Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Willesden]
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60—61
Table No. 55.—Corresponding to Table IV., appendix F. of the 1917 Annual Report of the Chief Medical Officer of the Board of Education.
Return showing the nature and number of defects referred for treatment, the number of visits and medical and dental examinations made in connection therewith, and the extent to which remedial measures were carried out during 1919.
CONDITION. | No. of defects found for which treatment was considered necessary. | No. of visits made on account of these defects. | No. of Medical or Dental Examinations made on account of these defects. | No. of times attended by Clinic Nurse only on account of these defects. | No. of defects for which no report is available. | No. of defects not needing treatment. | No. of defects treated. | Total. | Results of Treatment. | Percenrtage of cefects treated | No. of defects not treated. | No. of defects under observation at end of year and carried forward to succeeding year. | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Remedied. | Improved. | Unchanged | Under observation at end of year (result of treatment not known at end of vear. | |||||||||||||||||||||
School Clinic. | Municipal Hospital | Home (under supervision of Council Staff). | Voluntary Hospital or other charitable Institution | Infirmary or Poor Law. | Private Practitioner or Dentist. | Removed from observa tion. | Still under observation at end of year. | Total. | ||||||||||||||||
Brough forward from previou year. | †New. | Total. | ||||||||||||||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 |
Clothing— | ||||||||||||||||||||||||
Unsatisfactory | 3 | 12 | 15 | 3/ | 6 | 0 | 0 | 0 | 1 | 0 | 14 | 0 | 0 | 0 | 15 | 14 | 0 | 0 | 1 | 100.0 | c | 0 | 0 | I |
Footgear— | ||||||||||||||||||||||||
Unsatisfactory | 0 | 12 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 100.0 | 0 | 0 | 0 | 0 | |||
Cleanliness of Head— | ||||||||||||||||||||||||
Nits | 20 | 349 | 369 | 1211 | 135 | 397 | 0 | 0 | 147 | 0 | 217 | 0 | I | 0 | 365 | 321 | I | 0 | 43 | 98.9 | 4 | 4 | 4 | 47 |
Pediculi | 11 | 259 | 270 | 810 | 143 | 527 | 0 | 0 | 115 | 0 | 154 | 0 | 0 | 0 | 269 | 252 | 0 | 0 | 17 | 99.6 | 0 | 1 | 1 | 18 |
Other dirty conditions | 1 | 37 | 38 | 95 | 10 | 4 | 0 | 0 | 2 | 0 | 36 | 0 | 0 | 0 | 38 | 37 | 0 | 0 | 1 | 100.0 | 0 | 0 | 0 | I |
Cleanliness of Body- | ||||||||||||||||||||||||
Dirty | 0 | 11 | 11 | 48 | 1 | 0 | 0 | 1 | 0 | 10 | 0 | 0 | 0 | 11 | 10 | 0 | 0 | 1 | 100.0 | 0 | 0 | 0 | 1 | |
Pediculi | 1 | E | 1C | 23 | 5 | 17 | c | 0 | 1 | c | 9 | 0 | 0 | 0 | 10 | 10 | 0 | 0 | 0 | 100.0 | c | 0 | 0 | 0 |
Fleabitten | 0 | 1 | 1 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 100.0 | 0 | 0 | 0 | 0 |
Nutrition— | ||||||||||||||||||||||||
Below Normal | 19 | 17 | 36 | 114 | 74 | 1 | 0 | 21 | 0 | 12 | 1 | 0 | 1 | 35 | 16 | 9 | 0 | 10 | 100.0 | 0 | 0 | 0 | 10 | |
Bad | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 0 | 0 | 0 | 0 |
Nose and Throat— | ||||||||||||||||||||||||
Enlarged Tonsils | 80 | 217 | 297 | 572 | 544 | 0 | 0 | 10 | 114 | 21 | 10 | 30 | 0 | 7 | 182 | 125 | 3 | 4 | 50 | 63.4 | 30 | 75 | 105 | 125 |
Adenoids | 10J | 94 | 197 | 479 | 409 | 121 | 3 | 7 | 80 | 5 | 8 | 18 | 0 | 7 | 118 | 78 | 3 | 4 | 33 | 63.1 | 21 | 48 | 69 | 81 |
Enlarged Tonsils and Adenoids | 89 | 217 | 306 | 805 | 818 | 19 | 1 | 9 | 81 | 43 | 12 | 45 | 0 | 3 | 184 | 118 | 6 | 0 | 60 | 62.2 | 14 | 98 | 112 | 158 |
Other conditions | 37 | 275 | 312 | 648 | 508 | 59 | 1 | 3 | 139 | 5 | 81 | 9 | 0 | 58 | 292 | 241 | 7 | 1 | 43 | 94.8 | 2 | 14 | 16 | 57 |
Cervical or Neck Glands— | ||||||||||||||||||||||||
Enlarged | 20 | 258 | 278 | 577 | 356 | 38 | 0 | 2 | 61 | 6 | 158 | 13 | 1 | 27 | 266 | 197 | 18 | 1 | 50 | 96.4 | 3 | 7 | 10 | 57 |
External Eye Disease— | ||||||||||||||||||||||||
Blepharitis | 28 | 163 | 191 | 356 | 643 | 487 | 0 | 0 | 149 | 0 | 33 | 2 | 1 | 2 | 187 | 146 | 0 | 0 | 41 | 97.9 | 2 | 2 | 4 | 43 |
Conj unctivitis | 24 | 124 | 148 | 241 | 584 | 785 | 0 | 0 | 123 | 1 | 14 | 5 | 0 | 3 | 146 | 112 | 0 | 0 | 34 | 98.6 | 2 | 0 | 2 | 34 |
Corneal Opacities | 5 | 13 | 18 | 44 | 85 | 110 | 0 | 1 | 10 | 4 | 0 | 2 | 0 | 0 | 16 | 8 | 3 | 1 | 4 | 94.1 | 1 | 0 | 1 | 4 |
Other Disease | 2 | 24 | 26 | 42 | 115 | 65 | 0 | 0 | 20 | 0 | 5 | 0 | 0 | 0 | 25 | 18 | 2 | 0 | 5 | 96.2 | 1 | 0 | 1 | 5 |
Ear Disease | ||||||||||||||||||||||||
Chronic Suppuration of Middle Ear | 52 | 296 | 348 | 861 | 599 | 1,529 | 0 | 2 | 279 | 0 | 28 | 19 | 0 | 7 | 333 | 177 | 14 | 0 | 142 | 96.2 | 5 | 8 | 13 | 150 |
Chronic Catarrh of Middle Ear | 1 | 15 | 16 | 55 | 55 | 0 | 0 | 0 | 9 | 0 | 1 | 0 | 0 | 5 | 15 | 13 | 1 | 0 | 1 | 93.7 | 1 | 0 | 1 | 1 |
Wax | 3 | 44 | 47 | 85 | 144 | 66 | 0 | 0 | 45 | 0 | 2 | 0 | 0 | 0 | 47 | 32 | 7 | 0 | 8 | 100.0 | 0 | 0 | 0 | 8 |
Other Disease | 11 | 85 | 96 | 227 | 139 | 105 | 0 | 4 | 48 | 0 | 24 | 4 | 2 | 4 | 82 | 56 | 8 | 0 | 18 | 89.1 | 8 | 2 | 10 | 20 |
Teeth— | ||||||||||||||||||||||||
Irregular | 3 | 27 | 30 | 42 | 34 | 0 | 0 | 2 | 4 | 0 | 0 | 5 | 0 | 0 | 9 | 4 | 0 | 3 | 2 | 32.1 | 13 | 6 | 19 | 8 |
Less than 4 decayed | 176 | 1,908 | 2,084 | 2,456 | 2,809 | 0 | 1 | 5 | 1,688 | 0 | 0 | 6 | 0 | 16 | 1,710 | 1,464 | 49 | 0 | 197 | 82.3 | 203 | 165 | 368 | 362 |
Four or more decayed | 245 | 2,860 | 3,105 | 4,131 | 6,569 | 0 | 9 | 0 | 2,632 | 0 | 0 | 11 | 0 | 28 | 2,671 | 2,018 | 94 | 0 | 559 | 86.3 | 215 | 210 | 425 | 769 |
Sepsis | 2 | 15 | 17 | 22 | 47 | 0 | 0 | 0 | 14 | 0 | 0 | 0 | 0 | 0 | 14 | 10 | 0 | 0 | 4 | 82.4 | 2 | 1 | 3 | 5 |
Defect not ascertained | 57 | 92 | 149 | 280 | 65 | 0 | 2 | 0 | 25 | 0 | 0 | 4 | 0 | 3 | 32 | 7 | 0 | 0 | 25 | 21.8 | 36 | 79 | 115 | 104 |
Heart and Circulation— | ||||||||||||||||||||||||
Organic Disease | 8 | 9 | 17 | 58 | 45 | 0 | 0 | 0 | 6 | 1 | 5 | 1 | 0 | 2 | 15 | 4 | 2 | 1 | 8 | 88.2 | 2 | 0 | 2 | 8 |
Functional Disease | 2 | 12 | 14 | 46 | 19 | 0 | 0 | 0 | 3 | 0 | 2 | 2 | 0 | 2 | 9 | 6 | 0 | 0 | 3 | 64.3 | 4 | 1 | 5 | 4 |
Anaemia | 15 | 62 | 77 | 230 | 316 | 0 | 0 | 0 | 38 | 1 | 28 | 0 | 0 | 1 | 68 | 30 | 2 | 0 | 36 | 88.3 | 8 | 1 | 9 | 37 |
Other defect | 2 | 3 | 5 | 15 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 3 | 5 | 2 | 3 | 0 | 0 | 100.0 | 0 | 0 | 0 | 0 |
Lungs— | ||||||||||||||||||||||||
Chronic Bronchitis and Bronchial Catarrh | 51 | 189 | 240 | 814 | 726 | 0 | 0 | 0 | 56 | 4 | 106 | 11 | 0 | 53 | 230 | 127 | 7 | 2 | 94 | 95.8 | 10 | 0 | 10 | 94 |
Tuberculosis | _ | _ | _ | — | _ | _ | _ | — | — | — | — | — | — | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | — |
Tuberculosis Suspected | 22 | 46 | 68 | 313 | 167 | 0 | 0 | 2 | 16 | 1 | 20 | 11 | 2 | 8 | 58 | 10 | 15 | 2 | 31 | 87.9 | 8 | 0 | 8 | 31 |
Other disease | 13 | 41 | 54 | *149 | 38 | 0 | 0 | 0 | 14 | 3 | 12 | 7 | 1 | 14 | 51 | 47 | 0 | 0 | 4 | 94.4 | 1 | 2 | 3 | 6 |
Nervous System— | ||||||||||||||||||||||||
Epilepsy | 4 | 13 | 17 | 38 | 57 | 0 | 0 | 0 | 2 | 0 | 8 | 3 | 0 | 1 | 14 | 0 | 5 | 2 | 7 | 82.4 | 1 | 2 | 3 | 9 |
Chorea | 18 | 44 | 62 | 245 | 111 | 0 | 0 | 0 | 4 | 4 | 13 | 21 | 0 | 9 | 51 | 29 | 4 | 0 | 18 | 82.3 | 3 | 8 | 11 | 26 |
Other disease | 12 | 20 | 32 | 84 | 29 | 7 | 0 | 3 | 11 | 3 | 2 | 4 | 0 | 7 | 27 | 15 | 0 | 0 | 12 | 93.1 | 2 | 0 | 2 | 12 |
Skin— | ||||||||||||||||||||||||
Ringworm Body Head | 97 | 207 | 304 | 887 | 1,165 | 41 | 2 | 4 | 221 | 0 | 18 | 9 | 14 | 270 | 233 | 1 | 1 | 35 | 90.6 | 11 | 17 | 28 | 52 | |
Impetigo | 145 | 1,068 | 1,213 | 2,890 | 2,171 | 5,622 | 0 | 1 | 748 | 2 | 390 | 13 | 1 | 46 | 1,200 | 1,059 | 3 | 0 | 138 | 99.0 | 5 | 7 | 12 | 145 |
Scabies | 87 | 433 | 520 | 1,348 | 1,352 | 2,779 | 1 | 5 | 324 | 6 | 112 | 21 | 13 | 25 | 501 | 447 | 1 | 0 | 53 | 97.5 | 9 | 4 | 13 | 57 |
Other disease | 37 | 413 | 450 | 1,022 | 930 | 1,702 | 1 | 1 | 263 | 4 | 124 | 14 | 1 | 29 | 435 | 377 | 1 | 1 | 56 | 97.1 | 8 | 5 | 13 | 61 |
Ricketts— | ||||||||||||||||||||||||
Slight Marked | 3 | 4 | 7 | 41 | 11 | 0 | 0 | 0 | 4 | 0 | 0 | 3 | 0 | 0 | 7 | 1 | 1 | 0 | 5 | 100.0 | 0 | 0 | 0 | 5 |
Deformities— | ||||||||||||||||||||||||
Deformity present | 14 | 23 | 37 | 128 | 68 | 0 | 0 | 1 | 6 | 2 | 5 | 15 | 0 | 0 | 28 | 2 | 10 | 1 | 15 | 77.8 | 6 | 2 | 8 | 17 |
Tuberculosis | ||||||||||||||||||||||||
(Non-Pulmonary)— | ||||||||||||||||||||||||
*Glandular | ||||||||||||||||||||||||
†Bones or Joints | ||||||||||||||||||||||||
‡Other form | ||||||||||||||||||||||||
Suspected—Glandular | 5 | 6 | 11 | 56 | 18 | 0 | 0 | 0 | 4 | 0 | 1 | 1 | 0 | 2 | 8 | 0 | 2 | 1 | 5 | 72.7 | 1 | 2 | 3 | 7 |
„ Bones and joints | 5 | 8 | 13 | 24 | 20 | 0 | 0 | 1 | 9 | 0 | 0 | 3 | 0 | 0 | 12 | 0 | 2 | 2 | 8 | 100.0 | 0 | 0 | 0 | 8 |
„ Other forms | 2 | 2 | 4 | 30 | 18 | 0 | 0 | 0 | 1 | 0 | 2 | 1 | 0 | 0 | 4 | 0 | 0 | 0 | 4 | 100.0 | 0 | 0 | 0 | 4 |
Speech— | ||||||||||||||||||||||||
Defective Articulation | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.0 | 1 | 0 | 1 | 0 |
Squint- | ||||||||||||||||||||||||
Squint present | 23 | 34 | 57 | 97 | 130 | 0 | 0 | 3 | 44 | 1 | 0 | 1 | 0 | 0 | 46 | 12 | 22 | 5 | 7 | 85.2 | 3 | 5 | 8 | 12 |
Vision- | ||||||||||||||||||||||||
Defect not ascertained | 35 | 8 | 43 | 87 | 16 | 0 | 0 | 0 | 14 | 0 | 0 | 2 | 0 | 1 | 17 | 10 | 1 | 39.5 | 5 | 21 | 26 | 23 | ||
One eye normal | 26 | 54 | 80 | 92 | 237 | 0 | 2 | 0 | 68 | 0 | 0 | 1 | 0 | 1 | 70 | 34 | 17 | 10 | 95.9 | 1 | 2 | 3 | 11 | |
Both eyes 6/6 | 15 | 136 | 151 | 219 | 359 | 0 | 2 | 29 | 112 | 0 | 0 | 0 | 0 | 2 | 114 | 64 | 18 | 18 | 14 | 95.0 | 2 | 4 | 6 | 18 |
6/9 | 10 | 47 | 57 | 58 | 136 | 0 | 0 | 1 | 47 | 0 | 0 | 0 | 0 | 0 | 47 | 26 | 6 | 5 | 10 | 83.9 | 3 | 6 | 9 | 16 |
One eye 6/9 other 6/12 or less | 25 | 63 | 88 | 108 | 273 | 9 | 1 | 0 | 74 | 0 | 2 | 1 | 0 | 1 | 78 | 47 | 19 | 10 | 89.7 | 6 | 3 | 13 | ||
Both eyes 6/12 or less | 61 | 189 | 250 | 278 | 796 | 114 | 0 | 0 | 234 | 0 | 0 | 0 | 0 | 1 | 235 | 118 | 67 | 12 | 38 | 94.0 | 10 | 5 | 15 | 43 |
Spectacles broken | 33 | 264 | 297 | 214 | 725 | 10 | 0 | 2 | 292 | 0 | 0 | 0 | 0 | 1 | 293 | 272 | 1 | 0 | 20 | 99.3 | 1 | 1 | 2 | 21 |
„ lost | 8 | 39 | 47 | 38 | 122 | 0 | 0 | 0 | 44 | 0 | 0 | 0 | 0 | 1 | 45 | 45 | 0 | 0 | 0 | 95.8 | 1 | 1 | 2 | 1 |
Debility | 123 | 333 | 456 | 1,483 | 835 | 2 | 0 | 0 | 136 | 2 | 225 | 29 | 2 | 42 | 436 | 250 | 50 | 0 | 136 | 95.6 | 9 | 11 | 20 | 147 |
Miscellaneous | 134 | 3,810 | 3,944 | 7,662 | 5,810 | 3,876 | 13 | 194 | 1,416 | 78 | 1,729 | 120 | 3 | 332 | 3,678 | 3,191 | 72 | 5 | 410 | 98.4 | 36 | 23 | 59 | 433 |
Grand Totals | 2,028 | 15,007 | 17,035 | 33,027 | 31,598 | 18,491 | 40 | 297 | 10,021 | 197 | 3,637 | 468 | 37 | 769 | 15,129 | 11,947 | 557 | 8£ | 2,537 | 90.6 | 716 | 853 | 1,569 | 3,390 |
Mental Condition—Dull or Backward and Mentally Defective (all grades)—
No. of Cases examined during 1919 55 Found on examination to be dull or backward 30
Found on examination to be mentally defective 25
Re-examinations in respect of Defective Vision other than Lost and Broken Spectacles—
No. of Visits 1,265 No. of Medical Examinations .1,788
Re-examination in respect of Dental Defects—
No. of Visits 529 No. of Dental Examinations 392
† The return should show comprehensively all defects found during the year, from whatever source derived, which required treatment.
* 6 Cases were notified by the Assistant School Medical Officers during the year and were dealt with as notifiable infectious diseases,
† 1 Case was „ „ „ „ was „ - a notifiable infectious disease,
‡ 2 Cases were „ „ „ „ were „ notifiable infectious diseases.