]

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117
Ages: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Ttl.
Rheumatic :
Primary — 252425252 1— — — 30
Re-exams — — 3 2 5 5 4 12 7 10 11 4 — — 63
Others 1 1 1 4—4 4 3 — — 2 — — — 20
The average age of primary cases of rheumatism, on first
attendance at the clinic, was 10.2 years for both boys and girls.
Grouping of Cases.
1947. 1948. 1949.
Prim. Re's. Ttl. Prim. Re's. Ttl. Prim. Re's. Ttl.
Mild and
Potential 12 42 54 17 9 26 24 32 56
Definitely
Active 2 5 7 — 6 6 2 — 2
Quiescent — 14 14 5 10 15 4 31 35
Doubtful or
Non-Rheumatic — 9 2 11 7 13 20
The Mild and Potential cases include those showing the
first initial symptoms of " growing pains " in highly strung
children.
The "Definitely Active" group included cases with
physical signs of rheumatic fever or chorea.
" Quiescent Cases " are those which at a previous examination
had shown signs of mild and potential rheumatism or of
active rheumatism, but which had now settled down and were no
longer active.
Primary Examinations.
Amongst the 30 new cases diagnosed as rheumatic the following
manifestations were recorded : —
Girls Boys Total
Rheumatic pains 14 10 24
Chorea (suspected) 1 1 2
Carditis (definite) 4 4 8
Carditis (suspected) 1 2 3
Tonsilitis and Infested Tonsils 4 1 5
Pyrexial attacks — 1 1
Erythema Nodosum — — —