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2643dca9-c1b8-46fc-a0bf-5ce70f072729 | 50.000) 14.8 0.04 11.2 0.00 0.00 0.03 0.01 0.03 0.07 0.17 0.41 3.8 55 London 13.3 0.52 11.4 0.00 0.00 0.00 0.01 0.04 0.00 0.11 0.51 11.2 58 Acton I2.6 0.5 10.2 0.00 0.00 0.00 0.00 0.04 0.1 0.11 0..5 12.0 60 The maternal mortality rates for England and Wales are as follows 'Pucrpcral Sepsis. Others. Total. |
649a9e71-3653-4e2a-a259-eb24ed943799 | [/##] per 1,000 Live Births 1.68 2.42 4.10 per 1,000 Total Births 1.61 2.32 3.93 41 TABLE II VITAL STATESTICS FOR THE WHOLE DISTRICT DURING 1935 AND PREVIOUS YEARS. Year Population estimated to Middle of each Year. Birth* Total Deaths Registered in the District Transferable Deaths Nett Deaths belonging to the District Nett Under 1 year of Age At all Ages Number Rate Number Rate of Non-Resideats Registered in the District of Residents Registered outside Dist. Number Rate per 1,000 Births Number Rate per 1,000 inhabitants 1926 65,700 1098 16.70 422 6.42 15 250 60 55 657 9,99 1927 66,700 1026 15.00 445 6. |
8dbd3ae3-2d93-4ca1-8c0f-4fc71500baff | 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 68,000 1026 14.90 540 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 0.40 35 321 62 61 742 10.52 1932 70,640 970 13.70 486 0.88 29 302 60 62 786 11.11 1933 70,300 886 12.00 492 6. |
e0c35e36-5f2b-4e95-b5a0-905425b7c8f8 | 99 31 329 41 46 788 11.20 1934 69,472 943 13.57 454 0.50 24 297 39 41 727 10.46 1935 68,960 868 12.00 417 0.04 41 328 51 60 704 10.20 42 TABLE III. AGES AT DEATH, AND WARD DISTRIBUTION OF DEATHS IN 1935. Causes of Death. Age in Years. WARD DISTRIBUTION All ages Under 1 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. |
bbab6033-f9cb-467e-a054-73a5539aecea | Enteric Fever 1 - - - - - - - 1 1 - - - Whooping Cough 3 2 - 1 - - - - - - - - 3 Diphtheria 8 - - 3 4 1 - - - 1 1 3 3 Influenza 8 - - - - - - 4 4 3 3 - 2 Cerebro spinal Fever 1 - - - 1 - - - - 1 - - - Phthisis 32 - - - - 5 18 5 4 0 5 9 12 Other forms of Tuberculosis 9 - - 2 2 2 - 1 2 3 2 1 3 Syphilis 2 1 - - - - - 1 - - 2 - - G.P.l. |
9c1ef5ce-ef0e-4080-87f4-4fd491e1f9c4 | & Tabes Dorsalis 3 - - - - - - 2 1 - 2 - 1 Cancer 94 - - - - - 4 49 41 31 24 18 21 Diabetes 11 - - - - - - 3 8 3 3 1 4 Rheumatic Fever 1 - - - - 1 - - - - - - 1 Cerebral Haemorrhage, &e. 67 - - - - - 2 20 45 21 22 1 1 13 Heart Disease 133 - - - 2 2 9 25 95 40 27 29 37 Other Circulatory Diseases 24 - - - - - - 5 19 9 5 3 7 Bronchitis 21 - - - - - - 9 12 7 5 5 4 Pneumonia 29 3 1 2 1 2 2 10 |
d9a1d8fe-6a0a-4e13-9c33-1e685b7c8b67 | 8 12 5 5 7 Other Respiratory Diseases 3 - - - - - 2 1 - 1 2 - - Peptic Uleer 11 - - - - - - 5 0 4 1 - 1 Diarrhoea 11 11 - - - - - - - 1 2 3 5 Appendicitis 8 - - - - 1 2 4 1 - 1 4 3 Cirrhosis of Liver 1 - - - - - - 1 - - 1 - - Other diseases of Liver 7 - - - - - - 1 0 1 3 3 - Other Digestive Diseases 1 - - - - - - - 1 - - - 1 Nephritis 21 - - - - - 4 7 10 5 7 5 4 Puerperal Sepsis 2 - - - - 1 1 - - 1 |
cee5520c-e933-425b-b69f-04af989051c4 | 1 - - Other diseases, &c. of Parturition 2 - - - - - 2 - - 1 - 1 - Congenital debility, Prematurity, &c. 25 25 - - - - - - - 12 6 3 4 Senility 62 - - - - - - 1 61 18 13 10 15 Suicide 9 - - - - - 2 0 1 4 4 - 1 Other deaths from violence 27 - - 1 2 3 5 0 10 11 5 2 9 Other defined diseases 07 0 1 1 6 4 6 19 21 25 13 13 10 TOTALS 704 51 2 10 18 22 59 185 357 223 104 140 177 43 TABLE IV. INFANTILE MORTALITY, 1935 Causes of Death. |
1b80e760-90ef-4287-a87c-3f9f155ea448 | Ages. WARDS. Total Under 1 week 1—2 weeks 2—3 weeks 3—I weeks 1—3 months 3—6 1 months 6—9 | months. 9—12 months North East North West South East South West Whooping Cough . 2 - - - - - 1 1 - - - - 2 Congenita! Syphilis 1 - - - - 1 - - - - 1 - - Pneumonia 3 - - - - 1 2 - - - 1 - 2 Diarrhoea 11 - 1 1 1 4 4 - - 1 2 3 5 Prematurity 13 12 - - 1 - - - - 7 2 2 2 Congenital Debility 2 1 1 - - - - - - - 1 1 - Congenital Heart Disease 2 - - - - - - |
e78d4cb6-9fba-4add-8ace-2ad40112873e | 1 1 2 - - - Spina Bifida 3 - 2 1 - - - - - 1 1 - 1 Anencephalus 1 1 - - - - - - - 1 - - - Marasmus 2 - 1 - 1 - - - - - 1 1 - Injury at birth 5 4 - 1 - - - - - 3 1 - 1 Convulsions 1 - - - - - - - 1 1 - - - Intussusception 1 - - - - - 1 - - - - - 1 Hiorsthspring's Disease 1 - - - - - 1 - - - - - 1 Otitis Media 2 - - - - 1 - - 1 1 - - 1 Renal Neoplasm 1 - - - - - 1 - - - - 1 - TOTALS 51 18 5 3 3 |
79553eee-f583-4f03-9ab4-e4d5bc9ae771 | 7 10 2 3 17 10 8 16 44 TABLE V. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR, 1935. Notifiable Disease. Cases notified in whole District. At Ages—Years. Ward Distribution. At all Apes under 1 l to 5 5 to 15 15 to 25 25 to 45 45 to 65 Over 05 North East North West South East South West Scarlet Fever 103 - 40 46 8 7 2 - 31 39 20 13 Diphtheria 80 1 23 40 7 - - - 28 20 8 15 Pneumonia 29 - 5 4 2 9 5 4 3 8 5 13 Erysipelas 22 - 1 1 2 4 10 4 9 5 - 8 |
6bd2eb04-a162-4140-af75-4d0ad0bcf573 | Puerperal Pyrexia 3 - - - 2 1 - - 2 1 - - Ophthalmia Neonatorum 2 2 - - - - - - - - 1 1 Paratyphoid 2 - - - 1 1 - - 1 1 - - Tuberculosis 27 - 1 3 29 29 18 5 22 16 10 29 19 - 2 8 4 4 1 1 5 5 3 6 TOTALS 337 3 72 111 51 55 31 14 l01 101 47 81 45 OPHTHALMIA NEONATORUM. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At home. In hospital. |
61bbd1a1-180a-4d86-8edb-aa666c711476 | 2 1 1 2 - - - 46 CASES REMOVED TO HOSPITAL. TABLE 6. Total Notified. Scarlet Fever 82 103 Diphtheria 78 80 Pneumonia 13 29 Puerperal Pyrexia 3 3 Erysipelas 16 22 Ophthalmia Neonatorum 1 2 Paratyphoid 2 2 TABLE 7. BIRTHS. Male Female. Total. Live Births. Total 461 407 868 Legitimate 436 387 823 Illegitimate 25 20 45 Still Births. Total 19 15 34 Legitimate 18 13 31 Illegitimate 1 2 3 Notified Live Births. Ward Distribution. Total Births notified in Total. N. East. N. West. S. East. S. West. |
657a9a90-d394-42ad-b0c3-46d0eba91cb4 | the district 407 136 63 45 163 Notifications received from other districts 442 156 121 60 105 Notified Still Birth Inside 5 Outside 18 Total 23 Notifications were received from:- Doctors and Parents 701 Midwives 171 Table 8. INFANT WELFARE CENTRES, 1935. |
919b8449-d573-4a93-bede-3e7ff47e3b2e | Number of Centres provided and maintained by the Council 4 Total number of attendances at all centres during the year:— (a) by children under 1 year of age 10,295 (b) by children between 1 and 5 years of age 7,817 47 Average attendance of cliildren per session Number of children who attended for the first time during the year:- (a) under 1 year of age 689 (b) between 1 and 5 years of age 202 percentage of notified live births represented by number of children who attended a centre for the first time during the year 81,15 Children treated at Dental Clinic 142 Children treated at Ophthalmic Clinic 7 Mothers treated at Ophthalmic Clinic 3 Children operated on for enlarged tonsils and adenoids 2 Cliildren operated on with X-Ray for Ringworm - TABLE 9. ANTE-NATAL CLINIC. |
5974699b-bf3c-478c-a061-0eaf6ca833aa | Number of Expectant Mothers who attended 335 Number of attendances made by Expectant Mothers 373 Mothers referred for Dental treatment at the Clinic 85 Mothers supplied with Dentures 19 Expectant Mothers to whom Dried Milk was supplied 24 Number of packets of Dried Milk supplied 196 TABLE 10. INQUESTS. Inquests — 38 Killed by a Motor Vehicle 11 Fall downstairs 1 Suicide 9 Accidental fall 1 Death under anaesthetic 5 Accidental drowning 1 Senility accelerated by Found drowned 1 cident 2 Fall from roof Fall out of window 1 Fall from pedal cycle 1 Fall when drunk 1 Dog-bite 1 Alcoholic poisoning 1 Pneumonia 1 Coroxer's Certificate after Tost Mortem without ax Inquest—28. |
56929798-a42e-4987-9f76-f68b5ca483db | Heart Disease 11 Want of attention at birth 1 Cerebral Haemorrhage 5 Influenza — — 1 Atheroma 3 Cancer ' __ — 1 N'ephritis 3 Bronchitis 1 Acute Pancreatitis __ 1 Septic Meningitis 1 48 FACTORIES, WORKSHOPS AND WORKPLACES. 2.—Inspection of Factories, Workshops and Workplaces including Inspections made by Sanitary Inspectors. [##3]Premises. Inspections Written Notices (1) (2) (3) Factories 72 12 (Including Factory Laundries) Workshops 396 6 (Including Workshop Laundries) Workplaces 14 Nil (Other than Outworkers' Premises) Total 482 18 2.—Defects found in Factories, Workshops and Workplaces. Nuisances under the Public Health Acts:— Particulars. |
be7abba7-4c57-4801-b15c-adf0833307d6 | Found Remedied (1) (2) (3) Want of Cleanliness 31 31 Want of Ventilation Nil Nil Overcrowding Nil Nil Want of drainage of Floors 2 2 Other Nuisances 6 6 Sanitary Accommodation:- Insufficient 4 4 Unsuitable or defective 33 33 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 49 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). Ki.sie Madeley, m.b., Cli.b., d.p.h., Assistant Medical Officer of Health and School Medical Officer. P. H. Slater, l.d.s., School Dentist. |
04c99547-b704-43b4-a3a4-7f3308cab770 | 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. M. Cooksey, A.R.San.I., Certificate of Royal Sanitary Institute, Health Visitor. Miss J. Welsh, Certificate of Royal Sanitary Institute, c.11.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. |
8274cdc4-47ff-41fc-8c8c-beeebce639e8 | Miss A. Woosnam, s.r.n., c.m.b., Health Visitor and School Nurse. Miss M. I. Greenwood, s.r.n. , Certificate of Royal Sanitary Institute, C.m.b., Health Visitor and School Nurse. H. 1,. Hacker,* Chief Clerk. 50 Miss G. Overall* Clerk. (Resigned 31/8/35) Miss V. E. Arnold* Clerk. Miss D. E. Beacon. Clerk. Miss A. Kent* Clerk. Miss V. Slack* Clerk. (Appointed 11/11 /35). Miss M. J. Gilfillan,* S.R.N,* C.M.B., Matron, Isolation Hospital. Miss F. A. Cavendish, Matron, Bay Nursery. G. Baker,* Disinfector. A. C. Mepham,* Asst. Disinfector and Mortuary Keeper. |
69339423-edfa-48bb-bb19-ff02f145187c | 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 have again to express my appreciation and thanks to all the members of my staff for their excellent co-operation during the year. I am, Your obedient Servant, D. J. THOMAS, Medical Officer of Health. 51 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1935. f Municipal Offices, Acton, W.3. To the Chairman and Members of the Acton Education Committee. Ladies and Gentlemen, We beg to submit the following report upon the schools school children of Acton for the year 1935. Changes in the staff occurred during the year. In May, Dr.Howell resigned to take up an important post with the Welsh Board of Health after over three years devoted service to the Committee, and Dr. Madeley has succeeded her. In June Miss Broughtors was. |
95b0cd36-0190-4218-a831-b526b3765814 | appointed a Health Visitor and School Nurse to the Brentbond Chiswick Council; she had served here in a similar capacity with quiet effciencv for 2½ years. Miss Greenwood was appointed to succeed her in July of last year. 52 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. In last year's report the question of Health Education and the teaching of Hygiene was introduced, and some misunderstanding was created regarding the purport of our remarks. Our object was to bring into prominence the necessity of teaching Hygiene so that every boy and girl would take a pride in their physical fitness, and that cleanliness, care of the teeth, &c., would be inculcated as habits with them. |
5c24c61d-e713-4699-a4c0-a2f7e78f498b | We did not underestimate the difficulties, and as a result of a conference with the head teachers, the Director of Education and the Chairman of the Education Committee, when a frank interchange of views took place, a syllabus was agreed upon and a place given to the definite teaching of hygiene. PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT WITH accommodation. Name of School. Dept. Accommodation. Avge. monthly No. on Registers Average attendance Acton Wells Senior 320 263 236 Junior 364 417 378 Infants' 364 373 309 Beaumont Park Senior Girls' 450 191 172 Junior Girls' 450 237 218 Infants' 400 231 196 Berrymede Junior Boys' 640 468 417 Junior Girls' 542 395 357 Infants' 450 314 266 Central 480 439 411 Derwentwater Junior Mixed 441 407 379 Infants' 350 298 257 |
ef2cc792-146e-4781-a175-5c25e0565799 | John Perryn Senior 360 247 224 Junior Mixed 288 278 254 Infants' 336 289 254 Priory Senior Boys' 500 334 302 Senior Girls' 499 363 312 Infants' 400 288 252 Rothschild Junior Boys' 450 218 201 Infants' 400 274 235 Southfield Senior Boys' 415 207 189 Junior Mixed 382 327 301 Infants' 350 242 196 Turnham Green R. C. Mixed 327 237 207 Special (M.D.) 68 44 37 10026 7381 6560 53 AVERAGE HEIGHT without shoes AND AVERAGE WEIGHT without clothes. ANTHROPOMETRIC Committee, 1929. Age last birthday. MALES. FEMALES. Height in ins. Weight in lbs. Height in ins. Weight in lbs. |
d9418f0f-ec34-4fac-a27e-f4e8db0a9042 | 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. 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. |
0677ceda-65bc-47cb-be51-116135f2e98d | 86.1 58.9 88.2 15 61.8 99.3 62.3 106.8 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES LEAVERS (BOYS) Years of Age. No. Examined. 12—13 13—14 14—15 No. Height ins. Weight lbs. No. Height ins. Weight lbs. No. Height ins. Weight lbs. Acton Wells Senior 39 38 57.5 83.2 1 57.5 79 ...... ...... ...... Central 37 37 59.1 89 ...... , ,.... ...... ...... ...... ...... John Perryn Senior 44 45 58 81.2 4 59.8 87 6 ...... ...... ...... Priory 117 116 57.2 82.7 1 56 72 ...... ...... Southfield Snr. |
1cd39c32-2784-4a64-9531-d106a6ea49ae | Boys' 63 59 56.8 77.6 4 58 84.5 ...... ...... ...... Human Catholic 17 12 59 86.4 4 61.3 96.6 1 61 88.5 322 307 14 1 ...... ...... (GIRLS) Acton Wells Snr. 40 39 58.3 83.1 1 64.5 98.5 ...... ...... ...... Beaurn't Pk. Snr. 67 67 58.1 81.8 ...... ...... ...... ...... ...... ...... Central 42 42 59 82.1 ...... ...... ...... ...... ...... ...... John Perryn Snr. |
5792d464-2216-423f-bd3d-d292e2d44880 | 48 48 58.9 85.1 ...... ...... ...... ...... ...... ...... Priory 140 142 57.6 79.4 4 60.4 85.6 ...... ...... _ Roman Catholic 19 17 58.9 84.2 2 62.2 92.5 ...... ...... ...... 362 355 7 < 54 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. No. Height ins. Weight lbs. No. Height in*. Weightt
lbs. Acton Wells Junior 16 8 49.2 53.4 7 50.3 56 1 54.5 73.5 Acton Wells lnfts.' |
060410ad-b3af-4045-b45b-5d1044eff769 | 41 25 49 54.1 10 50 55.5 ...... ...... ...... Beaumont Pk. lnfts.' 7 7 47.1 5O ...... ...... ...... ...... ...... Berry mede Jnr. 86 40 48.6 53 45 48.7 54.8 1 53 72.5 Berry mede Infants' 5 0 49.6 55.4 ...... ...... ...... ...... ...... ...... Derwentwater Jnr. 34 20 49.1 54.0 14 51.4 59.4 ....... ...... Derwentwater lnfts.' 5 5 47.8 51.1 ...... ...... ...... ... ...... ...... John Perryn Junior 1 ...... ...... ...... 1 50 54.5 ...... ...... ...... John Perrvn lnfts. 40 20 49.1 53.9 20 49.5 54.5 . . . |
c8ee0af4-d6cc-4a22-a5ba-49cc2fc97e9c | Priorv Infants' 4 4 48 51.0 . . . . . . Rothschild Junior 50 13 48.9 54.5 30 49.2 50 1 53.8 57 Rothschild Infants' 8 8 49.5 55.5 . . . . . . Southfield Junior 27 20 49.2 50.1 7 48.4 50.9 . . . Southfield Infants' 8 8 47.9 51.9 . . . . . . Roman Catholic 21 6 48.8 52.5 11 51.5 57.2 4 50.9 57.5 353 189 157 7 TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES INTERMEDIATES (GIRLS) No. Examined Years of Age. |
95f7202c-393f-473c-8b51-f10c1e4e4d7a | 7—8 8—9 9—10 No-. Height ins. Weight lbs. No. Height ins. Weight lbs. No. Height ins. t lbs. Acton Wells Junior 21 12 49.4 54.3 9 49.5 56 ...... ...... ...... Acton Wells Infants' 37 14 48 49.8 23 48.8 52.8 ...... ...... ...... Beaumont Park Jnr. 42 28 48.4 50.3 14 48.9 52.2 ...... —...... ...... Beaumont Park lnfts. 4 4 48.8 56 ...... ...... ...... ...... ...... ...... Berrymede Jnr. 89 61 48.7 53.9 28 48.4 53.9 ...... ...... ...... Berrvmede lnfts. |
a9b2958e-5526-452a-8ec8-4cf9a302ead5 | 2 2 49.6 51.2 ...... ...... ...... ...... ...... ...... Derwentwater Jnr. 28 14 49.9 52.3 14 50.6 55.8 ...... ...... ...... Derwentwater lnfts.' 3 3 51.6 57.5 ...... ...... ...... ...... ...... ...... John Perrvn Jnr. 5 ...... ... ...... 4 47:4 46.7 1 53-8 62 John Perrvn lnfts.' |
149bc6d4-8309-4bbe-88ca-62eb87a4abf9 | 38 10 47.5 50.6 22 48.7 53.7 ...... ...... ...... Priory Infants' 8 8 48.1 51 ... ...... ...... ...... ...... ...... Rothschild Infants' 7 7 47.6 48.8 ...... ...... ...... ...... ...... ...... Southfield Junior 39 28 46.8 53.9 9 48 50.1 2 51 70.1 Southfield Infants' 2 9 51.1 56 ....... ...... ...... ...... ...... ...... Roman Catholic 18 4 48.4 50.5 11 49.1 51.1 3 6 53.1 60.9 343 203 134 — 55 TABLE SHOWING HEIGHT AND WEIGHTS AT DIFFERENT AGES. ENTRANTS (BOYS) No. |
c77e707c-2d8e-49be-bb72-ed74b6eb4d27 | 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. Height No. Weight. lbs. Acton Wells Infants' 86 . 42 40.8 38.5 30 43 41.5 8 45.6 46.3 Beaumont Park Infants' 62 10 38.3 34.9 15 40.8 40.1 28 42.5 42.2 9 44.7 45.5 Berrymede Infants' 67 26 37.2 33.9 19 39.6 30.6 19 42.8 43.2 3 45.6 48.8 Derwentwater Infants' 62 . . . |
d7cb437f-2fad-40a4-b364-7cf8dc7b6b28 | 37 40.9 38.0 20 43.8 44 5 45.1 45.7 John Perryn Infants' 41 . . . 15 40.8 39.2 23 43 42.1 3 45.7 48.8 Priorv Infants' 58 . . . 25 41.2 38.9 20 43.8 43.3 7 45.3 45.8 Rothschild Infants' 42 10 38.7 35.5 14 41.5 39.4 15 43.5 42 4 44.4 46 Routhfield Infants' 66 . . . 30 41.6 40.3 30 43.3 41.8 6 47.3 48 Roman Catholic 17 . . . 9 42 38.3 5 43. |
cf47ca02-9bef-4444-a81c-fcd3ffe1e110 | 4 40.9 3 45.9 44.4 501 46 200 202 47 (GIRLS) Acton Wells Infants' 55 . . . 22 40.1 36.3 27 42.9 41.3 6 43.9 42.5 Beaumont Park Infants' 69 16 36.6 32.5 18 40.2 37 29 41.8 40 6 45.9 40.4 Berrymede Infants' 57 15 36.2 31.9 15 40.4 38.2 19 42.5 42 8 44.5 45.7 Derwentwater Infants' 66 . . 27 41.1 37.9 32 42.4 39.6 7 45.1 43.9 John Perryn Infants' 52 . |
d069270e-b3fb-4bf1-bd19-3a14c469ffbc | ... ...... ...... 22 40.9 38.4 24 43. 41.9 6 45.5 40 Priory Infants' 51 ...... ...... ...... 19 40.6 36.8 20 42.5 40 12 44.8 44.2 Rothschild Infants' 45 9 37.5 31.9 15 40.1 36.1 17 43.4 42.8 4 48 52.8 Southfield Infants' 61 ...... ...... ....... 19 41.8 38.4 37 43.9 42.7 5 16.9 46.6 Roman Catholic 11 ...... ...... ...... 7 41.3 36.2 3 41.8 39.2 I 45.3 43.8 467 40 164 208 55 56 TONSILS AND ADENOIDS. |
f011d0d0-a44a-47a4-8b67-2443733fcd3f | 77 Children were operated upon during the year under the Authority's scheme for removal of tonsils and adenoids. 65 of these were operated upon because of repeated attacks of tonsillitis and repeated and constant head and throat colds accompanied by obstruction to the breathing, and enlargement of the glands in the neck. 3 children were operated upon because it was considered that their septic tonsifs" were the source of infection for their rheumatic condition. 9 children were operated upon because of some ear condition, either deafness, discharging ears, or recurring earache coinciding with sore throat. PROVISION OF MEALS. At December 31st, 1934, there were 283 children on the feeding list—at the end of December, 1935, this number had increased to 304. |
32d1c2f6-6232-4220-9731-316f856047d1 | It will be seen that there is an increase in the number at the end of last year, but it must be remembered that the free meal population is a floating one, and that children are stopping and starting free meals all the time. These numbers are not therefore strictly comparable and on analysis of actual meals taken it will be seen that actually the first quarter of 1935 provided more free meals than the last one. During the first 3 months of 1935, the number of free meals. supplied was 11,571 while in the last quarter it was 11,146—a slight drop. These quarters are strictly comparable, consisting each of 13 weeks and in each there was one week's holiday. The two intermediate quarters show a considerable drop, the second quarter's meals numbering only 8,650 and the third 6,451. In the second quarter there were 2 weeks holiday, and in the third 4 weeks. |
3e59207a-0bdb-4584-8bf0-6c38e0ed8825 | A grand total of 37,820 meals was supplied during the year, 227 children receiving meals and milk, 3 children receiving meals only, and 74 children receiving milk only. 94,169 bottles of milk were provided during the year. From this it will be seen that advantage is being taken of the facilities provided for necessitous and undernourished children and it is hoped that increasingly the general health of the children will improve with it. Each child, before being provided with free meals or milk is examined, weighed and measured, and over and over again we 57 were struck with the fact that the "junior," i.e., the child aged 7-11, seemed to be more underweight and generally more puny than his older and younger brother or sister. Where a whole family were examined, it would be noted that the " infant " or "senior" would show less evidence of malnutrition than the intermediate member of the family. |
f523f2fa-afa8-4873-90db-5c1f9f792ef2 | Accordingly, out of curiosity, 80 " infants " who had been put on free meals and milk, were chosen at random and their height and weight averaged out, and also their average age calculated. It was found that their average height was 41.6-in. and the correct height for the average age was 41.5-in. There was thus practically no discrepancy. Their average weight was 38.9-lbs. and the correct weight should have been 40.5-lbs. Their average underweight for height was therefore 1.6-lbs. This was not a very big difference and it bore out what had been noted, that the entrant is a fairly good specimen on the whole. It was not possible to get 80 " seniors " who were seniors when put on the feeding list, but a similar deduction was made for 47. It was found in these that the average height was 55.1-ins. |
002bd017-ea1a-43a2-85f6-4006fd6793bb | and the average weight 70.7-lbs. For their average age they should have measured 54.7-ins. and weighed 73.9-lbs. There was thus again very little difference in height but the average underweight for age was 3.2-lbs. When for the "juniors" a comparable calculation was made for 80 chosen at random, it was found that their average height and weight was 49.3-ins. and 53.7-lbs. For their average age the correct figures are 51.6-ins. and 63.5-lbs. There is thus a much greater discrepancy between these figures—the average underweight being 9.8-lbs. and underheight 2.3-ins. These figures bore out what we had observed, that the " junior " who comes up to be examined for free meals is a poorer specimen than his older or younger brother. |
9746bc53-31c6-41ba-b65b-7ad2e7fdf792 | Seeking a reason for this, it is certain that there is no single factor at work. The fact that no distinction as regards sex was made, would account in part for the " seniors " showing so little difference as it is well known that about the age of 12, girls tend to put on weight. At this period also it is common for boys to earn a little money for themselves by delivering newspapers, &c. Lack of rest in "juniors" is probably one of the main contributing causes. It is found that very frequently the " junior " does not go to bed any earlier than his " senior " brother, 9-10 o'clock and even later being a very common answer to an enquiry as to the regular bedtime. Also " be won't go to bed until his brothers and sisters go," is a very usual reply. The " infant " is still considered more or 58 less as a baby and is put to bed earlier, although sometimes not nearly as early as he ought to be. |
c4362e1b-4a4c-44d1-a2e1-4933e3b05913 | Following the introduction of the Summer Time Act in 1921, an investigation was made into the effect of this Act on the health of the school child and on the amount of rest and sleep which the children got in the Winter and Summer. The amount of sleep required at different ages is stated to be as follows :—| Four to seven years 12 hours. Seven to eleven 11 hours. Eleven to thirteen 10 hours. Thirteen to fifteen 10 hours. Fifteen to seventeen 94 hours. Seventeen to nineteen 9 hours. In Acton it was found that up to the age of 7 there was no great deficiency in the amount of sleep which the children got. In children aged 11-14 also the bulk of the children were having approximately correct periods of rest. By far the greater number of children who were not having adequate rest fell in the age groups 7-11. |
fffae3cd-e965-4041-b1c9-54fc9a72774e | These figures were of course drawn from all the school children in Acton, not only from those whose home circumstances required that extra nourishment should be granted them, but it is most surprising to find that where the results of poverty are apparent in malnutrition in childhood these effects should be aggravated in the age group where lack of rest is an additional factor. The figures quoted for rest sleep for Acton were, of course, got out some few years ago, but it is unlikely that human nature has changed so much in the interval as to make the results no longer applicable. They are, moreover, borne out by observation and by statistics, that the junior " who comes for examination for free meals is a poorer specimen than his older brother and sister. It is not an easy matter to impress on the average mother that her child needs more sleep, it is so much easier to let the children run about until they voluntarily seek their beds, than to have to break them into a new habit of going earl}' to bed. |
974d3f94-3cac-44c6-9eb8-893d2758744b | Aural Report. The frequency of discharging ears is not a bad index of the efficiency of medical care in any community, and in a recent number of the " Lancet " an incident is related which shows the frequency of the condition in former years. Some twenty years ago a mother brought one of her children to an out-patient department in a poor 59 district in London, complaining that, although the child was teething, there was no discharge from the ears as had been the case with all her other children. It is of interest to look through our school reports and in the earlier ones we find the same sort of story. In 1908 we were complaining that treatment was difficult, as the children had suffered for years from the complaint and it was hard to convince the mothers that the disease was not a necessary accompaniment of teething and bronchitis. |
725259e0-5da7-4948-938b-099da163bfc5 | Frequently the smell was so objectionable that the teachers requested us to exclude the children from school attendance, and occasionally this was adopted, but we found this of little service as no complaint led to such a prolonged absence from school. One of our difficulties in those early days arose from lack of co-operation from the mothers, and their diffidence in obtaining treatment. The first step to improve matters was taken in 1910 when a school nurse was appointed, but we soon found that the mothers did not cany out the instructions of the nurse, and the nurse herself could only carry out a part of the treatment. A second nurse was apointed in 1913, and arrangements were made for the children to come to the office daily to have their ears syringed. In 1914, the Minor Ailment treatment centre was opened, and since then a great improvement has occurred. |
5c57dd0e-7b9c-49d2-812c-973ffc03c5f1 | Arrangements were subsequently made for the examination and treatment of cases by a -pecialist, and our cases showed a welcome diminution in the number. The same method of running the Ear Clinic has been followed this year as previously, and the results have well repaid the labour which has gone to making the work a success. As will be seen from the subsequent analysis of cases, children are being sent for examination on the slightest suspicion of ear trouble, as it will be noted that many who are referred to the Clinic are found not to be suffering from ear disease at all. Those who are found to be so suffering are examined, treated, visited and not lost sight of until they are either well or are referred to a specialist, if it is found that success is not attending the efforts of the Clinic to cure the complaint. There are two types of cases which constitute a problem to any Ear Clinic. |
ab7c3b5c-957c-4613-a501-e7e8c4757064 | The first is the intermittent discharge which clears up completely but begins again when the child gets a head cold with infection extending to the middle ear. It is not always easy to convince the patient and its parent that the nose treatment advised is as important a part of the cure as the local treatment to 60 the ear. These children may have attack after attack of ear discharge until they come to treat the ear discharge almost with indifference, although each attack means added risk of impaired hearing- The other type of case is the chronic ear discharge where all the treatment of the case is left to the Clinic. The parent is urged to co-operate, shown how to do so, but apathy and indifference win the day and no effort is made. Such cases are the despair of any Clinic, but fortunately in Acton they are few. Last year at the Clinic, the total number of cases referred for examination was 127, but not all of these were found to be suffering from ear disease. |
5fa856cb-d1c7-454f-b0bc-ae8489de3a8b | 35 children were referred complaining of deafness, and investigation provided the following figures:— 28 were suffering from wax in their ears and were cured on its removal. 4 were deaf after bad head colds and got better on suitable treatment as their colds improved. 2 were due to abnormalities in the formation of their ears, one had thickened ear drums and the other a congenitally narrowed meatus. 1 showed no obvious cause for deafness and was ferred to an ear specialist. 30 Children came to the Ear Clinic complaining of earache, a complaint which, curiously enough, analysis showed to be in the main due to things other than ear inflammation. 12 only had genuine earache and all subsided on appropriate treatment without developing otorrhoea. C complained of earache but the pain was from decayed back teeth. |
282b1405-09ac-44af-92d4-43a6a6e365b7 | 8 were getting pain from impacted plugs of wax, 2 had mumps, 1 had furunculosis of the external auditory meatus and, 1 showed nothing to substantiate the claim to earache. 34 cases of otorrhoea have been treated and cured during 1935. 61 27 of these were acute cases, ears discharging when first seen, and they responded to treatment. All were discharged from the Clinic with healed drums and normal hearing. 4 cases of intermittent ear discharge were cured, three of these showed a perforation in the drum with a certain interference with hearing but one had a healed drum head and normal hearing. 2 cases of old standing otorrhoea where a mastoid operation and a double mastoid operation had been performed were cured, in both cases with intact drums and good hearing. 1 case of intermittent ear discharge cleared up after removal of Tonsils and Adenoids. |
be0e5035-3338-4d19-9c8d-3705664cfa09 | 11 cases of otorrhoea which were not showing signs of improvement were referred to Hospital for further advice or treatment. 3 had mastoidectomy performed, two are cured but the third operation is too recent to know the result. 1 was put on special treatment and is to be operated upon in 2 months time if the local treatment is unavailing. 2 were cured without operation. 4 are still attending Hospital with discharging ears. 1 child ceased to attend hospital and is now being looked after by his own doctor. 3 children left the district while attending the Clinic and before their ear discharge had ceased. 1 died, not as a result of ear trouble. 4 children left school and so passed out of our hands, while still incompletely cured of ear discharge. 2 of these had mastoid operations and their ear discharge was much less. 1 was attending another Clinic. 1 had suffered from intermittent ear discharge for some time and was much better. |
e8c8be74-5977-470f-9c94-176603d73233 | All these children had been taught to keep their ears clean by themselves and should therefore have been able to carry on the work of the clinic even if they no longer attended school. 62 At the end of 1935, the ear clinic was left with 8 children still suffering from otorrhoea. 3 of these were cases of intermittent otorrhoea and 3 were recent cases. 1 was a child who had been treated at the clinic, his parents had then left Acton and had later returned when the child was found to have very profuse double ear discharge. His routine treatment at the clinic is again having its effect and he is clearing up, but this case makes one realise how totally inadequate the home treatment of such cases is, and how very valuable and necessary is the regular supervision that our Nurses exercise on these cases. One child's parents refused treatment at the clinic as they objected to his lessons being missed, and are having the child treated out of school hours by their own doctor. |
42ae4662-b9f5-4b1e-b30e-2b2c529e9c48 | STAMMERING AND SPEECH DEFECTS. Stammering is generally classified as a Speech Defect, although in reality this is a misnomer. The stammerer has nothing organically wrong with his vocal apparatus, neither has he any defect of the speech itself. This may be proved by the fact that he can sing or speak in chorus perfectly and can speak quite well if he is in a room by himself. The stammer is due to muscular tension and inability to co-ordinate the vocal and mental apparatus caused by psychological inhibition. The stammerer will usually tell you of some shock, illness or accident which happened to him when he was four or five, which be explains was the cause of the stammer. This may or may not be true, but the fact is that there is a predisposition to stammer which usually comes out at about that age. |
b1920aff-2b47-4e1c-a6e0-5c20cb2538f0 | The child goes to school and meets new companions, discipline is forced upon him probably for the first time and he is suddenly plunged into a new atmosphere which is completely alien to him, and he begins to stammer. A shy, self-conscious child will stammer first from fear' a more precocious child will stammer out of self-defence. In the first case the child will be afraid of stammering a second time and the fear will make him do it again. In the second case the child will find it pays, people will sympathise and give in to him rather than hear his stammer. In both cases it grows into a habit which soon becomes difficult to eradicate. There have been stammerers from time immemorial and there have always been people ready to cure them. |
f7f46699-df02-4698-83de-00a7a278580e | Everyone knows 63 the familiar story of Demosthenes, the Greek orator, who is said to have cured his stammer by standing on the sea-shore shouting to the waves with a pebble on his tongue. A few weeks ago I heard of a small boy who had cured his stammer in the same way. Less than fifty years ago it was a comparatively common occurrence for surgeons to operate for a stammer. Everyone has his own pet theory, and every stammerer we meet has been told to breath deeply or hit the table or click his fingers. When we bear of a successful cure of this description there is only one answer to it where there's a will there's a way. There is always a type of person who intends to get cured and one who subconsciously prefers not to do so. |
b553cd40-648b-420b-a5cb-cbc3d5dbc629 | It is the job of the Speech Therapist to get at the root of this subconscious preference and help the stammerer to find out the cause of his stammer and so get rid of it. Every stammerer is different and it is soon found out that it is necessary to treat the stammerer and not the stammer. As there is no speech defect it is no good attacking the speech itself and more harm than good can be done by countless vocal exercises; producing perfect vowel and consonant sounds which only draw. the attention of the stammerer to his own difficult. When the: stammerer is perfectly relaxed physically and mentally he can talk freely. It is necessary to get rid of all muscular tension by.' exercises and daily practice in relaxation, at the same time strengthening the self-confidence of the stammerer by talking to him, taking an interest in his life, and explaining the cause and effect of thee stammer to him. |
a4dad480-cd26-4eda-a8e3-ca611a8f8f65 | Breathing exercises are important as they help to develop control and establish confidence in the stammerer's . power over his own voice. Recitation and reading are practiced sparingly and only in order to convince the stammerer of his progress. The essential part of the cure is to get rid of the feeling off inferiority and incompetence which is inherent in every stammerer 1 and to build up instead a feeling of confidence and assurance. Thee great thing is to get the whole-hearted support not only of thee stammerer himself but of his parents and friends, school teachers and companions. The difficulties that he is up against in daily life cannot be too clearly realised ; if he is a nervous type he should not be forced to read aloud in class, to take messages or to do shopping. On the other hand the stammerer nearly always has a high standard of intelligence and he should not be treated differently from other children or passed over because he is difficult to teach. |
1462a440-4b02-49ab-8d1a-b406cc5a8990 | I had a case of a boy of fourteen who could not read, because when he was younger his teacher passed him by because his stammer prevented him from speaking quickly. Even- case can be cured eventtally, the time depends entirely on the individual. The complete cure may take from 3 months to 3 years or more, according to thee 64 personality of the stammerer and the depth to which the habit has grown. There are 5 boy stammerers to every girl, but other speech defects are divided more fairly among the sexes. Stammering is by far the most prevalent of all speech defects. The next more usual is that known as I alling or baby talk. This is found generally amongst only children, or youngest members of a grown-up family who continue to talk at the age of 6 or 8 as they did at 3 years old. |
d3a455f7-aa5e-4930-9d76-aac1111426a0 | This form of bad articulation, which has no organic defect sometimes prevails to an older age and is commonly met with amongst older children and adults of a low mental status. It can be cured byre-education of the speech by mouth, lip and tongue exercises, and mimicry. A young child of average intelligence will soon learn to speak well while with an older person the cure may take longer. A lisp is sometimes due to faulty dentition and more often to a thick and inflexible tongue. Word-deafness and blindness are forms of speech and hearing defects whnch are not so common although quite frequently a case of inability to speak clearly which appears at first sight to be lack of intelligence is found to be caused by deafness. The most difficult form of speech-defect is that known as cleft-palate speech. The patient is born with a cleft palate which may be operated on in various ways according to the position of the cleft. |
8ecfec33-e9c7-4597-8e5b-66f609de3b36 | But the operation cannot be performed until the child is 2 or 3 years old so that he learns to speak badly. After the operation it is necessary to teach the child to breath through the mouth and nose, to exercise the uvula and soft palate which has become stiff through the operation, and to re-educate the speech. The child finds the exercises hard work, and unfortunately soon tires of the practice and very often does not realise the necessity for the cure. However, modern surgery has discovered better ways of mending the broken mouth than those used in the past, and the job of learning to speak well afterwards will be made correspondingly easier for the children. E. P.. B. CLARK, Speech Training Therapist. Report on Speech Training Classes. Classes for stammering children were held twice a week, on Mondays and Thursdays from January to December. |
c0b7ce90-de2e-411a-b321-59caac13ce28 | In January, 1935, 31 children were attending these classes and during the year:— 65 10 left school, 3 left the district, 13 were discharged as cured, 2 were removed from the classes, 1 was re-admitted, and 9 new cases were admitted. Apart from the 13 discharged as cured, the majority of those attending the classes show improvement. Two of those discharged as cured were had stammerers and 4 bad stammerers still attending the class show marked improvement. At the end of 1935, 12 children were still attending the classes for stammering children, one being a child who had relapsed into a slight stammer. In addition to providing classes for that most common and most disturbing speech defect, i.e., stammering, it was decided to extend the scope of the Speech Training Classes to include all forms of speech defects, and in October, 1935, classes for this purpose were instituted. |
ace38288-30cc-4645-a364-f05e7087c087 | 33 children were selected as suitable for speech training, and in October the classes for these were formed according to age. As there were fewer stammerers at this time, it was found possible to deal with them in the mornings on Monday and Thursday from 10-12 o'clock in 3 classes of 40 minutes duration. This left the afternoons free for other speech defects, and accordingly the 33 children were divided into two classes, that of children aged 5-7 from 2—2.45 p.m., and that of children 8-12 from 2.45-3.30 p.m. Three older children were given individual attention for a quarter of an hour each from 3.30-4.15 p.m. on Mondays and Thursdays. The commonest defects noted and dealt with was lalling or baby speech, found mostly in young children from the Infants' department. |
a99f4f57-46b0-441b-80a6-73f35983b80a | Other defects were due to faulty dentition, to malformation of the mouth or to some degree of deafness. Some cases were referred from the Special School, backward, sluggish or slovenly speech, and it is hoped that speech training in their cases may encourage their power of concentration and mental attitude generally. At the end of 1935, there were 36 children attending the Speech Training Classes as distinct from stammerers. Progress is naturally slow, but some improvement may be reported in the majority of those attending the classes. RETURN OF EXCEPTIONAL CHILDREN. On Table 3 will be found a return of all the exceptional children in the district, 66 Partially Sighted Children. There are 5 cases in all. One attends an elementary school but goes to hospital regularly. Three children go to Kingwood Road School and one is at White Oak Ophthalmic Convalescent Hospital at Swanley. Deaf Children. |
c38aa76d-0cb2-4772-bfba-cc6a72382f89 | Two boys and a girl attend Ackmar Road School and one girl is at Oak I Lodge Resid_ential School. Mentally Defective Children. 45 children are attending the Acton Special School for Mental Defectives, 25 boys and 20 girls. Epileptic Children. Of 5 children suffering from Epilepsy, 3 are in institutions, one boy and one girl at Lingfield Colony, and one girl whose parents moved recently into Acton, at Moneyhull Colony, Birmingham. The other two are at home, one having been withdrawn from Lingfield, and one attending Maida Vale Hospital. Tuberculous Children. One child suffering from tuberculosis of the lung has been discharged from Harefield Sanatorium and is meantime at home. |
084919d9-2d71-451a-b2d2-0aafc62b4e86 | Two boys, one suffering from tubercular enteritis, and one from tuberculous osteomyelitis of the right ilium, are at the Royal Sea Bathing Home at Margate ; two children, one boy and one girl are in the Victoria Home, Margate, and the Rob Roy Home, Margate, respectively, suffering from tuberculous hip disease. Another girl suffering from the same disease has come out of their Stanmore branch and is attending as an out-patient at the Royal National Orthopaedic Hospital. One girl who has a tubercular spine is at Warkworth House, Isleworth, and a boy with tuberculous disease of his sternum is at Alton. Crippled Children. One girl is attending the Queensmill Road School for Physical Defectives, one boy attends Brook Green School and another girl is at a similar school in Faroe Road. One girl is at the St. |
7555f592-b4ab-48e9-ac71-bebf91e5b7de | Vincent's Home, Pinner, and arrangements were made to send a boy 67 to the Shaftesbury Home, Hastings, but his father declined. He has been attending an ordinary elementary school. Heart Disease. The girl is at an ordinary elementary school, one boy is in the West Middlesex Hospital and two girls are attending Hospital and are excluded from school. Delicate Children. There are 8 children who may be so classed. One boy whose parents have recently moved into Acton, was attending Wood bane Open Air School, and is continuing to do so. A girl has been discharged as cured from Harefield Sanatorium where she was sent suffering from tuberculosis of the lung, she is meantime at an elementary school. A boy who suffers from Asthma, was attending Guy's Hospital, is much improved and is at present attending an elementary school. |
c5addf21-14af-4ac7-8513-8eae39c752c9 | One girl who suffers from rheumatism is at present at the Chenies Convalescent Home, Seaford, while two other children a boy and a girl, who suffer from the effects of rheumatism are at present at home. One boy who had suffered from tubercular adenitis, has had an accident and has been in Hospital, but is to attend an Open Air school on his recovery. One girl was in St. Vincent's Hospital, Pinner, was discharged and is at present at home, pending arrangements for her attending an Open Air school. Multiple Defects. One boy, who is mentally defective and crippled was at Stoke Park Colony, was sent from there to Harefield, and is now at home. SCHOOL OCULIST'S REPORT. 1935. During the period covered by this report, 435 children were referred to the Ophthalmic Clinic for examination. |
4833ca65-f821-4070-a65e-745882fd5667 | Of this number, 60 refused treatment or left the district, four obtained glasses privately, and glasses were prescribed in cases. In addition, 17 boys from the Junior Technical and County Schools were examined. 6 were found to require no treatment and 11 were provided with glasses. 68 From the Welfare Centres, 4 mothers and 10 children were seen. 3 mothers and 7 children were provided with spectacles. 3 were cases of external eye disease and 6 were children with squints who are being kept under observation at the Clinic. 23 cases of external disease of the eye were treated at the Clinic. These were not severe in character, for the most part, and not of such a nature as to result in permanent diminution of visual acuity, save in one or two instances. 75 children referred for examination were found to require no treatment. |
510fc5b2-2441-4c85-a781-26e43b8b8a72 | This figure illustrates the care with which the children are examined prior to their appearance in the ophthalmic clinic, since all presented symptoms or signs which might have been due to ocular defects. Certain practical difficulties arise in all clinics in cases in which prolonged treatment is indicated. Especially is this so, when children are referred on account of squint. These cases require early and prolonged treatment and observation extending over a period of years, together with the goodwill and active cooperation of patient, parent, and school teacher. It is found that many parents do not realise the seriousness of the condition. Some consider that the mere prescription of glasses for the child relieves them of all further responsibility in the matter. Though the prescription of correcting lenses, where necessary, is the foundation upon which further treatment is based, it frequently happens that the degree of squint is not materially reduced thereby. |
b9c5da4e-11f8-45b4-9175-ba0f7cc62612 | It is not perhaps surprising therefore, that parents are apt to conclude that their children are not receiving any benefit from the fact of wearing spectacles, &c., and the children of such parents are often inadequately supervised at home as regards occlusion and so forth. The fact remains, that in default of treatment, most squinting eyes suffer a great reduction in visual acuity, which may fall to 6/60 of normal or even lower. Further, this reduction of acuity will, in untreated cases, become permanent. Every opportunity, therefore, is taken to bring these facts to the parents' notice, and it is pointed out that apart from the handicap under which these children labour, in virtue of their personal appearance, they are automatically debarred from employment in most branches of the Navy, Army, Air Force, Police, Railways, and engineering and transport generally. |
623b70ef-6658-462a-92f2-be658119c656 | In recent years, there has been a great improvement in the technique of treatment of cases both of manifest squint and in cases of smaller defects of muscle balance, 69 In 1935, seven children were referred to hospital for the correction of defects of muscle balance causing eye strain. These cases were relieved of symptoms after completion of a course of orthoptic exercises. Care in the selection of cases is required, not all being suitable for this form of treatment. The recommendations of the Committee on Partially Sighted Children are noted. Very similar standards to those laid down in the report would appear to have been employed in the Clinic for a number of years. The accurate fitting of glasses and the maintenance of frames in correct adjustment is of great importance. The Clinic is fortunate in possessing the services of an Optician in attendance, since this ensures that the maximum of benefit is obtained from the correction of errors of refraction. F. CLIFTON. Partially Sighted Children. |
9768ff61-a99d-4369-8776-6d7a11837944 | This is the term suggested by the Committee appointed to inquire into the problems relating to the condition, in preference t<> the old term of partially blind children. For educational purposes the definition of blindness is a much wider one than that adopted for the purposes of the Blind persons Act. For the purposes of the Education Act, 1921, there are included not only those children whose vision after correction by glasses does not enable them to read ordinary school books, but also those whose vision after correction does not enable them to read such books without risk or detriment to their eyesight. Children certified as blind under the Education Act, may be grouped in 3 categories. (1)—Those who having extremely defective vision, cannot be taught by methods involving the use of sight. (2)—Those whose vision is so defective that they cannot follow the ordinary school curriculum, but can be taught by special methods involving the use of sight. |
fbed47b4-cbaf-430d-b454-8732db06c4bd | (3)—Those who are suffering from conditions such as myopia which may be aggravated by following the ordinary school curriculum. Cases in categories (2) and (3) are the partially sighted for whom special provision is necessary. Myopia is by far the most 70 important and frequent single condition which leads to an admission to a special school, and it is the different interpretations given concerning this condition which mainly affect the number of partially sighted children in different districts. In deciding which cases should be sent to a special school, factors such as degeneration of the fundus, rate of progress of myopia, degree of myopia present, age, family history and visual acuity must all be carefully weighed and assessed, and certain general principles were laid down by the Committee which should be observed in the selection of the cases. There are certain other cases of defective vision due in most cases to sequelae of inflammation, such as corneal ulcer, Keratitis, and cataract which may require consideration. |
7a21d96e-5bb1-4729-8284-aaef3c067b37 | Here the question of sight saving does not arise as it does in the case of myopia, for the conditions are permanent and will not progress. The question of admitting cases of optic atrophy to a special school is controversial. The majority of such cases are progressive and eventually become blind. Some argue that while they have sight they should be educated as sighted children, while others hold that they should have at the earliest possible stage the benefits of methods of education applicable to the blind. At the present time we have no one in a Blind School, but there are certain abnormal children who will in course of time probably be blind. (1)—A girl who was at a Blind School before her parents moved into Acton. She has double optic atrophy. Her mental condition deteriorated so seriously that she was removed from the school and notified as ineducable. She is now in hospital and is over 16 years of age. |
30203c1a-6585-4f1c-b6bb-2bfbf38234ca | (2)—A boy of 8 who has a cataract in right eye and good vision in the left eye. (3)—A girl who had an accident to the right eye, and at present wears glasses of 13 dioptres for that eye. She has good sight in the left eye with a glass of 2 dioptres. (4)—A girl of 13 who has been at Mayfield for prolonged treatment to an old phlyctenular conjunctivitis. She still attends hospital for treatment. (5)—A boy of 13 with corneal ulcers. He attends irregularly at an Ophthalmic hospital. (6, 7 and 8)—Three boys at Kingwood Road Special School. The 2 younger boys, aged 8 and 9 probably have optic atrophy. 71 The elder, aged 12, was in Kingwood Road School when the parents moved into Acton and is still there. |
369b5316-6b3b-428b-bc5f-a055905c9167 | There are 11 cases of high myopia under observation by the Ophthalmic Surgeon. They are examined periodically, in most of them near work is prohibited and the question of a special school will depend upon the progress of the condition, and any other factor which the Ophthalmic Surgeon will deem of importance. There are 2 others who may be mentioned here ; one is a boy who used to attend Kingwood Road School, but the parents objected and withdrew him. He was educated at a private school and left at the age of 14 at December. The other is a girl of years who attends an Ophthalmic hospital for nystagmus and hypermetropic, and is under observation in an ordinary school. There are two methods in this country by which the partially sighted children are educated—(a) the " segregation " method in special schools, and (b) the "non-segregation" method in ordinary schools. |
99a8f56f-7bff-4fe1-9919-5d824a830e80 | The bulk of the evidence indicates a preponderating opinion in this country in favour of the segregation system of educating partially sighted children, but the dominating factor in forming; current opinion on the education of the partially sighted, has been the pioneer work of the London County Council. By reason of its large and concentrated population, London was in a peculiarly favourable position for isolating partially sighted children and studying their special needs. Outside London, the Committee which investigated the problem came to tc conclusion that the education of partially sighted children should be conducted where possible in special classes attached to, and forming an integral part of, the ordinary school. DENTAL REPORT. This year saw the commencement of inspection and treatment at the Junior Technical and County Schools, also for a period, the part-time assistance of Mr. J. V. Goldie. I am able therefore, to record a further and substantial increase in the number of cases treated. |
06c486fa-7717-49a7-9d31-c5fa8ad6c842 | A factor which has also contributed to the increase is the much greater dependability of the attendance of the older boys, thus reducing the number of wasted appointments to a minimum for these schools. 72 The problem of oral hygiene still remains a big one. I was very interested to find that one or two classes which have adopted Gibbs' Ivory Castle League idea showed a really great improvement in this direction. It is, I think, only by such constant and continuous methods that much impression can be made, and I am hoping that the scheme will be extended, and that teachers will not find the extra work and supervision entailed to be too great. They will certainly be doing a very excellent work. We are treating many more Welfare cases, mothers and infants, and this should have a beneficial effect upon the school children of the future. |
847d592b-e012-4808-98a3-eab704a75cb2 | The figures for the elementary schools are given in the Tables at the end of the Report, but below will be found a summary of the work carried out for the Technical and Secondary Schools and for the Welfare Clinics. Schools. T V elf are cases Number of cases examined 535 Mothers 126 Children 176 Referred for treatment 426 Mothers 126 Children 155 Treated 165 Mothers 85 Children 142 Number of fillings 371 Fillings 116 Number of extractions 116 Extractions 1043 Number of d ressings 39 Dressings 93 Number of attendances 421 Attendances 458 Dentures 19 P. H. SLATER. School Dental Surgeon. INFECTIOUS DISEASES. 80 cases of Diphtheria were notified in the Borough during 1935, and there were 8 deaths. All these deaths were in nonimmunised persons. |
e29ea9fa-18cd-4d0e-87bb-18700c0ad083 | Even endeavour is still being made to keep tip the level of immunity which was attained in 1932-1933, and in this connection it may be of interest to compare the percentage immunised in the Infant departments of our schools at the end of. 73 December in the years 1933, 1934 and 1935, and to note that on the whole the level of immunity at the early ages is at any rate being maintained. Comparing 1934 with in only two infants departments has the level dropped and that very slightly, while in all the others the percentage rate is higher. School. |
2f6c5c61-94fa-4220-9625-cec4936f9196 | 1933 1934 1935 Acton Wells Infant 24.3% 44.6% 72.4% Beaumont Park Infant 64.7 52.9 50.4 Berrymede Infant 37.6 24.9 24.6 Derwentwater Infants 75.3 51.4 56.3 John Perryn Infant 63.1 58 71.6 Priory Infant 43.1 50 65.03 Rothschild Infant 35.5 33.8 35.8 Southfield 58.8 52.3 61.07 It is now three years since immunisation on a large scale was begun in Acton. In a recent paper published in one of the medical journals, results were given showing that 5% of children rendered Schick negative by immunisation had relapsed into being Schick positive from 1 to 7 years after inoculation. |
a4a4a246-4954-43ba-a871-700ecc7e968c | In the late summer of 1935 there had been notified two cases of Diphtheria in immunised children. Both these children had mild attacks and devloped no complications, but because of this experience, and the published figures, it was decided to re-test all children who had been immunised 3 years ago, and to re-immunise all who were found to have relapsed and to be showing Schick positive reactions. Accordingly. all these children were circularised and up to the end of the year 235 of these children had been tested. The results are set out in the following Table:— Y ears of Age. Total. 4 5 6 7 8 9 10 11 12 13 14 No. |
24e66b30-2829-49fd-bbc1-5677ba1c86f0 | of children tested 5 14 14 14 18 23 10 29 46 56 6 235 Negative 5 14 13 11 17 21 8 24 40 46 5 204 Pseudo reactions 1 1 1 2 6 1 12 Positive reactions 3 1 2 1 4 4 4 19 It will be noted that 19 children out of 235, i.e.., 8.1% had relapsed into being Schick positive. It has been said, and with so me proof, that the very small amount of toxin necessary to test 74 these cases, is sufficient in itself to stir up the blood immunity and to render the person again Schick negative, but it was decided to uive each child another injection and so make assurance doubly sure. This has been done. |
11c96e61-5caa-44e5-af1b-805197b62206 | The work is still proceeding and so these children's protection is being continued together with the fresh relays of children who are being immunised. In this connection it may here be mentioned that the Schick test as used hitherto is not an infallible guide to the protection of the individual. It is not unknown that Diphtheria, true in a mild and uncomplicated form, has attacked an immunised person, and it is equally true that in a natural Schick negative reactor the disease has been found. There is now being offered for use therefore, a stronger Schick toxin which it is hoped will pick out these persons who must have developed only a threshold immunity. This toxin, used in conjunction with the ordinary Schick toxin, picks out a greatly increased percentage of positive reactors and these will be given additional doses of protective material until they are Schick negative to the stronger toxin. |
f5463023-f0f7-4912-bcb1-4682fed891d5 | It is too soon to give figures or results of the work done, and time alone will show whether the use of this stronger toxin will eliminate all danger of an immunised person developing Diphtheria, however mild the attack. There were 46 cases of Diphtheria in our schools in 1935, as against 58 in 1934. Of these, nearly 50% occurred in one school, and on swabbing the contacts, three Diphtheria carriers were isolated and treated, when the outbreak ceased. The schools affected were as follows:— Acton Wells 3 Priory 7 Beaumont Park 1 Roman Catholic 1 Berrymede 5 Central — Derwentwater 22 Rothschild — John Perrvn 7 Southfield — It will be noted that 3 schools were entirely free from Diphtheria for the whole year. 41 Diphtheria patients and 88 contacts were seen at the Office before they returned to school. |
f0d990b5-400f-437c-be91-4a23c3949393 | 75 Below is attached a Table giving the immunisation figure from January to December, 1935, in the various schools. Immunisation Figures—Jan. to Dec. 1935. School Schick Positive reactors. Number of attendances for 1st dose. 2nd. 3rd. A.W.S. 2 1 1 1 1 A.W.J. 22 7 14 16 19 A.W.I. 4 1 53 83 84 B.P.S.G. — — — — — B.P.J.G. 1 1 1 1 1 B.P.I. — — 22 19 18 B.J.B. 3 1 5 3 3 B.J.G. 1 — 1 1 2 B.I. 3 3 17 13 14 Central 4 4 5 4 6 D.J. |
ce4d3212-6a14-4a0f-913f-81e94443633a | 3 2 3 4 4 D.I. 1 1 63 59 55 J.P.S. 2 1 2 2 2 J.P.J. 6 5 8 12 10 J.P.I. 3 - 81 85 89 P.B. - - 1 — — P.G. 1 1 1 1 — P.I. ._ — - 52 50 48 R.J. 1 1 3 3 4 R.I. — - 7 6 12 S.S.B. — - — — — S.J. 15 12 9 3 3 S.I — — 64 52 51 R.C. |
9e3eb91b-75d6-42cd-af91-c569ed7e683f | 8 6 9 9 5 Other Schools 20 16 22 21 24 Welfare — — 317 294 284 Total 100 63 761 742 739 In addition 620 children were Schick tested after six months. 615 were negative, while 5 who were still positive were against inoculated. Scarlet Fever. There were 48 cases of Scarlet Fever in the various schools during 1935. This is a marked decrease over 1934 when there were: 122 cases. They occurred as under:— 76 Acton Wells 12 John Perryn 7 Beaumont Park 7 Prion 6 Berrymede 3 Southfield 10 Central 1 Rothschild - Derwentwater 2 Roman Catholic — It will be noted that again two schools are entirely free In fact, Rothschild School has been free of Scarlet Fever and Diphtheria for the whole of 1935. |
c150d615-f361-4fa6-8cf9-443598214086 | 37 Scarlet Fever patients and 69 contacts were examined before their return to school. 77 TABLE SHOWING THE NUMBER OF CHILDREN ATTENDING ACTON SCHOOLS EMPLOYED IN THE VARIOUS REGISTERED OCCUPATIONS ON 31st DECEMBER, 1935. SCHOOL. Delivering Newspapers. Delivering milk. Delivering goods or parcels. Totals. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. |
def575ca-692b-4055-801f-f029ab031908 | Acton Welts 4 _ — — 2 — 6 — John Perryn 2 — 1 — 1 — 4 — Central 4 — 2 — 0 — 12 — County 4 — 2 — 7 — 13 — Southfield 12 — 3 — 9 — 24 — Priory 17 — 4 — 24 — 48 — Roman Catholic 1 — 1 — 5 — 7 — Beaumont Park — — — — — . 1 1 Totals 44 — 13 — 64 1 111 1 78 TABLE SHOWING THE DISTRIBUTION OK ALL CHILDREN EMPLOYED DURING THE PERIOD 1st JANUARY, 1935 to 31st DECEMBER, 1936. SCHOOL. BOYS. GIRLS. |
ff922255-582f-45ae-ae62-be6513389014 | Acton Wells John Perryn Central County Southfield Priory Roman Catholic Others Totals Beaumont Park | Acton Wells Totals 1. Registered Occupations:— (a) Delivering Newspapers 26 4 18 8 25 49 2 4 136 - - - (b) Delivering Milk 6 2 5 5 7 10 3 3 41 - - - (c) Carrying or Delivering goods or parcels 7 4 11 15 26 67 9 6 145 1 - 1 Totals 39 10 34 28 58 126 14 13 322 1 1 Corresponding Figures for 1934 42 8 39 20 64 148 0 19 349 1 2 3 79 SWIMMING INSTRUCTION,—season, 1935. |
fcd1e034-f012-4d44-8db0-08fa1dbddc9b | The School Swimming Season opened on Monday, 13th May, 1935, and provision was made for 54 classes at the Public Baths, 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 instructions was given by the teaching staff of the Schools concerned. The season normally closes 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 life-saving. Acton Education Committee continues to award certificates to boys and girls who can swim twenty-five 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—1 st class 100 yards—Condition as for Acton 2nd class 50 certificates. |
031739c0-fe1e-476b-a74b-24bf40eecd42 | Life Saving—Elementary and Advanced. There are in the Schools at the present time 1318 scholars boys and 623 girls) who can swim (as against 1307 at the end of last season) and 327 boys and 251 girls now in schools learned to during the 1935 season (against 634 last year). It should lie borne in mind, however, that a great number of the scholars who left the elementary schools at the summer vacation to enter secondary schools had learned to swim by that date. The following is a statistical return relating to the season's work, with comparative figures for last year. Details giving ; statistics for the individual schools are in the hands of the Director of Education. Year. Boys Girls Total. No. of classes per week allocated 1935 32 22 54 1934 32 22 54 80 Total No. |
e2c4cfbe-17a4-4111-b944-388ad6e36d5b | of attendances made 1935 10938 6943 17881* 1934 12375 7911 20286 *Note-Season opened one week later, owing to Jubilee celebrations and consequent school closures. Certificates gained. Year 1935 Year 1934 Boys Girls Total Boys Girls Total Acton Education Committee 253 225 478 264 204 468 L.S.S.A. 1st Class 134 134 268 145 118 263 2nd Class 175 173 356 184 149 333 Life Saving, Elem. — 28 26 20 14 34 Advd. — 27 27 23 — 23 CHILDREN'S COUNTRY HOLIDAYS. |
380a4cc2-df70-447e-ba08-e6312529b689 | In 1935, Miss Stevens, Head Mistress of Berrymede Infant School, approached the Headquarters of the Children's Country Holidays Fund and asked if it were possible that some of the Acton children might benefit by the arrangements of the Association and have a holiday in the country or by the seaside. The Association sent a representative down to Acton and it was decided to open a local branch and Miss Stevens was made local Secretary. Head quarters of the Fund made a grant of £188, and from the parents of the children who were to go on holiday £138 was collected. By this means 294 children (161 boys and 133 girls) were sent for a fortnight's holiday, 24 of these stayed a month. These 81 children were sent to Folkestone, Weston-Super-Mare, and to 20 other places in Herefordshire, Worcestershire, Wiltshire, Somerset, Warwickshire, Gloucestershire and Norfolk. |
34d5f3b0-18eb-441e-a8d2-7df960990de9 | The cost of sending a child away for a fortnight is approximately 80s. and the average amount paid by the parents of these children was 8s. 9d. Only one child paid the full amount. The ages of the children varied from 7-14 and it is gratifying to have to report that the Country correspondents of the Society have reported excellent conduct of the part of the children, and in several instances they were spoken of as "an exceptionally nice set of children." That the children benefited by the holiday is the unanimous opinion of the Head Teacher of all the schools concerned. A day in the country often is not of benefit to the children concerned as the exhaustion of the excitement and long hours far outweighs the benefit of a breath of sea or country air, and it is the opinion of the Holiday Fund that a month is too long for any but delicate children and there is a tendency to get bored and tiresome towards the end of the time. |
c2dad689-e144-4f46-a832-f87295f86c55 | A fortnight, however, sends the children back refreshed and exhilarated from their holiday, and the effects of healthy surroundings,good food and change of air should enable these children to face the coming winter with more hope of good health through the cold and sunless weather. The Country Holidays Fund is most particular about the cleanliness and freedom from infection of the children who are sent away. Each child must be medically examined a few days before going away and each child must be examined for uncleanliness at least 3 times before departure. This meant 882 examinations, but in reality nearly 1000 were seen by the school nurses, as those who were found to be unclean had to be examined again and again until they could be certfied as clean and allowed to go on holiday. Several of these childten were not only examined by one of the school nurses, but actually cleansed by her, so that they should not lose their holiday through the carelessness or incompetence of their home guardians. |
f300f298-82df-4597-beec-8e4e82c0cf69 | The organisation and carrying out of these 294 holidays meant a very great deal of work. Miss Stevens, by whose enterprise and thought, the whole scheme was made possible, acted as local Secretary and the children of Acton who enjoyed a holiday last summer have her to thank, for without her no such scheme would be in existence and without the enormous amount of work she voluntarily did for it, the arrangements of these holidays would not have proceeded, as they did, without a hitch. 82 VISITS PAID BY SCHOOL NURSES. The following Table gives the number of home visits paid by the Nurses during the year. The visits have been divided into school distribution. Acton Wells 123 Priory 192 Beaumont Park 168 Rothschild 147 Berrymede 423 Southfield 208 Central 3 Roman Catholic 10 Derwentwater 105 Special School 1 John Perryn 97 Total 1477 CONVALESCENT HOMES AND COUNTRY HOLIDAYS. |
07f8cf5a-f956-4bc9-8d37-5b60867acc9f | One boy and one girl were sent to the Winter School of Recovery, Bexhill, for a perid of 3 months each. In the Summer, 6 girls paid for a fortnight, and 3 boys and 3 girls were sent away for a fortnight's holiday free of charge. MOTHERCRAFT CLASSES. The following table shows the number of classes sent from each school to the Day Nursery. Beaumont Park 4 Central 7 Acton Wells 6 Priory 5 John Perryn 5 Roman Catholic 1 28 83 RETURN OF MEDICAL INSPECTIONS. TABLE I A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:— Entrants 968 Second Age Group 696 Third Age Group 684 Total 2348 Number of other Routine Inspections B.—Other Inspections. Number of Special Inspections 1906 Number of Re-Inspections _1577 Total 3483 C.—Children Found to Require Treatment. |
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