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55f22672-fcab-4e3c-be26-ff1c2354bff9 | Not notified 17 11.49 5 25.00 0-1 month 22 14.87 11 55.00 1-3 months 12 8.10 2 10.00 3-6 months 20 13.51 - - 6-12 months 14 9.46 — — 1-2 years 13 8.79 — — 2-5 years 29 19.59 1 5.00 Over 5 years 21 14.19 1 5.00 148 100.00 20 100.00 The ratio of non-notified tuberculosis deaths to the total tuberculosis deaths was as one... |
3a558500-bafe-40a6-a0a9-d94cbcb05c32 | These Regulations provide for the compulsory discontinuance of employment of persons engaged in the handling or treatment of milk, who are suffering from tuberculosis. No case of this kind came to the notice of the Council during the year. Every milk vendor in the Borough is periodically reminded that the Tuberculosis ... |
474709dc-68ab-4fdb-b11e-2d132c205f2e | The Council's main Dispensary is situated in Maxey Road, Plumstead, but in April a branch Dispensary was opened at 179, Well Hall Road, Eltham. It might be misleading if separate figures were shown for each of these dispensaries, as most of the Eltham patients attended the Plumstead Dispensary at some time during the y... |
c62d59e0-14fb-46db-8f74-2e9399ecd825 | In this connection it is interesting to point out that 221 of the persons notified during 1931 attended the Dispensaries, which is equivalent to 78 93%. Th ecorresponding percentage in 1930 was 78.6, and in 1929, 82'78. A return of the work of the Dispensaries is given in Table No. 63. 81 TABLE No. 63. Return showing t... |
5e361b20-0d15-495d-9c56-aad375b0946f | — NEW CASES examined during the year (excluding contacts):— (a) Definitely tuberculous 106 60 5 6 6 6 9 10 112 66 14 16 208 (B) Diagnosis not completed — — — — — — — — 1 4 3 3 11 (c) Non-tuberculous - - - - - - - - 173 192 131 129 625 B.— CONTACTS examined during the year:— (a) Definitely tuberculous 5 6 1 - - - 1 5 6 ... |
fdce06aa-3e19-4cc9-93d9-7d7022f09c82 | — CASES written off the Dispensary Register as : (a) Recovered 19 19 1 3 8 4 9 5 27 23 10 8 68 (B) non-tuberculous (including any such cases previously diagnosed and entered on the Dispensary Register as tuberculous) — — — — — — — — 265 332 243 273 1,113 D.— NUMBER OF CASES on Dispensary Register on December 31st:— (a)... |
6315d254-6a31-48be-9dfa-4bc48659fbb7 | 079 (2) Number of Cases transferred from other areas and cases returned after discharge under Head 3 in previous years 6 (3) Number of Cases transferred to other areas, cases not desiring further assistance under the scheme, and cases " lost sight of " 43 (4) Cases written off during the year as Dead (all causes) 129 (... |
28eab919-5cde-45e6-a185-af38bdd0eb52 | examined 677 (b) X-ray examinations made 525 in connection with Dispensary work (11) Number of " Recovered " cases restored to Dispensary Register, and included in A (a) and A (b) above 11 (12) Number of " T.B. plus " cases on Dispensary Register on December 31st 351 Number of Dispensaries for the treatment of Tubercul... |
e9e3abc3-3cc9-4a57-b3ce-208b9bafddb8 | During the year 29 Finsen Light treatments and 126 Ultra Violet Ray treatments were given, and 146 Pseudo-thorax Refills were carried out. All the X-Ray examinations were carried out at the War Memorial Hospital. Denial Treatment. Dental treatment is carried out under the Council's scheme at the School Clinic, Brewer S... |
ab90274b-fc85-4a08-b196-25443e1da1fb | Sputum Examinations. During the year 677 specimens of sputum were examined at the Dispensary. Of these 114 were positive and 563 negative. Facilities for general practitioners are provided at the Woolwich War Memorial Hospital and 347 specimens were examined during the year, 48 being positive and 299 negative. Extra No... |
68a9a09e-f22b-4cc0-9711-cb89d540a891 | During the year arrangements were made with the local Nursing Associations for the nursing of cases of tuberculosis, this disease being added to the list of those already approved under other aspects of the Council's work. Payment is made at the rate of Is. 3d. per approved visit, but the London County Council limited ... |
96f7a5c5-da51-422f-a200-e2f99661445f | Insured 113 76 120 10 Uninsured 42 39 50 4 Children 50 22 18 — 205 137 188 14 QO 85 These figures refer to 398 patients and the monthly admissions were as follows : January 46 July 53 February 54 August 40 March 32 September 46 April 57 October 44 May 45 November 51 June 33 December 43 The Committee undertakes all the ... |
fedf18cb-c3ad-464c-8742-9f0c309e69a0 | It supervises the provision of extra nourishment under the Council's scheme. In all, during the year, it dealt with 943 applications. ARRANGEMENTS FOR DISINFECTION AND DISINFESTATION AND THE EXTENT OF THEIR USE. Disinfection. The methods followed by the Department in disinfection and disinfestation were fully described... |
f48b7067-1838-4673-bd5c-655711094ba0 | Employers Miss L. Ames, Miss Fletcher, Mr. C. N. McLaren. Friendly Societies Mr. W. A. Lyon, Mr. A. J. Rourke, Mr. F. Smyth. London County Council Dr. H. R. Kidner, Miss E. Faulkner. London County Council (Public Assistance Committee) Miss C. K. Lambeth, Mrs. E. M. Newman, Mrs. J. Wood. London Insurance Committee Mr. D... |
0d8fc9ef-ba79-4cf0-94f6-8e087d6c8f80 | United Services Fund Captain W\ A. Hesketh. Ex-Officio. Voluntary Visitors Miss L. Bloxam, Mr. G. F. Brazier, Miss D. A. Frye, Miss L. MacDermott. Tuberculosis Officer Dr. F. J. C. Blackmore. Medical Officer of Health Dr. J. MacMillan. co 00 87 station in order to bring it up to date. Briefly, in cases of infectious di... |
8916319b-6344-418c-8c7c-2604f5e23096 | Contacts are excluded from school in accordance with the regulations of the London County Council. The disinfecting station is sometimes used for special disinfection at the request of the inhabitants. A small charge is made for these disinfections and during the year 40 such disinfections were carried out and fees amo... |
f0bf616d-f364-4c98-9788-215412302115 | Disinfestation of adults is carried out at times when the children are not there. The following Table shows the number of persons cleansed each year since 1927 :— TABLE No. 66. Year. Children. Adults. Grand Total. Boys. Girls. Total. Males. Females. Total. 1927 379 1852 2231 34 20 54 2285 1928 377 1584 1961 22 17 39 20... |
4c6a153e-532f-4683-b267-09ae680593a3 | go go 89 SECTION IX. MATERNITY AND CHILD WELFARE. The Council's Maternity and Child Welfare scheme makes comprehensive arrangements for the care and comfort of expectant and nursing mothers, and for children under five years of age. Its various ramifications were set out in detail on page 99 of my Annual Report for 193... |
bb48d4fa-a1a3-4c85-b709-84c309bd7cc5 | In addition, the services of two Consultants are available, one for the Artificial Sunlight Clinic and one for consultation in connection with cases of Puerperal Sepsis and difficult obstetrical conditions. The dental staff— a dentist and an anaesthetist—are part time and are appointed by the School Treatment Committee... |
afbcf30a-95db-4aff-968d-eaaf17995ca2 | Subsequently, between the tenth and fourteenth day, a visit is paid to the home by the Health visitor who decides on her first visit the necessity for subsequent visits. It may be stated, however, that, broadly, the general basis of visiting is as follows:— three visits during the first year and one visit in each subse... |
4bfb72c7-35d2-46ab-a438-646f62f21ff0 | 67. Births—First visits 1,893 „ Revisits 12,993 Infant deaths investigated 49 Still-births investigated 26 Expectant mothers—home visits 795 Infectious diseases :— Ophthalmia Neonatorum—First visits 7 ,, ,, Revisits 5 Measles—First visits 31 ,, Revisits 15 Puerperal fever—First visits 8 ,, ,, Revisits 2 Puerperal Pyrex... |
7c86bf42-0bc9-49cc-8144-eab862150e7a | The Work of the Welfare Centres. These are eight in number and are now all municipal. Infant welfare sessions are held at all of them and at three of them ante-natal sessions are held twice weekly. At the end of the year 6 antenatal sessions and 21 infant consultation and weighing sessions were being held each week. 91... |
fd2f877e-ae55-4cc3-a18a-7aa426149a1e | Sessions are held once weekly, on Wednesday afternoon, one of the Council's medical officers attending at each session. In tabular form below are shewn detailed statistics for 1931 and the consolidated statistics for the previous year. TABLE No. 68. Centre. No. on Roll of Centre. No. of Attendances. Mothers. Children. ... |
24757654-0852-4611-b382-0fbff2fd1215 | Luke's — 38 323 — 49 2,048 North Woolwich 1 25 133 2 42 762 Beresford Street 28 50 126 48 127 888 Totals 1931 1,163 1,259 5,128 2,757 2,639 36,103 ,, 1930 1,218 1,513 4,728 2,714 3,453 35,220 The next Table shews the number of children classified by year of birth and the number of attendances made by them during the ye... |
8629cff1-6e92-4d0a-adb1-858fe10f4bfb | 1931 501 345 222 112 123 95 32 31 1,461 1930 501 328 324 118 99 90 39 36 1,535 1929 287 169 176 88 62 55 28 25 890 1928 188 126 140 57 38 36 17 22 624 1927 115 75 108 35 35 34 15 7 424 1926 48 47 54 17 8 13 2 5 194 1,640 1,090 1,024 427 365 323 133 126 5,128 Attendances. 1931 3,518 2,759 1,698 1,046 1,512 843 219 172 1... |
b6d2e7ec-70ca-4d6f-a697-6955fd89c56e | 815 715 332 369 14,989 1929 1,369 916 780 645 457 237 109 198 4,711 1928 790 606 449 316 238 102 66 116 2,683 1927 401 254 266 193 162 120 34 26 1,456 1926 119 118 104 77 39 31 2 7 497 10,540 8,028 5,869 3,745 4,223 2,048 762 888 36,103 These figures, which do not include the attendances at the Special Toddlers Clinic,... |
c3b6ce72-ac5e-49b9-be32-30196ea22b41 | Of these attendances, 23,135 were made by children under one year of age, and 12,968 by children over that age. As the estimated number of children under one at the middle of the year was 2,063, and over one year of age 8,444, these figures demonstrate quite clearly the relatively small number of attendances made by ch... |
438abbb1-e06c-4152-a711-497af3fc608f | (b) The child's age was taken on the day on which this note was made, (c) At the end of the period the results were summarised for the whole Borough and the appropriate percentages worked out. TABLE No. 70. Feeding of Infants attending Welfare Centres—15th June to 25th July, 1931. Method of Feeding. AGE IN MONTHS. 0-1 ... |
e79b18c9-fcd4-441f-aef1-0ab0535214ea | Breast 36 85 75 49 42 30 31 20 15 383 5 1 - 389 Breast and Hand 3 7 12 11 9 10 4 15 17 88 13 7 1 109 Hand 10 11 38 32 23 36 38 28 41 257 49 54 65 425 49 103 125 92 74 76 73 63 73 728 67 62 66 923 Percentages: Breast 73.5 82.5 60.0 53.3 56.7 39.5 42.5 31.8 20.5 52.6 7.5 16 . |
983391e6-4708-4a4f-a6d3-00e73eb99a14 | 42 1 Breast and Hand 6.1 6.8 9.6 11.9 12.2 131 5.5 23.8 23.3 12.1 19.4 11.3 1.5 11.8 Hand 20.4 10.7 30.4 34.8 31 1 47.4 520 44.4 56.2 35.3 731 87.1 98.5 46.1 Artificial Sunlight Clinic. This Clinic was opened in October, 1927. The total number of patients treated during the year, including 79 whose course of treatment ... |
ba7cfd13-0a0f-4db9-8a07-c8cd26fda596 | The clinic is under the medical supervision of Dr. J. E. A. Lynham, who has furnished the following report on the year's work:— " The number of patients referred for treatment was larger, the increase being mostly in the class of patient who was suffering from general debility. A considerable number of these responded ... |
086611ea-0b9b-4c75-89f2-60a78fa32fb5 | 94 Amongst catarrhal children, there were a few failures, but the greater proportion of these were found to respond to gradually increasing doses maintained over several months, and it seems reasonable to infer that much benefit can result if attendance is regular and kept up until the child is seen to be in thoroughly... |
87f4e7c9-80d4-4fd5-a512-3d745e0e255e | Their rapid improvement leads to the conclusion that home conditions were partly responsible for the state of health which the sunlight alone was not adequate to combat. It is beyond dispute that, in a district where there is a considerable poor population, the Artificial Sunlight Clinic is of practical service to the ... |
c7323a5c-6b3c-4388-9463-5e22340d6528 | Treatment not yet complete Rickets 25 89 114 36 20 8 26 24 Anaemia, Debility and Malnutrition 22 151 173 39 42 8 35 49 Catarrhal Children 12 33 45 15 8 2 10 10 Septic Conditions — 20 20 18 — 1 - 1 Nervous Children 1 4 5 1 1 1 2 Enlarged Glands 2 16 18 5 5 1 1 6 Miscellaneous Nervous Conditions 2 2 1 1 - — — Miscellaneo... |
c1061b6a-e017-46cf-ab12-824308678c63 | The special Toddlers Clinic, which was opened in May 1930, has been very successful, and no difficulty is now experienced in getting the mothers to bring their children for regular yearly examination. During 1930 two sessions were held weekly and from the 1st April, 1931, the number was increased to three, one at Woolw... |
32c724f4-ccf2-4d8a-ba6b-00e4c3cdb7b0 | Children requiring medical or surgical treatment for certain minor ailments are referred to the School Clinics at Brewer Street, Woolwich, or the Eltham Health Centre, to a private practitioner, or to a hospital. During the year 135 were sent to these clinics, and for each case the Council paid 5s. Od. Children referre... |
b79bf93a-14f9-4e85-baab-7468cd810391 | Expectant mothers 91 159 Nursing mothers 29 74 Children under 5 293 336 413 569 Dentures are provided free, at part cost, or at cost price, according to ability to pay, and payment is spread over many weeks. In consequence, the income received during the year includes money received in respect of dentures supplied in p... |
ee46dbbc-b99f-4b01-b16a-2ed7a34f15af | 6d. per attendance for any other form of treatment. The cost of these services for the year was £214 15s. Od. Only cases recommended by the Medical Officer of Health are included in this scheme, and payment is only made for the number of attendances approved by him. In detail, the children referred to the Clinic requir... |
4ebc664d-629a-45cc-91ac-e10aa1cf78ba | Talipes (Club Foot) 2 7 9 9 — „ (Flat Foot) 1 8 9 9 - Rickets— General 4 24 28 19 9 Genu Valgum (Knock lknee) 5 35 40 31 9 Genu Varum (Bow Leg) 1 26 27 13 14 Infantile Paralysis 1 1 2 2 — Erb's Paralysis 2 2 4 3 1 Bad Posture 1 8 9 7 2 Muscular Weakness 4 9 13 11 2 Mouth Breathers 4 — 4 4 — Injuries — 1 1 1 — Other Def... |
5616bc01-c5be-4849-9721-f4be989c98aa | In Section III of the Report, the general scheme of nursing assistance is described in full. The extent to which these services have been made use of in respect of specific diseases is dealt with under these diseases, q.v. :— 97 Institutional Midwifery. (1) British Hospital for Mothers and Babies. There are 42 beds in ... |
dd3927e4-0a56-42bb-b7f1-191001643ce1 | R. S. G. Hutchings, the Secretary, for the following information regarding the admissions to the maternity unit during the year. The number of children born in the Hospital was 155, and 28 mothers were admitted for ante-natal or emergency treatment. The number of attendances made at the ante-natal clinic was 1,000. The... |
1256f31a-7dbe-40e0-804f-7abe515b11c6 | The necessary arrangements for this treatment are made by the Woolwich Invalid Children's Aid Association, to whom the Council give grants-in-aid for this purpose. During the year such grants were made in respect to 43 children, the total cost of whose convalescent treatment amounted to £397 10s. Od. The Council's gran... |
41197f1b-dad7-437a-a408-8e99a97e6191 | The approximate cost of these services during the year was as follows:— Dried milk, £1,448 5s. 8d. Fresh milk, £1. Dinners, nil. Collective Teaching of Expectant and Nursing Mothers.— In April, the special class in mothercraft which had been held every Wednesday afternoon at the Plumstead Welfare Centre was transferred... |
7939c523-bbe5-4ed8-9cd6-eaa1962cdae5 | The extent to which they were made use of is reported on fully in that part of the Infectious Disease Section of the report which deals with the notification of these diseases. Obstetric Complications in Private Practice. In September, 1931, the Council arranged for the services of Mr. Harold Taylor, F.R.C.S., the Coun... |
5f35d8ac-7890-4517-8f37-c73ad6daa964 | They are supplied free, half cost, or cost price, according to the family income, the Council's economic scales being used as tests of necessity. The local midwives speak very highly of these services. During the year 76 applications were received ; 71 were supplied —29 free, 8 at half cost, and 34 at cost price. Day A... |
bdfe06c0-94a7-415d-8d45-bf234845b18c | The midwive accordingly loses her fee if the patient accepts the advice of the clinic doctor. The Council thought that it would be advisable in these circumstances to make a payment by way of compensation to the midwife and fixed this at 10s. Od., subject to the following conditions being complied with :— (1) That the ... |
867caec5-8f88-494d-8f65-fd40929880bc | 99 Convalescent Home Treatment for Expectant and Nursing Mothers. In June, 1931, the Council decided to make provision under their maternity and child welfare scheme for the convalescent treatment of expectant and nursing mothers. The scheme included payment of railway fares where necessary. It was resolved also to rec... |
a475826e-c8e4-43ce-a947-2a129a574ec9 | The local authority may, in case of desertion of a child who is an orphan, administer the payments on behalf of the child. No case under the provisions of this Act was dealt with during the year. 100 APPENDIX I. REPORT ON THE MEDICAL INSPECTION OF TODDLERS BY MARGARET EMSLIE, M.B., CH.B. The number of cases seen at the... |
0944ffb7-9ec3-4b1e-9ebe-431fa3372c3e | There was noted, also, a tendency to make use of the Clinic for re-inspection purposes, within the period of time suggested by the medical officer, but cases requiring frequent observation were, wherever possible, referred to the ordinary child welfare sessions. The response in regard to treatment, where recommended, w... |
b90d3b42-110c-4556-a0cb-9028ec207c53 | The reasons for which patients attend the clinic are diverse, and have to be considered, but the initial questions put in each case are framed so as to give information of a general and accurate character bearing on the child's life and environment, without impressing the mother that she is being asked for more than th... |
aa3c19fe-cbf6-41e6-bdc8-9a09aebf8f14 | Opposed to these, but equally "coy," are the hyper-conscious women visiting a centre for the first time, who, once having crossed its threshold, arm themselves for a lengthy, intimate, unhurried conversation about the child that will cover the whole gamut of its life history at a swoop, taking heed of all qualities, vi... |
dc29c388-e6db-43af-9c2a-c2419aefcbf6 | The child obviously cannot be considered usefully in parts, nor is prevention likely to succeed if it is applied under one or two headings only, of possible defects, that leave aside the larger questions of environment. The procedure with regard to the arrangement of examinations was as described last year. The birthda... |
2419683f-cb44-43a5-8632-3f486748dde0 | Age last Birthday Total 1 2 3 4 1 2 3 4 Nutrition— (a) Excellent 2 68 18 3 2 65 14 8 180 (b) Normal 6 102 69 38 3 109 72 31 430 (c) Sub-normal — 31 48 30 4 29 46 41 229 (d) Bad — 2 — 1 — 1 2 2 8 Muscular Tone— (a) Excellent 2 75 57 42 3 69 53 44 345 (b) Good 5 121 77 29 5 125 77 38 477 (c) Sub-normal 1 7 1 1 1 10 4 — 2... |
05368adc-79ad-4efb-aac4-e0f4f705f901 | 11 9 3 1 13 13 7 57 (c) Not recorded 1 12 7 3 — 9 1 1 34 Cleanliness— (a) Excellent 7 179 112 60 8 171 113 73 723 (b) Fair 1 24 23 11 1 31 20 9 120 (c) Dirty — — — 1 — 2 1 — 4 Skin— Impetigo - 3 2 1 - 1 3 1 11 Urticaria 1 12 12 3 - 17 7 - 52 Other skin conditions — 2 1 3 Eye— External diseases - 2 2 - - 7 7 1 19 Squint... |
b02f5ddf-be9f-4406-a9e4-e4b398098fb4 | 2 3 1 5 2 2 19 Congenital deafness 1 — 1 Nose and Throat— Enlarged Tonsils| 4 86 68 32 3 94 66 35 388 Enlarged Tonsils and Adenoids Adenoids Teeth— Caries - 21 30 29 1 21 39 40 181 Hypoplasia - 5 2 1 - 6 3 1 18 Malocclusion - 5 2 1 1 8 6 2 25 Oral sepsis - I 2 — - 1 1 - 5 Heart and Circulation— Heart disease— (a) Funct... |
d776ece3-1bb5-4023-9031-5a713badc314 | Lungs— Bronchitis 1 11 7 2 - 10 8 5 44 Asthma — — — — — — 1 — 1 102 MEDICAL INSPECTION OF TODDLERS, 1931—continued. Disease, Defect or Condition. Boys : Age last Birthday Girls : Age last Birthday Total 1 2 3 4 1 2 3 4 Nervous System— Mongolian idiocy - - - - - - 2 2 4 Minor retardation (speech, etc.) — 7 4 — — 6 4 — 2... |
87fdd2df-428c-451b-a324-55a8f7153d27 | 46 42 15 235 Alimentary System— Worms - 3 5 3 - 4 3 5 23 Constipation — 3 5 6 — 9 12 4 39 Colitis - 1 - - - - - - 1 Acidosis - 4 2 1 - 1 4 3 15 Coeliac disease — 1 - — — — — — 1 Genito-urinary System— Enuresis (non-behaviour) - - 1 - - 6 1 - 8 Pyelitis — — 1 — — 2 2 — 5 Rickets— Past or Present 4 66 37 16 4 57 36 11 23... |
501a8328-134f-44ec-b206-2c2994153a33 | 1 - 2 - 2 - - 6 Rheumatic symptoms — — 1 1 — 3 2 2 9 Scurvy — 2 — - - - - — 2 Haemophilia — — 1 - — - - — 1 Acrocyanosis — — — - - - 1 — 1 Pituitary dystrophy — — 1 - — 1 1 — 3 Albinism - - 1 - - - - - 1 Umbilical hernia — — — - — 1 1 — 2 Total Children Examined 8 203 135 72 9 204 134 82 847 These results show, in rega... |
be9c2f40-0acd-4315-bd49-4b56a1b5afe9 | Conditions that might roughly be associated with poor feeding show a minor increase; e.g., sub-normal nutrition was noted in 28 percent, of cases in 1931, as compared with 26 percent, in 1930; anaemia in 26.5 percent., as compared with 20 ; rickets in 27 per cent., as compared with 22 (total cases). This variation, how... |
ee63b456-2b6a-4006-ac90-1f8e53a98b68 | The incidence of anaemia is much higher this year at the age of the earliest inspection, namely, 2 years, in both boys and girls, but it is practically 103 unchanged at the age of 3, the peak period last year. The figures for the age of 4, again, show an apparent increase although the small numbers examined at this age... |
68bba9fb-7230-4450-a912-f3980bfb8d3f | It should also be noted that the incidence of dental defects at the age of 2 this year was doubled (16.3 per cent., as compared with 8), while remaining identically the same amongst the older groups. The standard adopted for the diagnosis of rickets was the presence of two of the generally recognised early bony signs, ... |
d1183dcb-39f5-4b99-8f02-4f7f7fd7949c | While the exact significance of these findings cannot be assessed solely by clinical examination, the impression gained of the prevalence of anaemia and rickets and the rates shown for dental caries amongst the groups examined, under varying social conditions, would seem to point to an operating cause of a very general... |
aaaae907-2518-4b8e-99ba-88393fdcfee7 | As these conditions do not necessarily end in the pre-school years, nor even when their outward symptoms are (apparently) successfully submerged, an attempt was made to submit them to analysis with a view to discovering (a) the situations in which such nervous conditions tended to occur, and (b) the extent to which the... |
250f8e43-0e92-4ee2-bc49-c3efd60c1f37 | It is, as a matter of fact, accepted that it is at this moment, in the whole of life, that nervousness, as experienced in adult life in all its many-coloured guises, is created. It is also known that the creating factors are mostly ignorance, a failure to appreciate the vital forces playing on the childs mind in evolut... |
a4a0ee4c-eda4-474e-aeda-8d9729c29de0 | No apology is needed, therefore, for examining nervousness present in the pre-school years, even slight in amount, since it is here most interesting to the observer, most accessible to treatment, and a much less costly proposition for all concerned if it can somehow be prevented from becoming an established "defect." I... |
faaae4a3-c65c-4a4e-8218-f6bafc50833f | All cases examined in the two years 1930 and 1931 were included in these groups, excluding only certain North Woolwich cases for whom such regular inspection and classification was not practicable. The classification 18 as follows:- 104 "Only Children" Cases.— Under 3 years of age. Over 3 years of age. "Big Interval" C... |
b32ed32a-c21b-4662-89d6-213cd3ddad6f | This includes naturally, many cases where replacement occurred, as it does in the "ordinary" family without symptoms, i.e., cases where children were born at shortish intervals but where the division of attention was not sudden or such as to produce a particular sense of loss in any one individual. The "Replacement" gr... |
3f762988-6490-49b2-a394-0271c6d9ae90 | The following Table shows the total cases grouped according to the classifications mentioned above:— Table II. District. Only Children Big Interval Children. Replacement cases with symptoms. Special Cases. Others. Total. Under 3 Over 3 Town Hall 80 45 41 38 5 158 367 Eltham 48 34 53 29 7 329 500 Plumstead 21 16 17 13 3... |
d27924f7-02f0-4197-b186-1157c20d5faf | Sleep difficulties (refusal to go to bed, wakefulness, night terrors, persistent desire to sleep with parents, etc.). Child still on breast, bottle or dummy over the age of 2 years. Frank mismanagement as seen at examination (obvious spoiling, threatening, deceiving, spanking, etc.). Lack of appetite, vomiting attacks,... |
1097b4b1-7521-4d36-a96e-c7600dae1bd1 | 33 55 16 17 121 Acidosis syndrome 30 56 18 12 116 Enuresis 21 32 4 13 70 Frank mismanagement 34 22 3 6 65 Sleeping difficulties 30 15 3 4 52 Thumb-sucking 13 23 5 6 47 Misery complex 15 7 3 6 31 Over-dependence; mother anxiety 14 8 2 3 27 Stammering, stuttering 4 5 2 2 13 Still on breast, bottle, dummy 2 8 — — 10 Bad h... |
a350027e-0052-4b33-9465-00131a8b6371 | Under 3 Over 3 Town Hall 21.8 12.2 11.l 54.9 Eltham 9.4 6.8 10.6 73.2 Plum stead 18.3 13.7 14.7 53.3 New Eltham 34.4 14.7 9.0 41.9 All districts 17.0 10.2 110 61.8 Further reference is made to this point later. The cases showing nervous symptoms may now be examined in relation to district incidence:— Table V. District.... |
5fcba255-ab5d-4a73-a3a8-7cd94b462764 | Under 3 Over 3 Town Hall 47 24 26 37 4 44 182 Eltham 30 21 36 29 5 101 222 Plum stead 8 8 7 13 2 13 51 New Eltham 24 12 7 15 7 65 Totals 109 65 76 94 11 165 520 106 The percentage of cases showing nervous symptoms in different districts therefore varies as follows (Tables II. and V.):— Table VI. District. Percentage of... |
b56a08a8-a5ca-43da-a29e-38384f898668 | Sleep difficulties. Fright : Temper Complex Enuresis. Backward ness. "Misery" Complex. Thumb sucking. Town Hall 3—4 1 3—4 - - 2 - - Eltham 2—3 — — 1 - 2—3 - - Plum stead 1 — — 3 - 2 - - New Eltham - — — 1 3 2 — — Observing next the frequency of symptoms according to type of family :— Table VIII. Only Children: Big Inte... |
0e6f6a32-1bf9-41c7-8f82-4a93c828fe4e | 28 6 17 18 52 121 Acidosis syndrome 19 27 16 25 29 116 Enuresis 16 6 6 16 26 70 Frank mismanagement 17 11 16 9 12 65 Sleep difficulties 14 9 6 10 13 52 Thumb-sucking 7 7 4 10 19 47 Misery complex 1 1 3 19 7 31 Over-dependence: mother anxiety . . |
519b3e59-7d38-4861-9da4-533841c37eb5 | 10 8 5 — 4 27 Stammering, stuttering 3 — 2 3 5 13 Still on breast, bottle, dummy 3 — 1 1 5 10 Bad habits 1 1 1 — 3 6 145 88 99 125 230 687 From these Tables it is evident that "nervousness,” as indicated by fright, shyness, temper on examination, minor retardation (backwardness) and the acidosis (no appetite, constipat... |
efcdedaf-3471-4441-998d-a3898929c199 | In the child separated by an interval of more than 4 years from the preceding 107 child, general nervousness comes higher than backwardness and acidosis, but the symptoms of parental mismanagement (spoiling, disobedience, etc.) are equally prominent. This is the only group amongst the groups considered (apart from the ... |
ad843ee0-4f0d-4825-ad68-49702b96b221 | In the general group, i.e., families where the interval between the children is small, nervousness, backwardness, and acidosis appear again in that order, but enuresis once more appears high on the list. Here the factor of replacement, as has already been suggested, must very often come in, though it cannot be observed... |
1fe285c3-347a-4147-9c8b-d313c6d6cd9f | There is no outstanding indication of any direct relation between the type of district and the occurrence of any special type of symptoms, apart from the question of the type of family occurring in different districts, but confirmatory observations may be made on this point by further reference to Table IV. 1. The Only... |
40c037ae-8167-475a-8cb1-b3ea83f9615b | But, excluding the only and big interval children special groups, the percentage of total cases showing nervous symptoms equals 40: and, excluding all the special groups, the percentage equals 30, so that the incidence rate of symptoms in the only children under 3 as compared with the " ordinary " child is, approximate... |
10294790-007d-4960-b5bc-a99ed8524c57 | Therefore, the risk of nervous difficulties with the only child shows no increase after the age of 3, amongst the cases examined up to school age. 2. The Big Interval Child. (a) Nervous symptoms incidence. The percentage of " big interval " children showing nervous symptoms equals 63.3. Percentage of all other children... |
cfea77fb-facb-447f-98bd-0bed5a4b2dde | Average interval shown in " big interval " cases with nervous symptoms equals 6.7 years, i.e., no direct relation is shown by these figures between the length of interval and risk of nervous defect developing, but compare further below. (c) Big interval child compared with only child. The incidence rate of nervous symp... |
e040a4bd-01d4-4738-ad00-961997702e09 | Some would call it too generous a standard since it must include many cases where the interval between pregnancies is simply accidental or due to illness or other unavoidable cause, and therefore cannot be used to differentiate the effects, if any, of deliberate spacing of the family. The longer the interval chosen the... |
61fe6ef7-b389-4ebe-9601-a14345149537 | The first four years as a critical phase in the mind development of the child, comes into question here, not in regard to the nervous children we have been considering, but to those others, equally important, who go before them and who have not previously come under our attention because they have gone to school by the... |
41208891-f38b-4a19-b498-2320ccd91ca7 | It is only reasonable to suppose that they would be as susceptible to the risks of the " only child " situation, and the child " replaced," as the general cases in the groups examined, so that the effects of spacing cannot be held to be limited to the effects on the aftercoming child, as measured in the statistics abov... |
9e4c4f11-595e-45fa-82cc-c844df3a74c8 | 4 years and upwards 120 76 63.3 6 „ „ 72 47 65 8 „ „ 38 28 74 10 „ „ 17 14 82.5 109 From this it is clear that the risk of nervous defect, as seen in the cases examined, increases progressively with the length of interval between births. With the longer intervals the incidence rate of symptoms is very clearly in excess... |
252f9c21-cb00-4c28-b5c6-b9869166ab86 | The total number of these cases examined was 16, the total number showing nervous symptoms was 11. The figures are too small to allow of any general deductions but they suggest that children placed in the abnormal surroundings of a foster home, deprived of the advantages of the family " unit," or placed by circumstance... |
0e71085f-134e-492c-891a-932b193493f3 | This would appear to show that symptoms occur to less than half the extent in what might be called the "normal" family as compared with the special cases that have been analysed, representing situations in which opportunities for maladjustment are commonly believed to occur. The types of symptom, also, that represent n... |
299da324-62b4-4eba-afe3-160983af91d8 | As this report cannot be a symposium on "the family," and includes only one small aspect of the difficulties of its planning, and states nothing on the other side, it will be better if the subject is now left with this single remark—that nothing probably could be more difficult for the conscientious parent than the pro... |
c6717b76-403b-4162-a322-6056020b53e2 | Mean temperature. Jan. 10 39.1 26.1 33.2 — 4.8 44.9 1 001 „ 17 52.0 29.5 40.9 + 2.8 44.0 4 0.12 „ 24 51.0 30.9 44.1 + 5.3 44.0 5 0.34 „ 31 45.1 25.6 390 — 0.5 44.2 6 0.44 Feb. |
2b33d101-c354-451c-88c2-6e6128739aae | 7 46.5 26.5 36.3 — 3.3 43.5 6 0.35 „ 14 52.4 28.1 41.0 + 2.1 43.2 6 0.38 „ 21 48.1 30.1 38.1 — 1.5 42.9 4 0.24 „ 28 55.2 28.0 41.5 + 1.5 42.8 3 0.44 Mar. 7 43.6 23.9 34.4 — 6.3 42.6 2 0.11 „ 14 54.9 210 33.9 — 7.2 41.8 1 0.05 „ 21 68.9 29.0 470 + 51 41.7 1 0.01 28 61.7 33. |
65b9a740-fdd7-406c-97ba-3f5a35b1ec42 | 6 45.3 + 2.6 43.2 2 0.15 April 4 550 30.9 42.8 — 2.5 43.7 4 1.14 April 11 66.3 37.1 490 + 2.9 44.3 3 0.32 „ 18 69.4 33.0 47.1 + 0.2 45.5 5 0.62 , 25 62.1 36.0 45.5 — 30 45.8 6 1.27 May 2 64.7 37.7 49.3 †0.3 46.3 3 0.52 9 68.1 39.1 51.0 + 0.5 47.1 4 1.10 „ 16 70.2 41.2 55.2 + 2. |
2673b4ce-3112-47a5-82c2-6d14930e36ee | 9 48.4 2 0.48 „ 23 68.3 40.6 50.2 — 3.8 493 5 0.88 „ 30 73.2 42.6 58.6 + 2.6 50.2 5 0.41 June 6 73.1 47.0 59.1 + 1.1 51.7 3 0.50 „ 13 77.6 5.10 61.2 + 3.0 53.0 3 0.28 „ 20 79.9 46.6 58.6 — 0.5 54.2 3 0.35 „ 27 79.5 41.4 60.2 — 0.9 54.8 1 0.09 July 4 79.7 47.2 630 + 1.4 55. |
dc32b151-a51a-4915-ab16-f52a3c7d0f5f | 2 1 0.01 July 11 78.9 49.1 62.8 + 0.4 55.9 1 002 „ 18 81.2 53.5 61.5 — 1.8 56.4 5 0.91 „ 25 79.9 47.7 61.0 — 2.0 56.5 3 0.67 Aug. |
9ba36c44-253b-4b01-819a-3c5e83642ddf | 1 75.0 50.2 60.2 — 21 57.0 4 0.86 8 79.2 50.1 63.8 + 1.6 57.4 6 3.01 „ 15 73.9 45.9 58.2 — 4.2 57.9 6 1.60 „ 22 74.7 49.3 59.7 — 20 58.0 5 1.54 „ 29 69.0 41.7 55.2 — 5.4 57.6 1 0.06 Sept. |
038302fb-36f3-4484-9126-4ed292df6ffc | 5 70.1 50.7 57.9 — 1.8 570 6 0.77 „ 12 64.9 35.1 500 — 8.6 56.7 1 0.43 „ 19 71.5 40.7 55.9 — 1.4 55.7 3 0.19 „ 26 63.9 43.3 52.3 — 3.2 55.5 5 0.18 Oct. 3 68.7 45.8 54.9 + 0.6 55.0 2 0.04 11l APPENDIX II.— continued. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average t... |
dce36f3f-d47c-4c53-a0a1-c18dc9538afc | Lowest during week. Mean temperature. Oct. 10 66.4 44.2 56.6 + 4.4 55.1 3 0.40 „ 17 67.9 36.7 52.1 + 1.9 54.9 1 0.01 24 59.4 27.0 45.2 — 3.4 53.9 — — „ 31 52.6 240 40.8 — 6.6 52.1 2 0.29 Nov. |
89fc0876-4a0f-414c-824f-aa8c3c8fd14c | 7 61.3 36.9 51.5 + 5.2 51.1 2 0.52 „ 14 57.9 370 48.0 + 4.0 50.7 4 0.96 „ 21 50.0 29.2 43.2 + 0.7 50.0 4 0.45 „ 28 56.8 341 46.3 + 4.4 490 6 0.48 Dec. |
b4621e6f-29c8-4cf4-b73b-27f5426f93d6 | 5 60.0 33.0 44.5 + 3.4 48.8 2 0.35 „ 12 54.6 33.1 45.2 + 4.5 48.1 2 0.03 „ 19 49.0 26.1 40.0 — 0.4 47.9 2 0.09 „ 26 54.8 29.3 42.1 + 3.6 47.0 — — Jan. 2 (1932). 54.4 20.6 39.8 + 11 46.7 4 0.21 |
5d94921d-fb0d-478b-bb75-294ccf5a03b8 | WOO 32 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1932 BY J. MACMILLAN, D.S.O., M.C., M.B., D.P.H. Medical Officer of Health LONDON: E. G. BERRYMAN & SONS, LTD. Blackheath Road, S.E.10. PUBLIC HEALTH AND HOUSING COMMITTEE. At 31st December, 1932. His Worship the Mayor (... |
88150008-a998-4ea4-970c-f890fe96e7cc | L. E. Driver A. H. Gilder Miss C. K. Lambeth Mrs. E. L. Reeves Rev. H. Stebbings Miss S. Turnbull H. J. Turner Miss G. E. Walters, J.P. MATERNITY AND CHILD WELFARE COMMITTEE. Comprising the Members of the Public Health and Housing Committee. Councillor H. Vaughan (Chairman). Councillor Miss C. K. Lambeth (Vice-Chairman... |
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