Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Ilford]
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95
1. Appointment List.— During the 12 months ended December 31st,
1956 there have been 71 new cases, made up as follows :—
Recommenced by
Under 5 years
Over 5 years
Boys
Girls
Boys
Girls
Parents
1
-
2
-
General Practitioners
1
-
1
-
Infant Welfare Centre Officers
7
2
-
-
School Medical Officers
3
2
32
19
Health Visitors
1
—
—
—
13
4
35
19
Total
71 cases
Total attendances (old and new cases)
376
No. of sessions
41
2. Procedure.— The procedure adopted in previous years has been
adhered to at each clinic. This includes urinalysis, history of enuresis,
physical examination, talking to and gaining the confidence of the child,
and finally general advice is given to the parent, this always being given
through the child by clear directions as to routine and charting, and finally
the taking of medicaments if indicated.
Results have again proved that suggestions made to the child in (he
presence of the mother have been acted upon more faithfully by the parents.
3. Treatment.—The Treatment issued or prescribed has been as
follows:—
1. Amphetamine sulphate (2 5 mgm.—10 mgm.) at night at a No of cases
time decided upon for each individual child 53
2. Phenobarbitone gr. ½ at night 4
3. Charting and advice only 11
4. Disipidin (post pituitary snuff) 3
71
5. Cases referred to hospital or Child Guidance Clinic (already
included under treatment as above) 4
N.B.—As before only the amphetamine sulphate was issued
by the area health office, but it would be extremely
helpful if a small supply of phenobarbitone tablets,
gr. ½, could be kept at the clinic for use when
necessary, as several patients have not returned after
being sent with a letter to their general practitioners.
4. Analysis and Comparison of Results.
No. of
cases in
1956
1955
1954
1953
1952
1. Completely dry
33 or 46.6%
38.5%
41.6%
30%
22%
2. Very marked improvement
(i.e., less than 5 wet in 28
nights)
5
3. Marked improvement
(i.e., less than 14 wet in
28 nights)
12
4. Some improvement
(i.e.. more than 14 wet in
28 nights)
10
5. No improvement
2
6. Not yet re-attended
9
TOTAL
71 cases