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3cf3deaf-d3db-46e2-874e-9cffb7c838f5 | In Memorandum 145, certain suggestions were made which we tried to some extent to carry out and our object in having a weekly clinic was to move further in that direction. Memorandum 145 suggested that two kinds of ante-natal clinics should be established, namely: (a) the consulting clinic and (b) the clinic for routine examination. In every report great importance is laid upon the desirability that the doctor who attends at the confinement should also be associated with the ante-natal examination of the patient. When the agreement for maternity beds at the Central Middlesex County Hospital was concluded, this end was partly consummated. The expectant mother was asked to attend at the Council's ante-natal clinic, and if the conditions were found to be favourable for a natural confinement she was referred to the Medical Superintendent of the Hospital who arranged for her attendance at the ante-natal clinic held there. |
e9b4159a-42c1-464b-8960-895180d4378c | But these cases, do not of course, include all the confinements, and do not touch those sent up by the doctors and midlives. In Memorandum 145 it was suggested that a patient should first attend at the 16th week of pregnancy, unless owing to trouble at a previous confinement she had been asked to attend earlier. At this visit a full medical and obstetrical history should be taken, and if she is prepared a physical examination should be made. This should include examination of the urine and an examination of the blood pressure as a standard for future reference. Dental treatment if found necessary on examination, should be arranged for. The pelvic measurements should be taken. Recently very much stress has been laid upon the blood pressure and the weights of the patient and it is suggested that these should be taken at each visit. It is advisable, for instance that the blood pressure be taken weekly during the last month, as a rise of pressure may be the first sign of a commencing toxaemia. |
a3ec4ee7-5f29-4430-ade4-dc95eb88ae29 | From this time routine examinations should take place as follows:—At the 24th and 28th weeks, from then every fortnight until the 36th week, and thence weekly until she is confined. Under present conditions it would be impossible to carry out the work effectively, and it was decided that 52 an extension of the work could best be effected by starting an Examination Clinic and this has now been established and the following report by Dr. Howell skives an account of part of the work. During the year 133 women attended the ordinary ante-natal clinic apart from those who were sent up to the consultation clinic. All but 2 of these mothers intended entering Park Royal Hospital for the confinement, and one of these we persuaded to enter the hospital as there was an abnormality present which we felt could be more safelydealt with in an institution than in the home. 75 cases attended the consultation clinic and all were admitted to Park Royal. |
70abf2cb-032b-4e5d-b20c-4d0ae21ca5ec | In addition 3 complicated cases of pregnancy were referred to the Acton Hospital and treated there. The extra ante-natal clinic has given us far more time for general care and education of expectant mothers. We have urged the treatment of some of the minor discomforts of pregnancy such as vomitting and constipation which are the bugbear of so many of the mothers. Mothers are encouraged to come back to us in the post-natal period and many are making use of this opportunity. Far more dental treatment of the expec tant mother has been done during this year and every mother who needed it has boen urged to have dental attention either at the clinic or from her own dentist. We have been amazed at the number of cases in which dental treatment was urgently needed. Of the 133 women who attended the ordinary clinic 47 were badly in need of treatment and wore referred to our own dental surgeon. |
37d6a8f3-7c46-4877-9f39-8370dad8c2ec | In several cases there was so much sepsis present in the mouth that practically all the teeth required extraction before we considered it safe for the woman to be confined in an institution. Altogether 35.3% of the mothers were in very great need of dental treatment and their average age was 26 years. In dealing with this class we wonder whether more could not he done for these patients at an earlier age. A11 of them have passed through the school medical service, many of them too as children through the welfare clinic, yet there is a delusive belief that these mothers' can learn in their few visits to the ante-natal clinic what they failed to learn during their educational period at school. The hope of the future generation does not rest solely ori the work done at the ante-natal clinic but on the continuity of care, and education in health matters from the child welfare centres and throughout school life. 53 Ensuring that the services of a trained midwife are available for all confinements. |
ddde95be-d2a3-4bf5-b2ea-05d0685f5caf | The Council already pay the whole or part of a midwife's fee in necessitous cases, but the applications for midwives' fees are less numerous than they used to be. Formerly this fee was frequently paid, but recently the number of applications is much less. Probably this is due to the change which has occurred in the attitude of the expectant mothers to institutional confinement. Expectant mothers now take far more advantage of the facilities which have been provided for normal confinements in maternity hospitals. Possibly also the change over from the Board of Guardians to the Public Assistance Committee of the Count} Council may have had some influence in this respect. Maternity Beds. The Council has an agreement with the Acton Hospital for abnormal cases. The arrangement with the Middlesex County Council for ordinary confinements is working satisfactorily. Necessitous cases are dealt with by the Public Assistance Committee. |
ae02d349-f995-4966-bac5-c1dbfa5364c8 | It is unnecessary at present to enter into the question of institutional treatment, but as the provision of a maternity home was discussed by the Committee before the agreement with the .Middlesex County Council was entered into, it may be advisable to refer to the Final Report of the Departmental Committee on Maternal Mortality and Morbidity on this phase of the question. The Committee's report is definitely against the establishment of small maternity homes or even of special maternity Hospitals unless such a method is unavoidable. They believed that new maternity units should, where practicable, be provided in association with general hospitals rather than as isolated units. |
d4f2969b-010f-4a8b-a97e-4d10adab7f90 | In expressing this opinion, they were in no way minimising the admirable work which has been done by many of these special hospitals, but they believed that in addition to the saving which may be effected in capital cost and in working expenses, a higher standard of obstetric practice can be obtained where the resources of a general hospital and the sendees of a specialist staff, non-obstetric as well as obstetric, can be called upon at any moment. There is one condition in which the present scheme could be improved. We have in the agreement with Acton Hospital, provision for the admission for confinement during pregnancy where ante-riatal examination has revealed abnormalities likely to require 64 Caesarian section, induction of labour or difficult forceps deliver}.-. But in the past, this provision has not included the cases of toxaemia of pregnancy, and even if the resources of the Acton Hospital could enable it to cope with this class of patient, it is doubtful if the patients could not be better accommodated at the Central Middlesex County Hospital. |
965ceeaa-6739-4827-ba6f-6b4f8da95e28 | There is no doubt as to the necessity of providing for all cases of toxaemia of pregnancy in an institution. It is rarely possible in a working class home to secure the rest, the rigid adherence to restrictions in diet or other treatment required. The disastrous results of an attempt to treat such patients at home were evident in many of the deaths investigated by the Departmental Committee. There are other conditions which require institutional treatment, and with this object in view negotiations are being pursued with the iliddlesex County Council. During the year 209 cases were admitted under the agreement with the County Council to the Central Middlesex County Hospital. Puerperal Sepsis. The Council has an agreement with Queen Charlotte's Hospital Committee for the admission of cases of Puerperal Sepsis to the Isolation Block in Ravenscroft Park and 1 case was admitted during the year. Consultant in difficult or complicated cases. |
9f7c31b5-324c-4620-8060-dd723c2f68ab | Although this aspect of the work appears to be the easiest to achieve, in actual working it is the most difficult, as the preventive aspect of the Committee's work is liable to be jeopardised if the sendees of a consultant can be easily obtained at the confinement. The work of the Committee must primarily be preventive in its character, and the ideal to be attained should be the discovery of cases which present difficulties at the confinement, during pregnancy through ante-natal supervision. Emergencies will always occur at confinements, but our object should be the reduction of such emergencies to a minimum and the surest way to achieve such a result should be through an extension of ante-natal supervision, and we have to consider whether the easy and prompt sen-ices of a consultant at a confinement would not militate against the success of our scheme as a whole. Provision of ancillaries. |
6a28f08c-7d7d-40a7-b82a-a782ca1a8ea7 | Among the ancillary sen-ices which may be provided are the following:— 55 (a)—Sterilized Maternity Outfits for patients for whom either the doctor or the midwife considers that this provision is desirable. _At one time the Council did provide sterilized matemitv outfits, but for some reason or other, the demand for these went out of existence. When we did provide them, many difficulties arose in the return of these outfits. In man)- instances the articles were pawned. The Committee decided to ask for a deposit to cover the cost of the outfit. Possibly the inability to meet this outlay had something to do with the lack of demand. At any rate we found that there was no demand. (b)—Home helps—The Council also tried to meet the necessity of domestic assistance during the lying-in period. We were fortunate in securing the services of excellent helps, but the demand for these also ceased. |
c4631f18-57ec-4b97-affa-6732a1403274 | It is unnecessary to enter into the cause of this non-demand; it was full)' reported on when the provision was abandoned. The circumstances have not changed, and I do not think the provision of home help would prove successful. (c)—Supply of Milk for Expectant and Nursing Mothers— The Council does supply milk to expectant mothers, but I consider that this provision should be extended. At the present time in view of the wide spread depression, considerable attention is paid to the nutrition of the expectant mother, and the effect of malnutrition upon the mother and the baby. The researches of the Mellanbys have shown the probable effects of diet upon infection, and especially upon the incidence of Puerperal Pyrexia and Puerperal Fever, and even if all these premises are not proved there can be no doubt of the deleterious effects of malnutrition upon the expectant mother and baby. (rf)—Laboratory facilities for the examination of pathological material submitted by doctors. |
f922bc15-aba0-40fd-9e6b-843bd7ca4fa6 | Any reasonable material sent by the doctors are now examined either by the Lister Institute or at some other similar institution. These aspects of the work were considered by the Child W elfare Committee early in the new year, and certain proposals were made to the Ministry of Health, and the amended scheme will, I hope come into operation in 1935. 56 Maternity Home. The Council has an agreement with Middlesex Comity Council for the admission of maternity cases into Park Royal Hospital. The arrangements were reported fully in a previous report. During 1934, 209 cases were admitted under this agreement. Day Nursery. The Nursery is situated in Bollo Bridge Road, and is open on five days a week. The Nursery wras open on 234 occasions, and 6,319 wholeday attendances were made. There has been an improvement in the number of attendances this year. Child Welfare Centres. There has been no change in the arrangements for the Child Welfare Centres since last year. |
2640b101-fc5f-43a9-a93f-4c51c771d5d9 | Seven sessions are held weekly— 4 in Avenue Road, 1 each in Steele Road Mission, John Perryn School and St. Gabriel's Hall. Nurse Children. At the end of the year 1933, there were 52 children and at the end of the year 1934, there were 49 children on the register. 57 FOSTER CHILDREN. No. as at 31st. Dec. 1933. Notice of Reception of Children during 1934. NOTICE OF REMOVAL TO: Children Adopted Died. Children reached age of 9 No. as at 31st. Dec. 1934. Parents. Another area with Foster Parent. Another Foster Mothor Public lnstitutution or Home. Other causes. 52 37 19 1 9 4 1 1 1 4 49 FOSTER MOTHERS. No. |
2c461087-f150-4c45-8c4d-f89c3a57c695 | as at 31st Dec., 1933. Application for Registration during 1934. Removed to another Area with child. No longer a Foster Mothor. No. as at 31st. Dec., 1934 40 22 1 17 44 58 TABLE I. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1934. The Mortality rates for England and Wales refer to the whole population, hut for London and tho towns to civilians only. Rate per 1,000 Total Population. Annual Death-hate n;n 1,000Population. Rate per 1,000 Live Births Percentage of Totat, Deaths Live Births. Still-births. All Causes. Enteric Fever. Small-pox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. |
9f23570a-8b86-4e4b-bc03-ee5ed4b1e30a | Diarrhoea and Enteritis (under two years). Total Deaths under one year. Certified byRegistered Medical Practitioners. Inquest Cases. Certified by Coroner after P.M. No Inquest. Uncertified Causes of Death. England and Wales 14.8 0.02 11.8 0.00 0.00 0.00 0.02 0.05 0.10 0.14 0.54 5.5 59 90.4 6.5 2.1 1.0 121 County Boroughs and Great Towns, including London 14.7 0.66 11.8 0.00 0.00 0.12 0.02 0.06 0.11 0.12 0.47 7.4 63 90.5 6.1 2.9 0.5 135 Smaller Towns Estimated Populations, |
186c1995-ea59-48be-ba5a-b5daa5ed2202 | 25,00050,000) 15.0 0.67 11.3 0.00 0.00 0.07 0.02 0.04 0.09 0.14 0.42 3.6 53 91.2 6.1 1.6 l.l London 13.2 0.50 11.9 0.00 0.00 0.20 0.02 0.07 0.11 0.12 0.56 12.6 67 87.7 6.3 6.0 0.0 Acton 13.6 0.45 10.5 0.01 0.00 0.16 0.01 0.03 0.1 0.07 0.3 7.4 41 92.2 4 3.7 0. |
c5cdb6d2-4b1f-4a7b-8f13-9cbfad23d987 | 01 The maternal mortality rntcs for England and Wales aro as follows:- Puerperal Sepsis. Others. Total. prr 1,000 "Live Births 2.03 2.57 4.6o prr 1,000 "Live Births 1.95 2.46 4.41 59 TABLE II. VITAL. STATISTICS FOR THE WHOLE DISTRICT DURING 1934 AND PREVIOUS YEARS. Year Population estimated to Middle of each Year. Births Total Deaths Registered in the District Transferable Deaths Nett Deaths belonging to the District Nett Undor 1 year of Age At all Ages Number Rate Number Rate of Non-Residents Registered in the District of Residents Registered outside Dist. Number Rate per 1,000 Births Number Rate per 1,000 inhabitants 1925 64,845 1047 16.15 446 6.88 18 241 80 76 669 10. |
98dd424d-19b5-49a4-895a-ed27e9eba1f8 | 32 1926 65,760 1098 16.70 422 6.42 15 250 60 55 657 9.99 1927 66,700 1026 15.60 445 6.67 21 280 62 60 704 10.55 1928 67,645 1003 14.83 479 7.08 29 244 55 55 694 10.26 1929 68,600 1026 14.96 540 7.87 21 307 85 83 826 12.04 1930 69,565 1105 15.88 440 6.33 31 284 56 50 693 9.96 1931 70,560 1018 14.43 456 6.46 35 321 62 61 742 10.52 1932 70, |
43f8eae3-921b-4258-8e59-f69168cb496c | 640 970 13.7 486 6.88 29 302 60 62 786 11.11 1933 70,300 886 12.6 492 6.99 31 329 41 46 788 11.2 1934 69,472 943 13.57 454 6.5 24 297 39 41 727 10.46 60 TABLE III. AGES AT DEATH, AND WARD DISTRIBUTION OF DEATHS IN 1934. Causes of Deaths. Age in Years. Ward Distribution. All ages Under I year 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards North East. North West. South East. South West. Enteric Fever 1 - - - - - 1 - - - 1 - - |
9929f470-7413-4142-bee0-957044a7747e | Measles 11 1 5 4 1 - - - - 1 1 2 7 Scarlet Fever 1 - - - 1 - - - - - 1 - - Whooping Cough 2 - 1 1 - - - - - 1 1 - - Diphtheria 7 - l 2 3 - - - 1 2 1 2 2 Influenza 5 - - 1 - - 1 1 2 1 1 1 2 Cerebro spinal Fever 1 - - - - - - 1 - 1 - - - Phthisis 50 - - - 1 14 19 16 - - 10 5 17 Other forms of Tuberculosis 12 - 1 - 4 3 1 3 - 5 2 3 2 Syphilis 2 - - - - - - 2 - - - 1 1 G.P.l. |
95fad2e0-b6f8-48a1-9755-a18a8ce176e4 | & Tabes Dorsalis 2 - - - - - - 1 1 1 - - 1 Cancer 99 - - - - - 6 49 44 24 27 22 26 Diabetes 5 - - - - - - 3 2 2 2 1 - Cerebral Haemorrhage, &c. 43 - - - - - 2 12 29 14 7 10 12 Heart Disease 157 - - - 2 4 5 43 103 47 31 34 45 Aneurysm 2 - - - - - l 1 - - - 1 1 Other Circulatory Diseases 41 - - - - - - 7 37 10 10 9 15 Bronchitis 32 1 2 - - - l 9 19 6 9 7 10 Pneumonia 38 4 2 2 2 1 6 12 9 |
27cd012d-2dd7-4b1e-9d60-30c0c4e88556 | 7 15 5 - Other Respiratory Diseases 3 - - - - - - 1 2 1 1 - 1 Peptic Ulcer 10 - - - - - 2 6 2 3 3 2 2 Diarrhoea 7 7 - - - - - - - 2 2 1 2 Appendicitis 8 - - - 2 1 - 3 2 2 - 5 1 Cirrhosis of Liver 1 - - - - - - l - - 1 - - Other diseases of Liver 4 - - - - 1 - 1 2 1 2 1 - Other Digestive Diseases 4 - - 1 - - 1 l 1 - 1 1 2 Nephritis 24 - - - 1 - 1 8 14 5 7 4 8 Puerperal Sepsis 2 - - - - - 2 - - l 1 |
70560e0b-4082-4a53-a503-f08c1bee59ad | - - Other diseases, &c. of Parturition 3 - - - - 2 1 - - 1 1 - 1 Congenital debility, Prematurity,&c. 20 20 - - - - - - - 10 3 2 - Senility 38 - - - - - - - 38 8 12 9 9 Suicide 8 - - - - - 2 5 1 3 1 2 2 Other deaths from violence 13 - 1 1 3 ] - 3 4 2 5 2 4 Other defined diseases 68 6 1 - 4 3 9 23 22 16 26 10 16 TOTALS. 727 39 14 12 24 27 61 215 335 195 184 142 906 61 TABLE IV. INFANTILIS MORTALITY, 1934. Causes of Death. |
c76df57b-8b60-4f6b-8847-779de38cea27 | Ages. Wards. Total Under 1 week 1—2 weeks 2—3 weeks 3—4 weeks 1—3 months 3—6 months 6—9 months. 9—12 months North East North West South East South West Premature Birth 6 3 1 - 1 - 1 - - 1 1 - 4 Congenital Debility 2 2 - - - - - - - - - 2 - Congenital Heart Disease 5 3 - 1 - - - - 1 3 1 — 1 Pyloric Stenosis 1 - 1 - - - - - - 1 — - — Congenital Atelectasis 1 1 - - - - - - - 1 — — — Marasmus 4 — —- - - 3 1 - - 3 1 — — Icterus Neonatorum 1 1 - - - — - - - 1 — — — |
d996fc07-68fa-4f19-a912-f4c5af330434 | Prolonged Labour 1 1 - - - - - - - - 1 — — Haemorrhage after circumcision 1 - - 1 - - - - - - - - 1 Measles 1 — - - - — - - 1 — - — - Diarrhoea 7 - - - - 3 3 1 - 2 2 1 2 Bronchitis 1 - - - - 1 - - - — — — 1 Pneumonia 4 - - - - - 2 2 - - 1 — 3 Volvulus 1 - - - 1 - - - - — 1 — — Acidosis 1 - - - - - - 1 - - — — 1 Streptococcal Meningitis 1 — - - - — — - 1 — — — 1 Acuto Pulmonary Oedema 1 — 1 - - — — — - -- — - 1 TOTALS 30 |
a80a3eef-bb72-4c2f-9b6b-c8ca5362491e | 11 3 2 2 7 7 4 3 12 9 3 15 62 TABLE V. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR, 1934. Notifiable Disease. Cases notified in whole District. At Ages—Years. Ward Distribution. At all Ages under 1 1 to 5 5 to 15 15 to 25 25 to 45 45 to 65 Over 65 North East North West South East South West Scarlet Fever 236 2 63 139 12 18 1 1 61 61 40 74 Diphtheria 86 — 21 55 7 2 1 - 21 16 17 32 Pneumonia 39 3 7 6 5 10 5 3 5 8 12 14 Erysipelas 21 — - - 3 9 8 1 6 7 |
ad716b90-6150-40cc-bd39-502b1fc61573 | 3 5 Puerperal Pyrexia 4 — — — 2 2 - - 1 2 — 1 Puerperal Fever 2 — — — 1 1 - - - 1 - 1 Ophthalmia Neonatorum 4 4 - — - - - - 1 1 1 1 Meningitis 2 - 1 - - - 1 - 2 - - - Paratyphoid 1 — 1 - - - - - - - - 1 Typhoid 2 - - - - 2 - - - 2 — - Tuberculosis (resp.) |
9e4305aa-e02d-4497-945c-8b4cc8efb553 | 82 - - 3 24 42 13 - 20 21 13 28 Tuberculosis (other) 22 — 1 7 4 7 2 1 9 5 3 5 TOTALS 501 9 94 210 58 93 31 6 126 124 89 162 63 OPHTHALMIA NEONATORUM. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At home. In hospital. 4 3 1 4 — . — — 64 CASES REMOVED TO HOSPITAL. Total Notified. |
d2477c02-cd18-4e00-93c2-78336a188a3b | Scarlet Fever 193 236 Diphtheria 80 86 Pneumonia 15 39 Puerperal Fever 1 2 Puerperal Pyrexia 2 4 Erysipelas 9 21 Ophthalmia Neonatorum 1 4 Meningitis 2 2 Paratyphoid 1 1 Typhoid 2 2 TABLE 7. BIRTHS. Male Femah. Total. Live Births. Total 483 460 943 Legitimate 464 443 907 Illegitimate 19 17 36 Still Births. Total 10 22 32 Legitimate 10 22 32 Illegitimate — — — Notified Live Births. Ward Distribution. Total Births notified in Total. X. East. X. West. S. East. S. West. |
e5400cee-bcfc-4056-b1d2-16ff4aff1709 | the district 494 155 OS 07 174 Notifications received from other districts 353 127 85' 57 84 Notified Still Births. Inside 9. Outside 12 Total 21 Notifications were received from :— Doctors and Parents 636 Midwives 232 Table 8. INFANT WELFARE CENTRES, 1934. |
709304f6-5b46-435b-abb2-0683982c6d14 | 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 9,033 (b) by children between 1 and 5 years of age 6,136 65 Average attendance of children per session Number of children who attended for the first time during the year:— 43 (a) under 1 year of age 690 (b) between 1 and 5 years of age 252 Percentage of notified live births represented by number of children who attended a centre for the first time during the year 81.46 Children treated at Dental Clinic 132 Children treated at Ophthalmic Clinic 7 Mothers treated at Ophthalmic Clinic 3 Children operated on for enlarged tonsils and adenoids 1 Children operated on with X-Ray for Ringworm — TABLE 9. ANTE-NATAL CLINIC. |
e0efb57b-018f-478c-930b-5d131242b28a | Number of Expectant Mothers who attended 275 Number of attendances made by Expectant Mothers 301 Mothers referred for Dental treatment at the Clinic 55 Mothers supplied with Dentures 18 Expectant Mothers to whom Dried Milk was supplied 23 Number of packets of Dried Milk supplied 193 TABLE 10. INQUESTS. |
955709bf-ef94-4fb1-b445-95c1f54ac05d | Inquests—30 Suicide 8 Knocked down by pedal cyclist 1 Knocked down by motor car 3 Accidentally drowned 1 Death at operation 3 Found drowned 1 Accidental fall 2 Accidentally striking his head against a brick wall 1 Heart Disease 2 Accidental Scalds 2 Uraemia 1 Senility accelerated by acident 2 Hernia 1 Acute Yellow Atrophy of Liver 1 Heart Disease accelerated by a fall 1 Coroner's Certificate after Post-Mortem without Inquest—27 Heart Disease 11 Pneumonia 2 Cerebral Haemorrhage 3 Hernia 1 Nephritis 2 Pulmonary Tuberculosis 1 Esophthalmic Goitre 1 Osteo-melitis 1 Puerperal Sepsis 1 Congenital Heart Disease 1 Cerebral Aneurysm 1 Cerebral Oedema 1 Distended Stomach 1 66 FACTORIES. |
06674a76-9e33-469f-b9aa-593b957d2265 | WORKSHOPS AND WORKPLACES. 1.—Inspection of Factories, Workshops and Workplaces including Inspections made by Sanitary Inspectors. Premises. Inspections Written Notices (1) (2) (3) Factories. (Including Factory Laundries) 83 22 Workshops (Including Workshop Laundries) 412 7 Workplaces (Other than Outworkers' Premises) 20 Nil Total 515 29 2.—Defects found in Factories, Workshops and Workplaces. Nuisances under the Public Health Acts :— Particulars. Found. Remedied. |
9156a8fd-263f-4b9b-949b-67bcbe314b7b | (1) (2) (3) WTant of Cleanliness 26 26 Want of Ventilation Nil Nil Overcrowding Nil Nil Want of drainage of Floors Nil Nil Other Nuisances 9 9 Sanitary Accommodation :— Insufficient 2 2 Unsuitable or defective 38 38 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 75 75 3.—Outwork in unwholesome premises, Section 108 Nil. 67 STAFF. C. 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. |
1993a023-8728-42d4-b389-cc43738c1da3 | 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. |
3bd4b2a8-c550-4ce9-9d18-2eea99cf89c7 | 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. H. L. Hacker,* Chief Clerk. 68 Mi?s G. Overall* Clerk. Miss V. E. Arnold.* Clerk. Miss D. E. Beacon, Clerk. Miss A. Kent.* Clerk. .Miss M. J. Gilfillan,* s.r.n., c.m.b., Matron, Isolation Hospital. Miss F. A. Cavendish, Matron, Day Nursery. Note.—To the salaries of all the above officials excepting those marked with an asterisk, contribution is made under the Local Government Act, 1929. |
2a275539-76f9-4b08-9059-4791054f8b20 | 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. G. Baker,* A. C. Mepham,* Disinfector. Asst. Disinfector and Mortuary Keeper. 69 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1934. Municipal Offices, Acton, W.3. To the Chairman and Members oj 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 1934. 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. |
0ced4876-8cf0-4063-bbef-08190e671f71 | In arranging these records of the year's work, we are able to look on the Public Health Services as a whole and to attempt to assess the value of these services to our children generally. One 70 is apt to look at the Welfare infant as the future school child and to view the entrant as a school leaver. The general condition of these sections of the school population is a fairly good indication of the effectiveness of the Health Services. Speaking broadly, the condition of the school entrant is satisfactory although we find a variation in the condition in the different districts wliich is markedly dependent upon the attendance of mothers and children at the Welfares in the pre-scliool days. For example, in one school in quite a poor district, we found that out of 25 children inspected in one morning, 15 had perfect teeth, the general nutrition was very good, and the clothing on the whole, sensible. On each visit we remark on the excellent condition of the entrants at this school. |
9b2fd80c-42da-482f-b66b-ad9e67144e40 | At another school in the same district where the average income is about the same, the condition of the entrants is not nearly as good and the proportion who have previously attended the Welfares is usually low. At this stage of school life an effort is made to train the child in healthy bodily habits with splendid results. We have very little complaint to make about the children in the junior departments of the schools. In this age group the children are usually looked after by the mother and are quite well kept. School leavers, however, are not nearly as satisfactory. At every inspection in this group far too much time is taken up by a discussion on personal hygiene. |
066c7d40-c817-4c21-9dbc-a0adcc303ac6 | One cannot say that uncleanliness is found but far too often there is a lack of personal fastidiousness, which by this age the children should have acquired In most of the schools, it is quite common, excluding those cases where the conditions are due to lack of means, to find that perhaps 2 or 3 only, out of 25 or 30 girls ever brush their teeth, that clothing is unsuitable, that posture is bad and the general air is that of personal carelessness. It is in this section of the school community too, that there are most refusals for dental treatment. The unchallengeable conclusion that we are forced to is that our children are not leaving school brimming with the health and vigour that should be theirs, considering the resources that the Public Authority has put at their command. This is a grave statement but a statement based not only upon impressions formed at successive medical inspections but unfortunately borne out by statistics. The weak link in our services is not difficult to find. |
2e24e5f5-f4a3-449d-af60-ff1ad8c43dac | 71 Medical inspections are carried out systematically, advice is given to the parent and child, defects are remedied, and the following-up of cases is rigorously carried out. The fault is not there. It is obviously due to a lack of a defined responsibility for physical or bodily education at this stage of school life. We know that these children are taught a certain amount of drill or dancing and this may or may not have a permanent effect upon the child. How often though, does the child receive any lessons or training in personal hygiene, a matter which is going to affect the whole of his or her subsequent life ? When week after week one sees these girls at an inspection, and notices that the skin is not as clean as it should be, the underclothing not clean although the girl is quite old enough to wash it herself, and that the teeth are in a dirty condition, seldom if ever brushed, one can only assume that practical hygiene is not taught, or at least, not pressed. |
e631885e-0faf-4d99-8900-fd7bb5d87dd5 | There is undoubtedly a lack of balance between mental and bodily education and until this is remedied and we take the whole of the child and his interests into consideration, we cannot, as a medical and educational body be said to fulfil our purpose. The environmental improvement in the surroundings of the children is far too frequently negatived by superstition about many matters and education of the children and a determined effort only can break this superstition. For instance, when one suggests to a mother that the girl is not as clean as she ought to be, the mother replies that in her opinion too frequent bathing is weakening. This type of statement is by no means confined to the poorer mothers In other cases, in discussing the diet of these growing girls, one frequently finds that most unsuitable and unbalanced food is being demanded by the girl. Time and again mothers remark that they would be grateful if the girl were taught at school how to look after herself because she pays no attention to the parents' advice. |
15680262-b753-42d5-bd0e-83f0a992a0e8 | The mother usually has younger children to look after and expects a girl of 12 and over to look after herself. These facts are surely convincing enough to urge the necessity for the teaching of practical hygiene in our schools. The average healthy child is interested in the subject but the interest is liable to wane unless she is encouraged by her teachers and stimulated by the competitive spirit among her fellows. Herd instinct is snobbish and among school children this is especially true. We have the firmest belief that if children at this most impressionable time of their lives are made to care for and to value their bodies their chances of becoming good and healthy citizens will be increased. 72 PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT WITH accommodation. Name of School. Dept. Accommodation. Avge. monthly No. on Register Average attendance Acton Wells Senior 320 283 268 Junior 364 417 379 Infants' 364 369 296 Beaumont Park Senior Girls' 450 208 |
461be208-68d4-4994-a0a4-c37419496ecf | 1 87 Junior Girls' 450 264 243 Infants' 400 239 200 Berrymede Junior Boys' 640 498 452 Junior Girls' 542 427 385 Infants' 450 325 269 Central 480 426 399 Derwentwater Junior 441 431 401 Infants' 350 275 219 John Perryn Senior 360 258 229 Junior 288 303 276 Infants' 336 294 253 Priory Senior Boys' 500 378 341 Senior Girls' 499 387 333 Infants' 400 285 233 RothBchild Junior Boys' 450 235 218 Infants' 400 275 233 Southfield Senior Boys' 415 235 214 Junior 382 338 312 Infants' 350 219 179 Turnham Green R.C. Mixed 327 246 211 Acton Council Special (M.D.) |
a35b9058-b38c-4b2b-9f6b-47be6b74d474 | 68 42 36 10026 7657 6756 AVERAGE HEIGHT without shoes and AVERAGE WEIGHT without clothes. Anthroiometric Committee, 1929. MALES. FEMALES. Age last Height in Weight in Height in Weight in birthday. ins. lbs. ins. 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. |
3d90a4f7-4957-4e35-ade1-e8a8a20ec260 | 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 73 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. Woight lbs. No. Height ins. |
5b5dab7b-6696-4219-b491-57e65d0261a3 | Woight lbs. No. Height No. Woight lbs. Acton Wolls Infants' 49 1 41.8 38.3 24 41. 39.8 14 43.8 42.8 10 46.1 46.5 Boaumont Park Infants' 42 17 37.1 34.5 14 41.2 38.8 9 44.4 44.1 2 46.7 48.1 Borrymede Infants' 60 28 37.3 34.4 19 40. |
87b7c105-4c8a-448f-9fb4-ff83c6cec108 | 37.8 10 42.9 42.8 3 46.2 49.3 Dorwontwator Infants' 77 – – – 32 41.2 41.1 34 42.6 41.9 11 46.4 51.5 John Perryn Infants' 31 – – – 13 40.5 37.9 16 42.1 41.8 2 45.3 47.9 Priory Infants' 52 – – – 28 41. 39.2 18 43.3 42.4 6 46.7 49.4 Rothschild Infants' 57 9 37.9 34.5 24 41.4 39.8 21 43 41.4 3 45.7 43.8 Southfiold Infants' 63 – – – 22 41.1 38. |
1271e6f5-3e3d-4957-9be3-0b6f594911a1 | 3 29 43.8 43.9 12 45.4 47.5 Roman Catholic 8 – – – 8 43.7 43.2 439 66 176 159 49 (GIRLS) Acton Wells Infants' 58 – – – 19 40.5 38.8 32 43.6 43.4 7 45.9 54.4 Boaumont Park Infants' 49 23 36.8 32.2 7 40.9 38.3 14 43 42.3 5 44.3 42.9 Borrymede Infants' 58 25 37.5 34.1 15 40.2 37.2 14 41.5 38.6 4 47 50.4 Dorwontwator Tnfants' 56 – – – 29 40.8 38. |
f6549286-6cc4-400f-b739-fa096bfe9382 | 4 19 45.6 45.8 8 45.1 46.6 John Porryn Infants' 38 – – – 17 41.3 40.2 16 43. |
b34b669d-43fc-468c-9477-afa5d01f9192 | 41.6 6 45.9 47.1 Priory Infants' 44 1 39.3 34.3 19 40.4 37.1 23 42.9 39.4 1 45.3 49 Rothschild Infants' 50 9 37.3 35.3 16 40.6 38.4 20 42.6 39.6 5 46.2 46.1 Southfiold Infants' 41 – – – 16 40.4 36.9 19 43.3 40.1 5 46,9 46.9 Roman Catholic 12 – – — 3 40.1 37.4 6 43. |
475f3596-dbf9-4a6e-8afb-29dd90938b4a | 42.8 3 45 44.3 406 58 141 163 44 74 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES INTERMEDIATES (GIRLS) No. Examined. Years of Age. 7—8 8—9 9—10 No. Height ins. Weightlbs. No. Height ins. Weightlbs. No. Height ins. Weight lbs. Acton Wells Junior 25 2 50.3 56.7 23 52.2 58.3 ...... ...... ...... Acton Wells Infants' 36 25 48.3 52.1 11 54.6 55.4 ...... ...... Beaumont Park Jnr. 75 47 48.7 52.2 28 48.6 51.8 ...... ...... Beaumont Park Infts. |
473097bb-8564-43c6-bdae-0e6d7e7a0880 | 3 3 46.5 51.3 ...... ...... ...... ...... ...... Berrymede Jnr. Girls' 97 60 47.9 51.9 37 48.3 52.9 ...... ...... Berrymede Infts. 5 5 48.2 51.5 ...... ...... ..... ...... ..... ...... Derwentwater Jnr. 41 20 48.8 52.8 21 49.5 54.1 ...... ...... Derwentwater Infts.' 4 4 48.3 50.9 ...... ...... ...... ...... .... ...... John Perryn Jnr ...... ...... ...... ...... •••••• ...... ...... ...... ...... John Perryn Infts.' |
89f8b958-e19b-4548-b9e5-79357312060c | 39 17 48.6 52.1 22 48.6 53.4 ....... ...... ...... Priory Infants' 5 5 46.5 46.3 ...... ...... ...... ...... ...... ...... Rothschild Infants' 4 4 47.4 48.4 ...... ...... ...... ...... ...... ...... Southfield Junior 26 15 48.6 53.3 11 49.3 52.5 ...... ...... Southfield Infants' 4 4 50.2 62.2 ...... •••••• ...... ...... Roman Catholic 11 2 49.5 53.6 9 49.9 56.1 ...... ...... 375 213 162 ...... ...... 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 lbs. |
1a383c07-2565-4551-aeaf-bb33be0dd01c | No. Height ins. Weight lbs. No. Height ins. Weight lbs. Acton Wells Junior 9 1 51.8 62 7 50.2 57.9 1 54.3 65 Acton Wells Infts.' 48 29 49.1 54.6 19 49.5 55.4 ...... ...... ...... Beaumont Pk. Infts.' 1 1 45 47.1 ...... ...... ...... ...... ...... ...... Berrymed Jnr. Boys' 143 96 49 54.2 46 48.5 53.8 1 57 78 Berrymede Infants' 6 6 49.8 54 ...... ...... ...... ...... ...... ...... Derwentwater Jnr. 45 29 50.1 58.1 16 50.8 58 ...... ...... ...... Derwentwater Infts.' |
60180a11-5e97-4d90-bf2c-d569bb6db39b | 5 5 48.6 51.9 ...... ...... ...... ...... ...... ...... John Perryn Infts. 51 26 48.7 53.7 25 49.2 54.9 . . . John Perryn Junior . . . . . . . . . . Priory Infants' 4 4 47.1 49 . . . . . . Rothschild Junior 50 27 49.5 53.1 23 48.6 54.3 . . . Rothschild Infants' 2 2 48.8 53.8 . . . . . . Southfield Junior 47 31 45.7 56.3 16 49.7 58.1 . . . Southfield Infants' 2 2 49 53.3 . . . . . . Roman Catholic 14 5 50.5 57.6 8 49.1 52.7 49.3 59. |
0424e07f-318d-49c2-88d6-6ba319d0c4db | 3 427 264 160 3 75 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES LEAVERS (BOYS) No. Kxaitiined. Years of Age 12—13 13—14 14—15 No. Height ins. Weight, lbs. No. Height ins. Weight, lbs. No. Height ins. Weight lbs. |
9d68436b-6c7a-49a4-90cf-eb9afd103594 | Act on Wells Senior 51 51 58.2 83 — — — — — — Central 59 59 58.9 85.1 — — — — John Perrvn Senior 49 46 58.4 83.1 3 59.8 98.5 — Prion' Boys' 110 110 57 78.6 — — — — — Soutlifield Snr.Boj-s' 90 83 57.8 83.7 7 59.1 86.8 — — Homan Catholic 10 10 59 85.3 — — — — — — 369 359 10 (GIRLS) Acton Wells Snr. 51 49 58.8 85.4 2 62.7 97.6 — — — Beaum't Pk. |
1eff2f39-01f4-4388-8eda-da23813991d8 | Snr 74 74 57.3 80.6 — — — — — — Central 66 64 59.4 84.9 2 64.1 101.5 — — — John Perrvn Snr 44 41 58.1 80.7 3 60.2 81.2 — — — Priory Girls' 144 136 58.1 82 8 61.7 93.1 — — — Roman Catholic 15 13 58.1 82.8 2 62.1 111.9 — — — 394 377 17 — Tonsils and Adenoids Report 3S children were operated on during the year for removal of Tonsils and Adenoids under the Authority's scheme. Of these 26 were referred to the Clinic for recurrent attacks of tonsillitis and there was some enlargement of the glands in the neck. In 2 of these cases there was also some rheumatic infection. |
bd81f96c-8d8e-4ae1-af67-0ea80a2af187 | In 8 cases the operation was performed because unhealthy tonsil and adenoid tissue was associated with discharging ears. 3 children were operated on because the unhealthy condition of the nose and throat was probably responsible for deafness. In one child the tonsils were so much enlarged that the}- definitely caused obstruction and v.ere the cause of chronic cough. Provision of Meals. During the latter part of the year, the number of children who were recommended for school feeding increased considerably. This was to be expected at the beginning of the Autumn Term as signs of malnutrition are always more obvious during the cold 76 weather and parents are therefore more likely to apply for meals, and teachers are more likely to urge them to do so in order to avoid illness and suffering during the winter months. It will be remembered that when we commenced school feeding we used the height for weight standard as an indication of adequate nutrition. |
016a4046-a42f-4f20-8ec5-65d3bff5100a | We soon found this wanting and decided to increase the scope of the scheme to include children who showed evidence of malnutrition as distinct from under-nourishment. It will therefore be found that we have certain children attending the Centres who are actually not very much below weight or may even be up to normal, but who show signs of defective nutrition such as anaemia, lethargy, etc. It frequently happens also that home circumstances are such that children are sent to school having had little or no breakfast, and in these cases although the weight ma}- be normal, the child is granted free meals. For example, a child who weighed one lb. more than the average weight for his height, stated that his breakfast recently had consisted of bread soaked in tea. It has been oui experience in dealing with these children to find that the general condition begins to improve in about 2 weeks time from the commencement of meals. The improvement is often marked and is noticeable to the class teachers. |
ff198f1a-dfc0-4574-9bd8-4baf7ca51f3e | One of the Head Teachers, in discussing the matter said that she was impressed by the way in which children who were restless, inattentive and apathetic about their work, began after being fed at school to be more restful, to concentrate on their work more and to be less of a nuisance to their teacher. The teaching staff give us every support in our efforts on behalf of these children and in many cases suggest a period of rest at school for certain bad cases, or else see that rest is obtained when we have recommended such a course. |
045f787a-4a16-47a4-a40c-566bdf8faf53 | We have been particularly fortunate in our results, and in going through the weight cards of all children, some of whom have been fed since the inception of the scheme in 1932, it was found that in no case has a child failed to gain satisfactorily in weight and height For the sake of interest a table is given below showing the progress of 125 children who have been selected because they have all attended a Centre for 2 months or more, and so have been weighed at least twice at monthly intervals. These children are all receiving free meals and milk at present. 77 In the first column, the length of time the child has attended * Centre is given, in the 2nd column the number of pounds gained in that time, and in the 3rd column js shown the number of pounds bywhich the child falls short of the average weight for its height. |
23aac489-04a1-49e3-9936-a01357049a80 | In some cases the gain in weight is considerable although in man) cases the 3rd column shows that the child still has far to go in order to reach a normal average. We expected to find some loss of weight in children during the Summer holidays. Actually, one child lost 11 lbs., two remained stationary and all the rest gained to some extent. In view of the fact that many of our children on commencing meals show signs of gross malnourishment, it is surprising how little absence there is once the feeding has commenced. This may be explained by the fact that parents are anxious not to keep the child away if possible when a free dinner can be obtained, but this is not the whole story. It is striking how little infectious disease there has been among the children although we have weathered an epidemic of measles and a fairly severe epidemic of scarlet fever. |
18d54987-fd1a-4c24-b79d-a78ae7c8f0a3 | It certainly appears as though this mid-morning milk and mid-day meal, given at the time when the child is among liis school fellows and therefore more likely to be exposed to infection, has something to do with the low incidence of illness. A typical weekly menu is shown below :— Monday. Brown Stew, dumplings, potatoes. Semolina Pudding. Tuesday. Baked stuffed herrings, potatoes, tomatoes. Stewed fruit and ground rice. Wednesday. Roast Beef, batter, potatoes, greens. Steamed suet pudding. Thursday. Shepherds Pie, potatoes, sprouts. Bread Pudding. Fkiday. Rabbit stew, bread, potatoes. Apple dumplings and custard. 78 Months of attendance at Centre. Amt. gained. Amt. still below. Months of attendance at Centre. /I wtf. gained. Amt. still below. |
ac8b5e1a-fd65-45e4-812f-36b308896fcd | 24 15 lbs. 111 lbs. 5 4 5 12 7 5 12 7 6 1 1.5 83 20 10 5.5 24 10 10 11 6.5 2 12 10 17 9 7.5 Normal 5 5 20 12 3 6 7 1.5 2 11 6 2.5 2 2 4.5 20 16 5.5 2 3 1 18 8 8 12 10 3.5 12 5 5 12 7 6 20 10 3 5 9 Normal 23 5 2 11 5 4 12 7 Normal 10 6 2 20 15 7. |
bf39077e-1188-41db-8290-ad811eab3e43 | 5 12 75 5 20 10 Normal 24 10 5 20 21 Normal 4 25 2 20 15 3.5 11 6 6 12 7 5 3 1.5 3 18 12 Normal 2 3 Normal 20 10 Normal 24 20 Normal 20 12 7 11 6 25 12 9 1.5 20 16 5.5 12 9 6.5 18 8 3 9 1 16 12 5 5 14 24.5 20 25 10 2 27 23 Normal 23 5 2 12 5.5 8 12 7 2 2 2 2.5 20 15 75 6 1.1 12.5 20 10 Normal 18 10 2. |
895b256d-ab71-4529-b1f9-e5742d110628 | 5 20 21 Normal 2 6.5 13.5 22 15 3.5 12 6 8.2 12 7 5 10 4.5 18 18 12 Normal 7 4.5 35 20 10 Normal 2 6 15 20 12 7 4 3 4 12 9 1.5 5 4.5 25 12 9 6.5 9 6 25 9 1 16 12 9 Normal 14 24.5 20 12 4 7 6 7 7.5 4 .3 9.2 11 6 9 24 15 8.5 79 Months of attendance at Centre. Amt. gained. still below. Months of attendance at Centre. Amt. gained. still below. |
388ae826-3fb8-456f-824b-949970abcae5 | 11 10 3 6 5 3 4 3 18 4 3 Normal 5 5 3 24 10 4 6 7 7.5 11 6 9 11 10 3 5 4 5 12 7 6 24 14 5 14 12.5 16 * 24 16 10 24 9 7 24 8 8 8 6 2 - 4 2.8 2 4 4 8 4 3.5 7.8 8 4.5 4 24 17 Normal 24 11.5 3 20 15 4 4 3 Normal 26 12.5 3 6 2.5 2 22 10 3 6 2.5 3 7 2.5 3 16 4 1 4 4.5 3. |
32fb6d6d-5eec-44f1-8936-fa66d33fa98a | 5 5 3 2 12 19 4.5 4 5 1.5 3 3.5 13.5 24 13 7 4 7 16 7 3 1 6 4.3 4.5 10 5 8 80 At the 31st December, there were 283 children on the feeding list. Of these, 204 were receiving milk and meals, 76 were receiving milk only, and 3 were receiving meals only. A total of 28, 152 meals and 48,060 bottles of milk were provided during the year. Report on Aural Cases. During 1934, 81 children attended the Clinic for some ear condition. We have worked along the same lines as in the previous two years. |
9ae42a3b-82b0-4161-899b-5aeead860a79 | Parents and teachers have been urged to send.the children to the Clinic on the first suspicions of earache or ear trouble of any kind, and in this way we have been able to get our cases early at a time when we can do most for them. There has been a good deal of home visiting of these ear cases by the School Nurses and the results have well repaid the work. A discussion of the types of cases which attend the Clinic is interesting and will perhaps indicate the lines along which further improvement in this branch of the School Medical Service could be made. 11 cases came up complaining of earache or deafness which was found to be due solely to impacted wax. All the symptoms cleared up after suitable treatment. In 2 cases there was furunculosis of the meatus which cleared up in about a week. 18 children came up complaining of severe earache. In 4 of these, the drum was bulging, there was a high temperature and perforation of the drumhead occurred. |
2d74a636-a470-477f-9b8c-63967821d7e9 | The children were excluded from school and referred to their own doctor. In all cases there was recovery with a healed drum. In 3 of the children there was fulness of the drum and the temperature was raised. The children were excluded from school and the homes visited. All cleared up without perforation of the drumhead. In the other 11 cases of this group there was some redness of the drum with pain but no temperature. The children were kept under observation and all recovered without any perforation. 37 children already had discharging ears on the first visit to the clinic, but all were early cases. We still carry out our 81 ment in which the child is taught to do a simple routine toilet of the meatus daily, and three times a week he visits the School Nurse to ensure that our instructions are being carried out. All these cases recovered with a healed drumhead and sound hearing. There remain 13 cases of chronic ear disease and it is these cases which constitute our most urgent problem. |
608d048d-186c-46ef-8ca7-8262325043f2 | In many cases the child could be cured if our advice were taken and suitable treatment obtained, but these children are becoming deaf while actually under our observation. All of them come from homes where there is obvious neglect, all have been visited time and again by the school nurses, and in most of the cases by the N.S.P.C.C. Inspector but still nothing is done. A few notes on the cases will perhaps make the situation clear. W.F. 13 years old. Otorrhoea for about 6 years. Referred to Hospital nearly 3 years ago. Surgeon suggested daily treatment at hospital for 3 weeks and would consider operation at the end of that time. Cliild visited hospital 2 or 3 times, then " had no time to go." Parents visited and child started again for 2 evenings. Constant visits from Nurse but refused to attend. Child progressivelv more deaf in both ears. N.S.P.C.C. in November. |
16ba598d-9ae3-48ee-bd82-a3d2a076f9bf | Double mastoid operation performed, but deafness so marked that it is doubtful whether she will be employable on leaving school. V.F. Sister of above. Intermittent ear discharge. Attends Clinic only when fetched. Needs minor operation to ear but parents refused to take her to hospital. N.S.P.C.C. \isited in November. Attended hospital and is to be admitted. Deafness progressive. O.M. Intermittent ear discharge. Slight deafness. Parents refuse hospital treatment. Admitted to Isolation hospital with Scarlet fever. Ear dry now. R- Chronic ear discharge. Needs tonsils and adenoids operation. Parents visited twice, nothing done. Chronic left otorrhoea. Generally neglected. Tonsils and adenoids enlarged. Almost whole of drumhead digested Visited twice, becoming deaf on left side. 82 M. Referred to N.S.P.C.C. |
b835c2c0-eb6a-4bf4-ac58-7732ff68e06a | twice. Chronic ear discharge due chiefly to dirt. S.W. Congenital Y.D. Now being treated after 2 years urging. Probably nerve deafness also present. M. Intermittent discharge, wholly neglect. Some deafness. C. Intermittent discharge, wholly neglect. T. Large perforation. Neglected. Parents refuse hospital treatment. E.Y. Pouring ear discharge. Neglected. .Sent to Isleworth. C.B. Mentally defective. Very neglected. Visited by the N.S.P.C.C. with very little effect. Becoming deaf. L.B. Profuse otorrhoea. Parents seen and refered to N.S.P.C.C Still neglected. Condition made worse by dirt. In addition to the above cases, there are 8 cases of deafness apart from middle ear discharge. |
9510cba8-ae9b-485d-9c6b-8913ba9b6a13 | In 2 of the cases the condition is probably aggravated by diseased tonsils and adenoids, but in the other 6 cases there is no obvious cause for the deafness. Report on Speech Training Classes. The classes for stammering children have been held at the Centre twice a week on Mondays and Thursdays. 35 Children (30 boys and 5 girls) have attended regularly and punctually. The children have been divided, according to age into 4 classes which last an hour each. One boy has been discharged as cured, 4 children left school during the Autumn Term, all were improved by their training. 13 Children have made considerable progress, and the remaining 17 are making progress to the satisfaction of both Miss Clark and their Head Teachers. 83 RETURN OF EXCEPTIONAL CHILDREN. On Table 3 will be found a return of all the exceptional children in the district. Multiple Defects. |
144a7825-b649-4768-b17c-c4bf9e7d0a0c | One mentally deficient boy suffering from multiple tuberculosis of bones is at the Stanmore Branch of the Royal National Orthopaedic Hospital. A second boy who is a cripple and an imbecile was sent away from Stoke Park Colony to a Sanatorium, and is now at home. A girl who is blind and mentally defective and who also suffers from fits, is at home. The fourth case is a girl who suffers from birth palsy and slight epilepsy. She attends an elementary school. Partially Sighted Children. Two boys attend the Kingwood Road School for the Partially Blind, one girl is at elementary school, but attends the Central Ophthalmic Hospital regularly, and one boy suffering from very high myopia is at a private school. Deal Children. Two boys and two girls attend the Ackmar Road Special School, and a young boy aged 5 is at an elementary school. Mentally Defective Children. |
a175c487-d594-43a7-b257-387c785a1f0e | Twenty-three boys and nineteen girls are on the roll of the Acton Special School for Mental Defectives. Epileptic Children. One girl suffering from severe epilepsy has returned to the Lingfield Colony, and a boy who was withdrawn from there is being taught at home. A girl aged 6 has been in Maida Vale Hospital but is now at home and excluded from school attendance. Tuberculous Children. Three girls suffering from pulmonary tuberculosis are at Harefield Sanatorium. 84 One boy suffering from abdominal tuberculosis is in Hospital at Margate, and another boy with a tubercular hip attends for out-patient treatment. One boy is at the Treloar Home, Alton, another is in Great Ormond Street Hospital. One boy who has had tubercular tissue removed from his leg attends West Middlesex Hospital twice weekly for electrical treatment. |
1aae208d-9c06-4fed-ab4e-5da82b207cb1 | A girt with a tubercular hip is at the Stanmore Branch of the Royal National Orthopaedic Hospital, and a girl with a tubercular spine is in the West Middlesex Hospital. Crippled Children. One girl is in a Home at St. Leonards. A boy attends the Faroe Road Special School. Two boys and a girl are at elementary schools. One girl is in the Orthopaedic Hospital, and another in the Metropolitan Hospital. One boy is at home awaiting admission to Stanmore, and a girl has recently been discharged from the Royal Sea Bathing Home at Margate, which she still attends for out-patient treatment. Heart Disease. One boy is at St. John's Open Air School, Woodford Bridge, Essex, and another at the Edgar Lee Heart Home. Two boys are in public elementary schools. One boy is at home waiting admission to the Edgar Lee Home, and a girl is excluded from school attendance and is under medical attention at home. |
64aa3f18-9f32-441d-a0f8-f4514869aaf7 | REPORT ON OPHTHALMIC CLINIC. The work of the Ophthalmic Clinic went on regularly throughout the year 1934. At the school medical examinations and at the daily Minor Ailment Clinic 404 children were found to be suffering from defects of vision or other eye trouble, and these were referred to the Ophthalmic Clinic. Of this number, 34 were found to require no special attention, 36 refused treatment or left the district, and 16 obtained glasses privately. Glasses were prescribed and supplied to 318 school children during the year. 8 Cases of external eye diseases received continuous treatment at the Clinic, and 2 of these were referred to Hospitals for inpatient treatment. 85 From the Welfare Clinics, 6 mothers and 15 babies were referred for examination. 3 Mothers and 7 babies were supplied with glasses, and 6 babies were kept under observation at intervals of 3 months. The foregoing is the last report of Dr. |
7f61dabd-43db-4392-a0e5-bec2d4444c84 | Grace Banham who resigned in November 1934, her post as Ophthalmic Surgeon to the Education Committee. Dr. Banham had held the post for about 25 years, and was appointed soon after the initiation of Medical Inspection of schools. She had by her skill and kindness gained the confidence of all the parents. We have pleasure in paying this tribute to her excellent work amongst the children, and her resignation was accepted by the Committee with the utmost regret ; but it was inevitable as she had retired from practice and was leaving the district. She had seen the growth of the School Medical Sen-ice and she had devoted her great talents to the work without stint. Dr. Clifton was appointed to the post and we desire to welcome him and trust that he will find the work congenial. We feel sure that he will give good service to the Committee. REPORT ON DENTAL CLINIC. |
f4f20a4a-466c-4db3-9d0f-0b710576dd2a | During the year there has again been an increase in the proportion of conservative work done at the Clinic, the number of fillings of permanent teeth having risen from 1960 to 2158. There has been an increase in the number of children referred from the Maternity & Child Welfare Centres, the actual figures are given below. Number of mothers examined 60 Number of mothers referred for treatment _ 60 Number of children examined 148 Number of children referred for treatment 132 Number of mothers treated 55 Number of children treated 132 Number of temporary teeth filled 20 Number of temporary teeth extracted 319 Number of permanent teeth filled 36 Number of permanent teeth extracted 442 86 Number of permanent dressings 38 Number of temporary dressings 36 Number of general anaesthetics given 210 Number of attendances made 348 Number of dentures supplied 18 Arrangements have now been made for part-time assistance to deal with arrears of work in 1935. |
dd567416-b432-428f-b8e5-9ef9381ac781 | Much valuable work is done by the Head Teachers in the schools, and we wish to thank them for their help. UN CLEANLINESS TABLE. Sch. Date. Mo. exam. Very few nits A. Few nits. B. Many nits. C. Vermin D. Total Percentage Unclean. % % % % % 1. July 121 — — — — —_ September — 151 .66 1.32 — — 1.98 2. July — 121 .83 2.5 — — 3.3 September — 93 1.07 3.2 — 1.07 5.3 3. July — 172 — — — .5 .5 September — 177 .66 .56 — — 1.1 4. |
df2d6b67-b911-49ba-a3c6-3cc9acf9b500 | July — 177 1.1 3.4 — — 4.5 September — 192 2.1 2.6 — — 4.7 5. July — 346 .58 2. — — 2.6 September — 263 1.5 .8 — .4 2.7 6. Jul j' — 190 6.8 2.6 — — 9.4 September — 240 9.1 2.9 — .83 12.9 7. July — 232 8.1 4.3 — .43 12.9 September — 229 7.8 4.8 — — 12.6 8. Julv — 201 4.5 3. — 1.4 . 9. September — 195 5.1 2.1 — — 7.2 9. |
3dde955b-9ea7-44bd-a7fc-def4765ec9dc | July — 448 4.5 — — .2 4.7 September — 412 3.4 — — 1.2 4.6 10. July — 399 7.76 2.5 — .75 11. September _ 375 11.73 1.86 — .26 13.8 11. July — 292 6.5 .7 — .7 7.9 September 255 9.4 — — .78 10.2 87 Sch. Date. No. exam. Very few nits. A. Few nits. B. Many nits. C. Vermin. D. Total Percentage Unclean. 12. Julv 141 — — — — — September 160 — — — — — 13. |
140b2aec-138f-427e-aec7-06caa6dc41c8 | July 122 .81 1.6 .81 3.2 September 153 — 1.3 — — 1.3 14. July 214 — 1.8 .93 — 2.8 September 200 .5 2.5 — .5 3.5 15 July 212 3.7 4.7 .47 — 8.9 September 206 1.9 2.4 2.4 — 6.7 16. July 234 3.4 2.56 .85 — 6.8 September 210 .95 1.9 2.38 — 5.23 17. July 122 _— — — — — September 117 — — — — — 18. Julv 111 2.7 — — — 2.7 September 116 2.5 — — 1.7 4.3 19. |
58ab89e0-62d1-4c3e-a7f7-bc8b360bdc04 | July 151 — — — — — September 148 — — — — — 20. Julv 148 4.7 .67 — 5.4 September 122 4.1 — — .81 4.9 21. July 300 3.3 .7 — .3 4.3 September 237 1.6 — — .4 2.1 22. July 321 .62 — — — .62 September 385 1.5 .25 — — 1.8 23. July 268 4.5 .75 — — 5.2 I September 258 1.9 1.2 — — 3.1 24. July 250 4.8 .4 — .4 5.6 September 232 4.3 1.3 — 1.3 6.9 25. |
25b7bfba-90cf-44bf-aed3-ecedf31c0e95 | July 181 — .6 — .6 1.12 September 217 _ — — .9 .9 26. July 281 2.1 3.2 — 5. 10.3 « September 239 5.9 5. — .4 11.3 27. July 201 .99 .5 — — 1.49 September 214 .5 1.4 — — 1.9 28. July 177 — — — .6 .6 September 144 .7 .7 — .7 2.1 29. July 150 1.33 1.33 _ 2.7 September 141 .7 2.8 — — 3.5 88 Sch. Date. exam Very few nits. A. lew nits. B. Many nits. c. Vermin C. Total Percentage Unclean. 30. |
9ba650c8-0707-439d-a771-8ac3a43e0369 | July 217 1.38 .5 - - 1.8 September 185 1.1 .5 — — 1.6 31. July 121 - - .82 - .82 September 118 .84 — .84 — 2.5 32. July 93 6.4 10.75 10.75 1.07 29.03 September 89 4.5 16.8 2.24 2.24 25.8 33. July 38 13.2 - - - 13.2 September 32 15.5 - - - 15.5 INFECTIOUS DISEASES. A discussion on Diphtheria and immunisation in the schools will be found in the Public Health section of the Report. Below we give the figures for Schick testing and immunisation in the various schools for the year. School Schick Tested. Positive re-actors. |
3a9b3cba-c12b-4e66-9a5f-3e889a20a491 | Number of attendances for 1st dose. 2nd. 3rd. A.W..S. — — — - - A.W.J 15 7 4 3 4 A.W.I 1 — 137 134 123 B.P.S.G 2 — — — - B.P.J.G. 4 2 2 1 — B.P.I. 1 — 28 33 33 B.J.B. 1 — 1 2 3 B.J.G. 1 — 2 1 — B.I. 1 1 56 63 56 Central 76 40 40 40 31 D.J. 3 2 3 2 2 D.I. — — 98 96 85 J.P.S. - - - - - J.P.J. 15 8 5 1 1 J.P.I. 8 3 114 110 105 P.B. — — — P.G. |
33b614c1-898f-436e-9faa-fb68092cbff2 | 2 1 1 1 1 P.I. 1 — 61 77 88 R.J. 2 2 6 3 2 R.I. . — — 45 48 36 S.S.B 1 - - - - 89 S.J. — — 1 1 1 S.I. 1 — 66 75 66 R.C. 5 2 12 41 37 Other Schools 21 18 19 20 21 Infant Welfare — — 174 181 213 Total 161 86 875 933 908 In addition, 465 children-were Schick tested after inoculation, and of these 459 were found to be negative. 6 were still positive and were given a fourth dose. |
244b58a7-2379-4ad7-8b09-a6d46dceb3fa | There were 59 cases of Diphtheria in school children this number being distributed as follows:— Acton Wells 8 John Perryn 10 Beaumont Park 5 Priory 12 Berrymede 8 Rothschild 11 Central 1 Southfield 2 Derwentwater 1 Roman Catholic 1 Scarlet Fever. There were 122 cases of Scarlet Fever in the schools, the distribution being as follows :— Acton Wells 10 John Perryn 10 Beaumont Park 16 Priory 19 Berrymede 25 Rothschild 9 Central 1 Southfield 13 Derwentwater 16 Roman Catholic 3 Fifty-five Diphtheria patients and 167 contacts were seen at the Office, and 138 Scarlet Fever patients and 260 contacts were also examined before their return to school. 90 TABLE SHOWING THE NUMBER OF CHILDREN EMPLOYED OUTSIDE SCHOOL HOURS FOR THE YEAR ENDING 31st DECEMBER, 1934. 1 SCHOOL. Registered Occupations. |
5957b816-0f9d-4d83-a292-aa30445bef08 | Totals. Acton. In other Districts. Ages. Ages. 12—14 12—13 13—14 12—13 13—14 Acton County 7 7 - - 14 Acton Wells 2 20 - - 28 Beaumont Pork — — - - Central 6 15 - - 21 John Perryn 2 3 - 5 Priory 17 58 - - 75 Roman Catholic 3 2 - - 5 Southfield 7 25 - - 32 Totals 44 136 - — 180 91 TABLE SHOWING THE NUMBER OF CHILDREN ATTENDING ACTON SCHOOLS EMPLOYED IN THE VARIOUS REGISTERED OCCUPATIONS ON 31ST DECEMBER, 1934. SCHOOL. Delivering goods or parcels. Delivering Newspapers. Delivering milk. Totals. Boys. Girls. Boys. Girls. Boys. |
7937c04d-c709-4dc8-93f0-febd0c66d40e | Girls. Boys. Girls. Acton County 5 - 5 — 4 — 14 — Acton Wells 3 — 10 2 7 — 26 2 Beaumont Park - — — — — — — — Central 9 - 10 — 2 — 21 — John Perryn 2 — 2 — 1 — 5 — Priory 48 — 21 — 6 — 75 — Roman Catholic 3 — 1 — 1 — 5 — Southfield 16 — 12 — 4 — 32 — Totals 86 - 67 2 25 — 178 2 92 TABLE SHOWING THE DISTRIBUTION OK ALL CHILDREN EMPLOYED DURING THE PERIOD 1st JANUARY; 1034 to 31st DECEMBER; 1034. SCHOOL. BOYS. GIRLS. |
7bcc076d-74a3-4e74-ae94-011b6c2c907e | County Acton Wells Central John Perryn J Priory Roman Catholic Southfield Others Totals Acton Wells Beaumont Park Totals 1. Registered Occupations:— (a) Delivering Newspapers 7 28 21 3 44 2 20 7 138 2 1 3 (b) Delivering Milk. 6 8 3 2 14 2 8 4 47 — — — (c) Carrying or Delivering goods or parcels 7 6 15 3 90 5 30 8 104 — - — 2. |
50bd7644-f0a6-4876-8aca-29ee53cfb74a | Employed in otiteh Areas :— (a) Carrying or delivering goods or parcels (b) Delivering Newspapers - - - - - - - - - - - - (c) Delivering Milk - - - - - - - - - - - - Totals 20 42 30 8 148 9 64 10 340 2 1 3 Corresponding Figures for 1033 20 38 30 8 145 7 63 17 337 1 1 93 SWIMMING INSTRUCTION- SEASON 1934. The School Swimming Season opened on the 7th May, 1934, and provision was made for 54 classes, 32 for boys and 22 for girls." Of these, 49 classes were held in school hours whilst one class for boys and four classes for girls were held in periods immediately before or after normal school periods. All the instruction w-as given by the teaching staff of the schools concerned. |
5993fc1c-a05a-411a-ba3c-004ee1ba5f70 | The season normally ends on the 30th September, but, as in previous years, one or two small classes continue to attend the Baths during the winter months for instruction and practice in lifesaving. The Acton Education Committee continues to award certificates to boys and girls who can swim 25 yards down the length of the bath 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 conditions as for Acton certificates 2nd Class, 50 yards Life Saving. Elementary and Advanced. There are in the schools at the present time 1307 scholars (563 boys and 644 girls) who can swim (as against 1126 at the end of last season) and 330 boys and 304 girls in the schools learned to swim during the 1934 season (against 848 last year). |
8311ee4b-db00-483d-9954-d523d26f945c | It must be borne in mind, however, that of the 190 scholars who left at the summer vacation to enter secondary schools a great number had learned to swim by that date. The following is a statistical return relating to the season's work.;— 94 Year. Bovs Girls Total. No. of classes per week allocated 1934 32 22 54 1933 31 21 52 Total No. of attendances made 1934 12375 7911 20286 1933 13682 8631 22313 Certificates gained. Year 1934 Year 1933 Boys Girls Total Boys Girls Total Acton Education Committee 264 204 468 349 247 596 L.S.S.A. 1st Class 145 118 263 240 153 393 2nd Class 184 149 333 301 206 507 Life Saving, Elem. 20 14 34 33 82 115 Advd. |
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