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

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Dagenham 1932

[Report of the Medical Officer of Health for Dagenham]

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81
Treatment.
Adenoids and Enlarged Tonsils.
The same arrangements continue in operation for the treatment
of these conditions, namely, agreements with the following hospitals:—King
George Hospital, Illford; Queen Mary's Hospital,
Stratford; St. Mary's Hospital, Plaistow; and Oldchurch Hospital.
Most cases, however, are treated at King George Hospital, the
majority being detained overnight. During the year a total ol
16 cases were treated at a cost of £14 5s. 0d.
Orthopaedic Treatment.
(a) Ascertainment Clinic. The Consultant Orthopaedic
Surgeon paid four visits to the district during the year, when 82
children made 107 attendances at a cost to the Local Authority
of £9 3s. Od. Most children attended once only, 18 attended twice,
3 three times, and 4 four times. The main condition for which
19 children were referred was genu-valgum; 15 were referred lor
bowing of the tibiae and 11 for flat foot. Of the cases of genuvalgum,
10 were ordered wedges, 4 splints and 2 required hospital
treatment. Of the cases referred suffering from bowed tibiae,
wedges were ordered for 4, splints for 5 and hospital treatment
for 2. 10 cases of torticollis were seen, and of those requiring
treatment, 4 were subsequently discharged cured as the result ol
massage. 4 cases were suffering from Erbs palsy, 4 from spinal
curvature and 2 from poliomyelitis. 12 cases were discharged
cured as the result of treatment.
(b) Massage Clinic. The massage and remedial exercises clinic
was held twice weekly at the Ford Road Clinic and once weekly
at the Becontree Clinic. During the year, 105 children under school
age received treatment at a cost of £51 10s. 0d., making a total of
515 attendances. Most cases were referred on account of flat foot,
mock knee or bowed legs.
(c) Provision of Appliances. A member of the staff of a firm
of instrument makers attends, usually at the same time as the
Orthopaedic Surgeon, to take measurements of those children
requiring surgical appliances. The Local Authority assists in
Payment of these according to the financial circumstances of the
family. During the year such assistance was given in three cases
at a cost of 18s. 6d.
(d) Hospital Treatment. Two children were admitted to
utens Hospital, Hackney Road, at a cost of £18 15s. 0d., and one
was Emitted to Brookfield Hospital at a cost ot £15 15s. 5d.