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

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Walthamstow 1933

[Report of the Medical Officer of Health for Walthamstow]

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The following are the weekly average numbers of children away from school owing to exclusions and the non-notifiable infectious and other diseases named:—

ExclusionsChicken PoxMeaslesWhooping CoughSore Throat
193312537185235
1932111561516626
InfluenzaDiarrhoeaMumpsRingwormScabiesVariousTotal
1933149362326191105
193280241526191159

Infectious Diseases and Diphtheria Immunisation Clinic.—
The weekly clinic on Tuesdays at 2 p.m. was continued, and all
children of school and pre-school ages who had been close contacts
with cases of infectious diseases were seen prior to their return
to school.
In addition, all children discharged from the Sanatorium or after
home isolation were seen, and particular care was taken to refer
all cases with any suspicion of either rheumatism or of cardiac
involvement to the next following Rheumatism Clinic. Dr.
Sheldon's comment on this procedure is given in his report on the
work of the Rheumatism Clinic.
Thus, 32 cases were referred, and of these no fewer than 21 had
cardiac defects and were brought under early treatment. The
majority of these defects had developed after the patient's discharge
from Hospital, i.e., they were late sequelae of the infectious
disease.

The following table shows the work done at the Infectious Disease Clinic and is given because the large majority of the patients are of school age:—

Number of Clinics held in connection with Infectious Diseases52
Number of patients attended2,047
Number of attendances made3,222
Average attendance per session39.3
Number of Scarlet Fever cases discovered7
Number of Diphtheria cases discovered49
Number of virulence tests taken in Diphtheria carriers25
Number of children recommended for Rheumatism Clinic32
Number of children recommended for Ear Clinic12
Number of children recommended for Orthopaedic Clinic3

The following table summarises the work done in respect of Diphtheria Immunisation: —

Schick tested for first time267
Negative (including two pseudo neg.)157