[Report 1936] / School Medical Officer of Health, Wiltshire County Council.

  • Wiltshire (England). County Council.
Date:
1936
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1936] / School Medical Officer of Health, Wiltshire County Council. Source: Wellcome Collection.

    13/50 (page 11)
    11 (<?) flfose and Throat Defects* A total of 302 children was operated upon under the established County Council scheme, and 24 privately, for tonsils and adenoids. The majority of these cases was recommended direct from the schools by the Assistant School Medical Officers and all had the concurrence of the family practitioners, and, of course the parents' full consent. In addition to these, a further 191 tonsil and adenoid operations were performed after exam¬ ination by the aural surgeons of children referred to their clinics for conditions not obviously due to diseased tonsils on examination at school (see section “/”) and such conditions included deaf¬ ness and running ears, and were, in the great majority of cases, cured by operation. The total number of tonsil and adenoid operations was thus 493, as compared with 387 in 1935, 424 in 1934, and 443 in 1932. Operations are only arranged when they appear definitely necessary and their results are carefully watched and recorded, the object being to limit the work to necessary cases and to be as sure as possible that it is effectively performed. (/] E^r Disease and Defective Hearing. One hundred and twenty-four cases of ear disease, including defective hearing, were noted during the course of routine medical inspection, apart from the simple cases of tonsils and adenoids referred to in section (e). Only 78 of the 124 cases were however, recommended for immediate treatment and were referred to the Ear, Nose and Throat Clinics. The total number of children examined by the Aural Surgeons during the year was 436, but this number, of course, included many children who had been reported previously and those who had been under treatment for some time and attended for periodical review. The number thus examined was, however, 103 greater than in 1935 whilst the attendances for the two years were 984 and 669 respectively. This increase was mainly in the Trowbridge area, but at each centre, with the exception of Swindon, where the number was one less, more children were examined than during 1935. The cases examined are summarised in the following table and it will be noted that 321 opera¬ tions were advised and 252 (including 191 tonsil and adenoid operations referred to in section (e)), carried out at the hospitals with which the County Council has arrangements. The numbers in 1935 were 201 operations recommended and 143 performed. A proportion of the operations arranged during the year were, of course, recommended towards the end of the previous year and there is no direct comparison between the operations advised during the year and those actually carried out. Centre. No. of children exam¬ ined. RECOMMENDED FOR OPERATION OI DERATIONS PERFORMED. Otherwise Treated. Attend¬ ances at Out- Patient Clinics. (i) (h) (iii) (iv) (v) (i) (ii) (iii) (iv) (v) Without Opera¬ tion. In addition to Oper¬ ation. Malmesbury 22 6 2 10 2 3 7 1 4 2 3 23 Salisbury 89 6 39 3 4 43 2 2 13 6 165 Savernake 20 1 5 8 2 4 3 4 ] 1 7 31 Swindon 114 3 38 3 9 2 34 — 8 17 8 241 Trowbridge 191 12 12 102 15 36 10 4 75 14 32 16 43 524 Total 436 19 28 197 22 55 17 14 160 19 42 47 67 984