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CRIPPLED CHILDREN IN CARLISLE.
192
Annotations. "
Ne
quid nimis."
VITAL STATISTICS FOR 1926. THE Registrar-General has issued a provisional statement of the ng’nres for birth-rate, death-rate, and infantile mortality during the year 1926.
The smaller towns are tltosf. with an cut imaged population The (crude) death-rate fo[’ 1921 of 20,000-50,000. England and Wales relates to the whole population, but that for London and ttif two groups of towns to the civil population only. Rirth-rate and death-rate are per 1000 population, infant mortality-rate per 1000 births. in
The Registrar-General nexnarhs that the birth-rate is 0-5 per 1000 belowthat. of 1025, and that. with the exception of the rate in 1918 (the last year of the war), it is thelowest recorded. The death-rate is 0.6 per 1000 below that recorded in the previous year and is equal to that of 1923, the lowest recorded rate. The infantile mortality-rate is 5 per 1000 births below that of 1925, but 1 per 1000 above that of 1923, the lowest on record. These provisional figures, which are not likely to require substantial modification. have been issued for the information of medical officers of health. _____
THE FIRST WEEK OF 1927. THE Registrar-General’s return for the first week of the present year has just been issued, and we take the opportunity of calling the attention of the medical profession as a whole to a document whose careful study will keep the practitioner informed of the prevalence and spread of infectious disease throughout England and Wales. Notifications.—The following cases of infectious disease were notified during the week : Small-pox, 412 (previous week 342); scarlet fever, 1468 ; diphtheria, 1179 ; enteric fever, 37 ; pneumonia, 2033 ;
CHILDREN IN CARLISLE. A VOLUNTARY clinic for the treatment of crippled children was opened in Carlisle just over a year ago, Orthopaedic work amongst the children of school age in Cumberland had been carried on for some time under the County Council; but the City Council. which is a separate authority for purposes of education and health, had not shown itself able to initiate work of this kind under existing financial conditions. As, however, the need was obvious the Council of Social Service took the matter up. The medical men of the city were invited to a conference, and promised assistance ; while the Hon. Staff of the Cumberland Infirmary undertook to supervise the work. The Council then raised a sum of £500 to get the work started in premises provided by the Trustees of A trained nurse was secured St. Cuthbert’s Ilall. from the Oswestry Orthopaedic Hospital, and the clinic was opened one day a week with an initial attendance of about 15 children, the nurse visiting the children in their homes on other daysof the week. A little later the clinic was opened on two other mornings of the week for massage. By the end of the year there were 73 cripples attending the clinic; 1558 attendances had been made, and 102-1 visits paid by the nurse to the homes of the children, 195 plasters had been put on. and 72 splints and instrurnents of various kinds supplied. These latter are supplied by the Committee, but the parents are requested to contribute towards the cost by weekly payments according to their means. Several cases found to require institutional treatment were sent to Oswestry, others requiring operations to the Cumberland Infirnrary. The liealth Department of the city arranged for the supply of virol at cost price in certain cases. At the outset a considerable proportion of the cases wese found to be long-standing and in need of prolonged treatment; the more recent cases, of course, yield to treatment more readily. Several cripples who previously had no earning capacity are now working in factories in the city, and providing for themselves ; while others who previously were on crutches, and apparently likely to be so permanently, are now walking on their own feet. Assistance in the case of ex-servicemeiri’s children has been granted from the United Services fund and other sources. The example of Carlisle might well be followed by other places in which the sanitary and education authorities have failed to provide for the curative treatment of their cripples.
CRIPPLED
METHODS OF TREATMENT IN EPIDEMIC puerperal fever, 51 ; puerperal pyrexia, 139cerebroENCEPHALITIS. spinal fever, 7 ; acute poliomyelitis, 24 ; acute polio-encephalitis, 3; encephalitis lethargica, 39; EPIDEMIC encephalitis made its appearance in the dysentery, 6 ; ophthalmia neonatorum, 112. Philippine Islands in 1918, when three cases were The cases of smau-pox were reported from the following In 1922 a severe epidemic of the disease counties : Durham, 28t (11 from Gateshead, the remainder recognised. cases being reported from different parts occurred, from 22 urban and rural districts, the highest figures being Chester-le-Street R.D. 40, Crook 32, Brandon and Byshottles of the Islands. The first epidemic was of the lethargic 30, Lanchester 27, IIetton 22, Willinton 21, Shildon 19, type ; in the second one the myoclonic type was Dr. Agerico B. M. Sison made a Jarrow 1,1, Easington 12, and Tanfield 10) ; Lancaster, 1 predominant. (Ashton-under-Lyne); Lincoln-Lindsey, 7 (Gainsborough) ; comparative study of the different methods of treatNorthumberland, 5 (Newcastle 1, Tynemouth 2, Ashing- ment in the second epidemic. His first efforts were ton 1, Castle Ward R.D. 1 (Huthwaite) ;
1) ; Nottingham,
Yorks West Riding, 91 (20 from Sheffield, the remainder from eight urban and rural districts, the highest figures being Keighley 33, Mexborough 1, and Doncaster 10). The West Riding of Yorkshire reported last week 61, and the previous week 45 cases. Hince this return was made up ten cases of small-pox have been reported from Southport and many fresh cases from Sheffield. A fatal case has been reported from Mexborough.
directed towards the correction of the continuous myoclonic movements which were the most distressing symptoms. Various nerve sedatives were used, such as veronal, trional, luminal, hyoscine
hydrobromide, morphine sulphate
and
polybromide
These did not control the movements, mixtures. nor had intramuscular injections of urotropine and of quinine any apparent effect. Ether anasthesia
Deaths.—In the aggregate of great towns, including gave temporary relief, which in one case proved London, there was no death from small-pox, 1 (0) from permanent, the myoclonic movements not returning enteric fever, 28 (0) from measles, 4 (0) from scarlet on the patient’s recovery from anaesthesia. In the fever, 60 (16) from whooping-cough, 46 (8) from treatment of acute cases of epidemic encephalitis diphtheria, 51 (12) from diarrhoea and enteritis under Dr. Sison speaks favourably of intra-spinal injection 2 years, and 172 (72) from influenza. The figures in of serum obtained from patients who have just
parentheses are those for London itself. The influenza deaths in the last five returns have been slowly rising, thus : 52, 60, 69, 86, 172-and 326 has been given verbally as the figure for the next week.
1 Comparative Study of the Different Methods of Treatment Far Eastern Association of Tropical in Epidemic Encephalitis. Medicine. Transactions of the Sixth Congress (1925), Tokyo, vol. ii., p. 513.
Annotations. "
Ne
quid nimis."
VITAL STATISTICS FOR 1926. THE Registrar-General has issued a provisional statement of the ng’nres for birth-rate, death-rate, and infantile mortality during the year 1926.
The smaller towns are tltosf. with an cut imaged population The (crude) death-rate fo[’ 1921 of 20,000-50,000. England and Wales relates to the whole population, but that for London and ttif two groups of towns to the civil population only. Rirth-rate and death-rate are per 1000 population, infant mortality-rate per 1000 births. in
The Registrar-General nexnarhs that the birth-rate is 0-5 per 1000 belowthat. of 1025, and that. with the exception of the rate in 1918 (the last year of the war), it is thelowest recorded. The death-rate is 0.6 per 1000 below that recorded in the previous year and is equal to that of 1923, the lowest recorded rate. The infantile mortality-rate is 5 per 1000 births below that of 1925, but 1 per 1000 above that of 1923, the lowest on record. These provisional figures, which are not likely to require substantial modification. have been issued for the information of medical officers of health. _____
THE FIRST WEEK OF 1927. THE Registrar-General’s return for the first week of the present year has just been issued, and we take the opportunity of calling the attention of the medical profession as a whole to a document whose careful study will keep the practitioner informed of the prevalence and spread of infectious disease throughout England and Wales. Notifications.—The following cases of infectious disease were notified during the week : Small-pox, 412 (previous week 342); scarlet fever, 1468 ; diphtheria, 1179 ; enteric fever, 37 ; pneumonia, 2033 ;
CHILDREN IN CARLISLE. A VOLUNTARY clinic for the treatment of crippled children was opened in Carlisle just over a year ago, Orthopaedic work amongst the children of school age in Cumberland had been carried on for some time under the County Council; but the City Council. which is a separate authority for purposes of education and health, had not shown itself able to initiate work of this kind under existing financial conditions. As, however, the need was obvious the Council of Social Service took the matter up. The medical men of the city were invited to a conference, and promised assistance ; while the Hon. Staff of the Cumberland Infirmary undertook to supervise the work. The Council then raised a sum of £500 to get the work started in premises provided by the Trustees of A trained nurse was secured St. Cuthbert’s Ilall. from the Oswestry Orthopaedic Hospital, and the clinic was opened one day a week with an initial attendance of about 15 children, the nurse visiting the children in their homes on other daysof the week. A little later the clinic was opened on two other mornings of the week for massage. By the end of the year there were 73 cripples attending the clinic; 1558 attendances had been made, and 102-1 visits paid by the nurse to the homes of the children, 195 plasters had been put on. and 72 splints and instrurnents of various kinds supplied. These latter are supplied by the Committee, but the parents are requested to contribute towards the cost by weekly payments according to their means. Several cases found to require institutional treatment were sent to Oswestry, others requiring operations to the Cumberland Infirnrary. The liealth Department of the city arranged for the supply of virol at cost price in certain cases. At the outset a considerable proportion of the cases wese found to be long-standing and in need of prolonged treatment; the more recent cases, of course, yield to treatment more readily. Several cripples who previously had no earning capacity are now working in factories in the city, and providing for themselves ; while others who previously were on crutches, and apparently likely to be so permanently, are now walking on their own feet. Assistance in the case of ex-servicemeiri’s children has been granted from the United Services fund and other sources. The example of Carlisle might well be followed by other places in which the sanitary and education authorities have failed to provide for the curative treatment of their cripples.
CRIPPLED
METHODS OF TREATMENT IN EPIDEMIC puerperal fever, 51 ; puerperal pyrexia, 139cerebroENCEPHALITIS. spinal fever, 7 ; acute poliomyelitis, 24 ; acute polio-encephalitis, 3; encephalitis lethargica, 39; EPIDEMIC encephalitis made its appearance in the dysentery, 6 ; ophthalmia neonatorum, 112. Philippine Islands in 1918, when three cases were The cases of smau-pox were reported from the following In 1922 a severe epidemic of the disease counties : Durham, 28t (11 from Gateshead, the remainder recognised. cases being reported from different parts occurred, from 22 urban and rural districts, the highest figures being Chester-le-Street R.D. 40, Crook 32, Brandon and Byshottles of the Islands. The first epidemic was of the lethargic 30, Lanchester 27, IIetton 22, Willinton 21, Shildon 19, type ; in the second one the myoclonic type was Dr. Agerico B. M. Sison made a Jarrow 1,1, Easington 12, and Tanfield 10) ; Lancaster, 1 predominant. (Ashton-under-Lyne); Lincoln-Lindsey, 7 (Gainsborough) ; comparative study of the different methods of treatNorthumberland, 5 (Newcastle 1, Tynemouth 2, Ashing- ment in the second epidemic. His first efforts were ton 1, Castle Ward R.D. 1 (Huthwaite) ;
1) ; Nottingham,
Yorks West Riding, 91 (20 from Sheffield, the remainder from eight urban and rural districts, the highest figures being Keighley 33, Mexborough 1, and Doncaster 10). The West Riding of Yorkshire reported last week 61, and the previous week 45 cases. Hince this return was made up ten cases of small-pox have been reported from Southport and many fresh cases from Sheffield. A fatal case has been reported from Mexborough.
directed towards the correction of the continuous myoclonic movements which were the most distressing symptoms. Various nerve sedatives were used, such as veronal, trional, luminal, hyoscine
hydrobromide, morphine sulphate
and
polybromide
These did not control the movements, mixtures. nor had intramuscular injections of urotropine and of quinine any apparent effect. Ether anasthesia
Deaths.—In the aggregate of great towns, including gave temporary relief, which in one case proved London, there was no death from small-pox, 1 (0) from permanent, the myoclonic movements not returning enteric fever, 28 (0) from measles, 4 (0) from scarlet on the patient’s recovery from anaesthesia. In the fever, 60 (16) from whooping-cough, 46 (8) from treatment of acute cases of epidemic encephalitis diphtheria, 51 (12) from diarrhoea and enteritis under Dr. Sison speaks favourably of intra-spinal injection 2 years, and 172 (72) from influenza. The figures in of serum obtained from patients who have just
parentheses are those for London itself. The influenza deaths in the last five returns have been slowly rising, thus : 52, 60, 69, 86, 172-and 326 has been given verbally as the figure for the next week.
1 Comparative Study of the Different Methods of Treatment Far Eastern Association of Tropical in Epidemic Encephalitis. Medicine. Transactions of the Sixth Congress (1925), Tokyo, vol. ii., p. 513.