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

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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

Willesden 1919

[Report of the Medical Officer of Health for Willesden]

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Table: Estimated Annual Cost.—Based on charges at 15/9/19 the cost of educating Blind and Deaf Children during 1919-20 will be as follows:—

Estimated Annual Cost.—Based on charges at 15/9/19 the cost of educating Blind and Deaf Children during 1919-20 will be as follows:—

Blind Children.—14 attending.£s.d.£s.d.
2 Day Scholars2360 p.a.
12 Residential Scholars47400
Less parents contributions42180
-43120 p.a.
Deaf Children.—20 attending.
2 Day Scholars2000 p.a.
18 Residential Scholars98700
Less parents' contributions8340
-903160 p.a.
Total£1,37840 p.a.
Less Government Grant of 50 per cent.68920
Estimated Net Expenditure£68920 p.a.

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When medical inspection is again fully carried out the number of blind and deaf children
sent to school will approximate the total numbers given above. Instead of 34 in attendance the
number will be approximately 33 per cent. more and the net estimated cost approximately £920
per annum.
(c) Physically Defective Children, including Delicate Children for whom an
Open-Air School is Desirable.
Powers and duties of Education Committee.—The Elementary Education (Defective and
Epileptic Children) Act, 1899, enables the Education Authority to establish and
maintain special schools for physically and mentally defective children.
The Elementary Education (Defective and Epileptic Children) Act, 1914,
requires the Education Authority to make suitable provision for the education
of mentally defective children whose age exceeds seven years.
Section 20 of the Education Act, 1918 (not yet in operation), requires the
Education Authority to make suitable provision for the education of Physically
Defective children whose age exceeds seven years.
Conditions jrom which the Physically Dejective suffer.—The conditions from which physically
defective children suffer may be classified as follows:—
(A) Suitable for day open-air school.
(1) Non-active cases of Tuberculosis.
(2) Paralysis.
(3) Various deformities if—
(a) the deformity renders the child liable to injury at the ordinary school;
(b) the child is under treatment or observation on account of the deformity;
(c) Orthopaedic instruments are worn.
(4) Certain chronic conditions, e.g., chronic lung conditions other than tuberculosis,
chronic rheumatism, exophthalmic goitre, heart disease, kidney, etc.
(5) Certain cases of anaemia and ill-defined conditions, e.g., the so-called pre-tuberculous
child.
(6) Certain nervous children.
(7) Cases discharged from residential schools.
(B) Suitable for residential open-air school.
(1) Any severe or advancing case under 2, 3, 4, 5, 6 and 7 above.
(2) Certain cases of heart disease.
(3) St. Vitus dance in convalescent stage or recurrent.
(4) Children for whom, although suffering from one or other of the conditions mentioned
under (A), sufficient thoughtful and interested co-operation cannot be
secured at home.
(C) Suitable for residential sanatorium school.
Active cases of tuberculosis.