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d4fa594e-088a-41e0-9c52-7c47a98f59b5 | Number of Centres provided and maintained by the Council Total number of attendances at all centres during the year:— 4 (a) by children under 1 year of age 8;643 (b) by children between 1 and 5 years of age 7,565 56 Average attendance of children per session 49 Number of children who attended for the first time during the year:— (а) under 1 year of age 630 (b) between 1 and 5 years of age 245 Percentage of notified live births represented by number of children who attended a centre for the first time during the year 76.5 Children treated at Dental Clinic 130 Children treated at Ophthalmic Clinic 10 Mothers treated at Ophthamlic Clinic 2 Children operated on for Enlarged Tonsils and Adenoids 1 Children operated on with X-Ray for Ringworm 1 TABLE 9. ANTE-NATAL CLINIC. Number of attendances by Dr. |
8c4f94df-e890-4122-95ae-4d9ac9479708 | Bell 25 Number of Expectant Mothers who attended 230 Number of attendances made by Expectant Mothers 259 Mothers referred for Dental treatment at the Clinic 41 Mothers supplied with Dentures 10 Expectant Mothers to whom Dried Milk was supplied 22 Number of packets of Dried Milk supplied 153 TABLE 10. INQUESTS. Inquests—43 Suicide 10 Run over by Horse Van 1 Accidental Fall 4 Run over by Motor Car 1 Accidental burns 4 Run over by a train 1 Run over by Motor Bus 3 Wall falling on him 1 Run over bv Motor Lorry 3 Fall downstairs 1 Accidental Coal Gas Poisoning 2 Electric burns 1 Septic abortion 1 Fractured Femur 2 Overlaying 1 Fractured Spine whilst diving 1 Cancer of Stomach 1 Heart Disease . |
b749d4b1-dbed-4f19-b5fe-84567224dd03 | 1 Fall from Motor Bus 1 General Atheroma 1 Fall from Motor Van 1 Meningitis 1 57 Coroner's Certificate after Post-Mortem without Inquest—14 Heart Disease 5 Arterio-Scelerosis 1 Nephritis 4 Convulsions 1 Cerebral Abscess 1 Pneumonia 1 Enlarged Thymus 1 FACTORIES, WORKSHOPS AND WORKPLACES. 1.—Inspection of Factories, Workshops and Workplaces including Inspections made by Sanitary Inspectors. Premises. Inspections Written Notices (1) (2) (3) Factories 97 12 (Including Factory Laundries) Workshops 394 9 (Including Workshop Laundries) Workplaces 13 Nil (Other than Outworkers' Premises) Total 504 21 2.—Defects found in Factories, Workshops and Workplaces. Nuisances under the Public Health Acts:— Particulars. |
e6bd716f-8c76-41a1-8bd4-86a5c9c868f3 | Found. Remedied. (1) (2) (3) Want of Cleanliness 35 35 Want of Ventilation Nil Nil Overcrowding Nil Nil Want of drainage of Floors 2 2 Other Nuisances 7 7 Sanitary Accommodation:— Insufficient Nil Nil Unsuitable or defective 32 32 Not separate for sexes Nil Nil Offences under the Factory and Workshop Acts: Illegal Occupation of underground Bakehouses Nil Nil Other offences Nil Nil Total 76 76 3.—Outwork in unwholesome premises, Section 108 Nil. 58 STAFF. D. J. Thomas; m.r.c.s., l.r.c.p., d.p.h., Medical Officer of Health (Medical Superintendent of the Isolation Hospital and School Medical Officer). Nancy G. Howell, m.r.c.s., l.r.c.p., d.p.h., Assistant Medical Officer of Health and School Medical Officer. P. H. Slater, l.d.s., School Dentist. |
a218c957-a0d7-4d11-8a9f-417b6987f0b1 | M. W. Kinch, M.R.San.I., Cert. of Royal Sanitary Institute ; holds Meat and Smoke Certificates ; Chief Sanitary Inspector (Inspector under Diseases of Animals Acts and the Rag Flock Act). J.J.Jenkins, Cert. of Royal Sanitary Institute; holds Meat and Smoke Certificates, Sanitary Inspector (Inspector under Fabrics Misdescription Act). E. W. Brooks. Cert. of Royal Sanitary Institute, Sanitary Inspector. J.J.Matthews, Cert. of Royal Sanitary Institute; holds Meat Certificate, Sanitary Inspector. Miss A. Cooksey, A.R.San.I., Certificate of Royal Sanitary Institute, Health Visitor. Miss J. Welsh, Certificate of Royal Sanitary Institute, C.m.b., Health Visitor. Miss B. G. Sorlie, s.r.n., Certificate of Royal Sanitary Institute, C.m.b., H.V. Diploma, Health Visitor and School Nurse. |
35e60213-e65a-4c45-b345-30df37c561f1 | Miss A. Woosnam, s.r.n., c.m.b., Health Visitor and School Nurse. Miss B. C. Broughton, s.r.n., C.m.b., H.V. Diploma, Health Visitor and School Nurse. W. Goodfellow,* A.R.San.I., Cert. of Royal Sanitary Institute; holds Meat Certificate, Cert. Bacteriology; Chief Clerk. 59 Miss G. Overall* Clerk. Miss V. E. Arnold.* Clerk. Miss D. E. Beacon, Clerk. Miss M. J. Gilfillan,* s.r.n., c.m.b., Matron, Isolation Hospital. Miss F. A. Cavendish, Matron Day Nursery. G. Baker,* Disinfector. A. C. Mepham,* Asst. Disinfector and Mortuary Keeper. |
b0d7aa37-1710-4dc5-aef0-2d75bb09f4c5 | Note.—To the salaries of all the above officials excepting those marked with an asterisk, contribution is made under the Local Government Act, 1929. I wish to express my appreciation and thanks to all the members of the Public Health Department for their excellent cooperation during the year, I am, Your obedient Servant, D. J. THOMAS, Medical Officer of Health. 61 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1933. Municipal Offices, Acton, W.3. To the Chairman and Members of the Education Committee. Ladies and Gentlemen, We beg to submit the following report upon the schools and school children of the Education Authority for the year 1933. As in former years, the subject matter has been arranged as far as possible in tabular form. The Tables at the end of the report are those issued by the Board of Education, 62 PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT WITH ACCOMMODATION. Name of School. |
754869f1-29fa-4103-ba4c-51adfa668b47 | Dept. Accommodation. I Avge. monthly No. on Register Average attendance Acton Wells Senior 320 247 225 Junior 364 387 352 Infants' 364 354 295 Beaumont Park Senior Girls' 450 237 212 Junior Girls' 450 276 243 Infants' 400 256 200 Berrymede Junior Boys' 640 506 448 Junior Girls' 542 501 442 Infants' 450 339 283 Central 480 396 364 Derwentwater Junior 441 463 423 Infants' 350 282 222 John Perryn Senior 360 267 237 Junior 288 345 310 Infants' 336 312 268 Priory Senior Boys' 500 403 362 Senior Girls' 499 407 343 Infants' 400 311 261 Rothschild Junior Boys' 450 264 242 Infants' 400 274 223 Southfield Senior Boys' 415 267 |
09b97492-150a-4a7e-b2fc-fac1f8955437 | 237 Junior 382 378 346 Infants' 350 228 193 Turnham Green R.C. Mixed 327 270 232 Acton Council Special 68 44 37 10026 8014 7000 AVERAGE HEIGHT without shoes and AVERAGE WEIGHT without clothes. Anthropometric committee, 1929. MALES. FEMALES. Age last birthday. Height in ins. Weight in lbs. Height in ins. Weight in lbs. 3 36.9 32.9 36.6 31.5 4 39.2 35.9 38.4 33.7 5 41.4 38.7 41.1 37.5 6 43. 41.3 42.8 40.1 7 45.4 45.4 45.1 44.1 8 47.8 51. |
591c9731-b111-47cf-b764-188f5e87b46f | 47.5 49.4 9 49.2 54.8 48.9 52.6 10 51.3 59.6 51.2 59.8 11 52.7 64.6 52.8 63.9 12 55. 71.6 55.6 73.9 13 56.2 76.5 56.9 79. 14 58. 86.1 58.9 88.2 15 61.8 99.3 62.3 106.8 63 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES. ENTRANTS (BOYS) No. Examined. Years of Age. 3—4 4—5 5—6 6-7 No. Height ins. Weight lbs. No. Height ins. Weight lbs. No. Height ins. Weight lbs. No. |
1ed1ba9d-e8e8-4706-812c-b46d0254aabb | Height No. Weight lbs. Acton Wells Infants' 35 - - - 21 41.2 38.5 32 42.6 40.7 2 46.5 50. Beaumont Park Infants' 59 22 37.6 34.1 9 41.7 41.1 23 42.5 41.1 5 45. 47.1 Berrymede Infants' 85 28 38 34.9 29 40.3 37.7 22 43.5 42.9 7 44.4 46.1 Derwentwater Infants' 64 - - - 25 41.4 38.6 25 43.4 41.8 14 46. |
91a95832-1b6e-4ad2-a785-680b0e82500c | 47.7 John Perryn Infants' 52 - - - 20 41.1 58.1 28 43.9 42.1 4 46.3 48. Priory Infants' 56 - - - 21 40.3 38. 31 42.9 41.6 4 44.4 43.6 Rothschild Infants' 48 10 38.3 36.4 19 40.9 38.9 9 42.4 39. 10 45.5 46.7 Southfield Infants' 57 - - - 22 41.5 38.7 24 42.8 40.7 11 46.6 48.5 Roman Catholic 14 - - - 5 40.8 38.7 3 45. |
7f4b9c64-3916-4774-9e82-8ed1169a636e | 46.3 6 44.6 45.8 491 60 171 197 63 (GIRLS) Acton Wells Infants' 60 - - - 26 41 38.2 25 43. 41.4 9 45.4 48 Beaumont Park Infants' 44 21 37 33.4 3 41.3 41.2 17 43.5 42.1 3 42.6 38.7 Berrymede Infants' 75 22 36.8 33.1 26 40. 37.2 20 42.9 40.3 7 44.3 42.4 Derwentwater Infants' 55 - - - 18 41. |
1561799e-3d4c-4cbc-b436-806d69434c5b | 37.4 32 43.5 42.4 5 46.5 46 John Perryn Infants' 37 - - - 14 40.4 35.4 16 42.6 40.7 7 45.7 45.9 Priory Infants' 64 1 37 32 36 40.3 37.4 21 43.4 42.1 6 46.5 47.6 Rothschild Infants' 57 13 38 33.9 16 39.8 36.2 17 43. 41.9 11 44.4 43.7 Southfield Infants' 47 - - - 11 41.4 37.4 27 43.3 40.7 9 47.5 48.7 Roman Catholic 11 - - - 3 39.4 36.4 3 42. |
58a8aa1a-d191-48b2-bc07-044816a2c682 | 38.8 5 43.5 42 450 57 153 178 62 64 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES INTERMEDIATES (BOYS) No. Examined. Years of Age. 7—8 8—9 9—10 No. Height ins. Weight i lbs. No. Height ins. Weight lbs. No. | Height ins. Weight lbs. Acton Wells Junior 16 8 50.8 58.3 8 49.9 55.9 - - - Acton Wells Infants' 32 20 48.5 51 12 49.4 53.7 - - - Beaumont Park Infts. 6 6 47.3 50.2 - - - - - - Berrymede Jnr. |
1f1546cb-a009-4c8c-8e1c-596206c70072 | Boys' 97 38 49.3 54.3 59 49.6 55.5 - - - Berrymede Infts. 4 4 46.9 47.2 - - - - - - Derwentwater Jnr. 59 26 49.3 53.8 33 50.5 56.8 - - - Derwentwater Infts.' 7 6 48.9 52.5 1 48.8 53.5 - - - John Perryn Jnr. 2 - - - 1 52 63.5 1 53.3 62 John Perryn Infts.' |
beaedef9-3bbe-409a-9ada-244c62a9d2e2 | 45 14 48.6 50.6 31 50.4 58 - - - Priory Infants' 7 7 49.1 52.9 - - - - - - Rothschild Jnr.Boys 54 16 45.8 53.6 38 49.7 56 - - - Rothschild Infants' 1 1 50.8 60 - - - - - - Southfield Junior 41 12 49.5 56.1 29 49.7 58 - - - Southfield Infants' 1 1 48.8 53 - - - - - - Roman Catholic 20 7 48.9 51.3 10 49.4 55.4 3 51.4 59.3 392 166 222 - - 4 - — TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES LEAVERS (BOYS) No. Examined. |
29c0f318-3832-4c86-bc62-6b3d13503e45 | Years of Age. 12—13 13—14 14—15 No. Height ins. Weight lbs. No. | Height ins. Weight lbs. No. Height ins. Weight lbs. Acton Wells Senior 61 58 58.1 79.5 3 60.7 90 - - - Central 50 48 59.4 84.3 1 61 83.5 1 60 84.5 John Perryn Senior 35 34 58.3 76 1 63.8 118 - - - Priory Boys' 169 165 57.5 80.2 4 59.7 110.8 - - - Southfield Snr. |
938dd7ec-80b5-4f64-a3cb-09cc51e3e37c | Boys' 92 88 57.7 82.4 4 59.5 95.3 - - - Roman Catholic 25 22 57.2 78.8 3 58.1 83.5 - - - 432 415 16 1 (GIRLS) Acton Wells Mixed 53 51 59.7 81.9 1 59.3 89 1 61.5 109 Beaum't Pk. Snr. 85 85 57.9 80.9 - - - - - - Central 48 48 59 81.5 - - - - - - John Perryn Snr. |
94d3f1bd-e92f-40f9-995e-57123eb07acb | 57 53 58.9 81.1 4 60.7 89.4 - - - Priory Girls' 123 120 58.4 82.3 3 60.4 89.3 - - - Roman Catholic 15 12 58 78.1 3 60.1 92.6 - - - 381 369 11 1 1 65 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES. INTERMEDIATES (GIRLS) No. Examined. Years of Age. 7—8 8—9 9—10 No. Height ins. Weight lbs. No. Height ins. Weight lbs. No. Height ins. Weight lbs. Acton Wells Junior 13 7 49.1 51.6 6 48.3 51.6 - - - Acton Wells Infts.' |
f783dedb-6ba7-4548-a540-726c591efe2b | 42 21 48.3 53 21 49.3 53 - - - Beaum't P:.Jnr.Girls 44 20 48.8 51.7 23 49.8 55.7 1 51.3 56.5 Beaumont Pk. Infts.' 3 3 48.1 48.4 - - - - - - Berrymede Jnr. Girls' 87 44 48.5 51.7 41 48.4 52.5 2 51.3 57.8 Berrymede Infants' 6 6 48.1 49.4 - - - - - - Derwentwater Jnr. 46 29 49.5 55.3 17 49. 51.2 - - - Derwentwater Infts.' |
bf1d945f-737d-4d3b-90e2-5cdc5297a95d | 9 9 49.2 59.1 - - - - - - John Perryn Junior 2 - - - 1 50. 52.8 1 51.5 59 John Perryn Infts. 41 15 47.7 48.8 26 49.5 53.7 - - - Priory Infants' 5 5 47.9 50.3 - - - - - Rothschild Infants' 7 7 48.3 - - - - - Southfield Junior 40 13 48.0 56.3 27 48.0 52.7 - - - Southfield Infants' 1 1 45.8 46. - - - - - - Roman Catholic 10 9 48.1 51. 6 49.4 53.1 1 57.5 67 302 189 168 5 Tonsils and Adenoids. |
216e3886-7bf5-4076-82e6-64d09759272e | During the year 47 children were operated on under the Authority's scheme for removal of tonsils and adenoids or adenoids alone. In 1932, fifty-eight children were operated on, and in 1931, one hundred and sixty one. Last year we discussed at some length the principles which guided us in our selection of cases for operation and explained our views on the necessity for conserving healthy tonsils and adenoid tissue in children wherever possible. Parents have been so strongly convinced in the past by the lay press that tonsils and adenoids are the cause of all ailments, that a day rarely passes without at least one child being sent to the Clinic with a request for operation. Very often parents do not bother even to accompany the child. 66 In 38 cases the tonsils were removed because they were septic and there were frequent complaints of sore throat. In 3 cases adenoids only were removed because they caused a definite obstruction to nasal breathing. The tonsils in these cases were left because they appeared to be quite healthy. |
6fda188c-b6c4-4040-b25a-c181cc5351a4 | 4 cases were operated on because of middle ear disease associated with infected tonsils and adenoids. The last 2 cases were operated on because the very large size was interfering with swallowing, an unusual condition. We watched these cases for a time in the hope that the condition would subside, but finally we decided that operation was absolutely necessary. Report on the feeding of necessitous School Children. The feeding of children has continued during the year and we submit a general survey of the conditions prevailing. It will be realised that many of these children form part of a floating population at the Centres because meals have to be discontinued when economic conditions in the homes improve, and parents frequently obtain work away from the district, so that the children have to leave our schools. Where the figures given do not refer to a period of a year, due explanation will be given. |
11dfa1a6-1050-4f89-8717-1e3c05cdbd7d | Feeding of malnourished children was commenced early in 1932, and we explained in last year's report that the scheme also provided for the supervision of malnourished children, whether necessitous or not. In considering defective nutrition, we used as a basis the relation between the height and weight of the child, and we singled out for a special examination any child who fell below 7% of the standard weight for height. In every case, before a child was recommended for meals, he was examined at the Clinic in the presence of a parent. We insisted on dental treatment, and discussed other matters, such as the time of going to bed, and various health habits. The children were provided with milk in the morning and a mid-day dinner. In some cases afternoon rest at school was also recommended. 67 The scheme worked well, and broadly speaking we have continued on the same lines this year. |
c5e9da20-1644-4dd7-90e0-2325bc2d1749 | It became apparent however, after much experience in examining the children that the weight for height standard was not an adequate criterion of satisfactory nutrition in all cases and we came to the conclusion that the only rational way of deciding that a child was malnourished, was on our own clinical findings. We now use the height for weight standard more as a measure of progress than as a deciding factor in providing free meals. Having come to this conclusion we had to follow it to a logical end by not discontinuing meals as soon as a child reached the standard weight, unless the child was in a very good general condition. We also kept each child on milk if the meals were stopped because the child had reached a normal weight, and the child was still weighed at monthly intervals. This has been a great advantage, as the figures will show, and no child who has come up to standard has been allowed to fall back. |
73386546-ddbb-4a26-b577-bb27c7d0746f | In many cases we had to abandon all criteria of nutrition and provide meals irrespective of weight, because the home conditions were bad and we obviously could not allow a child to be hungry. The meals are prepared by the children at the ordinary cookery classes. This is of course a great saving in labour and cost, and of great advantage to the children who are thus taught to prepare complete meals instead of single items. Last term, at the Special (M.D.) School, the appearance and condition of a girl of 12 years had so improved, since the last medical inspection, that we commented on it to the mother. It is usual to ask in the course of a mental examination whether the child is useful in the home or not. The mother in this case replied that since the girl had been attending the Cookery Centre she had learned to cook so well,that she insisted on preparing the evening meal. The food which she chose was of course, similar to that provided at the Centre, inexpensive, and of high food value. |
08031311-fbe5-407e-ace8-2de67ded694b | The Domestic Science teacher at the school, on being told of this informed us that the girl in question brought all her clothes to wash on laundry lesson days, and that evidently accounted for the remarkable improvment in her condition. The girl came from a particularly feckless home and until a year ago the home was very constantly visited by the School Nurses. We have been tremendously impressed by the way in which the work has been carried out at one of the Centres, Each morning 68 the Domestic Science-Mistress, who is very keen on dietetics, talks to the children about the food which is to be prepared for the day and about food values generally. She then sends some of the girls out to buy the meat or fish and vegetables, so that they get a complete practical training. This Mistress has been a splendid influence on the children, but unfortunately she has now left us. |
326fec5b-705f-425f-817d-54b67fb2bdbf | Since the beginning of the scheme, and up to December 31st, 1933, 360 children have been kept under observation and supplied either with milk and meals, or milk, or meals only. 292 received milk and meals, 64 milk only, and 4 meals only. On December 31st, 1933, there were 186 children on the list, 127 receiving milk and meals, 2 meals only, and 57 milk only. It will thus be seen 174 that children have been taken off the list. 55 of these have left school, 31 have removed from the district, and 88 have had meals discontinued, either because parents have obtained work or because the children reached the standard weight. All these 88 children were still weighed at monthly intervals. 85 continued to gain weight, 3 who were taken off meals because the parents obtained work, lost weight in the first 3 months. One lost 1¼bs., another 11bs. |
7e003473-72fd-44f0-a140-c00656c6cd1a | 3 ozs., and the third 31bs. 2 ozs. These children however, had all suffered an illness, the first had bad tonsillitis, the second Chicken-pox, and the third glands in the neck. We consider the fact that 85 continued to gain weight a most satisfactory state of affairs. During the year 1933, 54 children received free milk only, 4 received meals only, and 223 received milk and meals. The total number of meals supplied was 19703, the figures at the various Centres being as follows:— Acton Wells 559 Beaumont Park 6056 Central 2456 JohnPerryn 3121 Priory 4969 Southfield 2542 Total 19703 69 The total number of bottles of milk supplied was 26568, these figures being distributed among the schools as follows:— Acton Wells Senior 387 Junior 224 Infants 556 Beaumont Pk. Senr. Girls 791 Junr. |
f1758cc6-450b-41bc-9c44-b9cee8e45bf6 | Girls 1669 Infants 2043 Central 66 Derwentwater Junior 489 Infants 581 John Perryn Senior 1270 Junior 1374 Infants 1356 Priory Boys 1003 Girls 921 Infants 816 Rothschild J unr. 1057 Infants 1605 Berrymede Junr. Boys 2866 Girls 3246 Infants 2765 Southfield Snr. Boys 764 Junior 183 Infants 252 Roman Catholic 284 26568 As mentioned above 186 children were having meals and milk or milk alone, on December 31st, 1933. 182 of these are gaining steadily each month, and 4 who have been fed for 3 months only, have lost slightly. These 4 are delicate children who are not regular in their attendance at school and therefore frequently miss their meals and milk. The losses are slight, ranging from 3 to 9 ozs. spread over the 3 months. |
c23600d4-02c0-467d-83c6-0cb11d2252fb | They are, of course, under constant supervision. The improvement in many of these children has been very evident and for the sake of interest we give below, the amount gained by a few children who were originally very much below weight. The average child has made a monthly gain of about 1 lb., but the following cases stand out. School. Gain in lbs. Length of time fed. Priory 14 6 months. 20 4 „ 9 3 „ 183 5 „ 265 14 „ 108 14 12 12 Acton Wells 19 18 Southfield Senior 10 5 17 5 Berrymede Boys 21 18 20 18 Beaumont Pk. Junior 26 18 70 One child, aged 5 years at Berrymede Infants, was found at medical inspection to weigh 22 lbs. 8 ozs.,, the normal weight for about 1 year. |
84c85db1-3a2f-4270-9342-b64f5de81b58 | The home was bad, and the child was given most unsuitable food. We started the child on milk only, as we were rather afraid of overtaxing a digestion unused to correct food. Four months later, the child weighed 33 lbs. We then commenced daily dinners as well with the result that at the end of a year she weighed 41 lbs. and was capable of taking her place as a normal healthy school child. Three of the children were sent to the Convalescent Home at Bexhill and made very good progress. We also had under our care, 12 children who were undernourished but not necessitous. One of these was in such a bad condition that we sent her to the West Middlesex Hospital for a month before we commenced school meals. In this case the parents paid for her dinners and milk. The parents have co-operated with us, physical defects have been remedied, and healthy habits established. All are now gaining steadily each month. |
dd3bf050-f4bd-4c12-aebc-bc29701b7312 | In some schools, the teaching staff has provided certain children with cod liver oil daily, and in other cases the mothers have paid for it. At the Central School Centre, half of the children were given a ration of a "Vitamin B" product daily in their milk or soup. This was sent to us free, so we decided to use it at this Centre. Actually the children who were given this product over a period of 6 months gained an average of 1.9 lbs. more than those who did not receive it, and their vitality was certainly improved. We did not however, recommend these rather expensive additions because they are apt to have a vogue among parents, who strive to pay for them for a short time and then drop them. When a child improves visibly on a sensible balanced diet which the rest of the family can share, and is given adequate rest, the parents are far more likely to maintain these conditions over a long period, when school meals have been discontinued. |
9eeeb2a1-092f-4c5a-9775-d840d38410a9 | The choice of food for the growing child is not really the very difficult and obscure matter that some food faddists would have us believe, and in feeding these children, we emphasize the importance of providing a simple balanced diet which contains as far as possible all the essential elements. Otorrhoea. In the Annual Report last year, we discussed our views on the common causes of the chronicity of the majority of cases of middle ear disease, and emphasized the importance of treating these cases at the earliest possible moment. 71 We explained that on their first visit the children were seen at any morning minor ailment clinic, so that no time was lost in commencing treatment. Each child over 7 years of age was taught a definite simple routine toilet of the meatus and instructed to do this several times daily at home. General supervision and any other treatment was carried out by the school nurses 3 times a week either at the Clinic or at the school. |
334cde12-3e49-4615-a94f-cda5e6547307 | Any child who was not making satisfactory progress, and also any child who was not well by the 21st day was examined again at the ear clinic and treatment perhaps changed or augmented. We have worked on the same lines this year, and have continued to impress the parents with the importance of fresh air, sunlight, exercise, and suitable food, in the treatment of ear disease. The clinic is now working smoothly and in most cases we have had the co-operation of the parents. 68 cases were referred to us for an ear condition. 9 of these were found to be suffering from conditions other than middle ear disease. 3 were cases of furunculosis of the meatus and they cleared up in a week. In 2 cases enlarged post auricular glands were present and the pain simulated mastoid pain. 4 cases were referred for slight deafness but in all cases the symptoms cleared up after the removal of impacted wax from the meatus. 3 children came up complaining of earache. |
858861ad-acba-4575-a84f-538ae84932f5 | In all cases the drumhead was pink and there was some rise of temperature, but the condition resolved without perforation of the drum. There were 47 cases of middle ear disease. 19 were seen within a day or so of the commencement of the ear discharge, and 10 of these were well within 10 days. The average duration of the discharge in these 19 cases was 16 days. The remaining 28 cases all had discharging ears for varying periods before attending the Clinic for advice. 4 of them had a severe degree of external otitis which was probably responsible for keeping up the middle ear infection. On simple routine treatment they were all well within a month. In 2 children the discharge cleared up after removal of tonsils and adenoids, and all the 28 cases were cured within 3 months. At the end of the school year there were still 5 children attending the clinic for discharging ears. |
e16710cf-dcf5-4a84-a003-b6b1368072d4 | 2 of these were postmeasles cases and one of them was referred to hospital where a mastoid operation was performed on both sides. A secondary 72 paracentesis would probably cure the condition in the other child, but the parents refuse to take the child to hospital. The other 3 are young children from very bad homes and the disease is probably kept up by external otitis, chiefly due to neglect. They are under constant supervision by the school nurses. These results seem to us very encouraging and it is evident that by intensive treatment, intelligently carried out in the early days of the disease, chronic ear discharge can be practically banished. Unfortunately 4 cases stand over from last year, but in all instances the children come from particularly feckless homes and all had ear discharge for over a year before they first attended the clinic. We have succeeded in getting one of them into hospital recently for a long period and another, a girl of thirteen has also commenced hospital treatment. |
95fef304-5ebd-4cca-96f0-155b9cf735c5 | The other 2 cases have a large perforation in the drumhead and might respond to ionisation but at present the parents refuse treatment. We are very grateful to the teaching staff who have given us every support in our efforts to prevent chronic ear disease, with its crippling sequelae of deafness and maybe tragic termination in intra cranial disease, and to the school nurses for their constant hard work in treating and following up these cases. RETURN OF EXCEPTIONAL CHILDREN. Table 3 gives a return of all the exceptional children in the district. Multiple Defects. One girl who suffers from slight epilepsy and birth palsy attends an elementary school. A second girl who is blind and mentally defective was discharged from the Swiss Cottage Blind School and is now at home. One boy who is mentally deficient and suffers from a deformity of the spine and chest attends the Acton Special School, and the fourth case is a boy who is mentally deficient and is also suffering from multiple tuberculosis of bones. |
6f8cbc7d-d918-4a53-ba1a-addc53ad6b27 | He is resident at the Stanmore Branch of the Royal National Orthopaedic Hospital. Blind Children. One boy attends Asylum Rd. Blind School. Two boys attend the Kingwood Rd. School for the partially blind, a boy and a girl are at public elementary schools, and the last case, a boy who was withdrawn by his parents from the Kingwood Rd. School, now attends a local private school. 73 Deaf Children. Two boys and two girls attend the Ackmar Road Special School. Epileptic Children. A boy and a girl who have both been withdrawn by their parents from institutions are being taught at home, and a third young child is at present excluded from school. Pulmonary Tuberculosis. Two girls and a boy are at Harefield Sanatorium. Non Pulmonary Tuberculosis. Three boys and a girl are at the Royal Sea Bathing Home, Margate. |
474d69ee-62a4-4a74-a5f2-f08ca1361e39 | Two boys and a girl are at the Treloar Home, Alton, and another girl is at Chase Farm Hospital. Crippled Children. One girl is at St. Mary's Home, Dover. A boy and a girl are at Faroe Road Special School. A boy and a girl who attend hospitals for a severe degree of crippling are at home. Two boys and three girls attend public elementary schools. Heart Disease. A boy and girl are at Heart Homes, and one boy attends the Brook Green School for Physically Defective Children. One boy is in the West Middlesex Hospital, another boy who was withdrawn by his mother from a special institution is now attending an elementary school, and three girls who have suffered from Chorea are at home and attend the outpatient departments of certain hospitals. REPORT OF SCHOOL OCULIST. The work of the School Ophthalmic Clinic was carried on regularly throughout the year 1933. |
bbc8584b-ccb7-47e9-aa18-d38fef2144e3 | At the school medical examinations and at the daily Minor Ailment Clinic 438 children were found to be suffering from defects of vision or other troubles connected with the eyes, and these were referred to the Ophthalmic Clinic. Of this number 29 were found to require no special attention, and 02 refused treatment or left the district. 74 Private treatment was obtained in 9 cases. 322 Children were examined and glasses prescribed and fitted. 7 Cases of external eye disease received continuous treatment at the Clinic. From the Infant Welfare Clinic, two mothers were supplied with glasses and seventeen babies were seen frequently, thirteen of these being fitted with spectacles. G. BANHAM. REPORT OF SCHOOL DENTAL SURGEON, 1933. The chief aspect of the report for 1933 is that a still greatly increasing proportion of conservative work is being done. |
93c154c8-6710-41b8-88d0-a5d1e2b4506f | Unfortunately this means that more of our working time has to be allocated to filling sessions than to anaesthetic sessions and perhaps this has been the reason why we were unable to inspect all the schools this year, one being left until January, 1934. Our waiting list for fillings is very long with the result that by the time treatment is commenced, many teeth that might otherwise be saved, are found to be unsavable. It is earnestly hoped that the Committee will be able to provide me with some part time assistance. 1960 permanent fillings were done in 1933 compared with 1703 in the previous year, and 76 temporary fillings compared with 59. Permanent extractions were 721 against 770 in 1932 and 3993 temporary extractions compared with 4018. There is an increase of 200 in the number of attendances. |
b1262c00-e18f-4aa7-895b-6fb7d0f3c3c2 | The following are the figures for the Infant Welfare work:— Number of Mothers examined 21 Number of Mothers referred for treatment 21 Number of Mothers treated 41 Number of Children examined 85 Number of Children referred for treatment 79 Number of Children treated 130 Number of temporary fillings 44 Number of temporary extractions 351 Number of permanent fillings 14 Number of permanent extractions 277 Number of permanent dressings 18 75 Number of temporary dressings 33 Number of general anaesthetics given 170 Number of dentures supplied 10 Number of attendances made 260 The usual talks to mothers have been given during the holidays. My sincere thanks are due to the Head Teachers for their co-operation and to the Clinic Staff for their indispensable help. P. H. SLATER, School Dental Surgeon. UN CLEANLINESS TABLE. Sch. Date. No. exam. Very few nits A. Few nits. B. Many nits. C. Vermin D. Total Percentage Unclean. |
de0cac89-1875-48c5-a899-d22529693c8f | % % % % % 1. July 95 1.05 1.05 - - 2.1 September 135 - - - .74 .74 2. July 98 2.04 3.06 - - 5.1 September 122 - 1.6 - - 1.6 3. July 162 1.2 .61 - - 1.85 September 177 .56 - - .56 1.12 4. July 148 .67 - - .67 1.35 September 188 - 2.65 - 2.12 4.7 5. July 324 .61 .61 - .3 1.5 September 271 .36 .74 - .74 1.8 6. July 222 - 4.5 3.1 - 7.6 September 200 2. 8.5 4. 1.5 15.5 7. |
e921e120-dd82-4ee5-a494-479874bd255e | July 238 3.7 9.2 2.1 - 15.1 September 248 .8 7.6 .4 3.6 12.5 8. July 232 3.01 2.5 1.7 - 7.3 September 208 1.4 8.6 3.3 .48 13.9 9. July 377 2.6 .53 - .53 3.7 September 320 4.6 .93 - .93 6.5 10. July 456 9.8 1.7 - 1.5 13.1 September 430 12.5 2.3 - .23 15.1 11. July 318 6.8 2.2 - .94 9.7 September 283 9.5 1.7 — 1.4 12.7 76 Sch. Date. No. exam. |
0a1c94b2-407b-4023-bf9a-8ca7737a7eaf | Very few nits. A. Few nits. B. Many nits. C. Vermin. D. Total Percentage Unclean. 12. July 126 - - - - - September 179 - - - - - 13. July 132 3. .75 1.5 .75 6. September 178 - 3.9 .56 - 4.4 14. July 227 - - - - - September 210 - 1.4 - - 1.4 15. July 204 - 3.9 3.9 - 7.8 September 193 - 6.2 1.5 - 7.7 16. July 278 - 4.3 .35 .71 5.3 September 200 .5 2. 1. .5 4. 17. |
749a27ad-9d1d-44a7-8146-2a65d6ed5c99 | July 103 1.9 - - - 1.9 September 127 .78 - - - .78 18. July 118 3.3 .8 - - 4.2 September 153 2.6 - - - 2.6 19. July 173 .58 - - - .58 September 163 2.4 - - - 2.4 20. July 140 5.7 .7 - - 6.4 September 150 2.6 .6 - - 3.3 21. July 290 3.4 - - - 3.4 September 245 4.1 - - - 4.1 22. July 371 2.6 .53 - .26 3.5 September 409 1.7 - - - 1.7 23. July 311 6.1 1.2 - 1.6 9. |
4a11e90e-f4d5-4f00-9e0d-aed72089660a | September 442 6.5 2.2 - 1.3 10.1 24. July 277 6.1 1.4 - 1.08 8.6 September 229 4.8 2.1 - .87 7.4 25. July 260 2.6 1.5 - 3. 7.3 September 226 1.7 .88 - 1.7 4.5 26. July 225 3.5 8.8 - 3.5 16. September 186 4.8 8.6 - 2.6 16.1 27. July 222 .9 1.3 - .45 2.7 September 190 - .52 - .52 1.05 28. July 177 .56 - - - .56 September 161 - 1.2 — — 1.2 29. |
60cad06a-9c35-4e51-918c-220a1444379e | July 192 .52 .52 - 1.5 2.6 September 164 1.8 .6 — - 2.4 77 Sch. Date. No. exam. Very few nits. A. Few nits. B. Many nits. C. Vermin C. Total Percentage Unclean. 30. July 186 - .53 - - .53 September 173 1.7 1.1 - .57 3.4 31. July 105 .95 - - - .95 September 109 3.6 - - - 3.6 32. July 127 - 6.2 9.4 .78 16.5 September 122 - 13.9 8.1 1.4 24.5 33. July 44 9. - - - 9. |
0a15c123-ff41-4a2e-84a0-793f16160d4c | September 44 11.3 - - 4.5 15.9 INFECTIOUS DISEASE. Diphtheria. In the report for 1932 it was explained that we were in the middle of an epidemic of a particularly virulent character and the steps taken to combat the disease were discussed. Briefly, our procedure was as follows:— All children in the Infants' and Junior Departments were given a short printed letter to take home to the parents. The letter explained that the Health Authorities were concerned about the incidence of diphtheria in the schools, that by a simple test, the Schick test, we could tell whether the child was liable to the infection, and that we were able to prevent the disease, or at least, minimise the severity of infection by three injections, which would be painless. A consent form was attached to the letter. The work was begun at the Southfield Road School on 17th October, 1932, and the response here was most encouraging. |
f0bad5bb-ffda-460b-968d-1ee0a7ed4791 | In the Junior Department, 68.8% of the children were presented for Schick Testing and in the Infants' Department 61.8%. After our experience at Southfield Road School we decided to immunize all children under 7 years without a preliminary Schick test while the posterior Schick test was done on children of all ages. We have had no elaborate organisation and this indeed is unnecessary and likely only to hamper the work. Our practice has been to arrive at a school, accompanied by a clerk and a nurse. The clerk, gives a card, bearing the name, to each child for whom a consent form has been returned. The children then file past the nurse, who rubs the arm with spirit, and then past the doctor who 78 does the inoculation and finally, their cards are collected as they leave the medical inspection room. |
f360ad3e-fd56-4b91-973f-790d281d1286 | There is very little commotion and we seldom have any crying even in the Infants' schools with the result that in the early days, we often got as many as 300 children done in 1½ hours, having disturbed the ordinary school routine very little. We decided at the same time to make a concentrated attack on the child of pre-school age and for this purpose a Clinic was started on Saturday mornings. The Health Visitors distributed circulars to the mothers at the Welfares and also encouraged them to bring older children as well. So successful was this enterprise that it was resolved to establish an immunizing clinic at each of the 7 Welfare Centres in the Borough for the convenience of mothers who could not bring their children along to the Saturday morning clinic. It was very easy to take the materials along with us to the various centres and the fact that the mothers could see us at the work stimulated many who had previously refused immunization, to give their consent. We adopted the method of injecting 1 cc. |
136b8da9-7f9f-4a26-beca-e5a14627e305 | of Toxoid Antitoxin Mixture (B. & W. T.A.M.) intramuscularly into the left deltoid, an interval of three weeks being left between the 1st and 2nd injections and 4 weeks between the 2nd and 3rd. The epidemic of Diphtheria, as we have mentioned above commenced in October, 1932, and continued into 1933. Any report dealing with 1933 only, will fail to show the progress of the epidemic and the effect of our work in its true perspective. We propose therefore, to make this a comprehensive account and to include the period from October 1932 to December 1933. That the opportunity for establishing immunization was seized at the right moment will be evident from the figures which follow and it seems probable that the epidemic was stayed by our efforts. |
316aefdc-da2b-4080-a1e5-27c5de22b65c | Starting in October, we gradually worked through the schools and by the end of the Christmas term we were already well on with the work in five schools, namely: Southfield Road School the County School, Derwentwater, John Perryn and Rothschild School. We chose these schools because they were in the districts where the disease was most prevalent. After Christmas, we commenced the work in the following schools: Beaumont Park, Roman Catholic, Berrymede, Priory, and Acton Wells. At the beginning of June, we had visited each school three times and the bulk of the work was finished. We were now ready to commence re-schick testing in the schools where we had started, as six months had now 79 elapsed and we expected immunity to have developed. Before Christmas, 1933, we had done the round of the schools once more and the work of re-schicking was completed. |
9151a086-f132-4fab-a4ed-f07221909741 | While the work was proceeding, we were careful to prevent as far as possible the addition of non-immune entrants and thus lowering the herd immunity in the Infants' Departments. At the beginning of each term a list of non-immunized entrants was sent to the Head Teachers who gave great help in obtaining consents. If there are a large number, we find that it saves time to visit the schools, two or three schools being done in one afternoon. If there are only a few, they are done either at a Saturday morning Clinic or at a morning Minor Ailment Clinic. Actually the work has resolved itself into:— (1) Immunisation of entrants in the Infants Schools each term. (2), A continuation of re-schick testing of children, six months after the final inoculation. (3) Circularisation of parents when any child attains the age of six months as seen from the register of notification of births. |
4256b964-0158-4479-92ae-820112c1562b | (4) The work at the various Welfare Centres, where we can usually gather a few more cases. The scheme is working smoothly and fits in quite easily with the ordinary school and welfare work, thanks to the excellent methods of the clerical staff attached to the School Medical Service. The table given below shows the work done at the various schools and Welfare Centres. Inoculation—October 1932 to December 1933. School Schick Tested. Positive re-actors. Number of attendances for 1st dose. 2nd. 3rd. Acton Wells 3 1 1 1 1 Acton Wells Junior 123 71 69 68 62 Acton Wells Infants' 2 2 139 105 95 Beaumont Pk. Snr.Gls. 16 10 11 10 10 Beaumont Pk. Jnr. Gls. 128 55 57 58 55 Beaumont Pk. |
d602808a-7c15-49e2-b79a-43f30513fffd | Infts. 3 1 164 156 153 Berrymede Jnr. Boys 207 93 96 92 91 Berrymede Jnr. Gls' 203 97 93 89 86 Berrymede Infants' 1 1 127 115 116 Central 11 8 9 8 8 Derwentwater Jnr. |
30f40703-8fa4-40af-bc0a-899e3a413105 | 285 156 165 158 155 Derwentwater Infts' 2 — 200 195 189 80 John Perryn Senior 2 2 3 3 3 John Perryn Junior 171 96 93 91 89 John Perryn Infants' 4 2 208 196 183 Priory Boys' 4 2 2 1 1 Priory Girls' 5 3 4 3 3 Priory Infants' 4 4 168 134 116 Rothschild Junior 151 71 72 65 62 Rothschild Infants' 34 24 105 96 91 Southfield Snr. |
f84a06aa-e00b-4ecf-8fec-453461c54365 | Boys' 140 64 64 64 61 Southfield Junior 300 234 225 224 214 Southfield Infants' 122 104 144 122 113 Roman Catholic 85 31 79 47 46 Acton County 269 151 138 136 134 Other Schools 30 25 20 18 13 Welfare Children 3 — 407 350 298 Scarlet Fever Patients in Isolation Hospital — — 314 302 275 Total 2308 1308 3177 2907 2723 The percentage of children immunized at the various schools during the first course of visits, are set out in the following table:— Southfield Junior 63.8% Southfield Infants 51.8% John Perryn Junior 43.9% John Perryn Infants 59.2% Beaumont Pk. Junior 38.4% Beaumont Pk. |
bfa3fa36-989e-41ae-833a-c0d9eedabd2e | Infants 26.4% Berrymede Infants 33.4% Berrymede Junior Boys 32.9% Berrymede Junior Girls 32.5% Derwentwater Junior 47.8% Derwentwater Infants 49.6% In all the schools more children were added to our list at each visit and by the Summer term, the percentage at Derwentwater Infants had risen to 69.5 at the John Perryn Infants, to 66.6 and at Beaumont Park Infants to 64.7. The number of children re-schicked after inoculation was 1598 and of these 1591 were negative.,7 were still positive and were given another immunizing dose. |
f135b2e4-ceeb-4466-af92-fdc55771c91f | The distribution of Diphtheria cases in the various schools is given below and comparing it with the previous table it will be seen that the response to immunization was best, in most instances, in those schools with the largest number of cases, 81 Acton Wells 1 Priory 12 Beaumont Park 29 Rothschild 12 Berrymede 6 Southfield 6 Central 1 Roman Catholic 6 Derwentwater 13 John Perryn 3 Total 89 What the results of our work are in terms of actual protection it is too early to say. The number of protected persons is still relatively small and we cannot expect to find any great drop yet in the incidence of diphtheria as a whole. Scarlet Fever. |
8b019e5d-b157-47ac-b60d-e1aa6ca52e40 | There were 277 cases of Scarlet Fever in the school population, this figure being distributed as follows:— Acton Wells 4 Priory 55 Beaumont Park 34 Rothschild 15 Berrymede 47 Southfield 29 Central 12 Roman Catholic 8 Derwentwater 59 John Perryn 14 Total 277 328 Scarlet Fever patients and 665 Contacts were seen at the Office before their return to school, and 80 Diphtheria patients and 230 contacts were also examined. EMPLOYMENT OF CHILDREN. The following Tables give the number of children employed in the various registered occupations. ,, 82 TABLE SHOWING THE NUMBER OF CHILDREN ATTENDING ACTON SCHOOLS EMPLOYED IN THE VARIOUS REGISTERED OCCUPATIONS ON 31st DECEMBER. 1933. SCHOOL. Delivering goods or parcels. Delivering Newspapers. Delivering milk. Totals. Boys. Girls. Boys. Girls. Boys. |
e45ea0d9-e250-46e8-85dc-3cebe7c616a7 | Girls. Boys. Girls. Acton Wells 2 — 15 — 5 — 22 — John Perryn 1 — 1 — 1 — 3 — Central 5 — 12 — 1 — 18 — Acton County 2 — 4 . — 2 — 8 Roman Catholic 2 — 2 — 1 — 5 ~~~ Southfield 16 — 12 - 3 — 31 - Beaumont Park — — — 1 — — — 1 Priory 47 — 23 — 9 — 79 Totals 75 - 69 1 22 — 166 1 83 TABLE SHOWING THE NUMBER OF CHILDREN EMPLOYED OUTSIDE SCHOOL HOURS AS ON 31st DECEMBER, 1933. SCHOOL. Registered Occupations. Totals. Acton. In other Districts. Ages. Ages. |
c8e64452-8f5b-4fc3-9917-4d4b71ea0eb3 | 12—14 12—13 13—14 12—13 13—14 Acton Wells 9 13 — - 22 John Perryn 3 — — 3 Central 2 6 — - 8 County 1 4 — — 5 Turnham Green R.C. 4 27 — 31 Southfield - 1 — 1 Beaumont Park 20 59 — - 79 Priory - ~ - — — Totals 39 128 — 167 84 TABLE SHOWING THE DISTRIBUTION OF ALL CHILDREN EMPLOYED DURING THE PERIOD 1st JANUARY; 1933 to 31st DECEMBER; 1933. SCHOOL. BOYS. GIRLS. Acton Wells John Perryn Central County Southfield Roman Catholic Priory Others Totals Beaumont Park Totals 1. |
1e3edd9c-980d-4d08-a77f-b74b955f1546 | Registered Occupations:— (a) Carrying or Delivering goods or parcels 4 3 12 5 29 2 73 5 133 - - (b) Delivering Newspapers 25 3 21 9 30 4 52 6 150 1 1 (c) Delivering Milk 9 2 6 6 4 1 20 6 54 - — 2. |
19d65576-bba1-4e70-a579-f66056deaeee | Employed in other Areas:— (a) Carrying or delivering goods or parcels - - - - - - - - - - - (b) Delivering Newspapers - - - - - - - - - - — (c) Delivering Milk - - - — - - — - — - - Totals 38 8 39 20 63 7 145 17 337 1 1 Corresponding Figures for 1932 25 11 51 20 71 6 121 19 324 1 1 85 REPORT ON SWIMMING INSTRUCTION IN THE SCHOOLS, SEASON 1933. The swimming season opened on the 1st May, 1933, and, as in the previous year, provision was made for 52 classes per week, 31 for boys and 21 for girls. Of these, 48 classes were held in school hours, whilst one class for boys and three classes for girls were held in periods immediately before or after normal school periods. |
92586e45-7943-4428-915c-61758de56512 | All the instruction was given by the teaching staff of the schools concerned. The incidence of promotion in the schools necessitated some slight re-adjustment of the time-table in the period between the re-opening of the schools at the end of August and the end of the season on the 30th September. As in previous years, one small class of boys is continuing to attend the Baths during the winter months for instruction and practice in life-saving, and this year a small class of girls has been similarly arranged. The Acton Education Committee continues to award certificates to boys and girls who can swim 25 yards down the length of the baths without interruption, pause, or rest, and Acton scholars also compete for the certificates of the London Schools Swimming Association and the Royal Life Saving Association, as under:— Swimming. 1st Class, 100 yards (condition as for Acton certificates). 2nd Class 50 yards (conditions as for Acton certificates). Life-Saving. Elementary and Advanced. |
33388472-cbf9-4a2a-a4d3-09883da188b8 | There are in the schools at the present time 1126 scholars (626 boys and 500 girls) who can swim (as against 962 at the end of last season) and 522 boys and 326 girls in the schools learned to swim during the 1933 season (as against 500 in 1932). The following is a statistical return relating to the season's work:— , Year. Boys Girls. Total No. of classes per week allocated 1933 31 21 52 1932 31 21 52 86 Total No. of attendances made 1933 13682 8631 22313 1932 11636 6395 18031 Certificates gained. 1933 1932. Boys. Girls. Total. Boys. Girls. Total. Acton Education,,, Committee 349 247 596 174 159 333 L.S.S.A. |
09055363-109b-4c7b-a873-c25e09474b2e | 1st Class 240 153 393 95 96 191 2nd Class 301 206 507 147 123 270 Life Saving Elem. 33 82 115 5 8 13 Advd. 25 63 88 9 9 18 VISITS PAID BY SCHOOL NURSES. The following Table gives the list of home visits paid by the Nurses during the year. The visits have been divided into school distribution. Acton Wells 84 Priory 226 Beaumont Park 243 Rothschild 262 Berrymede 278 Southfield 109 Central 7 Roman Catholic 17 Derwentwater 176 Special School 11 John Perryn 58 Total 1471 EXAMINATIONS OF TEACHERS AND OFFICE STAFF. 5 Candidates were examined during the year. , CONVALESCENT HOMES AND COUNTRY HOLIDAYS. Free places granted—a fortnight each 2 girls. 2 boys. |
ff11e59c-b61e-4a80-a848-da90ffb5d830 | By subscription—one week 13 boys., ,, „ a fortnight 6 girls. 4 boys. 87 By the kindness of the Rotary Club 2 girls and 2 boys in this total were afforded a fortnight's holiday each. Thus 27 children in all enjoyed a holiday at the Hostel at Bexhill during the summer season 1933. In addition, two girls and one boy, all three children in a very poor general condition were sent by the Education Committee to the Bexhill Hostel during the winter, the girls for periods of 6 weeks and the boy for a period of 3 months. All the children put on considerable weight and improved very much in general health . MOTHERCRAFT CLASSES. The following table shows the number of classes sent from each school to the Day Nursery. „ Acton Wells 6 John Perryn 5 Beaumont Park 3 Priory 6 Central 3 Roman Catholic 2 25 RETURN OF MEDICAL INSPECTIONS. |
5165549b-a456-4226-9b2f-726ee5fe88f0 | TABLE I. A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:— Entrants 941 Second Age Group 754 Third Ago Group 813 Total 2508 Number of other Routine Inspections — B.—Other Inspections. Number of Special Inspections 2253 N umber of Re-Inspections 1378 Total 3031 98 TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December, 1933. Defect or Disease. Routine. Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. (1) (2) (3) (4) (5) Malnutrition 12 17 169 1 Skin:— Ringworm: Scalp — - 12 — Body — - |
82a6a3e4-d1e3-42cc-9c84-cb9141e08bbd | 46 — Scabies — - 19 — Impetigo 5 - 144 — Other Diseases (Non-Tuberculous) 11 1 43 — Eye: Blepharitis 10 - 119 — Conjunctivitis 2 - 17 — Keratit is — - — — Corneal Opacities — - 3 — Defective Vision (excluding Squint) 127 - 131 1 Squint 7 - 11 — Other Conditions 1 - 38 — Ear: Defective Hearing 2 6 - 1 Otitis Media 9 — 30 - Other Ear Diseases 1 — 77 - Nose and Throat: Chronic Tonsillitis only 2 — 5 - Adenoids only — — 1 — Chronic Tonsillitis and Adenoid 12 4 28 1 Other Conditions 1 5 — 210 Enlarged Cervical Glands (NonTuberculous) - 27 - 3 Defective Speech - 4 |
8c2f5ad3-ef05-4aed-9c69-96457a02691a | 29 42 89 Defect or Disease. Routine Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment Requiring te be kept under observation, but not requiring Treatment Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment. |
b57c4626-928d-4dfe-9668-011eb78a2b4f | (1) (2) (3) (4) (5) Heart and Circulation: Heart Disease: Organic — 1 3 — Functional — 12 — 1 Anaemia — 9 — — Lungs: Bronchitis — 2 — — Other Non-Tuberculous Diseases — 6 — — Tuberculosis: Pulmonary: Definite — — 1 — Suspected — — — — Non-Pulmonary: Glands — — — — Bones and Joints — — 2 — Skin — — — — Other Forms — — — — Nervous System: Epilepsy — 2 — — Chorea — — — Other Conditions — — — — Deformities: - Rickets — 4 — 2 Spinal Curvature — 2 ( — — Other Forms — 8 — — Other Defects and Diseases (excluding Uncleanliness and Dental Diseases) 1 38 1091 4 90 B. |
6dc3d23e-33e0-4608-868b-5f596c84fc0f | Number of Individual Children found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and Dental Diseases). Group Number of Children Percentage of Children found to require Treatment Inspected Found to require Treatment. (1) (2) (3) (4) Prescribed Groups:— Entrants 941 39 4.1% Second Age Group 754 55 7.2% Third Age Group 813 81 9.9 % Total(Prescribed Groups) 2508 175 6.9% Other Routine Inspections — — — TABLE III. Return of all Exceptional Children in the Area. CHILDREN SUFFERING FROM MULTIPLE DEFECTS Total 4. BLIND CHILDREN. At Certified Schools for the Blind. At Public Elementary Schools. At Other Institutions. At no School or Institution. Total. 1 — — — I PARTIALLY BLIND CHILDREN. At Certifed Schools for the Blind. At Certified Schools for the partially Blind. |
86fc27cc-3984-4caa-9089-87a0899e012b | At Public Elementary Schools. At other Institutions. At no School or Institution. Total. - 2 2 1 - 5 91 DEAF CHILDREN. At Certified Schools for the Deaf. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. 4 — — — 4 PARTIALLY DEAF CHILDREN. At Certified Schools for the Deaf. At Certified Schools for the Partially Deaf. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. — MENTALLY DEFECTIVE CHILDREN. Feeble-Minded Children. At Certified Schools for Mentally Defective Children. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. 44 — — — 44 EPILEPTIC CHILDREN. Children suffering from severe Epilepsy. At Certified Special Schools. At Public Elementary Schools. At other Institutions. |
0e366819-73c4-4607-aa45-bd257f2a10b4 | At no School or Institution. Total. — — — 3 3 92 PHYSICALLY DEFECTIVE CHILDREN. A. TUBERCULOUS CHILDREN. 1.—CHILDREN SUFFERING FROM PULMONARY TUBERCULOSIS, (Including pleura and intra thoracic glands At Certified Special Schools. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. — — 3 — 3 II. CHILDREN SUFFERING FROM NON-PULMONARY TUBERCULOSIS. At Certified Special Schools. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. — — 8 — 8 B. DELICATE CHILDREN. (ie) Whose general health renders it desirable that they should be specially selected for admission to an Open Air School. At Certified Special Schools. At Public Elementary Schools. At other Institutions. At no School or Institution. |
5f67bcca-b239-4a30-b1a9-39de630a9d96 | Total. — — - — — 93 C. CRIPPLED CHILDREN. (ie) (Other than those diagnosed as tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling sufficiently severe to interfere materially with a child's normal mode of life. At At Certified Public Special Elementary Schools. Schools. At other Institutions. At no School or Institution. Total. 2 5 1 2 10 D. CHILDREN WITH HEART DISEASE. (ie) Children whose defect is so severe as to necessitate the provision of educational facilities other than those of the Public Elementary School. At Certified Special Schools. At Public Elementary Schools. At other Institutions. At no School or Institution. Total. 3 1 1 3 8 table iv. Return of Defects treated during the Year ended 31st December, 1933. Treatment Table. Disease or Defect. |
e28d1b67-6822-4737-bd5b-1f3548158fe6 | Number of Defects treated, or under treatment during the year. Under the Authority's Otherwise Total. (1) (2) (3) (4) Skin: Ringworm-Scalp 9(9) 3 12 Ringworm-Body 40 Scabies Impetigo 144 144 Other skin disease 43 415 Minor Eye Defects: (External and other, but excluding eases falling in Group II.) 128 128 Minor Ear Defects 168 6 174 miscellaneous (e.g., minor injuries, bruises, °sores, chilblains, &c.) 1091 - 1091 Total 1648 9 1657 Note:-Figure in brackets denotes number treated by X Ray. 94 Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I.) Defect or Disease. No. of Defects dealt with. |
5cb187d6-f7bd-42d9-a62e-cc5966b6bfd7 | Under the Authority's Scheme Submitted to refraction by private practitioner or at hospital, apart from the Authority's Scheme Otherwise Total. (1) (2) (3) (4) (5) Errors of Refraction (including Squint) 422 9 — 431 Other Defect or Disease of the Eyes (excluding those recorded in Group I.) 7 - - 7 Total 429 9 — 438 Total number of children for whom spectacles were prescribed— (а) Under the Authority's Scheme 322 (b) Otherwise 9 Total number of children who obtained or received spectacles— (а) Under the Authority's Scheme 322 (b) Otherwise 9 Group III.—Treatment of Defects of Nose and Throat. Number of Defects. Received Operative Treatment. |
89172c38-9f38-4030-8585-a9840b4f7f65 | Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Total Received other forms of Treatment Total number treated (11 (2) (3) (4) (5) 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4. 24 3 20 - 4 24 3 24 - - 51 (1)—Tonsils only. (2)—Adenoids only. (3)—Tonsils and Adenoids, (4)—Other defects of the Nose and Throat, 95 Group IV.—Orthopaedic and Postural Defects. (1) (2) Total No. Treated. Under the Authority's Scheme. Otherwise. Residential Treatment with Education. Residential Treatment without Education. NonResidential Treatment at an Orthopaedic Clinic. Residential Treatment with Education. |
3d611253-d962-4a4c-8c2c-4c5697c96fca | Residential Treatment without Education. NonResidential Treatment at an Orthopaedic Clinic. (i) (ii) (iii) (i) (ii) (iii) No. of Children Treated. 1 1 - — — - 2 96 Group V.—Dental Defects. (1) Number of Children who were :— (а) Inspected by the Dentist: Aged: ' 5— 598 6— 671 7— 650 8— 699 Routine Age Groups < 9— 724 10— 816 11— 673 12— 735 13— 754 , 14— 100 [ Total 6420 Specials 423 Grand Total 6843 (б) Found to require treatment 4804 (c) Actually treated 2760 (2) Half-days devoted to :— Inspection . . |
c90f1c53-ed20-421f-acb2-964773bb9a5a | 48 Treatment 418 Total 466 (3) Attendances made by children for treatment 4020 (4) Fillings:— Permanent teeth . 1960 Temporary teeth 76 Total 2036 (5) Extractions :— Permanent teeth 721 Temporary teeth 3993 Total 4714 (6) Administrations of general anaesthetics for extractions 2099 (7) Other operations :— Permanent teeth . 231 Temporary teeth 33 Total 264 Group VI.—Uncleanliness and Verminous Conditions. Average number of visits per school made during the year by the School Nurses ...... " 12 Total number of examinations of children in the Schools by School Nurses 29744 Number of individual children found unclean :— Vermin and Nits ...... 139 Slightly infested _.... 618 Number of children cleansed under arrangements made by the Local Education Authority „. |
0648fe15-6fba-4afd-98fd-b0330d669e82 | 5 Number of cases in which legal proceedings were taken :— (a) Under the Education Act, 1921 — — (h) Under School Attendance Byelaws — STATEMENT OF THE NUMBER OF CHILDREN NOTIFIED DURING THE YEAR ENDED 31st DECEMBER, 1933, BY THE LOCAL EDUCATION AUTHORITY TO THE LOCAL MENTAL DEFICIENCY AUTHORITY. Total number of children notified 5 Analysis of the above Total, 97 Diagnosis. Boyx. Girls. 1. (i) Children incapable of receiving benefit or further benefit from instruction in a Special School : (а) Idiots __ — — (б) Imbeciles 1 2 (c) Others — — (ii) Children unable to be instructed in a Special School without detriment to the interest of other children : (а) Moral defectives — — (б) Others 1 1 2. |
4530abce-2f08-4de4-bab5-6a59479772a9 | Feeble-minded children notified on leaving a Special School on or before attaining the age of 16 — — 3. Feeble-minded children notified under Article 3, i.e., " special circumstancescases __ — — 4. Children who in addition to being mentally defective were blind or deaf — — Grand Total 2 3 We are, Your obedient Servants, D. J. THOMAS. N. G. HOWELL. |
d9220b78-8209-4df3-87da-5bfc67953826 | ACT 37 Borough of Acton. ANNUAL REPORT of the Medical Officer of Health together with the Report on the Medical Inspection of Schools FOR THE YEAR 1934. annual report OF THE Medical Officer of Health FOR THE YEAR 1934. Public Health Department, Municipal Offices, Acton, W.3. To fix Mayor, Aldermen and Councillors of the Borough of Acton. Ladies and Gentlemen, I herewith submit the Annual Report required by the Ministry Health, together with the Annual Report on the School Medical Services. Incidentally, I may mention that this is the 30th Annual Refwt which I have submitted to the Council since my appointment Area.—A rearrangement of boundaries was made by the County Council and the order came into force on April 1st, 1934. The changes affected chiefly the Acton and the Brentford and Chiswick Councils, but a small readjustment also was between the Acton and Councils. |
e23e9321-9859-4711-abe8-d7ea8909fe5d | The net result has been an increase in the area from 2305 acres to 2,317 acres, and a loss of rateable value of between £3,000and £4,000. Rateable Value.—The rateable value of the borough on 1st Apnl, 1934, was £763,441, and the sum represented by a penny rate £2,969 (year ended 31st March, 1934). The number of inhabited houses, according to the Rate Books 31st March, 1934, was 16,060. 4 Extracts from Vital Statistics.—The following table gives the extracts from the vital statistics required by the Ministry ofHealth:— POPULATION 00,472. Total. M. F. Live Births. Birth-rate per 1,000 of estimated population—13.57 Legitimate 907 464 443 Illegitimate 36 19 17 Still Births. |
9875c181-94bd-4141-9e2c-4719dc255316 | 943 483 460 Legitimate 32 10 22 Rate per 1,000 birthS —34 Illegitimate — — — 32 10 22 Deaths 727 Death-rate per 1,000 inhabitants— 10.46 Deaths from Puerperal causes (Headings 29 and 30 of the Registrar General's short list). Deaths Rate per 1,000 birth No. 29 Puerperal Sepsis 2 5.3 No. 30. Other Puerperal causes 3 Death-rate of Infants under 1 year of age. AH infants per 1,000 births 41 Legitimate infants per 1,000 legitimate births 42 Illegitimate infants per 1,000 illegitimate births Deaths from Measles—all ages 28 Deaths from Whooping Cough 11 Deaths from Diarrhoea—under 2 years of age T POPULATION. The Registrar General has supplied the following memorandum on the change of boundary. |
5e47553b-8729-4883-b98a-b306af254036 | The statistics of births, deaths and notifiable diseases for the calendar year in respect of Acton are composite figures combing the records for the first portion of the year prior to the date of change 5 with those for the altered area for the remaining portion of the year. the normal mid 1934 estimate of population for the area as now coastituted is 69,343, but, for use with the composite statistics now applied, a working population figure, modified to take account of the fact that the records do not wholly relate to the entire year, has tarn provided and fixed at 09,472. |
1d8e3968-9864-4d7d-a4a0-7fd4bef20146 | The number of parliamentary electors in Acton has been as fellows 1931 47,865 1932 48,126 1933 48,245 1934 48,228 The number of houses erected in the last 4 years were:— 1930-31 449 1931-32 257 1932-33 188 1933-34 146 SOCIAL CONDITIONS OF THE DISTRICT. There has been no material change in the social conditions of the district. There is of course a gradual change which is noticeable to those who remember the district for a considerable period. north-east and south-east wards are still mainly residential in character, but many of the larger houses are now sub-let. In the south-west ward are situated most of the Laundries in the district, and until the conditions of employment are changed, they are likely to remain in a part of the district which "is occupied by persons of the artisan and labouring classes. |
65aa667b-5456-4794-a2f9-b2213652eaa3 | There are no laund Resin the north-west part of the district in which most of the fectories are situated, and probably this is due to the peculiar conations which obtain in the laundries. There are factories scattered throughout the district, but most of them are situated in the north-west ward. These factories are conveniently situated for transport sen ices and probably the majority of the employees live outside the district. The figures for the last Census are not yet available, but even in 1921, there has a large number of people coming into the district to work than the number which left in the mornings to work in other areas. This fordency has probablv become more emphasized in the last 10 years 6 AMBULANCE FACILITIES. The ambulance facilities are similar to those described in previous reports. A new motor ambulance has been provided for the removal of infectious cases to the hospital. There are two ambulances provided for accident and non infectious cases. |
07e06cc3-ba4d-4de1-826e-b6e498f4dfb1 | These are housed at the fire station and are avail able at all hours. Last year the ambulance was called out to 440 street accidents, and on 520 occasions to private cases. Fees amounting to £111 2s. 6d., were paid for the use of the ambulance for private cases. There has been no development or marked changes in the services provided in the area under the following heads:— Laboratory facilities. Ambulance facilities. Nursing in the home. Clinics and Treatment Centres. Hospitals—Public and Voluntary. HOSPITAL PROVISION. General.—The only General Hospital in the district is the Acton Hospital, Gunnersbury Lane, which has an accommodation of 65 beds. During the year 1,302 in-patients were admitted; this is an increase of 93 on the previous year. Of these 155 were in for only 1 day and 106 for 2 or 3 days. |
072fa27f-3b18-449f-b7dc-cf4051dd2fa4 | The Education Committee has an agreement with the Hospital for payment for the removal of tonsils and adenoids and the patient.are kept in the Hospital for at least 1 night. 8,265 out-patients were treated during the year, an increase of 870 and the out-patient attendances were 33,373, an increase of 2,551 as compared with 1933. The Hospital supplies a great need in the District, and is greatly appreciated. Most of the beds are continuously occupied last year the average number of beds in daily occupation being 53.13. Extensions are contemplated in the near future. Fever.—Acton Council Fever Hospital. Small-Pox—Acton was one of the constituent bodies which 7 formed the Middlesex Joint Small-Pox Board. Under the Provisional Order Confirmation Act of 1929, the Joint Board was dissolved from the 1st April, 1929, and the duties of the Board transferred to the Middlesex County Council. Tuberculosis. |
0ae45182-781d-42cd-8e61-b92a2392e550 | The Tuberculosis scheme is administered by the Middlesex County Council which has sanatoria at Clare Hall and Harefield. Child Welfare Consultation Centres. (a)—47, Avenue Road—Every Monday, Tuesday, Wednesday and Thursday afternoons at 2 p.m. (b)—Noel Road—Every Thursday afternoon at 2 p.m. (c)—East Acton—Every Monday afternoon at 2 p.m. (d)—Steele Road—Every Tuesday afternoon at 2 p.m. Ante-Natal Consultation Centre.—School Clinic every Wednesday. Day Nursery.—169, Bollo Bridge Road. School Clinic.--45, Avenue Road. (The above are provided and maintained by the Borough Council). Tuberculosis Dispensary.—Green Man Passage, Ealing, W.13, on Tuesdays, Wednesdays, Thursdays and Fridays at 10.30 a.m. |
150ab497-2be2-40e9-b557-847d96668c07 | Mondays at 2 p.m., 1st and 3rd Tuesdays in month at 6 p.m. Treatment Centres for Venereal Diseases.—Various Hospitals in London. (The two latter are provided by the Middlesex County Council). PROFESSIONAL NURSING IN THE HOME. General.—There are two district nurses employed by the Acton Hospital, who visit the homes of both the poor and those who are able to pay. There are also nursing associations which provide nurses for different classes of cases. 8 Midwives.—The Supervising Authority under the Midwives Act is the Middlesex County Council and from the County Council I understand that there are 21 certified midwives practising in the Borough. LEGISLATION IN FORCE. The following local acts, special local orders, general adoptive acts and bvelaws relating to Public Health are in force in the district. |
bed6cc60-e5d6-4e8c-8c03-6e6df5f6774a | Adopted Infectious Diseases (Notification) Act, 1889 — 1889 Public Health (Amendment) Act, 18901890 Infectious Diseases Prevention Act, 1890 1899 Notification of Births Act, 1907 1907 Public Health Act, 1907 (Clause 50) 1921 Public Health Act, 1925 (Parts 2, 3, 4 and 5) 1926 The Acton Improvement Act, 1904 New Streets and Buildings 1925 Removal of House Refuse 1899 Common Lodging Houses 1898 Slaughter Houses 1924 Nuisances, &c. 1924 Offensive Trades 1903 Tents, Vans and Sheds 1906 Removal of Offensive or Noxious Matters 1908 Cleansing of Cisterns 1912 Employment of Children 1920 Fouling of Footpaths by Dogs 1929 Smoke Abatement 1930 Houses let in Lodgings 1934 HOUSING. |
380c0c85-ac7c-4ece-8103-401ab76dc6bf | For several years I have written extensively upon the housing conditions in the district, but as these conditions have not in any way materially altered during the last twelve months, I do not think it necessary to review the position this year. In October the Council decided to appoint a temporary sanitary inspector whose duties would be primarily to make a houseto-house inspection of some parts of the district. A systematic house-to-house inspection of the district has not been done for nearly ten years, and it was deemed advisable to carry this out again 9 ing the year. In view of the proposed legislation, his period has been extended from the six months originally intended. During the year 17 houses have been closed under Section 19 of the Housing Act, of 1930, and the Council have built 28 new ones (flats) which are all occupied. There are no areas in the borough consisting of squalid dwellings nor are there any courts or alleys with houses built around them. |
a03eab0e-a065-4001-86e3-8bab28ba10a4 | All houses with one or two exceptions abut on to 40-ft. roads and have ample air space in the rear. The majority of the houses are of two storeys built either in pairs or terrraces and none can be considered ancient. What houses there were of great age have all been demolished except one, and this has now been represented as unfit. In arriving at a conclusion as to the fitness for human habitation or otherwise of any premises represented to them, the Council is guided by the general housing standard in the borough and by how far the premises fall short of the requirements of the existing byelaws. 1,348 houses have been inspected and recorded under the Housing Consolidated Regulations of 1925. Such inspections entail a great amount of detailed work and occupy much time. From time to time cases of overcrowding are discovered. These can usually be remedied by an elder member of the family keeping out or by altering the general sleeping arrangements. |
9ff7f35a-deb5-4f35-bec4-e771c0d2a1ab | On occasion, however, the difficulty cannot be so easily overcome, as in the case of a man and wife with a large young family. Very often the husband cannot afford the rent of the necessary number of rooms to house the family decently, nor could he afford to do so, is it simple to find accommodation as private landlords will not let their premises to persons having several children. The natural solution in these cases is to rehouse the families on the Council's housing estate. This unfortunately always means waiting a considerable time owing to the inadequacy of the estate, and during this time the overcrowding remains unabated. There are quite a number of basement houses in the central 2nd northern part of the borough which were formerly occupied by one family. The majority of these houses are now let off in separate floors, including the basements. |
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