London's Pulse: Medical Officer of Health reports 1848-1972

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Lewisham 1965

[Report of the Medical Officer of Health for Lewisham Borough]

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The appended figures relate to the register during 1965.

Table 9

Total live births5,850
Placed on "At Risk" register within one month of birth393
Population 0-5 years20,810
Children at risk on 31.12.65 born during 1965326
Total children at risk 0-5 years on 31.12.65419
Children 0-5 years on handicapped register364

CO-OPERATION WITH CHILDREN'S DEPARTMENT
Health Visitors who notify the Medical Officer of Health of children who may need
to be taken into care are trained to recognise the social and medical indications of
deprivation and distress. They are responsible for a great deal of the informal work
which may be necessary to prevent the break up of families.
Two residential nurseries have been visited and advice given on matters of hygiene
and child care. Advice is also offered to persons in charge of private residential
nurseries at which children are placed by the Children's Officer.
Medical examinations are arranged at the request of the Children's Officer before a
child is placed in a home or with foster parents. Child Care Officers and health
visitors exchange information and keep in close contact with families concerned.
The Children's Officer is informed whenever a child who is "in care" has his or her
name placed on the handicap register.
Close co-operation is specially called for in connection with adoption and boarding
out cases where the question of abnormality arises the prospective parents are offered
an interview, and if necessary there is a consultation with the family doctor.
Advice is also given to the Children's Department on the most appropriate residential
placing for mentally ill persons in care aged 16 to 18.
Reports are received from the Juvenile Courts to ensure that psychiatric services
are available for children in care.
The following table relates to the nine months from April, 1965.

Table 10

Medical Reports on prospective adoptive parents scrutinised30
Number of adoption cases20
Suitable for adoption18
Suitable to adoption subject to conditions1
Not suitable for adoption but suitable for boarding-out1
Number of boarding-out cases27
Parents interviewed by Medical Officer to advise on implications of hereditary disease4

DISTRICT NURSING
The District Nursing Service which is governed by section 25 of the National Health
Service Act, 1946, was passed from the Ranyard Nursing Service to the Borough
Council, on 1st April, 1965, (with the exception of a small area which continued
20