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070a60d0-810a-4cc9-8d03-258e6c39e66a | 1 child, who has lost one of her legs, is attending Queensmill Road School for the physically defective. 2 children, one suffering from the effects of Infantile Paralysis and one from repeated operations on the bone of one of her legs, are in Hospital under treatment. I child, after being in Hospital for some months with Osteo-myelitis, is at present at home. Delicate Children. 10 children are included under the section of Delicate children. 3 children, as the result of various illnesses and diseases, are attending the Wood Lane Open Air School. 1 child is in a Home at Seaford suffering from Asthma and Eczema. 1 child, debilitated by Asthma, is in a convalescent home, and 1 suffering from Pleurisy, is in the West Middlesex Hospital. |
701256b0-b808-4c11-bc18-00aa0c128523 | 2 children suffering from Asthma, are at present at home, 1 child whose health has been impaired by Rheumatism, is attending the Princess Louise hospital for Children and is at present at home. 1 child who is Constantly unwell, and whose general condition is much below par, is at home waiting for a vacancy to go to a convalescent home. Children with Heart Disease. 2 children are in the Princess Louise Hospital, suffering from carditis following Chorea. 1 child, suffering from Rheumatic Endocarditis is in Acton Hospital, awaiting transfer later to a Heart Home. REPORT OF EAR CLINIC. An analysis of children who were referred to the Ear Clinic in 1937 gives the following information: โ A total of 130 children were referred to or attended the Clinic. 63 of these suffered from ear discharge. 38 attended complaining of ear-ache. 12 attended complaining of deafness. 13 were found to be suffering from wax in the ears. |
7e9c29d2-e953-466b-9266-1f4d7ce8b35a | 4 were found to be suffering from miscellaneous ear conditions. 76 63 cases of Otorrhoea. 41 of these were acute attacks of otorrhoea and all were cured 8 of these cases had two separate attacks of otorrhoea during 1937 and were cured on both occasions. 11 cases of chronic otorrhoea (i.e. otorrhoea of more than two- months duration or otorrhoea which has re-appeared inter mittently over a number of years) were also cured. Only one of these cases was cured by operation and one cleared up under treatment while waiting admission to hospital for operation. The other nine cases cleared up with persistent and varied local treatment The remaining 11 cases cannot be claimed as cured. 4 of the 11 left school while still under treatment. |
a4cc9498-9b56-4bd5-9148-ea98cf1a3ca5 | 1 of these had attained the age of 14 and had been a case of double intermittastotorrhoea attending the Ear Clinic or the Acton Hospital for pro longed periods at various times. Permanent damage had been done to his left ear and when he left school he had still very slight discharge from this ear. His other ear had cleared up. This boy had on several occasions been referred to an Ear Consultant and arrangements were made for him to attend hospital after leaving school should it be necessary. 1 child who had been attending the Ear Clinic died in hospital. It is not known if her ear condition was better or not 4 of these cases were referred by the Clinic to hospital and one was taken by his parents. This last boy suffers from chronic eczema and is waiting admission to hospital for an operation on his ear. The 4 cases referred to were seen by Mr. Griffiths, ear Consultant, at the Acton Hospital, and various local treatment were advised. |
db0c69d7-195b-4a8a-b6f7-c1f80216383e | 1 case suffered from a very recent ear discharge which had not cleared up on December 31st. 38 cases of earache. 28 of these cases had some degree of inflammation in their ears, 2 caused by plugs of hard wax and 1 by a plug of papers pushed into the ear. All subsided under treatment. 10 showed no abnormality of their ear drums but their earache so called was found to be caused by sore throats, colds in the head and in 1 cases to a badly decayed back tooth. 77 12 cases complaining of deafness. 1 case was helped by removal of unhealthy adenoid tissue, i was due to wax and removal cured the condition, and the tfiruining 10 were due to bad head colds or to unhealthy post-nasal Spaces, but appropriate treatment 'was undertaken and improvement reported. 13 cases of wax. |
7ee11a4f-d7c1-4d02-9a3a-362dea7cba36 | It is encouraging that 6 of these cases had had otorrhoea in past and when a waxy secretion was noted coming from the ear, parents brought the children at once to the Clinic for examination and advice. In all 6 cases the ear drums were intact and the secretion was only waxy. 4 other cases were seen at the Clinic for various other ear condditions. 1 was suffering from external otitis, 1 had a boil in the ear and 2 had enlarged post-auricular glands. The Ear Clinic has been run on similar lines to last year. Each case is seen once each school day by either the medical officer or the nurse and appropriate treatment undertaken. Where possible the parent of the child is also seen and instructions and demonstrations given as to the home care necessary to effect a cure. |
f352af44-a7c0-49e5-a019-1c344bc84437 | In the majority of cases, co-operation in the home is obtained and the results are correspondingly gratifying, but sometimes it happens that on Monday it is all too evident that nothing whatever has been done since the ear was treated on Friday. Every endeavour is made to secure the co-operation of the parent, and where the child is old enough, instructions are given to him or her how to treat the ear personally. It is not always deliberate neglect on the part of the parentsโoften it is the fear of doing some damage to the ear which holds their hands. In such cases a demonstration is usually all that is needed to encourage them to attend to the ear in an adequate manner. The high proportion of cases in 1937 which attended the Ear Clinic before the onset of otorrhoea and where ear discharge never developed is some proof that the Clinic is being sought for advice more widely. |
bb85f22e-8709-43f4-aac6-f3df12cf6879 | Parents and teachers are encouraged to send the children on the first complaint of ear trouble or the first sign of disease so that treatment can be instituted without loss of time. A cure can be anticipated with more certainty if the diseased condition of the ear has not been in existence very long. In one or two cases, more rapid improvement has followed treatment of the patient on general lines as well as local treatment to the ear. A 78 vitamin substance, such as cod liver oil and malt, has been ordered and other approprate treatment advised. In 2 cases where chronic otorrhoea was cleared up, improvement followed rapidly on the introduction of cod liver oil drops into the ear itself. In other cases not much improvement followed the use of cod liver oil drops but in these 2 cases cessation of the discharge followed after the drops had been used a short time. SCABIES. Scabies or The Itch continued to affect the school population during 1937. |
c40fb1ee-5647-4cd1-b1eb-fecb7f46b3c9 | In all, there were 101 cases treated, but many of these were cases who got themselves re-infected and had to undergo treatment again and again,โin one family as often as four times in the year, in February, in April, in July, and in November. When a child is discovered to be suffering from Scabies, it is excluded from school, and all its brothers and sisters and parents too if possible, are examined to see if they also are infected. During the first part of the year arrangements were made for attendance at the Kensington Baths for treatment, and where instructions were carried out good results were obtained. In a fair number of cases however, it was found that for one excuse or another, appointments were not being kept, and it was found to be difficult to control the treatment advised. Towards the latter part of the year therefore home treatment was advised in the first instance, and only where the mother had proved herself incapable or unwilling to carry out the instructions given, was resource had to the public baths. |
8748fba9-74af-4905-be1a-989598748b99 | A printed sheet of instructions and sufficient ointment was given to the parent, and they were advised to report with the children at , the end of a few days for inspection. Where the home conditions were good and the parent careful, good results were obtained and it was easy to pick out those who really did not try to get clear of . the infection. An outbreak of Scabies, such as has affected Acton. is exceedingly difficult to control. Infection is usually spread during sleep, as the Acarus Scabei, the cause of Scabies, is a very siow mover and needs prolonged contact before infection takes piaces Arrangements were therefore made to have the bedding and bed clothes of infected persons sterilised, and they were advised to boil their sheets and pillow cases. Homes were visited and advice given on innumerable occasions. |
1ba7f2df-da10-4bd6-9ede-9458decac8d7 | All school nurses visited the schools and hand parades were held, in order to pick out if possible such of the pupils as were suffering from Scabies and had not reported themselves or been detected. 79 It will be seen how widespread the infection of the Borough was, if the Table below be studied, showing the number of schools affected. All schools were affected at one time or another, and most departments of the schools. School. Dept. affected. So. of Cases. Families. |
e118fa24-14d0-4157-b79a-b366e8fd597a | Priory All 22 17 Berrymede All 23 19 Roman Catholic 8 3 Special School 10 3 West Acton 4 1 Beaumont Park Infants' & Senior Girls' 4 3 Central 4 4 Acton Wells All 11 8 Rothschild Infants 3 2 Southfield Junior 1 1 John Perryn All 8 6 Derwentwater Infants 1 1 South Acton was the part of the Borough most affected, and it was found on tabulating the cases detected that almost throughout the whole year, cases were cropping up in South Acton and having to be treated. Certain families proved very troublesome and became re-infected several times. In the worst case of re-infection the family is of very low mentality and it was hard to secure understanding or co-operation in securing freedom from infection and in maintaining it when attained. In another, the parents were infected and apparentiy indifferent as to whether they got clear or not. |
083bf855-3621-46f8-b277-5007b4cb6a4f | In others the mother went out to work, the children spent all their playtime in the streets and probably the parent had less time in which to look after them properly. Below is shown the schools affected during the various months of the year. January. Priory and Berrymede. February. Priory, Berrymede, Roman Catholic, and Special School. March. Priory and Berrymede. April. Berrymede, Special School, Central, West Acton. May. Priory, Acton Wells. 80 June. Priory, Berrymede, Rothschild, Central. July. Southfield, Special, West Acton, Derwentwater. August. Berrymede, Priory. September. Priory, Berrymede, John Perryn, Acton Wells, Rothschild October. |
1e8c20cf-ed10-464a-96c3-35df039cda72 | Berrymede, Priory, Acton Wells, Central, John Perryn Beaumont Park, Special. November. Berrymede, Priory, Special, West Acton, John Perryn Roman Catholic. In the following Table is shown the streets affected in various months. January. Avenue Road, Holland Ternace, Osborne Road. February. Colville Road, Park Road N., Shaftesbury Road,Canada Crescent, Stirling Road, Acorn Gardens. March. #Stirling Road, Junction Road, Packington Road, *Colville Road Somerset Road, Stanley Road. April. Burlington Gardens, *Canada Crescent, Stirling Road. May. Colville Road, Newark Crescent, Wesley Avenue. June. Park Road N.t Brassie Avenue, *Avenue Road, Colville July. The Vale, "Canada Crescent, Chaucer Road. August. Somerset Road, Clovelly Road. |
86f2bc09-5310-43b0-a8f3-0c4a92f23110 | Septeml>er. Brassie Avenue, *ColviIle Road, Avenue Gardens, Park Road N, Harold Road, Stirling Road. October. High Street, *Wesley Avenue, Osborne Road, Colville Road Birkbeck Road, St. Andrew's Road, Bridgman Road. Priory Road, Acorn Gardens. November. 'Canada Crescent, Brassie Avenue, Shakespeare Road, Church Road, Goldsmith Avenue, East Aeton l.ane, Colville Road Those showing an asterisk mean that return cases occurred in these streets at that time. REPORT OF THE SCHOOL DENTAL SURGEON. A great effort was mad.e this year to reduce the waiting lists for fillings and extractions to the bare minimum, by the end of December. |
ae4097e9-2441-45fb-bd6b-2d9759bde1fe | Success was achieved by having assistance for the tive work for three half-days a week throughout the year, (which is as much as can be accommodated in the present building), and extra and crowded gas sessions. The keeping of appointment.- by patients for conservative work seemed slighlty more reliable, which meant a little saving of time. 81 It is gratifying to note the improvement in the percentage of children actually treated, out of the number referred for treatment. This applies to both Elementary and Secondary schools. In the Elementary schools it has risen from 63% in 1936, to 74.8% this year. In the Secondary, that is, in the County and Junior Technical schools, from 53% to 66.5%. As many of the pupils in the Technical School live in other districts, there is naturally a greater number having treatment elsewhere. |
630b0755-8891-4680-8220-607e74b4ea64 | In view of the foregoing, there is a considerable rise in the number of fillings and extractions carried out, as shown in the Table of figures. With the Secondary schools, however, while the number of patients treated increased, the actual number of fillings and extractions was less, showing that each patient required less treatment. The figures for the Maternity and Child Welfare Clinic are' a little less this year, except for the number of fillings which actually rose by one, although the number treated was less. Evidently there were more savable teeth among the Mothers and Infants. Welfare Figures. Mothers examined 79 Children examined 105 โ referred 79 referred 101 โ treated 63 ,, treated 96 Number of attendances for treatment 299 ,, ,, Permanent fillings 22 ,, ,, Temporary fillings 45 ,, ,, Permanent extractions 539 ,, ,, Temporary extractions 312 ,, ,, Permanent dressings 14 ,, ,, Temporary dressings 24 ,, ,, Dentures supplied 31 Secondary Schools. |
4aa594cf-a3bf-45fa-a74f-e9848f456249 | Number examined 621 ,, referred for treatment 466 ,, treated 310 ,, of Permanent fillings 231 ,, ,, ,, dressings 26 ,, ,, ,, extractions 126 ,, ,, Temporary extractions 14 ,, ,, attendances for treatment 324 82 REPORT OF THE SCHOOL OCULIST. During the year, 352 children were referred to the Ophthulmic Clinic for examination, 235 were provided with glasses, 6 obtained treatment privately, 41 refused treatment, and 70 did not required glasses. 16 children attended for treatment of external eye conditions. The Welfare Centres referred 22 children and 2 mothers Of these, 10 children and 1 mother were supplied with glasses at refused treatment or left the district, 8 children and 1 mother did _ not require glasses, and 1 child attended for an external eye complaint. |
bc606153-aaa1-4a6b-acca-872e38bb1ea5 | Out of 17 boys referred from the County and Junior Technical Schools, 12 obtained glasses, 1 was treated privately, I refused treatment, and 3 did not require glasses. One boy, refined for defective colour vision, was sent up to the Royal Westminster Ophthalmic Hospital for a full investigation. Work in the Clinic has proceeded smoothly during the past twelve months, and there is no event of special interest to report The clinic is not equipped for the full investigation of colour defects and it is not considered that the outlay for the necessary apparators would be justified. Cases requiring such an investigation are very rare. The general standard of ocular health remains high, and in refreshing contrast to the conditions met with in, for example, a large children's hospital. This comparison is not, perhaps, strictly fair, since the graver conditions naturally gravitate to the hospitals. nevertheless the number of cases which cannot be adequately treated at the clinic are few and far between. |
32ace195-7e94-4bf8-a174-195db30d171c | A regular following-up of children for whom glasses have been prescribed is carried out, with the twofold object of keeping a check on the visual acuity and enabling the optician to maingon the frames in proper adjustment, a point of great importance. children constantly grow and the wear and tear imposed in the frames is of a very high order. 83 PROVISION OF MEALS. As in former years, free meals and milk continue to supplied at eight centres to school children in Acton who haveLed certified as suffering from malnutrition, or to be medically ounctxi of more nourishment than can be supplied to them by their pjrnts. The subject of nutrition is a very wide one, and no really p6*factory definition can be given of the term " malnutrition." |
75a8868f-25c1-479d-bf09-a051d1933f2b | ยฃjnยซ; authorities confine the term to conditions caused by lack oยฃ f&tcctive food substances, e.g., Scurvy, and describe as " undernourishment " conditions caused by insufficient bulk of food. (j|*ยปically, a state of malnutrition is assessed by general appearance, ot tone in muscles and skin, lack of lustre in eyes and hairr pvt carriage and bearing, and some degree of anaemia. Height art! weight also have a bearing on the question, and liability to<atyue. This state of malnutrition may not be due entirely to lack 4 p<>d. Lack of proper food, insufficient sleep, and poor environโบwj^-may be contributory causes. It is difficult to assess how much \$. duo to the food question, without a complete knowledge of home canltions, overcrowding and poverty, etc., and without a knowof past history with regard to personal illnesses. |
99c78204-c6fd-4deb-9027-00a977838eb9 | Taking all these things into consideration however, experiwais have been conducted in many parts of the country, and in main the evidence forthcoming supports the contention that flAlnutrition is very largely a question of food. Where the family Wvojtne per head is low, too much food of a purely filling nature ttuklulged in, and good first-class proteins, fats and vitamins are Wtking. Where expenditure is not so limited there is correspondif^df less evidence of malnutrition. To a certain extent, ignorance H<o-hat is desirable and necessary in the way of food is responsible K>i Unwise and uneconomic budgeting by the poor housewife. |
e6787ed8-b51b-4bc5-9e98-35e9cbbaeb67 | Recently, in the Borough of Heston & Isleworth, some โข'search was done into diets available to the poorer sections of the ^f^iwinity, and it was commented there that "particularly in the homes, the principal method of cooking was frying'' and โ ^ofVind sausages were favourite dishes, expensive dishes extravacooked. Many mothers would not be bothered to do very 9lยปW stewing of the cheaper cuts of meat. Money which could ill ^ Spired was being thus spent unwisely, and there was corresF^fcl'iigly less to spend on protective food substances. 84 It is certain that milk is not being drunk in anything lica sufficient quantity, nor are eggs, butter, brown bread, cheese of fresh vegetables, sufficiently incorporated in the dietary of the poorer person. |
8d7a489e-db6b-4010-bd5e-6991a5836200 | At our feeding centres children are supplied with a hot mid-day mealโthe traditional meat, potatoes, vegetable, and pudding meal, which would be given to them in their own house if their parents were feeding them. In Norway, during the last years, instead of this type of meal, which is the usual one supplied for " free meals," a breakfast has been supplied instead of a mid day meal. This "Oslo" breakfast, as it is called, consists of all the protective food substances which are as a rule missing from the. poorer dietary, such as cheese, wholemeal bread, milk, fresh fruit fresh vegetables, etc. It was argued that the parents could provide a hot mid-day meal of sufficient bulk to satisfy the children's hunger and that it would be more beneficial to them to have the protective foods which they were not likely to get. Theory was justified by practice. |
e7d4226d-ca97-4d6d-8ba7-9c2d50d57941 | It was proved in Oslo that the children on the Oslo breakfast improved in appearance and increased in weight and height more than did the children on the traditional mid-day meal In Acton, at one of our feeding centres, the experiment was given a very short trial, and it was stated that the children would not eat the cheese, bread, etc. provided for them. It is possible to educate the tastes of the children to enjoy these necessary foods but probably it would be better to supply such meals as a breakfast at school, and allow the parents to give the mid-day meal as they had been doing in their own homes. Sir John Orr, who wrote " Food, Health, and Income's tested the adequacy of diets of different income groups in the. United Kingdom. These diets he estimated on 1152 sample family budgets. |
c416c63e-9d3b-49af-9a50-f03e48f7dba5 | As a result he came to the conclusion that approximately 50% of the population of the United Kingdom have d:โฌMrwo deficient in Vitamins A and C and 50% are deficient in Pho.-pW?^? and Iron. That there is something gravely wrong with the of our nation can be guessed by the fact that in 1935, 62 fa 'ยฎ pective Army recruits had to be rejected as unfit. The clima.Ve- 6> ( Great Britain increases nutritional difficulties with its lack and prevalence of damp, cold, and fog. We are by no P** worst fed country in the world, but our incidence of denWl which, since the researches of Lady Mellanby, is generally as a deficiency disease, is one of the highest in Europe. |
cef30d39-c491-4dea-bf15-97f9b9ca0001 | 85 The comparative rarity of finding a child with perfect teeth to our schools, and the frequency with which small children have to have large numbers of their temporary teeth extracted, is something to be deplored, and becomes of even graver significance if it is granted that it is because the child is wrongly fed that such decay occurs. In the official Advisory Committee's report on Nutrition, Published in 1937, the conclusion was come to that "all except a relatively small fraction of the population are obtaining the full amount of calories they require"โin other words only a small fraction of the population show any signs of lack of quantity of food. It is by no means only a relatively small fraction of the population that shows evidence of malnutrition however, and Rickets, Dental Caries, Tuberculosis, etc. are still rife in the population. The Advisory Committee on Nutrition also show in their Irtport that there is considerable under-consumptiori of some of the essential food products, especially milk. |
665865fc-be05-4291-9639-b46142df222a | At present, in several of the distressed areas, experiments are being tried where nursing and expectant mothers and pre school children can get milk at 2d. a pint from their milkman on presentation of a voucher from the Medical Officer of Health. In one of these areas, the consumption of milk has gone up by 42%. Under a similar scheme in another district, where the milk had to be fetched by the consumer from a depot, there was very little response'and the result was disappointing. |
a33e3e11-2cde-4d9c-94d9-eb1b67bcfec2 | It is recognised by all Health Authorities, that milk is an essential food for the nursing and expectant mother and for young children, and it is, after all, a food which Nature has provided for the nourishment of the young at its most rapidly growing stage, and it contains all the ingredients essential for growth and maintenance Of life.โWhat would be spent irr making this commodity cheaper to those sections of the community who so sorely need it, might be saved in the expenditure necessary to correct deformities and cure illnesses which need never have arisen. The consumption of milk in our schools is not by any means as great as it should be. In the Infant departments, as will be seen from the accompanying Table, the consumption is fairly high, but in the Junior and Senior schools the numbers fell lamentably. Milk as considered to be a childish drink instead of being looked upon as a necessary part of the diet of everyone. S6 SUPPLY OP MILK TO SCHOOLS, 1936 and 1937. School. |
f0ca8cf2-6065-4536-bbac-4ac76e603a9d | 31st March, 1936. 31st Oct., 1936. 31st March, 1937. 31st Oct., 1937. No. on Roll. No. Free. No. Paying. No. on Roll. No. Free. No. Paying. No. on Roll. No. Free. No. Paying. No. on Roll. No. Free. No. Paying. Acton Wells Senior 228 7 52 205 7 53 241 5 71 247 4 74 Acton Wells Junior 418 8 200 404 6 182 398 9 202 392 4 205 Acton Wells Infants' 379 9 309 362 8 270 170 7 137 194 5 130 Beaumont Park Senior Girls' 184 0 36 |
eb569bd2-2369-4eba-a477-4c25e53ad72f | 171 9 65 140 9 57 159 6 60 Beaumont Park Junior Girls' 219 14 77 204 11 68 207 14 79 207 6 60 Beaumont Park Infants' 225 19 166 203 15 225 201 16 110 184 14 125 Central 420 2 67 437 2 53 393 4 74 421 1 71 Derwentwater Junior 403 15 230 369 10 200 367 12 156 354 9 167 Derwentwater Infants' 301 12 230 291 7 260 324 10 285 319 4 270 John Perryn Senior 221 6 39 238 5 35 211 12 25 189 9 17 John Perryn Junior 272 12 70 261 13 70 257 14 62 228 |
54220e4c-55a9-45d9-a15b-9ddcaba6643c | 5 90 John Perryn Infants' 296 10 120 253 5 181 262 10 215 249 11 176 Priory Boys' 297 13 31 346 20 52 306 14 56 354 21 38 Priory Girls' 364 14 89 364 19 79 302 19 76 317 18 72 Priory Infants' 262 14 149 256 13 175 287 25 198 246 16 200 Rothschild Junior 208 3 123 210 6 130 211 7 120 209 9 117 Rothschild Infants' 260 6 236 247 8 178 273 11 195 245 11 174 Berrymede Junior Boys' 437 41 180 420 25 157 423 70 198 393 32 149 Berrymede Junior Girls' |
2a817350-e8c0-4e06-a96e-15e5b797036a | 387 31 177 382 19 160 385 23 191 382 23 185 Berrymede Infants' 291 31 205 273 18 203 300 25 218 258 12 160 Southfield Senior Boys' 186 11 40 176 3 35 149 7 51 168 7 45 Southfield Junior 326 6 144 311 5 121 306 9 107 317 5 134 Southfield Infants' 255 5 140 255 1 187 277 7 193 235 5 172 Turnham Green R.C. 238 12 146 249 15 140 263 14 144 261 13 167 West Acton โ - - - - - 253 4 226 250 3 230 Acton Special (M.D.) |
6605c614-0025-4524-b1b6-9c66e2ef1642 | 44 16 8 42 8 10 43 9 27 43 6 20 2103 3123 3264 6989 298 3289 6949 366 3473 6821 259 3331 87 Below are the figures for the numbers of free meals and free bottles of milk supplied in Acton during the year. Number of Meals supplied. Avenue Road Centre 19021 Acton Wells 938 Beaumont Park 6111 Central 2303 John Perryn 6509 Priory 4386 Southfield 1912 West Acton 259 Total 41439 Meals supplied during the Quarter ending:โ March, 1937 10362 June 12070 September 8600 December 10407 Total 41439 Member of bottles of milk supplied. Quarter ending March, 1937 29089 June 28336 September 18832 December 29700 Total 105957 88 Number of children on Feeding List. |
2a2c6293-537d-4e42-ae8b-39dadbb2f846 | Meals and Milk. Milk only. No. in Quarter ending March 211 103 ,, ,, ,, ,, June 195 119 โ โ ,, โ September 155 97 โ ,, ,, ,, December 172 131 As was mentioned in last year's report, the experiment was tried of continuing free meals during the holidays. The attendance at the Centres was good and justified their being kept open. It was felt that if the meals were omitted during the holiday the children would return to school less fit to benefit by their education. The nutrition of the school population of Acton is not bad as a whole, and in many cases is excellent. Classification of the nutrition of children depends on what is taken as a standard. If nothing short of perfection is accepted, then possibly, very few would pass as perfect, for even in an otherwise nearly perfect child, it is frequently found that some teeth are defective. |
f8f548d0-a55e-4865-97e5-15f794153d94 | It is perhaps fairer to take the norm for the district and school and work from that in a classification. It is the aim always to raise the standard, and it is felt that a greater use of protective foods in infancy and childhood in the future, should do much to make perfection of physique a commonplace. CHILDREN'S COUNTRY HOLIDAYS. The number of Acton children who have the untiring and unselfish energy of Miss Stevens, Head Mistress of Berrymede Infant School, to thank for a country holiday, rises each year. In 1037. 387 holidays were arranged, 210 for boys and 177 for girls. 11 children stayed away for a month, the rest for two weeks. Owing to expenditure having far exceeded income in 1936, it was found necessary by the Headquarters of the Children's Country Holiday Fund, to reduce their grants to local committees. |
3b8b74b3-0b09-4851-821e-127d46615887 | Acton therefore received railway fares plus ยฃ142 only in 1937, as against ยฃ185 in 1936. With parents' contributions this was enough to send away 270 children only, 100 fewer than in 1936. As a larger number than ever of applications for holiday's had been received, great anxiety was felt by the local Committee as to which children would have to be refused. The Mayor of 89 Acton (Councillor H. G. James, j.p.) came to the rescue, however, and issued an appeal for ยฃ100. This appeal was published in the "Acton Gazette" and met with immediate and generous response, finally 387 holidays being arranged, an increase of 23 over 1936. 47i different parties of children went to different places, e.g., Worcester, Brighton, Britlingsea, Hereford, Norfolk, Wiltshire, Berkshire, Devon and Somerset. |
154e4801-d569-432a-9855-a74ca653ddc1 | Accounts of their stay in these various places were almost always satisfactoryโone boy, unfortunately, had to be sent home for behaving badly. It speaks well for the scheme, that a large proportion of the children who went away, wish to go again in 1938, and their parents will be allowed, as before, to start payments early in the year sothat their contributions can be spread over a long period. Much kindness was experienced from the country hostesses. One little fatherless girl was legally adopted by her host and hostess. Another hostess took two children, but would accept payment for one only, and yet another hostess invited three boys to Devon for the Christmas holidays and paid their fares. All children sent away under the Country Holiday scheme must be clear of infection and non-verminous. All have to have their heads examined three times before they goโmaking well over 1000 examinations in all, and all have to be medically examined and passed as not suffering from any infectious disease. |
a55728b4-8ffb-4bc6-a4a9-93e3b46dddac | It is impossible to estimate the benefit to these children of such a holiday as these arranged by the Children's Country Holiday Fund. The anticipation, the excitement of travelling, the kindness experienced and the happy recollections after the holiday is over, must all materially assist the good done by change of scene and food, and psychologically as well as physically, these children must benefit enormously. The Head Teachers have reported very favourably on the results of the holiday on the children's well-being, and Miss Stevens cannot be sufficiently thanked for making it possible by her ungrudging hard work. SWIMMING INSTRUCTION, SEASON 1937. The Swimming Season opened on Monday, 3rd May, 1937, and provision was made for 53 classes at the Public Baths, 32 for boys and 21 for girls. Of these, 50 classes were held in school hours, whilst one class for boys and 2 classes for girls were held 90 in periods immediately before or after normal school hours. |
eece85e2-0964-4660-b01a-1fbaf4637a63 | All the instruction was given by the teaching staff of the schools. 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. The 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:โ Swimming: 1st classโ 100 yards. (Conditions as for Arton certificates). 2nd classโ 50 yards. ,, ,, ,, Life Saving: Elementary, Intermediate, Advanced and Medallion. |
100e9df0-53cb-41d6-adfb-b6c174f7bcea | There are in the schools at the present time 1134 scholars (597 boys and 537 girls) who can swim, as against 1248 at the end of last season, and 273 boys and 267 girls now in the schools learned to swim during the 1937 season (against 597 in It should be borne in mind however that a great number of ttte 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 1937. Year 1936 Boys. Girls. Total. Boys. Girls. Total. No. of classes per week allocated 32 21 53 32 21 53 Total attendances made 10972 7730 18702 11908 8300 20208 Certificates gained. |
ace04131-acd3-4c13-b232-539a8ba3ab29 | Acton Education Committee 224 219 443 268 236 504 L.S.S.A.: 1st class 119 132 251 135 117 252 2nd class 176 174 350 196 157 353 Life Saving: Elementary โ 13 13 - โ โ Intermediate โ - - - 14 14 Medallion โ - - - 10 10 91 TABLE SHOWING THE NUMBER OF CHILDREN ATTENDING ACTON SCHOOLS EMPLOYED IN THE VARIOUS REGISTERED OCCUPATIONS AS ON 31st DECEMBER, 1937. SCHOOL. Delivering Newspapers Delivering Milk Delivering Goods or Parcels Totals Boys. Boys. Boys. |
5a6b3421-a92e-4769-b54f-7fdfa0cebb00 | Acton Wells 4 โ 2 6 Central 5 โ โ 5 County 3 โ 1 4 John Perryn โ - 2 2 Priory 13 โ 12 25 Roman Catholic โ โ โ - Southfield 3 2 1 6 Technical College 1 1 1 3 Totals 29 3 19 51 92 TABLE SHOWING THE DISTRIBUTION OF ALL CHILDREN EMPLOYED DURING THE PERIOD 1st JANUARYโ31st DECEMBER, 1937. School. Acton Wells Central County John Perryn Priory Roman Catholic Southfield Technical College Others Total 1. |
14fd31eb-9d9e-40db-b629-cc7be1408294 | Registered Conditions:โ (a) Delivering Newspapers 12 7 8 2 44 1 14 1 โ 89 (b) Delivering Milk 2 โ 2 3 2 โ 4 1 1 15 (c) Delivering Goods or Parcels โ 5 2 4 32 โ 4 2 2 51 Total 14 12 12 9 78 1 22 4 3 155 Corresponding figures for 1396 18 17 20 10 91 8 38 โ 7 209 93 Uncleanliness Table Sch. Date. No. examd. Very few Nits. Few Nits. Many Nits. Vermin. Total Unclean. % % % % % 1. July 92 1.08 - - - 1.08 Sept. 114 - - - - - 2. |
f9666742-d8ba-4d8d-b55b-dc9d601033e5 | July 104 1.9 - - .9 2.8 Sept. 104 - .9 .9 โ 1.9 3. July 176 - .56 - โ .56 Sept. 154 - 1.3 โ โ 1.3 4. July 182 .54 2.2 โ โ 2.7 Sept. 189 .52 .52 โ โ 1.05 5. July 179 .55 4.4 โ .55 5.5 Sept. 138 2.1 2.1 โ .72 5.07 6. July 107 4.6 2.8 โ โ 7.4 Sept. 143 6.2 2.09 .69 .69 8.8 7. July 197 6.09 5.5 โ 1.01 12.6 Sept. |
673a1cca-bb6a-48e3-8ad0-3ff06c470260 | 208 7.6 2.4 1.9 1.9 13.9 8 July 190 7.3 2.1 โ 1.05 10.5 Sept. 151 1.9 .6 โ โ 2.6 9. July 369 2.1 1.3 โ 1.08 4.6 Sept. 309 .3 - โ .3 .6 10. July 332 6.9 .9 โ .9 8.7 Sept. 347 10.3 1.7 - .8 12.9 11. July 290 11.3 2.7 - 2. 16.2 Sept. 231 9.5 2.5 - .4 12.5 12. July 131 - .76 โ โ .76 Sept. 118 1.6 .8 โ โ 2.5 13. |
40d26d24-418e-41d0-bdf5-6e4c5d8fd835 | July 119 .83 .83 โ โ 1.6 Sept. 109 โ โ โ โ โ 14. July 155 4.5 3.2 โ .6 8.3 Sept. 115 4.3 .86 .86 โ 6.08 15. July 141 4.9 1.4 โ โ 6.3 Sept. 220 2.2 1.3 โ โ 3.6 16. July 283 3.1 3.1 - .7 7.06 Sept. 284 1.4 - .7 โ 2.1 17. July 86 - - - - - Sept. 72 2.7 - โ โ 2.7 18. July 94 2.1 โ โ 2.1 Sept. 75 4. 2.6 โ 1.3 8. 19. |
41abc3ab-fac9-42fb-80b5-ee6c9cc9ddda | July 141 .7 โ โ โ .7 Sept. 98 โ โ โ โ โ 20. July 132 2.2 โ โ โ 2.2 Sept. 116 1.7 โ โ 1.7 3.4 21. July 240 2.5 .4 โ โ 2.9 Sept. 142 2.1 .7 โ .7 3.5 22. July 241 2.07 .41 โ 1.2 3.7 Sept. 285 - .3 โ โ .3 23. July 250 6. โ โ 1.2 7.2 Sept. 237 3.7 1.6 โ .8 6.3 24. July 285 3.1 .35 - 2.4 5.9 Sept. 281 .35 โ โ .35 .71 25. |
4ee6d4c7-94e6-48d9-a701-4d3485d12f82 | July 197 .5 - โ โ .5 Sept. 198 .5 โ โ โ .5 94 Sch. Date. No. examd. Very few Nits. Few Nits. Many Nits. Vermin. Total Unclean. % % % % % 26. July 277 5.05 .72 - 1.08 6.8 Sept. 207 5.7 .4 โ โ 6.2 27. July 124 โ 1.6 - โ 1.6 Sept. 159 โ 1.2 - โ 1.2 28. July 129 2.3 4.6 - 1.5 8.5 Sept. 128 1.5 .7 - โ 2.3 29. July 135 2.2 1.4 - โ 3.7 Sept. |
6fdd633a-0e4d-4538-b635-fd51d10b212b | 121 .8 1.6 - โ 2.4 30. July 233 .8 .4 - .4 1.7 Sept. 183 .5 โ - .5 1. 31. July 87 1.1 2.3 - โ 3.4 Sept. 67 1.4 โ - 1.4 2.9 32. July 135 5.9 3.7 - โ 9.6 Sept. 138 5.7 1.4 - 1.4 8.6 33. July 45 4.4 โ - โ 4.4 Sept. 42 4.7 โ - โ 4.7 34. July 219 2.7 1.8 - .9 5.4 Sept. 205 .97 2.9 - .48 4.3 VISITS PAID BY SCHOOL NURSES. |
beca0bcc-c496-448b-bf76-722c5ba8fe75 | 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 56 Rothschild 75 Beaumont Park 57 Southfield 136 Berrymede 142 Special 2 Derwentwater 64 West Acton 75 John Perryn 45 Priory 245 Total 907 CONVALESCENT HOMES & COUNTRY HOLIDAYS. One boy and one girl were sent to the Winter School ot Recovery, Bexhill, for 3 months each. Two boys and two girls were given a fortnight's free holid.i;. during the Summer. 95 MOTHERCRAFT CLASSES. The following Table gives the number of classes sent from each school to the Day nursery. Beaumont Park 5 Priory 5 Acton Wells 4 Roman Catholic 2 Central 7 John Perryn 5 28 RETURN OF MEDICAL INSPECTIONS. |
9b1ca9e9-38c9-43ef-8b3a-a5f5a8b892b2 | TABLE I. A.โ Routine Medical Inspections. Number of Inspections in the prescribed Groups:โ Entrants 976 Second Age Group 680 Third Age Group 574 Total 2230 Number of other Routine Inspections โ Grand Total 2230 B.โ Other Inspections. Number of Special Inspections 2078 Number of Re-Inspections 1282 Total 3360 C.โ Children Found to Require Treatment. Group For defective vision (excluding squint) For all other conditions recorded in Table II A. Total (1) (2) (3) (4) Entrants 5 60 64 Second Age Group 47 32 75 Third Age Group 32 22 51 Total (Prescribed Groups) 84 114 190 Other Routine Inspections โ - โ Grand Total 84 114 190 96 TABLE II. A.โ Return of Defects found by Medical Inspection in the Year ended 31st December, 1937. Defect or Disease. |
34e72f49-43ea-41ef-b932-d94a8df97ecb | Routine Inspections. Special Inspections No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. Requiring Treatment Requiring to be kept under observation. but not requiring ments. (1) (2) (3) (4) (5) Skin:โ Ringworm: Scalp โ โ โ โ Body 1 โ 9 - Scabies 5 โ 77 โ Impetigo 9 โ 360 โ Other Diseases (Non-Tuberculous) 16 โ 125 โ Total 31 โ 571 - Eye:โ Blepharitis 22 โ 10 - Conjunctivitis 2 โ 42 - Keratitis โ โ 2 - Corneal Opacities โ โ 1 - Other Conditions (excluding Defective Vision and Squint) 3 - 50 - Total 27 โ 105 - Defective Vision (excluding Squint) 84 - 74 - |
a4fd53e4-734a-403a-a1e6-ac42123f60f2 | Squint 13 1 14 - Ear:โ Defective Hearing 4 8 12 โ Otitis Media 3 โ 65 โ Other Ear Diseases โ โ 36 โ Nose and Throat:โ Chronic Tonsillitis only - - 3 - Adenoids only โ โ โ - Chronic Tonsillitis and Adenoids 16 - 26 โ Other Conditions 8 โ โ 135 Enlarged Cervical Glands (Non- Tuberculous) - 236 - 46 Defective Speech 5 - 6 - 97 TABLE II.โ Continued. Defect or Disease. Routine Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. |
6b22cc89-2f30-4b7f-82f6-01edb3296e61 | (1) (2) (3) (4) (5) Heart and Circulation:โ Heart Disease: Organic 3 โ โ โ Functional - 6 โ โ Anaemia 13 โ โ 3 Lungs:โ Bronchitis โ โ โ โ Other Non-Tuberculosis Diseases 2 2 โ 2 Tuberculosis:โ PulImonary: Definite โ โ 2 โ Suspected โ โ โ โ Non-Pulmonary: Glands โ โ โ โ Bones and Joints โ โ โ โ Skin - - โ โ Other Forms โ โ โ โ Nervous System:โ Epilepsy โ โ โ โ Chorea โ โ 6 โ Other Conditions โ โ โ โ Deformities:โ Rickets โ 4 โ โ Spinal Curvature - - โ โ Other Forms 4 โ โ โ Defects and Diseases (excluding Defects of Nutrition. |
2fc6a403-0c2c-44e8-a726-f8e17910ab2c | Uncleanliness and Dental Diseases) 18 - 886 27 Total number of defects 231 257 1806 215 98 B.โ Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups. Age-groups. Number of Children Inspected A (Excellent) B (Normal) C (Slightly (subnormal) D (Bad) No. % No. % No. % No. |
e5220f7b-5153-44f7-b11e-ab0c42c1a1bb | % Entrants 976 438 44.8% 525 53.7% 13 1.3% โ - Second Age-group 680 295 43.3% 358 52.6% 27 3.9% โ โ Third Age-group 574 159 27.7.% 392 68.2% 23 4% - - Other Routine Inspections - - - - - - - - - Total 2230 892 40% 1275 57.1% 63 2.8% โ - TABLE III. Return of all Exceptional Children in the Area. BLIND CHILDREN. At Certified Schools for the Blind At Public Elementary Schools At other Institutions At no School on Institution Total 1 - โ - 1 99 PARTIALLY SIGHTED CHILDREN. |
74f6c446-973e-4602-ab56-4d5fa213a80d | At Certified School for the Blind At Certified Schools for the Partially Sigthted At Public Elementary Schools At other Institutions At no School or Institution Total โ 2 1 โ โ 3 DEAF CHILDREN. At Certified Schools for the Deaf At Public Elementary Schools At other Institutions At no School or Institution Total 4 2 - โ 6 PARTIALLY DEAF CHILDREN. At Certified Schools for the Deaf At Certified Schools for the Partially Deaf At Public Elementary Schools At other Institutions At no School or Institution Total โ 1 1 โ โ 2 MENTALLY DEFECTIVE CHILDREN. FEEBLE-MINDED CHILDREN. At Certified Schools for Mentally Defective Children At Public Elementary Schools At other Institutions At no School or Institution Total 45 - โ - 45 100 epileptic children. CHILDREN SUFFERING FROM SEVERE EPILEPSY. |
2e410ecd-e162-471a-8124-64914cf3106a | At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 2 โ โ 1 3 PHYSICALLY DEFECTIVE CHILDREN. A.โ TUBERCULOUS CHILDREN. 1.โ CHILDREN SUFFERING FROM PULMONARY TUBERCULOSIS. (Including pleura and intra-thoracic glands). At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 1 โ โ โ 1 II.โ CHILDREN SUFFERING FROM NON-PULMONARY TUBERCULOSIS. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 1 - 1 โ 2 l01 B.โ DELICATE CHILDREN. (i.e.) Those whose general health renders it desirable that they should be Specially selected for admission to an Open Air School. |
e54b9cc6-2208-433b-b0b5-25992e18bce1 | At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 4 - 2 4 10 C.โ CRIPPLED CHILDREN. (i.e.) (Other than those diagnosed as tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling sufficiently severe to interfere materially with a child's normal mode of life. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total 1 โ 2 1 4 D.- CHILDREN WITH HEART DISEASE. (i.e.) Children whose defect is so severe as to necessitate the provision of educational facilities other than those of the Public Elementary School. At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total - - 3 โ 3 102 CHILDREN SUFFERING FROM MULTIPLE DEFECTS Combination of Defect At Certified Special Schools At Public Elementary Schools At. |
a4ba0996-900c-4ffd-b37c-83d3d952ccd2 | other Institutions At no School or Institution Total Nil โ โ โ โ Nil TABLE IV. Return of Defects Treated during the Year ended 31st December, 1937. Treatment Table. Group I.โ Minor Ailments (excluding Uncleanliness, for which see Table VI) Disease or Defect Number of Defects treated, or under treatment during the year Under the Authority's Scheme Otherwise Total (1) (2) (3) (4) Skinโ Ringworm-Scalpโ (i) X-Ray Treatment, โ โ โ (ii) Other Treatment โ โ โ Ringworm-Body 9 โ 9 Scabies 61 16 77 Impetigo 359 โ 359 Other Skin Disease 125 โ 125 Minor Eye Defectsโ (External and other, but excluding cases falling in Group II) 105 - 105 Minor Ear Defectsโ 104 9 113 Miscellaneousโ (e.g., minor injuries, bruises, sores, chilblains. |
05384b46-03ac-467a-918d-adbf5266662e | etc.) 886 15 901 Total 1649 40 1689 103 Group II.- Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailmentsโ Group I). Defect or Disease. No. of defects dealt with. Under the Authority's Scheme Otherwise Total (1) (2) (3) (4) Exports of Refraction (including squint) 352 6 358 Other defect or disease of the eyes (excluding those recorded in Group I) 16 โ 16 Total 368 6 374 No. of Children for whom Spectacles were (a) Prescribed 235 6 241 (b) Obtained 235 6 241 Group III.โ Treatment of Defects of Nose and Throat. Number of Defects. |
2dbd62df-7415-4223-bbc7-ace95004ff54 | Received Operative Treatment Received other forms of Treatment Total Number Treated Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Total (1) (2) (3) (4) (5) 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4. - 2 42 โ - โ 3 โ - 2 45 โ - 47 (1)โ Tonsils only. (2)โAdenoids only. (3)โTonsils and adenoids. (4)โOther defects of the nose and throat, 104 Group IV.โ Orthopaedic and Postural Depicts. Under the Authority's Scheme. (1) Otherwise. |
49f4cae2-7f50-4256-ab8c-93740ccc548f | (2) Total number treated Residential treatment with education (i) Residential treatment without education (ii) NonResidential treatment at an orthopaedic clinic (iii) Residential treatment with education (i) Residential treatment without education (ii) NonResidential treatment at an orthopaedic clinic (iii) No. of children treated โ โ โ โ - 2 2 105 Table V.โ Dental Inspection and Treatment. (1) Number of children who were:โ (4) Attendances made by children for treatment 5355 (a) Inspected by the Dentist: (5) Half-days devoted to: Inspection 45 Aged: Treatment 530 Routine Age Groups. |
d0d05b31-f3c4-4fd3-a4f9-db18f28c9617 | 5 786 Total 575 6 710 7 671 8 658 (6) Fillings: 9 654 Permanent Teeeth 2529 10 688 Temporary Teeth 73 11 664 Total 2602 12 460 13 620 14 190 (7) Extractions: Total 6101 Permanent Teeth 1036 Temporary Teeth 5232 (b)Specials 491 Total 6268 (c) Grand Total 6592 (8) Administrations of general anaesthetics for extractions 2501 (2) Number found to require treatment 4697 (9) Other Operations: Permanent Teeth 453 Temporary Teeth 68 (3) Number actually treated 3517 Total 521 Table VI.โ Uncleanliness and Verminous Conditions. |
c13e0984-e818-4306-a882-fbcaf8a6dda9 | Average number of visits per school made during the year by the School Nurses 11 Total number of examinations of children in the Schools by School Nurses 19501 Number of individual children found unclean:โ Vermin and Nits 66 Slightly infested 411 Number of individual children cleansed under Section 87 (2) and (3) of the Education Act, 1921 7 Number of cases in which legal proceedings were taken:โ (a) Under the Education Act, 1921 (b)Under School Attendance Byelaws โ 106 STATEMENT OF THE NUMBER OF CHILDREN NOTIFIED DURING THE YEAR ENDED 31st DECEMBER, 1937, BY THE LOCAL EDUCATION AUTHORITY TO THE LOCAL MENTAL DEFICIECT AUTHORITY. Total number of children notified 6. Analysis of the above Total. Diagnosis. Boys. Girls. 1. |
126d8139-9c67-40d1-909d-bf38a91225b7 | (i) Children incapable of receiving benefit or further benefit from instruction in a Special School: (a) idiots โ - (b) Imbeciles โ 1 (c) Others โ - (ii) Children unable to be instructed in a Special School without detriment to the interests of other children: (a) Moral defectives โ - (b) Others โ - 2. Feeble-minded children notified on leaving a Special School on or before attaining the age of 16 2 3 3. Feeble-minded children notified under Article 3, i.e., "special circumstances" cases โ - 4. Children who in addition to being mentally defective were blind or deaf โ - Grand Total 2 4 We are, Your Obedient Servants, D. J. THOMAS. E. MADELEY. โข ' - - ' -' โข- โขโข - โข - โข - - โข - ' - . โข โข '' - - |
7e861d3c-47ed-4768-af3e-26d1029d71d7 | ACT 41 Borough of Acton ANNUAL REPORT OF THE Medical Officer of Health TOGETHER WITH THE Report on the Medical Inspection of Schools FOR THE YEAR 1938 4 The incidence of Diphtheria is low, and this is undoubtedly due our successful efforts to secure immunization against the disease Although not so successful as we could wish it to be, and carried out at a comparatively small expenditure, immunization has been one of the most marked preventive measures which have been launched in the district. Compared' with the money spent on isolation and treatment, the expense is trifling, but immunization has achieved far more in preventing Diphtheria than hospital isolation has done since its inception. The survey under the Housing Act was concluded, and a report upon the work is appended. |
f764b4d5-6ecf-42d2-8633-d8e4de5f0b18 | Owing to the introduction of outside work in connection with Air Raid Precautions and other activities, the staff of the Department has had to work under great pressure, but the ser vices of all of them have been rendered ungrudgingly as unsparingly. In conclusion, I should like to express my thanks to the members of the Council for their courtesy and support, not only during the past year, but throughout the period I have served by Medical Officer of Health. I remain, Your obedient servant, D. J. THOMAS. Medical Officer of SECTION AโSTATISTICS AND SOCIAL CONDITIONS OF THE BOROUGH. Areaโ2,317 acres. There has been no change in the boundries Population.โThe Registrar-General's estimate of the population in the middle of 1938 was 68,670, compared with 69,100 in 1937. |
8e9d2d03-0645-43be-9ba4-602735c84afe | The population at the Census of 1931 was 7510 but a re-arrangement of the boundaries occurred since the date of the Census, and the Census population of the district as now constituted was 70,008. 5 The number of new houses erected since the Census is as follows:โ 1931-32 โ 257 1932-33 โ 188 1933-34 โ 224 1934-35 โ 134 1935-36 โ 380 1936-37 โ 201 1937-38 โ 273 The number of Parliamentary electors on the Register for the past four years was as follows :โ 1935 โ 48,258 1936 โ 48,813 1937 โ 49,255 1938 โ 48,961 The Number of Inhabited Houses according to the Rate Books on March 31st, 1938, was 17,041, compared with 16,861 on March 31st, 1937. |
69efa09a-f5ea-43c6-b967-13a1f385e48a | Rateable Value.โThe rateable value of the Borough on April 1st, 1938, was ยฃ799,502, and the sum represented by a penny rate was ยฃ3,154. Social Conditions.โTwo years ago I reported fully upon the social conditions, and the changes which had occurred in recent years. The factors then noticed still operate, and there has been to drastic or sudden change. On December 31st, 1938, the total numbers of persons (18โ65) resident in Acton and registered as wholly unemployed were as follows :โ Men. Women. Total. 1,416 356 1,772 The total amount of out-relief and in kind disbursed by the Public Assistance Committee was ยฃ19,485. Extracts from Vital Statistics. POPULATION: 69,100. Total. M. F. Live Births. |
d55fedea-f5cf-45f5-8d2c-57a539c584b9 | Birth-rate per 1,000 of Legitimate 829 422 407 estimated resident pop- Illegitimate 34 18 16 ulationโ12.8 863 410 423 6 Still Births. Legitimate 38 20 18 Rate per 1,000 total Illegitimate 2 1 1 (live & still) births 37 40 21 19 Deaths 682 Death-rate per 1,000 inhabitants 10.0. Deaths from Puerperal causes (Headings 29 and 30 of the Regitrar General's short list). Rate per 1,000 total Deaths (live & still) births No. 29 Puerperal Sepsis 0 โ No. 30 Other Puerperal causes 2 2.2 Death-rate of Infants under 1 year of age. |
fdbc51dc-c743-48ac-9a2a-4d259948e607 | All infants per 1,000 live births 56 Legitimate infants per 1,000 legitimate live births 55 Illegitimate infants per 1,000 illegitimate live births 88 Deaths from Cancer (all ages) 107 Deaths from Measles (all ages) 5 Deaths from Whooping Cough (all ages) 1 Deaths from Diarrhoea (under 2 years of age) โ2 SECTION B.โGENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Staff. A list of the staff of the Public Health Department: will be found at the end of the report. Laboratory Facilities.โThere has been no change in the arrangements. Ambulance Facilities.โThere has been no change export in the management of the ambulance for infectious diseases. on April 1st, the Isolation Hospital became the Joint Action and Wembley Isolation Hospital, and the ambulance for the removel of infectious diseases belongs to that Committee. The ambulance is available for both districts. |
fb1b0436-9cf1-4bec-8060-c0360173f54e | The two ambulances for accident 7 and non-infectious cases are housed at the Fire Station and are available at hours. Last year the ambulance was called out to 591 street accidents and on 388 occasions for private cases. free amounting to ยฃ172 12s. 6d. were paid for the use of the ambulance for private cases. โ Nursing in the Home.โOn April 1st, 1938, a new General District Nursing- Committee for Acton came into being-. it will be recollected that formerly the District Nursing was Carried on as part of the activities of the Acton General Hospital, but as the necessity for home nursing increased it was felt that it could be carried out by a Committee specially set up for the purpose. |
ba9b400b-e804-4827-a5f1-82aaa77c2058 | Even before the erection of the Hospital there was a home nursing scheme in connection with the old provident medical dispensary, and when the activities of the dispensary were absorbed in the work of the hospital, home nursing became a past of the work of the hospital. The work gradually increased, in 1937, negotiations were entered into between the Hospital Council and the Health Committee in order to widen the scope of home nursing. As a result of these negotiations a Standing Committee was set up consisting of five members appointed by the Hospital Council and five members appointed by the Borough Council. This joint Committee took over on April 1st, 1938, the management of the district nursing service which had hitherto been provided by the Acton Hospital Council. The Borough Council contributed ยฃ125 per annum towards the expenses, and the Joint Committee appointed an additional nurse, making a total of four nurses. Application for the services of the nurses is made through medical practitioner or at the Acton Hospital. The charges from 1s. |
f721ab02-9bde-43a3-ad70-68b3ab9698c5 | 6d. a visit to 10s. 6d., but old age pensioners and persons in receipt of Public Assistance are nursed free of charge, Daring the nine months from April to December inclusive last year 334 sick persons were nursed and the nurses paid 7,080 visits to the homes of patients. The work done by the district nurses is not very well known, and this is unfortunate, because they fulfil a very useful purpose and supply a very urgent need in case of illness in many families. Hospital Provision.โThe only change in the Hospital Provision is in that of the Isolation Hospital management. On 1st it became the property of the Acton and Wembley Joint Committee. 8 The following figures regarding the work of the Action General Hospital will be of interest:โ Accommodation is provided in the Hospital for 72 patient โ62 beds in General Wards and 10 for private patients. |
b8bfca04-5032-4658-9faf-a9acde7b9dc6 | During 1938, 1,171 patients were admitted, an increase of 20 on the previous year, and the average number of patients resident daily was 59.83. 9,607 Out-Patients were treated during the year, theattendances numbering 51,768, showing that the recently enlarged Out-Patients Department is still well used. The Education Committee has continued its agreement with the Hospital for the treatment of tonsils and adenoids, and for artificial light. There is no change from last year in the following:โ Laboratory facilities. Small-pox Hospitals. Tuberculosis. School Clinic. Child Welfare Clinic. Ante-natal Clinics. Treatment Centres for Venereal Diseases. LEGISLATION IN FORCE. The following local Acts, special local orders, general a cea tive Acts and byelaws relating to Public Health are in force in the district. |
bf635d67-1d11-41ee-9481-cde6f3443fe1 | Adopted Public Health (Amendment) Act, 1890 1890 Infectious Diseases Prevention Act. 1890 1899 Notification of Births Act, 1907 1907 Public Health Act, 1907 (Clause 50) (Part VI) 1921 Public Health Act, 1925 (Parts 2, 3, 4 and 5) 1926 The Acton Improvement Act, 1904- Nuisances, &c. 1974 New Streets and Buildings 1925 Smoke Abatement 1930 Middlesex County Council Act, 1930, Part IV (Regulation of Street Trading) Employment of Children Wireless Loudspeakers, Gramophones, &c. |
e82ecb1b-b57f-4d6d-9541-a5674bce62d0 | 1935 9 Fouling of Footpaths by Dogs 1937 Hairdressers' and Barbers' Shops 1937 Baths 1938 Houses let in Lodgings 1938 Houses for the Working Classes 1938 Cemetery 1938 Sanitary Conveniences 1938 Removal of Offensive or Noxious Matter or Liquid 1938 Mortuary 1938 Slaughterhouses 1938 Common Lodging Houses 1938 Tents, Vans and Sheds 1938 Offensive Trades 1938 MATERNITY AND CHILD WELFARE. Infantile Mortality. 49 deaths occurred in infants under one year of age, Corresponding to an infantile mortality of 56 per 1,000 births. The infantile mortality is slightly lower than that of 1937, 1936 and 1935, but higher than that of 1934 and 1933. |
d0a6a946-81f4-4829-a8e7-07b4cfa6057c | 31 of the deaths or 63% of the total were due to developmental conditions including injury at birth, prematurity, malformations, etc. This group includes many vague and ill-defined Conditions in which the cause of death is most difficult to ascertain, and they also include those conditions least amenable of Improvement. Health visiting in the strict sense is not likely to affect or reduce the so-called neo-natal mortality, and the best results will probably accrue from the establishment of an efficient midwifery service including ante-natal supervision. It will be Served from another section of the report that our ante-natal clinics were much better patronised and appreciated last year, and 29 to this aspect of the question that we may hope for a reduction in the mortality from developmental conditions. There was a very gratifying reduction in the number of deaths from Diarrhลa; only two deaths were registered as due to this disease compared with 11 in 1937. |
b44c1f95-1e81-45ed-86c7-d3e31ae7a829 | The climatic conditions were favourable, but so were those of 1937. In the table at the end of the report are given the figures of visit paid to the names and the attendances at the Child Welfare Clinics. 10 Dr. Mann has kindly sent the following report upon the special Toddlers' Clinic at Steele Road. The Toddlers' Clinic has been held on the last Friday in each month, and as in the previous year, children from two to four years of age were examined. The number of children invited to attend throughout the year was 287, while the actual number of attendances was 132 or 46%, giving an average attendance of 11 per session. and showing a satisfactory increase over the two previous years. Many of the children were examined for the third time and will now leave the supervision of the centre and will come under the school medical service. |
108f824d-4f1e-4b4e-be54-7e069a24f5b1 | We thus have, for the for time, a complete record of children from birth to school age The general health of the children was good, and mothers were most anxious to accept advice given on matters of feeding hygiene and general management. No serious abnormalities were met with, but several children were found to need treatment for carious teeth, in fedew tonsils and genu valgum. Three children who had made no progress for many months were referred to London Hospitals for removal of tonsils and adenoids, and have since shown marked improvement in growth. Four were referred to an Orthopaedic Hospital for corres tion of genu valgum and these are .all progressing steadily The following table gives the attandances of the expectant and nursing mothers, and of the pre-school children at the Dental Clinics. |
9defb57b-684d-4ef2-91ac-aea09bac9f4c | Mothers examined 174 Children examined 82 ,, referred 173 ,, referred 95 โ treated 99 โ treated 74 Number of attendances for treatment 386 ,, ,, Permanent fillings 40 ,, ,, Temporary fillings 12 ,, ,, Permanent extractions 793 ,, ,, Temporary extractions 233 ,, ,, Permanent dressings 74 ,, ,, Temporary dressings 35 ,, ,, Dentures supplied 27 11 No case of severe malnutrition or anรฆmia was seen, dough a small percentage of the children was actually under standard weight for the age. During the winter months a few were found to have boachial catarrh which responded to treatment. It is satisfactory to note that of the children examined 75% had been inoculated against diphtheria. The parents of the examining 25% were strongly advised to have the inoculation done and it is hoped that this will be done in the near future. Day Nursery. The Nursery is situated in Bollo Bridge Road and is open on five days a week. |
d01854b0-9fd1-4425-a906-6adcc0dbceae | It has accommodation for 28 children and last year it was open on 229 occasions. The total number of attendances was 5,739. The present building is not owned by the Council but is noted and is only held on a short lease. It is the intention of the Council to include a Day Nursery in the new Health Centre in Aveaue Road, and I was asked to report upon the suitability of the position as well as the accommodation which would be necessary under the conditions which now obtain in the district. Since the great War the northern part of the district has been developed on industrial lines, and a large part has been covered with factories which varied industries are carried on, and which employ a large number of women. North Acton is a vague term, and has no definite gev>Sraphinal limits. |
8e77f4ea-530d-4be0-b121-5e22a193e893 | Possibly for our present purpose the main bridge Road may be a desirable boundary; because esf the the main road forms a kind of barrier which is di rtiCttlf for A mother to cross with a small child or a perambulator. This is not strictly true, of course, because we find that occasionally mothers living north of the Uxbridge Road use the Day Nursery, but in only two instances, or rather two children from the same Family.Where the mother lived north of the main road were the Children being minded in South Acton. In no instance did we had a mother living south of the Uxbridge Road who took her could to be minded by someone north of the main road. As the Council will soon be considering the erection of a the Day Nursery, it may be advisable to review the question as it effects also the southern area and an investigation was made under she circumstances of all the children who are known to be daily minded. As far as the information in our possession goes. |
b6d34d3e-6303-45ad-a3bb-334f625096f1 | 12 there are 84 who are being daily minded, 18 north of the Uxbridge Road and 66 south of it. The addresses of the 18 children who are placed out to be minded during the day are scattered through out the northern area and were distributed as follows : Shake speare Road, Alfred Road, Nemoure Road, York Road, exsiActon, two each; one each in Steyne Road, Hereford Road, Home Lane, Twyford Crescent, Acorn Gardens, Wells House Road Canada Crescent and Canada Road. Four of the children were over 3 years of age and the others were probably under 2 years of age, but the exact age of five of them was not available. Four of the mothers were engaged in a laundry, five in factories, three in daily household work, and one each in office cleaning, school cleaning and clerical work. Three of the children were minded by relatives. |
b0a62c4e-6dc8-420a-b1ca-b98cab0a9567 | some were minded by near neighbours, but two were taken from Shakespeare Road to Stanley Road, and in some instances the address where the baby was being minded was not available. In the southern part of the district, there were ascertained to be 66 children who are being minded. The mothers of the majority of these children work in laundriesโ48, out of the 66 possibly more. A fairly large number work for less than days a weekโ3ยฃ, 4 and days. 18 of the children were over 3 years old. It is natural that the percentage of the mothers employes in laundries would be higher in the southern part of the district than it is in the northern part. |
88ebd47f-8456-4cac-9284-5737c466de6e | The majority of these mothers live fairly near to the Day Nursery and also to a nursery school A certain proportion of these children are minded by near relatives, generally grandmothers, who live conveniently near sometimes even in the same house, but in a separate tenement As many as 15 of these children were being minded by then grandmothers. Some are minded by the member of another family living in the same house, and in most of the other cases they are being minded by a person who lives conveniently near. We have six women who always have children to mind and who can almost be called professional baby-minders; these always have children but the numbers vary and the children change. Although I have designated these as almost professional baby-minders, the standred which thev observe is not lower, nor is it appreciably higher that the majority of those who mind an occasional baby. |
68b827d8-2b4a-443d-b8c4-2b28c24e6cd3 | Of the 66, 33 are under 2 years of age, 17 between 2 and 3 years, and 16 over 3 years of age. 13 There were 10 from Stanley Road, nine from Colville Road five from Osborne Road, four from Stirling Road, three each from Hanbury Road, Bridgman Road, Berrymede Road and Ramsay Road, two each from Palmerston Road, Mill Hill Grove, Somerset Road, Beaumont Road, and one each from 18 other roads. These numbers are a fair average of the total children who are being daily minded, but they vary at different times of the year. In addition to the rush periods at the laundries and other factories, some mothers do work outside the home at this time of the year in order to augment the family income for Holiday purposes, but an exact record cannot be kept of these children. The daily minder is unregistered and uncontrolled. |
9cbacb61-1b93-45c2-83ed-bcca33f5e6df | Eiaborate regulations have been framed to guard the foster child and the adopted child, and to restrict the use of unsatislectory foster homes, but the daily minder can live anywhere, under almost any conditions and supposedly caring for an indefiade number of young children. In most of the cases, the conditions are unsatisfactory. In some big cities it is stated that baby-minding is appalling and a problem; the conditions here the far from satisfactory, but they are in advance of those which obtained before the establishment of the Dav Nursery. Possibly the most fortunate children on the whole are those left with natives, though many of the grandmothers are difficult and brain impervious to the instructions given by the Health visitors. The less fortunate are those who are left with elderly persons and with those who are unable from some disability to under take extra domestic duties. |
d8c2f753-c95e-4b92-8e46-21535f2f4647 | In most cases the feeding is haphazard, but possiblv one of the most objectionable features baby-minding is the want of facilities in the minder's home so that the baby can have a reasonable amount of time in the open-air and sunshine when the conditions are suitable. The children are necessarily kept indoors for most of the time even when weather is warm and fine. The Council is probably more interested in ascertaining another or all of these mothers would accept facilities which might be offered to them in the shape of accommodation in a day Nursery conveniently situated. A small proportion probably would and as the benefits which a Day Nursery undoubtedly contact become appreciated this number would increase. Except when it is done by a near relative, " daily including" is more expensive than the Day Nursery. Tenpence or 2 shilling a day is the usual charge exclusive of the baby's food. 14 It might be assumed that a mother, even on the score of expense only, would prefer to have the baby at the Day Nursery. |
e4e2430d-63bd-41d3-b951-42082efcef15 | During most of the year there is a waiting list at the Day Nursery bed the difficulty of admission is not the only or even the primary reason why some of the mothers pr'efer the daily minder to the Day Nursery. Possibly, comparative inaccessibility is one reason, but the majority of the children come from strorck adjacent to the Nursery, and the mothers of these children not appreciate the necessary restrictions and precautions which have to be observed by those who use the Nursery. These regul- lations are essential for the protection of the clean children, but some mothers are unwilling' to conform with the necessary restrictions. We are not now discussing the relative advantages and disadvantages of the Day Nursery to those which obtain in the home. The Day Nursery may be only second best compared with a good home. It is a moot point if mothers should be encourraged to go into factories; is it a disadvantage to the children and also the mother benefit from factory life? |
349fcb38-e423-4378-b2ed-e144fe8c71ec | The extra money is 2 temptation, but the home of the outdoor worker under the best of conditions presents a serious social problem. In some industrial encouragement is given to young married women to return to factories; they are the more experienced and expert workers, and requests are frequently made for their return, especially at rush periods. This is especially true of the laundry industry, but far as our figures go, the same conditions do not apply in the factories in North Acton. In the southern part of the district especially, in spite the Day Nursery and the eight nursery classes, there are children who are being minded in private houses, and on account of the conditions mentioned, this state of affairs is likely to cen for some time. For the younger children the alternative to the Day Nursery is the baby-minder. The only serious disadvantage of the Day Nursery as compared with the baby-minder is the possibility of exposure to certain epidemic infectious diseases such as Measles and Whooping Cough. |
483ef40e-2694-4b5f-a19d-c8b188b45fc6 | Our Nursery is an adapted house, and is not ideal for the purpose, and there is not sufficient provision for isolation purposes. A Day Nursery should be something more than a dumping ground for infants and young children whose mothers have been absorbed into modern industand life. It is now a safe and hygienic playground and nursery.with proper food and suitable management and training, and instration tion is given to the mothers about the care of the children bed they return at night and for the week-ends. The children 15 in outdoor life when the weather is five and warm and suitable for outdoor purposes. In spite of these advantages we have the evidence that many mothers do prefer the baby minder, even if there were Sufficient accommodation at the Nurse These advantages may take some time to be appreciated, bathe mothers are gradually becoming aware of them, and appreiaring their value in the scheme for bettering the health of the children. Nurse Children. At the end of the year there went 1b. |
3cd04b37-e848-4c39-b545-fa18a37e12ef | children on the register compared with 53 in 1937, and 39e on 1936. The reduction is due to the removal of a school from the district in which there Were several pupils who were on the register. Maternal Mortality. There were two maternal deaths but for the second year in succession there was no death from puerperal sepsis. The uses of death were Toxaemia of pregnancy and Pulmonary Embolism respectively. It is generally held that many of the deaths from Toxaemia of Pregnancy are avoidable; in any case, cause of the Toxaemia is usually enable to treatment, but is essential that the early symptoms. the so-called danger Signals, should be ascertained. It is a the early stages that dietetic and other treatment is successful. and to attain success, Regular ante-natal care is important- In this case, the patient and not attend the clinic. |
770cb19c-315c-4b38-a65f-28dd5a473133 | In last year's Annual Report the arrangements for the domiciliary service of midwives were mentioned. It was then slated that the local supervising authority had to submit to the Minister of Health proposals for carrying out its duties under the Midwives Act, 1936, within a period of six months from the commencement of the Act (July 3lsl-1936 or such longer period as the Minister might in any particular case allow. In our area, the Middlesex County Council is the local ( supervising authority, the arrangements did not come in to force until October 1st, The Middlesex County Counal made an agreement with the authorities of Queen Charlotte Hospital for the provision of a domiciliary service of midwives but although these arrange- have now been in force for eighteen months, a copy of the agreement between the County council and the Hospital authorities is not yet available. |
e06cbbb9-c9d8-4c01-8f58-f4e7c9be363f | 16 As far as domiciliary midwifery is concerned, this want of information is not serious, but unfortunately, we are not aware of the conditions under which midwifery nurses can be obtained and utilised by general practitioners.. Other instances of dilataness on the part either of the Ministry of Health or of the Middlesex County Council might be given. At the Maternity and Child Welfare Committee in October, 1938, a resolution was passed asking the Middlesex County Council to take steps to putinto force Section 6 of the Midwives Act, 1936, which would prohibit any person other than a registered midwife or registered nurse from receiving any remuneration as a nurse for attending on a woman in childbirth. It was pointed out that in this area the midwifery service was efficient and capable of dealing with ill conditions and emergencies, and that a considerable amount of unqualified midwifery practice was carried on here. Neighbouring districts had already put this section into force. |
1f49e791-8725-46e4-9af4-44d03418d171 | The Committee's resolution was sent to the Middles County Council, and a reply was received that the Middles County Council decided in April, 1938, to ask the Minister of Health to make an order applying the Section to the whole area for which the County Council is the local supervising authorihty Although this resolution was passed by the County Council in April, no decision had been arrived at in October, and as as we are concerned, nothing had been done in March, 1939, when the matter was brought up again to the notice of the local Maternity and Child Welfare Committee. The domiciliary midwifery scheme is working satisfactorily but its usefulness will probably be extended when the work of ante-natal clinics is extended and amplified. Throughout 1938, all the expectant mothers who booked the Queen Charlotte's midwives attended our ante-natal clinic at Avenue Road. The midwives attend the clinic which once weekly, and usually book their cases there. |
58febb95-8d3e-49b3-8db2-54c8ca19e047 | Unless Some abnormal condition exists, the expectant mothers continue, to attend our clinic until the 36th week of pregnancy, when they attend the ante-natal clinic at Ravenscourt Park. They are their examined by the doctor who would be called out by the midwife should any emergency arise at the confinement. The authorities at the Central Middlesex County Hospital would prefer a similar arrangement for the expectant mothers who are to be confined at that institution, and for those mothers who live in the southern part of the district this procedure is followed, but some of the mothers who live in the northern part of the borough attend the Hospital's clinic throughout their pregnancy 17 This arrangement was the only possible one until a second clinic had been established; the second weekly clinic was opened in March, 1939, at St. Gabriel's Hall, Noel Road. We could not possibly cope with an increased attendance at the clinic Avenue Road. During 1938 the attendances increased considerably. |
863d08b3-dfd1-4a2d-a976-272597502c38 | In 1938, 501 expectant mothers attended the clinic compared with 209 in 1937 and these made 1,051 attendances compared with 448 attendances in 1937. It will be seen that the Average attendance at each session of the clinic was over 20; but the average attendance does not give a correct idea of the conwhich obtained there. On some mornings the attendance was so great as to make it almost impossible to carry out the examinations properly, and the inconvenience from overcrowding was very considerable. A second weekly clinic thus became inevitable, and the only question was its location. Owing to the congestion of other work in Avenue Road, it was difficult to fit in another session on any day of the week. There were also either reasons in favour of holding the second clinic in the northern part of the borough if a suitable building could be secured. |
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