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

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Ealing 1923

[Report of the Medical Officer of Health for Ealing]

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40
ten cases of enlarged tonsils and adenoids were referred for treatment.
In addition eleven other cases of enlarged tonsils, eighteen
of adenoids and seven of enlarged tonsils and adenoids were discovered
at the Inspection Clinic. At routine inspection 56 other
throat and nose conditions requiring observation were found.
These consisted of cases of displaced septum and simple
"mouth breathing" without obvious nasal obstruction. In such
cases the parents or teachers were advised by the doctor at the
time of examination.
Stress may at this point be laid on the ill effects of "mouth
breathing." This condition is prone to set up catarrhal conditions
of the throat, nose and middle ear. It causes interference with
the normal chest development and renders its subjects liable to
bronchitis and associated chest diseases. It is easily remedied
in its early stages and valuable work can be done in this connection
by observant school teachers.
Tuberculosis.—At routine examinations one definite and
three suspected cases of tuberculosis of the lungs were found and
also one case of tuberculosis of the hip. At special inspections
three definite cases of pulmonary tuberculosis and ten suspected
cases were found.
The diagnosis of early pulmonary tuberculosis in children
presents considerable difficulty and as a routine procedure all
suspected cases are referred for a second opinion to the Tuberculosis
Officer.
Skin Conditions.—At routine examinations the following
skin conditions were observed:— ringworm 2, scabies 5, impetigo 5
and other conditions 14. In addition, the following were found
at the Inspection Clime:—
Ringworm of head 14
Ringworm of body 17
Scabies 21
Impetigo 122
Other Conditions 136
Total 310