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

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Heston and Isleworth 1923

[Report of the Medical Officer of Health for Heston and Isleworth]

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21
of the facilities afforded by the School Clinics. Visual and dental
defects, X-ray treatment of Ringworm and the treatment of Minor
Ailments are now undertaken by the Education Authority, whilst
the operative treatment of Tonsils and Adenoids is by arrangement
carried out at the local hospitals.
MINOR AILMENTS.
Skin.
Ringworm of the Scalp.—Out of 27 cases referred for treatment
16 were successfully treated by the application of X-rays at the
X-ray Clinic, 11 refusing this form of treatment.
Ringworm of Body.— 26 cases were successfully treated at the
School Clinics. 369 children were treated at the School Clinics
for other skin diseases, including 4 cases of Scabies and 235 cases
of Impetigo.
Ear Disease and Hearing.
At the School Clinic 35 cases of Ear Disease or Defective
Hearing were seen and treated.
Ear Disease.
The treatment of discharging ears, occupies a very large
portion of the time of the Nurses at the Treatment Clinics. There
is no more unsatisfactory class of case to deal with than these
Their treatment necessitates daily careful work which can only
be carried out properly by a nurse. In many of these cases the
conditions are long standing and there is already infection of the
mastoid cells and nothing short of a fairly severe operation is
going to permanently cure the condition. So long as this
condition persists, the child is always in danger, in that any
minute, any further extension of the disease to the upper plate
of bone covering the inner ear, may lead to suppuratiou within
the brain cavity and death.
The number given 35, does not by any means exhibit the
total number of cases existing in the schools, as a large number
with a small amount of discharge, regard the matter of no
importance and are not discovered until Routine or Medical
Inspection, or some complaint brings the matter to notice. A
very large proportion of these cases suffering from ear trouble,