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

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Walthamstow 1930

[Report of the Medical Officer of Health for Walthamstow]

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20
Number of children seen at first inspection 3717
Number of children sent by Attendance Officers, etc. 72
Number of attendances made by children 12954
Number of children sent by Head Teachers 3645
Number of swabs taken 783
Number of specimens of hair examined for Ringworm 11
(b) Tonsils and Adenoids.— Your Committee's Scheme of
treatment of these defects consists of:—
(a) An arrangement with the Walthamstow Dispensary under
which cases are operated upon there by the Honorary Medical
Officers, Messrs. Anthony, Buchan and Philip. A fee of £1 per case
for Tonsils and Adenoids, 15s. for Adenoids only, and 10s. for
Tonsils only is paid to the Dispensary. Parents are given detailed
instructions with regard to pre and post-operative care, and after
recovering from anaesthesia patients are, if necessary, taken home
by car. One of the School Nurses, who assists at the operation,
visits each case the following morning, and if there is any suspicion
of post-operative haemorrhage the patients are sent in to Whipps
Cross Hospital. Three cases were so admitted during 1930. Patients
are seen after seven days at Lloyd Park by a Medical Officer.
This Scheme appears to be as nearly perfect as Out-Patient
treatment can attain, but there is no question that such operations
should only be carried out under In-Patient conditions, the patient
being admitted the day before operation and discharged not earlier
han the succeeding day.
(b) An arrangement under which the Connaught Hospital admits
cases the day previous to the operation and are discharged when
fit. The fees are £1 Is. Od. for the operation and 8s. per day for
maintenance.
Children are treated under this scheme when the home conditions
are considered unsatisfactory.

The following Table shows the number of cases treated during the last five years:—

Year.At Dispensary.At Connaught Hospital.At Sanatorium.Privately.Total.
1930310535368
1929260368304
1928230383111310
19272626915346
1926174317212

(c) Tuberculosis.—Cases of actual and suspected Tuberculosis
are referred to Dr. Sorley, Tuberculosis Officer to the Essex County