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

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East Ham 1958

[Report of the Medical Officer of Health for East Ham]

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8 .
Immunisation cllnlc.s for children of all ages are held weekly both at the
Town Hall Annexe and at Church Road Clinic, and Immunisation Is also carried out
during Minor Ailment Clinics at North Woolwich and Roman Manor.
H'e work, of the clinics Is shown In the following summary:-
Number of clinic sessions 85.
Number of children completely immunised 464.
Number of children re-inoculated 635.
Percentage of children of school age completely Immunised 94.5
36.8% of all children of school age have had a primary Immunisation or a
boosting dose since 1st January, 1954 i.e. within the last 5 years.
Orthopaedic Clinic
This specialist clinic held by the Senior Consultant Orthopaedic Surgeon In
our region, Mr. L. Olllls, M.B.E., F.R.C.S., has proved one of the most valuable
In the whole school health service.
It will readily be conceded that with physical deformities, whether congenital
or acquired, an ounce of prevention is worth many pounds of cure. But the
diagnosis and therapeutic advices must stem from the best Informed opinion and we
are fortunate to have available to us the services of so able a surgeon as Mr.
Olllls.
By arrangement, our physiotherapists attend the clinic and are thus enabled
In individual cases to obtain verbal Instruction from the orthopaedic surgeon,
on the details of physiotherapy, etc. desired for the patient.
In other cases, report of progress and response to treatment Is at the same
time rendered to the surgeon so that the best possible line of therapy can be
pursued.
18 sessions were held and 149 children made 162 attendances. Of the 286
defects listed below by far the majority were defects of the lower limbs and
were of a nature to be helped by remedial exercises.
Analysis of Defects
Feet and Legs 249
Including Pes Planus 70
Hallux Valgus 64
Oenu Valgum 25
Enlarged M. P. Joints 54
Hands and Arms 3
Posture 24
Other Defects 10
Physiotherapy and Sunlight
Ultra violet light is given In our clinics mainly for specific skin and
glandular dyscraslas, "sub par' nutritional states, and rarely for sub-cllnlcal
rickets.
On the other hand there has been a vast Increase In the derand for remedial
exercises and drills for postural and other muscular and ligamentous defects, as
well as remedial and therapeutic breathing exercises for a number of thoracic
disorders.
In this sphere the hospital clinics are still heavily overworked and our own
physiotherapy and sunlight clinics are essential to the care of the priority
groups In our community.