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7 11 Relapsing Fever . . . . . . . . . . . . . . . Continued Fever . . . . . . . . . . . . . . . Puerperal Fever 1 . . . . 1 1 . . . 1 . . . 1 Plague . . . . . . . . . . . . . . . Phthisis 3 . . . 1 2 1 1 . 1 . . . . . Totals 620 2 146 359 55 58 106 71 176 268 69 47 122 223 46l 59 Table IV. CAUSES OF, AND AGES AT, DEATH DURING YEAR 1908. Causes of Death. Deaths at the subjoined ages of " Residents" whether occurring in or beyond the District.
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Deaths at all ages of "Residents" belonging to Localities, whether occurring in or beyond the District Total Deaths whether of 'Residents' or "NonResi dents" in Public Institutions in the District. All Ages. Under 1 year 1 and under 5. 5 and under 15. 15 and under 2 25 and under 65. 65 and upwards North East Ward. N'th-West Ward. South East Ward. S'th-West Ward. Small-pox . . . . . . . . . . . . Measles 38 8 26 3 1 . . 2 5 6 25 . Scarlet Fever 15 . 9 4 1 1 . 1 . 4 10 14 Whooping Cough 15 6 8 1 . . 1 2 3 9 . Diphtheria (including Membranous croup) 7 .
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6 1 . . . 1 . 2 4 4 Croup . . . . . . . . . . . . Fever— Typhus . . . . . . . . . . . . Enteric 2 . . . 1 1 . . 1 . 1 . Other continued . . . . . . . . . . . . Epidemic influenza 14 . . . 1 9 4 6 1 3 4 1 Cholera . . . . . . . . . . . . Plague . . . . . . . . . . . . Diarrhœa 46 42 4 . . . . 7 3 3 33 . Enteritis 17 14 . . . 1 2 5 4 1 7 . Puerperal Fever . . . . . . . . . . . . Erysipelas . . . . . . . . . .
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. . Phthisis (Pulmonary Tuberculosis 56 1 . 3 5 43 4 13 5 12 26 . Other Tuberculous diseases 28 10 9 4 3 2 . 2 6 6 14 . Cancer, malignant disease 48 . . . . 32 16 14 8 9 17 . Bronchitis 50 15 6 . . 5 24 8 5 9 28 1 Pneumonia 55 11 19 3 2 14 6 10 9 11 25 2 Pleurisy 1 . . . . 1 . . . 1 . . Other diseases of Respiratory Organs 17 3 5 . . 3 6 3 3 2 9 . Alcoholism— Cirrhosis of Liver 12 . . . 1 9 2 2 6 1 3 .
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Venereal diseases . . . . . . . . . . . . Premature birth 25 25 . . . . . 2 4 2 17 . Diseases and accidents of parturition 5 . . . 2 3 . 1 . 1 3 . Heart diseases 45 1 . 6 3 23 10 7 11 8 17 . Accidents 12 2 4 2 . 2 2 2 2 1 7 4 Suicides 1 . . . . 1 . 1 . . . . All other causes 216 50 10 2 3 59 92 56 49 38 73 5 All causes 723 188 106 29 23 209 168 144 124 124 331 31 6o Population estimated to middle of 1908, 55,000 Births in the year legitimate, 1526.
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Illegitimate, 42. Table 5. INFANTILE MORTALITY Deaths from stated causes in Weeks CAUSE OF DEATH. Under 1 week 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 1 month, 1-2 months. Common Infectious Diseases, Small-pox ... ... ... .. ... ... Chicken pox ... ... ... ... ... ... Measles ... ... ... ... ... ... Scarlet Fever ... ... ... ... ... ... Diphtheria ing Membranous Croup ... ... ... ... ... ... Whooping Cough ... ... ... ... ... 1 Diarrhœal Diseases. Diarrhoea, all form ... ... ... ... ... 3 Enteritis, Mucoenteritis, Gastroenteritis ... ... ... 2 2 2 Gastritis Gastrointestinal Catarrh ... ... ... ... ... ... Wasting Diseases.
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Premature Birth 12 6 1 5 24 ... Congenital Defects 2 ... ... ... 2 ... Injury at Birth 3 ... 1 ... 4 ... Want of Breast-) milk, Starvation ... ... ... . ... 1 Atrophy, Debility, Marasmus 3 3 2 2 10 3 Tuberculous Diseases.
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Tuberculous, ingitis ... ... ... ... ... ... Tuberculous Peritonitis; Tabes Mesenterica ... ... ... ... ... ... Other Tuberculous) Diseases ... ... ... ... ... ... Other Causes Erysipelas ... ... ... ... ... ... Syphilis ... ... ... ... ... ... Rickets ... ... ... ... ... ... Meningitis (not Tuberculous) ... ... ... ... ... ... Convulsions 1 1 ... ... 2 1 Bronchitis ... ... 1 2 3 4 Laryngitis ... ... ... ... ... ... Pneumonia ... ... ... ... ... 2 Suffocation, overlaying 1 ... ... ... 1 ... Other causes 3 1 ... ... 4 ... 25 11 5 11 52 17 61 DURING THE YEAR, 1908. and Months under One Year of age. onths. 3-4 months. 4-5 months.
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5-6 months. 6-7 months. 7-8 months. 8-9 months. 9-10 months. 10-11 months. 11-12 months. Total Deaths under One Year. . . . . . . . . . . . . . . . . . . . . . . . 1 1 . 2 1 3 8 . . . . . . . . . . . . . . . . . . . . . . . . . 1 . 1 . 2 1 . 6 3 3 5 7 4 5 3 6 1 2 42 2 2 4 . 2 . . . . . 14 . . . . . . . . . . . 1 . . . . . . . . . 25 . . . . . . . . . . 2 . . . . . . . . . .
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4 1 . . 1 1 . . . . . 4 4 . 1 1 1 . 1 1 . . 22 . . 1 . 1 . 1 1 1 . 5 1 2 1 . . . . . . 1 5 . . . 1 . . . . . . 1 . . . . . . . . . . . . 1 . 1 .
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... ... ... ... ... 2 .. ... ... ... ... ... ... ... ... ... ... ... ... 1 ... .. ... ... ... ... ... 1 1 .. ... ... ... ... ... ... 1 1 6 2 ... ... 1 ... ... 1 2 ... 2 15 ... ... 2 ... ... ... ... ... 1 .. 3 ... 1 ... ... ... 2 1 2 1 2 11 ... ... ... 1 ... ... ... ... ... ... 2 1 1 1 ... 2 1 ... ... ... ... 10 16 10 16 14 12 10 7 l6 7 11 188 Deaths in the year of legitimate infants, 171. Illegitimate infants, 17. 62 INFANTILE MORTALITY. WARD DISTRIBUTION. North East North West South East South West Total.
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Measles 1 1 3 3 8 Whooping Cough . 2 1 3 6 Diarrhœa 6 3 3 30 42 Enteritis 5 4 5 14 Premature Birth 2 4 2 17 25 Congenital Defects 1 . . 1 2 Injury at Birth . 1 2 1 4 Want of Breast Milk, Starvation . 1 1 2 4 Atrophy, Debility, Marasmus 6 3 4 9 22 Tuberculous Meningitis 2 . 1 2 5 Tuberculous Peritonitis, Tabes Mesenterica . . . 5 5 Other Tuberculous Diseases . . . 1 1 Syphilis . 1 . 1 2 Meningitis (not Tuberculous) . . .
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1 1 Convulsions 1 2 1 2 6 Bronchitis 2 2 5 6 15 Laryngitis . . . 3 3 Pneumonia 1 1 4 5 11 Suffocation Overlaying . . . 2 2 Other causes 3 1 2 4 10 Totals 30 26 29 103 183 FACTORIES, WORKSHOPS, WORKPLACES AND HOMEWORK. I. INSPECTION. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. Premises. lnspecttions. Written Notices. Factories (including Factory Laundries) 25 10 Workshops (including Workshop Laundries) 107 — Workplaces (other than Outworker's premises included in Part 3 of this Report) — — Total 132 10 2. DEFECTS FOUND.
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Particulars. Nuisances under Public Health Acts:— Found. Remedied Want of cleanliness 6 6 Want of ventilation 5 5 Overcrowding - - Want of drainage of floors 10 10 Other Nuisances 10 10 Sanitary accommodation insufficient 11 11 unsuitable or defective 17 17 not separate for sexes — — Total 60 60 63 3. HOME WORK. OUTWORKERS' LISTS, SECTION 107. NATURE OF WORK. Twice Yearly Once Yearly Outworkers received from other Councils Outworkers forwarded to other Councils Notices served on occupiers as to keeping or sending lists Inspection of outworkers premises. Infected premises instances Lists Outworkers Lists Outworkers Wearing Apparel— (1) making, etc.
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21 33 6 6 30 ... ... 33 ... (2) cleaning and washing 21 61 2 4 ... ... 72 61 4 Brush making 4 10 ... ... 3 ... ... 30 ... Stuffed toys 2 84 ... ... ... 8 ... 76 ... Total 48 208 8 10 33 8 72 200 A 4. REGISTERED WORKSHOPS. Workshops on the Register (s. 131) at the end of the year. Laundries 249 Dressmaking 47 Millinery 8 Tailoring 7 Bakehouses 29 Others 54 Total number of workshops on Register 394 5. OTHER MATTERS. Matters notified to H.M. Inspector of Factories. Failure to affix Abstract of the Factory and Workshop Act (s. 133) — Action taken in matters referred by H.M.
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Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Act (s. 5) Notified to H M. Inspector 12 Reports (of action taken) sent to H.M. Inspector 12 Underground Bakehouses (s. 101):— In use at the end of the year 8 Your obedient servant, D. J. THOMAS. April, 1908. 64 SANITARY WORK. Inspections.—Number of premises inspected on complaint 1583 Number of premises inspected in connection with infectious diseases 621 Number of premises under periodical inspection 333 Houses inspected from house-to-house 661 Total number of inspections and re-inspections made 9936 Notices.—Cautionary or intimation notices given 1282 Statutory orders issued 1032 Summonses served 1 Dwelling Houses. - Houses, premises, etc., cleansed, repaired, etc.
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1122 Common Lodging Houses—Number registered under bye-laws 2 Number of inspections made 190 Movable Dwellings, Caravans.
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Tents, etc.—Number observed during the year 13 Number of nuisances therefrom abated 11 Number removed from disrict 10 Bakehouses.—Number in district 29 Slaughter-houses.—Number on register 4 Number of inspections made and frequency of inspections weekly 148 Cow-sheds.—Number on register 2 Number of inspections made and frequency of inspection monthly 24 Number of milch cows in district 105 Dairies and Milkshops.—Number on register 76 Number of inspections made and frequency of inspection yearly 152 Unsound Food.-(a) Animals seized (6) Article or parcels seized (a) 40 (b) 141 Articles or parcels surrendered 181 Adulterated Food.—Samples taken (if any) by the District Local Authority 74 Found adulterated 3 Offensive Trades.—Number of premises in district 1 Number of inspections made 25 WATER SUPPLY AND WATER SERVICE.
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Percentage of Houses supplied from Public Water Service 100% Cisterns.—New provided 39 Cleansed, repaired, covered, etc. 232 Draw-taps placed on Mains 45 Percentage of Houses supplied on Constant System 100 per cent Water Closets.—Repaired, supplied with water, or otherwise improved 558 65 drainage and sewage of existing buildings. Pecentage of Houses provided with Water Closets 100 per cent. Drains.—Examined, tested, exposed, etc. 381 Unstopped, repaired trapped, etc. 983 Waste pipes, rain water pipes, disconnected, repaired, etc. 705 New soil pipes or ventilating shafts fixed 326 Existing soil pipes or ventilating shafts repaired 136 Disconnecting traps or chambers inserted 412 Reconstructed 77 Cesspools.—Rendered impervious, emptied, cleansed, etc.
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3 Abolished, and drain connected to sewer 3 Percentage of Houses draining into sewers 100 per cent Disinfection. — Rooms Disinfected (a) ordinary infectious diseases (a) 527 (b) Phthisis (b) 31 Rooms stripped and cleansed 112 Articles disinfected or destroyed, (a) ordinary infectious disease, (6) Pthisis — All textile articles in infected rooms removed and steam disinfected.
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Dust,—New bins provided 246 How frequently is dust removed from each house weekly Number of complaints of non-removals received 6 Method of disposal By burning in destructor Sundry Nuisances Abated.—Overcrowding 47 Smoke 14 Accumulatian of refuse 157 Foul ditches, ponds, etc., and stagnant water 9 Foul pigs and other animals 26 Dampness 227 Yards repaved or repaired 341 Other nuisances 195* *These refer to hoods ventilated at Fish Shops, Houses and bedding cleansed and washed, side passages paved, additional W.C.'s provided. Obediently yours, maurice w. kinch, (Chief Inspector of Nuisances. Report on the Medical Inspection of Schools FOR THE YEAR 1908. 68 The Urban District Council of Acton. To the Chairman and Members of the Educational Committee.
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Ladies and Gentlemen, In accordance with paragraph 13 of Circular 576 issued by the Board of Education in November 1907, we beg to submit the following report on the schools and school children under the control of the Local Educational Authority. The report deals with the period ending December 31st, 1908. This period has been adopted so as to secure in future reports an effective basis for comparison of the work done in different parts of the country and to correspond with the annual period fixed for the closely related annual report of the Medical Officer of Health. The report is necessarily incomplete as the provisions of the Education (Administrative Provision) Act 1907, relating to medical inspection were not put into operation until the month of April 1908. The scope of the Report is defined in Circular 596 of the Board of Education, and this report will follow as closely as possible the lines laid down in that Circular.
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As the report is for the information of the Board of Education as well as of the Local Education Authority, statements of local circumstances and conditions are included which may seem superfluous to the latter. As regards the scope of the report, the Board consider it desirable that it should cover as much as possible of the ground indicated under the following heads:— a. Hygienic conditions of schools. b. Description of arrangements for co-ordinating School Medical Service and Public Health Service including (1) Use of Board's Schedule. (2) Assistance given by Teachers, Nurses, Attendance Officers, etc. (3) Co-operation of Parents. (4) Disturbance of School Arrangements. c. Extent and scope of Medical Inspection during the year. d. Review of results of Medical Inspection. e. Relations of home and industrial conditions to health and physical conditions of children. 69 f. Methods employed or available for the treatment of defects, including work of School Nurses.
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g. Review of action taken to detect and prevent the spread of infectious diseases, including closure of schools or exclusion of children from Schools. h. Review of methods adopted for dealing with blind, deaf, mentally or physically defective and epileptic children. i. Review of methods of instruction in personal Hygiene and temperance in Public Elementary Schools, including physical or breathing exercises and arrangements for open air or camp schools. The Urban District of Acton has an area of 2304 acres and an estimated population at the end of June 1908 of 55,000 inhabitants. The average number of children on the books was 8564 and the average number of children in attendance throughout the year was 7708. There are in the district 10 schools and 23 departments. Some of these schools have been erected quite recently and conform to the highest standard of hygiene. The older schools leave much to be desired in the matter of sanitation and hygiene.
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A short description is given of each school, and in order that the condition of the buildings may be compared with what is demanded in new schools a short summary is given of the building regulations issued in 1907 by the Board of Education, These regulations are plainly unsuitable for any rigid application to proposals for enlarging or otherwise improving existing buildings. Every part of a school building should be thoroughly adapted to the work of school teaching. The rooms should be grouped compactly and conveniently so as to secure proper organisation and supervision; every building intended for use as a public elementary school must be planned so that the children who will attend can be seated in the best manner for being taught. For large departments containing from 350 to 600 places the most suitable plan is that of the Central Hall with the class rooms grouped round it; as a rule such a department would require from 70 seven to ten classrooms. Smaller departments may be planned conveniently with the classrooms opening from a corridor.
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In large Schools there should be provided for the use of the Teachers a small room with suitable lavatory accommodation. The classrooms should not be passage rooms from one part of the building to another nor from the schoolrooms to the playground or yard. Both schoolrooms and classrooms must have independent entrances. The rooms should be arranged so that each can easily be cleared without disturbing the work proceeding in any other room. Cloakrooms should not be passages, and should be external to the schoolrooms and classrooms. Cloakrooms should be amply lighted from the end and should not be placed against the gable wall which should be fully utilised for windows giving light to the rooms used for teaching. There should be separate ingress and egress so that the children can enter and leave the cloakroom without contusion or crowding. Thorough ventilation and disconnection are essential so that smells are not carried into the School. Lavatory basins are needed.
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Lighting:— Every part and corner of a school should be well lighted. The light should, as far as possible, and especially in classrooms, be admitted from the left side of the scholars. All other windows in classrooms should be regarded as supplementary or for ventilation. When left light is impossible, right light is next best. Windows full in the eyes of scholars cannot be approved. The size and position of the windows are especially important in their bearing on the eyesight of the children. A large portion of each window should be made to open for ventilation and for cleaning. The sills of the main lighting windows should be placed not more than 4 feet above the floor; the tops of the windows should as a rule reach nearly to the ceiling. Large spaces between the window heads and ceiling are productive of foul rooms. Skylights are objectionable. They cannot be approved in schoolrooms or classrooms.
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They will only be allowed in central halls having ridge or apex ventilation, 71 The windows should be properly distributed over the walls of the classrooms so that every desk shall be sufficiently lighted. Ventilation. The chief point in all ventilation is to prevent stagnant air; particular expedients are only subsidiary to the main principle. There must be ample provision for the continuous inflow of fresh air, and also for the outflow of foul air. The best way of providing the latter is to build to each room a separate air chimney carried up in the same stack with smoke flues. An outlet should be by a warm flue or exhaust, otherwise it will frequently act as a cold inlet. Outlets in ceilings must not open into a false roof, but must be properly connected with some form of extract ventilator. Inlets are best placed in corners of rooms furthest from doors and fireplaces, and should be arranged to discharge upwards into the room. Gratings in floors should never be provided.
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The size of the inlets and outlets must be carefully adapted to the method of ventilation proposed. A much larger area is required when no motive force is provided. Besides being continually ventilated by the means above described, rooms should as often as possible be flushed with fresh air admitted through open windows and doors. Sunshine is of particular importance in its effects on ventilatioD and also on the health of the children. Although lighting from the left is considered so important, ventilation demands also the provision of a small swing window as far from the lighting as possible, and near the ceiling. Warming. The heat should be moderate and evenly distributed so as to maintain a temperature of from 56 to 60 degrees. Where schools are wholly warmed by hot water, the principle of direct radiation is recommended. In such cases open fireplaces in addition are useful for extra warming on occasions, and their flues for ventilation always.
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A common stove, with a pipe through the wall or roof, can in no circumstances be allowed. Stoves are only approved when:— (1) provided with proper chimneys (as in the case of open fires). 72 (2) of such a pattern that they cannot become red-hot or otherwise contaminate the air; (3) supplied with fresh air, direct from the outside, by a flue of not less than 72 inches superficial. (4) not of such a size or shape as to interfere with the floor space necessary for teaching purposes. A thermometer should always be kept hung up in each room. Sanitary arrangements:— W ater-closets within the main school building are not desirable, and are only required for women teachers. All others should be at a short distance and completely disconnected from the school. The latrines and the approaches to them must be wholly separate for boys and girls.
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The following table shows approximately the number of closets required:— Girls. Boys. Infants Girls & Infants Under 30 children 2 I 2 2 „ 50 „ 3 2 3 3 „ 70 „ 4 2 3 4 „ 100 „ 5 3 4 5 „ 150 „ 6 3 5 6 „ 200 „ 8 4 6 7 „ 300 „ 12 5 8 8 There should be urinals in the proportion of 10 feet per 100 boys, urinals are required for Infant's (boys). If the numbers in the school are not very large, offices common to Girls and Infants can be' approved ; a proper proportion of the closets must then be made of a suitable height for infants. The above rules apply to new school buildings, and it is practically impossible to make all old schools comply with these regulations in every respect.
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On the other hand, if no other consideration than economy entered into the question, it is desirable that, in some respects, an improvement be made. For instance the old fashioned grates in some of the schools are not only lacking in heating capacity, but 73 are most extravagant in coal consumption. It is true that if there were sufficient permanent inlet openings, these grates would greatly assist in the ventilation of the rooms, but in the older schools the number of the permanent ventilating openings is too low and in size they are far too small. Moreover, the difficulty of maintaining a sufficiently high and uniform temperature by means of these old fashioned grates precludes the teacher from opening many of the windows in severe weather. The question of efficient ventilation is always most difficult, and except in the most modern schools, the size of the permanent openings is too small. A much larger use is made by some teachers than by others of the means at their disposal.
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Some misconception exists as to the mode in which a ventilating grate acts. Is is not always appreciated that the opening which leads from the cavity behind the grate into the room is placed there so as to increase the heating capacity of the grate, it is also the most efficient ventilating opening in the class-room. But we often find that these openings are covered over by a picture or a board, and the value of the ventilating grate is thus considerably diminished. Not only are the ventilating grate openings covered over, but some of the inlet openings under the windows are permanently closed; in fact, some of the grids have become fixed in a closed position and cannot be moved. The lighting of each school has been dealt with separately, and attention is drawn in the report wherever the lighting area is insufficient or the direction of the light is unsatisfactory. In some of the class-rooms, though the area is sufficient the light comes from the wrong direction to some of the scholars owing to the arrangement of the desks.
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In order to accommodate the requisite number of children in the room some of the desk have been placed at right angles to the others. In a few of the class-rooms the light is rendered still more unsatisfactory by the presence of curtains which partition off the rooms. PRIORY SCHOOL. This school was erected in 1883 and enlarged in 1893, 1896 and 1901. A portion of the school is built as a one-storey building, but 74 most of it is in two-storeys. It consists of 3 departments—Infants Girls and Boys. The school has a very large central hall, which is used by the Girls' and Infants' departments. The entrance to the classrooms is not direct from the hall, but from each corner of the hall corridors radiate, and the classrooms on the ground floor are situated alongside these corridors. The school has 1 small and 2 large playgrounds.
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One of the large playgrounds and the small one are used in common by the Girls and Infants. The sanitary conveniences for the Girls and Infants are situated in the same playground, all the closets are of the trough type, and are automatically flushed. For the girls there are 15 separate compartments, for the Infants (boys) there 5 and an urinal measuring 10 linear feet, and for the boys, there are 7 compartments and an urinal measuring 15 linear feet. Infants' Department consists of 6 classrooms. Two of the rooms are partitioned, so that there is accommodation for 8 classes. Five of the classrooms are on the ground floor and one is on the first floor. There are two cloakrooms, and in each there are lavatory basins for the children. There is no separate room for the teachers of this department. The cloakrooms, corridors and central hall are heated by hotwater pipes.
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In the cloakrooms, the pipes are carried alongside the wall; in the central hall the pipes are placed beneath iron gratings in the floor, in the corridors there are radiators. The classrooms with one exception are solely heated by open fireplaces; in one room, in addition to a fireplace, hot water pipes are carried along one of the walls. The fireplaces are of a recent type and of the ventilating pattern. Behind each grate is an air cavity which communicates with the outside atmosphere and with the interior of the classroom. The air is drawn from the exterior of the buildings, is led into the cavity, is heated by the warm surface of the grate and passes into the classroom. This type of grate not only enhances the heat value of the fireplace but also acts as an inlet ventilator, 75 In all the classrooms in the Infants' department, there is an outlet opening for ventilation purposes in the breast of the chimney.
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There are also the usual ventilation openings ; under each window are placed inlets, and in the roof there is an outlet. The window area in all the classrooms appears ample, but in 3 of the rooms the light comes entirely from behind the scholars. In one room, the light comes entirely from the right, in one it comes partly from the right and partly from the left, and in only one room does the light come entirely from the left. Priory Girls' School consists of 8 classrooms, but 1 room is partitioned so as to accommodate two classes, 6 of the rooms are situated on the ground floor and 2 on the first floor. It has 2 entrances, 1 from the main street in Acton Lane, and one from the smaller playground on the northern side of the Infants' Department. The department has 3 cloakrooms, one of these is practically a continuation of the corridor which leads from the Girls' to the Boys' department.
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This latter cloakroom is lighted on one side by means of borrowed light from one of the classrooms, and requires great care to keep it well ventilated, as thorough ventilation cannot be obtained. Five of the classrooms are heated by open fireplaces, these fireplaces have ventilating grates, but there is not an outlet opening in the breast of the chimney. One classroom is heated by hot water pipes. All the rooms have inlets for ventilation purposes under the windows, and in two of the rooms there are in addition 3 Tobin's tubes. In 5 of the rooms there are special outlet openings in the roof provided for ventilation purposes; in the other 3 classrooms there are no special outlet openings. The window area in all the rooms is ample, but in one of the rooms the light is much impeded by proximity to other buildings.
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In only 4 rooms does the light come from the left; in one other room it comes partly from the left, in 2 it comes from the right and in 1 it comes from behind. In the latter, though, there is some borrowed light coming from the left. Priory Boys' School also consists of 8 classrooms, and one room is 76 partitioned so as to accommodate 2 classes. Three of the rooms are situated on the ground floor and 5 on the first floor. All the classrooms are heated by open fireplaces, with ventilating grates. All the classrooms have also inlets under the windows. The three rooms on the ground floor have no outlet openings in the roof, but in each one there is an opening in the breast of the chimney, and the upper part of the windows is made to open.
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In all the classrooms on the first floor there are outlet openings in the roof, but in one of the rooms there are no inlets under the windows The window area in all the classrooms is ample, and in 5 of them the light comes almost entirely from the left, in 2 it comes from the right and in one it conies from behind and the right, with a little borrowed light from the left. In one of the rooms where the light comes from the side of most of the scholars, a few of the desks have been so arranged as to make the direction of the light on these comes entirely from behind and in front. SOUTH ACTON. This school consists of two separate and distinct buildings situated on the southern and northern sides of Osborne Road. In one of the buildings are the Infants' and Girls' departments, and in the other are the Junior and Senior Boys. Infants and Girls' School is situated between Osborne Road and Bollo Bridge Road, and has entrances from both streets.
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The building is a two-storey one, and was erected in 1880 and enlarged in 1897. On the ground floor is the Infants' department, and on the first floor is the Girls' department. The arrangement of the rooms in the two departments is similar. Each department consists of 10 rooms, together with a wide corridor, cloak room and lavatory accommodation. In the Infants' department one of the rooms is used as a hall for drill purposes. In all the rooms the window area is ample, but in three of the class rooms most of the light comes from behind the scholars. In 11 one of the rooms in the Infants' department the light is impeded by surroundiug buildings. All the class rooms are heated by open fireplaces, with ventilating grates. The corridors and cloak rooms are heated by hot water pipes.
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In both departments there are inlet openings under the windows, but apart from the outlet opening in the breast of the chimney, there are no permanent outlets in the Infants' department. In the Girls' department there are openings in the ceiling of each class room. There is a large playground, which is used in common by the two departments. The surface of the playground is asphalted, and a small portion of it is covered. The sanitary conveniences are of the rough variety and auto, matically flushed. For the Girls there are 10 compartments, and for the Infants (girls) there are 6 For the Infants (boys) there are 5 compartments and an urinal measuring 12 linear feet. The Boys' School consists of two departments—junior and senior. The building is a two-storey one and was erected in 1903. The two departments are arranged in a similar manner.
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The Junior department is on the ground floor and the Senior on the first floor. Each department consists of 6 class rooms together with a central hall, cloak room and lavatory accommodation. The school is a modern one, well lighted, ventilated and heated. In all the class rooms the light comes almost entirely from the left. The artificial lighting is by electricity. In every room there are inlet and outlet openings for ventilation purposes. The building is heated by hot water from a central boiler, and radiators are placed in all the rooms. The playgronnd is asphalted, and a portion of it is covered over. In the playground is a manual centre. The sanitary veniences are of the pedestal type, and automatically flushed. There are ten separate compartments and 3 urinals with 33 stalls. BEAUMONT PARK. This School was erected in 1890, and enlarged in 1898.
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It consists of three departments—infants, girls, and boys. The infants' department is a one-storey building and the girls' and boys' departments are in two-storeys. In addition there is a temporary iron structure with accommodation for three classes. There is a separate playground for each department. All the surface is asphalted and a portion of the boys' playground is covered. The sanitary conveniences are of the trough pattern and are not automatically flushed. There is a flushing cistern for each set of offices. These cisterns are supplied from two large tanks fixed near the head teacher's room in the boys' Department. A good deal of the caretaker's time is taken up in flushing the various offices, and it would conduce to greater cleanliness if the cisterns were made to discharge automatically.
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For the infants (girls) there are 8 compartments and for the infants (boys) 6 compartments and 10 linear feet of urinal accomodation. For the girls there are 9 compartments, for the senior boys 6 compartments and 46 linear feet of urinal accommodation. The school is heated by hot water and by open fireplaces. The corridors and cloakrooms are heated by hot water. In all the classrooms there are open fireplaces, but in the infants' departments the rooms are also heated by hot water radiators. The open fireplaces are furnished with ventilating grates, and in all the rooms there is an outlet opening in the breast of the chimney. In the classrooms of the infants' and boys departments, there is also an outlet opening in the ceiling. The ventilation of the infants' and boys' departments is more efficient than that of the girls'.
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This is due to the fact that the latter department is situated on the ground floor, and it has over it the classroom of the boys' department. The permanent outlet 79 openings for ventilation purposes in the girls' school are limited to those placed in the breast of the chimney, except in one classroom where a window has been placed near the ceiling. In all the classrooms there are inlet openings placed under the window. Infants' Department consists of 8 class rooms tcgether with corridors, cloak rooms, and lavatory accommodation. The corridors do not extend uninterruptedly the whole length of the department, but the school has two entrances, the s.outh entrance, from which access is gained to three class rooms, and the north entrance (used in common with the girls) from which access is gained to the other 5 class rooms. Five of the class rooms face Acton Lane, and the building is separated from the street by a row of trees.
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These trees have recently been lopped, but throughout last summer the light in two of the class rooms was obstructed. The foliage of these trees was pleasant, but it undoubtedly interfered with the efficient lighting of the school. The proportion of window area is ample. In seven of the class rooms the light comes from the left. In the eighth, 3 of the windows are on the right, and one behind. There is also borrowed light from the left. There is no separate lavatory accommodation for the teachers in this department. Girls' Department consists of 9 class rooms on the ground floor of the main building and one class room in the iron building, together with lavatory and cloak room accommodation. A corridor runs through the whole length of the school and separate entrance is gained to each class room Five of the class rooms face Acton Lane, and the lighting of one of the rooms in this department also was formerly adversely affected by the trees situated between the building and the roadway.
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The lighting of class rooms 10 and 12 is unsatisfactory. In class room 10 the window area is about seventh of the 80 floor space, but the light from two of the windows is impeded by the Infants' School. The third window is situated behind the scholars. The class room is occasionally partitioned off by a curtain, and then most of the light to a part of the class room comes from behind. Class room 12 is somewhat similarly situated, as far as the lighting is concerned. The light here is impeded on the north side by a portion of the girls' and boys' school. In classroom 11 most of the light comes from the three windows situated behind the scholars. In the other class rooms the lighting is satisfactory. Boys Department consists of 9 class rooms in the main building and 2 in the iron building.
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The class rooms in the main building are on the first floor, and the arrangement of the rooms and corridor is similar to that of the Girls' department. The lighting is better than that of the rooms on the ground floor, as the windows are not obstructed by surrounding buildings. In the two rooms which correspond to class rooms 10 and 12 on the ground floor the window area in the Boys' department is larger. The Iron Structure is situated in the playgrounds and consists of 3 class rooms and 2 cloakrooms, but it has no lavatory accommodation. One of the class rooms is occupied by the girls and the other two are occupied by the boys. The 3 rooms are heated by open fireplaces, but in the Girls' class room there is in addition a gas stove. The efficient heating of the building is very difficult of attainment, and this difficulty accounts for the presence of the gas stove. Its presence can be justified on no other grounds. SOUTHFIELD ROAD.
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Southfield Road School was erected in 1907 and is a three-storey building. On the ground floor is the Infants' Department, on the first floor is the Junior mixed and on the second floor is the senior mixed. Each floor is arranged on the same plan and consists of 7 class- 81 rooms arranged around a central hall, together with cloakrooms, lavatories, and teachers' room. There are two playgrounds, one for the Senior and Junior boys, and the other for the Infants and Girls. There is a covered playshed in each playground. In the Girls' playground is a Cookery School. The sanitary conveniences are of the pedestal type. The cistern automatically discharges each time the closet is used.
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For the Infants (Girls) there are 8 compartments and for the Junior and Senior Girls there are 12 In the boys' playground there are 4 separate compartments and an urinal measuring 18 linear feet for the Infants' and 10 compartments and 58 linear feet of urinal accommodation for the Juniors and Seniors. The heating is by means of hot water. In the babies' class rooms there are also open fireplaces. The water is heated by two boilers. The larger boiler supplies the radiators in the halls and the radiators along the outer walls of the classrooms The smaller boiler supplies the radiators along the inner walls of the classrooms. The latter boiler is only used during very severe weather. All the classrooms are well lighted ; the light in all instances coming almost entirely from the left of the scholars. The artificial lighting is by electricity. In each room are placed inlet and outlet ventilators. CENTRAL SCHOOL.
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This is a 3 storey building erected in 1905 and enlarged in 1908. The Infants' Department is on the ground floor, the Junior department on the first floor, and the Senior (mixed) is on the second floor. Originally, the 3 floors were similar to each other in arrangement, and each department consisted of 7 classrooms arranged round a central hall, together with lavatories, cloak rooms and teachers' rooms. In both the Junior and Senior departments 2 classrooms have been added. The School, being a recent one, is well lighted, ventilated and heated. The light is in all instances from the left, there are inlet and outlet ventilators in each room, and the building is heated by hot water from 82 a central boiler. In all the rooms are placed radiators, and in two classrooms in the Infants' Department, there are in addition open fireplaces. The artificial lighting is by electricity.
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There are two playgrounds, one for the boys and the other for the girls and infants. In each playground there are two fives courts and a covered play shed. There are also laundry, cooking, and manual centres. The playgrounds are asphalted, with the exception of a small area in each, which is laid out as a garden. The sanitary conveniences are of the pedestal type and are flushed automatically. For the Girls there ate 15 separate compartments; for the Infants' (Boys) there are 6 closets and urinals with 19 stalls, and for the Junior and Senior boys there are 10 compartments and 3 urinals with 32 stalls. WILLESDEN JUNCTION SCHOOL. This is a mixed school housed in temporary buildings, one of these is an iron structure, in which there are 5 classrooms together with a cloakroom and lavatories. Three of the classes are accommodated in St. Luke's Mission Church.
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The School has 2 playgrounds, one for the boys and the other for the girls and infants. The playgrounds are not asphalted and the surface drainage is obviously insufficient. During the winter months the playgrounds can hardly be used for any purpose. The sanitary conveniences are of the trough type, and consist of 7 compartments for the girls and 6 compartments and urinal accommodation measuring 14 linear feet for the boys. The closets and urinals are automatically flushed. The classrooms in the main building are heated by open fireplaces, and the church is heated by a gas radiator. , In each classroom is a louvre opening in the roof. These premises will shortly be discontinued as school buildings. The Acton Wells School, which is intended to supply the needs of this part of the district, is now in course of erection. 83 ROTHSCHILD ROAD SCHOOL, (INFANTS).
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This is a temporary iron building and consists of 5 class rooms grouped round a central hall, together with cloakroom, lavatory and teachers' room. It has a large playground which is drained but not asphalted. The sanitary conveniences are of the pedestal type, and the closets are automatically flushed. There are 6 compartments for the girls and 5 compartments and an 8 stalled urinal for the boys. All the classrooms and the central hall are heated by open fireplaces. The fireplaces have ventilating grates. There are outlet openings for ventilating purposes in the roof, but there are no permanent inlet openings, apart from the fireplaces. EAST ACTON SCHOOL. This school was erected in 1870, and is a one-storey building. It is a mixed School for boys, girls' and infants. The building has 3 class rooms, together with cloakroom and lavatory accommodation.
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Neither the lighting nor the ventilation of the school can be considered satisfactory. In one of the class rooms the window area measures about one-eighth of the floor space and in the other two about one-seventh. In one class room there are 4 windows, 3 of these are situated behind the scholars and the other one faces them. In the second room the light comes from behind and the right and in the third room it comes entirely from the right. There is also a certain amount of obstruction to the light from the trees which are situated between the building and the road. The ventilation openings are somewhat similar to those in St. Mary's School and described on a preceeding page. There are outlet openings in the roof and arrangements in the floor which were intended for inlet openings. The latter are closed. The heating is by open fireplaces and the artificial lighting is by gas. There is no hall or corridor and the main entrance opens into one of the cloakrooms.
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The latter immediately adjoins one of the class rooms and is lighted entirely from the roof; this fanlight is also 84 the only means of ventilation. There is another cloakroom situated on the playground side of the building. The lavatory basins are placed in a separate room. There is a large playground, part of which is asphalted. The sanitary conveniences are situated in the playground and consist of a separate compartment for the teachers, 2 compartments for the girls and 2 compartments with an urinal measuring 4 linear feet for the boys. The closets are of an old-fashioned trough variety, and the method of flushing is of a primitive kind. The cistern is situated in the school and placed in the passage between the main room and the lavatory. From the cistern the pipe is carried through the wall into one of the classrooms ; it passes along the side of the classroom and then through the wall into the open air.
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The pipe is carried across a portion of the playground into the cistern which supplies the urinal and into the closet. In one of the classrooms is a turncock which regulates the flow of water into the closets. The lower end of the trough is stopped by a ball valve arrangement, which has to be raised by hand when the trough is emptied. Some of the rain water pipes empty directly into the drain. ST. MARY'S. This School is situated in Oldham's Terrace and consists of 3 departments—Infants', Girls' and Boys'. There are two separate buildings, the one in which the Infants, department is housed being about 90 yards distant from the other. The School is the oldest in Acton; the present Infants School was erected in 1837, and the Boys' and Girls' School in 1862.
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The Infants' department is a one storey building and consists of a main room and two classrooms with cloakroom and lavatory accommodation. The school has no central hall or corridor, and the main room and one of the classrooms are entered into directly from the playground. The entrance to the other classrooms is through the cloakroom and through the main room. The main room is partitioned off by glass sliding doors intp two classrooms—A and B. 85 Room A measures about 500 square feet, but the roof is low, varying from 9 feet to 11 feet 9 inches in height. The window area is ample and measures about one-fifth of the floor space. The direction of the light is not entirely satisfactory. Four of the windows are situated behind the pupils, two to the left and one to the right. The light from the latter window is considerably interfered with owing to the proximity of buildings. The room is furnished with a gallery.
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Room B measures 371 square feet. It has only one window and this is placed to the right of the scholars. There is also a fanlight, and some further borrowed light is obtained from Rooms A and C. For ventilation it has an arrangement in the floor and inlet openings under the windows and outlet openings in the roof. The arrangement in the floor which was intended for an inlet opening was closed and practically it is impossible to use it as an inlet. It is doubtful if its permanent closure is very harmful, as the atmosphere that would be admitted through it must be laden with dust and other suspended impurities. Classroom C measures 263 square feet and is entered from the playground. There is no porch but there is a small lean-to structure over the door. The room has a gallery. It is well lighted by a window situated on the left, which has an area of about one-fourth of the floor space.
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There are two outlets for ventilation but no special openings for inlet purposes. Classroom D measures 171 square feet but with a height of only 9 feet. There is one window in the room and this is situated on the left hand side. The window area measures about one-eighth of the floor space. Classroom D was originally a living room of a dwelling house, and the present cloakroom was formerly the kitchen. Opening into the classroom is a staircase which leads to two rooms over the classrooms. These two rooms were formerly bedrooms. The cloakroom has two lavatory basins, but there is no separate lavatory accommodation for the teachers. 86 The playground is ashphalted but there is no covered portion. On the eastern side is a stable, and occasionally the smell of manure is marked in the playground. Sanitary conveniences. There are 3 separate compartments of the trough variety for the boys and a urinal measuring about 5 linear feet.
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For the girls there are 3 separate compartments of the pedestal type. Heating throughout the School is by open fireplaces. Artificial lighting is by gas. St. Mary's Girls' Department is a one storey building consisting of two rooms A and B, together with cloak room and lavatory accommodation. Class A measures 714 sq. feet and is entered directly from the playgrounds. It has five windows, with lighting area measuring one-seventh of the floor space. Four of the windows are situated behind the scholars and the sill is 5 feet from the floor. The fifth window is situated on the left and is 6 ft. from the floor. There are 8 ventilation outlets and two openings in the floor which are intended to act as inlets. The heating is by two open fires. Class-room B measures 562 sq. ft. and is lighted by 4 windows behind and one window on the right.
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The sill of the latter window is ft. from the floor. The total window area measures about oneseventh of the floor space. There are 6 ventilating outlets. The room is heated by an open grate and closed stove. The Cloak-room is situated at the western end with a separate entrance from the playground. There are two lavatory basins. Sanitary conveniences There are 5 separate compartments of the trough variety which are flushed automatically. These adjoin the cloak-room and are within 4½ ft. of the boys' class-room. St Mary's Boys' Department is a one storey building adjoining the Girls' school and consisting of a main room and a class room together with cloak-room and lavatory accommodation. 87 The main building is partitioned into 3 class rooms A. B. C. Room A measures 420 sq. ft. and is lighted by two windows from behind, 5 ft.
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from the floor, and one window on the right situated 7 ft. from the floor. There are 4 inlets below the windows and two outlets. Room B measures 502 sq. ft. and is entered through A. or C. It is lighted from behind by two windows. There are six ventilating inlets and one outlet. Room C measures 420 sq. ft. and is entered through A. and B. There is a window at the back of the room and a fanlight. The lighting of the main room is not satisfactory. The window area in classroom A is only one-eighth and of class-room B only one-tenth of the floor space, and in none of the rooms does the light come from the left. Room D is situated off C. and measures 290 sq. ft. The lighting is by means of two windows situated 6 ft. from the floor, one from behind and one in front.
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There is a ventilator with a louvre opening at each end of the classroom, the opening of which is regulated by a board which moves up and down. The Cloakroom is situated at the western end and has a separate entrance from the playground. There is no Teachers' room. Sanitary Conveniences are of the trough type and consist of 5 separate compartments, and a urinal measuring about 9 linear feet. Playground. There is a common playground for the boys and girls' department. Only a small portion in front of the school is asphalted—the rest is gravel and is very uneven. In the centre of the playground is a covered portion. On the north and south sides of the building many of the rainwater pipes appear to enter the drain directly; and one of these down pipes was defective. The windows reach nearly to the eaves, and in some instances are quite close to the down pipes. Heating throughout the building is by open fireplaces.
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The artificial lighting is by gas. 88 CATHOLIC SCHOOLS, ACTON LANE. This is a one-storey building and has two departments—one for the infants, and a mixed School for the boys and girls. The building was erected about 25 years ago, but has been altered on several occasions, and though improvements have been secured with each alteration, the arrangements leave much to be desired. A very small percentage of the rainwater from the roof is conducted to open gullies by means of down pipes, but most of the water passes into a short pipe and falls a distance of about 10 or 12 feet into a gully. The wall in the neighbourhood of the gully is damp, and some of the pointing of the wall is washed away. There is one playground and this is asphalted and suitably drained.
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1 he sanitary conveniences consist of 3 separate compartments for the girls, and 3 closets and 3 utinal accommodation measuring about 8 linear feet for the boys. The closets are of the pedestal type, and there are 2 flushing cisterns—one for each group of closets These cisterns do not discharge automatically, but the water has to be turned on each lime the closet is flushed. There are two cloakrooms, and these are built as annexes to the main building. They are ventilated by means of perforated bricks. Each cloakroom contains 3 lavatory basins. The Boys' & Girls' Mixed Department, consists of one large room and 3 classrooms, together with cloakroom and lavatory accommodation. There is no central hall or corridor, and entrance to the north and south classroom is only obtained by passing through the main room. The main room measures about 990 sq. ft., and the lighting, heating and ventilation are unsatisfactory.
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There are three windows and though the. window area is about one-sixth of the floor space, all the windows are situated at the back of the desks and the light comes to the scholars from behind. The room is heated by means of an iron stove, with a pipe carried into the wall. The stove itself is situated inside the room and some of the products of combustion are not carried outside. It is well known that under some conditions carbon monoxide is produced by slow combustion stoves. 88 There are small ventilating inlets under each window, and one outlet in the roof. North classroom measures about 256 sq. ft. The lighting of this classroom is satisfactory. There is one window and the light comes from the left hand side. The window area is about one-fifth of the floor space. There is a ventilating outlet in the roof but there are no special openings intended for outlets.
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The heating is by mean:* of an open fireplace but the grate is old-fashioned, and not calculated to supply the maximum amount of heat for the coal consumed. South classroom measures about 368 sq. ft. The window area is about one-fifth of the floor space but though there are three windows in the classroom, in no instance does the light come from the left. One window is situated behind the scholars, one in front and one to the right. The room is heated by means of an open fireplace, but the remark made of the grate in the north classroom applies also to this one. There is a ventilating outlet in the roof but no special inlet. West Classroom measures 388 square feet. The lighting of this classroom is also unsatisfactory. It has one window and also a fanlight situated in the roof. Though the window area is ample, the light can only come from behind and in front of the scholars.
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The heating is by means of an open fireplace, and a modern grate has been placed in the room. There is a ventilating outlet but no special inlet. The Infants' Department consists of two rooms, one of which is the babies' room. The entrance to the babies' room is through the west classroom of the mixed school. The Babies' Room measures 310 square feet. It has two windows and a fanlight. The windows are situated on opposite walls, one of them is on the right and the other on the left of the scholars. The room is provided with galleries, and is heated by means of 96 an open fireplace. The grate is an old fashioned one, and to obtain the necessary heat in the room, the amount of coal which must be consumed is excessive. The other classroom in the Infants' department measures 360 square feet.
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The light comes from one window situated behind the scholars There are also small windows on the left hand side, but these do not admit much light, as the glass is opaque. The room is heated by a stove. In the Infants' departments, with the exception of the fanlight, there are no special openings designed for ventilation purposes. The building throughout is artificially lighted by gas. Table 1. PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT, TOGETHER WITH ACCOMMODATION. Name of School. Accommodation. 1. Acton Boys 164 Girls 129 Infants 142 2. Beaumont Park Boys 635 Girls 590 Infants 499 3. Central Senior 428 Junior 488 Infants 403 4. East Acton Mixed 64 Infants 80 5. Priory Boys 550 Girls 542 Infants 494 6.
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Rothschild Road Infants 280 7. South Acton Boys 720 Girls 564 Infants 618 8. Southfield Road Senior 412 Junior 378 Infants 383 91 Name of School. Accommodation 9. Turnham Green R.C. Mixed 201 Infants 74 10. Willesden Junction Mixed 123 Infants 90 ,, (in Mission Church) 130 9,181 In March 1908, arrangement was made by the Education Committee for carrying out the requirements of the Education (Administrative Provisions) Act of 1907, and Dr. Lilian E. Wilson was appointed to devote her whole time to the work of Medical Inspection. In accordance with the suggestions contained in the Memorandum of the Board of Education every endeavour was made in drawing up the scheme to associate the medical inspection with the general public health of the district. Dr.
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Wilson was also appointed Assistant Medical Officer of Health, and the Medical Officer of Health was appointed School Medical Officer and carried out the inspection of the boys over 10 years of age. The co-ordination of the two services was rendered less difficult as a system of school notification of illness had been in existence in the district for some time. All cases of infectious disease not scheduled in the Notification of Infectious disease Act of 1889, and occurring amongst children of school age were reported by the teachers. In 1903 a Health Visitor was appointed by the District Council, and her duties included visits to and reports upon the cases reported by the teachers. As the system of school notifications developed, it was felt that one health visitor could not cope with the school work as well as carry out efficiently her other duties. In 1907 an Assistant Health Visitor was appointed, and she was to devote her time primarily to school work. The appointment was made by the Health Committee and the salary paid by the Education Committee.
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On a re-arrangement of the staff, owing to the resignation of the Senior Health Visitor, the Assistant 92 Health Visitor was promoted and a nurse was appointed in place of a second Health Visitor. The school nurse visits all the cases notified by the teacher and also children referred to her in the course of medical inspection. The teachers have rendered great and willing assistance, many of them taking the greatest interest in the work. Not only have they filled in the particulars as to the name and address, previous illness &c., but have in many cases supplied information which was only available to those who came into intimate and daily contact with the children. As far as possible the Board's schedule has been followed. When a child is admitted to school the head teacher enters on the register the particulars as to name, address, age, previous illnesses, These particulars are copied by a clerk on the medical inspection cards.
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In the case of the younger children a notice is sent to the parents notifying them of the intention to medically examine the children and inviting the parents to be present. In the case of the older children a verbal notice is sent to the parents. The parents have only in a small percentage of cases availed themselves of the opportunity to attend. All the children entering and leaving the schools have been examined, in addition to 192 scholars kept apart for inspection by the teachers and 62 mentally defective children. The conditions revealed by medical inspection are enumerated in the following tables. 93 Table 2. Showing the number of children examined classified according to age and sex. No. examined years 13-14 years 14-15 years 15-16 years 16-17 SENIOR BOYS, 159.
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South Acton 32 30 2 ... Roman Catholic 13 11 2 ... ... Priory 37 32 5 ... ... Beaumont Park 25 24 ... ... ... St. Mary's 12 8 4 ... ... Southfield Road 28 12 15 1 ... Central 7 2 3 1 1 Willesden Junction 5 3 2 ... ... 159 122 34 2 1 SENIOR GIRLS, 160.
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... ... Priory 26 24 2 ... ... South Acton 38 35 3 ... ... Southfield Road 33 20 12 ... ... Beaumont Park 27 24 3 ... ... Central 11 2 2 4 3 Roman Catholic 7 5 2 ... ... Willesden 6 5 1 ... ... Acton 12 9 3 ... ... 160 125 28 4 3 INFANTS (MALE) 671. No. examined years of age. over 7 3 4 5 6 7 East Acton 20 . 11 4 3 1 1 Acton 40 6 10 18 5 1 . Beaumont Park 93 19 31 31 10 2 . Central 73 10 23 24 12 4 . Southfield Road 117 9 40 31 33 4 .
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Priory 95 23 21 27 16 8 . South Acton 115 35 40 26 13 1 . Roman Catholic 18 2 4 6 1 5 . Rothschild Road 77 9 26 13 7 17 5 Willesden 23 4 7 4 6 1 1 671 117 213 184 106 44 7 INFANTS (FEMALE) 683 East Acton 27 7 3 9 4 1 3 Acton 58 7 16 25 8 2 . Beaumont Park 115 25 32 41 17 . . Central 65 7 18 25 19 5 . Southfield Road 102 6 34 30 26 6 . Priory 93 24 16 35 14 4 . South Acton 106 32 38 20 15 i .
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Roman Catholic 24 5 3 7 7 2 . Rothschild Road 66 9 19 21 5 11 1 Willesden 27 5 7 9 4 2 . 683 127 186 222 110 34 4 94 Table 3. Giving the number of children examined in each school together with the conditions found on examination. INFANTS. No children examined. Mai-Nutrition. Clothing. Want of Cleanliness. Verminous Carious Teeth. Enlarged Tonsils. Adenoids. Enlarged Glands. External Eye Disease. Defective Vision. Ear Disease. Defective Hearing. Heart Disease. Lung Disease. Rickets. Spinal Disease. Defective Speech, Tuberculosis. Other Diseases and Defects. Infectious Disease. Average Below Average Head. Body.
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Rothschild (Boys) 77 1 74 3 2 4 6 8 16 3 4 1 2 1 . 1 7 3 1 . . 3 2 (Girls) 66 . 64 2 3 9 3 7 11 . 4 4 . . 1 1 4 1 . 1 . 2 1 East Acton (Boys) 20 . 19 1 . . . 3 2 . . . . . . . . 1 1 . . (Girls) 27 1 24 3 1 8 1 8 . . 2 1 . . . . 1 1 . . . 1 . Priory (Boys) 95 3 81 14 10 2 2 20 10 6 10 1 . 1 . . 3 4 . . .
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2 4 „ (Girls) 93 4 76 17 7 25 5 18 8 4 10 3 I 4 1 . 8 7 1 . . 3 . Willesden (Boys) 23 1 23 . . . . 3 9 3 2 1 . . . . . 4 . . . . 1 „ (Girls) 27 . 27 . 1 3 . 7 5 2 4 . . . . . . . . . . . . Beaumont Park (Boys) 93 5 75 18 8 5 11 20 10 3 4 4 2 1 . . 10 10 . . . 2 5 „ (Girls) 115 9 100 15 6 29 14 16 14 1 6 4 1 3 1 .
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14 3 1 . . 2 1 Southfield Road (Boys) 117 . 113 4 5 2 7 14 18 4 5 3 . 1 . 6 5 13 . . 1 3 6 „ (Girls) 102 2 99 3 1 14 10 21 15 6 1 2 . 1 1 3 4 6 3 2 . 1 . South Acton (Boys) 115 6 97 18 15 9 19 14 13 4 10 7 . 1 . . 10 19 . . . 2 5 „ (Girls) 106 4 88 18 12 43 17 10 9 4 1 3 . . . . 8 9 . . .
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1 6 Central (Boys) 73 1 71 2 . 2 2 7 11 1 2 . . 3 1 . 4 7 . . 1 4 . , (Girls) 65 . 65 . . 1 . 13 8 1 2 1 . 1 . . 3 2 . . . 3 1 Roman Catholic (Boys) 18 1 14 4 2 1 . 4 3 . 4 . 1 1 . . 3 . 2 . 1 . . „ (Girls) 24 3 19 5 2 8 . 3 2 . 3 . 1 . . . 3 . . 1 I . 1 Acton Infants (Boys) 40 1 40 . 1 . 2 10 2 1 . . . . . . . . . . .
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2 2 (Girls) 58 . 56 2 2 11 3 10 8 3 . 2 . 1 . 1 2 3 . . . 2 . 1354 42 1225 129 78 176 103 215 174 46 74 37 8 19 5 12 89 93 9 4 4 33 35 Table 3 —continued. SENIOR GIRLS No Children ex mined. MalNutrition Clothing Want of Cleanliness Verminous Carious teeth Enlarged Tonsils Adenoids. Enlarged Glands. External Eye Disease Defective Vision. Defective Hearing. Ear Disease. Defective Speech. Heart Disease. Lung Disease. Infectious Diseases. Other Diseases.
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Average Average Below Head Body Central Girls 11 ... 11 ... ... 2 ... 3 3 2 1 1 2 1 ... ... 1 ... ... 1 Actcn Girls 12 ... 12 ... 1 1 1 2 1 ... 2 ... 3 1 1 ... ... ... ... Willesden Girls 6 ... 6 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Roman Catholic 7 ... 6 1 ... 4 ... 1 1 ... ... ... ... ... ... ... 1 ... ... ... Priorv Girls 26 ... 26 ... ... 5 2 2 10 2 6 ... 7 ... ... ... ... 1 1 ... Sth.
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Acton Girls 38 4 30 8 7 24 3 5 8 3 ... 2 6 5 ... ... ... ... 4 ... Southfield Road 33 ... 32 1 2 4 ... 4 8 ... ... 1 3 2 ... ... ... ... ... 3 (Senior) Beaumont Prrk 27 3 19 8 2 6 3 4 5 2 ... ... 6 4 ... ... ... ... ... 1 160 7 142 18 12 46 9 21 36 9 9 4 27 13 1 ... 2 1 2 5 SENIOR BOYS. No. Examined. Clothing and Footgear. Under Nourished Verminous, Carious Teeth. Polypus of Nose. Enlarged Tonsils. Adenoids.
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Enlarged Glands. Eye Disease. Defective Vision. Ear Disease Impaired Hearing. Speech Impaired Heart Disease Lung Disease Tubercle. Rickets. Deformities Average Below Average Head. Body. South Action 32 25 7 5 2 2 5 1 13 3 ... ... 11 ... 1 ... 2 3 ... ... ... Priory 37 28 9 5 ... 1 10 ... 2 ... ... ... 4 2 5 3 1 ... ... ... ... Beaumont Park 25 17 8 4 2 2 9 1 8 ... 1 2 8 I 1 ... 3 1 ... ... 2 Catholic 13 11 2 1 •• ... 3 ... 2 ... 1 ... ... ... ... ... 1 ... ... 1 ... St.
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Marry's 12 12 ... 1 ... ... 4 ... 4 ... 1 ... 2 ... ... 1 1 1 ... ... ... Southfield Road 23 28 ... 1 ... ... 6 ... 2 2 ... ... 6 2 3 ... ... 1 ... 1 I Central 7 7 ... ... ... ... 1 ... 1 ... ... ... 2 ... ... ... ... 1 ... 1 ... Willesden junction 5 5 ... 1 ... ... ... 1 2 ... ... ... 1 ... ... 1 1 ... ... ... ... Total 159 123 26 18 4 5 38 3 34 5 3 2 34 5 10 5 6 7 ... 3 3 96 Defective Vision.
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Of the 159 boys inspected between the ages of 13 and 16 years, 34 or 21 per cent, were found defective to the extent of requiring treatment, Of the 160 girls inspected, 27 or 17 per cent, were found so defective. During the past year the examination in the schools has been by testing the sight with Snellen's Test Type. By this method it is possible to form a rough general estimate of the amount of defective vision in schools, but the diagnosis was not of strict scientific accuracy. Children with perfectly acute vision should, in a good light, be able to read the smallest type (technically known as 6/6), As however, the illumination in several of the classrooms was not good at the time of the examination, a lower standard had to be taken, and those who were unable to read a larger type (6/12) at a distance of 20 feet are classed as defective in vision.
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Many of these "children have also been examined with the ophthalmoscope, and where the result of this method of examination confirmed the earlier tests the parents of the children were urged to obtain medical treatment. In some oases suitable spectacles were obtained, but in many instances it was found that parents were too poor to provide glasses for the children, so in November, 1908, the Urban District Council granted the sum of £50 towards the provision of spectacles in necessituous cases. Teeth As might be expected the examination of the children revealed the extremely bad condition of the teeth. An arbitrary standard had to be observed, and in the above tables, only those who had 4 or more carious teeth are included amongst the children who have defective teeth. Unsuitable foods leads to decay of the teeth, which is due to the cessation of the use of food which requires good mastication, and the soft or starchy foods are more apt to leave particles behind which cause decay.
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In children, attending the Priory, Beaumont Park and South Action Schools the greatest number of carious teeth was observed 97 and associated with this were found many cases of enlarged cervical glands probably due to the septic condition of the mouth. It is difficult to suggest a remedy. It is well known that children should be trained to use a tooth brush, but this is a matter for home attention, which is difficult to secure owing to the poverty of the homes in which the children attending these schools live. The advantages of fresh air are seen on examining the scholars of East Acton and Willesden Junction, the majority of whom maintain a high standard of physical health. Ear discharge Treatment here is difficult, as the children have often suffered for many years from the complaint, and it is hard to convince parents that the disease is not a necessary accompaniment of " teething " or bronchitis.
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Where there is much discharge, the mothers are given directions as to syringing, but in many cases the advice is not systematically carried out. The services of a School Nurse would be most helpful as the Health Visitors are unable to superintend treatment of these cases Pediculosis. Children in a badly verminous condition are excluded from school and cards of notification are sent by the Head Teacher to the Education Offices. The Health Visitor is notified and visits at the home, giving directions for treatment and endeavouring to get the children's hair cut where this is necessary. Owing to the industrial character of the district, there is often much difficulty in finding the mothers of the children at home, as those who work in the laundries are engaged on all days except Saturday and Monday. This is apt to render the work disheartening as improvement is only obtained by repeated visits, often rendered ineffective by the absence of the parents.
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In all cases effort is made to render the time of exclusion from school as short as possible. Ringworm. The methods of dealing with this disease are very unsatisfactory and no other complaint leads to such prolonged absence from school, 98 When children are excluded under a medical certificate visits are no longer paid by the Health Visitor, and in these cases on renewal of certificates (usually valid for about 3 months) it is not uncommon to have children absent from school for so many months that considerable educational loss is sustained. Where Health Visitors give directions to the parents and pay visits to ensure that the treatment is carried out the recovery is comparatively rapid, but much time is lost by the absence of the mothers from home when visits are paid. At present no means of treatment by X Rays is available. This method is to be urged in case of a large outbreak of ringworm in the district, but at present the number of cases has not been sufficient to necessitate measures being taken.
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The method adopted is either to instal the necessary apparatus, or as an alternative to arrange with a medical practitioner to carry out the X Ray treatment in selected cases. The latter plan does away with the necessity of purchasing an elaborate electrical apparatus, and also provides for the treatment of ringworm without unduly curtailing the amount of time that could be devoted to other urgent School work. Table 3. NUMBER OF CHILDREN REFERRED FOR FURTHER EXAMINATION—149 These were from the following Schools:— Infants. Girls. Boys.
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Priory 9 3 13 South Acton 9 5 12 Beaumont Park 10 4 12 Roman Catholic 4 1 1 Rothschild Road 10 ... ... Southfield Road 16 5 4 Acton 9 3 2 East Acton 2 ... ... Willesden Junction 3 ... ... Central 10 2 ... 82 23 44 99 Table 5 AVERAGE HEIGHT, without Shoes, and AVERAGE WEIGHT with Clothes. (Anthropometric Committee 1883) MALES. FEMALES. Age last birthday. Height in inches. Weight in lbs. Height in inches. Weight in lbs. 3 35 31.2 35 30 4 38 35 38 34 5 41 41.2 40.5 39.2 6 44 44.4 42.8 41.7 7 46 49.
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7 45.5 47.5 8 47 54.9 46.6 52.1 9 49.7 60.4 48.7 55.4 10 51.8 67.5 51 62 11 53.5 72 53.1 68 12 55 76.7 55.6 76.4 13 57 82.6 57.7 87.2 14 59.3 92 59.8 96.7 15 62.2 102.7 60.9 106 Table 6—giving heights & weights at different ages No examined 13-14 14-15 15-16 16-17 Height Weight Height Weight Height Weight Height Weight senior—girls. South Acton 38 56.3 81 57.8 72.5 . . . . Roman Catholic 7 58 85.
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3 59 5 85 . . . . Priory 26 56.75 82 .5 57 85 . . . . Beaumont Park 27 60 82.3 60.3 97.8 . . . . St Mary's 12 63.5 82.25 60.5 106.3 . . . . Southfield Road 33 60 85.5 6l.3 88.8 . . . Central 11 60 94.5 61 98.75 60.2 101.1 60.5 92.6 Willesden Junct 6 60 80.5 60.5 99 . . . . SENIOR—BOYS South Acton 32 56 73½ 55½ 76¼ . . . . Roman Catholic 13 55½ 73 64 1.13 . . . .
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Priory 37 56½ 79 56½ 77½ . . . . Beaumont Park 25 57 79½ 56 81 . . . . St. Mary's 12 56 79½ 56¾ 78½ ... ... ... ... Southfield Road 28 57½ 79½ 60½ 82¾ 64½ I07½ ... ... Central 7 60½ 87½ 55½ 85½ 69 138 63 100 Willesden Junct. 5 58½ 86 57¾ 833¾ ... ... ... ... 100 Table 6. INFANTS.—GIRLS. No. of Scholars exam'd. 3-4 4-5 5-6 6-7 7-8 Height.
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Weight Height Weight Height Weight Height Weight Height Weight South Acton 106 35.8 31.1 38.3 34.3 39.8 36.4 42.9 40.8 46 48 Roman Catholic 24 34.8 29.4 37.8 35.6 39.8 37.4 41.6 39.5 44.5 44.5 Priory 93 36.3 31.4 38.3 33.6 40.7 42.9 41.7 37.1 43.8 39.7 Beaumont Park 115 35.8 31.6 37.6 32.9 40.2 35.3 45.2 42 43.8 ... St. Mary's 58 36 33.8 38.1 35.4 40.7 38.
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3 43 42.2 45.5 46.7 Southfield Road 102 36.8 30.5 19.6 35.4 42.7 38.9 44.1 42.3 46.4 47 Central 65 36.5 31.6 39.6 37.03 43.3 41.8 44.1 41 41.4 42.4 Rorhschild Road 00 37.3 31.1 39.3 35.5 41.9 38.2 44.7 43.2 45.5 44.8 East Junction 27 37.3 32.3 41 47.6 40.4 38.1 43 44 46.5 50 Willesden Junction 27 34.8 29.4 37.5 33.9 41.