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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63
The Commissioners think it would be possible also by this single authority to establish such arrangements
as would render the duplication or triplication or conflict of medical certificates impossible. They
recommend observation centres for purposes of scientific study and diagnosis in difficult cases, and that
the education authorities should establish intermediate schools or classes for dull and backward children.
All these are matters upon which reports in similar terms have already been made to the Council or
late School Board.
The Commissioners also recommend that all mentally defective children should be taken from
the care of the Board of Education and placed under the Board of Control. Such proposals would lead
to great difficulties in practice which may be mentioned here. There is no hard and fast line between
the borderlands of normal mental conditions and feeblemindedness, and to say that a doubtful case
must pass under the authority of the Board of Control with all that implies would in very many cases
be a great injustice which would be successfully resisted in the Courts. It is almost impossible to make
anything like a correct diagnosis at early ages ; even in the infant department the diagnosis of feeblemindedness,
if attempted, would be wrong in a large proportion of cases. The proposals of the Commissioners
would lead to a double set of medical officials invading the schools. The school doctors
associated with the sanitary service, and an entirely different set with different training and experience,
e.g., the doctors under the Board of Control associated with lunacy. The same officials could not serve
in a double capacity, on account of the quite different work in other respects required from them. There
would be frequent conflict of opinion and certificates. As has been elsewhere pointed out the tendency
of legislation has been in accordance with the doctrine that any interference on the part of the State,
through the local authority or otherwise, with a child between the ages of 3 and 16 is interference for
the purpose of promoting the development of the child, mental, moral or physical, and that whatever may
be the mental condition of the child, such promotion comes fairly within the scope of education.
SPECIAL SCHOOLS EXAMINATIONS.

Under the provisions of the Blind and Deaf Children Act, 1893, and the Defective and Epileptic Children Act, 1899, there have been 6.602 children examined with the following results :—

Month. 1907-8.Number of examina- tions.Numbers Ex-amined.'Passed for
Mentally defective.Physically defective.Mentally and physically defective.Blind.Deaf.Residential school.Industrial school.Elementary school.Imbecile.Invalids and Epileptics.
April37429132621-71-11511100
May414971476821101115310104
June4364818086-662219211163
July38526132671531-16615136
September4453713797-4104-15112122
October45697177117-12152117815180
November48746199111-5182121122177
December3754113976-623114513156
January4861315677-151120313156
February4863819292-814218412133
March5173020594-363-26217140
Total4806,6021,796947451962281,9601511,567
1903-41702,5311,046372-3032--702119230
1904-53395,0481,761776-6160--1,2161481,026
1905-64155,5541,838819-57114--1,5041631,059
1906-74646,5731,8681,01735112925181,8301811,451
1907-84806,6021,796947451962281,9601511,567
Last year + or-+ 16+ 29-72-70+ 1--33-3-10+ 130-30+ 116

From 1st April to December 31st 1908, 4,982 children have been examined with the following results:—

Month.N umber of examinations.Numbers Examined.1 Passed for
Mentally defective.Physically defective.Mentally and physically de-fective-Mentally defective and deaf.Mentally defective and blind.Blind and deaf.Blind.Deaf.Industrial school.Elementary school.Imbecile.Invalids and Epileptics.
April324279077-1--983144887
May54721188131-2--1110324714115
June46634159113-11-85-20113133
July37486132101----646137892
August33374------38110
September54717154128----917120620182
October486751921031---118119815144
November50706198118---1910319119157
December4158318577-1--16316010140
Total3654,9821,30585415116468231,4921081,060