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

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London County Council 1923

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

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The following statement shows the nature of the conditions found among the children certified suitable for admission to physically defective schools at the admission examinations during the year:—

Morbid condition.Boys.Girls.Total.
Infantile paralysis563894
Cerebral paralysis549
Various paralyses282048
Tuberculosis of bones and joints10596201
Congenital deformities91322
Other deformities482169
Heart disease— Congenital312657
Acquired valvular106179285
Acquired non-valvular91423
Other diseases5559114
Total452470922

The special schools were visited at least once a quarter and every child present
was seen at least once during the year, the total examinations amounting to 18,547;
in addition, 784 special examinations were made of children already on the rolls
of special schools in connection with applications for non-enforcement of attendance
at special schools, etc., etc. As a result of the visits and re-examinations, tho
following re-classification took place:—256 returned on improvement to elementary
schools; 17 to schools for the deaf and hard of hearing; 17 to schools for the blind
and partially blind; 17 from schools for the physically defective to schools for the
mentally defective; 5 from schools for the mentally defective to schools for the
physically defective; 46 were excluded as imbecile, 86 were invalided on medical
grounds ; and 479, over 14 years of age, were excluded as no longer certifiable.
Examinations were also conducted in 104 cases with a view to ascertaining
their fitness for education in industrial or reformatory schools.
After careers of children formerly attending special mentally defective schools.*
Male. Female. Total.
(1)Number of children born in or subsequent to 1905, who have left special
(mentally defective) schools and who have been on the books of the
Association 1,057 8841*1,941
(2)Number who—.
(а) have since died 12 3
(b) who are known to be incapable by reason of mental or physical
defect of undertaking employment 50 53 103
(c) are in attendance at an institution for further education 2 1 3
(d) are in other institutions 17 13 30
(e) were notified and placed under "supervision" 12 4 10
(3) Number employed in—
(a) Industrial or manual occupations (i.e., factory work, any trade
or part of a trade) 269 225 494
(b) Agricultural or rural occupations 3 — 3
(c) Domestic occupations (i.e., servants sleeping in or out, lift boys
and those "helping at home") 13 235 248
(d) Commercial (i.e., shop assistants or selling behind a counter),
fessional (or army and navy), clerical (office boys or girls) 32 7 39
(e) Blind alley or other precarious occupations (i.e., van-boys,
newsboys, errand boys or girls, selling from a barrow) 161 19 180
(f) Judged to be employable but out of work owing to industrial
crisis 255 157 412
(g) Not seen either at home or employment centre, and position not
known 215 136 351
*Data furnished by the London Association for the Care of the Mentally Defective,
†(Particulars in regard to cases over 18 years of age have not been supplied by the London
Association.)