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

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Woolwich 1928

[Report of the Medical Officer of Health for Woolwich]

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162
treatment did not seem necessary, appointments were
given for periodic inspection. A number of these seemed
to lose ground after a few months, but resumed treatment
with satisfactory results. It was found that pale,
dark-haired children, with long eye-lashes did not respond
well to full doses, and it proved more satisfactory to
reduce the time of their exposures.
Approximately two-thirds of these children were
treated by carbon-arc and one-third by mercury-vapour ;
in 16 instances both lamps were used.
In the case of marasmic babies, it became the practice
to start the treatment with the radiant-heat lamp, and
one or two cases were treated entirely by this means.
This method was found very satisfactory and the results
obtained suggest a more extended use of this lamp.
Rickets. The cases included both early and advanced
types, some being acute and some sub-acute. The
majority of these showed very decided improvement,
many being apparently cured. X-ray examinations were
arranged in several cases at the War Memorial Hospital.
Even in advanced cases with bony deformities, sunlight
treatment proved beneficial in improving the general
condition. Later on, such cases were referred to an
orthopaedic surgeon for opinion, and operation, if
necessary.
Catarrhal Children. Most of these cases were subjected
to carbon-arc treatment, but, specially in the
later months, radiant-heat was combined with it. They
varied considerably in their response. A number improved
with great rapidity, the mothers reporting that the
children ceased almost at once to " catch colds." After
one or two months' intermission, these children usually