[Report of the Medical Officer of Health for Ilford]

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The following figures as to unemployment were supplied by the Ministry of Labour:—

Total		M.	F.		1942	1941

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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
	1942	1941	1942	1941

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Death-rate of Infants under one year of age:—

	1942	1941

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The number of patients and resident staff on the 30th June, 1942, at the following public institutions, was:—

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3. Births .—The number of births registered during the year was 2,415.

	Males	Females

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Inquests. —During the year, 57 inquests were held in the district, 45 on Ilford residents, and 12 on non-residents. The ages at death 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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The following Table shows the death-rates for 1942 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 1942 and Previous Years.

Births			Total Deaths Registered in the District		Transferable Deaths		Net Deaths Belonging to the District
Uncorrected Number	Net		Total Deaths Registered in the District		of Non-Residents registered in the District	of Residents not registered in the District	Under 1 Year of Age		At all Ages
	Number	Rate	Number	Rate			Under 1 Year of Age		At all Ages
	Number	Rate	Number	Rate			Number	Rate per 1,000 Net Births	Number	Rate

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TABLE 1a showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1942 (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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Registrar-General's Short List of Deaths and Causes:- TABLE II Causes of, and Ages at. Death during the Year 1942

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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(ii) Drainage and Sewerage .—The Borough Engineer regrets that owing to the pressure of work and the shortage of staff he is unable to supply the usual information regarding (a) Drainage and Sewerage and (b) Closet Accommodation, but has kindly supplied me with the following statement as regards Refuse and Salvage Collection:—

Collection and Disposal of Refuse:—	Tons	Cwts.

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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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Continued from previous page...

Notices served:-	Served	Complied with
Statutory:-	Served	Complied with

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Complaints.—During the year, 1 ,492 complaints of nuisances have been received and investigated.

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(iii) Sampling .—The routine practice of sampling was given in the 1938 Report, the following gives the results for 1942:—

Grade of milk or ice cream	Total	Satisfactory	Unsatisfactory	Remarks

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Examination of Officers, Teachers and Servants. The following medical examinations were carried out during 1942:—

	Officers	Teachers	Servants

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TABLE III-Cases of Infectious Diseases Notified during the Year 1942

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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Of the cases notified, the following table shows the percentage treated in institutions, including those who were treated in the institutions from which they were notified:—

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The total number of deaths of Ilford residents from the following infectious diseases during 1942 was 170 as against 199 in 1941.

	1941	1942

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(b) Scarlet Fever.-425 cases were notified in 1942. 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 notified (including Institutions)	Admitted to Ilford Isolation Hospital	"Return" Hospital Cases	Per Cent.	Home Cases	Cases arising in same house	Per Cent.

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Tabulae Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1942, to 31st December, 1942.

	Newbury Hall Clinic			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 9 cases notified, 7 were treated at home by private medical practitioners, 2 were treated as out-patients 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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Table showing Incidence of Infectious Disease, 1942, in age groups; and total Deaths.

Disease	Total cases notified	Under 1 year	1-2	2-3	3-4	4-5	5-10	10-15	15-20	1 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 1942:

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 1942 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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Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 856 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. 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 1942 was as follows:—

	Pulmonary		Non-Pulmonary		Total
	Males	Females	Males	Females	Total

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1 .—INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspections 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
Particulars.	Found	Remedied	Referred to H.M. Inspector

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The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1942, and also the number inoculated:—

Numbers Schick Tested:—	Nurses	Domestics

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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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Special Clinics.—Attendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1942 are set out in the following table:—

Clinic.	Number of Sessions.				Attendances. Individual Expectant and Nursing Mothers.				Attendances. Individual Children.				Total Attendances.
Clinic.	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.

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Infectious Disease.—The following table shows the incidence of infectious diseases in the Ilford schools since 1937:—

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

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Diphtheria Prevention Clinics. —The following shows the work carried out at Newbury Hall (104 sessions) and Mayesbrook (61 sessions) Clinics for children of school age during 1942:—

	Newbury Hall.	Mayesbrook.

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Ringworm:—

	No. of cases at beginning of 1942.	No. of cases reported during 1942.	Total.	Remedied during 1942.	No. of cases under observation at end of 1942.

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Medical Treatment. (a) Minor Ailments Clinics. —The attendances during 1942 were as follows:—

	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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Special Clinics.-Attendances at the various Clinics during 1942, are set out in the following table:-

	Number of Sessions.			Attendances Individual Children.			Total Attendances.

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The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

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

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Summary of cases at end of 1942:—

	Idiots.	Imbeciles.	FeebleMinded.	Dull and Backward

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Incidence of Infection at the Camp Schools during 1942.

	Kenny lands.	Finnamore Wood	Elmbridge.

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The following is a brief summary of the work carried out:—

Immunisation.	Elmbridge		Finnamore Wood.		Kenny lands.
Immunisation.	April	Nov.	April	Nov.	April	Nov.

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Table Showing the Principal Causes of Death among Children of School Age (i.e., from 5—15 years) in Ilford for 1940 and 1941. The Table also gives a Comparative Percentage of Deaths Registered at all Ages, from 5—15 Years.

Disease.		Ilford, Percentage of total deaths (all ages).		Ilford, Percentage of total deaths at ages 5—15

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Table I.—Return of Medical Inspections.

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Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

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

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

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

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Group III.—Treatment of Defects of Nose and Throat.

Received Operative Treatment.	Received other forms of Treatment.	Total Number treated.

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Table IV.— 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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Table V.— Uncleanliness and Verminous Conditions.

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Table VI. Blind and Deaf Children.

	(1) At a Public Elementary School	(2) At an Institution other than a Special School	(3) At no School or Institution	(4) Total not receiving suitable Education

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Table VII. School Medical and Dental Staff.

Name of Officer	Proportion of whole time devoted to—
Name of Officer	School Medical Service	Public Health

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School Nursing Staff. (excluding specialist Nurses, such as Orthopaedic Nurses).

	Number of Officers	Aggregate of time given to S.M.S. work in terms of whole-time officers

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Table VI. A.-Table Showing the Average Heights and Weights of the BOYS Examined.

School	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
School	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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Ilford Boys—Averages for 10 years.

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

	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
School	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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Ilford Girls—Averages for 10 years:—

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Table VI C. Heights and Weights—(Three-year Period = 1940, 1941 and 1942). Comparison of Camp with other Ilford Schools.

Camp School.	11—12			12—13			13—14
	No. Ex'd.	Ht. C'm.	Wt. Kilo.	No. Ex'd.	Ht. C'm.	Wt. Kilo.	No. Ex'd.	Ht. C'm.	Wt. Kilo.

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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, 1942.

SCHOOLS	DISEASES AND CONTACTS
	No. on Roll	Scarlet Fever		Diphtheria		Measles & German Measles		Chicken-pox		Whooping Cough		Mumps	Totals, 1942		Totals, 1941
	No. on Roll	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Cases	Contacts	Cases	Contacts

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Ilford 1942

61 tables in this report

The following figures as to unemployment were supplied by the Ministry of Labour:—

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

Death-rate of Infants under one year of age:—

The number of patients and resident staff on the 30th June, 1942, at the following public institutions, was:—

3. Births .—The number of births registered during the year was 2,415.

Inquests. —During the year, 57 inquests were held in the district, 45 on Ilford residents, and 12 on non-residents. The ages at death were as follows :—

The following Table shows the death-rates for 1942 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 1942 and Previous Years.

TABLE 1a showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1942 (Provisional figures).

Registrar-General's Short List of Deaths and Causes:- TABLE II Causes of, and Ages at. Death during the Year 1942

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

Continued from previous page...

Complaints.—During the year, 1 ,492 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 for 1942:—

Examination of Officers, Teachers and Servants. The following medical examinations were carried out during 1942:—

TABLE III-Cases of Infectious Diseases Notified during the Year 1942

Of the cases notified, the following table shows the percentage treated in institutions, including those who were treated in the institutions from which they were notified:—

The total number of deaths of Ilford residents from the following infectious diseases during 1942 was 170 as against 199 in 1941.

(b) Scarlet Fever.-425 cases were notified in 1942. 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:-

Tabulae Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1942, to 31st December, 1942.

Of the 9 cases notified, 7 were treated at home by private medical practitioners, 2 were treated as out-patients at the Royal London Ophthalmic Hospital.

Table showing Incidence of Infectious Disease, 1942, in age groups; and total Deaths.

Notifications and Deaths from Tuberculosis of Ilford residents during 1942:

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

During the year 1942 the following deaths occurred from Tuberculosis:—

Continued from previous page...

Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 856 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. The following reports were obtained:—

The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1942 was as follows:—

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

2.—DEFECTS FOUND IN FACTORIES.

The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1942, and also the number inoculated:—

Infant Mortality.

Special Clinics.—Attendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1942 are set out in the following table:—

Infectious Disease.—The following table shows the incidence of infectious diseases in the Ilford schools since 1937:—

Diphtheria Prevention Clinics. —The following shows the work carried out at Newbury Hall (104 sessions) and Mayesbrook (61 sessions) Clinics for children of school age during 1942:—

Ringworm:—

Medical Treatment. (a) Minor Ailments Clinics. —The attendances during 1942 were as follows:—

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

Continued from previous page...

Special Clinics.-Attendances at the various Clinics during 1942, are set out in the following table:-

The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

Summary of cases at end of 1942:—

Incidence of Infection at the Camp Schools during 1942.

The following is a brief summary of the work carried out:—

Table Showing the Principal Causes of Death among Children of School Age (i.e., from 5—15 years) in Ilford for 1940 and 1941. The Table also gives a Comparative Percentage of Deaths Registered at all Ages, from 5—15 Years.

Table I.—Return of Medical Inspections.

Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

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

Group III.—Treatment of Defects of Nose and Throat.

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

Table V.— Uncleanliness and Verminous Conditions.

Table VI. Blind and Deaf Children.

Table VII. School Medical and Dental Staff.

School Nursing Staff. (excluding specialist Nurses, such as Orthopaedic Nurses).

Table VI. A.-Table Showing the Average Heights and Weights of the BOYS Examined.

Ilford Boys—Averages for 10 years.

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

Ilford Girls—Averages for 10 years:—

Table VI C. Heights and Weights—(Three-year Period = 1940, 1941 and 1942). Comparison of Camp with other Ilford Schools.

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, 1942.