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

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West Ham 1950

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

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An analysis of the cases requiring treatment is as follows
Requiring
Treatment
Organic heart cases 56
Functional conditions 28
Anaemia 66
Among the school children referred to the paediatrician for opinion for the first
time during the year, 32 had a heart murmur which was considered of no significance and
could be ignored; 10 had a cardiac defect, and the majority of these had been previously
recorded by the school doctors. An analysis of the 10 cases showed that 3 were congenital
lesions, one was a severe condition and 6 were slight lesions.
The above numbers do not include cases with known heart lesions sent to the
paediatrician for further advice, e.g. fitness for games, etc. The number of children for
whom it is necessary to advise restrictions in physical activity is surprisingly small.
This is in accordance with modern views on the subject. Cases referred for observation
only were 129, 113 being found at Periodic Inspections and 16 at Special Inspections.
The 56 cases of true organic heart disease were dealt with as follows
Recommended for admission to Heart Hospital Schools Nil
Recommended for admission to Day Special Schools 2
Under observation at School clinics by area doctors 52
Out of school 2
During the year ±950, the number of children^treated as in-patients in special
heart schools was
The following figures relate to work carried out in connection with children found
suitable for Residential Heart Hospital Schools:-
Number of admissions during the year Nil
Number of discharges during the year 3
Number of cases ascertained during the year Nil
Highest number under treatment during any
one time (January and February) ^
Number of cases in Heart Hospital Schools
at end of the year 1
59