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

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London County Council 1933

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

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75
Children
returned
to elementary
schools or
invalided.

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.
Infantile paralysis83
Cerebral paralysis74
Various paralyses99
Tuberculosis of bones and joints306
Osteomyelitis85
Rickets and resulting deformities142
Congenital deformities237
Traumata and amputations132
Non-tuberculous arthritis and synovitis52
Rheumatism and chorea516
Various chest conditions—fibrosis, bronchitis, asthma389
Heart diseases—
Congenital205
Acquired valvular8221
Non-valvular295
Anaemia221
Pseudo-hypertrophic muscular dystrophy21
Various nervous conditions, ataxia, etc.43
Other diseases—chiefly medical104
Total37595
470

Rota visits to
the schools.

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.
Physically defective-122-1252
Mentally defective5--2-1--1
Sight saving11-2-1-
Blind--17----
Deaf-2-9--
Hard of hearing-11-16---

After trial in a special school, 70 children were excluded (51 as imbecile, 15 as
feeble-minded ineducable and 4 as feeble minded " detrimental") and 34 were
invalided on medical grounds.

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.
Returned, on improvement, to elementary schools2252011512273
Over 14 years of age and excluded as no longer certifiable208674172352
Total43387428712625