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5afd5bba-bc93-4b6b-a344-41f76523700e | 14 ... 3 8 2 1 ... ... ... Acton Wells 45 8 16 10 10 1 ... ... ... 723 52 186 278 138 56 11 1 1 82 TABLE 3. Giving the number of children examined in each school, together with the conditions found on examination. SENIOR BOYS No Examined Nutrition Clothing Cleanliness Verminous Carious Teeth Perfect Teeth Enlarged Tonsils Adenoids Enlarged Glands A B C Average Below Average A B C Head Body Submax illary Cervical Acton0 17 16 1 . 15 2 . . . . . 4 6 2 1 1 2 Beaumont Park 106 84 20 2 81 25 99 7 . . . 20 25 21 3 . 10 Central 93 80 13 . 88 5 93 . . . . |
ae383f39-efbc-4a60-9a1d-61da47eb70ff | 13 13 13 1 4 . Priory 40 33 6 1 34 6 38 2 . . . 7 10 5 . . 4 South Acton 59 47 10 2 41 18 49 8 2 . . 3 9 12 4 8 . Southfield Road 38 36 2 . 38 . 38 . . . . 5 6 4 . . 4 Turnham Green R.C. 11 8 3 ... 5 6 10 1 ... ... ... 2 — ... ... ... ... Acton Wells 10 10 ... ... 8 2 10 ... ... ... ... 5 2 2 ... ... 1 Totals 374 314 55 5 310 64 337 18 2 56 71 59 9 13 21 SENIOR GIRLS. |
f9756e2c-d71e-456b-aa0d-edaeb4e986d7 | Acton 6 5 1 ... ... ... 5 1 ... 1 ... ... ... 2 ... ... ... Beaumont Park 19 13 6 ... 17 2 11 5 3 8 2 3 ... 6 ... 3 2 Central 70 68 2 ... 69 1 67 1 2 5 ... 6 ... 8 1 4 1 Priory 37 26 9 2 31 6 28 8 1 4 1 3 ... 10 1 4 2 South Acton 37 23 11 3 31 6 31 3 3 9 3 5 ... 8 4 2 1 Southfield Road 21 20 1 ... 20 1 17 4 ... 2 ... 1 ... 2 1 ... 1 Turnham Green R.C. |
bf3f512b-942f-4bca-827e-6dbf51450192 | 11 4 6 1 11 ... 4 5 1 3 1 1 ... 3 1 ... 3 Acton Wells ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Totals 201 159 36 6 179 16 163 27 11 32 7 19 ... 39 8 11 10 83 TABLE 3—continued. SENIOR BOYS (continued). j External Eye Disease Defective | Vision ! Defective j Hearing Ear Disease 1 Defective ' Speecli Heart Disease Lung Disease Tuberculosis Rickets Skin Disease Anaemia Polypus of Nose Deformities, Spinal Disease, etc. Other Diseases, defects. |
007be2f7-7812-4f14-88df-26dfbb188d88 | Acton ... 3 ... ... ... 1 1 ... 2 ... ... ... 1 Beaumont Park 2 18 12 3 3 1 10 3 2 ... ... ... 2 1 Central ... 12 5 ... 1 4 5 1 1 1 ... ... 3 4 Priory 2 5 ... 2 ... 2 4 1 3 ... ... ... ... 2 South Acton 1 7 5 ... 1 ... 6 2 6 ... ... ... ... 3 Southfield Road ... 3 3 ... 2 2 5 1 1 ... ... ... ... 1 Turnliam Green R.C. |
ee8d2990-456d-4d91-bd06-24c17d7d3476 | ... 3 ... 2 ... ... 1 ... 1 ... ... ... ... ... Acton Wells ... ... 1 ... ... 1 1 ... ... ... ... ... ... 2 Totals 5 51 20 9 7 11 33 8 16 1 ... 3 6 13 SENIOR GIRLS (continued). |
a739135d-0564-4cd6-915d-88e13951642e | Acton ... 1 1 ... ... ... ... ... ... ... ... ... ... 1 Beaumont Park 3 4 1 1 ... 1 ... ... ... ... ... ... 1 1 Central 5 7 3 2 ... 1 1 ... ... 1 4 ... 1 1 Priory ... 6 1 1 ... 1 ... ... 1 ... 2 ... 1 ... South Acton 1 5 4 2 ... 1 1 ... ... ... 1 ... 1 1 Southfield Road ... 3 2 ... ... 1 ... ... ... ... 1 ... ... 1 Turnham Green R.C. |
71d3c56f-d351-4351-8bf1-34c5fe9ce83a | ... 3 1 ... ... 2 1 ... ... ... ... ... ... 1 Acton Wells ... ... ... ... ... ... ... ... ... ... ... ... ... ... Totals 9 29 13 6 ... 7 3 ... 1 1 8 ... 4 5 84 TABLE 3—continued. INFANTS No. examined Mai-Nutrition Clothing Cleanliness Verminous Carious Teeth Enlarged Tonsils Adenoids Enlarged Glands A B C Average Below Average A B C Head Body Submax illary Cervical Acton (Boys) 42 37 5 . 39 3 39 3 . 1 2 5 5 5 3 2 , (Girls) 35 27 7 1 35 . . . . 5 1 2 5 3 . |
ccba6303-5558-485f-b4e5-781d8c8ac85c | 1 Beaumont Paik (Boys) 145 105 S3 7 128 17 133 10 2 2 7 23 21 12 3 6 , (Girls) 105 83 21 1 95 10 94 5 6 15 4 9 13 1 6 2 Central (Boys) 72 68 2 2 72 . 17 1 . 1 . 11 12 3 1 3 „ (Girls) 99 89 10 . 99 . 89 8 2 10 1 10 19 2 2 1 East Acton (Roys 25 14 6 5 18 7 21 4 . . . 2 5 2 4 . „ (Girls) 16 8 6 2 15 1 11 5 . 3 2 . . 1 1 . |
e121a184-ea73-45f3-9882-da069cbb8886 | Priory (B ys) 112 75 29 8 104 8 105 . 7 5 9 9 14 1 . 10 (Girls) 115 68 42 5 99 16 74 26 15 25 9 7 9 3 5 5 Rothschild Road (Boys) 37 28 5 4 31 6 33 1 3 1 2 3 3 2 2 5 „ (Girls) 57 49 7 1 55 2 42 11 4 9 5 7 3 2 2 2 South Act '" (Boys) 83 41 37 5 67 16 50 27 . |
ef6a36c2-a368-4b3a-a15b-bfca579c4677 | 7 14 6 12 3 7 4 (Girls) 148 103 42 3 136 12 104 31 13 33 9 5 9 2 9 . Southfield Road (Boys) 97 84 10 3 95 2 90 6 1 1 2 13 18 12 5 3 , (Girls) 89 79 8 2 89 . 82 4 3 6 2 13 12 6 2 4 'I'urnham Green R.C (Boys 23 9 13 1 16 7 9 8 6 1 1 4 3 . . 2 (Girls) 14 6 9 . 11 3 8 4 2 4 1 . 1 . . 2 Acton Wells (Boys) 45 31 6 5 7 . |
b306ee33-7a4c-4504-a0f4-5138cdf4b408 | 36 4 5 . 3 4 10 5 2 . , (Girls) 45 37 7 1 42 3 42 1 2 4 2 5 9 4 1 . Totals 1404 1043 305 56 1253 113 1139 159 71 133 76 138 183 69 55 52 85 TABLE 2—continued. INFANTS (continued). External Eye Disease Defective Vision Far Disease Defective Hearing Defective Speech Mental Condition Heart Disease Lung Disease Tuberculosis Rickets Anaemia. Skin Disease. Deformities, Spinal Disease. &c. Infectious or Contagious Disease Other Diseases and Defects Acton (Boys) 3 . . . . . 2 6 1 . 3 . 1 . 3 , (Girls) 1 . . 1 . . 1 3 . |
fa01ec9e-9f68-4abc-b950-7e7af4bd0f59 | 1 1 1 1 . 1 Beaumont Park (Boys) 7 1 1 1 . . . 11 . 11 1 2 . 1 6 , (Girls) 4 7 2 . . . 1 5 . 6 1 . 2 1 1 Central (Boys) 2 2 1 . . . 3 3 . 1 1 1 1 . – , (Girls) 2 . . . . . . 1 l . 3 3 1 . 3 East Acton (Boys) . 1 2 . . . . 1 . . . 1 . . . , (Girls) . . 2 . . . 1 2 . 1 . . . . . Priory (Boys) 13 . 1 1 . 1 2 12 3 13 4 4 1 1 7 , (Girls) 3 . |
365a2b11-4a90-4d90-8291-3ecd463fd674 | 3 . . . . 5 . 1 . . 2 3 7 Rothschild Road (Boys) . . 1 1 . . . 2 1 2 1 2 . 1 1 , (Girls) . . 1 2 . . 1 4 2 1 4 4 1 1 2 South Acton (Boys) 8 . 5 4 . 2 2 11 1 8 3 3 4 . 3 (Girls) 5 1 1 1 . . 1 8 . 3 1 7 . 1 2 South field Road (Boys) 2 1 . 1 2 . 2 1 2 4 2 2 . 1 4 „ (Girls) 3 . 1 1 . . 2 5 . . 2 1 . 1 2 Turnham Green R. |
4d7e5ff3-3cbc-4574-aa37-4ef981ff2144 | C (Boys) 1 2 . . . . 1 3 . . 1 1 . . 1 , (Girls) 2 . . . . . . . . 1 1 2 . . . Acton Wells (Boys) 1 . . 1 . 1 . 5 . 2 4 . 1 1 . , (Girls) 3 . . . . 1 1 . . 1 . . 1 1 1 Totals 60 15 21 14 2 6 20 90 12 50 33 34 16 13 44 86 Special Examination. In addition to the foregoing numbers, 599 children have been examined who were kept apart by the Teachers; and four were specially examined for the Truant School. Eye Disease and Vision. Selected cases of external eye disease such as blepharitis and conjunctivitis are treated by the School Nurse under the supervision of the S.M.O. |
cdbb3072-3427-4634-a07a-7396edeb48f9 | The immediate improvement which results is striking, but unfortunately the children sometimes lapse into their former neglected condition shortly after treatment is discontinued. This is largely due to apathy on the part of the parents who will not take the personal trouble to keep the children's eyelids clean, or cannot be aroused to interest in a complaint which has existed for several years. During 1910, 269 children have been examined with a view to their obtaining spectacles. Directions as to treatment have been given, and cases are noted for re-examination where necessary. Of these 75 have obtained glasses, others are being seen by their private doctor or are attending hospital. Pull results are shown in the following table:— No. |
091009fb-60c7-44d1-b5c3-ddf02f35e4e8 | of cases examined 269 Directions given 121 Obtained glasses 75 Went to hospital 37 Seeing private doctor 10 No further treatment necessary 8 Left school 8 Failed 6 Improved 2 Went to optician 2 269 87 In dealing with cases of defective eyesight it was found that many parents pleaded poverty as the cause of not obtaining glasses, and to meet this difficulty the Council made a grant of £50 to defray the expense of spectacles in necessitous cases. The parents are encouraged to contribute by small instalments, and out of 14 cases thus arranged only live have been unable to pay anything. A further objection is often raised, that parents cannot afford train fares to enable them to use hospital letters provided, or that too much time is lost from work in taking children to the hospital. |
a61b1aab-5897-48bd-a6a6-696ab2da6a94 | In September, 1910, it was decided that an oculist should be appointed to attend once a week to treat those children who were too poor to obtain any advice from their own medical attendant or from hospital, and Mrs. Marshall Banham, M,B., Senior Clinical Ophthalmic Assistant at Moorfields Hospital was appointed. The examination is carried out in one of the rooms at the Priory Offices, which has been specially fitted with an ophthalmic lamp and dark blinds. There is accommodation for the children and parents in one of the waiting rooms, and this arrangement enables the work to be carried. out in a most satisfactory manner. The following scheme of examination of eyesight is adopted. Children who are found suffering from defective vision are given the following notice to take to their parents Card 3. (White) Dear Sir or Madam, I beg to inform you that your child has been examined at School and he (she) is suffering from You are recommended to procure medical advice and treatment without delay. |
3e2d61e2-85d7-45db-a6a7-8da2af5a88f5 | 88 After a short interval, enquiries are made as to the result produced by these cards. In those cases where poverty is alleged as the cause of not obtaining treatment, the following card is sent to the parents:— Card 4. (Green Card). Dear Sir or Madam, " Arrangements have been made for the examination of the eyesight of your child by the school oculist. Before the vision can be properly tested, it will be necessary to put drops or ointment in the eyes. The drops or ointment will appear to affect their vision, but the effect soon wears away, and no harm can result. If you object to the examination, and wish to make other arrangements, please let me know immediately." This notice is necessary as accommodation must be paralysed before errors of refraction can be satisfactorily treated, and where no outward signs of eye defect are apparent, it is most difficult to convince relatives that treatment is essential and that the effect of eyedrops is only temporary. |
39161607-48c9-40f9-b1c8-bd062beaabc2 | Inquiries are made by the Attendance Officers into the circumstances of the parents with reference to their ability to pay for spectacles. In spite of the simplicity of this scheme, parents often raise many difficulties and repeated visits are paid by the School Nurse, or by the S.M.O. (in obstinate cases) to convince parents that a squint is not a hereditary necessity and that spectacles are essential. One curious feature is that the objection to spectacles is most marked in the poorer parts of the district, where defective eyesight is certain to lead to unemployment in a class where the individual must earn his daily bread. 89 In those cases where parents fail to avail themselves of the services of the school oculist, and refuse after repeated warnings to obtain any other method of treatment, the Children's Act, 1908, will be enforced and a summons issued against the offenders. It is hoped these objections will become fewer as the parents grow more accustomed to medical inspection and its results. |
6f0c5cc9-d927-4b95-b932-b507fd9056ad | Again, the individual character of spectacles is in no way considered. One mother was indignant that her child's spectacles were not considered suitable as she had "bought them from a neighbour whose child was exactly the same age," and many other ingenious excuses come before us in the course of a year's work. Teeth. The problem of treatment of children with carious teeth still remains a difficulty. In the light of recent discussions on the advantages of whole meal bread or the use of oatmeal as a food in preserving the teeth, it would be interesting to learn to what extent this is provided in the homes. Probably very little oatmeal is used in the district. English children are not fond of brown bread and oatmeal requires more careful and lengthy preparation than can be given in those houses where the mothers go out to work. The British Dental Association points out that neglect of carious teeth represents a great amount of unnecessary suffering inattention to work and loss of school time on the part of the children. |
65943d61-a973-4001-9d35-7e0f032b55ef | Dental caries is the precursor of more serious conditions such as malnutrition, enlarged glands in the neck which may pave the way for tuberculosis, and the general health is impaired by the constant swallowing of septic material and the germs of disease which abound in unhealthy mouths. It has been shown that the serious complications of scarlet fever are much more common and severe in the case of children with diseased teeth and unhealthy mouths. 90 A detailed examination of the children in a large school proved that those with unhealthy mouths were as a rule unhealthy in appearance, under the average in weight and below the average for their age in school work. The later consequences of neglect are rejection for the public services and increase of unemployment on account of physical unfitness in all vocations of life. It is suggested that the prevalence of dental disease might be diminished by teaching dental hygiene to the children and enforcing the daily cleansing of the teeth. |
5f3f2c56-c847-4ec7-bb24-a1606186ec61 | Certain firms are now undertaking the production of school dental outfits consisting of a small case containing tooth brush and powder, at a cost of about 3d. per head. However, the utmost that may be done in the way of prevention is not likely to do more than ameliorate the evil, and the question of actual treatment remains for consideration. In Birmingham, during the past year, the children from four schools have received free dental treatment at one of the hospitals, but this has been effected through a private donation. Ear Discharge. As might be expected the majority of these cases occur in the South-West Ward where the mothers go out to work and consider the presence of ear discharge as a necessary accompaniment of teething. Many of the babies sent to the Creche are found to be suffering from ear discharge, and by the time these children are of school age the condition has become chronic. |
77ca25c6-815e-4437-a56a-eec292d48592 | The services of the school nurse are most valuable in rendering some of these children less offensive to the teachers and other scholars, but treatment is tedious and the mothers never carry out the advice given for a sufficient length of time. 91 It may be noted that the percentage of children suffering from deafness in South Acton is higher than that in the other schools and this is largely due to parental neglect before the children become of school age. Cleanliness. The method used for securing cleanliness from pediculosis capitis has been similar to that stated in last year's report. Warning cards of different colours according to the severity of the case are sent to the parents, and prosecutions follow repeated neglect of advice. It has not often been found necessary to resort to legal proceedings; during the year five convictions were obtained at the police court. We have mentioned in former reports that in some of the schools a marked difference is observed in the cleanliness of the body on different days in the week. |
45511f86-af50-43f0-ba8e-a41fdc92e318 | The following notice is sent to parents who appear to consider that the cleanliness of the children on Thursday or Friday is of less importance than when they are inspected at the beginning of the week. "To the Parents or Guardians of This child has been examined on and the condition of personal cleanliness found was not up to the standard required in the Council's Schools. You are requested to attend to this matter, without delay but the child need not be kept away from school." This notice has proved useful where children are in no way verminous but show no signs of a recent and vigorous use of soap and water. Ringworm. During the past year there has been a considerable increase in the amount of ringworm existing in the district. This is in accordance with the known etiology of this. 92 disease, i.e. that it is a complaint of slight practical infectiveness making its way among children with considerable slowness and difficulty, but at occasional intervals it may become epidemic. Ringworm in school children occurs in two forms. |
066e1712-4177-41c5-9ce6-1bcc00fe740f | Tinea Circinata or Ringworm of the body. Tinea Tonsurans or Ringworm of the scalp. In each case the Ringworm is due to a specific fungus which spreads rapidly in families and schools. Fair-haired children are more susceptible and are more difficult to cure The disease is rare in children over 14 but common under 10. The Ringworm of the body is a different variety from that of the scalp and more easy to cure. This kind is always treated by drugs and a cure can easily be effected within seven days if the parents will take the required pains and carry out instructions. In Ringworm of the Scalp great perseverance is required as the fungus grows down into the roots of the hair and cases are easily missed which act as entries for the spread of infection to other scholars. The conditions of spread of ringworm are various. It may be transmitted by direct contagion from one human being to another, or sometimes from an animal to a human being. |
aec8763e-2962-4d7e-a0f3-82130bf2f175 | It may also be conveyed by indirect contagion by infected brushes or caps. Probably this is a potent source of infection among the school children where small children take the wrong cap by mistake. The present fashion in hats adds to difficulty in treatment—the round wool "aviation" cap is exceedingly popular—any infected broken hairs cling to the surface of the "wool and as the cap has no special position in wearing, a fresh portion of the scalp may be daily infected by a small patch of ringworm. 93 During the year it has been our custom to microscopically examine the hairs, etc. found on these caps and worn by children suffering from ringworm, and we have frequently discovered the spores of the ringworm fungus in these situations. Although it is customary among parents to consider cases of ringworm as due to school infection it is by no means uncommon to find the real source of infection in cases occurring in younger members of the family who have not reached school age. |
0d53f794-7d7e-4541-b81e-8411d91aaadc | In two families where the elder scholars had been carefully treated and watched, their relapse was due to the common use of towels with a child of three or four years of age who was suffering from diffuse ringworm of scalp in an active condition. Parents are most unwilling to admit that these younger children have ringworm—we are told it is "only scurf" and of course treatment for these cases can only be recommended and not enforced. A small amount of ringworm is due to "missed cases" occurring in the schools. Much care is taken by the teachers, but in the poorer schools it is difficult to detect ringworm owing to the untidy lengths to which the hair of both boys and girls is allowed to grow. Different authorities hold diverse views as to the best treatment of ringworm. |
77d69bbe-591b-4acc-aa3a-d3e9c28beed6 | In a scattered or rural district exclusion from school until the ringworm is entirely healed is the most suitable custom, but in urban districts the children mix so closely with each other out of school hours that close supervision is necessary to prevent the spread of the disease and this can be more easily obtained by not excluding every infected child from school, but judging each case on its individual merits. In ringworm of the scalp where patches in the chronic stage are discovered, practically no treatment by drugs is of much service unless the hair is shaved or cut very close. There is nolegal power by which this can be enforced on the parents. 94 An alternative method of treating chronic cases is by the application of X-Rays. This method is used at Croydon, Bradford, and many other large centres. X-Rays prove of great value in chronic cases of diffuse . ringworm of scalp. |
f1ac6c8d-0c41-4dd1-be6e-06b0861e4097 | In one instance during 1910 a boy, R.C., aged 12, was seen weekly for 10 months by the S.M.O., in order to ensure as far as possible that the ointment provided by a hospital was being applied regularly. This was a tedious case both for doctor and patient, and it is probable that a more speedy cure might have been procured if X-Rays had then been available in our district. X-Rays are also valuable where parents are too busy or too neglectful to carry out drug treatment efficiently, or as a rapid cure for older children whose time is valuable. In some cases parents object to X-Rays—all sorts of specious and often amusing arguments being raised against their use; then drug treatment must be resorted to, and also in the case of little children who cannot sit still long enough for the application of the X-Rays. The success of the drug treatment largely depends on the energy with which the treatment is pursued. |
489626f4-6fad-4181-a58e-0e1f91eae228 | The patients must be seen frequently and the parents require constant attention lest they disregard medical instructions to follow the advice of a neighbour or borrow some ointment intended for an entirely different complaint. Dr. Priestley, of Staffordshire, has recently stated his opinion that when ringworm is under treatment its infectiveness is almost negligible, and the sufferers may mix freely with others with certain simple precautions. The rules of treatment should be:— 1. The hair to be cut short all over the head, or at least over a large part. 95 2. The case must receive daily some application ordered or approved by a medical practitioner. 3. The child must wear a linen skull cap which should be changed daily. In Acton the plan adopted has been similar to Dr. Priestley's method with certain modifications such as the use of newspaper changed daily in the caps instead of linen scull caps. |
40438fc7-fbd1-40a0-82ea-c2595a8c788e | Severe cases of ringworm and diffuse ringworm of the scalp are excluded from the schools, but the slighter cases or those where the body is involved are treated according to the special needs of each case. All cases are seen by the S.M.O., and are kept under observation. Bacteriological examination for spores is carried out in all necessary cases. Owing to the local conditions of the district, where the mothers go out to work it is difficult or impossible to get treatment regularly applied, and the older girls are much too useful at home to make the parents anxious to obtain a speedy cure. When treated by the School Nurse, cases of ringworm on the face are usually cured in one to two weeks, when excluded the children may be absent for months. As regards the spread of infection in the schools to healthy children, on careful enquiry no case has occurred where this method of infection could be proved. |
8560a528-f8f1-4c57-88c9-1dc1b3e004e4 | In November, 1910, a grant of £10 was sanctioned by the Council towards obtaining X-Ray treatment for selected cases of ringworm. Arrangements are being made with a local practitioner who has had considerable experience as radiographer to one of the London Hospitals to treat selected cases of ringworm, and it is hoped that this will prove of great advantage to the district. 96 The parents of the children treated by X-Rays will be required to sign a form giving consent to the treatment, and it is suggested that payment shall be recovered in those cases where parents can afford to contribute a share of the expense. Tuberculosis. Throughout the year cases which appear of a tuberculous nature are kept under observation and re-examined at intervals. Cases of tuberculous peritonitis are excluded and recommended to their own doctor. One instance came under our observation where it was difficult to induce the parents to consult a doctor as they had preferred trying a patent cure for kidney disease in adults. |
a94a49ac-5a9c-459c-8aaf-000b7a0439c8 | In the case of a child suffering from tuberculous disease of the hip, arrangements were made for its reception into Isleworth Infirmary. In general malnutrition of a tuberculous origin the records of the monthly weights of the children are kept and the children are periodically examined by the S.M.O. Special enquiries are made into the home circumstances of these children and free dinners are provided in necessitous cases. The S.M.O. frequently visits the dinner centres and ill-nourished children are subsequently medically examined. One boy who was inspected in this way was found to be suffering from early phthisis. With considerable difficulty (as his application was somewhat late) this boy was sent for a summer holiday to a gamekeeper's cottage in the country through the kindness of the Central Aid Society. Unfortunately this boy's complaints of a country life were so numerous that he was sent back by the Society after two weeks, though investigations among other boys at the same house showed there was no just cause for dissatisfaction. |
7ecabe7b-9b71-4dc6-aa3a-dbb0df2dc63a | Suitable cases of phthisis discovered during medical inspection are recommended for admission to Northwood Sanatorium where the Council maintain two beds, and it is noteworthy thy that better results are obtained from these patients as the disease is discovered in the earliest stages before the individual has observed symptoms which would lead to medical advice being obtained. 97 Busing the year three cases of tuberculosis occurring among school children have been treated at Northwood Sanatorium. The immediate results in all cases have been emiently satisfactory. These cases are being kept under observation and a further report will be presented. TABLE 4. NUMBER OF CHILDREN REFERRED FOR FURTHER EXAMINATION—531. These were from the following schools:— Infants. Girls. Boys. |
6a4c1034-0d65-439f-9f65-beb25173dd6f | Acton 20 2 2 Acton Wells 28 – 2 Beaumont Park 62 16 46 Central 24 29 27 East Acton 11 – – Priory 38 13 18 Rothschild Road 24 – – South Acton 39 16 13 Southfield Road 51 14 21 Turnham Green (R.C.) 6 7 2 303 97 131 98 TABLE 5. AVERAGE HEIGHT, without Shoes and AVERAGE WEIGHT with Clothes. (Anthropometric Committee, 1883). MALES. FEMALES. Age last Birthday. Height in inches. Weight in lbs. Height in inches. |
bb8c2a3c-d92a-4f3c-84b2-ca1a7df272c9 | Weight in lbs 3 35 31.2 35 30 4 38 35 38 34 5 41 41.2 40.5 39.2 6 44 44.4 42.8 41.7 7 46 49.7 45.5 47.5 8 47 54.9 46.6 52.1 9 49.7 60.4 487 55.4 10 51.8 67.5 51 62 11 53.5 72 53.1 68 12 55 76.7 55.6 76.4 13 57 82.6 57.7 87.2 14 59.3 92 59.8 96.7 15 62.2 102.7 60.9 106 TABLE 6. |
4ac08521-2477-42cd-979c-435bf697c50d | GIVING HEIGHTS & WEIGHTS AT DIFFERENT AGES. No. examined 12-13 13-14 14-15 15-16 16-17 Height Weight Height Weight Height Weight Height Weight Height Weight SENIOR BOYS. Acton 17 ... ... 56.9 80.7 57.1 85.2 63. 93.5 ... ... Acton Wells 10 ... ... 58.1 87.8 60.2 90.5 ... ... ... ... Beaumont Park 106 54.1 66.2 56.2 75.7 56.5 78.7 ... ... ... ... Central 93 ... ... 58.5 86.2 58.5 89.4 60.9 100.8 ... ... Priory 40 ... ... 57.3 81. 56.5 76. 61. |
f7b87857-a32c-4bcf-9ecd-ebaedd30e039 | 102.5 ... ... Southfield Road 38 ... ... 58.7 83.4 60.2 91.8 ... ... ... ... South Acton 59 ... ... 55.9 78.1 57.8 83.7 63.5 108. ... ... Turnham Green R.C. 11 ... ... 56.3 79.9 57.3 89 56. 85. ... ... Total 374 SENIOR GIRLS. |
99708e9e-91b0-4755-aaaf-a2e4cac9b197 | Acton 6 ... ... 60.3 95.2 ... ... ... ... ... ... Acton Wells ... ... ... ... ... ... ... ... ... ... ... Beaumont Park 19 ... ... 59.2 89.4 58.5 775 ... ... ... ... Central 70 ... ... 59.6 91.8 61.2 98 3 606 103.3 63.5 89 Priory 37 63.2 104.2 59.5 83.6 60.7 874 ... ... ... ... Southfield Road 21 ... ... 59.6 86.5 59.0 73 5 ... ... ... ... South Acton 37 ... ... 58.1 81.3 57.3 85 ... ... ... ... Turnham Green R.C. 11 ... ... 56.3 75.4 60.2 90 7 ... ... ... Total 201 99 TABLE 6—continued. |
76c9343f-c7a0-4b72-b3ca-f01a3cf88eca | INFANTS (MALE). No. of Scholars exam'd Years of Age. 3-4 4-5 5-6 6-7 7-8 8-9 Height Weight Height Weight Height Weight Height Weight Height Weight Height Weight Acton 42 ... ... 39.8 37.5 42. 39.1 45.5 46.5 42.5 39. Acton Wells 45 38.6 31.9 41.9 35.8 44. 40.2 48.8 48.5 47.5 48.5 Beaumont Park 145 39.2 36.3 39.9 37.6 42. |
8562a97f-f5fe-47e7-b48c-0f062cc3581e | 40.7 44.1 44.7 44.7 44.2 Central 72 37.6 34.6 40.7 38.3 43.1 42.9 45.6 45.2 47.4 48.5 47. 47. East Acton 25 36. 35.5 39.2 37.1 10.9 39.0 43. 38. |
43856f77-a1ac-4aa9-8728-1ffae1e4a956 | 43.9 44.2 48.2 53.2 Priory 112 36.6 31.8 39.9 36.1 41.6 38.8 43.4 42.7 45.7 46.5 ... ... Rothschild Road 37 ... ... 41.2 38.7 41.8 39.4 45.3 43.1 46.7 46.4 ... ... South Acton 83 37.3 33.4 39.1 36.2 41.5 38.8 42.5 38.9 ... ... ... ... Southfield Road 97 40. 34. 41.5 40.2 43.6 40.9 44.7 43.5 47.0 48.7 48.2 48. Turnham Green R.C. 23 34.5 29. |
8e121656-ab04-4b80-b845-35a3180911de | 39.2 38.0 41.6 40.2 42.7 43.9 46.2 47.5 ... ... Total 681 INFANTS (FEMALE). Acton 35 ... ... 39.0 34.4 41.2 39.3 43.5 41.3 ... ... ... ... Acton Wells 45 39.4 33.7 42. 36.9 44.2 38.5 46.6 44.8 47. 45. ... ... Beaumont Park 105 36.5 33. 33.1 39.1 41.5 39.4 44.2 44.2 ... ... 43.5 40. |
a34a609d-61f5-4c23-b56d-802ddb7393d7 | Central 99 37.7 31.5 40.5 37.9 42.5 40.7 45.4 45.8 46.5 47.3 48.2 54.7 East Acton 16 34.8 29.8 37.5 33.4 41.6 38.2 41.5 38.0 43.5 43.5 53. 59. Priory 115 36.8 31.9 39.0 34.8 42.5 39.8 43.9 43.8 43.2 46.3 ... ... Rothschild Road 57 ... 41.8 38.9 42. |
4fae7830-a0d4-43d7-82bd-3d5a6a0a933f | 88.2 43.3 40.8 46.2 45.1 47.8 48.5 South Acton 148 36.4 33.1 38.5 35.3 40.7 37.5 43.3 42.4 43.8 41.5 ... ... Southfield Road 89 ... ... 39.7 34.5 42.6 37.2 44.2 42.1 45.7 44.3 46.8 48.8 Turnham Green R.C. 14 ... ... 38.7 35.7 38.2 34.6 43.2 42.7 42. 35 ... ... Total 723 100 Nutrition. |
c91535d3-adf2-4716-8f56-7358b54aecd3 | The Provision of Meals Act, 1906, is put in force in this district to provide free meals for those children where poverty appears to be the cause of their mal-nutrition thus rendering them unable to obtain full benefit from their education at school. The method most practicable in this district is to enter into arrangement with two restaurants—one in Acton Lane and the other in Osborne Road—where dinners are supplied at a cost of 2d. or 2½d. per head. The advantage of this method is that initial outlay is avoided and there is no disturbance of the work of the schools. On the other hand it is impossible to secure the same educational effect at a local restaurant (where many children appear at the same moment and the restaurant staff is hard worked) as could be obtained at an organised centre where more attention could be given to training in deportment, by methodical service, by requiring the children to come with washed hands and faces, and enforcing good manners at table. |
75481c6a-3a41-4172-ba6b-bbcd107f2cba | Owing to local conditions it is impossible to secure a special dinner centre at present, but improvement would result if voluntary helpers would attend regularly to supervise the conduct of the children. Only one helper each day would be required at a centre as the accommodation is limited, but the restaurant keepers are glad of the refining influence on the children. The selection of the children is made at the suggestion of the teachers or school nurse, or as the result of mal-nutrition found on medical inspection where poverty appears to be the cause of insufficient height and weight. Careful enquiries are made by the Attendance Officers into the circumstances of the families receiving benefit and records are kept. During the year 1910, 21,990 dinners have been supplied to 425 children at a total cost of £202 13s. 6½d. 101 The following shows the weekly menu of dinners supplied to the children:— Monday. Soup and bread, currant roll. Tuesday. Stewed meat and cabbage and potatoes. Wednesday. |
d6dd04a3-ea22-44a5-be09-bc099a31e0ab | Soup and bread, plain suet pudding, with syrup. Thursday. Irish stew and potatoes, plain pudding. Friday. Soup and bread, rice pudding. Saturday. Stewed meat and two vegetables. Infectious Diseases. The district has been comparatively free of Infectious Diseases during the year. There was an outbreak of Measles in the northern park of the district in the early part of the summer. The Infants' Department of the Central School was mostly affected, but the outbreak did not necessitate the closure of any department. A more serious outbreak made its appearance towards the end of the year. An account of these outbreaks is given in the Report of the Medical Officer of Health. Chicken-pox was prevalent in the Spring and Summer. Sporadic cases occurred in the southern part of the district throughout the early part of the year. The first case occurred on January 10th, and this was reported from the Priory Schools. |
1fb9d011-cc23-489c-9230-b57adc45d22c | Two other cases were reported on January 12th, one from Beaumont Park Infants and one from Turnham Green R.C. School. It is probable that these three cases were infected from the same source, but the source of the infection was not traced. On February 12th a second case was reported from Beaumont Park, but in the interval two cases had occurred in Rothschild Road School; one cf these was reported on January 18th, and the other on January 28th. On February 4th, two cases were reported from Southfield Road School, one from Class 6 and the other from Class 4. The infection in these cases was probably derived from one of the children who had been reported from the neighbouring 102 schools. Contrary to the behaviour of the disease in the other schools mentioned above, 10 other cases occurred in Southfield Road Infants' Department between February 16th and February 24th. |
07b1b8f7-be42-456c-8c1d-56fc8b70e293 | The ten cases were distributed as follows:— One each in Classes 1, 2, 3, 4 and 7; two in Class 5, and three in Class 6. Two other cases occurred on February 28th, but these were probably infected from the second batch of cases, as the incubation period of Chicken Pox is stated to be from 12 to 19 days. At the end of February every class in the Infants' Department had been invaded, and one case had been reported from Standard la in the Junior Department. In March, 11 cases were reported from the Infants' Department, six of these being from Class 7. Cases occurred up to the Easter holidays. On the re-opening of the schools after the Easter holidays only one case occurred, and the department was free from the disease until Whitsuntide. |
78051be0-b4ae-4216-ada8-06cbdfd78bd3 | In the Junior department though four cases occurred in March, five in April, and three in the first fortnight of May; seven of the 12 cases were in Standard la. Four cases also occurred in the Priory Infants' between the Easter and Whitsun holidays. On the re-opening of the schools after the Whitsun holidays, several cases were notified from the Infants' Department of the Southfield Eoad School, and in May 34 cases occurred, of these 17 occurred in Class 5. As all the classes in the Infants' Department were affected, all the classrooms were scrubbed out and disinfected. |
cda98082-5da0-47b3-bbd0-eeb3ca19b5a5 | The other cases of Chicken Pox which occurred after the Whitsun holidays were distributed as follows:— Southfield Road, Junior 6 South Acton, Infants 4 Beaumont Park, Girls 1 Beaumont Park, Infants 2 Rothschild Boad 1 Priory 1 Central, Junior 6 Central, Infants 3 Acton 1 Whooping Cough was more or less prevalent during the year. In the early part of the year, the disease was limited to the southern part of the district, and the only school affected was South Acton. Later in the year the northern portions of the district were invaded. Although no deaths occurred among school children, in most instances the disease was introduced into the house by school children. Scarlet Fever has been much less prevalent during the year, but some of the difficulties met with in former years still appeared. These have been due to the mildness of the symptoms, and consequently to the attendance of "missed" cases at school. |
e70285b4-898a-4faa-95ae-b4673e835400 | Diphtheria is dealt with in the report of the Medical Officer of Health. The greatest difficulty sometimes occurs in dealing with "carrier" cases. During the year "carrier" cases occurred in the Central and Southfield Boad schools, and a limited outbreak resulted in each school. The following tables represent the visits paid by the Nurse together with the schools where children attended and the diseases from which they suffered. 104 Visits Paid by School Nurse. N.-East. N.-West. S.-East S.-West. Total. |
83a4b94b-fc46-4c30-939a-c7170c2f35bf | Priory 105 83 30 127 345 Acton 10 21 1 20 52 Beaumont Park 1 – 36 49 86 South Acton 2 1 1 198 202 Rothschild Road – – – 86 86 Acton Wells 77 – – – 77 Roman Catholic 1 – 8 20 29 Southfield Road 65 1 220 7 293 East Acton 55 2 – – 57 Central 148 92 4 23 267 Harlesden R.C. 1 – – – 1 No School 3 1 3 2 9 Totals 468 201 303 532 1504 Diseases. N.-East. N.-West. S.-East. S.-West. Total. Diphtheria 1 2 3 3 9 Scarlet Fever 6 5 3 2 16 Chicken Pox 75 11 90 28 |
3d394df8-3bab-494a-87ca-09ab14923bde | 204 Measles 43 30 10 21 104 Whooping Cough 82 34 27 105 248 Mumps 94 40 49 67 250 Sore throat 15 6 9 17 47 Colds 20 9 7 16 52 Ringworm 25 16 25 71 137 Scabies 6 2 8 14 30 Sore eyes 1 1 3 7 12 Dirty heads 16 12 21 48 97 Psoriasis – – – 1 1 Eczema 12 5 17 41 75 Blepharitis — 1 3 12 16 Impetigo 19 7 7 35 68 Miscellaneous 53 20 21 44 138 Totals 468 201 303 532 1504 105 Following on the consent of the Board of Education the School Nurse carried out the treatment of certain minor ailments in the schools. |
bb22c31a-01c3-455b-87e9-c4731a3146ef | During the year 1910, 617 visits were paid and 82 children were treated. The distribution of these cases and the diseases treated were as follows:— Acton (Infants). Children treated 2 Diseases from which children were suffering:— Ringworm 2 Beaumont Park (Girls). Children treated 11 Diseases from which children were suffering:— Defective Sight 9 Burn 1 Impetigo and Ringworm 1 Beaumont Park (Infants). Children treated 8 Diseases from which children were suffering:— Blepharitis 5 Septic Sore 1 Discharging Ears 2 Central (Junior). One child treated. Disease—Impetigo. East Acton. One child treated. Disease—Ringworm. Priory (Boys). Children treated 9 106 Diseases from which children were suffering:— Ringworm 6 Discharging Ears 2 Deafness 1 Septic Finger 1 Priory (Girls). |
767d5bae-8764-4021-b902-e2f6deb4b68d | Children treated 3 Diseases from which children were suffering:— Ringworm 2 Discharging Ears 1 Priory (Infants), Children treated 19 Diseases from which children were suffering:— Ringworm 4 Septic Sore 2 Sore Eyes 1 Burn 1 Blepharitis 4 Defective Sight 1 Discharging Ears 2 Impetigo 4 Rothschild Road. One child treated. Disease—Ringworm. South Acton (Infants). Children treated 15 Diseases from which children were suffering:— Discharging Ears 11 Impetigo 3 Blepharitis 1 South Acton (Girls). One child treated. Disease—Defective Eyesight 107 South Acton Junior (Boys). One child treated. Disease—Ringworm. Southfield Road (Infants). One child treated. Disease—Ringworm. Turnham Green R.C. |
1ece59f8-3f33-45a4-bb83-0298ce5e4484 | Children treated 11 Diseases from which children were suffering Blepharitis 5 Septic Sore 2 Eczema 1 Impetigo 1 Discharging Ears 1 Bruises and cut 1 Infant Care and Management. It seems that teaching in the schools might, with advantage, be made more practical in certain directions. Boys and girls in large towns are hurried off to work at the earliest possible moment and their energies engrossed in acquiring technical skill and in earning wages. Little or no interest is taken in domestic matters. The girls know very little but what they have learned at school, hence they are ignorant of how to make a comfortable home for their husbands, or how to rear healthy children. If girls are to be good mothers they must know how to take care of infants. |
dee8557b-d2e0-4a86-89af-9aa6755031a1 | It would be a great advantage if more extended and systematic courses could be arranged to include cooking, cleaning, washing, sewing, mending and so on; that the elder girls should be able to choose a house, know how to use it to the best advantage and how also what goods to get, their prices and how to combine them ; in fact, all the things which make the difference between a well-kept and a badly-kept house. 108 It may be argued that these are subjects which are best learnt in the home, but very few of the girls have mothers who are in a position to give them efficient training in home mangement. This is especially the case in Acton where 3,500 women are employed in the laundry industry alone, and of these about 1,500 are married women or widows. |
3f6274e4-784b-43f2-9a0c-4e3cfca9259d | About one-third of the married women in the South-West Ward are employed in laundry work, often the mothers do not come home in the middle of the day, or they have no time or energy to prepare a proper meal for themselves or their children. Under these circumstances a creche is almost a necessity, for in the South-West Ward alone there are about 200 babies under 12 months of age placed out with neighbours during the day, and the conditions under which they are cared for is extremely unsatisfactory. Since 1908 a creche has been established in South Acton. At first only 24 children could be received and within a few weeks of its establishment children had to be refused because all the beds were occupied. During 1910 newer and more commodious premises have been acquired in a house, with a pleasant garden where the children can play out of doors and 37 children can now be accommodated, where they are suitably cared for, bathed, dressed and fed during the day. |
91a7da66-f4f6-45c7-b0a1-e3af94c65108 | Under these circumstances it would be a great advantage if the creche could be utilised to provide facilities for enabling the elder girls to obtain practice in handling and managing infants under skilled supervision. It is not desirable to give lessons in infant care to girls under 12 years of age, but some arrangement might be made by which the elder girls received definite practical instruction in domestic hygiene and home management. 109 In a Memorandum on Teaching of Infant Care and Management the Board of Education points out that there are three principal schemes by which this teaching may be performed. (1) As a separate course in School. Lessons are given by a visiting teacher, and the teacher endeavours to illustrate her theory by practical demonstration with a large doll. (2) Instruction given at a Creche. Girls selected from the upper standards (either nominated by the teacher or sent at the request of the parents) should regularly spend half-a-day at a creche for a period of about two months. |
9e4fb2c6-dcff-41bb-8a75-88efb1788232 | While at the nursery they would receive instruction from the matron in the care of infants and young children and the work done by them would be under her supervision. A small sum (say 10/6) might be paid to the creche by the Education Committee for each pupil and the scheme would be subject to the approval of the Board of Education. (3) Combined Teaching in the School and at a Creche Here the course consists of theory and practice. The theory is taught at the school and one lesson a week is given on such subjects as the baby's sleep, airing, food, ailments, dress, etc., and the lessons are followed by discussions in class. Practical demonstrations are given at a creche which is visited weekly and 4 or 6 girls go together once a week for six weeks. They are shown how to undress, bath, dress and put to bed infants and little children. They are also taught how to prepare " bottles " and how to feed a baby. |
b9d4ea48-69f5-45b7-87ac-d512b50c4808 | Of these methods the third appears to be the one which would produce the best results. There should be a course of lessons at the school followed by practical work at the creche. 110 Teaching at the creche should be given by the Matron, but it should be attended by the teacher in charge of the class to obtain uniformity of instruction. It is important that the girls themselves should carry out the details of the work and not merely remain as spectators. The theoretical teaching is best given by a class teacher who knows the girls and their home circumstances as well as the special needs of the district. Moreover she is often able to exert considerable influence on the mothers. All teaching should be given in the most simple way, avoiding terms not likely to be understood. This is more easily done by a class teacher than by a specialist who is more accustomed to technical terms. In all this little mention need be made of disease or illness. |
49ba7dce-a662-4458-961c-a613cc51783c | It is not desired to give each school girl a mixture of semi-medical information on infant diseases (though the dangers of amateur doctoring may well be pointed out) but it is necessary to teach what constitutes a healthy home life for little children. In this district there appear special facilities for a course of lessons of this kind. The creche in Bollo Bridge Road is situated very close to South Acton Senior Girls' School. It would be worth while for the Committee to form a class from this department and if the scheme proves successful (and there is every hope that this may be the case) then classes might be formed from other schools. A further report will be presented to the Committee during 1911. Mentally and Physically Defective Children. In dealing with the problem of educating these children the individual needs of each case are carefully considered and arrangements are made in accordance with the local conditiona of the district. |
5bdaf5ad-94ab-4b72-8ce2-d1428ea44586 | 111 In large towns it is found advisable to have special schools for these children, but in Acton there are not sufficient children with the same type of disease or of ages which admit of suitable grouping. Arrangements are made by which physically and mentally defective children are sent to the London County Council Schools for the purpose. These children are conducted to and from school by guides specially appointed for the purpose. As this method of education is a more expensive one than that given in the ordinary school every care is taken to select only those cases in which there seems some prospect of greatly improving the condition of the child and helping it to become to some extent self-supporting. The parents are also expected to contribute a small share to the expense of its education in accordance with their means. If a special school is not suitable the home conditions of the child are ascertained and the parents are given advice as to the child's education at home. For instance a girl F.M., aged 12 years, was mentally deficient and also deaf. |
f206dc34-2fff-4dad-9e1a-d9167a5757ac | This child was not likely to make great improvement in its education even if sent to a special school, and the parents were unwilling to contribute anything towards the cost. The mother was a dressmaker and said the girl seemed fond of needlework. Under these circumstances the best result was obtained by keeping the child at home to be taught dressmaking by the Mother. In another case an imbecile child, F.B., aged 10, is dumb and seems very delicate. This child is unable to learn school work but can be occupied about the house in dusting, laying the table or helping in the home. During the past year five mentally defective children were submitted for admission to the L.C.C. Schools for Mentally defective children. These children had been kept under 112 observation in the ordinary schools and it was found they were unsuited to remain as they made little or no progress and were distracting the attention of the other scholars. Four of these children were passed by the L.C.C. |
89e5bc60-c8ad-4a14-a385-8dbd33db572f | Authorities and one was rejected as ineducable. This child has now moved into another district. The child suffering from tuberculous disease of the knee joint who has a special couch provided at Rothschild Road School is making good progress both physically and mentally. Several children suffering from slight infantile paralysis or some other physical deformity are in attendance at the ordinary schools. Special arrangements are made to minimise risk of any accident and parents are warned that full responsibility cannot be undertaken by the teachers. Cleft Palate. During medical inspection three cases have been found where children are suffering from the deformity of cleft palate. This is a serious deformity as deglutition is rendered difficult and the speech is much impaired. Through the kindness of Mr. James Berry, F.R.C.S., Senior Surgeon at the Royal Free Hospital, two of the children have been admitted to the Royal Free Hospital and have undergone successful operations. In the third case of a boy, aged 12, arrangements were made for a consultation with Mr. |
a69043f1-5994-48bb-8fc5-0e65c7dac7f7 | Berry, but the parents refused to have anything done, alleging that 10 years previously the boy had contracted chicken pox when in Great Ormond Street Children's Hospital and therefore they disliked hospital treatment. Deaf Children are sent to the Ackmar Road School under the L.C.C. Five children are at present attending this school and are conducted under the care of a guide. Blind Children. Two children attend the Blind School in Edinburgh Road, and one is in a residential School for the blind at Southsea. 113 There are three other cases of progressive myopia in the district where the children will probably need a special school in the near future. Two of the children have been recommended for admission to a special school but there was no vacancy at the time of application. All these children are kept under observation by the School Occulist. Dumb Children. One deaf and dumb child is attending the Ackmar Eoad special school. |
0a9a50c9-06cd-4b50-9f7f-25dad4d32203 | The attention of the Brentford Education Committee has been directed to the case of another dumb child who lives in Brentford and attends Turnham Green Eoman Catholic School. Epileptic Children. No children are in attendance at special Schools on account of epilepsy. In two cases where children formerly had fits they are now in attendance at the ordinary schools, special care being taken to avoid any overwork at school. During medical inspection the parents or teachers often give a history of attacks in children which appear to resemble "petit mal." These cases are noted and the children are kept under medical observation. Physical Exercises. It is the wish of the Board of Education that the Tables given in their model syllabus of Physical Exercises should be closely followed in teaching drill in the Council's Schools. These Tables have been carefully drawn up by medical experts and are arranged on a physiological basis in a definite progression. In following this course no confusion will result from transference of scholars to other schools and uniformity of teaching will be obtained. |
e89c117e-55c7-42c0-8b97-a342a1a8c5a9 | 114 It may be urged that this scheme hampers the individuality of the teacher, but originality may find scope by introducing games and dancing steps into many of the lessons. When these are well taught excellent results are obtained and the physical exercises are thoroughly enjoyed alike by the children and the spectators. Throughout the year we have seen displays given at various schools and have been impressed by the pains taken by the teachers and the evidence of much care and attention necessary to produce these displays. There is a slight tendency to elaborate the dancing steps at the expense of the routine work in physical exercises. In the poorer parts of the district where children are hampered by unsuitable clothing and ill fitting shoes it is difficult to execute the drill smartly but these are the special schools where both the physical effort and also the educational effect of increasing the powers of alertness and concentration of mind and body are of most value. |
9d7fe798-8e58-43ba-ac81-e1e9e5b891e6 | The physique of the school children is a matter of national importance and every effort should be made to conduct the physical exercises so as to secure the best results in physical development in their after life. In one school it has been found possible to arrange the time table so that in taking physical exercises the children are grouped according to age and physical ability and not according to standard. This seems an excellent arrangement as the individual needs of the scholars can be considered. Gardening. At some of the schools where the playground accommodation is sufficient a portion of the playground is set apart to provide small plots which are used as individual gardens. The children take great interest in their work, and their attention can be usefully directed to many points in Nature study. At Acton Wells and East Acton where the situation of the schools is specially fortunate as regards fresh air, these gardens may he used with advantage by the more delicate children as providing a kind of open-air school, and promoting their employment in the fresh air. |
26503c55-e0e3-4268-b59b-77cafdfb8996 | Care is taken in all cases to avoid undue fatigue. 115 In the playground at Acton Wells School a small greenhouse is being erected, the wooden portion of which is mainly composed of disused school desks, the whole providing an inexpensive but quite ornamental structure. For the older boys it is suggested that two plots of land inside the gates leading to the dust destructor might be utilised for gardening purposes. There would be space to occupy two classes each consisting of 14 boys, and practical instruction might be given for two hours a week. At the beginning the course would consist of vegetable gardening, but later on other branches of this work might be included. At Southfield Road Senior School a scheme has just been arranged by which the scholars could obtain various bulbs with a view to holding a school flower show. Lessons were given by the staff on the various ways of growing bulbs, and the bulbs were taken home to be grown by the children. |
5d666e31-dc47-4cab-aa9e-c07f3b9edefa | About 120 children have obtained bulbs and a school flower show is to be held in the spring, when prizes will be given for the most successful results. Examination of Teachers. Three candidates, who desired to become Bursars, were medically examined during 1910. Of these two were passed and one was rejected on account of defective eyesight. 14 teachers have been examined on appointment to schools in this district, all of whom passed the medical examination. A record of each physical examination together with the family history of the candidate is entered on a card, and filed for subsequent reference. This method has been found useful, when, for various reasons, it is necessary to make a second examination. Special Examination of Teachers. Two teachers have been examined as the Committee required special reports concerning their health. 116 SWIM MING. During the season of 1910 34 swimming classes were held weekly during school hours and five out of school hours. Total 39 classes weekly. |
9bb53291-2e41-468a-b7cc-3e499c0b2811 | During the season 189 scholars—112 boys, 77 girls—have earned the swimming certificate awarded by the Committee for children who have learned to swim this year. School. Classes per week. No. of attendances made. No. of Scholars in School who can swim. No. of Scholars who have learnt to swim this season. |
7f3b1a94-5bef-4495-b550-bd2e03d6a801 | Acton Boys 2 938 25 13 Acton Girls 1 243 10 9 Beaumont Park Boys 6 3,551 62 45 Beaumont Park Girls 1 474 16 16 Central Senior 5 2,518 128 48 Central Junior 2 1,032 45 30 Priory Boys 5 2,705 63 42 Priory Girls 2 956 19 13 South Acton Senior Boys 5 2,485 53 47 South Acton Girls 1 844 20 20 Southfield Road Senior 5 2,378 89 60 Roman Catholic 2 759 26 21 Acton Wells 2 976 38 26 Totals 39 19,858 594 390 In conclusion we beg to thank the staff of the Education Department and the teachers for the assistance we have received not only in compiling this report, but also in the work of medical inspection. |
a5fde185-700a-49da-b172-01c94d4955ff | We remain, Your obedient servants, D. J. THOMAS, LILIAN E. WILSON. |
f622949a-7c31-43c9-9eb9-d8a259c55ae3 | Urban District of Acton. ANNUAL REPORT OF THE Medical Officer of Health TOGETHER WITH THE REPORT ON THE Medical Inspection of Schools. FOE THE YEAR - - 1911. - - ACT 19 Urban District of Acton. ANNUAL REPORT OF THE Medical Officer of Health FOR THE YEAR - - 1911. - - 3 By the Order of the Local Government Board, dated December 13th, 1910, Article 19, section 14, it is prescribed that the Medical Officer of Health shall as soon as practicable after the 31st December in each year make an Annual Report to the Council, up to the end of December, on the Sanitary circumstances, the Sanitary Administration and the vital statistics of the District. |
396eb199-3f90-4ccd-9058-11039b457fe4 | In addition to any other matters upon which he may consider it desirable to report, his Annual Report shall contain the information indicated in the following paragraphs, together with such further information as We may from time to time require:— (а) An account of any influences threatening the health of the District, the prevalence of infectious or epidemic disease therein, and the measures taken for their prevention. (b) An account of all general and special enquiries made during the year. (c) An account of the work performed by the Inspector of Nuisances during the year, including the statement supplied in pursuance of Article 20 (16) of this Order. (d) A statement as to the conditions affecting the wholesomeness of the milk produced or sold in the District. (e) A statement as to the conditions affecting the wholesomeness of foods for human consumption, other than milk, produced or sold in the District. |
81f9d661-c6d0-44d2-8464-9a31f15e039a | (f) A statement as to the sufficiency and quality of the water supply of the District and of its several parts, and in areas where the supply is from water works, information as to whether the supply is constant or intermittent. 4 (g) A statement as to the pollution of rivers or streams in the District. (h) A statement as to the character and sufficiency of the arrangements for the drainage, sewerage and sewage disposal in all parts of the District. (i) A statement as to the privy, water-closet and other closet accomodation in the District, including information as to the approximate number of each type of privy and closet. (j) A statement as to the character and efficiency of the arrangements for the removal of house-refuse, and the cleansing of earthclosets, privies, ashpits, and cesspools in the District. |
9701efd9-9395-4461-be5d-5c68530871e2 | (k) A statement with regard to the housing accommodation of the District as required by Article 5 of the Housing (Inspection of District) Regulations, 1910, and an account of any other action taken by the Council under the Housing, Town Planning, &c. Act, 1909, bearing on the public health. (I) A statement as to the vital statistics of the District, including a tabular statement, in such form as We may from time to time direct, of the sickness and mortality within the District. Under Section 132 of the Factory and Workshop Act, 1901, the Medical Officer of Health is also required in his Annual Report to report specifically on the administration of the Act in workshops and workplaces, and to send a copy of his Annual Report, or so much of it as deals with this subject, to the Secretary of State. ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1911. March 7th, 1912. |
db5ceb9e-58ec-49da-8e73-6a972f60fc63 | To the Chairman and Members of the Urban District Council of Acton. Gentlemen, I have the honour to submit to the Council a report on the sanitary conditions of the district; together with the vital and other statistics for the year 1911. Since the issue of the last annual report, the preliminary figures of the last census have been published ; the final figures are not yet obtainable. The population of the district at the Census was 57,523. The population at the middle of the year would be estimated at 58,048, assuming that the intercensal rate of increase has continued. The birth-rate is again lower, and the number of births registered in the district is lower than that in any year since 1904. 6 The death-rate is higher. This increased death-rate is almost entirely accounted for by two causes. In the spring a most extensive epidemic of Measles occurred in the district, and 44 deaths were registered as due to this disease. |
49db0e45-a5b7-41e4-8770-e180d9bd00df | Last summer was one of the hottest on record, and 98 deaths were caused by diarrhceal diseases, Of the 142 deaths caused by Measles and Diarrhoea 80 were of children under 12 months of age. As a result, there is also a higher infantile mortality to record. Whooping-Cough was less prevalent, and there was a decrease in the number of deaths. Scarlet Fever was more prevalent and outbreaks occurred in the spring and the autumn. The outbreak in the spring was probably caused by a contaminated milk supply, and a full report of the outbreak is given. The new pavilion at the Isolation Hospital was opened in October, and we were able to accommodate the increased number of Scarlet Fever cases in a satisfactory manner. The (following is a summary of the vital statistics for the year:— Estimated Population, 58,048 inhabitants. Birth Bate, 25.6 per 1000 inhabitants. |
6f410c68-234d-4e99-8262-db5012f136a4 | Death Rate, 13.3 „ „ Infantile Mortality, 138 per 1,000 births. Phthisis Death-rate, .88 per 1,000 inhabitants. Death-rate from other forms of Tuberculosis—.22 per 1,000 inhabitants. Respiratory death-rate, excluding Phthisis—1.8 per 1,000 inhabitants. 7 POPULATION. Since the last annual report was issued, the preliminary results of the Census enumeration of 1911 have been published. At the Census of 1911, the population of Acton was 57,523. As the population is calculated to the middle of the year, the estimated population at the end of June was 58,048. |
22fed66a-c3bb-4840-9d45-f256213ea9b2 | Although the rate of increase in Acton in the decennium 1901-1911 was almost equal to that of the decenium 1891-1901, from a knowledge of the local conditions, it may be stated that the increase was not uniform throughout the ten years, If the rate of increase which obtained in the decennium 1891-1901 had been maintained, the population at the census of 1911 would have been 60,222. |
d9f4ce1a-bb75-4783-b44a-fd2fb0d1bc5c | If the Registrar General's method of estimating the population is adopted, the estimated population at the end of June in each year would have been as follows: — 1901 38,144 1902 39,785 1903 41,490 1904 43,333 1905 45,124 1906 47,058 1907 49,076 1908 51,180 1909 53,374 1910 55,662 1911 58,048 In former annual reports it was pointed out that in Acton this method would give unreliable results. Soon after the 8 Census of 1901, the mode of transit was revolutionized by the introdaction of electric railways and tramways within the district, and in addition factories giving employment to a large number of persons were erected here. |
3bbb818e-3166-4334-8caf-413d61bf3f01 | As a result, the number of houses erected each year during the period 1901-1905 was considerably in excess of the number errected in any year between 1891 and 1901. Between the end of June 1901 and the end of June 1905, the average number of houses erected yearly was about 440. Since 1905, the rate of increase has appreciably diminished, the number being as follows:— 1906 300 1907 245 1908 210 1909 187 1910 147 1911 106 Having these local conditions in view, I felt justified in discarding the method of estimating the population by the Registrar General and adopting a method based upon the number of houses erected and occupied every year. The latter method proved more accurate and the estimates for 1910 and 1911 were proved by the Census to be almost correct ones. |
a861ee7c-7b81-462f-a912-76ebea3f5532 | The population at the middle of 1910 was estimated to be 57,000 and at the middle of 1911 to be 58,000. Our estimated population in the intercensal years is also far more reliable than the estimate of the Registrar General. His estimates will be based on the assumption that increase in the intercensal period 1901-1911 assumed regular and even proportions, and it is clear from the number of houses erected each year, that this method of estimation is not applicable 9 here. The estimated population to the middle of each year as given in last year's annual report was as follows:— 1901 38,373 1902 41,000 1903 43,802 1904 46,780 1905 50,000 1906 52,000 1907 53,000 1908 55,000 1909 56,000 1910 57,000 BIRTHS. |
74cc1735-4b83-4760-8497-f6f9862e2d4c | Number 1486 Rate per 1,000 inhabitants 25.6 per 1,000 Rate per 1,000 in England and Wales 24.4 „ 1,000 Rate per 1,000 in the 77 great towns 25.6 „ 1,000 Rate per 1,000 in 136 smaller towns 23.4 ,, 1,000 1458 births were registered in the district, 757 males and 701 females. In addition the Registrar General transferred 28 births from other districts to Acton. These births belonged to Acton, but the births had actually occurred outside the district. The infants registered as having been born out of wedlock numbered 43, which number corresponds to a rate of 29 per 1,000 births registered in the district. Although the illegitimate birth-rate is lower than that of England and Wales, it is higher than it has been in Acton for a considerable time. |
cf01285e-b8b0-41fc-9633-f98a27019538 | 10 The births registered in the district were distributed amongst the wards as follows:— North-East. North-West. South-East. South-West. 296 210 371 581 The rates per 1,000 inhabitants were as follows:— North-East, North-West. South-East. South-West. 191 15.5 24.7 40.8 The birth-rate in the South-West Ward is higher than that of 1910, but in the other three wards it is lower. DEATHS. Number 777. Crude. Corrected. |
a1f8b9d0-f17a-4ae3-bfac-f699b1dd8f95 | Death-rate per 1,000 inhabitants 13.3 13.8 Death-rate per 1,000 in England and Wales 14.6 16.6 Death-rate per 1,000 in the 77 large towns 15.5 16.4 Death-rate per 1,000 in 136 smaller towns 13.8 14.4 A comparison of the Local Government Board tables given at the end of this report with those given in last year's report will reveal a considerable difference in the manner in which the tables have been drawn up. More explicit directions have been given as to the deaths belonging to a district. Formerly all deaths of residents occurring in public institutions, whether within or without the districts, were to be included among the deaths of the district, now by "transferrable deaths" are meant deaths of persons who, having a fixed or usual residence in England and Wales, die in a district other than that in which they resided. |
bc945950-1209-49b8-8c86-2043a076e2d1 | The Registrar General supplies the Medical Officer of Health with the particulars of all the transferrable deaths belonging to the district. 11 The following special cases arise as to transferrable deaths:— (1) Persons dying in institutions for the sick or infirm, such as hospitals, lunatic asylums, workhouses, and nursing homes (but not almshouses) must be regarded as residents of the district in which they had a fixed or usual residence at the time of admission. (2) The deaths of infants born and dying within a year of birth in an Institution to which the mother was admitted for her confinement should be referred to the district of fixed or usual residence of the parent. |
60b9f82b-dca2-4b0d-9b35-a404ca38f562 | (3) Deaths from Violence are to be referred (a) to the district of residence under the general rule; (b) if this district is unknown, or the deceased had no fixed abode, to the district where the accident occurred, if known; (c) failing this to the district where death occurred, if known, and (d) failing this, to the district where the body was found. 602 deaths were registered in the district; of this number three were transferred to other districts, by the Register General. 178 deaths of "residents" occurred outside the district. The total number of deaths belonging to the district is 777, which corresponds to a death-rate of 13.3 per 1,000 inhabitants. It has been explained in previous reports that in order to compare the death-rate of one district with that of another it is necessary to make an allowance for the difference in age and sex distributions of the different districts. |
0b7285a4-b2f4-44b6-9daf-88aaf4a34890 | After each census, the Registrar General publishes a table of factors for all the large towns, &c., by applying which to the crude-deathrate, it becomes corrected for age and sex distribution. The 12 table of factors based upon the Census of 1911 has not yet been published. The "factor for correction" for Acton based on the 1901 figures was 1.04240. If the crude death-rate be multiplied by this figure, the corrected death-rate would be 13.8. The death-rate is 2.4 per 1,000 higher than that of 1910 There was an increase in the number of deaths from Scarlet Fever, Measles, Tubercular diseases and Diarrhceal diseases. All these diseases are discussed in separate paragraphs on a later page of the report. The ages at death last year were as follows:— Under 1 year. 1-2. 2-5. 5-15. 15-25. |
8055d7a7-23c8-4472-b873-fc74ae28bd79 | 25-45. 45-65. over 65. 205 67 49 34 28 81 143 170 Compared with 1910 there was an increase in the number of deaths at all age periods except in persons over 65 years of age. The increase in infants under one year was mainly due to diarrhceal diseases, the increase in children between one and five years of age was mainly due to diarrhceal diseases and Measles. The deaths of infants under twelve months are dealt with in a subsequent paragraph. Ward Distribution :— North-East. North-West. South-East. South-West. 147 150 168 312 Based upon the estimated population of each Ward the death-rate per 1,000 was:— North-East. North-West. South-East. South-West. |
1e47e2e3-de9f-4950-9d66-677f274519d1 | 9.5 10.3 11.2 22.2 13 Compared with 1910 there is a higher death rate in all Wards, but the most marked increase occurred in the South West Ward. The diseases which showed an excessive incidence on the South West Ward were:—Measles, 32 deaths out of a total of 44 in the district, Tubercular diseases, 30 out of total of 64, 20 out of 58 deaths, Pneumonia 19 out of 31, BronchoPneumonia 13 out of 22, Diarrhœal diseases 50 out of 98. In former reports it has been shown that as poverty deepens, the death-rate rises at every age group. |
624bea7a-a4a1-4b2b-8261-976a6a8b8c01 | The diseases which respond most clearly to differences of social position are in childhood those in which the fatality depends most intimately on good nourishment and instructed care, and particularly diseases of the digestive and respiratory systems; in later years it is lung disease which responds clearly and unmistakeably to poverty. It is, however, tubercular diseases which show the sharpest reaction and the wildest differences- On table V it will be seen that in children, Measles, Pneumonia, and Diarrhoea were most fatal in the South West Ward. In later years Consumption is the disease which is abnormally fatal in the Ward. Prom a purely sanitary point of view, one of the factors which is most constantly associated with poverty is the inheritance of unwholesome dwellings, the common lodging house and collections of unsavoury refuse. As the result of inspection &c., great improvement has taken place, but there is still much room for advance. |
5c2abac6-86b4-490f-b4f1-f831fbf9fa7d | 14 The addresses outside the district where residents died together with the number of deaths were as follows:— Union Infirmary 103 Middlesex Co. Asylum 7 Great Northern Hospital 1 The Infants Hospital 4 St. Mary's Hospital 2 West London Hospital 34 Kensington Infirmary 1 St. George's Hospital 1 Cancer Hospital 1 The Common, Ealing 3 Kingsgate 1 River Thames, Barnes 1 Inns of Court Hotel 1 Hospital of St. John's & Elizabeth 1 Willesden Workhouse 1 Stoke Road, Gasport 1 Royal Free Hospital 1 The River Thames, Chiswick 1 Belgrave Hospital 1 3 Westbourne Grove 1 Middlesex Hospitial 2 Clevelands House, Broadstairs 1 University College Hospital 1 Leamington Road, Southend 1 4, 5, 6. |
b76904b1-3866-483a-b915-f81d202ce627 | Poland Street, Westminster 1 " Brooke Cottage," Maidens & Combe 1 Childrens Hospital 1 Ringman Avenue, Fulham 1 St. Andrew's Convalescent Home, Folkestone 1 Victoria Street, Westminster 1 15 Of the 178 deaths which occurred outside the district, 168 were deaths in public institutions. In addition 33 deaths occurred in public institutions within the district; so that a total of 201 deaths or nearly 26 per cent of all the deaths occurred in public institutions. The percentage of deaths in public institutions for the last seven years was as follows: — 1905 9 1906 15 1907 22 1908 23 1909 25 1910 23 1911 26 MEASLES. The past year has been characterised by an unusual prevalence of Measles, not only in Acton, but also in many other parts of the country, and especially in the administrative county of London. |
e0eedd19-5730-4631-aae1-0c9cb2ded8c2 | The disease has shown a remarkable capacity to spread; and, judging from the heavy mortality, it appears to have been exceedingly virulent in type. The regular recurrence of Measles in epidemic form has naturally led administrators to consider the question of the control of the disease, but so far no measure has been uniformly successful. In no sanitary district, up to the present, can the disease be said to have been controlled. The occurrence of so serious an epidemic last year in different parts of the country proved that under present social conditions no measures have yet been devised for the effectual control or prevention of measles. The special difficulties in the way of controlling Measles have led some workers to regard the disease as beyond the scope of our present administrative methods and to question the efficacy on 16 a really extensive scale of any method short of the application of a protective inoculation which shall do for Measles what vaccination has done for small-pox. |
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