London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Twickenham 1914
[Report of the Medical Officer of Health for Twickenham]
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TABLE IV.
| Condition. | Entrants. | Leavers. | Intermediate Group. | Total. | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boys. | Girls. | Total. | Per cent. | Boys. | Girls. | Total. | Per cent. | Boys. | Girls. | Total. | Per cent. | Boys. | Girls. | Total. | Per cent. | |||
| Total inspected. | 231 | 212 | 443 | 29.01 | 271 | 256 | 527 | 34.51 | 267 | 290 | 557 | 36.48 | 769 | 758 | 1527 | 100.0 | ||
| Clothing | Satisfactory | 225 | 210 | 435 | 28.49 | 255 | 253 | 508 | 33.27 | 250 | 281 | 531 | 34.77 | 730 | 744 | 1474 | 96.53 | |
| Unsatisfactory | 6 | 2 | 8 | 0.52 | 16 | 3 | 19 | 1.24 | 17 | 9 | 26 | 1.70 | 39 | 14 | 53 | 3.47 | ||
| Footgear | Satisfactory | 223 | 210 | 433 | 28.36 | 245 | 245 | 490 | 32.19 | 248 | 273 | 521 | 34.12 | 716 | 728 | 1444 | 94.56 | |
| Unsatisfactory | 8 | 2 | 10 | 0.65 | 26 | 11 | 37 | 2.42 | 19 | 17 | 36 | 2.36 | 53 | 30 | 83 | 5.43 | ||
| Cleanliness of Head | Clean | 229 | 192 | 421 | 27.57 | 262 | 198 | 460 | 30.12 | 254 | 243 | 497 | 32.55 | 745 | 633 | 1378 | 90.24 | |
| Nits | 2 | 20 | 22 | 1.44 | 9 | 58 | 67 | 4.39 | 12 | 45 | 57 | 3.73 | 23 | 123 | 146 | 9.56 | ||
| Pediculi | 2 | 2 | 0.13 | 2 | 2 | 0.13 | ||||||||||||
| Dirty | — | 1 | — | 1 | 0.07 | 1 | 1 | 0.07 | ||||||||||
| Cleanliness of Body | Clean | 229 | 211 | 440 | 28.81 | 270 | 254 | 524 | 34.32 | 263 | 288 | 551 | 36.08 | 762 | 753 | 1515 | 99.21 | |
| Dirty | 1 | 1 | 2 | 0.13 | 1 | 1 | 2 | 0.13 | 3 | 2 | 5 | 0.33 | 5 | 4 | 9 | .59 | ||
| Pediculi | 1 | — | 1 | 0.07 | — | 1 | 1 | 0.07 | 1 | — | 1 | 0.07 | 2 | 1 | 3 | 0.19 | ||
| Nutrition | Excellent | 92 | 99 | 191 | 12.51 | 143 | 156 | 299 | 19.58 | 94 | 117 | 211 | 13.82 | 329 | 372 | 701 | 45.91 | |
| Normal | 130 | 102 | 232 | 15.19 | 126 | 93 | 219 | 14.28 | 157 | 164 | 321 | 21.02 | 413 | 359 | 772 | 50.56 | ||
| Below normal | 9 | 11 | 20 | 0.65 | 1 | 7 | 8 | 0.52 | 16 | 9 | 25 | 1.63 | 26 | 27 | 53 | 3.47 | ||
| Bad | — | — | — | — | 1 | — | 1 | 0.07 | — | — | — | 1 | 1 | 0.07 | ||||
| Nose and Throat | No defect | 178 | 172 | 350 | 22.92 | 232 | 216 | 448 | 29.34 | 225 | 235 | 460 | 30.12 | 635 | 623 | 1258 | 82.38 | |
| Mouth breathers | 2 | 3 | 5 | 0.33 | 5 | 2 | 7 | 0.45 | 4 | 1 | 5 | 0.33 | 11 | 6 | 17 | 1.11 | ||
| Tonsils (slight) | 33 | 28 | 61 | 3.99 | 30 | 22 | 52 | 3.41 | 24 | 40 | 64 | 4.19 | 87 | 90 | 177 | 11.59 | ||
| ,, (marked) | 12 | 6 | 18 | 1.18 | 5 | 14 | 19 | 1.24 | 10 | 8 | 18 | 1.18 | 27 | 28 | 55 | 3.60 | ||
| Adenoids (slight) | 3 | 8 | 11 | 0.72 | 2 | 3 | 5 | 0.33 | 6 | 9 | 15 | 0.98 | 11 | 20 | 31 | 2.03 | ||
| „ (marked) | 7 | 1 | 8 | 0.52 | 2 | — | 2 | 0.13 | — | 2 | 2 | 0.13 | 9 | 3 | 12 | 0.78 | ||
| External Eye Disease | No disease | 224 | 203 | 427 | 27.96 | 270 | 256 | 526 | 34.44 | 260 | 282 | 542 | 35. 49 | 754 | 741 | 1495 | 97.90 | |
| Blepharitis | 2 | 7 | 9 | 0.59 | 1 | — | 1 | 0.07 | 2 | 5 | 7 | 0.46 | 5 | 12 | 17 | 1.12 | ||
| Conjunctivitis | — | — | 1 | 1 | 0.07 | 1 | 1 | 0.07 | ||||||||||
| Corneal opacity | 1 | 2 | 3 | 0.20 | 2 | 2 | 0.13 | 1 | 4 | 5 | 0.33 | |||||||
| Other disease | 4 | — | 4 | 0.26 | — | — | — | — | 4 | 1 | 5 | 0.33 | 8 | 1 | 9 | 0.59 | ||
| Ear Disease | No disease | 229 | 206 | 435 | 28.49 | 270 | 255 | 525 | 34.38 | 263 | 288 | 551 | 36.08 | 762 | 749 | 1511 | 98.95 | |
| Otorrhœa R. | 2 | 5 | 7 | 0.46 | 1 | 1 | 0.07 | 4 | 2 | 6 | 0.39 | 7 | 7 | 14 | 0.92 | |||
| ,, L. | 1 | 1 | 2 | 0.13 | 1 | 1 | 0.07 | 2 | 1 | 3 | 0.19 | 3 | 3 | 6 | 0.39 | |||
| Other disease | 1 | 1 | 0.07 | — | — | — | — | 1 | 1 | 0.07 | ||||||||
| Teeth | Sound | 71 | 65 | 136 | 8.91 | 118 | 97 | 215 | 14.08 | 85 | 91 | 176 | 11.53 | 274 | 253 | 527 | 34.51 | |
| Less than 4 | 59 | 57 | 116 | 7.59 | 119 | 138 | 257 | 16.83 | 106 | 130 | 236 | 15.46 | 284 | 325 | 609 | 39.88 | ||
| 4 or more | 100 | 90 | 190 | 12.44 | 34 | 20 | 54 | 3.54 | 76 | 67 | 143 | 9.36 | 210 | 177 | 387 | 25.34 | ||
| Other conditions | 1 | — | 1 | 0.07 | — | 1 | 1 | 0.07 | — | 2 | 2 | 0.13 | 1 | 3 | 4 | 0.26 | ||
| Heart and Circulation | No disease | 216 | 197 | 413 | 27.05 | 259 | 238 | 497 | 32.55 | 251 | 277 | 528 | 34.57 | 726 | 712 | 1438 | 94.17 | |
| Organic | 9 | 5 | 14 | 0.92 | 4 | 8 | 12 | 0.79 | 5 | 5 | 10 | 0.65 | 18 | 18 | 36 | 2.36 | ||
| Functional | 1 | 4 | 5 | 0.33 | _ | 4 | 4 | 0.26 | 2 | 3 | 5 | 0.33 | 3 | 11 | 14 | 0.92 | ||
| Anæmic | 8 | 8 | 16 | 1.05 | 8 | 6 | 14 | 0.92 | 10 | 5 | 15 | 0.98 | 26 | 19 | 45 | 2.95 | ||
| Other defects | — | — | — | 2 | 1 | 3 | 0.19 | — | — | 2 | 1 | 3 | 0.19 | |||||
| Lungs | No disease | 221 | 207 | 428 | 28.03 | 268 | 254 | 522 | 34.18 | 259 | 285 | 544 | 35.63 | 748 | 746 | 1494 | 97.84 | |
| Bronchitis | — | — | — | — | — | — | — | — | — | — | — | |||||||
| Bron, Catarrah | 8 | 4 | 12 | 0.79 | 1 | — | 1 | 0.07 | 6 | 4 | 10 | 0.65 | 15 | 8 | 23 | 1.50 | ||
| Tuberculosis | — | — | — | — | — | — | — | — | ||||||||||
| „ (suspected) | — | — | — | — | 2 | — | 2 | 0.13 | 1 | 1 | 2 | 0.13 | 3 | 1 | 4 | 0.26 | ||
| Other disease | 2 | 1 | 3 | 0.19 | 1 | 2 | 3 | 0.19 | 1 | 1 | 0.07 | 4 | 3 | 7 | 0.45 | |||
| Nervous System | No disease | 227 | 211 | 438 | 28. 68 | 266 | 252 | 518 | 33.92 | 263 | 284 | 547 | 35.82 | 756 | 747 | 1503 | 98.42 | |
| Epilepsy | — | 1 | 1 | 0.07 | 2 | — | 2 | 0.13 | 1 | — | 1 | 0.07 | 3 | 1 | 4 | 0.26 | ||
| Chorea | — | — | — | 1 | 1 | 0.07 | — | — | — | 1 | 1 | 0.07 | ||||||
| Other disease | 4 | — | 4 | 0 .26 | 3 | 3 | 6 | 0.39 | 3 | 6 | 9 | 0.58 | 10 | 9 | 19 | 1.24 | ||
| Skin | No disease | 225 | 210 | 435 | 28.49 | 269 | 255 | 524 | 34.32 | 263 | 286 | 549 | 35.95 | 757 | 751 | 1508 | 98.76 | |
| Ringworm, body | — | — | — | — | — | — | — | — | — | — | — | — | ||||||
| „ head | 1 | — | 1 | 0.07 | — | — | — | — | — | — | 1 | — | 1 | 0.07 | ||||
| Impetigo | 4 | 2 | 6 | 0 .39 | — | 1 | 1 | 0.07 | 3 | 3 | 6 | 0.39 | 7 | 6 | 13 | 0.85 | ||
| Scabies | ||||||||||||||||||
| Other diseases | 1 | — | 1 | 0.07 | 2 | — | 2 | 0.13 | 1 | 1 | 2 | 0.13 | 4 | 1 | 5 | 0.33 | ||
| Rickets | No disease | 224 | 212 | 436 | 28.55 | 270 | 256 | 526 | 34.45 | 267 | 287 | 554 | 36.28 | 761 | 755 | 1516 | 99.28 | |
| Slight | 4 | — | 4 | 0.26 | 1 | 1 | 0.07 | 4 | 1 | 5 | 0.33 | |||||||
| Marked | 3 | — | 3 | 0.19 | 1 | — | 1 | 0.07 | — | 2 | 2 | 0.13 | 4 | 2 | 6 | 0.39 | ||
| Deformities | No deformity | 230 | 212 | 442 | 28.94 | 270 | 256 | 526 | 34.44 | 267 | 288 | 555 | 36.35 | 767 | 756 | 1523 | 99.74 | |
| Deformities | 1 | 1 | 0.07 | 1 | — | 1 | 0.07 | — | 2 | 2 | 0.13 | 2 | 2 | 4 | 0.26 | |||
| Tuberculosis Non.Pulmonary | Glandular | 1 | _ | 1 | 0.07 | 1 | 1 | 0.07 | ||||||||||
| Bones and Joints | ||||||||||||||||||
| Other forms | ||||||||||||||||||
| No disease | 230 | 212 | 442 | 28.94 | 271 | 256 | 527 | 34.51 | 267 | 290 | 557 | 36.48 | 768 | 758 | 1526 | 99.93 | ||
| Speech | Not defective | 228 | 211 | 439 | 28.75 | 268 | 256 | 524 | 34.32 | 261 | 289 | 550 | 36.02 | 757 | 756 | 1513 | 99.08 | |
| Def. articulation | 1 | — | 1 | 0.07 | 1 | _ | 1 | 0.07 | 1 | 1 | 2 | 0.13 | 3 | 1 | 4 | 0.26 | ||
| Stammering | 2 | 1 | 3 | 0.19 | 2 | — | 2 | 0.13 | 5 | — | 5 | 0.33 | 9 | 1 | 10 | 0.65 | ||
| Mental condition | Normal | 230 | 212 | 442 | 28.94 | 263 | 254 | 517 | 33.86 | 258 | 281 | 539 | 35.39 | 751 | 747 | 1498 | 98.10 | |
| Dull or backward | 1 | _ | 1 | 0.07 | 7 | 1 | 8 | 0.52 | 8 | 9 | 17 | 1.11 | 16 | 10 | 26 | 1.70 | ||
| Mentally defective | — | — | — | — | 1 | 1 | 2 | 0.13 | 1 | — | 1 | 0.07 | 2 | 1 | 3 | 0.19 | ||
| Vision | No defect | 224 | 207 | 431 | 28.22 | 239 | 215 | 454 | 29.73 | 212 | 231 | 443 | 29.01 | 675 | 653 | 1328 | 86.96 | |
| Wearing glasses | 2 | 4 | 6 | 0.39 | 11 | 18 | 29 | 1.90 | 6 | 8 | 14 | 0.92 | 19 | 30 | 49 | 3.21 | ||
| 6/9 | R. | 6 | 4 | 10 | 0.65 | 12 | 23 | 35 | 2.29 | 23 | 25 | 48 | 3.14 | 41 | 52 | 93 | 6.09 | |
| L. | 4 | 4 | 8 | 0.52 | 11 | 18 | 29 | 1.90 | 26 | 30 | 56 | 3.67 | 41 | 52 | 93 | 6.09 | ||
| 6/12 | R. | 3 | 3 | 0.19 | 6 | 5 | 11 | 0.72 | 9 | 5 | 14 | 0.92 | ||||||
| L. | 3 | 3 | 6 | 0.39 | 4 | 5 | 9 | 0.59 | 7 | 8 | 15 | 0.98 | ||||||
| 6/18 | R. | 1 | 1 | 0.07 | 3 | 7 | 10 | 0.65 | 7 | 8 | 15 | 0.98 | 11 | 15 | 26 | 1.70 | ||
| L. | 1 | 1 | 2 | 0.13 | 2 | 10 | 12 | 0.79 | 5 | 11 | 16 | 1.05 | 8 | 22 | 30 | 1.97 | ||
| 6/24 | R. | 1 | 1 | 0.07 | 2 | 4 | 6 | 0.39 | 8 | 9 | 17 | 1.12 | 10 | 14 | 24 | 1.57 | ||
| L. | 3 | 3 | 6 | 0.39 | 8 | 6 | 14 | 0.92 | 11 | 9 | 20 | 0.65 | ||||||
| 6/36 | R. | — | 2 | 2 | 0.13 | 1 | 1 | 0.07 | 3 | - | 3 | 0.19 | ||||||
| L. | 1 | 1 | 6.07 | 2 | 2 | 4 | 0.26 | 3 | 2 | 5 | 0.33 | |||||||
| 6/60 | R. | |||||||||||||||||
| L. | — | — | — | — | 1 | — | 1 | 0.07 | — | 1 | 1 | 0.07 | 1 | 1 | 2 | 0.13 | ||
| Total children with defective vision | 7 | 5 | 12 | 0.79 | 32 | 41 | 73 | 4.78 | 55 | 59 | 114 | 7.47 | 94 | 105 | 199 | 13.03 | ||
| Squint, „ | R. | 2 | 9 | 11 | 0.79 | 1 | 1 | 0.07 | 5 | 5 | 0.33 | 8 | 9 | 17 | 1.12 | |||
| L. | 3 | 6 | 9 | 0.59 | 1 | — | 1 | 0.07 | 3 | — | 3 | 0.19 | 7 | 6 | 13 | 0.85 | ||
| Hearing (whisper) | No defect | 231 | 211 | 442 | 28.94 | 269 | 243 | 522 | 34.18 | 266 | 284 | 550 | 36.02 | 766 | 748 | 1514 | 99.15 | |
| 20ft. | R. | 2 | 2 | 0.13 | 5 | 5 | 0.33 | 7 | 7 | 0.46 | ||||||||
| L | — | — | — | — | 1 | — | 1 | 0.07 | 1 | 1 | 0.07 | |||||||
| 10ft. | R. | — | — | — | — | 1 | 1 | 0.07 | — | — | 1 | 1 | 0.07 | |||||
| L. | — | — | — | — | — | |||||||||||||
| 5ft. | R. | 1 | 1 | 0.07 | 1 | 1 | 0.07 | 1 | 1 | 2 | 0.13 | 1 | 3 | 4 | 0.26 | |||
| L. | — | — | — | — | — | — | — | — | — | |||||||||
| Total children with defective hearing | — | 1 | 1 | 0.07 | 2 | 3 | 5 | 0.33 | 1 | 6 | 7 | 0.46 | 3 | 10 | 13 | 0.85 | ||
Note. References to the methods adopted to follow up and obtain treatment will be given under the respective
headings.