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db516b32-919d-4061-a81a-92e809009fe7 | 14 Enteric Fever (including Para-typhoid Fever) 3 5 8 7 1 Puerperal Pyrexia — 24 24 23 — Pneumonia : Acute Influenzal 99 69 18 100 — Acute Primary 91 18 Following Measles 49 — Erysipelas 20 25 45 24 3 Ophthalmia Neonatorum 2 3 5 2 — Acute Anterior Poliomyelitis 2 1 3 3 — Pemphigus Neonatorum 1 — 1 1 — Cerebro-Spinal Fever 1 — 1 1 — Dysentry 1 2 3 2 — Food Poisoning 7 13 20 3 — Totals 344 361 705 573 36 135-136 TABLE II. Notifiable Disease No. of cases notified at age groups Cases classified according to Wards Under one year |
2cbfe44d-ddeb-4ddb-bd20-6f1e692d198d | 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 10 years 10 to 15 years 15 to 20 years 20 to 35 years 35 to 45 years 45 to 65 years Over 65 years Totals Abbey Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes Smallpox — — — — — — — — — — — — — — — — — — — — — Scarlet Fever 1 5 14 19 30 124 34 12 21 3 — — 263 21 62 40 32 15 47 20 26 Diphtheria 2 3 6 10 8 82 26 7 19 — 1 — 164 12 20 15 20 4 39 15 39 Enteric Fever — 1 1 — — — — 1 2 2 1 — 8 1 |
54bee831-7b6f-45b4-bd43-df15b1940640 | — — 1 — 5 1 — Puerperal Pyrexia — — — — — — — 1 23 — — — 24 4 4 1 4 2 4 2 3 Pneumonia (ac. primary, ac. influenzal & following measles) 15 21 9 7 11 42 4 6 15 18 12 8 168 20 24 39 31 7 22 12 13 Erysipelas — — — — — — 2 4 9 13 8 9 45 4 6 5 11 6 3 4 6 Ophthalmia Neonatorum 5 — — — — — — — — — — — 5 2 — — — — 2 — 1 Acute Anterior Poliomyelitis — — 1 1 — — 1 — — — — — 3 — — 1 — |
d5ebf592-0b31-4fe2-83d5-ce5455920714 | — 2 — — Pemphigus Neonatorum 1 — — — — — — — — — — — 1 — — — — 1 — — — Cerebro-Spinal Fever — — — — — 1 — — — — — — 1 — — — 1 — — — — Dysentery — 1 1 — — — — — — 1 — — 3 — 1 1 — 1 — — — Food Poisoning — 1 — — — 3 2 2 5 4 3 — 20 1 7 3 3 — 4 1 1 Totals 24 32 32 37 49 252 69 33 94 41 25 17 705 65 124 105 103 36 128 55 89 137 TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1938:— Scarlet Fever Diphtheria Total. |
49ef9980-f9ec-49f9-ae41-446b5a3c9a1e | January 21 12 33 February 15 18 33 March 29 11 40 April 15 14 29 May 15 21 36 June 18 15 33 July 16 8 24 August 15 3 18 September 20 11 31 October 30 7 37 November 30 25 55 December 39 19 58 Totals 263 164 427 (3) NON-NOTIFIABLE ACUTE INFECTIOUS DISEASES. (a) Measles, etc.—The most important of these are measles, whooping cough and summer diarrhoea. Deaths registered were as follows:— Measles — Whooping Cough 2 Summer Diarrhoea 6 Chicken-pox — 138 (b) Rheumatic Fever.—In the past I have advocated the setting up of a rheumatic clinic, and the possibility of a form of in-patient treatment for this condition. |
43f42c2d-d9ea-468c-82f5-6406da931075 | This I still hope will come to pass, because rheumatic fever, as I have stated previously, is more prevalent in Barking than it is in other parts of the Country, and this is true for all parts of the Thames Valley. What I envision is that you will set up something to take the place of the rheumatic clinics held elsewhere. (c) Influenza.—I regret to report that during 1938 there were 9 deaths from influenza—this contrasts with the 17 deaths recorded during 1937. Much has been done in the treatment of influenza experimentally, but as yet no specific treatment has been advanced. There are a number of local products, produced at Dagenham, which have done much to curtail and ease the treatment of the resultant pneumonic conditions, which are the complications of influenza. (d) Scabies.—Fifty cases of scabies were brought to the notice of the department during the year. Disinfection of bedding and blankets was carried out where desired. |
29d22dfe-0c4d-4c32-a815-1090cf4ca710 | (e) General.—As you know, the School Attendance Officers of the Education Committee are General Inquiry Officers, and we have a lot of reliable information on which we can act so far as infectious diseases amongst school-children are concerned. 139 (4) BARKING HOSPITAL. (a) Admissions.—The following is the table of admissions, etc., in respect of infectious diseases during 1938:- Disease. In Hospital January 1st, 1938. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1938. |
5e3aa6ea-e128-4ba5-8cf5-0ce72494f7c9 | Scarlet Fever 14 242 — 224 32 Diphtheria (including Membranous Croup) 25 159 10 134 40 Enteric Fever 1 7 1 7 — Cerebro-spinal Fever — 1 — 1 — Puerperal Pyrexia — 20 — 18 2 Pneumonia 7 96 8 91 4 Erysipelas 2 23 1 22 2 Ophthalmia Neonatorum — 2 — 2 — Others 19 221 5 224 10 Acute Anterior Poliomyelitis — 2 — 2 — Pemphigus Neonatorum — 1 — 1 — Food Poisoning — 1 — 1 — Dysentry — 1 — 1 — (b) Number of Bed Days.—The total number of bed days in the infectious diseases hospital during 1938 was 21,385—that is to say, |
e407dd8d-7b2e-48a8-9753-72506b5c9211 | an average of 58.4 patients were in hospital throughout the 366 days in the year. 140 (5) ARTIFICIAL IMMUNISATION. Facilities are provided for immunisation against whooping cough, scarlet fever and diphtheria. Clinics are held weekly at the Central and Woodward Centres. Full use is not made of these facilities. |
fdff3922-729a-4f36-be06-40854820c20a | The following table shows what has been done under the immunisation scheme during the year:— Diphtheria Scarlet Fever Whooping Cough School Children Toddlers School Children Toddlers School Children Toddlers Total number of cases treated 342 110 32 41 7 42 Number of— First attendances for treatment 319 91 22 38 7 42 Subsequent attendances for treatment 858 216 92 140 8 50 Final "Schick" tests 56 80 — — — — Final '' Dick " tests — — 25 24 — — Final attendances for treatment — — — — 7 38 (6) CANCER. There have been 75 deaths from cancer, 38 below the age of 65 years and 37 above the age of 65. 141 The following table shows the occupations of the 75 people who died from cancer during the year 1938:— Male.* Female. |
c3f19475-683d-4a61-96c6-2cedf1fb6936 | Accountant 1 Wives 27 Boiler Foreman 1 Widows 14 Cabinet Maker 1 Spinsters 2 Carpenter 1 Clerks 1 Fitter 1 Glass Blowers Glazier 1 Hotel Porter 1 Labourers 5 Lighterman 1 Loco Drivers 2 Lorry Driver 1 Meat Carver 1 Night Watchman 1 Painters 2 Platelayer 1 Police Constable 1 Pump Attendant 1 Salesmen 2 Scaffolder 1 Warehouseman 1 32 43 * Where the person had retired, his occupation prior to his retirement is given. 142 The following table shows the ages of the persons who died from cancer and the organs affected:— Organ. Under 1 year. 1-5 years. 5-15 years. 15-25 years. 25-45 years. 45-65 years. Over 65 years. Total. M. F. M. F. M. F. M. F. M. |
99c64b81-efbf-4569-a3e5-d45167793432 | F. M. F. M. F. M. F. Abdomen — — — — — — — — — 1 — 1 — — — 2 Breast — — — — — — — — — — — 3 — 1 — 4 Bronchus — — — — — — — — — — 1 — 2 — 3 — Caecum — — — — — — — — — — — — — 1 — 1 Cervix — — — — — — — — — — — 1 — — — 1 Colon — — — — — — — — 1 2 2 — 2 5 5 7 Disseminated — — — — — — — — — 2 — 1 2 — 2 3 Ear — — — — — — — — — — — — 1 — 1 — Larynx — — — — — — — — — — — — 1 — 1 — Liver — — — — — — — |
258baf8a-0842-4346-ab1a-a3279230a172 | — — — — — — 1 — 1 Lungs — — — — — — — — 1 — — 1 1 — 2 1 Oesophagus — — — — — — — — — — 2 — 2 1 4 1 Ovary — — — — — — — — — — — — — 1 — 1 Pancreas — — — — — — — — — — — 1 — 1 — 2 Pelvis — — — — — — — — — — 1 — — — 1 — Peritoneum — — — — — — — — — — — — — — — 1 Prostate — — — — — — — — — — — — 1 — 1 — Rectum — — — — — — — — — 2 — 1 1 2 1 5 Stomach — — — — — — — — — — 7 5 5 4 11 9 Tongue — — — — |
7ad405b1-6cc2-426f-aecc-0923b0ad425f | — — — — — — — — — 1 — 1 Uterus — — — — — — — — — — — 1 — — — 3 Totals — — — — — — — — 2 7 13 16 17 20 32 43 (7) PREVENTION OF BLINDNESS. Blindness is being prevented in Barking ; it is being prevented by the co-operation of the whole of the services. It is to be mentioned too that your Consultant Gynaecologist draws up approved hygiene for the eyes at birth, your Consultant Ophthalmic Surgeon draws up our approved treatment for ophthalmia neonatorum, and your Inspector of Midwives takes up each case as it does arise while your Health Visitors follow up each 143 case and encourage parents to carry out any necessary treatment. It is years since we had a case where vision has been impaired by reason of ophthalmia neonatorum. |
3c77dc54-ef07-4380-b81c-324277bfff35 | The following table shows that the number of cases of Ophthalmia Neonatorum during 1938 was 5. Three cases were treated at home, and in no case was the vision impaired. Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital Under 3 weeks 5 3 2 5 — — — (8) TUBERCULOSIS. Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1938 are given in this Report in the following form:— New Cases Notified. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. M. F. M. F. M. F. M. F. |
be6efd1e-c098-41f0-ac7c-361a08611750 | Under 1 year — — — — — — — — 1 to 5 years 1 1 3 1 — — 2 1 5 to 15 years 7 2 4 6 — 1 1 — 15 to 25 years 10 16 2 8 4 3 1 — 25 to 35 years 15 18 3 2 5 1 — — 35 to 45 years 11 9 — 1 3 3 — — 45 to 55 years 9 2 — 2 4 1 — — 55 to 65 years 7 1 — — 3 3 — — 65 years and upwards — — — — — — — — Totals 60 49 12 20 19 12 4 1 144 During the year, |
935affcb-c7f4-4fd5-9fe8-edc4d505d247 | 141 notifications were received of all forms of Tuberculosis—pulmonary 109 and nonpulmonary 32 and there were 3 deaths of un-notified cases (2 pulmonary and 1 non-pulmonary), making a total of 144 new cases during the year. Information has been received of the removal into the district of 44 tuberculous persons, included in number of notifications received. This compares with 36 received during 1937 and 50 for 1936. Once again I want to call attention to the large number of inward transfers. This is due in large part to the expansion and development of the district. The following are particulars of cases notified on Forms I and II during the year:— Form I. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. 53 46 7 5 Form II. Pulmonary. Non-Pulmonary. Male. Female. Male, Female. |
6f21dc2b-0d33-49ac-891e-86a91da5d4ee | 46 43 6 3 Thirty-six deaths occurred from Tuberculosis (all forms) thirty-one of these being pulmonary cases. The number of deaths in institutions was eighteen. 145 The death rate for Tuberculosis (all forms) during 1938 was 0.47 per 1,000 population, compared with 0.56 for the previous year. During the year no action was taken under the Public Health (Prevention of Tuberculosis) Regulations, 1925 (relating to persons suffering from pulmonary tuberculosis employed in the milk trade), or under Section 172 of the Public Health Act, 1936 (relating to the compulsory removal to hospital of persons suffering from tuberculosis). BOROUGH OF BARKING THE ANNUAL REPORT OF THE School Medical Officer For the Year 1938 C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. 150 TABLE OF CONTENTS Pages. |
1869e649-84aa-4df0-bece-10daed7ebb46 | Adenoids 164, 170, 203 Audiometer 164, 198 Blind Children 190, 191 Brookfield Orthopædic Hospital 190 Central Clinic 167, 169, 189, 198, 203 Certified Schools 191 Cleanliness Inspections 162, 166, 168, 197 Cleansing 162, 168, 197 Clinics and Attendances at 167, 168-169 Clinic Services, List of 199-202 Cod Liver Oil and Malt, etc. 168, 187, 188, 189, 198 Communicable Diseases 172,173,203 Co-operation of Parents, Teachers, etc. |
404ebbd1-874c-4def-bc47-1d9dca681b32 | 157,174,189,190,206 Co-ordination of Services 157, 166, 167,170, 172, 189, 190 Deaf Children 190-192 Dental Inspection and Treatment 164,171,198-206 Dental Officer, Senior, Report of 204-206 Drying Facilities 178,183-186 Ear Disease 164, 170 Ear, Nose and Throat Department 164,170,171,198 Ear, Nose and Throat Surgeon, Report of 217 Employment, Juvenile 196 Employment of School-Children, Part-time 196 Epileptic Children 190-192 Exclusion from School 172 Eye Disease 163, 170,209 Faircross Clinic 201,203 Faircross Special School 190,192,193,203 Following-up Work 166-168, 172 Foot Clinic 165, 198 Health Education 195 Hearing 164, 170, 198 Heart Disease 165, 171, 172 Higher Education 194. |
fb757f76-2514-450e-883e-50482156ff03 | 195 Immunisation against Diphtheria, Scarlet Fever and Whooping Cough 172-174,203 Infectious Diseases 172, 173 Introduction 155 Ionisation 217 London Child Guidance Clinic 190 Malnutrition 161, 168, 188 Meals 168, 175, 183, 185, 187, 198 Medical Inspection, Accommodation for 158 Medical Inspection and Findings of 158-159,187,189,190,192-198 Mentally Defective—Definition of 193 Mentally Defective Children 190-193 Milk in School 168, 187, 188, 198 Minor Ailments 162, 168, 169, 198 151 Pages. Myopia 209 National Society for the Prevention of Cruelty to Children 190 Nose and Throat Defects 163,164,170,171,217 Nursery Classes 193, 194, 195 Nutrition and Nutrition Surveys 161, 168, 187, 188, |
0320afd0-fe5f-4667-bf0d-bec09492b870 | 189 Open-air Education 174-175 Open-air Classrooms 174-175 Open-air School 190-191 Ophthalmic Service 163,170,203,207,208,209,210 Ophthalmic Surgeon, Report of 207-210 Orthopædic and Postural Defects 164,165,171,203 Orthopædic Clinic 164,165,171,203,211-216 Orthopædic Surgeon, Report of 211-216 Orthoptic Treatment 203,210 Parents' Payments 195 Physical Training, and Report of Organisers 175-182 Playground Classes 174 Porters Avenue Clinic 167, 169, 189, 198 Postural Defects 164,165,171,203 Residential Schools 190-192 Rheumatism 165,171,172 Ringworm 163,169,203 School Camps 174, 175,182, 197 School Hygiene 157, |
f150703d-35d5-4f19-8ec1-c861dd6ed045 | 158 School Journeys 174 School Lavatories 157 School Lighting 157 Secondary Schools 194,195 Services Provided, List of 197,198,203 Skin Diseases 162, 163, 168, 169 Special Inquiries 196 Special Schools 190-192,203 Spectacles 170,203 Speech Defects, and Training of 172 Squint 203,210 Staff 152, 153, 157 Statistical Tables, Board of Education :— Public Elementary Schools 219-236 Secondary and Technical Schools 237-254 Teachers, Medical Examinations of 196 Throat Defects 163,164,170,171 Tonsils and Adenoids 163, 164, 170, 171, 203 Treatment, Arrangements for 167-172 Treatment Centres, List of 199-202 Tuberculosis 163, 165, 166, 172 Ultra-Violet Light Treatment 201,203,215 Uncleanliness 162, 166, 167, 168, |
4c6da22e-ca71-4e56-9ec4-467333517ba0 | 197 Visual Defects 163-170 Woodward Clinic 167, 169, 189, 198, 203 152 STAFF, 1938. School Medical Officer : C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. Deputy School Medical Officer : J. MERVYN THOMAS, M.D., B.Sc., D.M.R.E., L.R.C.P., D.P.H. Assistant School Medical Officers : WILLIAM HOGG, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Resigned 1st April, 1938.) THOMAS M. CLAYTON, M.B., B.S., B.Hy., D.P.H. (Commenced 10th October, 1938.) MARGARET A. GLASS, B.Sc., M.B., Ch.B., D.P.H. |
2110fe22-b9b0-40de-9dc1-a927af9da83c | VIOLET SPILLER, M.D., M.R.C.S., L.R.C.P., D.P.H. (Commenced 7th February, 1938.) MURIEL M. OSBORN, M.R.C.S., L.R.C.P. (Commenced 1st September, 1938.) Consultant Ophthalmic Surgeon : WILLIAM ADAMSON GRAY, M.B., Ch.B., Ph.D., F.R.C.S. Consultant Orthopa'dic Surgeon : B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. Consultant Ear, Nose and Throat Surgeon : CYRIL R. SANDIFORI), M.D., F.R.C.S. Denial Surgeons : W. H. FOY, L.D.S., R.C.S. M. COHN, L.D.S., R.C.S. (Resigned 5th March, 1938.) |
5ae1d491-4980-4951-b80c-cdb4fa0ec0fd | R. O. BORGARS, L.D.S., R.C.S. (Commenced 3rd January, 1938.) Miss E. F. GAWN, L.D.S., R.C.S. (Commenced 1st April, 1938.) 153 Nursing Staff : *Miss P. Fawcett (Senior Nurse) (g, ft and i). *Miss M. Baerlocher (a, ft and A). Miss P. M. Barns (Masseuse) (n). (Resigned 17th September, 1938.) Miss G. D. Conte (Chiropodist) (s and i). (Commenced 11th July, 1938. Resigned 24th December, 1938.) *Miss C. Court (g, ft and i). * Miss E. Fisher (g, ft and i) Miss G. Geden (Dental Nurse) (q). |
aa64f2f9-c0c0-483b-b718-9fabf686cfba | Miss S. Gibson (j). ♦ Miss L. Goodacre (g, ft and i). Miss J. Harris (Masseuse) (n). (Commenced 12th September, 1938.) ♦Miss R. Hobbs (g, ft and i). (Commenced 26th September, 1938.) ♦Miss G. Jones (g, ft and i). Miss R. Llewelyn (Dental Nurse) (ft and i). ♦Miss M. McAlister (g, ft, i and j). ♦Miss M. McCandie (g, ft and i). ♦Miss J. McGilvray (g, ft and i). ♦Miss E. Parry (g, ft and i). Miss A. K. Roe (Masseuse) (n). Mrs. G. Stokes (g and i). |
2c5d53b3-1292-4aed-95f3-a6b6c4fcea39 | Miss L. F. Swain (School Nurse) (h and i). Miss M. Thompson (Masseuse) (n). (Commenced 10th October, 1938.) ♦Miss C. M. Williams (g, ft and i). (Resigned 31st August, 1938.) Clerical Staff : Chief Clerk—F. Read. C. G. Eaglesfield Miss H. Nunn. (Senior Assistant) (r). Miss H. King. H. C. Davis. Miss A. Liggins. F. Yates (o). Miss D. Foulsham. G. H. Ruff. Miss I. Cast. K. F. Calway (p). Miss G. Cooper. E. A. Ellis (m). Miss J. Wilkinson. D. Scott. Miss G. MacLean. L. J. Dexter. Miss J. MacLean. |
30acfb3c-9c1b-411f-9664-71b23de1c0c1 | P. J. Olver. (Commenced 7th February, 1938.) (Commenced 1st September, 1938.) Miss P. Sparkes. (Commenced 8th February, 1938.) (a) Sanitary Inspector's Certificate of the Sanitary Inspectors' Examination Board. (g) Health Visitor's Certificate of the Royal Sanitary Institute. (h) Certificate of the Central Midwives Board. (i) General Hospital Training. (j) General Fever Training. (k) Health Visitor's Diploma of the Board of Education. (m) Sanitary Inspector's Certificate of the Royal Sanitary Institute and Sanitary Inspectors' Joint Board. (n) Certificate of the Chartered Society of Massage and Medical Gymnastics, Medical Electricity, Light and Electro-Therapy. (o) Final Examination of the National Association of Local Government Officers. (p) Inter. Examination of the National Association of Local Government Officers. (q) Registered Sick Children's Nurse. |
8405f560-2d66-4e8c-b419-81c5c09f7b25 | (r) Inter. Examination of the Incorporated Secretaries Association. (s) Diploma of the National School of Chiropody. (*) Combined appointment—Health Visitor and School Nurse. 155 Borough of Barking Public Health Department, Barking, Essex. May, 1939. To the Chairman and Members of the Local Education Authority. Air. Chairman, Ladies and Gentlemen, I beg to submit my report for the year ended 31st December, 1938. As previously, the 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. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 157 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER For the Year 1938. (1) STAFF. |
5322bc77-7de4-4aad-9c2f-11dd7d1db09b | Full particulars of the staff engaged in connection with your School Medical Service are given on page 152, and includes the appointment of an additional medical officer. (2) CO-ORDINATION. The co-operation between the head teachers of your schools and your medical officers has not only been fully maintained throughout the year under review, but is a feature to which your attention is drawn particularly each year. (3) SCHOOL HYGIENE. The general sanitary conditions of the elementary schools in the area, such as sanitary hygiene, heating, ventilation and lighting, etc., remain as in previous years. With regard to lighting, I can say that this has been examined in a number of schools with a selenium cell photometer, and the results show that the lighting does conform to the recognised standard set for schools. Mention must be made of the poor condition with regard to design, sanitary arrangements, etc., of the Church of England School and the Roman Catholic School of St. |
4a17c714-e300-42c1-ada1-e207daa1636a | Ethelburga's, as compared with other 158 schools in the town. In some measure this is to be overcome by the proposed new building in place of the St. Ethelburga's School. In other schools there still remains a lack of suitable accommodation for routine medical inspection, etc., and this refers essentially to the old factory type of school which does still remain in three instances. (4) MEDICAL INSPECTION. At the present time routine medical inspections are carried out in the schools as required by the Board of Education on the following three occasions in the child's school life :— 5—6 years " Entrants " 8—9 years " Intermediates " 12 years "Leavers" It is my submission that one could perhaps with advantage change the time of the leaving examination from 12 years to 13 years, thus adding a fourth routine medical inspection during the child's school life. |
4bfb94c3-356a-46b4-88b0-067bb7053209 | With regard to the examination of " leavers," the advantages of examining them at the existing age group are (1) there is not such a long time between the intermediate and the final examinations and (2) it gives a greater length of time for defects to be remedied, before the child leaves school. The advantages of examining these children at the suggested later age are (1) that the advice of the medical officer would thereby be more useful to the Juvenile Employment Officer, because it is closer to the school leaving age, especially now that this is raised to 15 years, and (2) between the earlier age and the later age, further defects may have arisen. 159 The introduction of an examination at 10-11 years would be a distinct advantage to children who have succeeded in qualifying for higher education and who enter upon their secondary school career at the age of 11 + years, that is, on an average, three years after the date of their " intermediate " medical inspection. |
c7896049-8660-4164-8b11-58a0855fcb19 | Two disadvantages result from this lengthy period :— (1) a small proportion of children may on medical grounds be unfitted to derive proper benefit from instruction in a secondary school and under the present system these may not be recognised until their secondary school life has commenced; (2) a child's first year at a secondary school may be interrupted by medical inspection and treatment (perhaps prolonged) of defects which with advantage might have been rectified before entrance to a secondary school. In areas where the social services are less progressive than they are in Barking, there is much to be said for children being examined at the age of 12 years, but where the social services are fully developed, and there is not much to be discovered which cannot be corrected before the child leaves school, one is much in favour of children being examined at the later time. The Middlesex County Council have made representations to the Board of Education to make the alterations I have outlined and the Board of Education have approved them. |
5d76c15d-18bd-4927-b479-3ba3fadafb5c | The ages of inspection which have been approved are :— 5—6 years 7—8 years 10—11 years 13 + years 16o With these points in mind it is possible that a similar change would be desirable in the school medical service of Barking. The following table shows the number of medical examinations conducted at ordinary elementary schools at routine and special inspections during 1938 classified according to the schools, the number of inspections held in each school, and the number of parents or guardians present :— School. No. of Inspection Sessions. Numbers Inspected. No. of Parents present (Routine and Special Exams.) Routines and Specials. Re-Exams. |
e21adebf-0a0a-4a52-b584-be32844566e3 | Bifrons 20 474 285 156 Cambell 68 977 1,100 458 Church of England 13 209 198 51 Dawson 45 548 874 351 Dorothy Barley 45 584 781 387 Eastbury 30 564 045 298 Erkenwald 15 303 203 122 Faircross Speech Classes 1 — 17 — Gascoigne 37 551 547 256 Manor 22 315 324 217 Monteagle 33 454 487 282 Northbury 20 339 333 136 Park Modern 11 248 141 104 Hippie 27 347 524 266 Roding 44 510 860 353 St. Ethelburga's 8 154 86 19 St. |
78371283-8631-4db5-b98e-39317446ad29 | Joseph's 7 80 121 63 Westbury 30 428 661 307 Totals 482 7,085 8.187 3,826 Of the 7,085 examinations at ordinary elementary schools, 4,307 were routine examinations of children in the specified age groups. In addition, there were 409 routine examinations of children of ages outside the three specified age groups, and 2,369 examinations of children specially referred to your Medical Officers. i6i (5) FINDINGS OF MEDICAL INSPECTION. Table II (A) on pages 221 and 222 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 I (C) of the Returns to the Board of Education (given on page 220 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. |
cce3d16b-988f-4215-ab53-71ab59ea90e1 | Inspected. Found to require Treatment. PRESCRIBED GROUPS : Entrants 1,639 440 26.8 Second age group 1,419 301 21.2 Third age group 1,249 190 15.2 Totals (prescribed groups) 4,307 931 21.6 OTHER ROUTINE INSPECTIONS 409 97 23.7 (a) Malnutrition.—The Board of Education's classification of nutrition into the groups " excellent," " normal," " slightly sub-normal" and " bad," introduced in 1935, has been continued. After allowing for the individual differences amongst school medical officers at the examinations for children with regard to nutrition, it is still encouraging to note (see table on page 225) that malnutrition in its worst sense still remains infrequent amongst children attending the elementary schools of your Town. 162 (b) Uncleanliness.—Systematic examination of children at routine cleanliness inspection was carried out by school nurses throughout the year. |
0f8ed386-bff1-4d72-b6eb-e571d97f4a73 | The following table shows the results of cleanliness inspections for the past two years :— 1937 1938 Number of examinations of children in the schools by School Nurses ... 39,978 39,521 Number of individual children found unclean ... 1,327 1,008 Number of uncleanliness findings 2,289 2,044 During the year, 4 children were cleansed by the Local Authority, and in seven cases legal proceedings were taken under the Education Act, 1921. There has been a considerable decrease in the number of children found suffering from uncleanliness in the schools during the year under review, as compared with the previous year, although the number of children examined was approximately the same. This may be in some measure a true reflection of the improved housing accommodation and facilities provided for the people of Barking during the last few years. |
ad4a156e-f018-47b8-ace5-381f9bc0c910 | (c) Minor Ailments and Diseases of the Skin.— Children suffering from minor ailments are referred by school medical officers, school nurses, teachers and in some cases by private medical practitioners to the minor ailments clinics. 163 The following is the number of cases of skin diseases referred for treatment during the year :— Ringworm (Scalp) 5 Ringworm (Body) 36 Scabies 132 Impetigo 390 Other Skin Diseases : Non-tuberculous 415 Tuberculous — Total 978 It must be noted that the number of cases of skin diseases referred for treatment remains about the same, although there are individual decreases and increases for particular skin conditions. (d) Visual Defects and External Eye Disease.— Details of the findings at routine and special inspections will be found on pages 221 and 239 of this Report, and on pages 207 to 210, 232 and 246 will also be found a record of the work carried out by the Consulting Ophthalmic Surgeon. |
b90c6a75-8393-445b-ad19-560d41a48a67 | Readers of this Report will have noted that there were 4,716 children examined by routine inspection. Of these 4,372 were found to have normal vision and 236 were referred for treatment for defective vision. Of the total number of children examined by routine inspection 98.5 per cent. were free from any external eye disease and in the remaining 1.5 per cent. the majority were minor and incidental inflammations, not likely to lead to any residual disability. (e) Nose and Throat Defects.—The number of nose and throat defects referred for treatment at medical inspection at schools and clinics shows a decrease over the figures for 1937. |
c9f24485-008b-4f3e-bfda-452363c13125 | 164 The figures for 1938 are as follows :— Chronic Tonsillitis only 272 Adenoids only 5 Chronic Tonsillitis and Adenoids 31 Other Nose and Throat conditions 236 Total 644 (f) Ear Disease and Defective Hearing.—Ear diseases of both minor and major types still continue to appear, but happily they can be referred direct to the Ear, Nose and Throat Specialist, who is now an integral part of the School Medical Service. 309 cases of ear disease were referred for treatment during 1938, compared with 434 cases during 1937. With regard to defective hearing, of the children examined at routine medical inspection 98.2 per cent. were found to have normal hearing and to be free from any ear defects. Those children found with defective hearing were examined by means of the audiometer, which was dealt with in my last Report. |
2279f3eb-b4c1-4ae7-ac1b-e2bad6d009ba | (g) Dental Defects.—Details of the findings of school dental inspections and the work of the dental clinics will be found on pages 235 to 236 and 249 to 250, and the report of your Senior Dental Officer, Mr. W. H. Foy, will be found on pages 204, 205 and 206. (h) Orthopædic and Postural Defects.—Of all the children examined at routine medical inspection 91.3 per cent. were found to be free from orthopaedic and postural defects, and the 413 children who were found to be not quite normal were suffering for the most part from postural defects. Of this group of 413 children, 177 only required to be kept under observation. 165 The meticulous care with which these defects are noted is reflected in the number ascertained during the year and which is a considerable increase over past years. |
7fa4b6c5-fb35-4dfb-b9b1-ad9161c78fea | However, this does not give any cause for alarm as the number recommended for treatment after examination by the Orthopaedic Surgeon is still relatively small, and the treatment itself is almost entirely one of exercises, etc. In many cases these defects are only evident to the medical officer, but early treatment is recommended to obviate later disability. Details of the work carried out at your Orthopaedic Clinic will be found on pages 215, 216 and 247, and on pages 211, 212, 213 and 214 will be found the report of the Consulting Orthopaedic Surgeon, Mr. B. Whitchurch Howell. (i) Municipal Foot Clinic.—The services of the Municipal Foot Clinic, which was commenced in July, 1938, were made available to school children during the year and in all 33 children were referred to this clinic. Next year it will be possible to give figures for a full year's working of this service. |
33e69070-e466-47be-bcb4-49c684567504 | (j) Heart Disease and Rheumatism.—Out of 4,716 children examined at routine medical inspection, 218 were found to be suffering from some defect associated with these diseases—this being an increase when compared with the previous year. (k) Tuberculosis.—Eleven cases of Tuberculosis amongst children of school-age were notified to the Medical Officer of Health during the year. Of these, six were pulmonary, and five were non-pulmonary. In addition, eight notified cases of Tuberculosis amongst school-children were transferred to this area. Of these, two were pulmonary, and six were non-pulmonary. |
a173bbaa-3329-40ea-b354-c769bb3b0842 | 166 The following table shows the position with regard to the notification of tuberculosis amongst schoolchildren during 1938, and also the number removed from the " register " during this period :— Notified during 1938 (including transfers) Pulmonary 9 Non-Pulmonary 10 Total 19 Removed from Register during 1938 Pulmonary 3 Non-Pulmonary 10 Total 13 (1) Other Defects and Diseases.—A few cases of other defects and diseases, not included in the above, were also seen at school medical inspection. (6) FOLLOWING-UP. |
075879d4-3bee-4871-bf21-81c8bf3bddbd | A summary of the following-up work by your School Nurses is given herewith :— Number of visits to schools re medical inspection 623 Total number of visits to schools 827 Number of home visits in connection with :— 1934 1935 1936 1937 1938 (a) Routine medical inspections 6,786 5,605 3,731 2,951 2,574 (b) Cleanliness inspections 827 454 326 315 290 (c) Infectious disease 1,022 475 955 644 1,017 (d) Non-attendance for treatment at Minor Ailments Clinics, etc. |
4f68837f-f6ce-4186-8ed7-0a35a85a9433 | 51 33 10 42 44 (e) After operations for removal of enlarged tonsils and/or adenoids 292 298 204 (f) Miscellaneous 418 216 125 396 215 I have previously emphasised the following-up system, which not only concerns your school medical service, but also your hospitals and other medical services, etc., and it is interesting to note that each year the number of cases requiring following-up after routine medical inspection is steadily getting less— the inference being there are less conditions requiring 167 the necessity of following-up and also that there is a decrease in the number of serious medical conditions requiring treatment. Further, the number of visits after cleanliness inspections is decreasing, and this is a good sign. On the other hand, there has been an increase of visits paid in regard to infectious diseases and this must be so in certain years when the epidemiological features governing the zymotic diseases are not known. (7) ARRANGEMENTS FOR TREATMENT. |
2a594c3a-c72f-4bd1-85c0-9afbace1d06c | The increase in facilities available at the several medical centres make the treatment of larger numbers of children more possible each year. Obviously there still remain a number of conditions outside any form of medical provision that could be attained other than in a hospital. Therefore, hospitals still undertake certain treatment, but the numbers attending for such treatment are ever decreasing. A summary of the work of the Clinics in relation to ordinary elementary school and Faircross School children is included in the following table :— All Clinics. Clinic. No. of first attendances of elementary and Faircross school children. Total No. of attendances of elementary and Faircross school children. |
6b16ef61-7a01-4f28-8f8d-f76be129a07b | 1937 1938 1937 1938 Minor Ailments :— (a) Central 2,927 3,316 14,485 14,961 (b) Woodward 5,283 5,099 26,726 25,843 (c) Porters Avenue — 1.570 — 8,790 Ophthalmic 1,044 1,070 3,774 3,792 Dental 3,586 4,722 10,683 12,804 Orthopædic for examination 146 217 409 446 for treatment 531 531 8,084 8,084 Immunisation :— Diphtheria 53 53 305 305 Scarlet Fever 22 22 150 150 Whooping Cough — — — — 168 On pages 207 to 210 will be found a report by the Council's Consulting Ophthalmic Surgeon, Mr. |
3a48512e-4d1a-4773-a830-b72ad8ba25d5 | W. A. Gray, upon the work carried out during the year at the ophthalmic clinics. Details of the work carried out at the dental clinics during the year will be found in the report of the Senior Dental Officer, Mr. W. H. Foy, on pages 204, 205 and 206. (a) Malnutrition.—Cases of malnutrition are found at routine examinations and are referred for special inspection at the school clinics or followed up by school nurses, and parents are advised as to the suitable methods of treatment. Free meals and milk are provided in necessitous cases and cod-liver oil and malt, etc., are also provided free in necessitous cases and are sold at the clinics at cost price. (b) Uncleanliness.—Special attention is given by the school nurses to cases of uncleanliness. Full printed instructions are sent to parents as to the method of destroying vermin and nits, and special nit combs are available at the clinics on deposit of a small charge, which is returnable. |
715a4406-a6e1-484a-bfed-1df944f871aa | (c) Minor Ailments and Diseases of the Skin.—The treatment of minor ailments and diseases of the skin is undertaken at the school clinics. Details of the treatment carried out during the year 1938 are given in the statistical tables on pages 231 and 245. Each clinic has a specified time for the medical attention and treatment required by disease of the skin, and gradually such cases are being separated from cases of non-skin diseases, with the resultant advantages to all concerned. 169 During the year a third clinic for the treatment of minor ailments was inaugurated at the Porters Avenue Centre, Porters Avenue. It has been shown, however, that this Clinic has fulfilled a want in that area and has only in a small measure relieved the overcrowding at the Woodward Road Centre. In all there were over forty-nine thousand attendances at the minor ailments clinics during the year. |
55bf6fcd-59a7-43ba-8b03-0b450651336f | A summary of the work of the Minor Ailments Clinics in respect of public elementary school children is included in the following table :— Minor Ailments Clinics. Central Clinic. Woodward Clinic. Porters Avenue Clinic. 1937 1938 1937 1938 1937 1938 No. of days clinic was open 306 307 306 307 — 203 Total No. of attendances 14,485 14.961 26,726 25,843 — 8,790 Daily average attendance 47.3 48.7 87.3 84.1 — 43.3 No. of eases dealt with 2 927 3,316 4,640 5,099 — 1,570 Children still continue to attend the Clinics, suffering from skin diseases of both acute and chronic types. |
07e3b2cb-236d-49bd-babc-89aa5609eb9f | The results of treatment have been satisfactory, but it is still the practice to send the more chronic cases to the Skin Department of the London Hospital with whom we co-operate, and we have reason to be satisfied with these results. The treatment of Ringworm of the Scalp is still undertaken by Dr. W. J. O'Donovan at the London Hospital. Under this arrangement one school-child was treated during the year. 170 (d) Visual Defects and External Eye Disease.—Visual defects and external eye diseases are treated at your school clinics, and in this connection Mr. W. A. Gray, F.R.C.S., continued as your consulting ophthalmic surgeon during the year. Spectacles are provided through the Department at contract prices and in necessitous cases are provided free of charge. Particulars of the treatment of visual defects will be found on pages 207 to 210 and on pages 232 and 246. |
188ac85b-5a76-4689-a133-e4700a7bc5cc | The closer co-operation between routine medical inspection and the cases referred therefrom for ophthalmic opinion is more evident this year, and it is interesting, after a perusal of Mr. Gray's Report, to seek a reason for the defect which he states to be one of slight ophthalmic importance. It is obvious, however, that the remedy for this type of visual defect is quite within the scope of your service. (e) Nose and Throat Defects and (f) Ear Disease and Defective Hearing.—In September of the year under review, an Ear, Nose and Throat Department was opened at the Woodward Road Centre, under the direction of Mr. C. R. Sandiford, F.R.C.S. Sessions are held twice weekly, and to him are sent all cases relative to that Department, when found by the assistant medical officers. This is a feature of extreme importance to the school child and for which we have all been anxiously waiting. |
4fa1f266-6e57-4aa9-8553-8b5c70053c68 | It is now possible for defects of hearing, chronic conditions of the nose and sinuses, conditions remaining after infectious disease, etc., to be adequately dealt with at the earliest possible time. It is too soon to 171 quote figures, but I hope in my next Report to be able to show the amount of work done in terms of figures. During the year 267 school-children received operative treatment for tonsils and/or adenoids, and of these 235 were carried out under the Authority's Scheme. The explanation for the decrease in the number requiring operative treatment during the year must lie in the fact that an increasing number of children obtain this treatment through your infant welfare centres, before they attain school age. (g) Dental Defects.—Dental inspection and treatment are carried out by three full-time dentists. Children are inspected periodically at school, and treatment is undertaken at the dental clinics. Details of the work carried out will be found on pages 235 to 236 and 249 to 250. |
5eabfa25-4e5b-4fc0-9fbf-8c9b05bd9aa0 | (h) Orthopædic and Postural Defects.—Mr. B. Whitchurch Howell still continues as the Specialist Consultant for Orthopaedic and Postural Defects, and the number of masseuses has now been increased to three. The time is not far distant when the branches of this Department, which, as I have stated previously in my Reports, are held in classrooms in two separate schools, will be embodied in one main building. This project, I can say, you already have in hand. (i) Heart Disease and Rheumatism.—In past Reports I have emphasised the requirements of suitable provision for rheumatic cases, and I do so once again, bearing in mind that the number of rheumatic conditions referred for investigation this year has almost doubled itself. 172 For extreme cases of heart defect, where ordinary schooling is not possible, arrangements for treatment are made at hospitals, where education in some measure can be given. |
74039f76-f7f1-442d-a329-86c4fc3e996b | There is, however, no comparable arrangement in Barking itself where patients can undergo prolonged rest and receive education together with medical treatment. (j) Tuberculosis.—The Essex County Council is responsible for the treatment of tuberculosis in Barking, and cases of tuberculosis or suspected tuberculosis are referred direct to their competent officer. (k) Speech Training.—Prior to their recommendation to the Speech Training Centre, all children are examined medically for physical defects. (1) Other Defects and Diseases.—Many children suffering from minor defects and diseases, not already mentioned, are examined at the school clinics, where appropriate treatment is advised. Others, for the treatment of whom no special provision has been made, are followed up by school nurses, who urge upon the parents the importance of obtaining treatment. |
aa467d78-33e2-43d9-b2ef-83fda9068a6f | Finally, I would say that the time is not far distant when, as envisioned in past Reports, there will be a central out-patients' department, where all special services, including orthoptics, i.e., correction of squint, audiometry, i.e., estimation of hearing, etc., will be united together. (8) INFECTIOUS DISEASES. The section of the Department concerned with the control of infectious or communicable diseases cooperates closely with the school medical service section. Certificates regarding the exclusion from and readmission to school of children suffering from notifiable infectious diseases, non-notifiable communicable diseases and of contacts are sent to head 173 teachers and school attendance officers. The names and addresses of children who are absent from school on account of non-notifiable communicable diseases are supplied by the school attendance officers on forms specially provided for the purpose, and the homes of the cases are visited by officers of the Department. |
34ca5504-c3e4-4d0a-ace5-41af85df1dd7 | The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases during the past five years:— 1934 1935 1936 1937 1938 Scarlet Fever 313 274 224 158 151 Diphtheria 247 174 86 110 106 Measles and German Measles 467 29 570 62 573 Chicken-pox 320 178 132 220 53 Whooping Cough 87 79 149 39 55 Mumps 39 30 18 180 114 In connection with the above, it has not been necessary to close any school or school department during the year. Immunisation Treatment.—Your service includes immunisation for diphtheria, scarlet fever and whooping cough, and although attendance is fairly good at these clinics, I should be glad to see more parents taking advantage of this service, particularly in the case of children within the early school age-group. |
de30ac02-0ac3-4d89-ad5c-1558002f6b59 | During the year we were asked to undertake mass immunisation at the St. Joseph's and St. Ethelburga's Schools. This was done, and three weekly injections of anti-diphtheritic serum were given to 260 children out of a total of about 480 children attending the Schools. These were followed after a period of three months by the appropriate Schick Test to verify the result obtained. 174 Out of all the children injected and out of a total of over 1,000 injections, there was in no case any untoward reaction, and I have to congratulate the schools for the close co-operation and help which has lead to this excellent result being obtained with the minimum of inconvenience to all concerned. (9) OPEN-AIR EDUCATION. Open-Air Classrooms and Playground Classes.—You have 13,648 school-children in Barking. |
caba49fd-0ecf-4652-903e-f98d8663dfc2 | The major number of schools in Barking have been built on the new modern plan of free ventilation, open air classrooms, etc., but where the old factory type of school remains, in one or two instances, advantage has been taken of playgrounds for class purposes. School Journeys and Camps.—Educational excursions are arranged by most of the junior and senior schools to places of interest in various parts of the Country. Arrangements are also made for educational visits to certain local institutions and buildings. The school camps were again used for the health of your school children during the year, and these, as you are aware, are now a permanent feature in Barking. The thirteen camps held were attended by 932 children. During the summer there was a fortnight's holiday camp for 72 girls and 72 boys, and the arrangements as usual were highly commendable. These organised holiday camps are exceptionally well planned, and the forethought and energy of those responsible for the amusement and entertainment of the children is to be commended. |
5d3967f5-ec54-459f-a178-76b1bbc4450a | 175 Food was again supplied from the Municipal Kitchen for the fourteen days summer camp, whilst for the week-end camps it was again provided by Mr. W. P. Lucas, of Foxburrows, Chigwell Row, Essex. All the food was of a high standard. (10) PHYSICAL TRAINING. I have received no report from the Organisers of Physical Training, but by courtesy of the Director of Education I append below a copy of a report given by them to the Education Committee:— "ANNUAL REPORT OF THE ORGANISERS OF PHYSICAL TRAINING, 1938. To the Chairman and Members, Barking Education Committee. Ladies and Gentlemen, 1. Introduction, Consolidation of the progress recorded in our last report has gone on steadily throughout the year and special attention has been given to the weaker features of the work. |
cf56f519-e7b3-44ac-ac7a-b06c986a38aa | The progressive decline in the percentage of school children to population makes it more imperative to preserve and give these children every opportunity for living healthy, useful and enjoyable lives. In Barking the pre-natal clinics, maternity centres, nursery classes, the provision of milk and meals, are some of the excellent agencies working towards this end. Physical education can do little to promote strong healthy development or give joy to the underfed, unhealthy child, but a sound scheme of physical education can do much to supplement the good work of the services mentioned above. 176 2. Physical Education in the Schools. The physical education of the children in the primary schools starts with admission, and the present Board of Education syllabus of Physical Training gives ample scope and guidance for progressive development until they leave. In the Infants' Schools at least one, and often two, lessons are given every day. There is no formality about these lessons, movement and enjoyment being the main features. |
56608e33-3fff-44e1-8f10-87f4b8b62070 | Gradually movement becomes more controlled, mobilisation more rapid, and before leaving the Infant classes the elements of the team system have been initiated. In the Junior Schools the tables of exercises are arranged to meet the needs of increasing strength, skill, control, and the widening mental outlook of the children. No syllabus, however excellent, can be satisfactorily interpreted unless the teacher possesses the necessary energy and enthusiasm to make the subject a force and source of real inspiration. There is still a tendency towards aimless physical activity which should be replaced by sound training in movement, mental response, and in the development of character and initiative. This progressive development from the Infants' School through the Junior School is not always achieved, and in spite of the guidance afforded by a detailed syllabus, the standard of attainment at the end of the Junior School course varies widely. In the Senior Schools the provision of apparatus enlarges the scope of the work and demands the services of teachers with specialised knowledge. |
2594ecf9-81e1-459b-aa3e-aa0b8987cb6d | As a result of the increasing experience of these specialist teachers more effective use is now made of this apparatus and the additional apparatus supplied during the year was particularly welcomed by these teachers. There can, however, be no logical reason why the post primary 177 children in Secondary and Central Schools should enjoy the privileges of fully equipped gymnasia with changing rooms and showers while those in the Senior Schools have to accept the less useful portable apparatus with its limited possibilities and hygienic conditions which preclude much of the valuable training in the proper care and cleanliness of the body. The extension of the school leaving age to 15 years next September increases the urgent need for improved facilities and we are therefore very gratified with the Committee's decision to provide gymnasia at four of the Senior Schools as well as at the new Central School. We confidently hope that the provision of these facilities will do much to create in the pupils a keen desire to continue health giving activities on leaving school. |
9f98eec5-6b0c-40fb-89a7-93bec87e61b0 | A feature of this year's work in the Senior Girls' Schools has been the inclusion in the time-table of either Greek or Central European Dancing. This has been received by the girls with great enthusiasm and has resulted in a marked increase in poise and control of movement, and an accompanying lack of selfconsciousness which has fully justified the introduction of this subject. The services of really competent pianists are essential to the development of this type of dancing and the Committee generously appointed three part-time pianists for this work. 3. Clothing. In our first annual report (1936) we ventured to make the following recommendation 'that proper gymnastic shoes should be considered a necessary part of every child's school equipment.' |
c4b84154-eec3-48c9-ac85-970a90fd6219 | The type of shoe at present in use has given very satisfactory service and we anticipate that a yearly issue of shoes to the extent of approximately 80 per cent, of the school population 178 would suffice to maintain an adequate supply, and we hope that the Committee's decision to supply a pair of gymnastic shoes to all junior school children will be extended to apply equally to the children in the Senior and Infants' Schools. For the more advanced work of the Senior Schools, we should be satisfied with nothing less than a complete change of clothing and the provision of showers, but we consider that under the present difficult conditions the best practical solution to this important hygienic problem has generally been found. The proposed new gymnasia should include adequate storage accommodation for gymnastic clothing and facilities for the drying of towels. Many authorities are already providing this necessary special clothing and towels, but as far as the boys are concerned, every effort should be made to encourage self effort on the part of parents and children before recommending the Committee to undertake this responsibility. |
a0d8b6a5-03e8-4abf-b255-26326800a6c6 | As regards the girls, whose kit will consist of two garments, where the boys' consists of single shorts, and will cost approximately 2s. 6d., it is unlikely that parents who found difficulty in providing a pair of shoes for physical training at 1s. 6d. will be able to afford 2s. 6d. for garments which should be kept solely for use in the physical training lesson. Unless these garments are provided by the Committee, it is more than probable that the present method of merely discarding skirts and working in the blouses and knickers that are worn throughout the day will persist. Where showers and changing accommodation are provided this is most unsatisfactory, all the hygienic value of showers being lost where children after showering replace the garments they have been working in. It is therefore recommended that special garments for physical training for the girls should be supplied by the Committee in those 179 schools where showers and changing accommodation are provided. 4. Playing Fields. |
051678c3-044d-4a41-a0c0-e52105e1a37f | Extensive renovation work has been carried out during the past year including the ploughing and resowing of the fields at Faircross, Eastbury, Bifrons and Dorothy Barley Schools. This work will necessitate the closure of these fields for at least one year. Fortunately the Southern Belt became available for games and the Education Committee was able to obtain full use of the Lodge Avenue Field which was accordingly re-planned and marked to suit the needs of the children concerned. The sanitary and changing accommodation were improved and the supply of drinking water augmented, and excellent use has been made of this very valuable open site which can now accommodate over 300 children for active games. 5. Teachers' Courses. These courses have been continued throughout the year. Senior and infant school work, games and dancing, have received special attention and a series of Lecture Demonstrations for Head Teachers of Infants' Schools and a special course for Women Leaders of Keep-Fit Classes were also arranged. |
a42f299c-4190-4de0-8674-1732f8c34575 | Two specialist teachers were granted leave of absence to attend three-months' courses on the use of ' fixed apparatus.' 6. Swimming. Area. No. of Eligible Scholars. No. who Received Instruction. Percentage. Town 2,835 1,163 41 L.C.C. Estate 2,680 903 37 18o Number of Attendances and Certificates Gained. Year. Attendances. Certificates. Public Baths Park Pool. Total. 100 yds. 50 yds. 30 yds. |
4441d48b-5826-443d-96a9-1e832bdada87 | 1935 22,366 1,468 23,834 318 435 624 1936 23,672 1,763 25,435 358 483 564 1937 21.646 1,519 23,165 300 428 528 1038 20,942 1,170 22,112 228 382 445 The bad weather conditions seriously affected attendances at the Park Pool, but the loss of 704 attendances at the Public Baths was largely due to restrictions placed upon the number of children per teacher (20) and the total number of children allowed in the bath (40). These limits were imposed in order to increase the efficiency of the instruction. A proof of the need for further accommodation for swimming instruction was afforded by the number of applications received for permission to organise swimming classes outside the limits of the ordinary school sessions. 7. Out of School Activities. |
b89a76ce-7320-47fa-afb2-2ca8064e6dfb | This report would be very incomplete without some reference to the splendid voluntary service rendered by members of the Barking Schools' Central Sports Association. The activities organised by this virile Association contribute much towards the maintenance of the health of Barking children. After seeing large queues of children lined up for admittance to the cinemas on sunny Saturday mornings it is some consolation to reflect that over 300 boys will be chasing footballs at the Lodge Avenue Playing Fields. The great value of possessing a large centrally-placed playing field has been amply demonstrated and excellent use has been made of the facilities provided at the Lodge Avenue 181 Field. Many improvements are still required and it is hoped that such necessaries as shower baths, more playing field equipment and adequate storage accommodation will be available in the near future. 8. Keep-Fit Classes. There are now running eight classes for women and two for men at the following school halls in Barking:— School. Type of Class. Day. |
1e678ff8-06cf-49f7-bf56-029ff71b050d | Bifrons School Women Thursdays Bifrons School Men Mondays Dawson School Women Mondays Dawson School Women Tuesdays Eastbury School Women Wednesdays Erkenwald School Women (Mothers' Class) Tuesdays Erkenwald School (Young Adults) Thursdays Erkenwald School Men Wednesdays Manor School Women Tuesdays Monteagle School Women Thursdays A charge of 2d. only is made so that these classes are within the financial reach of all. In addition to the above, Physical Training is included in the activities of the flourishing Old Boys' Clubs at the Cambell and Gascoigne Schools. The classes have been well attended, attendances varying from 25 to 74 in the different classes, and it is hoped that next year this work will be extended. Eighteen teachers are attending a Course in Recreative Physical Training at Northbury School on Tuesday 182 evenings, so that a register of trained teachers will be available for next year. |
2b51cdb2-dff8-46d9-81c6-e4192e021443 | A Demonstration took place on the 23rd March in the Baths Hall, showing the type of work performed and the value of it in maintaining health. All Keep-Fit classes have been constantly supervised by the Organisers and help and advice given in the conduct of recreative physical training classes for those over school age. The encouraging interest taken in these classes by the Schools' Medical Staff was much appreciated. 9. The Hainault Camp. The games apparatus at the camp has been augmented and renewed. The provision of two classrooms on this site would enable this valuable health service to be maintained as a full-time establishment during the camping season instead of limiting its use to week-end visits. C. MONICA HAWKES, L. E. LAST, Organisers of Physical Training 183—184 School No. |
ade9d603-46be-4071-b08b-42a0012aacd7 | 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 Bifrons—Senior Boys — Yes, Gas Cooker. 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 — „ „ Church of England—Boys — „ School fires (in winter only). Girls — „ „ Infants — „ „ Dawson—Junior Boys — „ Cloakrooms heated (in winter only). Junior Girls — „ „ Infants — „ „ Dorothy Barley—Junior Boys — „ „ Junior Girls — „ „ Infants — „ „ *Eastbury—Senior Boys — „ „ Senior Girls — Yes, at domestic science centre. Yes, at domestic science centre. Infants — No Cloakrooms heated (in winter only). |
dec9c3de-d4d3-4d71-ab2d-4c936c24b921 | Erkenwald—Senior Boys — „ „ Senior Girls — Yes, at domestic science centre. Yes, at domestic science centre. *Faircross—Mixed All children stay at school for midday meal, the food being supplied from Municipal Kitchen in special containers. Yes Yes 185—186 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 Gascoigne—Senior Boys 1 No School fires and central heating (in winter only). Junior Mixed — „ „ Infants — Yes Electric heater in Nursery. Manor—Junior Mixed — „ Cloakrooms heated (in winter only). Infants — „ „ Monteagle—Junior Boys — No „ Junior Girls — „ „ Infants — „ „ Northbury—Senior Girls — „ School fires and central heating (in winter only). Junior Mixed — „ „ Infants — „ Clothes line in basement near boiler. |
d9310467-c9f2-4540-aaba-a535d93b2673 | Park Modern—Senior Mixed 120 Yes, at domestic science centre. Cloakrooms heated (in winter only). Ripple—Junior Boys — No „ Junior Girls — Gas cooker in teachers' cloakroom. „ Infants — No „ *Roding—Junior Boys — „ „ Junior Girls — „ „ Infants — „ „ St. Ethelburga's—Senior Mixed 52 „ School fires and central heating (in winter only). St. Joseph's—Infants and Junior Mixed 13 Yes „ Westbury—Junior Boys — No „ Junior Girls — „ „ Infants — „ „ *Meal Centres have been established at these Schools, in addition to the Centres at St. Margaret's Hall and Woodward Hall. 187 (11) PROVISION OF MEALS, MILK AND COD LIVER OIL AND MALT, ETC. (a)' Meals.—Free meals are provided daily in necessitous cases. |
7e9f2def-a12c-440e-b40a-91b53dcbc0a7 | During the year 1938, 115,171 free meals were provided, and the following table shows the numbers of free meals which have been provided during the past five years:— 1934 113,I73 1935 112,125 1936 100,859 1937 102,077 1938 115,171 The Table on pages 183 to 186 summarises the arrangements which exist where mid-day meals are taken at schools. Where nutrition plays a part in the health of the school child, your medical officers carry out special examinations and your school nurses carry out home enquiries when the weight of the child drops appreciably from one examination to another. In these cases re-examination at each school medical inspection automatically controls the supervision of each case. It is in such circumstances that every endeavour is made to ensure milk in school and when occasion arises attendance at your feeding centres. Medical inspection is carried regularly into these centres, where the daily menus are inspected. |
450f328a-6175-410b-bf70-1ea88f1bdfa9 | (b) Milk.—In addition to free meals as such, free milk is given in certain cases and in this way 103,626 bottles of milk were distributed during 1938. It would appear that the figure this year for free milk has doubled itself, and this does perhaps require some explanation. 188 Malnutrition has been said to be negligible in its worst sense in Barking, but this does not influence the statement that there can be a large number of children who though normal are at the "C" or sub-normal level of nutrition. It is in these cases that milk is recommended before any serious defect is likely to occur in the child. The financial circumstances of these cases are subject to investigation and must obviously come within the term necessitous, and thereafter the provision of the recommended milk is allowed free. It must also be noted that the increase in free milk has not in any way materially influenced the sale of the ½d. bottles of milk as described in my last year's Report. |
d5c4627d-364b-4b01-afc2-df1c7a8b21e8 | The milk provided is subject, from time to time, to bacteriological and other analysis, and during the year has been found invariably of standard quality. In my Annual Report for 1934, I dealt with this subject from two or three aspects, and find it unnecessary to add to what I wrote on that occasion. During 1938, ½d. bottles of milk were again issued during the school holidays. Thirteen centres covering all schools with the exception of Faircross, Park Modern, Manor, St. Joseph's and St. Ethelburga's, were arranged with voluntary helpers in charge of each centre. During the summer holidays 5,449 free bottles of milk were issued and 43,452 bottles purchased. |
91f9b46e-b62d-43cc-9497-4c8bc7de756e | (c) Cod Liver Oil and Malt, etc.—Following the approval of the Board of Education in 1937, the issue of Cod Liver Oil and Malt and similar preparations to ordinary elementary school children has been carried out, and from the accompanying figures it is obvious that full advantage has been taken of this extra service. 189 These preparations are issued from the Central and Woodward Clinics and from the Alexandra, Greatfields and Porters Avenue Centres. Each case is selected by one of your Medical Officers before an issue is made and reviewed before an extension is granted. In addition, each case is re-inspected at school medical inspection. Issues of Cod Liver Oil and Malt and similar preparations during 1938. |
fb3b1088-12fc-4a00-9826-92c96b1c3959 | Cost price (packets) Free (packets) Total (packets) Cod Liver Oil (Pure) 11 10 21 Cod Liver Oil Emulsion 179 86 265 Cod Liver Oil and Malt 805 904 1,709 Liquid Paraffin 1 8 9 Parrish's Chemical Food 805 707 1,572 Virol 116 137 253 Totals 1,917 1,912 3,829 (12) CO-OPERATION OF PARENTS, TEACHERS, SCHOOL ATTENDANCE OFFICERS AND VOLUNTARY BODIES. Once again I have to repeat the thanks I have expressed from time to time for the considerable degree of co-operation which obtains in Barking. The co-operation of parents, teachers, school attendance officers and voluntary bodies and the medical service in Barking is very high, and in expressing once again my thanks to these members, I cannot speak too highly of their valued services. |
ffed008c-a87d-4fc1-b9d5-f6f623b3d3cd | The smooth running of the Department with the highest efficiency relative to its individual services is entirely dependent upon this close co-operation. 190 Children depend primarily upon their parents for true upbringing, and as it is more and more evident that parents are becoming more interested in the health of their children, as seen by their closer attention and constant attendance during school medical inspection and treatment, then it is possible to say that children will obtain the maximum benefit from this increased interest by their parents. Finally I would mention the National Society for the Prevention of Cruelty to Children, the London Child Guidance Clinic and other voluntary bodies which work actively in the above connection. The following table shows the work which has been undertaken in Barking by the National Society for the Prevention of Cruelty to Children during the last five years:— 1934 1935 1936 1937 1938 Total number of cases investigated 24 35 28 25 16 (a) Prosecutions nil nil nil nil. |
060f7b59-242c-4024-99bc-dbe7d2fca030 | nil (b) Warnings 18 29 23 16 13 (c) Otherwise dealt with 6 6 5 9 3 (d) Supervisory visits 131 180 127 156 62 (e) Cases closed as satisfactory 17 29 14 19 5 (13) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. 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:— 191 Open-Air Section Physically Defective Section Mentally Defective Section No. on Register on 31/12/37 85 25 65 No. admitted during 1938 47 9 11 No. |
946b7d7f-27a8-44ed-b21e-1b73d3f9a531 | discharged during 1938:— (a) Decertified 35 2 1 (b) Left district, admitted to Hospital, etc. 15 9 20 No. on Register on 31/12 38 82 23 55 Hereunder are particulars of the number of children maintained by the Authority in special schools outside the district as at December 31st, 1938:— Particulars of School. No. of Cases. |
81c18cf2-c435-4df9-9d9f-3b76fa56f0dd | (a) Certified Schools for the Blind and Partially- Sighted: Royal Normal College for the Blind (Residential), Upper Norwood 1 Brighton School for Blind Boys (Residential), Brighton 2 Barclay School for Blind Girls (Residential), Brighton 2 Swiss Cottage School for Blind (Residential) 1 Monega Road School for the Partially- Sighted (Day), East Ham 1 Quarry Hill Myope Class (Day), Grays 1 (b) Certified Schools for the Deaf: Frederick Road Deaf Centre (Day), West Ham 13 (c) Certified Schools for Mentally Defective Children: Royal Eastern Counties Institution, Colchester 2 192 (d) Certified Schools for Physically Defective Children:— St. Michael's Orthopaedic Hospital-School, Clacton-on-Sea 1 Cheyne Hospital, Chelsea 1 Edgar Lee Heart Home, Willesden 1 Lancing Heart Home, Lancing 1 White Oak Ophthalmic Hospital-School, Swanley 2 St. |
bbbb6031-ba74-4298-a381-8c63324e2b5c | Catherine's Open-Air School, Ventnor 1 Ogilvie School of Recovery, Clacton 1 Heritage Craft Schools for Cripples, Chailey 1 (e) Certified Schools for Epileptics: Lingfield Epileptic Colony 1 The following table gives information in respect of medical inspection at the Faircross Special School during the year 1938:— Number of inspection sessions 32 Number of children inspected:— (a) Routines 51 (b) Specials 70 (c) Re-examinations 394 515 Number of defects referred:— (a) For treatment 62 (b) For observation 29 91 Number of defects found treated 35 Number of parents present at inspections 354 193 In addition 43 special examinations for assessment of intelligence were carried out in respect of children attending the Faircross Special School. Mentally defective children are, after consultation, transferred to Faircross School (Mentally Defective Section). |
444824d0-0af7-488b-a713-5f4c604b82d0 | The definition of the Boardof Educationof "mentally defective" is "children who by reason of mental defect are incapable of receiving proper benefit from the instruction in the ordinary public elementary schools but who are not incapable by reason of that defect of receiving benefit from instruction in such special classes or schools as under the Act may be provided for defective children." (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 CLASSES. During the year five nursery classes have been arranged in the following schools—Gascoigne, Westbury and Manor, and during the coming year further classes are to be commenced in other schools. The age at which children are admitted to these classes is from 3 to 5 years. |
57a69613-8040-490a-be89-fb48955a4455 | A nursery class is primarily a playground for the toddler where some organisation at play and the healthy beginnings of life can make their first impressions. 194 The medical aspect of these classes is as follows:— The medical inspection of each nursery class is made each term and a full cleanliness inspection is made by a school nurse at least twice a term—the first of these inspections taking place on the first day of the term. A general cleanliness inspection is made at least once a week, and during epidemics and on such occasions as is required a daily attendance is made by the school nurse. All defects found, as for the ordinary school child, are treated at the minor ailments centres and under the special services scheme. The classes are so arranged that there is a special room for hanging clothes, centrally heated by electric control. Each clothes peg has an appropriate picture designation at the top. In another room there are baths, small wash-stands, places for tooth brush and glass with the same picture designation as for the clothes peg. |
e1d9d8aa-6f7b-4a70-86c6-daf5f9e77673 | Adjoining is suitable toddler accommodation for sanitary purposes, within full view of an adult person. In another room there are collapsible metal framed camp beds, complete with pillow and blanket, again with the same picture designation provided on the clothes. In this way a child is taught at a very early age the essentials of cleanliness, the good healthy habits, etc., of a normal individual, whilst at the same time receiving an adequate amount of rest and discipline. (16) SECONDARY SCHOOLS AND OTHER INSTITUTIONS OF HIGHER EDUCATION. The scheme whereby you carry out medical examinations for the Essex County Council in connection with the Barking Abbey School and the day school of the 195 South-East Essex Technical College has now been in force for over a year, and at the end of this Report are appended figures for the inspection and treatment of pupils attending these schools. The service is the same as that carried out at your elementary schools and includes the specialist treatment services—orthopaedic, ophthalmic, dental, etc. |
f0d4f61b-59b1-4ef8-b845-c09ae3b55f75 | A small deficit, which must obviously strike one when considering the number of cases examined at the elementary schools, is more than compensated for when one reviews the figures in relation to those examined at the secondary schools, for it is clear that the two combined figures must be in considerable advance of any figure for elementary schools alone, when taken by themselves for past years. No comparison is made of the children attending these secondary schools as they are children drawn from many outlying districts of Essex where the services during the elementary school period cannot be compared with the services which you have inaugurated for the elementary school children in Barking. (17) PARENTS' PAYMENTS. During the year under review it has been decided with regard to treatment at the orthopaedic clinic that an initial charge of six-pence, subject to remission in necessitous cases, be made at the first treatment, such payment to cover the whole treatment. (18) HEALTH EDUCATION. |
da786f30-5e72-42b8-84fd-7cd598f32117 | In my last Report I dwelt upon the inculcation of good habits at an early age which would be possible when nursery classes were set up. These have now 196 come to pass and I hope that in future years I shall be able to report the benefits which accrue from this early training. The Senior Dental Surgeon does from time to time give lectures on oral hygiene. (19) SPECIAL INQUIRIES. No special inquiries were carried out by your staff during the year 1938. (20) MISCELLANEOUS. (a) Examination of Teachers.—During the year, 45 medical examinations were carried out of applicants for teaching posts under the Local Authority. During the year we became responsible for the medical examination of intending teachers, in so far as they are drawn from the Barking Abbey School and the Day School of the South-East Essex Technical College. I have advocated these examinations for some time, and they are now done at the request of the Essex County Council by special arrangement. |
add9ddec-0dbb-44eb-9cf4-d9dabc48ebf9 | (b) Part-time Employment of School-children.—Milk and newspaper deliveries, general errands, etc., are the usual forms of employment of school-children. In accordance with the byelaws of the Education Authority, 30 applicants of school-age submitted themselves for medical examination prior to employment. Of this number 27 were passed as being fit for employment. (c) Juvenile Employment.—In September, 1935, the Board of Education issued Administrative Memorandum No. 137 dealing with the question of co-operation between the School Medical Service and Juvenile Employment and Advisory Committees. 197 The Board requested that procedure should be initiated whereby the Juvenile Employment Officer should be advised as to the specific unsuitability of certain children for particular types of work, this information being made available by your medical officers at the last routine examination of the children. During 1938 the following recommendations by your medical officers were forwarded to the Juvenile Employment Officer:— 63 Children unsuitable for severe manual work. ,, ,, „ sedentary occupation. |
c2ee08f0-55a7-4da7-807e-7531f05c2fb5 | 22 ,, ,, ,, exposure to bad weather. • 18 ,, „ ,, work in a dusty atmosphere. 9 ,, „ ,, work near moving machinery 38 ,, ,, „ work involving prolonged standing. 31 ,, ,, ,, work causing eye strain. 36 ,, ,, ,, work requiring acute distant vision. 3 ,, ,, ,, work requiring acute 7 special cases warranting Juvenile Employment Officer consulting the records. The above recommendations relate to 123 schoolchildren. SERVICES PROVIDED FOR SCHOOL-CHILDREN. 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. |
fea02cb0-2cf4-4b0b-9961-512e32b44023 | 198 Cod Liver Oil, etc.—These products are provided on the recommendation of the Council's medical officers at cost price. In necessitous cases no charge is made. Deafness.—Special investigations, using the Audiometer, are undertaken. A Specialist Ear, Nose and Throat Clinic at the Woodward Road Centre, twice weekly, has been started. Dental Treatment.—Dental treatment—including orthodontic treatment—is carried out daily at the Corporation's Clinics in Vicarage Drive, Woodward Road and East Street. Dinners.—Free dinners are provided for children attending school, where the family income is below a certain scale. Foot Clinic.—Arrangements have been made for minor foot conditions to be treated at the Corporation's Foot Clinic. 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 officers consider necessary. Provision is also made for the periodical and regular examination of children's teeth. |
9449a4c6-5324-42d7-97e2-8a9a942b5a2f | Milk.—One-third of a pint of milk is supplied daily to children attending school on payment of one halfpenny per day. 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, Woodward Clinic, and Porters Avenue Clinic. 199—200 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. Nature of Accommodation. By Whom Provided. 1. Maternity and Child Welfare. (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. Woodward Clinic, Woodward Road Tuesdays, Thursdays and Fridays, 2 p.m. do. do. |
facb2c39-d4a2-4ead-9ec6-8f42d542098c | * 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 do. do. do. Porters Avenue Centre, Porters Avenue Mondays, Wednesdays and Fridays, do. do. (b) Ante-Natal Clinics:— 2 p.m. Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Wednesdays, 2 p.m., and Fridays, 10 a.m. Modern clinic premises with accommodation for consultations, etc. do. Woodward Clinic, Woodward Road Tuesdays and Wednesdays, 9.30 a.m. do. do. Porters Avenue Centre, Porters Avenue Thursdays, 9.30 a.m. Accommodation for consultations, etc. do. Humphrey Ward (near Maternity Pavilion), Upney Lane. |
a46a285c-8b63-408c-af67-5c08a314a4ad | Mondays, Tuesdays, Wednesdays and do. do. Fridays, 10.30 a.m. Specialist-Consultant Clinic at Central Clinic, Vicarage Drive, Ripple Road. Third Tuesday in each month 3.30 p.m., except August and Modern clinic premises with accommodation for consultations, etc. do. (c) Gynaecological Clinics:— December. Central Clinic, Vicarage Drive, Ripple Road As and when required. Modern clinic premises with accommodation for consultations, etc. do. Woodward Clinic, Woodward Road do. do. do. Porters Avenue Centre, Porters Avenue do. Accommodation for consultations, etc. do. Humphrey Ward (near Maternity Pavilion), Upney Lane. do. do. do. (d) Birth Control Clinic:– Humphrey Ward (near Maternity Pavilion), Upney Lane. do. do. do. |
9d260529-1b57-4112-8fbf-ee10fe9560be | * Since the end of 1938 the Clinics held at the Alexandra Centre have been discontinued, and the undermentioned additional Infant Welfare Sessions have been commenced:— Central Clinic, Vicarage Drive, Ripple Road Thursdays, 2 p.m. Greatfields Centre, Movers Lane Wednesdays, 2 p.m. 201—202 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. Nature of Accommodation. By Whom Provided. 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. Woodward Clinic, Woodward Road do. do. do. Porters Avenue Centre, Porters Avenue ... do. Accommodation for consultations, etc. do. |
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