[Report of the Medical Officer of Health for Wimbledon]

Page 5

of the year show an increase of three hundred and eighty-nine as compared with those at the same date in 1937. The following table shows the position with regard to unemployment for the past eight years

31st December	Classification				Total
31st December	Male Adults	Male Juveniles	Female Adults	Female Juveniles	Total

Page 5

Extracts from Vital Statistics of the Year 1938. (Registrar-General's Figures).

		Total.	M.	F.

Page 5

Birth Rate per 1,000 of the estimated resident

Page 6

Continued from previous page...

	Deaths	Rate per 1,000 total (live & still) births.

Page 7

Birth Rates, Death Rates, Analysis of Mortality, Maternal Death Rates, and Case Rates for Certain Infectious Diseases in the Year 1938. (Provisional Figures based on Weekly and Quarterly Returns).

	Wimbledon	England and Wales	126 County Boroughs and Great Towns including London	148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census)	London Administrative! County

Page 8

Population, Birth, and Death Rates for each Ward in 1938

WARD.	Population.	Birth Bate.	Death Bate.

Page 9

Year	Wimbledon		Birth Rate for England & Wales
Year	Number of Births	Birth Rate	Birth Rate for England & Wales

Page 11

The crude death rate shows a decrease on the figure for the previous year but is slightly higher than that for England and Wales. The following table gives the crude death rate in Wimbledon since 1922, together with the figures for England and Wales:—

Year	Wimbledon			Death Rate for England & Wales
Year	Number of Deaths	Crude Death Rate	Adjusted Death Rate	Death Rate for England & Wales

Page 13

Table II gives the causes of, and ages at, death during 1938. Deaths due to notifiable infectious diseases are given on page 87. The principal causes of death (excluding zymotic diseases) were as follows:—

Page 14

The following table gives the percentage figures since 1922:—

Year	Total Deaths	Deaths from Cancer	Percentage

Page 15

The following table, which gives the figures since 1922, indicates that diseases of the heart and circulation are very important factors in the causation of death in Wimbledon.

Year	Total Deaths	Deaths from Heart and Circulatory Diseases	Percentage

Page 15

Page 16

Continued from previous page...

Year	Total Deaths	Deaths from Bronchitis, Pneumonia, and otheh Respiratory Diseases	Percentage

Page 17

The following table gives the Infantile Death Rate in Wimbledon since 1922, together with the comparative figures for England and Wales:—

Year	WIMBLEDON		Infantile Death Rate for England and Wales
Year	Number of Infantile Deaths	Infantile Death Rate per 1,000 Births)	Infantile Death Rate for England and Wales

Page 18

Infantile Mortality during the Year 1938.

Causes of Death.	Under 1 week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 4 weeks.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths under One Year.

Page 20

The number of specimens sent by medical practitioners for examination is shown in the following table:—

	Positive	Negative	Total

Page 20

The following additional specimens from the Hospital and Health Centre were also reported upon:—

Page 24

Public Assistance. The following information has been furnished by the Chief Public Assistance Officer concerning relief in this district:—

Page 25

Details of the home visits carried out are given below:—

Page 31

The following notifications were received from midwives practising in the district:—

Page 31

Medical Aid forms were received in one hundred and one instances, and the following table shows the conditions for which medical help was obtained:—

Page 32

Continued from previous page...

Page -

1938	COTTENHAM PARK *							PELHAM ROAD																				WANDLE PARK
1938	Infant Welfare Consultations (Monday)							Infant Welfare Consultations (Tuesday)							Infant Welfare Consultations (Friday)							Aute-Natal Clinic § (Monday)			Classes for Mothers			Infant Welfare Consultations (Wednesday)							Ante-Natal Clinic ( Thursday)			Classes for Mothers
Month	No of Sessions	Children under 1 Year	Children from 1-5 Years	Total	Average Attendance	No. of New Cases		No. of Sessions	Children under 1 Year	Children from 1-5 Years	Total	Average Attendance	No. of New Cases		No. of Sessions	Children under 1 year	Children from 1-5 years	Total	Average Attendance	No. of New Cases		No. of Sessions	Attendance	Average Attendance	No. of Sessions	Attendance	Average Attendance	No. of Sessions	Children ! under 1 Year	Children from 1-5 Years	Total	Average Attendance	No. of New Cases		No. of Sessions	Attendance	Average Attendance	No. of Sessions	Attendance	Average Attendance
Month	No of Sessions	Children under 1 Year	Children from 1-5 Years	Total	Average Attendance	Infants	Toddlers	No. of Sessions	Children under 1 Year	Children from 1-5 Years	Total	Average Attendance	Infants	Toddlers	No. of Sessions	Children under 1 year	Children from 1-5 years	Total	Average Attendance	Infants	Toddlers	No. of Sessions	Attendance	Average Attendance	No. of Sessions	Attendance	Average Attendance	No. of Sessions	Children ! under 1 Year	Children from 1-5 Years	Total	Average Attendance	Infants	Toddlers	No. of Sessions	Attendance	Average Attendance	No. of Sessions	Attendance	Average Attendance

Page 33

Public Health Act, 1936 (Child Life Protection); Children and Young Persons Act, 1932; Children Act, 1908 (Part 1).— The following figures relate to the administration of the above Acts in Wimbledon during 1938:—

Page 35

The following table indicates the work carried out under the Maternity and Child Welfare section of the scheme:—

No. of Children under 5 Years of Age.	1931	1932	1933	1934	1935	1936	1937	1938

Page 36

In 1937 the Council arranged for the admission of cases of ophthalmia neonatorum to their Infectious Diseases Hospital when cubicle accommodation is available, and also made provision for the services of an Ophthalmic Surgeon should this be required.

CASES.			Vision Unimpaired.	Vision Impaired.	Total Blindness.	Deaths.
Notified.	Treated.
Notified.	At Home.	Hospital.

Page 37

The following table gives the maternal mortality rates for Wimbledon and also for England and Wales:—

1938	Puerperal Sepsis	Others	Total

Page 47

Rainfall.—The following table gives details of the monthly rainfall in inches in Wimbledon during 1938, together with the mean for each month during the period from 1929 to 1932 inclusive. The rainfall in 1938 was below the average, and was the lowest recorded during the last five years.

Year.	Rainfall in Inches.												Total for Year.
Year.	Jan.	Feb.	Mar.	Apr.	May	June	July	A ug.	Sept.	Od.	Nov	Dec.	Total for Year.

Page 48

Sanitary Inspection of District.—The following is a statement showing the number and nature of inspections made for the year 1938:—

Reason of Visit.	No.

Page 49

Continued from privous page..

Reason for Visit	No.

Page 51

The following table gives a summary of the nuisances abated and the sanitary improvements carried out, together with the defects remedied, as the result of house-to-house inspection under the supervision of the Sanitary Inspectors:—

Page 53

The following table shows the position on 31st December, 1938.

site.	No. of Dwellings.	Type.	No. of Families.	Occupants.
site.	No. of Dwellings.	Type.	No. of Families.	A.	C.	Total.

Page 54

FACTORIES, WORKSHOPS AND WORKPLACES. 1. Inspections for purposes of provisions as to health.

Premises	Number of
Premises	Inspections.	Written Notices.	Prosecutions.

Page 54

2. Defects found.

Particulars	Number of Defects.			Prosecutions.
Particulars	Found.	Remedied.	Referred to H.M. Inspector.	Prosecutions.

Page 55

Outwork in Unwholesome Premises—(Section 108).

Nature of Work	Instances	Notices Served	Prosecutions

Page 57

Eradication of Bed Bugs. —The number of houses dealt with under this heading was as follows:—

	Infested. Disinfested.

Page 69

The Public Analyst under the Food and Drugs Acts is appointed by the Surrey County Council. I am indebted to the County Medical Officer of Health for the information set out in the table below, which deals with the work carried out in Wimbledon during 1938.

Page 71

Diphtheria. —The number of cases of diphtheria showed a marked decrease, there being thirty-seven notifications in 1938 as compared with sixty in the previous year. The attack rate was 0.63 per thousand of the population.

	Attack Kate.	Death Rate.

Page 74

Non-notifiable Diseases. —The deaths from the non-notifiable infectious diseases during the past nine years have been as follows:—

Disease	1930	1931	1932	1933	1934	1935	1936	1937	1938

Page 75

TABLE A—NOTIFIABLE DISEASES DURING 1938.

DISEASE	Number of Cases Notified in Various Age Groups												Total Cases Notified	Total Cases Removed to Hospital
DISEASE	Under 1	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	65 and over.	Total Cases Notified	Total Cases Removed to Hospital

Page 76

Table showing Ages at Death from Notifiable Infectious Diseases.

Disease.	ages at Death.												Total Deaths
Disease.	Under 1 Year	1 2 to to 2 3		3 to 4	4 to 5	5 to 10	10 to 15	15 to 20	20 to 35	35 to 45	45 to 65	65 and over	Total Deaths

Page 77

Table showing Zymotic Death Rate, the Death Rates from Zymotic Diseases, and Death Rate from Tuberculous Diseases.

YEAR.	Death Rate Per 1,000 Population
YEAR.	Zymotic Death-rate.	Smallpox	Scarlet Fever.	Diphtheria.	Enteric Fever.	Whooping j Cough.	Measles.	Diarrhoea.	Phthisis and other Tuberc'los Diseases.

Page 78

Table showing Ward Distribution of Infectious Cases in 1938

DISEASE.	Cases Notified at All Ages.	Cases Notified in each Ward.								Total Cases removed to Hospital.
DISEASE.	Cases Notified at All Ages.	St. Mary's	St. John's	Cottenham Park	Wimbledon Park	Dundonald	Trinity	South Park	Haydon Park	Total Cases removed to Hospital.

Page 79

Table showing Number of Cases of Infectious Diseases Notified during each year from 1926 to 1938.

Disease	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936	1937	1938

Page 81

TUBERCULOSIS—The following table shows the number of new cases added to the register during the year, and the number of deaths from this disease.

NEW CASES												DEATHS
Primary Notifications (Form A)				New Cases discovered otherwise than by Notification				Total New Cases				DEATHS
Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
Males	Females	Males	Females	Males	Females	Males	Females	Males	Females	Males	Females	Males	Females	Males	Females

Page 82

Wimbledon Infectious Diseases Hospital

Disease	Cases admitted			Deaths
Disease	Under 5 Years	Over 5 Years	Total	Under 5 Years	Over 5 Years	Total

Page 83

The following complications were noted amongst the cases under treatment:—

Page 86

TABLE 1.—Vital Statistics of Whole District during' 1938 and Previous Years.

Births.			Total Deaths Registered in the District.		Transferable Deaths		Net Deaths Belonging to the District.
Uncorrected Number.	Net.						Net Deaths Belonging to the District.
	Net.						Under 1 year of Age		At all Ages.
	Number.	Rate.	Number.	Rate.	of Nonresidents registered in the District.	of Residents not registered in the District.	Under 1 year of Age		At all Ages.
	Number.	Rate.	Number.	Rate.	of Nonresidents registered in the District.	of Residents not registered in the District.	Number.	Rate per 1000 Net Births.	Number.	Crude Rate

Page 87

TABLE II—Causes of, and Ages at, Deaths during the year 1938

CAUSES OF DEATH.		All Ages	Net Deaths at the subjoined ages of " Residents" whether occurring within or without the District.												Total Deaths whether of 'Residents or ' Nonresidents in Institutions in the District.
CAUSES OF DEATH.		All Ages	Under 1 year.	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	65 and over.

Page 88

TABLE II,— continued

CAUSES OF DEATH.	All, Ages	Net Deaths at the subjoined ages of " Residents " whether occurring within or without the District.												Total Deaths whether of 'Residents' of non-residents' in Institutions in the District.
CAUSES OF DEATH.	All, Ages	Under 1 year.	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	65 and over.

Page 94

There were medically inspected in the schools during the year 1938:—

Page 97

Age Groups.	Number of Children Inspected	Classification.
		C (Slightly Subnormal)		D (Bad)
		Number Found	%	Number Found	%

Page 102

The defects found amongst these scholars were as follows:-

	Requiring Treatment.	Requiring Observation.

Page 105

The Refraction Clinic continued to be well attended and the table given hereunder shows the number of children who received treatment:—

Page 105

Glasses were prescribed in one hundred and ninety-seven cases, and the following table indicates the errors of refraction found.

Page 106

Continued from previous page...

Page 107

The following table gives an indication of the work carried out at the Aural Clinic during 1938:—

Page 108

Amongst the cases referred to hospital for treatment, the following operations were carried out:—

Page 109

The following table shows the nature of the defects from which the children were suffering.

Page 110

An indication of the treatment carried out through this Clinic is given hereunder:—

Page 111

Three children suffering from rheumatism were sent to the following institutions during the year by the Education Committee:—

Page 112

Continued from previous page...

Page 113

SPEECH CLINIC. The following table shows the number of Wimbledon Children treated at the Speech Clinic:—

Defect.	Number attending at commencement of year.	Number admitted during the year.	Number discharged during the year.	Number attending at end of year.

Page 114

The following table shows the number of Surrey children dealt with:—

Defect.	Number attending at commencement of year.	Number admitted during the year.	Number discharged during the year.	Number attending at end of year.

Page 115

Under Article 22 of the Education Code it was found necessary to exclude one hundred and forty-three children from school for the following reasons:—

Page 128

The following table shows the result of these inspections:—

Nature of Defect.	Requiring-Treatment.	Requiring Observation.

Page 132

A.—ROUTINE MEDICAL INSPECTIONS.

Page 132

B. — OTHER INSPECTIONS.

Page 133

similarly a child suffering from two detects other than defective vision appears once only in Column 3 and once in Column 4.

Group.	For defective vision(exclud-ing Squint)	For all other conditions recorded in Table II A.	Total.
(1)	(2)	(3)	(4)

Page 134

A .— RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1938.

DEFECT OR DISEASE	Routine Inspections.		Special Inspections.
	No. of Defects.		No. of Defects.
	Requiring Treatment.	Requiring to be kept under observation, but not requiring Treatment.	Requiring Treatment.	Requiring to be kept under observation, but not requiring Treatment.
(1)	(2)	(3)	(4)	(5)

Page 135

TABLE II,— continued.

DEFECT OR DISEASE.		Routine Inspections.		Special Inspections.
		No of Defects.		No. of Defects.
		Requiring Treatment.	Requiring to be kept under observation, but not requiring Treatment.	Requiring Treatment.	Requiring to be kept under observation, but not requiring Treatment.

Page 136

TABLE II. continued. B.— CLASSIFICATION OP THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS.

AGE-GROUPS	Nr. of Children inspected	A (Excellent)		B (Normal		C (Slightly subnormal)		D (Bad)
AGE-GROUPS	Nr. of Children inspected	No.	%	No.	%	No.	%	No.	%

Page 137

TABLE III Return of all Exceptional Children in the Area BLIND CHILDREN.

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

Page 137

PARTIALLY SIGHTED CHILDREN.

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

Page 137

DEAF CHILDREN.

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

Page 137

PARTIALLY DEAF CHILDREN.

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

Page 138

TABLE III— continued. MENTALLY DEFECTIVE CHILDREN. FEEBLE-MINDED CHILDREN.

At Certified Schools for Mentally Defective Children.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 138

EPILEPTIC CHILDREN. CHILDREN SUFFERING FROM SEVERE EPILEPSY.

At Certified Special Schools.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 138

1.— C hildren S uffering from P ulmonary T uberculosis. (Including pleura and intra-thoracic glands).

At Certified Special Schools.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 138

II.— C hildren S uffering from N on -P ulmonary T uberculosis. (This category includes tuberculosis of all sites other than those shown in (I) above).

Page 139

TABLE III— continued B.—DELICATE CHILDREN.

At Certified Special Schools.	At Public Elementary Schools.	At Other I nsti tu-tions.	At no School or Institution.	Total.

Page 139

C.—CRIPPLED CHILDREN.

At Certified Special Schools.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 139

D.—CHILDREN WITH HEART DISEASE.

At Certified Special Schools.	At Public Elementary Schools.	At Other Institutions.	At no School or Institution.	Total.

Page 139

CHILDREN SUFFERING FROM MULTIPLE DEFECTS. Children suffering from any combination of the following types of defect:—

Page 140

TABLE IV. TREATMENT TABLES. GROUP I.— minor Ailments ( excluding Uncleanliness, for which see Table VI.).

disease or defect.	Number of Defects treated, or under treatment during the year.
disease or defect.	Under the Authority's Scheme	Otherwise.	Total.
(1)	(2)	(3)	(4)

Page 141

TABLE IV.— continued. GROUP II.—defective Vision and squint (excluding Minor Eve Defects treated as Minor Ailments—Group I.).

	Number of Defects dealt with.
	Under the Authority's Scheme	Otherwise.	Total.

Page 142

TABLE IV.— continued. GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT.

NUMBER OF DEFECTS.
Received Operative Treatment.
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.

Page 143

TABLE IV-— continued. GROUP IV—ORTHOPEDIC AND POSTURAL DEFECTS

	Under the Authority's Scheme (1)			Otherwise (2)			Total Number Treated
	Residential treatment with education	Residential treatment without education	Non-residential treatment at an orthopaedic clinic	Residential treatment with education	Residential treatment without education	Non-residential treatment at an orthopaedic clinic
	(i)	(ii)	(iii)	(i)	(ii)	(iii)

Page 144

TABLE V.—D ENTAL INSPECTION AND TREATMENT. 1. Number of children inspected by the Dentist a. Routine age-groups*

AGE	5	6	7	8	9	10	11	12	13	14	15*	16*	TOTAL

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Wimbledon 1938

90 tables in this report

of the year show an increase of three hundred and eighty-nine as compared with those at the same date in 1937. The following table shows the position with regard to unemployment for the past eight years

Extracts from Vital Statistics of the Year 1938. (Registrar-General's Figures).

Birth Rate per 1,000 of the estimated resident

Continued from previous page...

Birth Rates, Death Rates, Analysis of Mortality, Maternal Death Rates, and Case Rates for Certain Infectious Diseases in the Year 1938. (Provisional Figures based on Weekly and Quarterly Returns).

Population, Birth, and Death Rates for each Ward in 1938

The crude death rate shows a decrease on the figure for the previous year but is slightly higher than that for England and Wales. The following table gives the crude death rate in Wimbledon since 1922, together with the figures for England and Wales:—

Table II gives the causes of, and ages at, death during 1938. Deaths due to notifiable infectious diseases are given on page 87. The principal causes of death (excluding zymotic diseases) were as follows:—

The following table gives the percentage figures since 1922:—

The following table, which gives the figures since 1922, indicates that diseases of the heart and circulation are very important factors in the causation of death in Wimbledon.

Continued from previous page...

The following table gives the Infantile Death Rate in Wimbledon since 1922, together with the comparative figures for England and Wales:—

Infantile Mortality during the Year 1938.

The number of specimens sent by medical practitioners for examination is shown in the following table:—

The following additional specimens from the Hospital and Health Centre were also reported upon:—

Public Assistance. The following information has been furnished by the Chief Public Assistance Officer concerning relief in this district:—

Details of the home visits carried out are given below:—

The following notifications were received from midwives practising in the district:—

Medical Aid forms were received in one hundred and one instances, and the following table shows the conditions for which medical help was obtained:—

Continued from previous page...

Public Health Act, 1936 (Child Life Protection); Children and Young Persons Act, 1932; Children Act, 1908 (Part 1).— The following figures relate to the administration of the above Acts in Wimbledon during 1938:—

The following table indicates the work carried out under the Maternity and Child Welfare section of the scheme:—

In 1937 the Council arranged for the admission of cases of ophthalmia neonatorum to their Infectious Diseases Hospital when cubicle accommodation is available, and also made provision for the services of an Ophthalmic Surgeon should this be required.

The following table gives the maternal mortality rates for Wimbledon and also for England and Wales:—

Rainfall.—The following table gives details of the monthly rainfall in inches in Wimbledon during 1938, together with the mean for each month during the period from 1929 to 1932 inclusive. The rainfall in 1938 was below the average, and was the lowest recorded during the last five years.

Sanitary Inspection of District.—The following is a statement showing the number and nature of inspections made for the year 1938:—

Continued from privous page..

The following table gives a summary of the nuisances abated and the sanitary improvements carried out, together with the defects remedied, as the result of house-to-house inspection under the supervision of the Sanitary Inspectors:—

The following table shows the position on 31st December, 1938.

FACTORIES, WORKSHOPS AND WORKPLACES. 1. Inspections for purposes of provisions as to health.

2. Defects found.

Outwork in Unwholesome Premises—(Section 108).

Eradication of Bed Bugs. —The number of houses dealt with under this heading was as follows:—

The Public Analyst under the Food and Drugs Acts is appointed by the Surrey County Council. I am indebted to the County Medical Officer of Health for the information set out in the table below, which deals with the work carried out in Wimbledon during 1938.

Diphtheria. —The number of cases of diphtheria showed a marked decrease, there being thirty-seven notifications in 1938 as compared with sixty in the previous year. The attack rate was 0.63 per thousand of the population.

Non-notifiable Diseases. —The deaths from the non-notifiable infectious diseases during the past nine years have been as follows:—

TABLE A—NOTIFIABLE DISEASES DURING 1938.

Table showing Ages at Death from Notifiable Infectious Diseases.

Table showing Zymotic Death Rate, the Death Rates from Zymotic Diseases, and Death Rate from Tuberculous Diseases.

Table showing Ward Distribution of Infectious Cases in 1938

Table showing Number of Cases of Infectious Diseases Notified during each year from 1926 to 1938.

TUBERCULOSIS—The following table shows the number of new cases added to the register during the year, and the number of deaths from this disease.

Wimbledon Infectious Diseases Hospital

The following complications were noted amongst the cases under treatment:—

TABLE 1.—Vital Statistics of Whole District during' 1938 and Previous Years.

TABLE II—Causes of, and Ages at, Deaths during the year 1938

TABLE II,— continued

There were medically inspected in the schools during the year 1938:—

The defects found amongst these scholars were as follows:-

The Refraction Clinic continued to be well attended and the table given hereunder shows the number of children who received treatment:—

Glasses were prescribed in one hundred and ninety-seven cases, and the following table indicates the errors of refraction found.

Continued from previous page...

The following table gives an indication of the work carried out at the Aural Clinic during 1938:—

Amongst the cases referred to hospital for treatment, the following operations were carried out:—

The following table shows the nature of the defects from which the children were suffering.

An indication of the treatment carried out through this Clinic is given hereunder:—

Three children suffering from rheumatism were sent to the following institutions during the year by the Education Committee:—

Continued from previous page...

SPEECH CLINIC. The following table shows the number of Wimbledon Children treated at the Speech Clinic:—

The following table shows the number of Surrey children dealt with:—

Under Article 22 of the Education Code it was found necessary to exclude one hundred and forty-three children from school for the following reasons:—

The following table shows the result of these inspections:—

A.—ROUTINE MEDICAL INSPECTIONS.

B. — OTHER INSPECTIONS.

similarly a child suffering from two detects other than defective vision appears once only in Column 3 and once in Column 4.

A .— RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1938.

TABLE II,— continued.

TABLE II. continued. B.— CLASSIFICATION OP THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS.

TABLE III Return of all Exceptional Children in the Area BLIND CHILDREN.