[Report of the Medical Officer of Health for Ilford]

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SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA.

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1 he following figures as to unemployment were supplied by the Ministry of Labour, and are in respect of Ilford residents only :—

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Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List) :—-

	Deaths.		Rate per 1,000 total (live and still) births
	1938	1939	1938	1939

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The number of patients and resident staff on the 30th June, 1939, at the following public institutions, was :—

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3. Births.—The number of births registered during the year was 2,307

	Males	Females

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The ages at death and causes assigned were as follows:—

Under 1 year	1-2 years	2-5 years	5-15 years	15-25 years	25-45 years	45-65 years	65 years and upwards

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Death-Rates from Tuberculosis and Cancer, 1939. The following Table shows the death-rates for 1939 for Ilford, compared with the provisional death-rates for England and Wales for the same period, per 1,000 population ; the figures having been supplied by the Registrar-General:—

	Ilford	England and Wales

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TABLE I.—Vital Statistics of Whole District During 1939 and Previous Years

Year	Gross Population estimated to Middle of each Year	Net Population estimated to Middle of each Year(a)	Births			Total Deaths Registered in the District		Transferable Deaths		Net Deaths Belonging to the District
			Uncorrected Number	Net (b)		Total Deaths Registered in the District		of Non-Residents registered in the District	of Residents registered in the District	Under 1 year of Year Age		At all Ages
			Uncorrected Number	Number	Rate (c)	Number	Rate (d)	of Non-Residents registered in the District	of Residents registered in the District	Number	Rate per 1,000 Net Births	Number	Rate (e)
1	2	2a	3	4	5	6	7	8	9	10	11	12	13

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TABLE 1 A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1939 ( Provisional figures).

	Rate per 1,000 Total Population		Annual Death-rate per 1,000 Population								Rate per 1,000 Live Births
	Rate per 1,000 Total Population		All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.)	Total Deaths under 1 Year
	Live Births	Stillbirths	All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.)	Total Deaths under 1 Year

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TABLE II Causes of, and Ages at, Death during the Year 1939

Causes of Death	Net Deaths at the subjoined ages of " Residents," whether occurring within or without the District
Causes of Death	All Ages	Under 1 year	1 and under 2 years	2 and under 5 years	5 and under 15 years	15 and under 25 years	25 and under 35 years	35 and under 45 years	45 and under 55 years	55 and under 65 years	65 and under 75 years	75 years and upwards

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Collection and Disposal of Wastepaper.

Weight Collected.			Income.			Cost.			Profit.

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(iii) Sanitary Inspection of the Area.—The following is a summary of the work of the Sanitary Inspectors during the year:—

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Complaints. —During the year, 895 complaints of nuisances have been received and investigated.

The following is a summary:—

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(iii) Sampling.—The routine practice of sampling was given in the 1938 Report, the following gives the results:—

Grade of milk, or ice cream	Total	Satisfactory	Unsatis-factory	Remarks

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The following medical examinations were carried out during 1939 :—

	Officers	Teachers	Servants

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TABLE III—Cases of Infectious Diseases Notified during the Year 1939

NOTIFIABLE DISEASE	At all Ages	Number of Cases Notified At Ages—years							Total Cases Notified in each Ward									Total Cases Admitted to Hospital
NOTIFIABLE DISEASE	At all Ages	Under 1	1 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	Cranbrook	Park	Seven Kings	Barkingside	North Hainault	Loxford	Clementswood	South Hainault	Goodmayes	Total Cases Admitted to Hospital

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The total number of deaths of Ilford residents from the following infectious diseases during 1939 was 175 as against 176 in 1938.

	1938	1939

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The following " return " cases have occurred during the past five years, a " return " case being one which arises within 28 days of the freedom of the primary case from isolation:—

Year	Cases not ified (including Institutions)	Admitted to Isolation Hospital	" Return " Hospital Cases	Per Cent.	Home Cases	Cases arising in same house	PerCent.

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Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1939, to 31st December, 1939. (Clinic not held from 1.9.39 to 3.12.39).

	Public Health Offices			Mayesbrook Clinic			Grand Totals Both Clinics
	School Children (Various Schools)	Children under 5 years of age	Total	School Children (Various Schools)	Children under 5 years of age	Total	Grand Totals Both Clinics

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Of the 6 cases notified, 3 were admitted to St. Margaret's Hospital, 2 were treated at home by private medical practitioners ; and 1 was treated as an out-patient at the Royal London Ophthalmic Hospital.

Cases			Vision Unimpaired	Vision Impaired	Total Blindness	Deaths
Notified	Treated
Notified	At Home	In Hospital

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T able showing I ncidence of I nfectious D isease , 1939, in age groups ; and total D eaths.

Disease	Total cases notified	Under 1 year	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	Over 65	* Cases admitted to Hospital	Total Deaths

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Notifications and Deaths from Tuberculosis of Ilford Residents during 1939.

Age Periods	New Cases				Deaths
	Respiratory		Non-Respiratory		Respiratory		Non-Respiratory
	M	F	M	F	M	F	M	F

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Of the above new cases, the following were notified from Institutions in the district:—

	Respiratory Tuberculosis	Non-Respiratory Tuberculosis

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During the year 1939 the following deaths occurred from Tuberculosis:—

	Pulmonary	Non-Pulmonary

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Continued from previous page...

			Pulmonary	Non-Pulmonary	Total

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The following reports were obtained:—

	Pulmonary Cases	Other Cases

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The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1939 was as follows:—

	Pulmonary-		Non-Pulmonary		Total
	Males	Females	Males	Females	Total

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1.—INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspfxtions made by Sanitary Inspectors.

Premises	Number of
Premises	Inspections	Written Notices	Occupiers prosecuted
(1)	(2)	(3)	(4)

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2.—DEFECTS FOUND IN FACTORIES.

Particulars	Number of Defects			No. of defects in respect of which Prosecutions were instituted
	Found	Remedied	Referred to H.M. Inspector

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4.—OTHER MATTERS.

Class		Number
(1)		(2)

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Number of patients in Hospital on 1st January, 1939 and 1940 respectively :—

	1st Jan., 1939	1st Jan., 1940

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Infant Mortality.

Cause of Death	Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 4 weeks	4 weeks and under 3 months	3 months and under 6 months	6 months and under 9 months	9 months and under 12 months	Total Deaths under 1 year

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Toddlers Clinic.

	No. of Sessions	First attendances	Subsequent attendances	Total attendances	Average

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Ante-Natal Clinics. The following attendances were recorded at the respective Ante-Natal Clinics :—

	Maternity Home	Mayesbrook Clinic

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The following are the additions which have taken place in he accommodation at the elementary schools during the year :

School.	Date of Opening.	Accommodation.

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5. Infectious Disease.—The following table shows the incidence of infectious diseases in the Ilford schools since 1934 :—

	Scarlet Fever.	Diphtheria.	and German Measle	Chicken Pox.	Mumps.	Whooping Cough.	Small Pox.

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Diphtheria Prevention Clinics.— The following shows the work carried out at Valentines (36 sessions) and Mayesbrook (40 sessions) Clinics for children of school age during 1939 :—

	Valentines.	Mayesbrook.

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All cases of measles were visited by the School Nurses after notification. In addition, the cases were visited one month afterwards to enquire as to the child's progress. It was found that in the 42 cases, no complications occurred.

	No. of cases at beginning of 1939.	No. of cases reported during 1939.	Total.	Remedied during 1939.	No. of cases under observation at end of 1939.

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(a) Minor Ailments Clinics. —The attendances during 1939 were as follows :—

	1st Jan. to 4th Sept.		20th Nov. to 31st Dec.
	Valentines.	Mayesbrook.	Newbury Hall.	Mayesbrook.

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The following table shows the conditions dealt with at both the Clinics during the year :—

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Continued from previous page...

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The 1,019 children were not all suffering from grave defects of vision. The following table shows the vision in the worst eye, as tested by Snellen's Type :—

6/6	6/9	6/12	6/18	6/24	6/30	6/60	6/0

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Of the 1,019 children examined, 718 were found to require spectacles, 423 being children who had previously had spectacles and 295 (new cases) by reason of the following defects :—

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(i) 15 were suffering from the following other diseases, and spectacles were not prescribed :—

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AURAL CLINIC.

Nature of Disease	Still under treatment		Recommended Hospital treatment		Discharged as cured		Discharged as improved		Discharged as no treatment required		Discharged as left district		Discharged as left school		Treatment refused by Parent		Total

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inspected by the School Dentists :—

Age groups (in years).	No. of inspections of children	No. referred for treatment.	Percentage.

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Table Showing the Principal Causes of Death among Children of School Age (i.e., from 5—15 years,, in England and Wales during 1937, compared with those in Ilford for 1937 and 1938. The Table also gives a Comparative Percentage of Deaths registered at all Ages, from 5—15 years.

Disease	England and Wales, Percentage of total deaths (all ages)		Ilford. Percentage of total deaths (all ages)		England and Wales, Percentage of total deaths at ages 5—15		Ilford, Percentage of total deaths at ages 5—15
	1937	1938	1937	1938	1937	1938	1937	1938

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Table II. A.—Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups up to 31st August, 1939.

Age Groups	No. of Children Inspected	A. (Excellent)		B. (Normal)		C. (Slightly- Subnormal)		D. (Bad)

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Table III. Blind Children.

At Certified Schools for the Blind	At Public Elementary Schools	At Other Institutions	At no School or Institution	Total

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Deaf Children.

At Certified Schools for the Deaf	At Public Elementary Schools	At Other Institutions	At no School or Institution	Total

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Analysis of the Above Total.

Diagnosis	Boys	Girls

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TREATMENT TABLE. Group I,—Minor Ailments (excluding Uncleanliness, for which see Group VI).

	Number of Defects treated or under treatment during the year
Disease or Defect.	Under the Authority's Scheme	Otherwise	Total
(i)	(2)	(3)	(4)

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Table IV.—Continued. Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).

	No. of Defects dealt with
Defect or Disease	Under the Authority's Scheme	Otherwise	Total
(1)	(2)	(3)	(4)

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Number of Defects

Received Operative Treatment												Received other forms of Treatment	Total Number treated
Under the Authority's Scheme, in Clinic or Hospital				By Private Practitioner or Hospital, apart from the Authority's Scheme				Total				Received other forms of Treatment	Total Number treated
(1)				(2)				(3)				(4)	(5)

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Table IV.—Continued. Group I V.—Orthopaedic and Postural Defects.

	Under th	e Authority's Scheme (H)		Otherwise (2)
	Residential treatment with education	Residential treatment without education	Nonresidential treatment at an orthopaedic clinic	Residential treatment with education	Residential treatment without education	Nonresidential treatment at an orthopaedic	Total number treated
	(i)	(ii)	(iii)	(i)	(ii)	(iii)

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Group V.—Dental Inspection and Treatment. (I) Number of Children inspected by the Dentists :— (a) Routine Age Groups—

Age	5	6	7	8	9	10	11	12	13	14	Total

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T able VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

School	Age Groups												Age Groups
	5—6 Years			6—7 Years			7—8 Years			8—9 Years			9—10 Years			10—11 Years			11—12 Years			12—13 Years			13—14 Years
	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight . (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)

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Anthropometric Standard (Girls)

Ages								Ages
5 Years		6 Years		7 Years		8 Years		9 Years		10 Years		11 Years		12 Years		13 Years
Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)	Height (in Cms.)	Weight (in Klgms.)

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Table VI. B.—Table showing the Average Heights and Weights of the GIRLS Examined.

School	Age Groups												Age Groups
	5—6 Years			6—7 Years			7—8 Years			8—9 Years			9—10 Years			10—11 Years			11—12 Years			12—13 Years			13—14 Years
	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	\| Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)

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Anthropometric Standard (Girls) Ages Ages

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Table VII.—Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from School Attendance during the Year ended the 31st December, 1939.

SCHOOLS	No. on Roll	DISEASES AND CONTACTS
		Scarlet Fever		Diphtheria		Measles & German Measles		Chicken-pox		Whooping Cough		Mumps		Pneumonia	Totals, 1939		Totals, 1938
		Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Cases	Contacts	Cases	Contacts

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

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Ilford 1939

61 tables in this report

SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA.

1 he following figures as to unemployment were supplied by the Ministry of Labour, and are in respect of Ilford residents only :—

Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List) :—-

The number of patients and resident staff on the 30th June, 1939, at the following public institutions, was :—

3. Births.—The number of births registered during the year was 2,307

The ages at death and causes assigned were as follows:—

Death-Rates from Tuberculosis and Cancer, 1939. The following Table shows the death-rates for 1939 for Ilford, compared with the provisional death-rates for England and Wales for the same period, per 1,000 population ; the figures having been supplied by the Registrar-General:—

TABLE I.—Vital Statistics of Whole District During 1939 and Previous Years

TABLE 1 A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1939 ( Provisional figures).

TABLE II Causes of, and Ages at, Death during the Year 1939

Collection and Disposal of Wastepaper.

(iii) Sanitary Inspection of the Area.—The following is a summary of the work of the Sanitary Inspectors during the year:—

Complaints. —During the year, 895 complaints of nuisances have been received and investigated.

(iii) Sampling.—The routine practice of sampling was given in the 1938 Report, the following gives the results:—

The following medical examinations were carried out during 1939 :—

TABLE III—Cases of Infectious Diseases Notified during the Year 1939

The total number of deaths of Ilford residents from the following infectious diseases during 1939 was 175 as against 176 in 1938.

The following " return " cases have occurred during the past five years, a " return " case being one which arises within 28 days of the freedom of the primary case from isolation:—

Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1939, to 31st December, 1939. (Clinic not held from 1.9.39 to 3.12.39).

Of the 6 cases notified, 3 were admitted to St. Margaret's Hospital, 2 were treated at home by private medical practitioners ; and 1 was treated as an out-patient at the Royal London Ophthalmic Hospital.

T able showing I ncidence of I nfectious D isease , 1939, in age groups ; and total D eaths.

Notifications and Deaths from Tuberculosis of Ilford Residents during 1939.

Of the above new cases, the following were notified from Institutions in the district:—

During the year 1939 the following deaths occurred from Tuberculosis:—

Continued from previous page...

The following reports were obtained:—

The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1939 was as follows:—

1.—INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspfxtions made by Sanitary Inspectors.

2.—DEFECTS FOUND IN FACTORIES.

4.—OTHER MATTERS.

Number of patients in Hospital on 1st January, 1939 and 1940 respectively :—

Infant Mortality.

Toddlers Clinic.

Ante-Natal Clinics. The following attendances were recorded at the respective Ante-Natal Clinics :—

The following are the additions which have taken place in he accommodation at the elementary schools during the year :

5. Infectious Disease.—The following table shows the incidence of infectious diseases in the Ilford schools since 1934 :—

Diphtheria Prevention Clinics.— The following shows the work carried out at Valentines (36 sessions) and Mayesbrook (40 sessions) Clinics for children of school age during 1939 :—

All cases of measles were visited by the School Nurses after notification. In addition, the cases were visited one month afterwards to enquire as to the child's progress. It was found that in the 42 cases, no complications occurred.

(a) Minor Ailments Clinics. —The attendances during 1939 were as follows :—

The following table shows the conditions dealt with at both the Clinics during the year :—

Continued from previous page...

The 1,019 children were not all suffering from grave defects of vision. The following table shows the vision in the worst eye, as tested by Snellen's Type :—

Of the 1,019 children examined, 718 were found to require spectacles, 423 being children who had previously had spectacles and 295 (new cases) by reason of the following defects :—

(i) 15 were suffering from the following other diseases, and spectacles were not prescribed :—

AURAL CLINIC.

inspected by the School Dentists :—

Table Showing the Principal Causes of Death among Children of School Age (i.e., from 5—15 years,, in England and Wales during 1937, compared with those in Ilford for 1937 and 1938. The Table also gives a Comparative Percentage of Deaths registered at all Ages, from 5—15 years.

Table II. A.—Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups up to 31st August, 1939.

Table III. Blind Children.

Deaf Children.

Analysis of the Above Total.

TREATMENT TABLE. Group I,—Minor Ailments (excluding Uncleanliness, for which see Group VI).

Table IV.—Continued. Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).

Number of Defects

Table IV.—Continued. Group I V.—Orthopaedic and Postural Defects.

Group V.—Dental Inspection and Treatment. (I) Number of Children inspected by the Dentists :— (a) Routine Age Groups—

T able VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

Anthropometric Standard (Girls)

Table VI. B.—Table showing the Average Heights and Weights of the GIRLS Examined.

Anthropometric Standard (Girls) Ages Ages

Table VII.—Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from School Attendance during the Year ended the 31st December, 1939.