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

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Walthamstow 1943

[Report of the Medical Officer of Health for Walthamstow]

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TREATMENT.
(a) ORTHOPAEDIC
Defects Seen at Orthopaedic Clinic in Children
Under Five Years of Age.
Scoliosis 2 Torticollis 14
Rickets:- Congenital Dislocation
(a) Genu Varum 45 of Hip 2
(b) Genu Valgum 44 Congenital Defects 18
Fes Piano Valgus 32 Miscellaneous 10
Spastic Faralysis 2
Talipes:- Total 179
(a) Equino Varus 4
(b) Calcaneo Valgus 6
Three children were admitted to hospital, and three
operations were performed.

(b) DENTAL.- The following work was done by the Education Committee's Dental Surgeons in respect of Maternity and Child welfare patients:-

1941.1942.1943.
ChildrenChildrenChildren
Mothersunder 5Mothers under 5.Mothersunder 5
Cases Treated1371041397620282
Attendances539169647205888180
Fillings185142272214347114
Extractions274442639333775
General
Anaesthetics106211215114241
Scalings67-72-102-
Dressings41561014915230
Dentures30-22-26-

Mr.L.W.Elmer, L.D.S., Senior Dental Surgeon, submits the
following report from Mrs.W.R.Thorne, L.D.S., with regard to
dental treatment under the Maternity and Child Welfare scheme:-
"A review of the work accomplished during the past year, 1943,
may have some new points of interest. The average age of the
mothers is younger; this may be due to a larger number of first
pregnancies. There is less paradontal disease, a natural
expectation in younger patients, who may also be showing the
benefit of treatment given at the school clinics. There is
still much too great a loss of the grinding teeth - some
patients having no molars at all. For aesthetic reasons,
patients value the anterior teeth more than the back ones,
and do not greatly mind having a molar or two extracted.
Too often, the result is that partial dentures are required
to give efficient mastication. These partial dentures are a
preliminary to complete loss of the remaining teeth; for,
when wearing partial dentures, the strictest care of the natural
teeth is required if further loss of these is to be avoided.
Amongst a small section of patients, there is still a distaste
for conservative treatment, particularly and almost solely amongst
those patients who have managed to avoid treatment in childhood.
Children who have received treatment at the School Clinic rarely
object to it later.
In this district where there has been the offer of treatment
for so many years, there should be improved dental health.
However, it is gratifying to note that there have been very few
really septic mouths this past year.
There has been an increase in the number of patients in 1943
over 1942, and a decrease in cases suffering from severe forms
of gingival infections; more dentures have been supplied than
in the previous year.
38.