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

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Walthamstow 1951

[Report of the Medical Officer of Health for Walthamstow]

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27
this paediatrician at any rate finds himself quite unable to answer!
This changing trend in child health is a most stimulating experience
and presents a challenge to our organised knowledge which has not
as yet been answered.
The majority of children could be dealt with at once; often
all that was required was reassurance that the deviation from the
normal which had been observed, was nevertheless within normal
limits. Occasionally pathological and radiological investigations
were needed, and these were carried out at Whipps Cross Hospital,
whose close and informal Co-operation was of very great value
to the work of the Clinic. A number of children were admitted
there for clinical investigation. In particular, all enuretic children
were offered a period of hospital stay in order accurately to observe
their bladder function, and some 20 accepted and have been
admitted. In all cases, the child's family doctor was fully informed
about the consultation and findings.

In conclusion, I should like to thank all the local General Practitioners who have allowed me to examine their patients, and the assistant Medical Officers who have done me the honour of seeking my opinion.

Under 5 Years.Over 5 Years.
New Cases5142
Total Attendances5852
Physical Defects:
(a) Asthma2
(b) Heart Disease2
(c) Other4313
Referred to Hospital1218
Discharged1122
Psychological Disorders:
(a) Enuresis723
(b) Other12
Referred to Hospital221
Discharged6

(l) Speech Therapy.—Treatment centres are provided at the
Old Education Offices, High Street, and at the Open Air School.
Miss C. M. Gregory reports as follows :—
During this last year 157 children were treated for various
defects—mostly comprised of stammerers and dyslalics.
Ninety-six interviews were given and 90 visits to school
departments to follow up the work done in the Clinic. Twenty-five
home visits were also made as a follow-up measure.
About 15 children were referred to the Ear, Nose and Throat
Clinic for nasal catarrh with slight deafness. Treatment resulted
in a tremendous improvement in their speech and general alertness.