[Report 1931] / Medical Officer of Health, Leicestershire / County of Leicester County Council.

  • Leicestershire (England). County Council
Date:
1931
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1931] / Medical Officer of Health, Leicestershire / County of Leicester County Council. Source: Wellcome Collection.

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    (iv) . Date ot onset of paralysis. The figures given in the 1927 report showed no relation between the date of onset of paralysis and the extent of the final disability. In any case it requires careful and accurate observation to determine the date of onset of paralysis, and this virtue was not conspicuous among the parents. (v) . Severity of the initial attack. The severity of the initial symptoms and the extent of early paralysis offer no indications of prognostic value. Among those who recovered completely 11 had a severe onset with more or less generalized paralysis and 9 were mild cases from the start. The majority of the cases suffered from extensive paralysis in the early stages. (vi) . Social environment. In the following Table “Class A” denotes patients in such circum¬ stances that every form of treatment known to modern science was at their disposal. “Class B” denotes patients whose parents were anxious to provide the best treatment available, but limited means, difficulty in reaching a treatment centre, and other obstacles permitted only a moderate amount of regular treatment (e.g., attendance at a clinic two or three times a week, or massage at home under skilled supervision). “Class C” refers to cases in which, through poverty, ignorance, or remoteness from a centre—or owing to the ministrations of charlatans— no orthopaedic treatment was applied. TABLE VI. Social Environment. Clinical Result, 1931. Class A. Class B. Class C. Recovery . 3 15 3 Improvement 3 7 5 Deterioration . — — 3 f Group I. — 1 3 No change J Group II. — 6 5 | Group III. 1 5 4 L Group IV. — 1 3 Death from Paralysis . 3 6 1 10 41 27 The following points are of some significance :— (a) All the deaths in the acute stage of the disease occurred among patients in good social circumstances, and in houses in which there was no overcrowding.
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