London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
East Ham 1934
[Report of the Medical Officer of Health for East Ham]
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Table Showing the Causes of Malnutrition, the Treatment adopted and the Results of such Treatment in East Ham School Children found to be Suffering from Subnormal Nutrition.
| Classified Causes of Malnutrition. | Treatment Adopted. | Results. | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of Cases. | School Clinics. | Cod Liver Oil, Parrish's Food or Virol. | Light Clinic. | Additional Nourishment (Public Assistance). | Referred for School Dinners. | Admitted to Schools of Recovery. | Hospital. | Admitted to Sanatorium. | Referred to N.S.P.C.C. | Under Treatment—No Definite improvement at present. | Treatment effective and still in opreation. | Regained normal nutrition, treatment discontinued | Diagnosis not confirmed, progress satisfactory. | ||
| Surgical. | Medical. | ||||||||||||||
| Circulatory:— | |||||||||||||||
| Anaemia | 28 | 28 | 21 | 18 | 4 | 9 | 12 | — | 2 | — | 2 | 4 | 10 | 13 | 1 |
| Cardiac disease | 15 | 15 | 8 | 7 | 4 | — | 6 | — | 11 | — | — | 2 | 10 | 3 | — |
| Respiratory:— | |||||||||||||||
| Bronchitis | 26 | 26 | 23 | 15 | — | — | 8 | — | 4 | — | — | 3 | 5 | 18 | — |
| Asthma | 4 | 4 | 3 | 3 | — | — | 2 | — | 1 | — | — | 1 | 2 | 1 | — |
| Pneumonia | 6 | 6 | 5 | 4 | 1 | — | 1 | — | — | — | — | 2 | — | 4 | — |
| Empyema | 1 | 1 | 1 | — | — | — | 1 | 1 | — | — | — | — | 1 | — | — |
| Alimentary:— | |||||||||||||||
| Dental caries and oral sepsis | 21 | 21 | 7 | 1 | — | — | 1 | — | — | — | 4 | 2 | 6 | 12 | 1 |
| Gastro-enteritis | 8 | 8 | 4 | 3 | — | — | 1 | — | 5 | — | — | 2 | 1 | 5 | — |
| Appendicitis | 3 | 3 | 3 | 2 | — | — | — | 3 | — | — | — | 1 | — | 2 | — |
| Constipation | 11 | 11 | 9 | — | — | 3 | — | — | 2 | — | — | 2 | 4 | 5 | — |
| Threadworms | 18 | 18 | 1 | 1 | — | 6 | — | — | 6 | — | 4 | 2 | 8 | 7 | 1 |
| Chronic Naso-Pharyngeal Infection (Enlarged tonsils, adenoids, etc.) | 40 | 40 | 30 | 19 | 3 | 8 | 2 | 27 | — | — | 7 | 5 | 11 | 23 | 1 |
| Ear disease (Otitis media, mastoiditis, etc.) | 5 | 5 | 4 | 3 | — | — | 1 | 3 | — | — | — | 1 | — | 4 | — |
| Acute Infectious Diseases:— | |||||||||||||||
| Whooping Cough | 16 | 16 | 16 | 8 | — | — | 6 | 2 | 1 | — | — | 2 | 2 | 12 | — |
| Diphtheria | 6 | 6 | 5 | 4 | — | — | 2 | — | — | — | — | — | 1 | 5 | — |
| Scarlet Fever | 5 | 5 | 5 | 5 | 1 | — | — | — | — | — | — | — | 2 | 3 | — |
| Measles | 26 | 26 | 26 | 15 | 3 | 4 | 11 | 3 | — | — | 2 | 3 | 6 | 17 | — |
| Small Pox | 1 | 1 | 1 | — | — | — | — | — | — | — | — | — | — | 1 | — |
| Influenza | 16 | 16 | 16 | 12 | — | 3 | 3 | 2 | — | — | — | 2 | 4 | 10 | — |
| T uberculosis | 7 | 7 | 5 | 6 | — | — | — | — | 1 | 6 | — | 3 | 3 | 1 | — |
| Other diseases:— | |||||||||||||||
| Rickets | 13 | 13 | 12 | 11 | 4 | 8 | 4 | 1 | 1 | — | — | 1 | 4 | 8 | — |
| Infantile Paralysis | 5 | 5 | 5 | 3 | — | — | 1 | 2 | — | — | — | — | 3 | 2 | — |
| Subacute Rheumatism | 16 | 16 | 14 | 12 | 3 | 2 | 4 | 1 | 1 | — | — | 3 | 4 | 9 | — |
| Chorea | 3 | 3 | 3 | 1 | — | — | 1 | — | 2 | — | — | — | 2 | 1 | — |
| Herpes | 1 | 1 | 1 | — | — | — | — | — | — | — | — | — | — | 1 | — |
| Pyelitis | 1 | 1 | 1 | — | 1 | — | — | — | 1 | — | — | — | 1 | — | — |
| Social and Domestic Conditions:— | |||||||||||||||
| Shortage of food (Necessity) | 15 | 15 | 13 | 5 | 7 | 12 | 9 | — | — | — | — | 4 | 2 | 7 | 2 |
| Errors in dietary, unhygienic mode of life, etc. (Vitamin deficiency) | 38 | 38 | 19 | 17 | — | 11 | 2 | — | — | — | — | 6 | 18 | 13 | 1 |
| Indifference and neglect | 13 | 13 | 13 | 10 | — | 9 | 8 | — | — | — | 9 | 5 | 3 | 5 | — |
| Totals | 368 | 368 | 274 | 185 | 31 | 75 | 86 | 45 | 38 | 6 | 28 | 56 | 113 | 192 | 7 |