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

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Ilford 1954

[Report of the Medical Officer of Health for Ilford]

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92
3. Treatment.—The treatment issued or prescribed is as follows:—
Cases
(a) Amphetamime sulphate (either 5 mgms., 75 mgms. or
10 mgms.) at night, at a time decided upon for each
individual child 57
(b) Phenobarbitone grs.½ at night or during the day 8
( + phenobarbitone for cases failed under (a) above) (4)
(c) Ephedrine gr. ½ at night (first treated with amphetamine
sulphate and included under (a) above) (1)
(id) Advice and charting only 12
(e) Cases referred to hospital or Child Guidance Clinic
(first treated and included under (a) above) (6)
77
(N.B.—As before, only the amphetamine sulphate was issued by the
Area Health Office).
4. Analysis of Results :—
1954
Cases
1953
1952
(i) Completely dry
32
30%
22%
= 41-6%
(ii) Very marked improvement
less than 5 wet in 28 nights)
4
(iii) Marked improvement
(less than 14 wet in 28 nights)
15
(iv) Some improvement
(more than 14 wet in 28 nights)
11
(v) No improvement
7
(vi) Not yet re-attended
8
77
(vii) Of the cases referred to the clinic during 1953 and who were
still receiving treatment in 1954, a further 30 cases were discharged
completely dry.
Further analysis and comparison of cases:—
1954
1953
1952
Number
% of
total
Number
% of
total
Number
%of
total
Number of boys dry
21
27.3
23
24
21
14
Number of girls dry
11
14.3
6
6
13
8
Average age of boys
10 years
8.6 years
7 years
Average age of girls
7 years
7 years
9 years
Average number of visits
(made by girls and boys
until discharged dry)
3.5
4
4
5. Conclusions.—The cases which have been slow to improve have
fallen into five main groups, namely:—
(a) Those with some frustration either at home or at school.
(b) Overcrowding in the home—often resulting in two or three
children sleeping in one bed.