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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

London County Council 1933

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

Published
1934
Pages
183
Tables
154

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154 tables in this report

  • Page -
    The distribution of deaths by ages in 1933 and recent preceding periods is shown in the following table :—
    Period.0-1-2-5-10-15-20-23-35-45-65-06+All ages.
  • Page 6
    The infant mortality rate for 1933 calculated on the provisional figures of births and deaths in London during the registration year of fifty-two weeks was 54 per thousand, and this was the lowest rate ever shown by these figures, the previous lowest being 56 in 1930. It was, therefore, confidently expected that, when the finally corrected figures for 1933 became available, they also would show a record low rate, but the effect of correction was to increase the rate by as much as 6 per 1,000, the result being a corrected rate of 60, as compared with the corresponding rate of 59 for 1930. Calculated to decimal places, the rate for 1930 was 59.17 and for 1933 59.51, so that the margin by which the record remains with the year 1930 is very small.
    Cause of death.1911 to 1914.1915 to 1918.1919 to 1922.1923 to 1926.1927 to 1930.1929.1930.1931.1932.1933.
  • Page 7
    Metropolitan boroughs—Birth-rate, Fertility, Illegitimacy and Infant Mortality, 1921-23 and 1930-32.
    Metropolitan boroughs in topographical order.Birth-rate per 1,000 living.Legitimate births per 100 married women aged 15-45.Illegitimate births per 100 total births.Infant Mortality.
    1921-231930-32Increase (+) Decrease (-) Per cent.1921-231930-32Increase (4-) Decrease (—) per cent.1921-231930-32Increase ( + ) Decrease (-) per cent.1921-231930-32Increase ( + ) Decrease '-) per cent.
  • Page 8
    Age-group.Death-rates per 1,000 living at each age. 1921-30. 1841-50.Decrease per cent. in rate, 1841-50 to 1921-30.
    Males.Females.Males.Female.Males.Females.
  • Page 8
    The expectation of life, at birth, for the decennial period 1921-30 is found to be for males 56.1 years and for females 61.2 years. The following table enables comparison to be made between these figures and those for earlier periods for which it has been possible to calculate the expectation:—
    Period.Expectation of lite at birth.Excess of expectation of females over males.
    Males.Females.
  • Page 9
    The number of notifications of smallpox was 531 compared with 1,131 in 1932. The following table shows the incidence of the disease in the years 1932 and 1933 in the separate London boroughs :—
    Metropolitan Borough.Number of notifications.Metropolitan Borough.Number of notifications.
  • Page 9
    One death occurred, particulars of which are as follows :—
    Borough.Age.Sex.Vaccinal condition.Date of death.Certified cause of death.
  • Page 11
    The following statement shows the numbers of notifications in recent years of the diseases specified, excluding duplicate notifications and military cases :—
    Year.19231924192519261927192819291930193119321933
  • Page 12
    The following statement shows the age and sex incidence of the notified cases :—
    Age.0-5-15-23-35-45-55-83-Tolal.
  • Page 13
    The causes of illness in the 419 notified cases were stated to be as follows :—
  • Page 13
    The death-rates in London and England and Wales in recent years have been as follows :—
    Area.1922.1923.1924.1925.1926.1927.1928.1929.1930.19311932.
  • Page 13
    The death-rates in London and England and Wales in recent years are shown in the following table :—
  • Page 13
    The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year, was as follows :—
  • Page 13
    The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1933 were as follows :—
    Year 1933.Age-period.Total.
    0-1-2-3-4-5-6-7-8-9-10-15 +
  • Page 14
    The death-rates in London and England and Wales in recent years are shown in the following table :—
    Area.1922.1923.1924.1925.1926.1927.1928.1929.1930.1931.1932.
  • Page 14
    The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year was as follows :—
  • Page 14
    The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1933 were as follows :—
    Year 1933.Age-period.Total.
    0-1-2-3-4-5-6-7-8-9-10-15 +
  • Page 14
    The death-rates in London and England and Wales in recent years are shown in the following table :—
    Area.1922.1923.1924.1925.1926.1927.1928.1929.j1930.1931.1932.
  • Page 15
    Metropolitan boroughs arranged in topographical order.Childbirth deaths per 1,000 births.Number of deaths in ohildbirth. 1933.
    1920-27.1928-33.
    Puerperal fever.Other causes.Total.Puerperal fever.Other causes.Total.Puerperal fever.Other causes.Total.
  • Page 18
    The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year was as follows :—
  • Page 18
    The movement of the cancer mortality rate in London at decennial intervals was shown in the annual report for 1931 (Vol. III, Part I, p. 10). The deaths for 1932 were not available when the report was prepared so that the mortality for the three-year period to which the 1931 census was central could not be given. The figures for this period and for the corresponding period for the two previous censuses are as follows :—
    Period.Death-rate per 1,000 of the population of age and sex indicated.
    25-35.35-45.45-55.55-65.65-75.75-85.
  • Page 19
    The probability of dying from cancer has been calculated for the principal ages of life on the basis of the experience of the three years 1930-32 by means of the life-table referred to. These probabilities and the similar figures for the period 1920-22 are shown in the following table :—
    Age (*)Males.Females.
    Cancer deaths in the life-table population at age x and over (Ps = 10,000).Probability of dying from cancer after attaining age x.Cancer deaths in the life-table population at age x and over (1s = 10,000).Probability of dying from cancer after attaining age x.
  • Page 19
    The annual death-rates from pulmonary and non-pulmonary tuberculosis in recent years are shown in the subjoined table :—
    Period.Pulmonary tuberculosis death-rates.Non-pulmonary tuberculosis death-rates.
    Males.Females.Total.Males.Females.Total.
  • Page 20
    The number of primary notifications in metropolitan boroughs during the year 1933, after correction of figures within each metropolitan borough by the exclusion of cases notified as primary but subsequently found to have been previously notified, was 7,139, the corresponding figure for 1932 (52 weeks) being 7,474. The following is an analysis of the notifications in London during the year 1933.
    Form of tuberculosis notified.Sex.Number of formal primary notifications of new cases of tuberculosis.Total notifications.
    0-1-5—10-15-20-25-35-45-55-65 +Total all ages
  • Page 20
    In addition to the primary cases shown in the above table, a number of cases came to the knowledge of medical officers of health, otherwise than by notification. These figures include cases not notified before death :—
    Form of tuberculosis notified.Sex.New cases of tuberculosis coming to knowledge otherwise than by formal notification.
    0-1-5-10-15-20-25-35-45-55-65 -Total.
  • Page 20
    The sources of information as to the unnotified cases shown in the above table were as follows :—
    Source of information.Number of cases.
    Pulmonary.Non-pulmonary.
  • Page 21
    year, and the numbers remaining on the registers at the beginning and end of the period. As these figures relate to the registration year, the totals are not the same as those shown in the preceding tables.
    Metropolitan boroughs in topographical order.Cases on register at beginning of 1933.Cases added to register during registration year. Brought to knowledge byCases removed from register during the registration year.Cases on register at end of 1933.
    Notification.Otherwise.Cured, removed, etc.Deaths.Total.Per 1,000 of population.
  • Page 22
    Vital statistics for the metropolitan boroughs and the County of London in the year 1933. (Rates per 1,000 of population.)
    Metropolitan boroughs arranged in topographical order.Estimated resident population 1933.Births.Deaths.Infant mortality (per 1,000births).MeaslesScarlet fever.Diphtheria.Whooping rough.Typhoid fever.Diarrhœa and enteritis, age 0-2 (per 1,000 births).Pulmonary tuberculosis.Pneumonia.Bronchitis.Cancer.Maternal mortality (per 1,000 births).Notifications of infectious disease.
    Scarlet fever.Diph-theria.Typhoid fever.Erysipelas.Cerebrospinal fever.Acute pneumonia.
  • Page 23
    County of London.—Notifiable infectious diseases.—Notifications per 1,000 of population.
    PeriodAnthraxCerebrospinal feverContinued feverDiphtheriaDysenteryEncephalitis lethargicaEnteric feverAnnual rates per 1,000 living.Puerperal fever (per 1,000 births)Puerperal pyrexia (per 1,000 births)Scarlet feverSmallpoxTyphus
    ErysipelasMalariaOphthalmia neonatorum (per 1,000 births)PneumoniaJ PolioencephalitisPoliomyelitis
  • Page 24
    County of London.—Principal vital statistics, 1891-1933.
    PeriodAnnual rate per 1,000 livingMortality per 1,000 livingAnnual mortality per 1,000 births
    BirthsMarriagesDeaths (all causes)Cerebrospinal feverDiphtheriaEnteric feverScarlet feverSmallpoxWhooping-coughMeaslesInfluenzaTuberculosisPneumonia (all forms)BronchitisOther resp. diseasesHeart diseaseCancerDiabetesInfants 0—1Diarrhœa and enteritis 0—2Puerperal feverOther acc. of ch. birth
    Pulmo | naryNon-pulmonary
  • Page 25
    Infectious Diseases.—Notifications in the County of London during the 52 weeks ended 31st December, 1933.
    Metropolitan boroughs in topographical order.Anthrax.Cerebrospinal fever.Continued fever.Diphtheria (including membranous croup).Dysentery.Encephalitis lethargica.Enteric fever.Erysipelas.Malaria.Ophthalmia neonatorum.Pneumonia.Polioencephalitis.Poliomyelitis.Puerperal fever.Puerperal pyrexia.Scarlet fever.Smallpox.Typhus.
  • Page 26
    The following table shows briefly the results obtained in the several years during which the enumeration has been undertaken by the Council:—
    Year.Common lodging houses (inmates)Casual wards (inmates)Homeless.Total.Year.Common lodging houses (inmates)Casual wards (inmates)Homeless.Total.
  • Page 27
    County of London.—Statistics of the administrative work carried out by the Metropolitan Borough Councils during the year 1933.
    Sanitary authority.Cowsheds.Slaughterhouses.Offensive trades.Smoke nuisances.Common lodging houses.Cleansing of persons and rooms.Water supply.Milk-shops.Ice cream premises.Premises where food is prepared for sale.
    No. licensed.No. of inspections.No. licensed.No. of Inspections.No. authorised.No. of inspections.Observations.Intimations.Complaints.Notices.Houses licensed.No. of inspections.Persons.Rooms or premises.Tenement houses extra supply.No. on register.No. of inspections.No. on register.No. of inspections.No. of places.No. of inspections.
    Adults.Children.After infectious diseases.For vermin.
  • Page 28
    Borough. No. of houses. No. of houses inspected. N o. of notices served. No. of houses repaired or nuisances remedied under P.H. Act. No. of houses repaired under Housing Act, 1925/30. Under-ground rooms. Overcrowding. Houses let in lodgings. No. of houses closed by owner. No. of houses for the working classes. Houses unfit for habitation.
  • Page 29
    Sanitary Inspectors, 1933.
    Sanitary authority.Population (Census) 1931Male.Female.Health visitors.
    Whole time.Part time.Whole time.Part time.Whole time.Part time.
  • Page 30
    *Clearance—
  • Page 31
    The following table shows the number of infected samples taken from both churn and tank milks in each of the four quarters of 1933:—
    1933Completed examinations.Number tuberculous.Percentage.
  • Page 31
    Results of Milk Sampling.
    DepartmentNumber of samples takenNumber found to be tubercle infectedNumber found to be negative
  • Page 32
    Results of Veterinary Inspection.
    DepartmentNumber of visitsNumber of examinations madeNumber of cows with tuberculosisNumber of cows with other unhealthy conditions (apart from t.b.)
    CowsBullsYoung stock
  • Page 33
    A summary of the work done by the hospitals for each of the areas in the joint scheme during the year 1933 is shown in the following table:—
    London.Middlesex.Essex.Surrey.Kent.Herts.Bucks.East Ham.West Ham.Croydon.Total."Other places."Grand total.
  • Page 33
    The distribution of new cases of venereal disease between the sexes is shown in the following table, the figures for the preceding years being given for comparison:—
    Year.New cases.Total venereal cases.
    Syphilis.Soft chancre.Gonorrhoea.
    M.F.M.F.M.F.M.F.
  • Page 34
    Comparative figures for the seventeen years during which the scheme has been in force are shown in the following table:—
    Year.New cases.Total attendances (venereal and non-venereal)In-patients days.
    Venereal.Non-venerealTotal.
  • Page 35
    Comparative figures for the seventeen years are shown in the following table:—
    Year.From treatment centres.From medical practitioners.Year.From treatment From medical centres. practitioners.
  • Page 37
    Beds occupied at end of year.
    Year.Adults.Children.Total.Year.Adults,Children.Total.
  • Page 37
    The following table indicates the number of applications from adults for residential treatment under the tuberculosis scheme during each of the last five years ; the increase in the figures for 1933 being principally due to the inclusion of patients formerly accounted for as " municipal " cases, treated in general hospitals.
    Year.Application for first period of treatment.Application for further treatment.Total applications.
    Ex- service.Civilian male.Female.Ex-service.Civilian male.Female.
  • Page 38
    During the year, 1,673 patients were discharged from "observation beds"and their classification was as follows (the corresponding figures for 1932 also being given):—
    1933.1932.
    *Pulmonary.Number.Percentage.Nu Tiber.Percentage.
  • Page 39
    the Ministry of Health, although treatment was arranged in institutions for children.
    Classification.Immediate results of treatment.
    Quiescent.Not quiescent.Died in institution.Totals.
    Years.Years.Years.Years.
    1931.1932.1933.1931.1932.1933.1931.1932.1933.1931.1932.1933.
  • Page 40
    The condition of the children under 15 years of age (on admission) who were discharged from residential institutions in 1933 is indicated in the following table, the figures in brackets being those for 1932:—
    Immediate results of treatment.Classification.Surgical.Total.
    A.Bl.B2.B3.
  • Page 42 43
    Tuberculosis Dispensaries.—analysis of Returns, January-December, 1933.
    Metropolitan borough.On dispensary register, 1-1-33.Transferred during 1933 from other areas and cases returned after discharge.Examined for first time during 1933. (a) New cases excluding contacts. (b) Contacts (printed in italics).Total number (including contacts) under dispensary supervision during 1933.Removed from dispensary register during 1933.On dispensary register 31-12-33.Total attendances.Visits to home for dispensary purposes byNo. of specimens of sputum examined.No. of X-Ray examinations.
    Definitely tubercular.Diagnosis not completed.Pulmonary.Non-pulmonary.Diagnosis not completed.Non-tuberculous.Total.(a) Re-sovered, (b) Non tubercular printed in italics.)(a) Transferred to other areas or lost sight of (b) Died (printed in italics).Definitely tubercularDiagnosis not completed.
    Tuberculosis officers.Nurses or health visitors.
    Adults.Children.Adults.Children.Adults.Children.Adults.Children.Adults.Children.
  • Page 44
    The following is a summary, for purposes of comparison, of certain sections of the foregoing table:—
    Metropolitan boroughNumber of new cases examined per 100 deaths from tuberculosis in the boroughNumber of contacts examined per 100 deaths from tuberculosis in the boroughTotal attendances per case on registerTuberculosis officers' visits per case on registerNurses' visits per case on registerNumber of definitely tubercular persons on dispensary register per 100 inhabitantsX-ray examinations
    per 100 new cases and contactsper 100 new cases
  • Page 45
    From the inception of the scheme until 1933, 2,065 children have been dealt with, as follows:—
    YearNumberYearNumber
  • Page 47
    and 13 in places of safety awaiting action. During the year 1,094 cases were examined with the following results:—
    SexSource of notification.Feeble mindedImbecileIdiotMorally defectiveNot defectiveTotal
    ChildrenAdultsChildrenAdultsChildrenAdultsChildrenAdultsChildrenAdultsChildrenAdults
  • Page 49
    The following table illustrates the influence of the other parent (i.e., the mentality of the husband of a mentally defective wife, or vice versa):—
    Other parent.Children.
    Supernormal.Normal.Retarded.Mentally defective.Unstable.Number examined.
  • Page 50
    The relative influence of dullness and instability in the parentage is illustrated by the next table, in which group A shows families where the defective parent first came to notice through lack of educability, and group B, whose social maladaptation was the main feature:—
    Parents.Children.
    Supernormal.Normal.Retarded.Mentally defective.Unstable.
  • Page 53
    The following table contains particulars of applicants for registration or training under the provisions of the Blind Persons Act, 1920:—
    Description.Registration of the blind.Training of the blind.Total.
    M.F.M.F.
  • Page 57
    During the year 8,569 examinations, including 326 home visits, were made of members of the staff. These may be classified as follows:—
  • Page 58
    As a result of the examinations, 403 officers were deemed to be permanently unfit to carry out their ordinary duties in the service of the Council on the following grounds:—
    Males.Females.Total.
  • Page 58
    Sixty-nine of the 1,450 applicants for appointment to the permanent service failed to pass the medical examination for the following reasons:—
    Males.Females.Total.
  • Page 59
    The total number of samples examined in 1933 amounted to 9,637. The following table shows their classification:—
  • Page 61
    The results of bacteriological examinations were as follows:— Raw Milk.
    School supplies.
  • Page 62
    Of the 824 samples of drugs and medical supplies examined during the year, 63 (or 7.6 per cent.) were found to be either definitely unsatisfactory for use or below standard strength or quality.
  • Page 65
    The swimming baths dealt with were at that time classified thus:—
    Number of baths.Number of examinations made.Bacterial content per c.c.B. coli. present in
    Average.Highest.Lowest.
  • Page 66
    The systematic examination of the air in the vehicular tunnels at Blackwall and Rotherhithe, which was commenced in 1929, was continued throughout the year, attention again being concentrated on the morning busy period, practically all samples having been taken about 10.30 a.m. The following table summarises the results obtained:—
  • Page -
    The figures in detail for each sex in each statutory age group are given in the following table:— Nutrition subnormal—Percentage of children examined.
    Age group.1920.1925.1926.1927.1928.1929.1930.1931.1932.1933
  • Page -
    Figures for malnutrition compiled for " Table II " (Elementary Schools).
    Year.Routine inspections.Special inspections.
    Number of inspections.Requiring treatment.Requiring observation.Total cols. 3 & 4Percentage.Requiring treatment.Requiring observation.Total cols. 3, 4, 7 & 8.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)
  • Page -
    Subjoined is the percentage of poorly nourished children amongst those whose parents were in the following categories in regard to employment:—
  • Page -
    I have prepared them again this year, with the result which is seen in the following table:—
    Age group.1921.1933.
    Good.Fair.Bad.Good.Fair.Bad.
  • Page -
    Table I—Heights.
    1933.Former standard.
    Number of children examined.Average height. cms.Probable error.Number examined.Average height. cms.
  • Page -
    Table II—Weights.
    1933.Former standard.
    Number of children examined.Average weight. kgms.Probable error.Number examined.Average weight. kgms.
  • Page -
    Table III.
    Age.Mean height inches. Roberts' artisans.Mean height inches. Roberts' public schools and cadets.Average height recent secondary school boys.
    (1)(2)(3)
  • Page -
    Support is given to the idea that Roberts' tables may be taken as a modern guide, with the addition of about one inch at each age, by the following figures of approximate measurements at 14th birthday:— Table IV.
    inches.
  • Page -
    First Re-inspections, 1933. (Percentages are given in italic type.)
    Defect treated.No. of cases.Treated.Untreated.
    By private doctor.Under Council's scheme.At other hospitals.Discharg'dImproved. For observation only.Still needing treatment.
    Discharg'dNot dis charg'dDischarg'dNot discharg'dDischarg'dNot. discharge'd
  • Page -
    Second Re-inspections, 1933.
  • Page -
    The following table sets out the provision made and the actual numbers treated at the treatment centres during 1933:—
    Ailment.Provision made in 1933.Numbers treated 1933.Numbers treated 1932.
  • Page -
    The falling off in 1932 led to redoubled efforts on the part of the care committees in 1933, and the hope that the lost ground would be regained was amply fulfilled, as in the latter year the percentage of children obtaining spectacles who needed them was 92 . 9, the highest ever yet achieved.
    Year.Number of spectacles ordered.Number of spectacles obtained.Percentage.
  • Page -
    The following tables give the figures for the otorrhoea and the deaf cases treated at the special aural clinics, and returned by the divisional treatment organisers for the year:— Table I—Otorrhœa casts.
    Division.Total no. of examinations made.New cases.Cases carried over from 1932.Old cases returned.Cases examined, but no treatment required.Cases cured.Lost sight of.
    Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.
  • Page -
    Table II—Deaf cases.
    Division.Total no. of examinations made.New cases.Cases carried over from 1932.Old cases returned.Cases cured.Cases partially relieved.Cases unrelieved.Cases requiring no treatment.Lost sight of
    Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.
  • Page -
    Table III—Analysis of Otorrhœa cases.
    Cause of suppuration.Total ears.Cured.Referred for mastoid operation.Lapsed.Still under treatment.
  • Page -
    The details of the work done at this clinic are as follows:—
  • Page -
    The following are particulars of new patients discharged from Downs hospital during 1933:—
    Patients.Ears.
  • Page -
    The following are particulars of the cases referred from Downs hospital in 1932, and continuing treatment into 1933:—
    Patients.Ears.
  • Page -
    In addition to the above the following are particulars of cases which were discharged from Downs hospital in 1932, but went to the Council's clinics and continued their treatment into 1933:—
    Patients.Ears.
  • Page -
    The clinical defects found amongst the children with nine or more sensation units loss on the second test embraced the following:—
  • Page -
    Statistics of Stammering in Families.
    Centre.Number of cases.Mother.Father.Sisters.Brothers.Grandmothers.Grandfathers.Aunts.Uncles.Cousins.No stammer in family
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12).
  • Page -
    Rheumatism scheme. The following statistics show the operation of the rheumatism scheme during 1933 ; corresponding figures for two previous years are also shown:—
    1931.1932.1933.
  • Page -
    During this year 1,447 children were admitted to the undermentioned hospitals under the scheme:—
    Boys.Girls.Total.
  • Page -
    The 1,088 children (boys 453, girls 635) admitted to Queen Mary's hospital and High Wood hospital were diagnosed:—
    Boys.Girls.Total.
  • Page -
    July, 1933, the Queen's hospital centre held two sessions each week, and the centre at King's College hospital is to have an additional weekly session during 1934.
    Name of rheumatism supervisory centre.Number of children attending during 1933.Number of new cases.Attendances of old cases.Total attendances.Average number per session.Number of children from the centre who received hospital treatment or convalescence under the rheumatism scheme.
  • Page -
    Census of Chronic Invalids, November, 1933, and the four preceding years
    Cases.Percentage of total.
    1929.1930.1931.1932.1933.1929.1930.1931.19321933.
  • Page -
    The following table summarises the reports submitted by the school nurses in connection with this work:—
    Division.No. of visits to schools. (No. of schools concerned in brackets.)No. of cases of smallpox found as a result of examination by school nurse.No. of children excluded by school nurse with suspicious symptoms.No. of home contacts supervised in school.No. of absentees (home contacts) reported to borough medical officer of health.No. of hours devoted to work.
  • Page -
    The following table shows the number of cases of ringworm of the scalp among the children in the Council's schools dealt with during 1933 compared with the figures for preceding years:—
    Year.New cases.Cured cases.Cases outstanding at the end of the year.Percentage of cures effected by X-ray treatment.
  • Page -
    The results of the preliminary tests were as follows:—
  • Page -
    The following table gives the roll of the day open-air schools on 21st December, 1933:—
    Boys.Girls.Total.
  • Page -
    Statistics concerning the children who have been in attendance throughout the year are as follows :-
  • Page -
    It is interesting to note that 19 boys and 12 girls showed a temporary loss of weight during the summer vacation.
  • Page -
    The following school journeys were made during the year 1933, through the ordinary organisation:—
    School.Period.Place visited.No. of children.
    FromTo
  • Page -
    In detail the numbers were:—
    Provided, schools:—Boys.Girls.
  • Page -
    Non-Provided schools:—
  • Page -
    The following is a summary of the cases treated by remedial exercises:—
  • Page -
    Minor ailments were dealt with as follows:—
  • Page -
    The junior schools have responded well to the opportunity afforded them, as the following figures indicate:—
  • Page -
    The London Schools' Swimming Association which has once again performed work of the highest value, appears to thrive on difficult times, as last year shows a record number of certificates gained.
    First class certificates.Boys.Girls.Total.
  • Page -
    The number of Life Saving certificates issued was as follows:—
    Boys.Girls.Total.
  • Page -
    The numbers of children receiving each type of meal were as follows:—
    Meal.May, 1933 (23 school days).November, 1933 (20 school days).December, 1933 (19 school days).
    For payment.Free.For payment.Free.For payment.Free.
  • Page -
    The monthly averages of individual children fed for the calendar year, 1933, were for payment, 16,626; free 19,098. The numbers of individual children fed in December, 1932, were:—
    Meal.On payment.Free.Liability accepted by Public Assistance Committee.
  • Page -
    Standard Dietary Table for Residential Homes and Schools.
    Breakfast.Amount.Dinner.Amount.Tea.Amount.Supper.
    Age3-9 yrs. inc.10-15yrs. inc.Age3-9 yrs. inc.10-15 yrs. inc.Age3-9 yrs. inc.10-15yrs. inc.10 and over.
  • Page -
    Defective children. Examinations with a view to the admission of children to special schools, other than hospital schools, were made in 5,112 cases, a decrease of 318 from the number examined in the previous year. The following table shows the number of children nominated for examination and the recommendations made:—
    Defect.Number nominated.Suitable for admission toReturned to elementary school.Invalided as for the time unfit for any school.Notified under M.D. Acts.
    Boys.Girls.Blind school.Myope class.Swanley.Boys.Girls.Boys.Girls.Boys.Girls.
    Boys.Girls.BoysGirls.Boys.Girls.
  • Page -
    The following statement shows the nature of the conditions found among the children certified as suitable for admission to schools for the physically defective at the admission examinations during the year:—
    Morbid conditions.Boys.Girls.Total.
  • Page -
    The following statement gives an analysis of the 470 cases examined for admission to special schools for the physically defective, as a result of which the children were either returned to elementary schools or were invalided as for the time unfit for any school:—
    Morbid conditions.Elementary school.Invalided.
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    The special schools were visited at least once a quarter, and every child present was seen at least once during the year. The total number of examinations made was 17,960, and in addition 567 special examinations were made of children already on the rolls of special schools in connection with applications for non-enforcement of attendance and for similar reasons. As a result of the rota examinations the following re-classifications took place :—
    Transferred from schools forRe-classified for transfer to—
    P.D. school.M.D.school.Sight savingschool.Blindschool.Deafschool.Hard of hearingschool.Open-air school.Epileptic colony.
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    There were also 625 cases returned, on improvement, to elementary schools, or when over 14 years of age, deemed to be no longer certifiable. The details are as follow:—
    Action taken.Special school classification.
    P.D.M.D.Blind.Deaf.Sight saving.Hard of hearing.Total.
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    The following table classifies the children who improved to such an extent that they were able to return from the schools for physically defective children to the ordinary elementary schools, or were "no longer certifiable" as defective between the ages of 14 and 16 years :—
    Defect.Cases deemed no longer certifiable.Cases deemed fit to return to elementary schools.
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    Particulars concerning the after-histories of children discharged from hospitals and sanatoria during the years 1923 to 1927 have been obtained, and the following tables show the distribution of pulmonary and non-pulmonary cases:— I.—Pulmonary cases.
    Year.Total.Percentage alive 5 years after discharge.Percentage dead.
    A.B.1B.2.B.3.A.B.1.*B.2.B.3.A.B.1.*B.2.B.3.
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    *percenteges besed on very small numbers. II.—Non-Pulmonary cases.
    yearTotal.Percentage alive 5 years after discharge.Percentage dead.
    Hip.Spine.Other bones.GlandsOther parts.Hip.Spine.Other bones.Glands.Other parts.Hip.Spine.Other bones.Glands.Other parts.
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    The following table shows the number of cases notified by the education authority under Section 2 (2) of the Mental Deficiency Act, 1913, as amended by the Mental Deficiency Act, 1927, during the year 1933 (the figures in brackets being those for the previous year):—
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    The chief officer of the mental hospitals department has furnished the following return for the year 1933 on after-care of children formerly attending special schools for the mentally defective, but whose names were not notified to the Mental Hospitals Committee as being cases in which the Education Committee were of opinion that further aid in the form of supervision, guardianship or institutional care under the Mental Deficiency Acts was necessary:—
    Classification.Male.Female.Total.Grand total under headings.
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    Table I.
    Defective parent.Number.Average intelligence quotient.
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    Table II.
    Defective parents.Father.Mother (married)..Mother (unmarried).
    No.Intelligence quotient of children.No.Intelligence quotient of children.No.Intelligence quotient of children.
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    Table III.
    Defective parents.Father. (25 cases).Mother (married). (53 cases).Mother (unmarried). (12 cases).
    No*.Intelligence quotient of children.No.Intelligence quotient of children.No.Intelligence quotient of children.
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    The range of variation in the children of parents of the different categories was as follows :— Table IV.
    Parent dealt with under the Mental Deficiency Acts.Parent attended a special school.
    Intelligence quotient of childr'nMale.Married woman.Unmarried woman.Total.Intelligence quotient of childr'nMale.Married woman.Unmarried woman.Total.
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    Table V.
    Intelligence quotient of childrenIntelligence quotient of parents.Total No.
    25.30.35.40.45.50.55.60.65.70.75.80.85.
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    A classification as regards speech defect in 200 children attending two schools for the mentally defective was made by Mrs. D. G. Harries, one of the assistants engaged in the remedial courses for stammering children, with the following results:—
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    TABLE I. Ponlon-road remand home—List of offences.
    Offences.Boys.Girls.
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    Table II. Ponton-road remand, home.—Physical defects.
    Defect.Boys (1172).Girls (135).
    No.Percentage.No.Percentage.
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    TABLE III. Ponton-road remand home.—Cases of sickness and minor ailments treated.
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    Table IV. Portion-road remand home.—Results of intelligence and education tests. Mental age (medical officer's figures, January to October inclusive).—1,055 cases.
    Age.Retardation.
    Testing to age.1 year.2 years.3 years.4 years.5 years.6 years.7 years.
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    Mental age (psychologist's figures, November and December).—229 cases.
    Age.Testing to age.1 year.2 years.3 years.4 years.5 years.6 years.7 years.
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    Table V. Ponton-road remand home.—Educational attainments. Reading (1,284 cases with complete records):—
    Age.Testing to age.1 year retarded.2 years.3 years.4 years.5 years.6 years.7 years.
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    Calcttlation (1,284 cases with complete records).
    Age.Testing to age.1 year retarded.2 years.3 years.4 years.5 years.6 years.7 years.
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    The following tables show the sources of reference of the cases, and the reasons for reference:—
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    The results of treatment were as follows :—
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    The age distribution was as follows :—under 5 years of age, 2 ; between 5 and 14 years of age, 118 ; over 14 years, 1.
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    The results of treatment were as follows:—
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    The work at the guidance clinic organised at the Maudsley hospital has continued under the direction of Dr. Mapother. The school care committees and head teachers have co-operated in supplying information to the clinic and in carrying out recommendations in regard to the treatment of many of the cases. During the year 293 children of school age were dealt with, of whom 168 were boys and 125 girls.
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    The results of treatment were as follows :—
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    The children happen to be from 8 to 14 years old, and so are within the age limits of elementary schools. More than half of them are of the ages 12 and 13, as the percentages in the following table show
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    Elementary school children.
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    Their nutritional classification is shown in the following table, in which the usual standards have been adopted (1 = excellent; 2 = satisfactory ; 3 — sub-normal, but not greatly so 4 = grossly ill-nourished):—
    Classification.Total.Group 1.Group 2.Group 3.
    Number.Percentage.Number.Percentage.Number.Percentage.
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    It is interesting to compare the present state ot this group of children with their condition last year, as recorded by another observer.
    Year.Group 1.Group 2.Group 3.
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    The following table indicates the numbers submitted for each grade and the results of the examinations:—
    Status.Number examined.Number fit.Number rejected.Number who withdrew after being referred for remediable defects or were not due for reexamination until 1934.
    MaleFemaleMale FemaleMaleFemaleMaleFemale
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    STATISTICAL TABLES. Table I.—Medical Inspection, 1933. (a) Routine Inspections.
    Group.Boys.Girls.Total.
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    (b) Other Inspections.
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    Table II. (a) Defects found at medical inspections in 1932. Elementary and special schools.
    Routine inspections— Defects.Special inspections— Defects.
    Disease or defect.Requiring treatment.Requiring observation.Requiring treatment.Requiring observation.
    Elementary schools.Special schools.Elementary schools.Special schools.
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    (b) Children found at routine medical inspection to require treatment (excluding uncleanliness and dental disease).
    Age group.Inspected.Found to require treatment.Percentage requiring treatment.
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    Table III. (a) Exceptional children in London in 1933.
    Classification.At certified special schools.At public elementary schools.At other institutions*At no school or institutionTotal.
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    (6) Return of children suffering from more than one defect, 1933.
    Type of School.At other institutions (Gen. hosp., etc.)At no Schl.Total
    Defect.Day M.D.Residential M.D.Day BlindResidential BlindDay DeafResidential DeafEpileptic colonyDay P.D.Certified hos pital Schls.
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    Table IV. Treatment* table. (a) Group I.—Miliar ailments, excluding uncleanliness, for which see Group V.
    Disease or defect.Defects treated or under treatment.
    Under Council's scheme.Otherwise.Total.
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    (6) Group II.—Defective vision and squint (excluding eye dejects treated as minor ailments, for which see Group I).
    Disease or defect.Defects dealt with.
    Under Council's scheme.Otherwise.Total.
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    (c) Group III.—Treatment of defects of the throat and nose. Number of defects.
    Defect.Received operative treatment.Total.Received other forms of treatment.Total number treated.
    Under Council's scheme.Private practitioner or hospital.
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    Group IV.—Dental defects. 1. Number of children who were :—
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    Group V.—Uncleanliness and verminous conditions.
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    Table V. Medical inspection.—Number of children examined, 1923-1933.
    Year.Routine examinations.Special examinations.Re- inspections.Examinations at special enquiries into outbreaks of infectious disease.Special ear inspection centre attendances.Rheumatism supervisory centre attendances-
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    Table VI. Medical treatment.—Number of cases treated under the Councils scheme ami by other agencies, 1923-1933.
    Year.Minor ailments, fVision.Nose and throat.Dental.
    Under the Council's scheme.Otherwise.Under the Council's scheme.Otherwise.Under the Council's scheme.Otherwise.Under the Council's scheme.Otherwise.*
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    Table VII. Medical inspection oj students in higher education institutions, 1933.
    Classification.Council secondary schools.Other secondary schools.Council and other junior tech. schools.Training colleges.Total.
    Boys.Girls.Boys.Girls.Boys.Girls.Male.FemaleMale.Female