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

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Hackney 1917

[Report of the Medical Officer of Health for Hackney]

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40
Three cases of congenital syphilis presented themselves. In two of
these, "syphilitic epiphysitis" was the only sign present. In the
third, wasting and a distinct family history made diagnosis possible.
All three cases have done well on treatment by mercury (Pulv.
Hyd. C. Cret. gr. ½ n.m.).
Two cases of mongolian imbecility have been brought to the
Centre. The mothers were advised in regard to the condition, and
the children are still under observation.
One case of Erb's obstetric palsy was observed, and this has
been placed under the care of Mr. Addison, Surgeon to the Hospital
for Sick Children, Great Ormond Street, and is, I understand,
improving.
One case diagnosed as empyaemia, was sent to the Evelina
Hospital, but finally proved to be a case of pleuro pneumonia
with considerable thickening of the pleura from plastic exudation.
This child, too, has much improved in health.
One case of abdominal tubercle was admitted into the
Hospital for Sick Children, Great Ormond Street, but I regret to
learn, has since died. I am not surprised, as the disease was very
advanced when the child was brought to the Centre.
One case of renal tumour was sent to the same hospital, but
I have no knowledge of the subsequent development of the
condition.
Apart from the clinical side of the Centre, it has, I believe,
proved of the greatest assistance to the mothers in helping them
to secure a supply of milk foods for their children at a time when
there was a great dearth of fresh milk, especially in the poorer
neighbourhoods; and this also applies to the supply of sugar.
I cannot but think that this economic aspect is of the highest
importance at such a time like this.