Rheumatism in School Children, by R. H. VERCOE, M.R.C.S., D.P.H., Medical Officer of Health, Chelmsford. (Member.)

1926 ◽  
Vol 47 (10) ◽  
pp. 623-629
1943 ◽  
Vol 43 (3) ◽  
pp. 159-169 ◽  
Author(s):  
J. F. Murray

1. A total of 499 rural and 437 urban Bantu school children were examined for their diphtheria carrier rate and Schick immunity.2. Clinical diphtheria amongst the rural and urban Bantu was also investigated.3. The virulent C.diphtheriaecarrier rate was found to be 3·2% in the rural children and 1·8% in the urban with virulent/avirulent ratios of 1: 1·1 and 1: 2·5 respectively.4. The Schick-positive rate in children aged 6–17 years was found to be 8·0% in rural children and 13·7 % in urban.5. Clinical diphtheria was rarely encountered under rural conditions, but was more common in urban natives.6. The case mortality rate in eighty-nine clinical cases was 14·4%.7. 53% of the clinical cases occurred in the 0-5 years age group.8. 89% of the strains recovered belonged to themitistype. No intermediate strains were encountered.9. The reason for the infrequency of clinical diphtheria amongst the Bantu is discussed and various theories are reviewed.10. It is concluded that the infrequency of clinical diphtheria is partly due to the environment, but that there is also a racial factor. It is suggested that the racial factor lies in an ability to produce antitoxin quickly. There is not sufficient evidence in this investigation to show whether the racial factor is genetic, but in view of Turbott's work amongst the Maoris it is suggested that the racial factor in immunity to diphtheria may be genetic amongst the Bantu also.I have pleasure in acknowledging the continued interest of Dr E. H. Cluver, Director, and Dr G. Buchanan, Deputy-Director, of the South African Institute for Medical Research in the progress of this work. I also wish to acknowledge gratefully the help given me by Dr Prestwick, Dr Miller and Dr Xuma at Alexandra Township. I am indebted to the Administration, and in particular to Dr J. W. Stirling, Principal Medical Officer of Bechuanaland Protectorate Government, for permission to carry out the investigation at Kanye. To Dr Marcus of the Seventh Day Adventist Mission, Kanye, I am deeply indebted for help and hospitality, and to Chief Bathoën who assisted me in making contact with the requisite number of school children at Kanye. My thanks are also due to the Mother Superior and Sisters of the Holy Cross Mission, Alexandra Township, and the many Bantu school teachers who gave me access to the children in their charge. Mr Barnes (S.A.I.M.R.) very kindly carried out the statistical tests of Tables 1 and 2. The travelling expenses involved in this work were defrayed by a grant from the National Research Board.


Author(s):  
Nayana Gunathilaka ◽  
Nilmini Chandrasena ◽  
Lahiru Udayanga

Skin disorders are one of the commonest conditions among school children in developing countries. There are only a few published studies available from Sri Lanka on the prevalence of skin disorders. A community-based cross-sectional study was carried out among five government-run schools randomly selected from the district of Gampaha, Sri Lanka, during 2016-2017. A total of 41 students between 5 and 16 years of age were randomly selected from each school. Sociodemographic profile and hygienic behaviors of selected students were assessed using a pretested interviewer-administered questionnaire. Students were examined by a medical officer for the presence of different skin disorders. The chi-squared test of association and binary logistic regression were used for the identification of the significance of socioeconomic factors and hygienic practices among the study participants. A total of 205 school children participated in the study. The commonest skin disorder was pediculosis (42.0%; n=86), followed by dandruff (8.3%; n=17), fungal infections (6.8%; n=14), and scabies (1.5%; n=3). Almost one-fourth of the study participants (22.9%; n=30/131) had more than one disorder, majored by Pediculus captis infestation with dandruff. Over one-third (36.1%; n=74) were free of any skin disorders. The prevalence of skin disorders was significantly high among females (87.3%; n=110), compared to males (26.6%; n=21). Presence of long hair, higher family size, and limited number of rooms in the house were risk factors associated with the prevalence of skin disorders. The commonest skin disorder was pediculosis, while scabies and fungal infections were scarce among school children in the district of Gampaha, Sri Lanka. Implementation of health education and monitoring programs at the school level for maintaining the dermal health status of school children is recommended.


PEDIATRICS ◽  
1953 ◽  
Vol 11 (3) ◽  
pp. 306-306

Edgar Henry Wilkins, for many years a school medical officer in New Zealand and in Birmingham, England, died in 1946 with the manuscript for this book partly in draft stage and partly with little more than notes or an expression of intensions. It was completed by the School Health Service Group of the Society of Medical Officers of Health with Dr. Wilkin's daughter, Mrs. Ernst Kaiser, as literary executrix in charge of the work. The book does not limit itself, as its title would indicate, to medical inspection, but rather to the technical duties of the school physician under the present system of social medicine in England, of discussion of the position of the school physician in a comprehensive school health program.


1942 ◽  
Vol 42 (5) ◽  
pp. 549-551 ◽  
Author(s):  
A. W. Tuxford

At the beginning of the war, the London County Counoil issued a report by Sir Frederick Menzies, their late School Medical Officer, on the average heights and weights of London elementary school children in 1938. The report is based on the measurements of about 100,000 children, and is probably the most important contribution to the anthropometry of childhood that has appeared in this country for many years.


1943 ◽  
Vol 43 (1) ◽  
pp. 55-68 ◽  
Author(s):  
B. Benjamin

Sample frequency distributions are given of height and weight measurements of London elementary school children made during the period 1935–8. In addition these measurements have been analysed in order to determine the seasonal fluctuation in rates of growth. The rate of increase in height appears to reach a maximum in the latter part of spring and a minimum in the middle of autumn. The rate of increase in weight appears to reach a maximum in the latter part of autumn and a minimum in the middle of spring. Tables and graphs are given showing, for each sex, the variation in the rates of growth throughout the calendar year. I wish to thank the County Medical Officer of Health, W. Allen Daley, M.D., F.R.C.P., for permission to publish this paper and for encouragement in its preparation; Mr L. Coward, F.I.A., and Mr E. Lewis Faning, Ph.D., for statistical criticism; and Mr J. H. Farrar for drawing the diagrams.The London County Council takes no responsibility for the views expressed in this paper which are personal only.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Nushka Ubhayawardana ◽  
Ishani Gammana Liyanage ◽  
H. M. J. C. B. Herath ◽  
Uthpala Amarasekera ◽  
Tilanka Dissanayake ◽  
...  

A descriptive cross-sectional school based study was carried out to investigate the prevalence of soil-transmitted intestinal helminths and the associated factors among school children in Kaduwela Medical Officer of Health (MOH) area in the Colombo district, which was affected by floods in 2016. The study was conducted in 9 selected schools in Kaduwela MOH area from September 2016 to March 2017. Permission was obtained from the relevant authorities. Grade 1 students were enrolled in the study after obtaining informed written consent from their parents/guardian. Interviewer based questionnaire was administered to gather demographic data and other relevant information. Stool samples were collected and examined by direct wet saline smear. Study population comprised 53.4% male students. None of stool samples were positive for soil-transmitted helminths but 17.4% of students complained of nocturnal itching and parents of 23% of them had seen worms passing out from their children’s anus at night. Fourteen stool samples were found to be positive for cyst of Entamoeba coli. Majority of parents (69%) stated that their children always wash their hands with soap and water before meals, whereas 26% stated that their children practice this sometimes. Majority of students (88%) washed their hands after going to the toilet. Almost all students (86%) used water sealed toilets and very few used pit latrines (14%). In this study, 67% of students had received anti-helminthic drugs after the floods. These findings suggest that zero prevalence of helminthic infections could be due to anti-helminthic prophylaxis and good health practices. Further studies should be done in this area with a large sample size to investigate the true prevalence of helminthic infections. Students and parents should be educated on Enterobius vermicularis infection. The source of water supply should be tested for fecal contamination.


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