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

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London County Council 1908

[Report of the Medical Officer of Health for London County Council]

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Heads .—In regard to unclean heads the cleansing scheme has been carried out in 124 schools, with the following results

Departments.No. of children examined.Clean.Verminous.White cards First notice.Red cards Final warning.Proposed by nurse for exclusion.Excluded for prosecution.
Boys26,83825,7141,1248022409449
Girls29,76820,5549,2147,1463,8962,0271,402
Infants30,75926,0324,7274,0101,879830555
Mixed3,9373,180757697364249158
Special8836452382081227564
Totals92,18576,12516,06012,8636,5013,2752,228

The parents of 255 children were prosecuted and fines varying from 1s. 6d. to 20s. imposed.

From 1st April to 31st December, 1908, the scheme was carried out at 32 schools with the following results:—

Departments.No. of children examinedClean.VerminousWhite Cards First, notice.Red Cards Final warning.Proposed by nurse for exclusion.Excluded for prosecution.
Boys6,1435,859284276913716
Girls7,5564,5682,9882,5921,417758601
Infants8,3576,7411,6161,534808437287
Mixed1,5341,15338135919511471
Special2591609999603213
Totals23,84918,4815,3684,8602,5711,378988

The parents of 81 children were prosecuted and fines imposed varying from 1s. 6d. to 12s.
These statistics cannot be compared with previous years as the standard of cleanliness has
been raised to such an extent that comparisons would be quite misleading ; there is not now the same
need to apply the scheme to whole schools as there was four or five years ago. Considerable modifications
have been effected with a view of avoiding disturbance of school work. The great improvement
in cleanliness is shown by the high standard to which the nurses now work. Formerly only cases with
actual sores or vermin were reported ; now children with nits alone are held to be unclean. The allegations
that children are mostly infected in school cannot be true to any extent as in every district
the condition of the children is always worse after the holidays. It is of great importance to get
nurses of the right sort. A kind, tactful, yet firm character in an intelligent and refined nurse
manages to conduct a cleansing scheme in even a large school, with very few, sometimes no exclusions,
for prosecution. This cleansing scheme has been thoroughly effective.
Bodies and Clothes.—The action of the school nurses has been almost entirely directed to
effecting cleansing of heads, but it is now necessary to extend this care to the bodies and clothes of the
children. The numbers are much larger than was supposed. Some 19,900 cases are known to the
nurses. The revelation of the state of these children often causes astonishment and disgust in the
teachers, who, whatever they may have suspected, could scarcely examine the children as the nurses
do. The Superintendent of Nurses examined some classes carefully with a view of ascertaining
the prevalence. She found in one school 12 out of 55 boys in one class, 10 out of 60 girls, and eight
out of 54 infants had verminous clothes ; in another school 43 boys out of 135 had verminous clothes.
These proportions are fortunately characteristic only of the dirtier schools, but of these there are very
many. That such conditions are tolerated gives an idea of the conditions of the homes. The homes
are often so dirty, so dark and wanting in the means of cleansing, that it would have been pure injustice
to exclude such children and prosecute the parents. The powers suggested originally, to exclude such
children and demand their cleansing by the sanitary authorities, were not obtained. The Clauses of
the L.C.C. General Powers Act of 1907 have proved impracticable and as the matter is still under consideration,
nothing further has been done except in the districts where the Borough Councils provide
facilities for bathing such children. The Municipal Cleansing Stations provided for verminous persons
are inadequate to the needs of London. They are chiefly for the class of tramps and street walkers
who frequent common lodging houses. The buildings are often used also as disinfecting stations or to
provide accommodation for persons temporarily turned out whilst disinfection of the house after scarlatina
and other such diseases is being done. The buildings too are generally situated in remote or otherwise
undesirable localities. There are very many grave risks which would be incurred through allowing or