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6dc17ba9-8c19-4836-a48c-4acfe5463469 | My own opinion is that although it was right and proper at one time to link the detection of Tuberculosis with the treatment of Tuberculosis, the time has come when the detection of Tuberculosis should be linked up with its prevention and be undertaken by the Local Authorities. Personally I found, when I was Tuberculosis Officer, that section 62 of the Public Health Act, 1925, which confers the compulsory powers to which I have referred, was of the utmost value, particularly when it was kept in the background. BOROUGH OF BARKING THE ANNUAL REPORT OF THE School Medical Officer For the Year 1934 G.LEONARD WILLIAMS, B.Sc., M.R.C.S., D.P.H. 84 TABLE OF CONTENTS Pages ADENOIDS 94.100-101 ARRANGEMENTS FOR TREATMENT 97-103 AURAL CLINIC 101 BLIND CHILDREN 110-11 BOXING 105 BROOKFIELD ORTHOPAEDIC HOSPITAL 102, |
db3f9a73-b72e-4cee-abac-369850f1c446 | 111 CLINIC ATTENDANCES 93,99-100,102 CLINIC SERVICES 98,99,102,114-117 CONVALESCENT TREATMENT 104 CO-OPERATION OF PARENTS, TEACHERS, ETC 90,103,109-110 CO-ORDINATION OF SERVICES 89,97,103 DEAF CHILDREN 110-112 DEFECTIVE HEARING 94,101 DENTAL DEFECTS 94-95,100,102,113,122-124 DIET 98,109,113 DIPHTHERIA IMMUNISATION 100 DRYING FACILITIES 90,100-107 EAR DISEASE94,101 EMPLOYMENT OF SCHOOL CHILDREN 114 EPILEPTIC CHILDREN 110-112 EXCLUSION FROM SCHOOL 103 EYE DISEASE 94,100 FAIRCROSS SPECIAL SCHOOL 111-112 FEEDING OF SCHOOL-CHILDREN 98,100-109 FOLLOWING-UP WORK 96,97, |
9a30d600-a9eb-4ede-ac6b-9d2bff353a2c | 101 HEALTH EDUCATION 113 HEART DISEASE AND RHEUMATISM 95,102 HIGHER EDUCATION 112,113 INFECTIOUS DISEASES 103 INTRODUCTION 87 MALNUTRITION 93, 97-98,108 MEALS 106-109 MEDICAL INSPECTION AND FINDINGS 90,91,92-96,112 MENTALLY DEFECTIVE CHILDREN 111-112 MILK 108-109 MINOR AILMENTS 93,99-100 NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN 110 NOSE AND THROAT DEFECTS 94,100-101 85 Paget NURSERY SCHOOLS 112 OPEN-AIR EDUCATION 104,111-112 OPEN-AIR CLASSROOMS 104 OPEN-AIR SCHOOLS111-112 OPHTHALMIC SERVICE 94,100 ORTHOPAEDIC AND POSTURAL DEFECTS 95,102, |
eaa0a1f6-578c-4e91-a16c-58149153c1ef | 118-121 PARENTS' PAYMENTS 113 PHYSICAL TRAINING 104-106 PLAYGROUND CLASSES 104 PLAYING FIELDS AND GROUNDS 106 PROVISION OF MEALS AND MILK 106-109 REMEDIAL CLINIC 89,102 REPORT OF THE DENTAL SURGEON 122-124 REPORT ON THE WORK OF THE ORTHOPAEDIC CLINIC 118-121 RHEUMATIC FEVER 95 RHEUMATISM95,102 RINGWORM 99 SCHOOL BATHS 90,105 SCHOOL CAMPS 104 SCHOOL HYGIENE 90 SCHOOL JOURNEYS 104 SCHOOL LAVATORIES 90 SCHOOL POPULATION 91 SECONDARY SCHOOLS 113 SERVICES PROVIDED, LIST OF 114-117 SKIN DISEASES 93,99 SPECIAL INQUIRIES 114 SPECIAL SCHOOLS 111-112 SQUINT94,100 STAFF 86, |
e76530c7-7762-4666-a139-dc620cf605e6 | 89 STATISTICAL TABLES 125-138 SWIMMING 105 TEACHERS, MEDICAL EXAMINATIONS OF 114 TONSILS AND ADENOIDS 94,100-101 TUBERCULOSIS 96,102 ULTRA-VIOLET LIGHT TREATMENT102-103 UN CLEANLINESS 93,98-99 VISUAL DEFECTS 94,100 86 STAFF, 1934 School Medical Officer : C. LEONARD WILLIAMS, R.Sc. M.R.C.S. L.R.C.P. D.P.H. Senior Assistant School Medical Officer : PATRICK J. O'CONNELL, M.D., B.Hy., B.S., D.P.H. Assistant School Medical Officers : R. H. CLAYTON, M.B., B.S., B.Hy., D.P.H. (Commenced 15th July, 1934.) |
429bc177-954c-42fe-81d0-c4404860db1e | EDITH A. WHITNEY, M.B., Ch.B., D.P.H. (Resigned 30th September, 1934.) Ortlhopœdic Surgeon : B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. Dental Surgeons: W. H. FOY, L.D.S., R.C.S. R. N. HINES, L.D.S., R.C.S. Nurses: *Miss M. BAERLOCHER (g), (h) and (n). (Commenced 1st January, 1934.) *Miss C. COURT (g), (h) and (i). Miss A. E. FINDLAY (Masseuse) (k) and (0). (Resigned 31st December, 1934.) Miss G. GEDEN (Dental Nurse). Miss S. E. W. GIBSON (j). |
aef4a802-9a95-43f6-8a72-4d18694b42dc | Miss R. LLEWELYN (Dental Nurse) (h) and (i). *Miss W. PARKER (g), (h) and (i). *Miss F. G. ROXBURGH (g), (h) and (i). Miss L. F. SWAIN (h) and (i). Clerical Staff: Chief Clerk—F. READ. C. G. EAGLESFIELD. D. W. OSMOND. R. H. CHANDLER. (Commenced 30th July, 1934.) (Resigned 3rd May, 1934.) Miss H. NUNN. D. G. TONKIN (n). Miss H. KING. A. J. STORER (n). Miss E. TASKER. E. A. ELLIS. Miss A. LIGGINS. G. H. RUFF. |
8529e4c2-a580-474b-8522-adf144c38c64 | (g) Health Visitors' Certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives' Board. (i) General Hospital Training. (j) General Fever Training. (k) Certificate of Medical Electricity and Swedish Remedial Exercises. (n) Sanitary Inspectors' Certificate of Royal Sanitary Institute and Sanitary Inspectors' Examination Joint Board. (o) Certificate of Chartered Society of Massage and Medical Gymnastics. * Combined Appointment—Health Visitor and School Nurse. 87 Borough of Barking PUBLIC HEALTH DEPARTMENT, BARKING, ESSEX. June, 1935. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Mrs. Hobday and Gentlemen, Herewith I beg to submit my report for the year ended 31st December, 1934. This report has been drawn up to meet the requirements outlined in the circular of the Board of Education issued in January, 1934. I am, Mr. |
8f9fe9e2-8a08-484e-8050-cc04d93de46c | Chairman, Mrs. Hobday and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 89 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER For the Year 1934. (1) STAFF. Although a list of the personnel of the staff is given in a separate page at the beginning of the report, I would like to mention here some of those changes and additions in staff which have taken place during the year and which the growth of the service has made necessary. The Authority having decided to increase the number of professional staff, Dr. R. H. Clayton, formerly of Gateshead, was appointed as an Assistant Medical Officer, on 29th May, 1934, and commenced duty on 15th July, 1934. Dr. E. A. Whitney resigned her position as Assistant Medical Officer on 30th September, 1934, and Dr. C. B. McArthur was appointed in her place in December. |
a61a3878-b39c-42cc-b1ef-4b24c089865f | Mr. R. N. Hines, Assistant Dental Surgeon, resigned his post in December, an advertisement for another Dental Surgeon being circulated in the usual channels. Because of the increased amount of orthopaedic work it has been found necessary to appoint a full-time Masseuse, in charge of the Remedial Clinic at Faircross School. The completion of the Dorothy Barley School late in 1933, and the building of the Bifrons School, have added more departments for the care of your Medical Officers. (2) CO-ORDINATION. The favourable measure of co-operation between the various medical activities of the Corporation which you have already achieved has been maintained during the year 1934. The majority of your staff have joint appointments and I hope that as time and opportunity present themselves this principle will be extended. |
a283ea4f-1551-4079-a81c-f39b8be144d7 | The appointment of a Joint Clinics (Staffing) Sub-Committee is a step in the right direction towards unification and co-operation and I hope that more and more the whole of the medical services in the town will be unified. 90 (3) SCHOOL HYGIENE. A high degree of sanitation has been achieved in your new schools. I have previously called your attention to the need for baths in your schools and look upon the promotion of healthy habits as one of the highest ideals of education. Particularly where strenuous games are played, children should be able to have at least a shower-bath. I do not recommend the extensive use of soap—for the use of too much soap dissolves the natural fats which protect the skin—but I do believe that a bath should be taken to remove perspiration from the skin before it is covered with clothes again and that this should be inculcated as a habit. |
adb90ffd-6d0b-4134-a918-c8fbcd2125b6 | I find it still necessary to discuss the arrangements for drying wet clothes and boots (details on page 107 of this report) for which adequate provision should be made and I would like to see a rule enforced for the changing of wet foot-gear on arrival at school. So also I find myself called upon to discuss the provision of lavatories on each floor where the schools are of two or more stories ; I cannot help feeling that the long journeys these children have to make on occasions may be detrimental to their best interests. The provisions you have made in your modern schools, built on the pavilion principle, show the incongruity of the out-of-date factory type of premises and everything should be done to bring these older schools as up-to-date as possible. (4) MEDICAL INSPECTION. The age groups inspected are those laid down by the Board of Education and arrangements by which these inspections are carried out are as follows : a medical officer and nurses attend at the school. |
0e56dcaf-a3e5-4f1c-8462-437dc7ff542c | In your new schools they are accommodated in a medical inspection room and in your older schools accommodation is arranged as best it may be in some classroom or other. I am wishful to pay a tribute in regard to the pains which have been taken by the head-masters and head-mistresses, who have given us the best accommodation they could, and I feel that if your older schools are to be retained proper provision should be made for medical inspection to be carried out in a proper medical inspection room. 91 The number of children on the school registers on the 31st December, 1934 was 14,825 compared with 14,773 on the 31st December, 1933. |
b79fbbb0-842b-4c68-86e5-3e6d935b4a12 | The following summary shows the growth in the school population during the past few years:— December, 1927 7,001 December, 1932 13,112 99 1930 7,906 99 1933 14,773 99 1931 10,905 99 1934 14,825 The rapid growth in the school population between 1930 and 1931 was due to the increasing population in the Becontree area consequent on the completion of some sections of the new Estate. The population continued to grow throughout 1932, 1933 and 1934, although not to the same extent. Stability has not yet been reached, and we may have to look forward to further growth in the school population. The following table shows the number of children examined at school at routine and special inspections during 1934, classified according to the schools attended, the number of inspections held in each school, and the number of parents or guardians present:— School. No. |
93007d4e-3563-4d49-95e6-096d6b82c283 | of Inspection Sessions. Numbers Inspected. No. of Parents present (Routine and Special Exams.) Routines and Specials. Re-Exams. Bifrons 8 252 113 41 Cambell 32 589 499 326 Church of England 15 307 230 91 Dawson 20 443 194 347 Dorothy Barley 20 392 274 297 Eastbury 26 587 362 274 Erkenwald 15 327 197 64 Gascoigne 31 539 477 263 Monteagle 23 411 286 337 Northbury 19 324 353 177 Park Modern 8 198 149 58 Hippie 22 366 295 300 Roding 25 430 320 351 St. Ethelburga's 5 119 95 13 St. |
eff2d230-34b0-4be3-93d6-da210e02e37f | Joseph's 4 47 88 33 Westbury 19 295 231 211 Totals 292 5,626 4,163 3,183 92 Of the 5,626 examinations at ordinary elementary schools, 3,315 were routine examinations of children in the specified age groups, which figure may be compared with 4,728 for the previous year. In addition, there were 802 routine examinations of children of ages outside the three specified age groups, and 1,509 examinations of children specially referred to your Medical Officers. The percentage of the children examined in the ordinary elementary schools who were accompanied by their parents or guardians is shown by the following table:— Year. Percentage of Children Examined who were Accompanied by Parents. Year. Percentage of Children Examined who were Accompanied by Parents. |
ea639298-2927-4d71-92aa-aab13b067a5c | 1929 65.7 1932 68.1 1930 66.3 1933 61.8 1931 67.3 1934 56.6 During 1934, the parents were present at 3,183 routine and special medical examinations conducted at school out of a total of 5,626 such examinations. (5) FINDINGS OF MEDICAL INSPECTION. Table II on pages 126 to 128 gives in detail a return of defects found during the course of routine and special inspections at ordinary elementary schools and at the clinics. The following table is similar to Table II (B) of the Returns to the Board of Education (given on pages 125 to 138 of this report), except that it shows the percentage of children found to require treatment:— Group. Number of Children. Percentage of children found to require Treatment. Inspected. Found to require Treatment. |
96abbe6b-2e4f-4299-9cb7-f586701303be | PRESCRIBED GROUPS : Entrants 1,590 243 15.3 Second age group 720 104 14.4 Third age group 1,005 127 12.6 Totals (prescribed groups) 3,315 474 14.3 OTHER ROUTINE INSPECTIONS 802 136 16.9 93 The fact that amongst "Leavers" (the Third Age Group) 12.6 per cent. were found to require treatment is an expression of the inevitable fact that we are human and that we are prone to develop defects, and is not proof whatsoever that you have not spent any money on these children or that the money you have spent has been wasted. The same may be said of the Second Age Group. Equally well the fact that 16.9 per cent. of the "Entrants" do require treatment is not proof of inadequate or inefficient care and attention given to these children up to five years of age. |
01ce45ca-327d-4add-8429-321678629139 | There must of necessity, so long as we are human, be people who need treatment. (a) Malnutrition.—In estimating to what extent there is malnutrition among school children, the most reliable figures that I know are those relating to cases of malnutrition found during the course of routine and special inspections. Routine inspections are carried out solely by reason of the age of the children and have nothing to do with whether or not we know there is anything wrong with the children. During the last year in Barking there were 4,117 children so examined and amongst these it was found that 10 were suffering from malnutrition to such an extent as to require treatment. Amongst these children examined solely by the reason of their age group there were also found 64 cases of malnutrition who were kept under observation and who were not at the time of the examination requiring treatment. This makes a total of 74 or approximately 1.8 per cent. of the children examined. |
213ce5e1-8d99-4ecf-9f92-5a7c14a14f35 | (b) Uncleanliness.—The following table shows the results of cleanliness inspections compared with similar figures for 1933 1933 1934 Number of examinations of children in the schools by School Nurses 37,762 41,499 Number of individual children found unclean 1,571 1,583 Number of uncleanliness findings 2,184 2,553 During the year, five children were cleansed by the Local Authority, and in seven cases legal proceedings were taken under Section 43 of the Education Act, 1921. (c) Minor Ailments and Diseases of the Skin.—With over thirty thousand attendances at the Minor Ailments Clinics you have established there should not be a large number of minor ailments discovered among the children who are examined at routine medical inspections, who, as I have said above, are examined in age groups, whether their health is good or bad, and I am happy to say this is so. |
784bdc5f-08bd-44a5-a0d3-196c71d4bdb9 | The Minor Ailments Clinics also deal effectively with cases of minor diseases of the skin such as impetigo, ringworm of the body, scabies, and any other skin disease which presents itself. 94 (d) Visual Defects and External Eye Eye Disease.—Details of the findings at routine and special inspections will be found on pages 126 and 127 of this Report. It will be seen that 534 children were referred for treatment for defective vision (including squint). In addition 347 children were found to require treatment for external eye conditions. The findings of the medical inspections, so far as the condition of the eyes is concerned, are hardly comparable over a number of years. When eye work was first undertaken in Barking, refraction was carried out in a dark corner of the stairs of the old Town Hall, which had been standing for hundreds of years. Naturally only the more pressing cases were dealt with. |
8ce32c4a-b2d5-44dd-8a7b-427725c0e9cf | As the years went by it was possible to deal with more cases because more suitable accommodation was available, and with the appointment of an ophthalmic surgeon of consultant rank we shall be able to deal, locally, with a wider variety of cases than heretofore. With increasing facilities for treatment we naturally include those cases which in the early years were looked upon as minor ones. Our experience has shown that it is these minor cases which pay very well for treatment. (e) Nose and Throat Defects.—I am happy to report a reduction in the number of cases of tonsils and adenoids which routine examinations have found to need treatment. 794 children were found at routine and special inspections who required treatment for nose and throat defects, as against 913 in 1933. Once again I claim that one year's findings are not sufficient to form an opinion but I do believe that on the whole we are accepting a sounder conception of what constitutes an enlarged tonsil from the standpoint of requiring treatment. |
ee903111-fb90-486d-b882-17a2c0809abc | I have deprecated the wholesale slaughter of tonsils and have advised you repeatedly about the care we have taken in Barking to avoid unnecessary operations. After being seen by at least one doctor children are sent to see a surgeon, but only in the first instance for his opinion as to the necessity for treatment. I do not believe that the improved statistics imply any radical change in the conditions of the noses and throats of your children but I do think it represents an improved standard of diagnosis amongst professional men who deal with these matters. (f) Ear Disease and Defective Hearing.—The number of cases of ear disease found at routine medical inspection does not show any significant variation from the figures for 1933. (g) Dental Defects.—Dental defects are noted by the School Medical Officers at routine medical inspection, the notice of the Dental Surgeons being drawn to urgent cases. Cases requiring the teeth made regular or straight or other special treatment are also referred to the School Dentist. |
e4609ef6-8115-464e-948f-024756b9fc9e | The report of the School Dental Surgeon will be found on pages 122 to 124 of this report. 95 The findings of routine inspections, with reference to dental defects (detailed on page 137, and further commented upon by Mr. W. H. Foy in his report on pages 122 to 124), cannot be used for comparative purposes except with reservations. Thus there is some difficulty in using them to assess the improvement you have made in recent years and equally the same difficulty for them to be used in assessing the efficiency of your services, relative to those of other towns. Mr. W. H. Foy, your Dental Surgeon, has reported adversely on the condition of the teeth of those children who have come in large numbers from the London County Council Area, and has cited the apparent lack of previous treatment as one of his reasons for the large number of extractions which have to be undertaken in the case of these children. |
bd07e5e2-14d2-42df-8185-8c475084710a | Until, therefore, you have a more or less stable population these figures are not very reliable in indicating the progress which you are undoubtedly making. (h) Orthopaedic and Postural Defects.—111 children seen at routine medical inspection presented varying degrees of Postural Defects such as round shoulders, crooked spine, and bad stance. The more serious of this group were sent to the Orthopaedic Surgeon under the Authority's scheme. In addition to this group of cases, various orthopaædic conditions were seen which have existed from birth, or have arisen following an illness such as Infantile Paralysis. All such cases were seen by the Orthopaædic Surgeon, and where necessary, attendance at the Faircross Special School was recommended. In dealing with the figures which have to do with the findings of medical inspections with reference to orthopaedic and postural defects, we must at the present time discuss them with many reservations because so far as comparisons from year to year are concerned they have lost much of their significance. |
7e9bf8a0-9374-447f-a25f-d9bcdd515f16 | Ten years ago we dealt with the grosser cases of this nature. Today this work is becoming more the detection and treatment of minor disabilities, although of course there are still cases where major surgery is necessary. Although we applaud the results of major surgery it must be remembered that in the majority of cases the successful operation by the surgeon is an indication of some previous minor disability which in this way or that has failed to have the necessary attention. (i) Heart Disease and Rheumatism.—Out of upwards of four thousand children who were examined at routine inspections 19 were found to be suffering from heart disease sufficiently to require treatment, whilst 154 children had heart defects requiring to be kept under observation. The commonest cause of heart trouble among children is Rheumatic Fever. Rheumatic Fever is as important as Scarlet Fever and has to be treated in very much the same way. Unfortunately it is not attended by any rash. |
6aefce19-bee9-49ce-8a41-3903ae3b921b | Large numbers of these cases do not come under medical attention and very many of them are difficult to diagnose whilst yet the disease is in an early stage. 96 (j) Tuberculosis.—As I have said in previous years the figures relating to Tuberculosis are small but this is not a true figure for indicating the amount of Tuberculosis in children of school age. These children are frequently absent from school for long periods and may be away from school when the inspections are held. Seventeen cases of Tuberculosis amongst children of school age were notified to the Medical Officer of Health during the year. Of these, five were pulmonary, and twelve were non-pulmonary. In addition, two notified cases of Tuberculosis amongst school-children were transferred to this area. Both of these were pulmonary. |
dbb32c55-a742-49c6-91be-ced7fb494b75 | The following table shows the position with regard to notification of Tuberculosis amongst children of school age during 1934:— Notified during 1934 (including transfers) Pulmonary 7 Non-Pulmonary 12 Total 19 De-notified (of the above) Pulmonary 5 (2 deaths) Non-pulmonary 1 Total 6 (k) Other Defects and Diseases.—A few cases of other defects and diseases, not included in the above, were also seen at school medical inspection, e.g., some children were found to be suffering from kidney trouble and one or two from deficiency in the activity of the glands of the body. (6) FOLLOWING-UP. The School Nurse who attends the routine medical inspection also carries out the following-up work arising from the inspection. |
857a3ab7-6103-4d46-832a-516de3fcb167 | The parents are visited in their homes, and the attention of the parents is drawn to the need for treatment, and parents who were not able to be present at the medical inspection are interviewed at home by the School Nurse, who emphasises the necessity for having treatment and advises them in what way the treatment may be obtained. |
2f3a0340-684f-49be-ba30-86bbe32a9de6 | 97 A summary of the following-up work undertaken by your School Nurses is given herewith:— Number of visits to schools re medical inspection 350 Total number of visits to schools 479 Number of home visits in connection with:— 1930 1931 1932 1933 1934 (a) Routine medical inspections 4,759 4,480 4,817 6,610 6,786 (b) Infectious disease 660 295 408 230 1,022 (c) Cleanliness inspections 119 181 119 284 827 (d) Non-attendance for treatment (Minor Ailments, etc 406 86 82 35 51 (e) Dental inspections 406 477 1,082 — — (/) Miscellaneous — — 126 418 The mere summary that the above shows is but an imperfect picture of the full story of how your cases are what is commonly known as "followed-up." The fact that Mr. |
941b4ecd-f17b-4329-8ffc-ffcd70cfcc4e | F. Goodaker, Chief Investigation Officer, works for the Maternity and Child Welfare Sub-Committee as well as for the Education Committee has led to considerable unification. You have your own Infectious Diseases Hospital and notes from this hospital are transferred to your school records. Mr. N. Bastable, Chief Sanitary Inspector, and the other Sanitary Inspectors are constantly collaborating with the Health Visitors and School Nurses so that between one and the other there are few children in Barking who are not known to the Department. (7) ARRANGEMENTS FOR TREATMENT. Many of the conditions found at school medical inspection are able to be treated in Barking. Some conditions, however, of necessity require hospital treatment. (a) Malnutrition.—Cases of malnutrition may be (i) normal children in abnormal environment, (ii) abnormal children in ordinary environment. |
a09c43c1-82b3-44c9-a252-107c938a127d | 98 Where the environment is wrong, it is usually found that the causes may be divided into two classes: (i) where the diet is insufficient, (ii) where the diet is improper. Where the diet is insufficient you provide free milk in the schools and free meals at special feeding centres and your nurses investigate to see that the parents of the children avail themselves of all the facilities for obtaining a sufficient diet for them. Cases of inefficient diet are usually more difficult to deal with ; necessary advice is given and where of course the circumstances of the case demand it you would undertake to feed such children. Cases of abnormal children in ordinary environment are very difficult to deal with. These cases can be divided into two classes : there are those where the abnormality has existed from birth and those where the abnormality has developed since birth. Where the disability was present when the child was born, that is, any congenital cause, the disability may be due to hereditary causes or to disease contracted before birth. |
b83d66bc-6e2b-4748-8eee-db9a4ad87f73 | Every case has to be dealt with on its own merits. So also where the abnormality is acquired by the child after birth. Each case is a difficult one and has to be dealt with on its own merits. In Barking any child who in the estimation of the Medical Officer is 10 per cent. below weight is submitted to special enquiry. The school nurse pays a social visit and the case is studied from almost every possible angle. It is, however, to be remembered that the English are a conglomeration of diverse races and that it is more than difficult to lay down any precise standard of weights and it is often found that small children are by no means ill-nourished. |
bcd43c79-d4f8-40ed-9d00-78f0282f6be9 | Experiments have been carried out upon sheep to show that there is a definite relationship between diet and vulnerability to disease and I have no doubt that the same exists among human beings, but with this chief difference, that in our crowded communities we have every opportunity for mass infection and when infection is massive enough, the influence of diet is reduced correspondingly. (b) Uncleanliness.—Children found in school suffering from uncleanliness of the head or body are excluded by special form which is forwarded to the parents in a sealed envelope, particulars also being given of measures to cleanse the head. Cases of vermin and nits in the head are provided with special soap on attendance at the Clinics. Special nit combs are also kept at the Clinics, and are loaned on payment of a deposit to parents who find difficulty in removing nits. In obstinate or difficult cases, the cleansing of a head is undertaken by a School Nurse at the Minor Ailments Clinic. |
40778ae3-bfb7-4192-a3ad-9917da41d4e9 | 99 Speaking paradoxically, the only proper way of treating uncleanliness is to prevent it. I do believe that it is quite right for girls to be taught in school the proper use of the kitchen and that it is clearly right for boys and girls to be taught the proper use of the bathroom. There can be no doubt that much of the bathing carried out in the home is at such infrequent intervals that the troubles and difficulties of ablution present a definite interruption in what may be regarded as the ordinary routine of life. Going to the bathroom to bathe should be regarded as an uneventful part of the ordinary work of the day. (c) Minor Ailments and Diseases of the Skin.—During the year under review there were no less than 22,420 attendances for such treatment in Barking. There may be one or two cases where such attendances represent an interference with school life, out of proportion to the necessity of the case. |
4f9abb17-5207-4c83-8945-b4d40ec2ee48 | These cases are fortunately very few indeed; unfortunately, however, when they do occur they are very obvious. It may be said that the treatment of minor disabilities helps very considerably in maintaining average school attendances. Untreated, many of these minor disabilities become major ones and entail long absences from school. Treatment is undertaken at your Central Clinic under favourable conditions ; a doctor attends at 9 a.m. and the nurses carry on throughout the whole of the morning. These nurses are provided by the Plaistow Maternity Hospital District Nurses' Home. A similar clinic is held in the Greig Hall, Stamford Road, next to which you are building a second permanent clinic along the same lines of the Central Clinic, to which I have already referred. As I have previously reported, the treatment of Ringworm of the scalp is undertaken at the London Hospital by Dr. W. J. O'Donovan. Under this arrangement eight school-children were treated during the year. |
0ddc067d-87ce-4b57-ad81-02c8fc696320 | A summary of the work of the Clinics is included in the following tables:— (a) Minor Ailments Clinics. Central Clinic. Shaftesbury Clinic. 1933 1934 1933 1934 No. of days clinic was open 349 354 319 321 Total No. of attendances 13,379 14,414 12,671 16,578 Daily average attendance 38.3 40.7 39.7 51.6 No. of cases treated 2,315 2,572 1,649 2,182 100 (b) All Clinics. Clinic. No. of first attendances of school children. Total No. of attendances of school children. |
41cbf3d8-9608-4a6d-afde-935996659fe6 | Minor Ailments:— 1933 1934 1933 1934 (a) Central 2,315 2,572 13,379 14,414 (b) Shaftesbury 1,649 2,182 12,671 16,578 Ophthalmic 493 384 1,627 1,607 Dental 3,134 2,671 8,337 7,220 Orthopaedic FOR EXAMINATION . 92 112 2,734 2,250 FOR TREATMENT 160 162 Diphtheria Immunisation 1 13 2 46 (d) Visual Defects and External Eye Disease.—Visual defects during the year have been treated by your Medical Officers as heretofore and I do not intend to give details but refer you to my remarks of previous years. Next year it will be our pleasant duty to inform you that the whole scheme has been revised under the direction of Mr. |
2ee32ec8-b08b-4a9b-bcb7-fb0d526189a9 | W. A. Gray, F.R.C.S., of Moorfields and Queen Mary's Hospitals. 384 cases of visual defect dealt with under the Authority's Scheme. Of this number, 335 were provided with spectacles ; 49 cases obtained spectacles from other sources. The Optician approved by the Authority carried out a number of minor repairs to spectacles which had already been provided. Cases of external eye disease, such as conjunctivitis and blepharitis, are treated at the Authority's Minor Ailments Clinics. 338 cases were thus treated during the year as compared with 187 during 1933. During the year, there were two operations for squint which were carried out by private arrangements, one at the Royal London Ophthalmic Hospital, Moorfields, E.C.I, and the other at St. Bartholomew's Hospital, Smithfield, E.C.I. |
794b2fa6-e166-4a33-a213-a1db38d292f8 | (e) Nose and Throat Defects.—An arrangement has been made between the Authority and two local Hospitals (Queen Mary's Hospital, Stratford, and St. Mary's Hospital, Plaistow), for the removal of tonsils and adenoids, this being by far the commonest surgical nose and throat condition found at school medical inspection. Specialists attend at these Hospitals twice weekly and see cases referred by your Medical Officers. If an operation is found necessary, the patient is given a form to present at the Public Health Department; this form is exchanged for an operation voucher. 101 In ordinary cases the patients are brought home by the Barking Ambulance, the Public Health Department being notified by telephone of the operations performed. The School Nurses visit all cases the day of their return home, to see that the patient's condition is satisfactory and to give appropriate advice for the after-care. Special cases are retained in Hospital for as long as the Surgeon considers necessary, the expense being met by the Authority. |
34af5f8a-35e8-4eed-9a32-6b4ebcaaddd0 | On recovery, and before returning to School, the patients' throats are examined by one of your Medical Officers at the Minor Ailments Clinic. In Group III of Table IV on page 136 will be found a complete analysis of the ascertained results of the treatment of nose and throat defects. From time to time I have pointed out to you my private opinion that the surgical treatment of tonsils and adenoids with its hemorrhage and possible shock is by no means the simple operation that many people imagine it is, and I think that as time goes on we shall find larger and larger numbers of cases being retained at Queen Mary's Hospital. I do believe that the time is ripe for Local Authorities so to subsidise hospitals which undertake this work, that they may be in a position to build and equip sufficient wards so that every case can be taken in at least a night before and be retained for at least two days after the operation. |
20afc967-111b-4d49-96b1-8160b7056e4c | If it should be impossible to do this at ordinary voluntary hospitals it should be possible for such a hospital for Extra Metropolitan cases to be built on an economic basis, although of course not so cheaply as it is done today in our voluntary hospitals, where the fees paid only represent a part of the actual cost. (f) Ear Disease and Defective Hearing.— Ordinary cases of ear disease and defects of hearing are dealt with medically at your clinics. The natural extension of your service would be the appointment of an aural surgeon to hold a special clinic. This natural development has not taken place in Barking because the proximity of Barking to the large London hospitals has made the question less pressing than it otherwise would have been. The Corporation has already an Aural Surgeon in attendance, when necessary, at the Barking Hospital, where of course it is mostly children who are seen by him. |
e9bbbc87-462e-465e-b928-9daa84cb48a3 | The question arises as to if and whether the time has come when an aural clinic run by an aural surgeon of consultant rank should not be held on similar lines to the eye clinic. I myself am much in favour of this proposition because I believe that setting up such a clinic will in time reduce the very large number of surgical operations which are carried out on tonsils and adenoids of children. 102 (g) Dental Defects.— The treatment of dental defects is dealt with specially in a part of this report prepared by Mr. Foy, the Dental Surgeon. It is with regret I find myself constrained to call your attention to the fact that a large number of the appointments made by us are not kept. It is difficult to maintain any economic system unless the parents of children make sure they do attend at the proper time. All these cases which have been asked to attend have given their consent and surely it is not too much to ask that having given their consent, they will keep the appointments. |
f3bcea64-1ab6-41b7-8afc-6e8aa7927387 | (h) Orthopcedic and Postural Defects.— Mr. B. Whitchurch Howell, Orthopaedic Surgeon, attends at the Orthopedic Clinic once a month and you have decided to employ a whole-time Masseuse instead of a part-time one. You have arrangements for children requiring surgical treatment to be received in Brookfield Hospital and other hospitals where orthopaedic surgery is carried out. The time has come when Joint Authorities should consider the future of Brookfield Orthopedic Hospital. A summary of the work done appears on pages 118-121, an analysis being given under Group IV of Table IV on page 136. (i) Heart Disease and Rheumatism.— The treatment of heart disease and rheumatism is a very difficult problem; cases of long standing are easy to diagnose and when necessary you send such cases away to special institutions providing the necessary accommodation, but the diagnosis of acute rheumatism is fraught with many difficulties and its treatment is by no means so easy. |
eba7dc54-e9d8-469a-828e-47c10f919cab | I am considering this problem in another aspect from the standpoint of infection and hospitalisation. (j) Tuberculosis.—The appropriate Authority for the treatment of Tuberculosis is the Essex County Council. Their Tuberculosis Officer attends at the Chest Clinic, Linton Road, Barking. (k) Other Defects and Diseases.—As you will see from the tables, very full use is made of the Clinics you have established and children who present themselves, who do not come within their purview, are referred to local practitioners or a suitable hospital out-patient department. Ultra Violet Light Treatment.—The use of ultra-violet light for medicinal purposes has been carried out to a limited extent at the Faircross Clinic. During 1934, fifteen children were dealt with and 317 treatments given as against the 750 treatments given to 25 children last year. |
801c6ad1-071a-448c-b3cd-bde3da3ea01b | During 1934 you had only a part-time nurse at the Faircross Clinic and an old tungsten arc lamp and next year I shall report to you how the new mercury vapour lamp and the appointment of a full-time nurse has enabled you to undertake ultra-violet light treatment more seriously than heretofore. 103 Children diagnosed as suffering from Tuberculous Glands, Alopaecia, Rheumatism, Anaemia, Debility and Cervical Adenitis are among those who have derived benefit from this treatment. (8) INFECTIOUS DISEASES. |
8d4608dc-144e-4797-bc1b-9954f698b91e | The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases :— 1930 1931 1932 1933 1934 Scarlet Fever 91 75 88 169 313 Diphtheria 202 128 43 71 247 Measles and German Measles 283 1 188 4 467 Chicken-pox 166 187 335 390 320 Whooping Cough 89 35 48 69 87 Mumps — — 8 23 39 Whenever doctors and nurses attend at schools to investigate the incidence of infectious disease, the headmasters, headmistresses and other teachers are always ready to co-operate. The fact that the Medical Officers who act as School Medical Officers are from time to time in attendance at the Infectious Diseases Hospital enables them to keep track of infectious disease in the town in a way which would otherwise be impossible. Where the attendance of a school falls below 60 per cent. |
06874a40-2015-424e-a22f-2a5828353881 | and in the opinion of the Medical Officer this low attendance is directly due to the prevalence of infectious disease the school sessions so affected are not counted in estimating the average attendance for the purpose of grant. During 1934, seven such certificates were granted for this purpose. Generally speaking, with reference to the exclusion from school of individual children whose exclusion is desirable in order to prevent the spread of disease, the Exclusion Periods contained in the Appendix to the Memorandum on Closure of and Exclusion from School, issued jointly by the Ministry of Health and the Board of Education, is our accepted standard and only in exceptional circumstances do we depart from it, but there must of necessity be a number of cases which have to be dealt with on their own merits. 104 (9) OPEN-AIR EDUCATION. Open-Air Classrooms and Playground Classes.— The possibility of education being carried on in the open-air has limits. I do however feel that the fullest possible use should be made of playgrounds for such lessons as can be undertaken outside the school premises. |
82a6ab81-b73a-4683-8f5d-66d5aa3da5bb | This is particularly necessary in your older schools, which we speak of as the factory type, where the classrooms have not the advantages found in modern buildings. In your newer schools the classrooms may be said to be of the open-air type and there are many occasions during the heat of the summer when their refreshing shade is to be preferred to the intense heat of the playground. It has been well said that we should shun the heat and love the light. School Journeys and Camps.—As you know, school camps are run very satisfactorily at Hainault Forest. During 1934, fifteen week-end camps were held in which 1,008 scholars participated. In addition to these, during the summer holidays there were two camps held at which children attended for a whole fortnight at a time. Ninety-six children took part in these two camps. |
7be678a0-7628-475b-bf1a-0d7067d4b3e6 | In selecting children for these week-end camps, a medical and cleanliness inspection is held, and for the summer camps those children are selected in whom a debilitated physical condition is found, or in whom straightened family circumstances make a holiday desirable. I wish to speak very highly of these school camps. I look upon them as much to be preferred to indiscriminate convalescent treatment. Organised as they are on sound lines I am sure that they give a better return for the money expended than if the same amount of money were spent in sending odd children to convalescent homes. This does not imply that I disagree with convalescent homes but that I think that your way of spending money is to be preferred. (10) PHYSICAL TRAINING. (a) Physical Training.—There is no Organiser of Physical Training in the schools of Barking, but nowhere have I found a keener appreciation of the benefits of physical training. |
9c661d5e-82fd-4e81-82fe-e6bb713f0f70 | The teachers of Barking are doing wonderful work and your Medical Officers are deeply and personally interested in the work. It is of course unfortunate that your officers have not sufficient time for even closer co-operation. I would wish to put in a special plea for physical training to be undertaken in proper clothing. On one occasion one of your Headmistresses asked me to make this the theme of a few remarks I made at a meeting of parents on what is known as an " Open Day," and I would wish my remarks to have a wider publicity. 105 It is very highly desirable that, generally speaking, children should change into clothes which are especially suitable when they undertake physical exercises. These clothes should certainly be light in weight; they should give every freedom of action to the limbs, and what is more they should afford an opportunity for air getting to the surface of the body. |
1302f0f0-c0e6-473c-9d4f-62238d21c150 | I have definitely said light in weight because there is an advantage in having at least some of the clothes dark in colour : both girls and boys in some exercises are called upon to sit on the floor, and white clothes are not perhaps best suited to this purpose. (b) Swimming.— I am very interested in swimming because I believe it to be an excellent form of physical exercise. The occasion of children visiting public swimming baths is an excellent opportunity for teachers to get an idea of the general physique of the individual children, and it has occurrcd to me that, if some simple exercises were undertaken— particularly breathing exercises—while the children are undressed, the teacher could more readily distinguish between those children who are standing correctly and those who are not, than he can when the children are fully clothed. So, also, with regard to chest expansion. Many children merely uncover their chest by pulling back their shoulders. This does not expand the chest, although the chest looks very prominent. |
795447a9-c269-4c8a-ac8d-e0724140700e | As a matter of fact, it limits the proper expansion of the chest. Here again is a circumstance under which teachers exercising children while unclothed at the baths could make a note of those individual children who are not profiting by the exercises which form part of the ordinary school curriculum. Visits to baths, also, can be used as a very important part of education, if the children are regularly constrained to use the facilities which are provided for being quite clean before they enter the water, and if each child is constrained to see that he leaves the baths if possible even in a better state than when he enters the building. In this connection it is highly desirable that I should mention a very objectionable practice which we all know does take place in baths ; it is obvious that the teacher cannot control the children in this matt r of fouling the water, but by repeated precept we might obtain a higher standard than unfortunately obtains in so many public baths at the present time. |
9ce50d2a-89e7-46b2-8985-3b25fa90d710 | (c) Boxing.—The Secretary of the Barking Schools' Sports Association refers all boys who have been selected for bouts in the boxing tournaments for a medical inspection previous to the contests. If for any reason boys are unsuitable, they are warned not to box. I would like to again offer my congratulations to this very able Association for the successful organisation and conduct of the various tournaments, games and sports in Barking throughout the year. 106 (d) Facilities for Other Sports and Games.—There is no need for me in Barking to urge the need for more playing fields, but an authoritative statement here would not be out of place, and I would like to support those who already are doing so much in this direction. These playing fields should be at or near the schools, and no school can now be looked upon as efficient if it has not such a playing field nearby. |
6d2bffa7-a27e-46c1-86fa-e6147d2b477a | The paved playing grounds where play is conducted in wet weather and where the more organised drill is usually carried out should not be situated, as so often happens, near the schools or, as I would put it, just under the school windows. They should be situated so far away as is reasonably possible, so that they may be used at any time and used so fully as possible without interfering with the ordinary work of the school. In this connection it is perhaps advantageous to remember that if these paved playing grounds were situated remote from the school buildings it would, at least in some instances, be possible for them to be used by children other than during school hours, and so give to them a much wider sphere of usefulness than they have at present. (11) PROVISION OF MEALS AND MILK. (a) Meals.—Free meals are provided daily in necessitous cases. |
3570249b-52ab-4fe5-84c1-7a77d0917253 | 113,173 such meals were provided during the year 1934, and the following table shows the numbers of free meals which have been provided during the past five years :— 1930 31,556 1931 46,803 1932 74,531 1933 135,726 1934 113,173 The following table summarises the arrangements which exist where mid-day meals are taken at schools. It will be noticed that meals can be heated at some of the schools, and the children are supervised during meal-times. The table also shows what arrangements there are for the drying of children's clothes and boots. 107 School. No. of children who remain at school for mid-day meal. Whether facilities exist for heating of children's meals. Whether facilities exist for the drying of children's clothes and boots. |
3661d945-a220-4eab-ab77-8de751f3f2ae | Bifrons— Senior Boys — — Cloakrooms heated (in winter only) Senior Girls — Yes, at domestic science centre „ Cambell— Senior Boys No „ Senior Girls Yes, at domestic science centre „ Junior Mixed No „ Infants „ C. of E.— Boys »> School fires (in winter only) Girls „ Infants ,, „ Dawson— Junior Bovs 20 Yes, at Meals Centre Cloakrooms heated (in winter only) Junior Girls 14 >> „ Infants — No „ Dorothy Barley— Junior Boys — >> „ Junior Girls — » J „ Infants — 99 „ Eastbury— Senior Boys — 99 „ Senior Girls — Yes, at domestic science centre Yes Infants — No Cloakrooms heated (in winter only) Erkenwald— Senior Boys — ,, ,, Senior Girls — Yes, at domestic science centre „ Faircross— Mixed All children stay at school for mid-day meal, the food being supplied from Municipal Kitchen. |
8eb630bd-b936-4181-812e-e5e83281a5e8 | Yes Yes Gascoigne— Senior Boys — No School fires (in winter only) Junior Mixed — „ „ Infants — „ „ Monteagle— Junior Boys — „ Cloakrooms heated (in winter only) Junior Girls — „ „ Infants — „ „ Northbury— Senior Girls — „ School fires (in winter only) Junior Mixed — „ „ Infants — „ „ Park Modern—Senior Mixed 80 Yes Cloakrooms heated (in winter only) Ripple—Junior Boys — No „ Junior Girls — „ „ Infants „ „ Roding— Junior Boys — „ „ Junior Girls — „ „ Infants — „ „ St. Joseph's—Infants Junior Mixed 2 Yes School fires (in winter only) St. |
b072c673-8898-47e4-9416-77cf911c6912 | Ethelburga's— Senior Mixed 15 No „ Westbury— Junior Boys — „ Cloakrooms heated (in winter only) Junior Gills — „ „ Infants 1 „ „ 108 Strictly speaking, the selection of school-children for free meals should at present be made by a system of selection by the Authority's medical officers, who, of course, would select any child who showed any symptoms, however slight, of sub-normal nutrition. Evidence of sub-normal nutrition can only be detected and investigated by a fairly complete medical examination, and the cost of this service would be considerable. Moreover, your medical officers are trained especially in the promotion of health, and naturally look upon the provision of free meals from this standpoint rather than from the standpoint of correcting sub-normal nutrition when it has become established, however slightly. The question to my mind might become one of finance. |
34b32fb3-ca70-4cbb-8b35-d098c166099a | The extra cost of medical service would perhaps be found to be far more costly than the cost of a few meals which under a means test may be given to children who do not demonstrate evidence of sub-normal nutrition. The provision of meals is a very gratifying aspect of the school life of the modern child. It is over fourteen years ago that I first began to take a personal interest in school-children. It has been my privilege to work together with head teachers who have been dealing with them for forty years, and I find that the nutrition of the children is better today than ever it was and this is not only reflected in the increased heights and weights of the children but also in their increased vitality in the playground and, as I am told, their increased keenness in the classroom. (b) Milk.—In addition to free meals as such, free milk is given in certain cases and in this way 52,064 bottles of milk have been distributed. |
f0164f49-2d5f-4f9b-bbcd-6c197e1723a4 | It may be thought that where we have an efficient scheme for providing mid-day meals the provision of free milk should not be necessary. As a matter of fact, I myself could not concur with such an opinion. You have made provision for any child to have one-third of a pint of milk in the middle of the morning at a cost of one half-penny. These arrangements have been made because we are positively persuaded that this one-third of a pint of milk is very highly desirable, even in cases where children come from a good breakfast and go to a good mid-day meal. If the provision of this milk is highly desirable in such cases, how much more desirable must it be in cases where we are doubtful whether the children have come from a good breakfast, even if we know they are going to a good mid-day meal ? 109 The amount of milk to be taken by each child per day is a matter of opinion. |
563f45f2-9905-4ff1-8a73-d206c9a973ec | Generally speaking, children get far too little milk, but there are cases where I myself have found it necessary to point out the children are taking too much milk, and at propaganda meetings it is our misfortune to find ourselves speaking to the converted where as often as not it is necessary to advocate the limitations of the use of milk rather than its increased consumption. In this connection, it may be pointed out that the main experiments which have proved so clearly the value of supplementary milk feeding, have all been carried out by the administration of not less than threequarters of a pint of milk per child per day. We may take it, therefore, that a child can take three-quarters of a pint of milk per day without interfering with its healthy appetite for other food of a more mixed variety, and I think that at the present time we may well take three-quarters of a pint as an average, if we are dealing with all ages of school-children, say from five to sixteen years. |
680959ea-a17a-4ff6-b0c1-d9d23200db61 | On the 1st October, 1934, the scheme of the Milk Marketing Board to supply milk at half-price, viz.: one-halfpenny instead of one penny per third of a pint came into operation. It was a condition of the scheme that the Milk Marketing Board should be satisfied that the milk supplied did have the approval of your Medical Officer, as to source and quality, and further that if pasteurised supplies were available the milk should be of such quality. Your Medical Officer did satisfy himself that the milk supplies were being taken from approved sources and were of the proper quality. (12) CO-OPERATION OF PARENTS, TEACHERS, SCHOOL ATTENDANCE OFFICERS AND VOLUNTARY BODIES. During the year, parents have continued to show an interest in the work done by the Medical Inspectors in the Schools. Parents' attendances at the routine inspections are a matter for congratulation, and the spirit in which recommendations for treatment have been received has been good. |
827c3132-39f6-4350-a3e6-38f87fc73602 | Teachers in all departments have co-operated well with the School Nurses and Medical Inspectors, not only in the preparation of the available accommodation and the notification of parents of the examiner's visits, but also in maintaining a high standard of orderly behaviour among the children during the examination. The work of the Dentists too has also been facilitated by the active co-operation of the teaching staff. 110 The School Attendance Officers have assisted in seeing that children with minor ailments or uncleanliness attend the Clinics provided; and they have also helped in encouraging parents to obtain special treatments which have been recommended. It would be impossible for me to close my remarks on co-operation without expressing my personal indebtedness to my colleagues in general practice, who at no small inconvenience to themselves have on numerous occasions assisted me materially in cases which have shown some medical or social difficulty. I have on all occasions received the greatest courtesy and the kindliest co-operation and the help which they have given to me has been offered most generously and in the highest spirit of public enterprise. |
873d32b7-fc06-483e-a5ca-5d100dbef9d8 | The following table shows the work which has been undertaken by the National Society for the Prevention of Cruelty to Children during the last three years :— 1932 1933 1934 Total number of cases investigated 16 33 24 (a) Prosecutions nil nil nil (b) Warnings 13 24 18 (c) Otherwise dealt with 3 9 6 (d) Supervisory visits 97 133 131 (e) Cases closed as satisfactory 12 25 17 The National Society for the Prevention of Cruelty to Children have carried out their work in a very estimable way and have maintained a high level of co-operation with your officers. |
200144ec-b911-4798-b95d-d48023743ae3 | It may be that the Society does not carry out an enormous amount of work in Barking; this I think is a tribute to the success achieved by your own work, but by the same token the cases with which they do deal must be more difficult than they otherwise would be, because so far as your officers are concerned, cases are usually only turned over to the Society after all other available resources have been exhausted. (13) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. I find that I cannot add to my report of last year in which I stated that in this way or another through your multifarious activities defective children in your area are ascertained and brought to your notice. |
1017608a-e4d3-4121-b4c9-cf7d0b6631fe | 111 The following table shows the number of children who have attended at the Faircross Special School—in the Open-Air, Physically Defective and Mentally Defective Sections—and, in addition, in other parts of the report will be found figures as to how many children have been admitted to the Brookfield Orthopaedic Hospital and elsewhere for orthopaedic conditions :— Open-Air Section Physically Defective Section Mentally Defective Section No. on Register on 31.12.33 97 38 89 No. admitted during 1934 34 15 11 No. discharged during 1934 47 13 24 No. on Register on 31.12.34 84 40 76 Hereunder are particulars of the number of children maintained by the Authority in special schools outside the district as at December 31st, 1934 :— Particulars of School. No. of Cases. |
49dd3310-fd81-4b4e-9fb9-0c1a6989bdb5 | (a) Certified Schools for the Blind : East Anglian School for the Blind (Residential), Gorleston 1 Barclay School for Blind Girls (Residential), Brighton 1 (b) Certified School for the Deaf: Frederick Road Deaf Centre (Day), West Ham 5 (c) Certified School for Mentally Defective Children : Royal Eastern Counties Institution (Residential), Colchester 1 (d) Certified Schools for Physically Defective Children : St. Dominic's Open-Air School (Residential), Hambledon, Surrey 1 St. Patrick's Open-Air School (Residential), Hayling Island 1 White Oak Ophthalmic Hospital School (Residential), Swanley, Kent 2 Where children are found to be so defective mentally as not to be able to receive any useful instruction in a special school or class they are notified to the County Council. |
f798e14f-b810-4d52-8070-c8d30157206b | 112 The following table gives information in respect of medical inspection at the Faircross Special School during the year 1934 :— Number of inspection sessions 21 Number of children inspected :— (a) Routines 101 (b) Specials 25 (c) Re-examinations 269 395 Number of defects referred :— (a) For treatment 18 (b) For observation 27 45 Number of defects found treated 31 Number of parents present at inspections 234 (14) FULL-TIME COURSES OF HIGHER EDUCATION FOR BLIND, DEAF, DEFECTIVE AND EPILEPTIC STUDENTS. The Local Education Authority do not maintain any courses of training for Blind, Deaf, Defective and Epileptic students. (15) NURSERY SCHOOLS. There are no Nursery Schools in Barking. These schools are found necessary in many districts on account of unsatisfactory home conditions or where mothers go out to work. |
5a2435ab-7616-4d52-a259-d79a10b85c53 | They are also necessary in certain selected cases where, unless the mother can place the child with safety at such a centre, she cannot possibly live any individual life of her own and tend to her own needs which, of course, are equally the needs of her child. You have in Barking large new housing estates where the housing conditions are satisfactory, but there will of course always remain the few selected cases of which I have spoken which from time to time, although perhaps not all the time, will require the provision of some sort of creche or class. The problem is primarily one of the mother and indirectly one of the child. 113 (16) SECONDARY SCHOOLS AND OTHER INSTITUTIONS OF HIGHER EDUCATION. The Barking Education Authority is not empowered to provide secondary education for its scholars, but children for whom this type of education is demanded do attend the Barking Abbey School, situated on the boundary of the Borough. |
d96bbad8-fd15-40a5-b48c-2746f98728c5 | This school is under the Essex County Council, and medical inspection and treatment of children attending it is in the hands of that Council. The dental inspection and the treatment of the children at this school is about to be undertaken by you and I do hope that the time is not far distant when all the children who attend this school will have the advantages of all the multifarious activities you carry on on behalf of the children in ordinary schools. (17) PARENTS' PAYMENTS. From time to time you have had under consideration an arrangement for the recovery of cost of treatment from parents of children attending public elementary schools. Certain alterations have been made during the year 1934. (18) HEALTH EDUCATION. In respect of what is commonly known as "Health Education," I confessed last year that with the extensions that are going on as the result of the increase in the population of Barking, it has been difficult enough to keep up with ordinary work, but we hope that when conditions are more stable to undertake work in this direction. |
3b8aa57d-b512-43c1-93bb-1be75e6d83cf | This does not imply that I believe in any set lessons but rather that the children should be taught to realise that the things that they have been taught to do are based on sound principles; thus it is teaching children how to do such things which is the important thing. Children should be so taught to clean their teeth that they feel uncomfortable if the teeth have not been brushed at least twice a day. It is proper that the senior scholars should understand that they have been taught to clean their teeth for some basic reasons but no knowledge of dental caries is so likely to urge them to clean their teeth as the discomfort experienced by people who do clean their teeth regularly, when for some reason or other they are precluded from doing so. In the same way, I hope the time will come when routine habits will be firmly established amongst the school-children and the child who suffers from intestinal stasis, a condition so prevalent today, will feel uncomfortable. |
35123766-1978-4fc8-b2f0-84aa8a729b06 | Here again, amongst the older children the basic principles might be taught of how important it is for them to rely on proper diet and proper exercises rather than upon laxatives, which should be looked upon as quite out of date. 114 (19) SPECIAL INQUIRIES. No special inquiries have been undertaken during the year. (20) MISCELLANEOUS. (a) Examination of Teachers.— During the year, seventy-eight medical examinations were carried out of applicants for teaching posts under the Local Education Authority. (b) Part-time Employment of School-children.—Milk and newspaper deliveries, general errands, etc., are the usual forms of employment of children. In accordance with the byelaws of the Education Authority, five applicants of school-age submitted themselves for examination prior to employment and were passed. SERVICES PROVIDED FOR SCHOOL CHILDREN. Boots Free boots are provided in certain necessitous cases. |
d223ea21-de19-4f18-a34a-1d8e5297ad49 | Camps Week-end camps are held every week-end during the summer months, and in addition two holiday camps, each of a fortnight's duration, are held during the summer holidays. Cleansing Special soap is issued from the Minor Ailments Clinics and special combs are loaned, on payment of a deposit. In certain cases, arrangements are made for the children to be cleansed at the Clinic by the School Nurses. Dental Treatment Dental treatment—including orthodontic treatment— is carried out daily at the Corporation's Clinics in Vicarage Drive and East Street. Dinners Free dinners are provided for children attending school, where the family income is below a certain scale. Diphtheria Immunisation Immunisation against Diphtheria is carried out at the Central Clinic. No charge is made for this treatment. 115—116 CLINIC AND TREATMENT CENTRES Name and Situation When Held Nature of Accommodation By Whom Provided 1. Maternity and Child Welfare. |
eeb87e22-5925-4a0f-a9e4-7e933963bc20 | (a) Infant Welfare Centres :— Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Fridays, 2 p.m. Modern clinic premises with accommodation for consultations, weighing of babies, waiting rooms, etc. Local Authority. Greatfields Centre, Movers Lane Mondays and Thursdays, 2 p.m. Accommodation for consultations, weighing of babies, waiting rooms, etc. do. Alexandra Centre, St. Paul's Road Mondays and Thursdays, 2 p.m. do. do. Shaftesbury Centre, Stamford Road Tuesdays and Fridays, 2 p.m. do. do. (b) Ante-Natal Clinics :— Central Clinic, Vicarage Drive, Ripple Road Wednesdays, 2 p.m. Fridays, 10 a.m. Modern clinic premises with accommodation for consultations, etc. do. Alexandra Centre, St. Paul's Road Tuesdays, 2 p.m. |
e710dd12-4238-4410-82e6-468361caa9ea | Accommodation for consultations, etc. do. Shaftesbury Centre, Stamford Road Wednesdays, 10 a.m do. do. Specialist-Consultant Clinic at Alexandra Centre, St. Paul's Road. Last Friday in each month, 2 p.m., except August and December. do. do. (c) Gynaecological Clinic :— Central Clinic, Vicarage Drive, Ripple Road As and when required. Modern clinic premises with accommodation for consultations, etc. do. (d) School Nurseries :—Nil Nil Nil Nil (e) Day Nurseries :—Nil Nil Nil Nil 2. School Medical Service. (a) Inspection Clinics and Treatment of Minor Ailments Central Clinic, Vicarage Drive, Ripple Road Daily, 8.30 a.m. Modern clinic premises with inspection, waiting, and treatment rooms, etc. Local Authority. Shaftesbury Clinic, Stamford Road do. Large hall and two rooms do. |
54b571ff-58a3-42e2-ae02-f87d2c62864f | (b) Eve Clinic :— Central Clinic, Vicarage Drive, Ripple Road Three sessions weekly Modern clinic premises do. (c) Dental Clinics :— Central Clinic, Vicarage Drive, Ripple Road Daily, 9 a.m. and 2 p.m. Modern clinic premises with waiting and treatment rooms, etc. do. East Street Clinic Daily, 9 a.m. and 2 p.m. Waiting and treatment rooms do. (d) Orthopaedic Clinic :—Faircross School First Thursday in each month at 2 p.m. One room do. (i) Remedial Exercises Clinic Daily, 9 a.m. and 2 p.m. One room do. (ii) Ultra-Violet Light Therapy Diphtheria Prevention Immunisation Clinic. Central Clinic, Vicarage Drive, Ripple Road Mondays, 10 a.m. Modern clinic premises with waiting and treatment rooms. do. 4 Tuberculosis. |
4f3c6b62-f6bd-4faa-b3eb-376d044c9ac2 | 37, Linton Road Mondays, 3-5 p.m. Thursdays. 10.30 Three rooms Essex County Council. 5. Venereal Diseases. a.m.-12 noon London Hospitals, etc. — — By arrangement with Essex County Council. Since the end of 1934, Infant Welfare Clinics and Ante-Natal Clinics have been opened at the Wesleyan Methodist Church premises in Porters Avenue and are held as follows :— Infant Welfare Clinics Mondays and Wednesdays at 2 p.m. Ante-Natal Clinic Thursdays at 9.30 a.m. 117 Medical Inspection Arrangements are made for each child to be medically examined at school three times during the period of school life, and at such other times as the medical officer considers necessary. Milk One-third of a pint of milk is supplied daily to children attending school on payment of one halfpenny per day. |
6b405af4-0df4-42e6-9231-d29fe64dd8e5 | Where the family income is below a certain scale and where the medical officer considers milk desirable on medical grounds, no charge is made. Minor Ailments Children suffering from minor ailments are treated daily at the Corporation's Central Clinic, and at the Shaftesbury Clinic. Ophthalmic Service A Refraction Clinic is held at the Central Clinic, and the scheme includes the provision of spectacles at a very low charge, and, in some cases, where the family income is below a certain scale, at no charge. Orthopaedic Treatment Orthopaedic treatment— including the provision of splints and any necessary hospital treatment— is provided through the Orthopaedic Clinic, Faircross Special School. Special School The Faircross Special School is divided into three sections—a Physically Defective Section, a Mentally Defective Section and a Section for Delicate Children. When considered desirable, the children are conveyed to and from school by motor ambulance. |
d8b91618-2a98-4378-8d25-8af5506eeb43 | Tonsils and Adenoids Surgical treatment for tonsils and adenoids is carried out at two local hospitals under an agreement with the Corporation. A small charge is made to the parents, except in certain necessitous cases, when no charge is made. Ultra-Violet Light Treatment Ultra-violet light treatment is given at the Orthopaedic Clinic, Faircross Special School. No charge is made. X-Ray T reatment for Ringworm, of the Scalp Where necessary, Ringworm is treated by X-Ray. No charge is made for this treatment. 118 REPORT ON THE WORK OF THE ORTHOPEDIC CLINIC. The following tables, which are prepared on lines similar to those previously used, show the work which has been carried out at the Orthopedic Clinic amongst children of school age :— No. of primary examinations by Orthopaedic Surgeon 112 No. |
83a70a5b-a1aa-4d1b-be2b-34d996af9cda | of re-examinations by Orthopaedic Surgeon 249 The cases dealt with for the first time during 1934 were referred for the following conditions, some children having more than one defect:— (a) Deformities—Bones and Joints— (1) Congenital Nil (2) Acquired : Injury—elbow-joint 3 „ hip-joint 1 „ knee 1 Arthritis with dislocation—hip 1 Old fracture— femur 1 Genu valgum 18 Genu varum 3 Hallux valgus 1 Shoemaker's chest 2 31 (b) Muscular — (1) Congenital: Torticollis 3 Absence of pectoralis— major R. 1 Talipes 2 Flexion deformity digits (hand) R. and L. |
2ed82c59-6882-4fcb-8c2b-51ec503cfba6 | 1 (2) Acquired : Kypho-lordosis 4 Kyphosis and pigeon chest 22 Pes plano-valgus 46 Deformity—digits—foot 5 „ „ hand 1 85 119—120 PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1934. No. of visits by Orthopaedic Surgeon No. of visits by Masseuse ATTENDANCES. Primary Examination Re-examination For Treatment Total School Children Under School Age School Children Under School Age School Children Under School Age School Children Under School Age 11 241 112 84 249 169 1,889 670 2,250 923 TREATMENTS. Massage Electricity Remedial Exercises Ultra-Violet Therapy Radiant Heat Dressings and Splintage No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. |
305804e4-51f6-4992-b516-542dd54c18c6 | of Treatments No. of Children No. of Treatments No. of Children No. of Treatments School Children 15 240 2 31 76 1,415 15 317 — — 64 239 Under School Age 13 42 — — 4 13 50 335 — — 58 324 Admissions to Hospitals On Waiting List for Admission 31/12/34 School Children Under School Age Total School Children Under School Age Total 11 (10 under Council's Orthopaedic Scheme) 5 16 2 1 3 121 (c) Paralysis— (1) Acquired : Anterior poliomyelitis 5 5 Also Recurrent synovitis—knee 1 Baker's cyst 1 2 Total defects found 123 During the year, |
468acfc9-d479-473f-9f7c-9efd1c5e2fd3 | eleven children were admitted to hospital and the following operations were carried out in these cases:— Tenotomy— sterno-mastoid 1 Arthrodesis— wrist (right) Manipulation—elbow and "collar and cuff " 1 Steindler's operation— foot Excision—scar—knee 1 Excision—Baker's cyst 1 Tenotomy— tendo achillis and plaster right and left 1 Manipulation and plaster—right and left feet 1 Amputation—digit 5—right and left feet 1 Plaster bed (for scoliosis) 1 122 REPORT OF DENTAL SURGEON. June, 1935. To the Medical Officer of Health, Borough of Barking. Sir, I have the honour to submit the report of the Dental Services for the year ended December 31st, 1934. |
a922d8e2-5c1d-49cd-8821-9638ef9e1511 | The number of inspections, fillings, extractions and other operations remains substantially the same as for the year 1933, but during the latter part of the year under review a re-arrangement of the sessional programme was introduced to approximate more closely the figures anticipated by the Board of Education in the matter of fillings and extractions. This necessitated a narrowing of the field for orthodontic treatment, regarded as a welcome addition to the dental service but secondary in importance to general conservation work and oral cleanliness. It is hoped that in the near future the progressive improvement in the dental condition of Barking school-children will permit the time to renew orthodontic treatment on generous lines. Dental sepsis, so general and widespread in this country is best combated at its outset, namely, during the period of pre-school and school life. The pre-school child is the subject of another report to your Council, and it is the purpose of this report to treat only with the child of school-age. |
d99a3094-7b52-4918-9aba-2ab28307f49b | Dealing, as the service does, with children at the outset of their school life, they can be brought under observation and attention at an early age. The opportunity of impressing upon the young child the necessity of mouth hygiene is fully exploited and, in the numerous inspections carried out over the past five years, it has been gratifying to note the large number of children who have grown up dentally conscious and willing to attend the Clinic for treatment at any time in a spirit of great friendliness. Regrettably, many children are not seen until a firmly established condition of oral unhealthiness is present. This may be due to parental unwillingness, fear on the part of the child due to a misformed conception as to treatment, and new arrivals to the district. With all of these the staff is optimistic, although such optimism is not always rewarded. |
2aa4c4bc-d6bd-42df-8165-43803db9c87e | These three classes form that body of individuals known as "refusals" who hinder both actively and passively the good work of the service, but it is undeniable that they are a weakening body, every year sending recruits to march under the banner of dental health. 123 Another matter of great satisfaction is to see the steadily improving dental condition of children who have been included in the dental scheme for a period of years. Undoubtedly some good work has been nullified by indifference on the part of the patient after skilled treatment has been given, and again in the changeover from infant to junior schools and junior to senior schools a number of children unfortunately have joined their new schools after those schools have been finished, and so missed inspection and treatment for too long a period. The filling of temporary teeth is always of value and repays both the operator and the patient, but, although so worth while, one is compelled to regard such work as of lesser importance when a large school population needing dental attention to permanent teeth is calculated to occupy fully the time of the staff. |
0bd64fd1-feeb-4372-925a-6a27d5a8b1cf | Also it should be borne in mind that failure in the filling of a questionably saveable temporary tooth can produce a prejudicial outlook in the mind of a parent in the choice of filling permanent teeth later in the school life. The teaching of dental hygiene in schools to children of twelve and over, especially to girls, is earnestly advocated. In some cases where a few children remain for the last day of a dental examination the privilege of addressing the children has been sought from the Headmaster or Headmistress, and the results provoke the greatest enthusiasm. Refusals of treatment have been minimised and the children have attended for treatment with an enlightened and collected outlook that has greatly assisted chair-side work. This policy should be furthered. Again, where the teaching staff have personally reminded the scholars at frequent intervals on the merits of regular use of the toothbrush, results have been remarkably good. These methods are most economic. |
739a4d51-6420-440f-be9d-b67689ec4d4c | Less time is required in examining a school where a percentage of sound mouths is high, the treatment of the school occupies much less time at the Clinic and more frequent inspections are possible. It is too early yet to be able to state what dental benefit the supply of milk to the school-children has produced, but the generally favourable results interest considerably the outlook of those engaged in school dental work. The modern school with its light airy rooms, pleasant internal arrangements, and an educational system with greater mental freedom, in aiding to produce a fitter child, does so in a general sense, and it is reasonable to expect that an improvement in the dental condition has been closely related to such fitness. In this matter of schools and service, Barking is singularly well placed, and it will be of the greatest professional interest to follow during the next few years the progress which should present itself. 124 There is one matter, however, in which the child attending the schools of a Local Education Authority is at a disadvantage, and that is in the matter of rest. |
c453b1f0-fe5c-4454-91da-eb65d61cbb75 | Children inmates of institutions are compelled to observe a stricter discipline in early retirement at night than the child who is free to run the streets and parks. These latter often do not go to bed until well after 9.30 o'clock, and undue strain and tiredness are the results. I am of opinion that, although recognising the balanced diet most institution children receive, the matter of rest plays an extremely important role in the possession of a sound dentition and it has been my experience that the teeth of children attending institutions are sounder than those children attending elementary schools. In terminating, may I quote from Sir George Newman's report on "The Health of the School-child (1933) " with reference to dental lectures and exhibits. "It would almost appear that (in London) all persuadable people have already been converted to the practice of dental hygiene and that a cohort of angels even would fail to make an impression on those who obstinately remain outside the scheme. |
54ae6b1c-1442-4351-9547-fee0f664a9e4 | Nevertheless the useful purpose served by these administrators in propagating knowledge relating to the care of the teeth and dental hygiene generally cannot be gainsaid; even the faithful require reinforcement of the faith from time to time." To the dental staff at the Clinic, the medical, nursing and teaching staff, full thanks should be given for their kindness, interest and assistance, and the recognition that their co-operation contributes very considerably to the success of the dental scheme. I have the honour to be, Sir, Your obedient Servant, W. H. FOY, l.d.s., r.c.s. (eng.), Public Dental Officer. 125 SCHOOL MEDICAL SERVICE. Statistical Tables—Public Elementary Schools, I934 TABLE I.— RETURN OF MEDICAL INSPECTIONS. A.— Routine Medical Inspections. Number of Inspections in the prescribed Groups :— Entrants 1,590 Second Age Group 720 Third Age Group 1,005 Total 3,315 Number of other Routine Inspections 802 B.— Other Inspections. |
5fc58618-67e0-4622-a822-8bf635926ab5 | Number of Special Inspections 6,296 Number of Re-Inspections 9,524 Total 15,820 126 TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1934. Defect or Disease. Routine Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment Requiring to je kept under observation, |
9d64a363-00d4-4cd9-82db-b87d19f6fa7b | but not requiring Treatment (1) (2) (3) (4) (5) Malnutrition 10 64 3 18 Skin Ringworm—Scalp 47 Body — 1 3 — Scabies 5 — 23 — Impetigo 1 — 118 — Other Diseases (Non- Tuberculous) 9 2 205 2 'Blepharitis 14 5 50 — Conjunctivitis 2 2 173 1 Keratitis — — 4 — Eye , Corneal Opacities — — — — Defective Vision (excluding Squint) 299 78 192 14 Squint 38 12 5 1 Other Conditions 5 3 99 3 'Defective Hearing 3 7 4 5 Ear Otitis Media — 1 4 — _ Other Ear Diseases 38 4 198 4 " Chronic Tonsillitis only 179 195 218 90 Nose and Throat Adenoids |
32a9270c-9cc9-4ff1-bc88-34b17fbf67b9 | only 11 8 7 3 Chronic Tonsillitis and Adenoids 69 42 43 109 Other Conditions 11 20 256 28 Enlarged Cervical Glands (NonTuberculous) 5 57 104 17 Defective Speech 3 17 4 4 Heart and Circulation 'Heart Disease : Organic 2 31 1 10 Functional — 52 1 42 Anaemia 2 17 13 2 Lungs Bronchitis 4 20 26 12 Other Non-Tuberculous Diseases 2 33 44 35 127 TABLE II. (A).—continued. Defect or Disease. Routine Inspections. Special Inspections No. of Defects. No. of Defects. |
2cb07216-188e-4596-a0c6-655b11fed41a | Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment Requiring to be kept under observation but not requiring Treatment (1) (2) (3) (4) (5) Tuberculosis Pulmonary : Definite 1 1 Suspected — — — — Non-Pulmonary : Glands 2 Bones and Joints — — — 1 Skin — — 1 — Other Forms — 2 — 1 Nervous System Epilepsy — 2 — — Chorea 5 6 5 14 Other Conditions 4 19 19 19 Deformities Rickets 8 2 - 1 Spinal Curvature 4 5 7 3 Other Forms 64 27 28 6 Other Defects and Diseases (excluding Uncleanliness and Dental Diseases) 47 108 1,578 622 Totals 844 843 3,485 1,068 128 TABLE II.—continued. |
b85acf20-98f6-42d1-8e32-5b5b7d705522 | (B)—NUMBER OF INDIVIDUAL CHILDREN FOUND AT ROUTINE MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DISEASES). Group. (1) Number of Children. Inspected. (2) Found to require Treatment. (3) PRESCRIBED GROUPS: Entrants 1,590 243 Second Age Group 720 104 Third Age Group 1,005 127 Total (Prescribed Groups) 3,315 474 Other Routine Inspections 802 136 Grand Totals 4,117 610 129 TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. Children Suffering from Multiple Defects. No. of Cases. Combination of Defects. School Attended. 1 Mental Defect and Crippling (right spastic hemiplegia). Certified School for Mentally Defective Children. |
ba394f99-b977-45b5-9696-5be7e4a1d8fe | 1 Mental Defect and Crippling (spastic diplegia). Certified School for Mentally Defective Children. 2 Mental Defect and Active Tuberculosis (glands). Certified School for Mentally Defective Children. 1 Mental Defect and Epilepsy Certified School for Mentally Defective Children. 1 Epilepsy and Crippling (congenital talipes equino-varus). Certified School for Physically Defective Children. Blind Children. At Certified Schools for the Blind At Public Elementary Schools At other Institutions At no School or Institution Total 2 — — — 2 Partially Blind Children. At Certified Schools for the Blind At Certified Schools for the Partially Blind At Public Elementary Schools At other Institutions At no School or Institution Total — 7 1 8 130 TABLE III.—continued. Deaf Children. |
d3c63259-9f01-41ab-8e25-66c5068ac524 | At Certified Schools for the Deaf At Public Elementary Schools At other Institutions At no School or Institution Total 5 — — 3 8 Partially Deaf Children. At Certified Schools for the Deaf At Certified Schools for the Partially Deaf " At Public Elementary Schools At other Institutions At no School or Institution Total — — — — — — Mentally Defective Children. Feeble-Minded Children. At Certified Schools for Mentally Defective Children At Public Elementary Schools At other Institutions At no School or Institution Total 73 3 — — 76 Epileptic Children. Children Suffering from Severe Epilepsy. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 2 (3) — — 2 4 (3) Figures in brackets denote additional cases at present under observation re epilepsy—not yet certified. 131 TABLE III.—continued. Physically Defective Children. A.—Tuberculous Children. |
be302016-71d0-4165-86cb-d2654d0b57a0 | I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.) At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total - (1) 2 (4) - (-) - (-) 2 (5) II.—Children Suffering from Non-Pulmonary Tuberculosis. (This category includes tuberculosis of all sites other than those shown in (I) above.) At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 2 (4) 12 (25) 8 (-) 2 (—) 24 (29) EXPLANATORY NOTE. Physically Defective Children—Tuberculous. Attendance at a Tuberculosis Dispensary, subsequent to active treatment, has been looked upon as preventive treatment, and therefore treatment within the meaning of the Table. |
2e823bc0-6ebb-43cf-95fc-e4c206d6da9e | The figures in brackets under this section denote children who are notified cases of Tuberculosis and are therefore attending a Tuberculosis Dispensary, but in whose case the disease has been declared " arrested " although the children cannot yet be said to be " recovered." B.—Delicate Children. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 64 1 1 — 66 132 TABLE III.—continued. C.—Crippled Children. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 19 — — 1 20 D.—Children with Heart Disease. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 32 — 1 5 38 133 FORM 307M.—STATEMENT OF THE NUMBER OF CHILDREN NOTIFIED DURING THE YEAR ENDED 31st DECEMBER, 1934, BY THE LOCAL EDUCATION AUTHORITY TO THE LOCAL MENTAL DEFICIENCY AUTHORITY. |
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