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

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Willesden 1955

[Report of the Medical Officer of Health for Willesden]

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Table 2

Waiting list at 1.1.55Nos. seenNew cases referredWaiting list at 31.12.55
33598963

RHEUMATISM
The Rheumatism Clinic is held on the 2nd Tuesday of each month at the Willesden Health Clinic.
It is situated centrally in the Borough and deals with children who normally attend the three main clinics.
Rheumatism can be a serious disease requiring complete rest in bed followed by convalescence for
several months. It can lead to permanent heart damage, interfere with children's normal activities, and
interrupt their school life. Some children are left physically handicapped and have to attend a special school
for many years.
Family History.
A history of rheumatism in the family is significant. Eighteen children gave a history of
rheumatism and 11 suffered from the disease.
Environmental Conditions.
Dampness and rheumatism are closely related. Twelve children lived in damp homes and 7 of'
them suffered from rheumatism. The dampness in the 12 homes was investigated by the Medical Officer
of Health and remedied as far as possible.
Tonsils and Adenoids.
Rheumatism may be associated with infected tonsils. Sixteen children had their tonsils and
adenoids removed and 11 of them suffered from rheumatism.
Rheumatism—Treatment
Sent for convalescence 5
Referred to dental clinic 2
Referred to eye clinic 4
Referred to orthopaedic clinic 2
Referred to hospital 3
Special reports requested from hospital 12
Medicinal and vitamin therapy 9
Referred to Medical Officer of Health 12
The summary reveals the valuable contribution made by the rheumatism clinic for the better
health and happiness of the children. In addition, other defects are also investigated and referred for
treatment if required.
Rheumatism Clinic
The number of' children in 1955 attending the rheumatism clinic was 52.

The number of those with rheumatism, heart trouble and non-rheumatism is shown below :—

RheumatismNon-rheumatismTotal
(1) Kilburn health clinic12 (6)719
(2) Willesden health clinic6 (3)814
(3) Stonebridge health clinic10 (2)919
Total28 (11)2452
(In brackets—the number of children with heart complications.)

Twenty-two of these children had been discharged from hospital or convalescent home after they
had been treated for rheumatism.