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

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Heston and Isleworth 1925

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

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14
Weekly family income Amount per
per head, less rent. case.
Under 8,/- nil.
From 8/- to io/- 5l~
From io/- to 12/- 10/-
Above 12/- 21/-
Under the above scale, which was authorised by this Committee
since September, 1922, the number of cases of Tonsils
and Adenoids operated on, is comparatively small. Personally, I
am strongly opposed to the wholesale removal of Enlarged Tonsils,
as in my experience a considerable portion of these disappear in
course of time, particularly after a septic mouth has been cleaned
up. I am also entirely opposed to recommending the removal of
Tonsils, unless I can be assured of complete enucleation. I am
bound to admit that some of the after results which I have seen
do not agree with this standard. The mere slicing off of a
comparatively superficial piece of an Enlarged Tonsil, does not
cure the condition and with the recurrence of throat trouble, tends
to bring the operation to disrepute.
Vision.
Fresh arrangements were made with regard to the Ophthalmic
work in 1924.
Dr. Roberts, the Assistant Medical Officer, who has had
previous experience of this branch of work, took it over.
Fresh arrangements were also made for the provision of
spectacles, a contract being entered into which provides satisfactory
glasses at an all round price of 4/3 per pair. It has been found
that as a result of this, there has been less difficulty in getting
the parents to provide spectacles, owing to the comparatively small
and definite cost. The previous price of the spectacles ranged
from 8/- to 13/- per pair.
In addition there is now a definite scale of charges for the
repair of spectacles which have been damaged or broken, as
follows:— s. d.
Two new lenses 3 3
One lens 1 1 o
New frame 1 9
Solder bridge 9
Solder eye wire 5
New side ,,, 9