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a1b3a567-b24f-4125-9d2e-907a123110d7 | As soon as a notification is received pamphlets dealing with the care and comfort of mothers and infants are sent by post to every mother. 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 s... |
8c2d24af-e7bb-4b5d-8f9e-949b905c8911 | The following Table, No. 81, shows the classification of visits paid by the Health Visitors in 1932:— TABLE No. 81. Births—First visits 2,028 „ Revisits 17,215 Infant deaths investigated 47 Still-births investigated 26 Expectant mothers—home visits 719 Infectious diseases : — Ophthalmia Neonatorum—First visits 8 „ „ Re... |
01fb46eb-252a-45d4-8d62-542730d7dff4 | Pneumonia 96 Anterior Poliomyelitis 7 Encephalitis Lethargica — Visits unclassified 239 Visits unsuccessful 2,916 29,378 The Work of the Welfare Centres.—These are eight in number and are now all municipal. Infant welfare centres are held at all of them and at three of them ante-natal sessions are held weekly. At the e... |
3d6b70f0-9b8a-4f82-a4d4-507d1258d88f | Mothers. Children. Expectant Nursing. Expectant Nursing Town Hall 450 478 1,634 1,023 984 11,778 Plumstead 267 377 1,132 827 766 8,456 Eltham 314 149 1,021 727 272 5,646 Slade 6 96 390 6 189 3,604 New Eltham 5 36 398 6 70 4,352 St. |
7d81eda3-6591-4526-b2c4-2c67a3a8a9f9 | Luke's — 41 355 — 53 2,494 North Woolwich 3 38 126 2 90 1,119 Beresford Street 31 87 126 33 185 1,113 Totals 1932 1,076 1,302 5,182 2,624 2,609 38,562 Totals 1931 1,163 1,259 5,128 2,757 2,639 36,103 The next Table, No. 83, shows the number of children classified by year of hirth and the number of attendances made by t... |
f51048ad-62c1-4b26-8b46-fc66fa1221b6 | 1932 489 319 259 99 111 79 40 35 1,431 1931 514 348 243 136 122 104 32 31 1,530 1930 292 216 198 62 66 65 20 26 945 1929 190 128 142 50 54 52 18 19 653 1928 103 88 120 31 26 32 12 14 426 1927 46 33 59 20 11 23 4 1 197 1,634 1,132 1,021 398 390 355 126 126 5,182 Attendances. 1932 3,871 2,643 1,834 1,205 1,212 615 387 28... |
ad7afe08-6ce0-4cdc-a58d-191e187670e4 | 454 1,060 478 405 15,910 1930 1,879 1,366 840 504 437 346 104 289 5,765 1929 923 457 510 263 370 264 107 89 2,983 1928 305 257 371 122 105 110 34 45 1,349 1927 89 68 167 45 26 99 9 4 507 11,778 8,456 5,646 4,352 3,604 2,494 1,119 1,113 38,562 These figures, which do not include attendances at the special Toddlers' Clin... |
43801f88-74d0-4c2b-abe1-9761f24d1e09 | Feeding of Infants in Woolwich.—In midsummer the usual enquiry was made, as in previous years, as to the type of feeding adopted in the case of infants attending the welfare centres. The method used was as follows:— (a) On the card of every child under one year of age attending a welfare centre between 13th June and 22... |
78ea81e0-92e5-4b51-8b0b-156eca2ebe29 | 0-1 1-2 2-3 3-4 4-5 AGE IN MONTHS. 10-11 11-12 Grand Total 5-6 6-7 7-8 8-9 Total 9-10 Breast 57 77 49 38 42 37 24 19 15 358 3 2 1 364 Breast and Hand 6 20 12 14 10 10 10 13 20 115 16 11 6 148 Hand 6 21 25 34 27 34 38 40 36 261 47 60 64 432 69 118 86 86 79 81 72 72 71 734 66 73 71 944 percentages: Breast 82.6 05.3 57.0 ... |
28a7a95c-8cc5-4c8b-9c69-1fa5449f1ef2 | 8 4.6 2.7 1.4 38.6 Breast and Hand 8.7 16.9 13.9 16.3 12.6 12.3 13.9 18.1 28.2 15.7 24.2 15.1 8.5 15.6 Hand 8.7 17.8 29.1 39.5 34.2 42.0 52.8 55.5 50.7 35.5 71.2 82.2 90.1 45.8 112 Artificial Sunlight Clinic.— This Clinic was opened in October, 1927. The total number of patients treated during the year, including 100 w... |
c60a213c-74af-4650-806a-5afef83c4025 | The total number of treatments given was 9,314; of these 6,728 were by carbon arc, 2,147 by mercury vapour lamp, and 439 by radiant heat lamp. 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 figures for the Sunlight Clinic for the past... |
0ce3a9bf-7d53-4116-b3e0-c28ce133ed60 | It will be noted, however, that whereas the number recorded as cured is not high, the number of new cases still under treatment is considerable, and many of these have already shown great improvement. Most of those appearing with septic conditions have been cured, and those suffering from skin diseases have responded s... |
e32f6497-6f60-46e8-8c38-9c312612b812 | "Particular care is taken to refer children suffering from obvious diseases, such as enlarged tonsils or physical deformities, to special clinics for opinion and treatment, and patients are referred to the War Memorial Hospital for X-ray examination where it is thought desirable. "In most instances where treatment has ... |
1023b122-4084-40a0-b839-79a3c6f2ac18 | Debility and Malnutrition 49 136 185 48 45 9 28 55 Catarrhal Children 10 35 45 7 9 4 5 20 Septic Conditions 1 30 31 26 — 1 — 4 Nervous Children 2 9 11 — 3 1 1 6 Enlarged Glands 6 20 26 4 10 — 3 9 Miscellaneous Nervous Conditions - 4 4 — — 2 1 1 Miscellaneous Skin Conditions 3 19 22 9 6 2 4 1 Other Conditions 3 18 21 5 ... |
06deb58c-ec76-4ed2-b1eb-ec4b38783a2e | and no difficulty was experienced during the year in getting mothers to bring their children for yearly examination. Three sessions are held weekly, one at Woolwich, one at Plumstead and one at Eltham. The clinic is under the medical charge of Dr. Margaret Emslie and she reports below on the year s working. The results... |
77e0b6cf-dc02-455a-be5f-d20249aaa9dd | The consultations have been conducted on similar lines to the past) embodying an examination on the lines of school medical inspection but of a somwhat fuller nature, and discussion with the mothers of whatever points in the physique or general behaviour of the child struck the examinei as capable of improvement. Treat... |
9e3f80cb-2263-41b4-b90f-3ea646a25e7f | Disease, Defect or Condition. BOYS. Age last Birthday GIRLS. Age last Birthday. Total. 1 2 3 4 1 2 3 4 Total Children Examined 3 233 176 149 2 210 171 162 1, |
c78b4273-1f0e-4412-afa6-37d952422516 | 106 Nutrition— (a) Excellent 2 91 31 18 1 92 54 24 313 (b) Normal 112 90 51 1 88 86 69 497 (c) Sub-normal 1 27 55 71 — 29 28 65 Z 10 20 (d) Bad — 3 9 - 1 3 4 Muscular Tone— Excellent 2 87 101 83 - 89 96 123 581 (b) Good 1 141 75 03 2 117 73 39 511 (c) Sub-normal - 5 — 3 - 4 2 — 14 Clothing and Footgear— (a) Satisfactor... |
bdcd80da-0867-43c2-bfe7-35aecd1e1d94 | 11J) u lloa lioia^iui \ (c) Not recorded - — - - - 1 — - 1 Cleanliness— (a) Excellent 3 185 156 137 2 191 160 149 983 (b) Fair - 46 20 12 - 16 11 13 118 (c) Dirty - 2 — — - 3 — — 5 ANAEMIA- Slight - 29 30 10 - 41 32 29 181 Moderate - 20 14 9 - 15 13 17 88 ti Severe - 1 1 — - o - 1 5 Lungs— Bronchitis - 9 14 12 _ 5 5 10... |
6edb0653-6853-4819-ab92-6d6583f2332b | Epilepsy - 1 — 1 - 1 2 1 6 Cerebral Diplegia - — 1 — — — — 1 2 Chorea — — — 1 - — — 1 2 Behaviour Symptoms 1 88 67 27 1 88 45 34 351 Stnttpr - 1 1 3 - - — 1 6 OIU LLvi • > * • Facial Paralysis. . - 2 - - - - — — 2 Tic-facial - — 1 — - — - - 1 115 Medical Inspection of Toddlers, 1932—continued. Disease, Defect or Condit... |
76391e64-eacd-4fd5-8436-ae7131fa9e66 | 2 - 7 5 5 29 Constipation - 11 13 3 — 28 11 11 77 Colitis - 1 — 1 — 2 - 1 5 Acidosis - 3 3 3 - 4 12 4 29 Prolapse - 1 — — - 1 - — 2 Genito-urinary System— Enuresis (nonbehaviour) - 1 2 1 - 2 2 1 9 Pyelitis - - - - — 1 — 1 2 Nephritis (Post- Scarlatina) - - - 1 - - - - 1 Urethral Caruncle - — — — - 1 — — 1 Rickets— Past... |
d8f0e09d-51f8-4563-8a93-4e3748303e4d | 1 1 - - 3 4 2 11 Urticaria - 11 7 3 - 14 10 5 50 Eczema - 8 4 - - - - - 12 Ichthyosis _ 1 - - - - - - 1 Naevus - - - - - 1 - - 1 Alopecia - 1 — — - - — — 1 Eye— Blepharitis - 4 1 1 - 3 3 - 12 Conjunctivitis - - 1 - - - 1 - 2 Squint - 3 5 3 - 4 2 6 23 Styes - 1 - 1 - - - 1 3 Cyst - 1 - - - - - 1 2 Nystagmus - - — — - — ... |
b07d9aa1-5f84-4956-ad7d-12219ae95b9c | - 2 2 2 - 2 2 - 10 Mastoid - 1 - - - - - - 1 Nose and Throat - 97 70 49 1 59 61 43 380 Enlarged Tonsils Enlarged Tonsils and Adenoids Adenoids. |
d17ceae7-38c0-4a5e-96f8-49f56fa976a0 | J Teeth— Caries - 23 55 74 - 14 41 70 277 Hypoplasia - 3 3 3 - 4 4 1 18 Malocclusion - 23 11 3 2 50 15 7 111 Oral Sepsis - 1 1 2 Gingivitis - — — - - 1 1 - 2 Heart and Circulation— Heart Disease— (a) Functional (ex-congenital) - 30 34 33 - 28 33 23 181 (b) Congenital - — 1 - — — 1 2 116 Medical Inspection of Toddlers, ... |
0edfd3db-6958-4283-b59e-0779a8178602 | 2 Flat Foot - 2 5 1 - 2 3 1 14 Spinal Curvature — - - 1 - - 1 2 4 Congenital Dislocation - — 1 1 - — — — 2 General— Septic Arthritis - - 1 - - - - - 1 Rheumatic Symptoms - 1 3 5 - - 3 8 20 Haemophilia — - - 1 - - - - 1 Pituitary Dystrophy - 1 1 - - 1 3 - 6 Purpura — - - - - - - 1 1 Umbilical Hernia - 1 - - - 3 3 1 8 Ja... |
dca0c893-d3b7-4b07-92dc-061e1f00c81a | 4 Abscess — 1 — 1 - — — - 2 1 he result of the examinations shows that the general condition of the children has been maintained there being an improvement on the figures for 1931, sub-normal nutrition being 25 per cent, as compared with 28 per cent last year and 26 per cent in 1930 ; anaemia, 24 per cent, as compared ... |
6bb2c0b1-1fde-4ce8-b356-0319b12f13a7 | In addition to the 33 per cent of cases showing signs regarded as definitely indicative of rickets, there were 18 per cent of cases showing minor signs that under X-Ray might have revealed a condition of pathological change likely under favourable conditions to proceed to spontaneous healing, or with unsuitable diet an... |
26e843e3-138f-4014-aead-ecdc6eddb9a8 | I he figures for dental caries, allied to the problems of dietetic and rachitic faults, namely, 8 per cent, 27 per cent and 46 per cent at the ages of 2 years, 3 years and 4 years are, for practical purposes, the same as those of the preceding two years. The figures shown give no indication of the comparative amount of... |
13bc1ea8-55ad-4a11-b063-b403bc11f49f | Mention may perhaps be made of the high percentage of children showing malocclusion, a failure of proper alignment of the jaws and teeth resulting, in a majority of cases, from thumb-sucking or persistent use of the comforter, on which comment was made in connection with the enquiry into nervous habits in last year's r... |
3ca196d8-705f-4ae5-aeed-92c6b5a4a260 | Provision of Maternity Outfits.— In 1930 the Council agreed to supply sterilised maternity outfits for the use of necessitous mothers in order to ensure the necessary cleanliness in domestic midwifery and with a view to minimising the risks of maternity. They are supplied free, half cost, or cost price, according to th... |
beb5c588-0d7f-4782-9b9b-9235e3da0f35 | by way of compensation to the midwife subject to certain conditions, which are referred to in detail in my Annual Report for 1931, being complied with. During the year compensation was paid in 13 instances. Administration of the Public Health (Puerperal Fever and Puerperal Pyrexia) Regulations, 1926. The Council's sche... |
e68ae9d6-849f-4da8-8b93-08cfe23db5fe | Two cases were dealt with under this scheme during the year. 118 Home Helps.— During the year 16 applications were considered by the Committee, and 15 home helps were provided. The total cost of this service was £55 16s. Od. Treatment of Minor Ailments.— Children requiring medical or surgical treatment for certain mino... |
b793baa5-68da-4963-adf1-a6b76ade50a0 | During the year it was found necessary to provide facilities for the dental treatment of children at Eltham and arrangements were made, starting in October, for two dental sessions per month to be held at the Eltham Health Centre. The following Table, No. 88, shows the cases attending and the total attendances during t... |
4599ddd8-8766-4902-a318-172def4c305a | In consequence, the income received during the year includes money received in respect of dentures supplied in previous years. Thirty-three sets (complete or partial) of artificial teeth were supplied during the year at a total cost of £175 15s. Od. Payments by mothers amounted to £59 12s. 3d. 119 Orthopaedic Treatment... |
f2949846-39aa-4433-b7a1-37ab26c774d9 | 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 required treatment for the following conditions:— TABLE No. 89. Cases Treated at Orthopaedic Clinic, 1932. Type of C... |
5e05bc8c-979f-4fd3-bed5-9f122afab468 | Talipes (Club Foot) - 5 5 3 2 (Flat Foot) - 4 4 3 1 Rickets— General 9 39 48 40 8 Genu Valgum (Knock Knee) 9 31 40 34 6 Genu Varum (Bow Leg) 14 30 44 36 8 Infantile Paralysis — 1 1 — 1 Erb's Paralysis 1 2 3 2 1 Bad Posture 2 5 7 5 2 Muscular Weakness 2 2 4 3 1 Mouth Breathers — 1 1 1 — Other Deformities 1 — 1 1 — Other... |
d64fd63a-7cac-4917-96d9-f3a372ca573a | The extent to which these services have been made use of in respect of specific diseases is dealt with under these diseases, q.v.:— Day Ambulance.— In accordance with an agreement entered into with the London County Council, ambulances are hired from that body for the conveyance of mothers to maternity hospitals betwee... |
00f1421a-3be7-4b82-af67-6b039d6a7d87 | Of these 147 (130) were discharged cured or very much improved in health, 10 (5) improved and 7 (3) died. Five (1) children were transferred to other hospitals, 2 (5) others were discharged showing no improvement, and the number remaining in hospital at the end of the year was 12. The surgical conditions for which thes... |
b2e6cbcb-2f0d-447a-bb4d-a41bec7f1ac2 | At the ante-natal clinics in connection with this Hospital, 8,158 attendances were made, and at the infant clinics 2,646 attendances. In addition there were 182 extern cases. The number of mothers admitted under the Council's scheme was 139, the nett cost to the Council being £959 19s. Od. (2) War Memorial Hospital.— T... |
2f707ceb-1814-454a-8226-b2dcda4829a1 | Ante-Natal Treatment and Emergencies.— The number of cases admitted for ante-natal or emergency treatment under the Council's scheme was 9. The reasons for admission were:— Haemorrhage, 2; Displacement, 1; Deformity of Pelvis, 1; Phlebitis, 1; Albuminuria, 4. Convalescent Home Treatment for Children under 5 Years of Ag... |
e249cf8c-79b7-41e0-95e1-2505f88b6756 | 121 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 r... |
724194ff-1412-4ce3-b03b-4a46476ff38f | Od. Dinners, nil. Collective Teaching of Expectant and Nursing Mothers.— A special class in mothercraft is held every Tuesday afternoon at the Old Town Hall, Woolwich. The object of this class is to demonstrate to mothers suitable articles of attire for baby and to provide facilities for making them under expert superv... |
aa3473cd-e267-43bc-b8bc-a5a905e63498 | Widows', Orphans, and Old Age Contributory Pensions Act, 1925.—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. 122 APPENDIX I. A CASE OF COW-POX. By J. Macmillan, D.S.O., M... |
0f78ed85-2550-42f1-abf0-9fb0819392ee | 1—Small ulcer with remains of pellicle 4—Adenitis. adherent to margin. S—Lymphangitis. 2—Pustule : ? abortive. 6—Severe onychia. 3—Deep-seated vesicles very like smallpox ' Brawny swelling . inflammatory. lesions on same site. 8—Lesions resembling primary vaccination. When first seen the lesions were present on the han... |
9bd08b70-59a7-4fb7-8e0f-fde5b1b5b711 | There was severe septic infection of the matrix of the nail of the left first finger from which a moderately severe lymphangitis extended to the axilla with adenitis of the epitrochlear and axillary glands. There were three lesions deep-seated on the right palm and these are indistinguishable from smallpox vesicles on ... |
4b2230f0-7092-47f8-9402-657d86c94012 | R. Bryden, F.R.C.V.S., examined them the next day and found that over 40 cows, out of a total of 78, were suffering from cow-pox or recovering from it. While in the Lewisham Hospital the patient was seen by Dr. J. E. McCartney, Director of Research and Pathological services, London County Council. He investigated the c... |
6c1989b8-d9c9-46f7-884c-6f301c8545db | The hair from the flank of a young rabbit 'A' was removed with a depilating powder and the smooth skin scarified and the pock material inoculated on to it. The rabbit developed the typical appearance of vaccinia, with scab formation. Material from the scabs at the seventh day after inoculation was transferred to the sc... |
323bc987-b54e-4d60-b348-e33cc6b26062 | Typical vaccinia lesions were produced and at the seventh day material from these lesions was transferred to the scarified skin of rabbit' D ' which in turn developed vaccinia. On February 3rd, i.e., three weeks after the original inoculation of human and bovine material, rabbits ' A,' ' B,' ' C' and ' D,' which had re... |
988b7a35-50da-4b89-a372-9b849cf566fe | These experiments show the condition in both the human and bovine subjects to be cow-pox, as smallpox material is not pathogenic to rabbits, and the recovered animals showed complete immunity to a known vaccine virus which was potent for a normal rabbit." 1 he patient was in Lewisham Hospital until the 22nd February wh... |
2e441323-d64b-46bb-b179-09e4b6c0ef67 | The number of children examined during the years 1930, 1931 and 1932 was 1,622, and the number of examinations was 2,425. The following matters were elicited from the investigation:— A. Anemia. Four hundred and seventy-eight anaemic children were found. Certain of them were examined on several occasions and anaemia may... |
ea7186eb-35e6-4951-af80-d926f7fe70eb | The cases of anaemia were grouped as follows, according to age :—2 years +, 272 cases ; 3 years +, 142 cases ; 4 years +, 64 cases. Comparing these figures with the totals examined at the respective ages, the age incidence of anaemia is given as follows:— at age 2 +, 23.5 per cent; at age 3 +, 18.6 per cent; at age 4 1... |
8770127d-b163-4b76-84c0-6c628096d514 | This gives a percentage of 22.1 and 22.1 for the two "winter" quarters, as compared with 16.3 and 18.8 for the periods April-June and July-September. The effect of comparative lack of sunshine is seen more clearly when the three darkest months (November-January) are compared with the three in which there is ordinarily ... |
4a0c5ae2-6265-4a96-8ade-ddc205136eb4 | The average size of a " census " family in Woolwich is 3.6 ; the average size of family found amongst the anaemic cases was :—slight anaemia, 4.4; moderate anaemia, 4.8; severe anaemia, 4.5. The average for the anaemic cases, therefore, was slightly higher than for Woolwich as a whole, but not sufficiently so to allow ... |
6527cec8-c52e-4493-8032-e3af139821a1 | The duration of breast feeding observed amongst the anaemic children was as follows:— breast fed not longer than 3 months, 46; between 3 and 6 months, 76; between 6 and 9 months, 222; over 9 months of age, 4. This gives a percentage amongst the anaemic children of 65.4 breast fed for 6 to 9 months, and 21 per cent brea... |
09a08d3b-2531-464d-832c-7662d990827b | The figures, therefore, would show not an apparent preponderance of anaemia amongst the artificially fed as might have been expected, but that far more of the anaemic children were breast fed than of the ordinary population— a finding that would make one look further back into antenatal conditions and the state of the ... |
753da09f-f47b-4895-9238-425bd67aec0b | The findings quoted, therefore, hold good not for breast feeding versus an "improved" method of artificial feeding as now advocated, but for the ordinary methods of bottle feeding advocated in centre work or arrived at of choice in non-centre cases by the mothers themselves. Anamia and general condition. The nutrition ... |
293bfdc5-cefa-45bd-83f0-af7c01091269 | Thirty-nine per cent of the total anxmic children showed definite rickets, compared with 29 per cent of the total children examined during 1930-32: an additional 18 per cent showed minor evidence of rachitic change. It would appear trom this that the incidence of anaemia plus rickets is higher than the incidence of eit... |
43a1b898-fd2d-44ae-8356-2f67853750df | This gives a percentage of 10.7, total, and 6.3 partial, unemployment amongst the anaemic cases. The figure for total unemployment amongst the insured population of Woolwich as a whole is 11.7; the figures for partial unemployment are not available. The statistics given, however, would suggest that the general ill-effe... |
aa388001-2677-4988-b6fd-5475a43ca882 | Rooms 108 66 7 39.1 35.3 46.6 House 5 43 — 1.8 22.5 — House and yard 9 6 — 3.3 3.2 — House and garden 135 61 7 48.9 32.6 46.6 No record 19 11 1 6.9 6.4 6.8 276 187 15 100.0 100.0 100.0 This gives an average of 60 per cent of all the children noted as anaemic living in families where the family was in sole occupation of... |
41392b3d-75bc-41a1-ba87-854b4666eb79 | Thirty-nine per cent of all the families in Woolwich share dwellings so that the figures for the anxmic children more or less correspond to those for the community as a whole and show no obvious relation between housing problems and the production of anaemia. Hours of sleep. It was noted in a previous report (see Annua... |
378f916e-5e0c-4935-897d-afdaef51c802 | The practice of noting the total 24 hours' sleep periods for each child examined is still carried out at the clinic and, in the case of the anaemic children, the daily amount of sleep averaged 13 hours, including an average mid-day rest of just over an hour. No fault can be found with this (on the grounds of undue conf... |
e0910d7a-8ee9-4c75-b2a9-1c2df2f2264c | The cause of confinement was not always ignorance but might be domestic difficulties (e.g., inability to put the child out of doors, in rooms) or mistaken zeal as to a child's actual needs in the matter of rest during the day. As a matter of clinical interest, if not in illumination of this question of causes, the asso... |
4525b5d2-e338-472c-b704-dd4ad19cbd3a | The incidence of heart symptoms to some extent ran parallel with the degree of anaemia shown, in that 25 per cent of the moderate or definite anaemia cases exhibited murmurs, as compared with 18 per cent only of the slight cases. The severe cases were too few to allow of similar comparisons. In 8 out of 209 anaemic cas... |
c77368a8-588b-4160-b145-8f7f3d5c1fd1 | Two hundred and thirty-six of the anaemic children showed definite tonsillar enlargement and in 57 cases tonsillectomy was recommended. T he standard adopted at the clinic in regard to the need for operation is a very conservative one. These figures compare with the general group of cases as follows:— Tonsils, or Tonsi... |
3f4b6848-e42a-4195-bccf-9c3fca7fe011 | 10.8 per cent of the anaemic cases showed facial pallor. The same symptom was noted in 7 per cent of the general 132 cases with or without anaemia. The percentage of anaemic cases showing pallor, therefore, is a little higher than the percentage of children showing pallor amongst the general population. Moreover, 47 pe... |
7d4407bd-5510-4787-ad5c-532ca3e4f46d | Two hundred and nine of the 478 anxmic cases were re-examined at an interval varying from 3 to 12 or more months. The results of re-examination were as follows:—of the totals re-inspected, 52 per cent showed improvement of the anxmia (irrespective of any other sign), 34 per cent appeared to be as before, and 14 per cen... |
0ae42abe-2233-4d9b-ada0-d4a744f0e108 | This brings one to the final consideration in these observations and that is the treatment available for the anxmic children under the conditions noted as prevailing at the clinic. For all anxmias taken as severe, medical treatment was adjudged to be necessary and the mother was immediately put into touch with, in most... |
adb2796d-a762-4405-ac01-73ce700b9d7e | Mothers are known, whether from pride, prejudice, or inattention, to be apt not to provide, when asked, an accurate picture of what their child eats and how its food is prepared. At best one can only generalise from the information provided and take heed of the fact that the conditions complained of are not limited to ... |
301ff6c4-6960-451a-8b0c-480fc545332c | There appears, on the other hand, to be a general appreciation of the importance of green food and fruits in the child's diet— not now expensive foods— and most children seem to have a sufficiency of these where they will consent to eat greens or fruit at all. As much as possible was made of the importance of correct c... |
475c96f5-1a6a-4ea8-bd47-307edfb6bec7 | Many children were condemned to beef cubes and beef extracts and to broths of poor quality where obviously meat itself could have been supplied. The consequent loss of protein, certain salts and certain vitamins was likely to be significant in a diet where fresh milk did not figure largely to redeem such losses. The qu... |
6fd05bc6-a380-4dff-96b0-01d0d8d6a0ef | Anaemia, as diagnosed clinically amongst the children examined, has been studied with a view to determining its rate and manner of incidence, persistence, and concomitant symptoms, and possible causes. The following are the findings:— (1) Anaemfa, varying from slight to severe, was diagnosed in 30 per cent of the child... |
0cd6dad6-4791-4c98-8230-8fff1d6fbf45 | (6) The nutrition of the anaemic children was not so good as the average for the total children examined, and there appeared to be some correlation between the occurrence of anaemia and rickets. (7) I here was no proof that anxmia was associated with unemployment or poor housing amongst the cases examined or that it co... |
8e4e8f24-3433-4ea5-b312-7d2f7d78d6fc | (10) In a majority of the cases re-inspected (60 per cent) the anxmic symptoms improved after a period of 12 months under simple dietetic and hygienic measures, but the improvement was not universal and in some cases other symptoms supervened. (11) In view of the lack of other positive evidence as to the cause of anxmi... |
883de056-9570-49f9-a4c2-4684d2efa5d9 | Every clinical condition is recorded that came under attention at examination. (1) Nature of cardiac symptoms. (a) Of these 339 children, 75 per cent showed cardiac murmurs, 249 of which were presumed functional or temporary, and 8 were presumed congenital heart disease, i.e., 16 per cent of the total children examined... |
1778abae-17fe-422e-afc1-7504fdf7799d | In 3 of these cases a murmur was found at a subsequent examination but the majority were cases not seen a second time. (c) Disturbance of rhythm. Simple modification of rhythm in the torm of re-duplication of sounds, shortened diastole, increase of pulse rate, frequent extra systoles or other minor deviations were note... |
2eacaf6a-3d40-45c8-a385-18d52c8f604b | The rhythmic disturbances noted occurred in the following order of frequency:— re-duplication of sounds, 9; short diastole, 9; increased pulse rate, 7; extra systoles, 1; simple arrhythmia, 1. Care was taken to exclude simple nervousness in the cases noted as having an increase of pulse rate, and in each confirmatory e... |
b871ea86-d0fe-4429-bc99-1819db3aa262 | A thrill, on the other hand, was searched for in all cases showing apical murmur, but was not found. Seven cases showed displacement of the apex beat, of which one was without other signs ; 2 showed rheumatic symptoms plus apical thrill (as already noted); 1 showed tachycardia plus mitral murmur; 1 a mitral murmur prec... |
3a6f35f9-9a06-4fc1-949e-eb3b82c3b5eb | In 5 of the cases whose only cardiac disturbance was a disturbance of rhythm or cardiac dilatation, anaemia was noted, in 2 pallor and in 7 rheumatism. There was no particular association of the severer degrees of anaemia with cardiac symptoms as compared with the lesser degrees of that condition. (2) Age incidence. Of... |
6f7bdf4a-ea30-448a-9d4d-8e818c0b8385 | Eighty-seven of the pure heart cases showed definite signs of rickets. This equals a percentage of 40. Minor signs of rachitis were present in an additional 46, equalling a further 21 per cent. Therefore, as in the case of anaemia, rickets is appreciably commoner among the cases showing cardiac abnormality than among t... |
13a0253d-86f8-4990-9d46-494951a17fd6 | Included among the cases taken as showing increased disturbances are those that developed symptoms of rheumatism on top of cardiac signs. Even so, the figures would suggest a purely temporary character for the majority of defects found and a response to the advice given, generally on the lines of improved dieting and h... |
5880b695-6839-4295-b4a5-ffeaf7f1c2ac | But on the other hand, there was plenty of evidence to show that in this early age period, often considered " safe" from the point of view of cardiac infection, disturbances did exist that, in a percentage of cases did seem to go on and that might be the forerunners of defined organic defect and/or rheumatic disease in... |
ec31b2be-decf-4561-b416-13f944019e31 | Total cases showing pallor equals 111. Percentage of total children examined noted as pale equals 7 per cent. Percentage of children considered to be anxmic equals 30 per cent. Percentage of pale children considered to be anxmic equals 47 per cent. Percentage of anxmic children showing pallor equals 10.8 per cent. Ther... |
df9d3e45-c075-4cc4-8e2f-4ddb6b48c864 | The percentage of pale children showing putative rheumatic symptoms equals 3.6 per cent. The percentage of total children examined showing putative rheumatic symptoms equals 2.3 per cent. Therefore the incidence of symptoms likely to be indicative of early rheumatism is rather higher in pale than in other children. The... |
b9ef9390-f9c2-4bf1-997a-3b0157a5b320 | This gives a percentage of 57 children (of whom particulars are known) living in rooms or houses minus a place to play in out of doors. The percentage of families in Woolwich having sole possession of a house has already been given as 60, i.e., put otherwise, 40 per cent of Woolwich children are known to live in premis... |
696db065-b5c2-4e09-8394-f5f1b83b21fe | This equals almost 50 per cent compared with 30 per cent of total children examined showing anaemia. Anaemia would therefore appear to be to some extent a symptom accompanying the early signs of rheumatism. 10 per cent of the potential rheumatic children have already been recorded as showing pallor. Type of symptoms pr... |
4dd0847c-098e-4740-baa8-ba0d30e59d12 | Of the cases suspected of rheumatism or chorea, the following showed cardiac disturbances:— 2 modified first sound only; 15 soft mitral murmurs; 1 loud mitral murmur plus murmur at base; 5 basal murmurs; 1 cardiac dilatation without murmur; 3 disturbances of rhythm simply, and 5 further signs of carditis (in addition t... |
462b2118-44e0-45cd-be76-19a1dc375f7c | It would appear from these figures as if cardiac infection did accompany rheumatism even in its earliest stages and at an early age (at an age period at which rheumatism used to be considered not to exist) and as if the presence of a variety of cardiac disturbances, however minor in character, should he some warning of... |
db962a31-eedd-434d-93d3-ce2fb1d60dc7 | Rheumatism and chorea. Six children in all showed signs of chorea, of whom 5 showed heart murmurs but no rheumatism, and the sixth complained of.pains and showed severe anaemia, but had no abnormality in the heart sounds or rhythm. No nodules were found. Two of these children were only 2 years of age when the symptoms ... |
30776e18-7f16-48f1-8301-c15157d3ce69 | (1) 2.5 per cent of the total children examined showed signs that were possibly those of early rheumatism. (2) One third of the cases showed fairly definite signs, including some cases of acute rheumatism or (reported) rheumatic fever; the remaining two thirds showed fleeting pains that, combined with other symptoms, m... |
e23e8ce0-7fd6-4728-b5ac-0107fda25572 | (6) The results of re-inspection were not sufficient to show whether the rheumatic symptoms were cumulative or not, or whether they responded to general hygienic or dietetic treatment. (7) It would appear that the watch for rheumatism (in view of its liability to affect the heart from its early stages) must begin at an... |
0c756211-3d56-4591-af79-2a11f5b2058a | Number of days on which rain fell. Rainfall in inches. Highest during week. Lowest during week. Mean temperature. Jan. 9 55.9 27.1 46.2 + 8.1 . 46.3 3 0.62 " 16 54.5 34.9 46.4 + 8.3 46.1 4 0.78 " 23 53.7 29.8 46.3 + 7.6 46.0 2 0.10 " 30 47.3 28.1 37.3 - 2.1 45.8 - — Feb. |
e5f24f20-cb6f-442c-b1a7-a0ef07d501d2 | 6 48.1 27.9 39.6 - 0.0 45.0 - - " 13 41.5 21.8 32.5 — 6.6 44.2 2 0.09 " 20 46.3 29.7 39.2 — 0.3 43.3 3 0.05 " 27 48.7 32.2 41.3 + 1.3 43.3 2 0.15 Mar. 5 48.7 23.0 36.2 - 4.3 43.1 1 0.01 " 12 51.4 23.9 37.2 - 3.8 42.9 2 0.22 , 19 53.8 21.0 39.0 - 2.7 42.3 - — " 26 54.9 31. |
43cf014e-6a45-4e39-9913-088e2c5c9118 | 4 44.0 + 1.7 42.5 2 0.40 April 2 58.6 37.4 46.5 + 2.0 43.3 7 0.96 April 9 58.9 33.9 45.6 - 0.6 44.4 6 0.71 " 16 53.7 31.5 42.5 - 3.8 44.8 6 1.01 " 23 60.4 33.6 44.7 - 3.6 44.8 4 0.39 , 30 66.2 38.2 50.0 + 12 45.3 5 0.19 May 7 63.9 35.3 46.0 - 4.1 46.6 4 0.65 " 14 67.8 35.1 50. |
65f6004b-246c-47e0-9989-3fbad75392f0 | 6 - 1.2 46.9 4 1.25 " 21 75.7 43.1 60.6 + 7.2 48.5 4 0.54 " 28 67.0 35.7 50.6 - 4.9 50.4 5 1.57 June 4 72.9 42.6 54.6 - 2.8 50.9 4 0.10 " 11 77.2 41.1 55.7 - 2.5 51.6 1 0.19 " 18 78.0 45.6 61.2 + 2.4 52.7 — — " 25 75.2 43.9 57.5 - 3.1 53.4 - — July 2 84.6 50.3 64.7 + 3.1 54. |
6948c06e-d3af-4894-9d8a-8990e8f1553c | 3 3 0.47 July 9 84.3 47.4 64.1 + 1.9 55.1 2 0.31 " 16 88.1 52.9 66.0 + 3.0 o6.4 1 0.56 " 23 77.5 46.3 59.0 - 4.2 56.6 3 0.48 " 30 78.7 50.0 60.6 - 1.9 56.6 6 1.56 Aug. |
6cce03a8-b688-4e7d-b38b-6acabcc17c90 | 6 82.2 54.0 63.1 + 1.0 57.1 4 1.18 " 13 87.8 52.6 67.9 + 5.6 58.2 1 0.15 " 20 98.9 52.3 71.3 + 9.2 59.0 1 0.22 " 27 79.0 51.0 62.5 + 16 59.6 2 0.16 Sept. |
76ffae14-3435-4bd7-b047-979cfe834e20 | 3 80.3 50.8 63.4 + 3.5 59.6 4 1.22 " 10 74.8 45.3 59.0 + 0.0 59.0 5 0.30 " 17 77.3 51.9 62.5 + 4.8 58.8 2 0.04 " 24 67.1 43.6 52.8 - 3.2 58.3 4 0.94 Oct. l 66.1 42.3 53.4 - 1.4 57.3 3 0.20 140 APPENDIX III.—continued. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average... |
c1cb1fbc-dd0b-4586-b3ec-59bc3d42e982 | Lowest during week. Mean temperature. Oct. 8 63.6 36.8 48.3 4.5 55.9 3 0.21 ,, 15 60.1 36.3 48.9 — 1.8 54.8 7 1.25 ,, 22 64.8 38.8 53.2 + 4.1 54.0 6 1.21 ,, 29 58.2 31.8 46.1 — 1.5 53.6 7 2.62 Nov. |
40152f84-e673-4b43-8975-2583873f3f20 | 5 59.8 32.0 49.1 + 2.3 52.2 5 0.12 „ 12 49.9 33.0 44.4 — 0.3 51.6 2 0.05 ,, 19 49.0 35.3 42.0 — 0.9 50.5 3 0.20 " 26 56.4 32.9 46.3 + 4.2 49.7 7 0.50 Dec. |
aba4c3cb-e807-4987-ae9e-8a0e3c679f46 | 3 50.5 30.1 43.0 + 1.8 49.0 4 0.37 " 10 44.1 29.0 37.7 — 3.4 47.8 — — ,, 17 53.0 32.6 43.2 + 2.7 46.3 1 0.03 " 24 55.1 40.0 48.4 + 9.5 46.7 2 0.15 " 31 48.9 33.4 41.6 + 2.9 46.5 3 0.12 |
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