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

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Leyton 1933

[Report of the Medical Officer of Health for Leyton]

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176
In this small group only one case was not recommended
operation on first examination, and that case improved.
Operation Cases.—100 per cent, of the cases operated on
improved, and 50 per cent, of those not operated on also improved.
The percentage improvement in this sub-group is, however, not
so high as in the previous sub-groups.
It is interesting to note that in this sub-group operations are
performed within a shorter period of time than in the other subgroups.
The majority of the operations were performed within
the first year after recommendation.
Since a considerable proportion of these cases clear up without
operation, the question of treatment by this method might be
postponed for six months. If there is then no improvement,
operation should be recommended.
Group II (1,462 Cases).
Tonsils Enlarged—Second Degree.

Table II.

No. of Cases.Group 111,462 Cases
Sub-group(A)(B)(C)(D)
93526918870
Initial Recommendation.
Observation3043616
Operation63123317270
Performed276926337
Improved270 (98%)91 (99%)56 (89%)36 (97%)
Stationary3 (1%)1 (1%)7 (11%)0 —
Worse3 (1%)0 —0 —1 (3%)
Not Performed35514110933
Improved199 (56%)73 (52%)43 (39%)13 (39%)
Stationary98 (28%)42 (30%)50 (46%)14 (43%)
Worse58 (16%)26 (18%)16 (15%)6 (18%)
Subsequent Recommendation.
Observation203288
Improved101 (50%)20 (71%)5 (62.5%)0 —
Stationary99 (49%)8 (29%)3 (37.5%)0 —
Worse3 (1%)0 —0 —0 —
Operation10188
Performed345
Improved34 (100%)5 (100%)
Stationary0 —0 —0 —0 —
Worse0 —0 —0 —0 —
Not performed6783
Improved19 (28%)3 (37.5%)1 (33%)0
Stationary9 (14%)0 —0 —0 —
Worse39 (58%)5 (62.5%)2 (67%)0 —