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

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East Ham 1920

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

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50
the hour and date of his next attendance. To enable chronic
cases to have uninterrupted treatment a nurse is on duty at the
various clinics throughout the school holidays.
Minor Ailments.
(a) Chiefly those of the skin, eye, ear, throat and nose, and
injuries are seen and treated daily at the general clinics.
The skin cases consist chiefly of Septic Sores, Impetigo,
Scabies and Ringworm. All these, with the exception of ringworm
of the scalp, are treated at the clinic, repeated attendances being
made wherever necessary. A limited supply of dressings or ointment
is given for home use in necessitous cases.
Of the eye cases only the simpler external conditions, such,
as Conjunctivitis, Blepharitis and Corneal Ulcer are treated, the
others being referred to the Eye Specialist. The possibility of
defective vision being a causal factor in external eye diseases is
always borne in mind and the vision tested in all doubtful cases.
Acute throat cases are not encouraged to attend the clinics
owing to the possibility of infecting other children. Teachers
are asked to send such cases to a private practitioner as far as
possible. All the same, many infective sore throats do appear for
examination, and when necessary swabs are taken with a view to
examining for diphtheria bacilli. The same course is followed
in nose conditions showing crusting or ulceration.
Only external ear conditions are dealt with at the general
clinic, all others which necessarily demand detailed examination
by speculum being sent to one of the special aural clinics.
Tonsils and Adenoids.
(b) Arrangements have been made with St. Mary's Hospital,
Plaistow, whereby children suffering from enlarged tonsils and
adenoids may have them removed by operation. A fixed charge
per case is made by the Hospital Authorities, which charge is
defrayed by the Education Authority.
Tuberculosis.
(c) Any school child found to be suffering from tuberculosis
or judged to be pre-tubercular is sent to the Tuberculosis Dispensary.
It remains with the Tuberculosis Officer whether a