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

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London County Council 1935

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

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76
The foregoing figures do not include the fourth evening institute as, up to the
end of 1935, no medical inspections could be arranged.
Medical treatment under the Council's treatment arrangements was asked for
in 26 vision and 39 dental cases. In 14 of the dental cases the normal full cost
charges were reduced by order of the Special Services Sub-Committee in view of
necessitous circumstances.
Where the treatment recommended is not available at the school treatment
centres, the pupils are advised to make their own arrangements with hospitals,
private practitioners, etc., and in some instances the inspecting medical officers
have used their personal influence in this direction. In this connection the following
is an extract from a report of the inspecting medical officer to one of the girls' evening
institutes:—
All children we are examining are in full-time work, so I spent some time looking out for
facilities for evening treatment of any defects that might be found. I find that almost any
ailment can be treated at the voluntary hospitals in the evening. The following is a list of
some of the facilities available :—
Eyes.—Cases of defective vision can be sent to the Central London Eye hospital, Tuesdays
and Fridays, 6.30 p.m. Examination is free. Glasses are obtainable for 3s. with ordinary
lenses, with astigmatic lens 5s., gold or horn-rimmed framed are 7s. extra.
Tonsils and adenoids, otorrhoea and deafness.—These can be treated on Saturday afternoon
at 3 o'clock or Tuesday at 6.30 p.m. at the Central London Ear, Nose and Throat hospital.
Orthodontic treatment and dental extraction.—This is most excellently catered for at the
Shoreditch Dental hospital every night from 6-8 p.m., maximum charge 2s. 6d., which can be
reduced to nothing in necessitous cases.
Rheumatism.—This is dealt with at the Peto Place rheumatism clinic, Regent's Park, on
Tuesday at 6 p.m., when a specialist doctor attends.
Remedial Exercises.—These can be given at the drill instruction classes at Gopsall-street
institute.
Menstrual troubles.—There is a clinic in charge of a woman doctor at the Royal Free hospital
in the evenings.
Maladjustment to factory life and nervous troubles.—These can be treated at Malet Place
psychological clinic any evening of the week.
With every child recommended for treatment I send a personal note to the appropriate
hosnital or clinic.
Junior
instruction
centres.
The medical inspections at the junior instruction centres began on 31st December,
1934. The visiting medical officers were advised to interview all the juveniles and
to recommend milk for all those obviously requiring it, at the same time noting those
juveniles for a detailed medical inspection for whom it appeared especially desirable.
During 1935, the number of juveniles interviewed was 3,988, the number recommended
for milk was 2,099, and the number referred for detailed examination was
1,143. The following table gives particulars of 851 boys and 287 girls examined
in detail :—

Table 44.

Sex.Number examined in detail.Nutrition.Clothing.Skin and hair.Teeth.Vision.Number wearing glasses.Various other defects found.
Excellent.Normal.Below normal.Bad {i.e., malnutrition.)Good.Fair.Poor.Clean.Dirty.Pediculi present.Sound.Less than four decayed.Four or more decayed.Normal.Slightly subnormal.Treatment required.
Boys851110506230567216019800483562244455431918366*896
Girls2871024433-17411122355111769318149282818†148

*Nose and throat 39, glands 230, ear disease 7, defective hearing 4, defective speech 22, eye disease
21, heart and circulation 21, anaemia and debility 366, lungs 21, nervous system 30, digestive system
22, spinal deformities 3, defects of U.G. system 3, flat foot 2, other defects 105.
†Nose and throat 8, glands 2, ear disease 10, defective hearing 6, defective speech 2, eye disease 4,
heart and circulation 18, anaemia and debility 55, lungs 18, nervous system 2, digestive system 5,
spinal deformities 4, other defects 14.