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

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West Ham 1927

[Report of the Medical Officer of Health for West Ham]

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(c) ENLARGED TONSILS AND ADENOIDS.
At Routine Inspection 1,559 cases of this condition were
recommended for operative treatment and 827 cases from among
the Specials. The percentage among the unselected "Routines"
amounts to 8.7.
(d) TUBERCULOSIS.
At the Routine Inspection 32 children were classed as
Pulmonary Tuberculosis, in 11 of which the signs were quite
definite; 85 doubtful cases were referred for observation. Among
the specials 82 were diagnosed as definite Pulmonary Tuberculosis
whereas 21 cases came under suspicion. The total of nonpulmonary
cases was 40, of which 18 were referred for treatment.
(e) SKIN DISEASES.
Excluding ringworm of the head there were 301 skin diseases
among Routines requiring treatment, and among the Specials
4.500. 82 cases of Ringworm of the Head were found to require
treatment.
(f) EXTERNAL EYE DISEASES.
This type of disease is very prevalent among school children,
and to some extent indicates visual defects or some degree of
faulty personal hygiene in the home. There were 169 among the
Routines and 1,202 among the Specials requiring treatment, the
percentage in the former case being .9.
(g) VISION AND SQUINT.
At the Routine Inspections 1,009 children were referred for
the Oculist and 282 for Squint. This gives 7.2% as the amount
of Visual defect among unselected children. Besides the above,
754 cases of Defective Vision were found among the specially
selected cases.
(h) EAR DISEASE AND DEAFNESS.
The detection of faulty hearing is an essential part of the
Routine Examination of every child. It is carried out by a whisper
test at 20 feet for each case. The commoner causes are wax, or
middle ear disease (ear discharge being the usual symptom).
Very often Adenoids is the essential cause.
The following were referred for treatment—104 deaf children
among the Routines (roughly .6%) and 139 among the Specials.
Ear discharge is a dangerous condition and besides entailing
a varying amount of deafness may involve serious developments,
necessitating immediate operation. The findings show 154
Routines and 621 Specials requiring treatment.
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