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

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Chiswick 1920

[Report of the Medical Officer of Health for Chiswick]

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I find that there is a tendency for parents to expect
treatment for all kinds of diseases, apart from minor ailment
In these cases the parents are advised to call in their own
doctor hut at the same time a note is made regarding the
child on the school medical card. In practically all the
cases attending at the Minor Ailment Clinic, treatment is
carried out to a satisfactory conclusion.
(b) Tonsil8 and Adenoids.
Arrangements have been made with the Chiswick hospital
to undertake the treatment of these conditions,, A fee of
£2.2.0 for six cases is charged and the children are admitted
to the Hospital and kept there for 24 hours or longer after
the operation,, The parents are required to pay a fee of 3/towards
the cost of the treatment and this fee is remitted
in the very few cases where there is inability to pay.
During the year 214 cases of defects of nose and throat
were referred for treatments 130 were treated under the Local
Authorities' Scheme, while 7 were treated elsewhere,, a total
of 137 or 64%.
(c) Tuberculosis.
The treatment of Tuberculosis in this district is carrie
out by the County Authority. The branch dispensary is
situated next to the School Clinic, and the County
Tuberculosis Officer visits once each week.
I am thus able to send children suffering from
Tuberculosis or suspected cases to the Tuberculosis Officer
for examination or treatment and advantage is taken of this
in every case.
(d) Skin Disease.
These cases are classified under Minor Ailments and are
for the most part treated at the Clinic or advised as to
treatment.
Impetigo is the principal skin disease treated at the
School Clinic and most of the cases are excluded from school
until cured. The slight cases attend at the Clinic from
school and receive the necessary treatment
Scabies.
Fifty-five cases of this disease were observed during
the year, five during the routine inspections, while the
remainder were special cases sent by parents or teachers to
the Clinic. No actual treatment is carried out but advice
is given, the parents being asked to attend for the purpose
It is found that if the advice is carried out. the cases get
well very quickly. The children are excluded from school and
must attend for inspection frequently.
Ringworm.
Two cases of Ringworm of the scalp were seen at the
routine inspections while 32 were sent specially to the
Clinic by teachers or parents.
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