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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ORTHOPEDIC DEPARTMENT.—REPORT FOR YEAR 1937.
Defects Treated. | Brought Forward. | New. | Total. | Treatments completed. | Treatments ceasing before Completion. | Carried forward. | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0-1 | 1-5 | 5-14 | N.M. | 0-1 | 1-5 | 5-14 | N.M. | 0-1 | 1-5 | 5-14 | N.M. | Total. | 0-1 | 1-5 | 5-14 | N.M. | Total. | 0-1 | 1-5 | 5-14 | N.M. | Total. | 0-1 | 1-5 | 5-14 | N.M. | Total. | |
1. Congenital Defects— | ||||||||||||||||||||||||||||
Club Foot | 12 | 5 | 4 | - | — | 1 | — | __ | 12 | 6 | 4 | - | 22 | 1 | - | 1 | - | 2 | - | 1 | 1 | -_ | 2 | 11 | 5 | 2 | - | 18 |
Dislocation of Hip | — | 1 | 5 | - | - | - | - | - | - | 1 | 5 | - | 6 | -_ | - | 1 | - | 1 | - | 1 | - | - | 1 | - | - | 4 | - | 4 |
Spastic Paralysis | 1 | 15 | 8 | - | — | 1 | 2 | - | 1 | 16 | 10 | - | 27 | - | 2 | - | - | 2 | - | 3 | 1 | - | 4 | 1 | 11 | 9 | - | 21 |
Metatarsal Varus | 3 | 16 | — | - | 1 | 7 | — | - | 4 | 23 | - | - | 27 | -_ | - | - | - | - | 1 | - | - | - | 7 | 3 | 17 | - | - | 20 |
Irregular Toes | — | — | — | - | 11 | 8 | 11 | - | 11 | g | 11 | - | 30 | 3 | 2 | g | - | 13 | 2 | 3 | 3 | - | 8 | 6 | 3 | - | - | 9 |
Hammer Toes | — | — | 5 | — | — | — | 1 | - | - | - | 6 | - | 6 | - | - | 2 | - | 2 | - | - | - | -_ | - | - | -_ | 4 | - | 4 |
Other Conditions | 17 | 30 | 25 | - | 8 | 11 | 5 | - | 25 | 41 | 30 | - | 96 | 2 | 5 | 6 | - | 13 | 3 | 17 | 10 | - | 30 | 20 | 19 | 14 | - | 53 |
Spina-Bifida | — | 1 | — | - | 1 | 3 | 1 | - | 1 | 4 | 1 | - | 6 | 1 | 2 | - | - | 3 | - | - | - | - | - | - | 2 | 1 | - | 3 |
2. Birth Injuries— | ||||||||||||||||||||||||||||
Nerve Injuries | - | 4 | 2 | - | — | — | — | - | - | 4 | 2 | — | 6 | - | 1 | - | - | 1 | - | - | - | - | - | - | 3 | 2 | -__ | 5 |
Torticollis | 15 | 2 | 3 | - | 13 | 3 | 1 | - | 28 | 5 | 4 | - | 37 | 2 | - | 1 | - | 6 | 1 | - | - | 7 | 20 | 4 | - | 27 | ||
Other Conditions | — | 1 | — | — | - | 2 | - | - | - | 3 | - | - | 3 | - | - | - | - | - | - | 1 | - | - | 1 | - | 2 | - | - | 2 |
3. Rickety Deformities | ||||||||||||||||||||||||||||
Bow Legs | 4 | 24 | 1 | — | 5 | 50 | 2 | - | 9 | 74 | 3 | - | 86 | 5 | 29 | 2 | - | 36 | 2 | 15 | 1 | - | 18 | 2 | 30 | - | - | 32 |
Knock Knees | 1 | 7 | 3 | - | — | 9 | 6 | - | 1 | 16 | 9 | - | 26 | - | - | 2 | 1 | 5 | - | 1 | 2 | - | 3 | 1 | 12 | 5 | - | 18 |
Other Conditions | 1 | 9 | 1 | - | — | 15 | 5 | - | 1 | 24 | 6 | - | 31 | - | I | 2 | - | 3 | - | 5 | 1 | - | 6 | 1 | 18 | 3 | - | 22 |
4. Knock Knees, non-Rickety | — | 55 | 41 | - | — | 56 | 44 | -_ | - | 111 | 85 | - | 196 | - | 12 | 23 | -_ | 35 | - | 36 | 13 | - | 49 | - | 63 | 49 | - | 112 |
4a. Bow Legs, non-Rickety | 12 | 62 | — | - | — | 9 | — | - | 12 | 71 | — | — | 83 | 6 | 9 | - | - | 15 | 4 | 20 | - | - | 24 | 2 | 42 | - | - | 44 |
5. Postural Defects of the Spine | 1 | 7 | 60 | - | 1 | 1 | 83 | - | 2 | 8 | 143 | - | 153 | 2 | 43 | - | 45 | - | 37 | 38 | 2 | 5 | 63 | - | 70 | |||
6. Structural Defects of the Spine | — | 1 | 9 | — | — | 1 | 7 | - | — | 2 | 16 | - | 18 | - | - | 4 | - | 4 | - | - | 4 | - | 4 | - | 2 | 8 | - | 10 |
7. Flat Feet | 1 | 39 | 38 | 1 | 1 | 19 | 45 | 3 | 2 | 58 | 83 | 4 | 147 | — | 4 | 27 | 1 | 32 | 1 | 8 | 26 | 1 | 36 | 1 | 46 | 30 | 2 | 79 |
Hallux Valgus | - | - | 4 | - | - | - | - | - | - | - | 4 | - | 4 | - | - | - | - | - | - | - | 4 | - | 4 | - | - | - | - | - |
8. Infantile Paralysis | 4 | 7 | 14 | - | — | 1 | 1 | _- | - | 8 | 15 | — | 23 | - | 1 | 2 | - | 3 | - | - | 3 | - | 3 | - | 7 | 10 | - | 17 |
9. Sequelae of Acute Fevers— | ||||||||||||||||||||||||||||
Scarlet Fever | - | 3 | — | - | — | 1 | 1 | - | - | 4 | 1 | - | 5 | - | 2 | 1 | - | 3 | - | - | - | - | - | - | 2 | - | - | 2 |
Diphtheria | - | — | 2 | - | — | 1 | 1 | — | - | 1 | 3 | — | 4 | - | - | 2 | - | 2 | - | - | - | - | - | - | 1 | 1 | - | 2 |
Mastoid | 1 | — | 2 | - | — | - | 1 | -_ | 1 | -_ | 3 | -_ | 4 | - | - | - | - | - | - | - | - | - | - | 1 | - | 3 | - | 4 |
Whooping Cough | - | — | — | - | — | 1 | - | _- | - | 1 | — | — | 1 | - | - | - | - | - | - | - | - | - | - | - | 1 | - | - | 1 |
Pneumonia | - | — | — | - | — | — | 1 | — | - | - | 1 | — | 1 | - | - | - | - | - | - | - | - | - | - | - | - | 1 | - | 1 |
10. Fractures and other Injuries | - | 3 | 15 | - | 4 | 5 | 86 | 2 | 4 | 8 | 101 | 2 | 115 | 3 | 4 | 74 | I | 82 | - | 2 | 20 | 1 | 23 | 1 | 2 | 7 | - | 10 |
11. Tuberculosis Joints | - | 3 | 7 | - | — | 1 | 4 | -_ | -_ | 4 | 11 | — | 15 | - | - | - | - | - | - | 1 | - | 2 | - | 3 | 10 | - | 13 | |
12. Other Bone Diseases, non-T.B. | - | |||||||||||||||||||||||||||
Schlatter's Disease | - | - | 3 | - | - | - | - | - | - | - | 3 | - | 3 | - | - | - | - | - | - | - | - | - | - | -_ | - | 3 | - | 3 |
Perthes' Disease | - | - | 3 | - | - | - | 2 | - | - | - | 5 | - | 5 | - | - | 2 | - | 1 | - | - | - | - | - | - | - | 4 | - | 4 |
Calve's Osteochondritis | — | — | 1 | - | - | - | - | - | - | - | 1 | - | 1 | - | - | - | - | - | - | - | - | - | - | - | - | 1 | - | 1 |
Arthritis of the Knee | - | - | - | - | - | I | - | - | - | 1 | - | - | 1 | - | - | - | - | - | - | - | - | - | - | - | 1 | - | - | 1 |
Exostosis of Os Calcis | - | — | 4 | - | - | - | 12 | - | - | - | 16 | _ | 16 | - | - | 9 | - | 9 | - | - | 2 | - | 2 | - | - | 5 | - | 5 |
Tumour of the Scapula | — | — | 1 | - | _ | _ | _ | - | - | _ | 1 | - | 1 | - | - | - | - | 1 | - | - | - | - | - | - | - | - | - | - |
Prominence of Costal | ||||||||||||||||||||||||||||
Cartilage | — | 1 | — | - | — | — | 2 | — | - | 1 | 2 | — | 3 | - | - | 1 | - | 1 | - | - | 1 | - | 1 | - | 1 | - | - | 1 |
13. Osteomyelitis | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
14. Other Conditions | — | —' | — | - | - | 4 | 2 | - | - | 4 | 2 | — | 6 | - | - | - | - | - | - | I | - | - | 1 | - | 3 | 2 | - | 5 |
Debility and Delayed Walking | - | 5 | - | - | - | 5 | - | - | l | 10 | - | - | 11 | - | 2 | - | - | 2 | - | 3 | - | - | 3 | 1 | 5 | - | - | 6 |
Fibrositis | — | 1 | 1 | 1 | - | - | - | - | - | 1 | 1 | 1 | 3 | - | 1 | - | 1 | 2 | - | - | 1 | - | 1 | - | - | - | - | - |
Muscular Dystrophy | — | 1 | 1 | - | — | — | — | — | — | 1 | — | 2 | — | _ | _ | _ | _ | _ | — | 1 | 1 | — | 2 | |||||
Ganglion | 1 | 1 | 1 | - | — | - | 3 | — | 1 | 1 | 4 | — | 6 | _ | _ | 1 | _ | 1 | 1 | 2 | _ | - | — | 1 | 1 | - | 2 | |
Postural I ntoeing | — | — | — | - | - | 5 | - | - | - | 5 | — | — | 5 | - | - | - | - | - | - | 1 | - | ' | 1 | - | 4 | - | - | 4 |
Sciatica | — | — | — | - | — | - | - | 2 | - | _ | — | 2 | 2 | 2 | 2 | |||||||||||||
15. Non-Orthopaedic | — | — | — | _ | 1 | 8 | 11 | _ | 1 | g | 11 | — 1 | 20 j | _ | 2 | 8 | 10 24 | _ | 1 | _ | 1 | 1 | 6 | 2 | _ | 9 | ||
Nothing Abnormal Diagnosed | - | 10 | 5 | 2 | 7 | 9 | 4 | - | 7 | 19 | 9 | 2 | 37 | 6 | 12 | 6 | - | 1 | 5 | 3 | 1 | 10 | - | 2 | - | 2 | 3 | |
Un-Diagnosed | — | — | - | 1 | — | 3 | - | 1 | - | 3 | — | 4 | — | - | - | — | — | - | - | - | - | — | 1 | — | 3 | - | 4 | |
Total | 70 | 314 | 269 | 4 | 55 | 238 | 347 | 7 | 125 | 552 | 616 | 11 | 1,304 | 29 | 96 | 228 | 3 | 356 | 21 | 132 | 137 | 3 | 293 | 75 | 324 | 251 | 5 | 655 |
No. of Individual Cases treated | 68 | 186 | 257 | 2 | 39 | 194 | 264 | 2 | 107 | 380 | 521 | 4 | 1,012 | 29 | 96 | 228 | 2 | 355 | 21 | 132 | 137 | - | 290 | 57 | 152 | 156 | 2 | 367 |
ORTHOPEDIC DEPARTMENT.—REPORT FOR YEAR 1937.
No. of attendances at Centre for Treatment | 505 | 1,772 | 5,754 | 37 | 8,068 | ||||
Do. do. do. Massage | 423 | '823 | 1,187 | 32 | 2,465 | ||||
Do. do. do. Electrical Treatment | 209 | 727 | 18 | 954 | |||||
Do. do. do. Gymnastic Exercises | 638 | 4,001 | 24 | 4,663 | |||||
Do. do. do. Application of Splints | 82 | 140 | 41 | — | 263 | ||||
‡ Total | 505 | 1,810 | 5,956 | 74 | 8,345 | ||||
No. of attendances at Centre for examination only | 72 | 554 | 665 | 4 | l,295f | ||||
Total attendances at Centre | 577 | 2,326 | 6,419 | 41 | 9,363f | ||||
Patients entered Hospital for In-patient Treatment— | |||||||||
Congenital Defects— | Admitted. | Discharged. | |||||||
Club Foot | . G.D | 22. | 2.37 | 14. 7.37 | 1 | - | — | - | 1 |
M.L | 26. | 6.37 | 21. 7.37 | - | 1 | - | - | 1 | |
Dislocation of Hip | J-B | 16. | 4.37 | 24. 5.37 | - | 1 | - | - | 1 |
M.W | 4.10.37 | - | - | 1 | - | 1 | |||
Spastic Paralysis | . H.B | 19. | 8.37 | 27. 8.37 | _ | 1 | - | 1 | |
Pes Cavus | J.Y | 23. | 3.37 | 25. 6.37 | - | -_ | 1 | - | 1 |
D.B | 27. | 4.37 | 5. 7.37 | - | 1 | - | 1 | ||
Friedreich's Ataxia | . C.S | 23. | 4.37 | 5. 7.37 | - | - | 1 | - | 1 |
Deformed Fingers | . A.D | 25. | 8.37 | - | - | 1 | - | - | 1 |
Birth Injuries—Torticollis | . E.B | 26.: | 11.37 | 28.11.37 | — | - | 1 | - | 1 |
Rickets—Bow Legs | JH | 23. | 3.37 | 28. 6.37 | - | 1 | — | - | 1 |
L.A | 14. | 7.37 | 4. 8.37 | -_ | 1 | — | — | 1 | |
J-B | 6. | 8.37 | 7. 9.37 | — | 1 | — | — | 1 | |
J-J | 26. | 8.37 | 29.10.37 | - | 1 | - | - | 1 | |
Knock Knees | . R.H | 15. | 6.37 | 23.10.37 | - | - | 1 | - | 1 |
Flat Feet | JL | 12.: | 11.37 | - | - | 1 | - | 1 | |
Hallux Valgus | K.M | 23. | 3.37 | 16. 4.37 | - | - | 1 | - | 1 |
Infantile Paralysis | M.T | 4. | 2.37 | 16. 3.37 | - | - | 1 | - | 1 |
6. | 4.37 | 29. 4.37 | — | — | — | — | _ | ||
10. | 8.37 | 13.10.37 | - | - | - | - | - | ||
D.O | 14. | 2.37 | 12.11.37 | - | _ | 1 | - | 1 | |
Dislocation of Shoulder | . E.L | 16. | 3.37 | 7. 4.37 | - | - | 1 | - | 1 |
Tuberculosis Joints | . M.W | 29. | 1.37 | - | - | 1 | - | - | 1 |
D.G | 4. | 2.37 | 27. 8.37 | - | - | 1 | - | 1 | |
Removal of Osteophytes | . A.S | 5. | 7.37 | 10. 8.37 | - | - | 1 | - | 1 |
'Perthes' Disease | J.P | 1. | 9.37 | 11. 9.37 | - | - | 1 | - | 1 |
Amputation of Toe | . N.G | 22. | 2.37 | 13. 3.37 | — | - | 1 | - | 1 |
Investigation | J-J | 20. | 3.37 | 16. 4.37 | — | — | 1 | — | 1 |
K.C | 5. | 7.37 | 25. 7.37 | - | - | 1 | - | 1 | |
I.A | 6. | 8.37 | - | -_ | 1 | - | - | 1 | |
M.K | 30. i | 11.37 | 24.12.37 | - | - | 1 | - | 1 | |
P.G | 22. | 12.37 | 1 | - | - | — | 1 | ||
Total | 2 | 0 | 19 | 30 |
In addition to the above the Council agreed to bear the cost of treatment of 1 child under 5 years of age and 1 child over 5 years of age at the Royal National Orthopaedic Hospital and also of 1 child over 5 years of age who was transferred to the
Royal National Orthopaedic Hospital from the Willesden Municipal Hospital after Poliomyelitis. lne
* This case was treated for the middlesex county Council who bore the cost of treatment. † In addition there were 2 attendances by adults for examination only for flat feet.
‡ These totals are greater than those under JSJo. of attendances at Centre for treatment " above because a child may receive more than one type of treatment at one attendance.