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

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London County Council 1929

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

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87
following :—Hospitals, 40; school doctors, 142; parents, 28; infant welfare centres,
57; tuberculosis dispensary, 3; from the general office of the Invalid Children's
Aid Association, 13."
Personal Hygiene Scheme
The number of examinations made by school nurses at rota visits during 1929
was 1,909,723, and verminous conditions were found in 236,034 cases, or 12.4 per
cent., as compared with 12.6 per cent. of cases examined in 1928.

Particulars of the examinations and the results of the cleansing schemes during the past five years are given below :—

Year.Examinations at rota visits.Veririnous conditions noted at rota visits.Per cent.Verminous children referred to centres.Subsequently cleansed by parents.Verminous children cleansed at centres.Scabies and impetigo i!ases bathed at centres.
19251,937,588323,02016.6112,80627,64785,1592,077
19261,840,106288,72115.6120,07131,11688,9552,130
19271,990,201261,13513.1123,27927,03196,2482,609
19281,850,152233,10812.6119,24126.23693,0052,820
19291,909,723236,03412.4116,61825,50291,1163,163

Of the 236,034 cases in which verminous conditions were noted, 136,024 (57.6 per
cent.) were found to have nits only.
The Council has two " cleansing schemes " ; one in which only slight traces
of infestation are dealt with (these are treated at " head-cleansing centres "). The
other scheme provides for the treatment of the more severe cases and of infested
clothing, leading up to court prosecutions where necessary. The latter scheme
is worked from " bathing centres " provided by the borough councils or the Council
itself ; these centres are equipped with baths and sterilisers, but the popularly socalled
" shampoo centres " have provision for head-cleansing only, and in some cases
the work is carried out in a room in a medical treatment centre.
Under the scheme for dealing with the more severe cases, the number of verminous
children whose condition was brought to the notice of parents by advice
cards was 90,892, and of this number 42,904 attended voluntarily at bathing centres
for cleansing. It was necessary to serve statutory notices in accordance with section
87 of the Education Act, 1921, in 26,097 cases, and as a result 4,650 children attended
the centres voluntarily, but of the remainder, 17,836 were found to be still verminous
and were taken for compulsory cleansing. It was necessary to take proceedings in
the police courts in 416 cases. Children conveyed by ambulance from outlying
schools numbered 10,997, as compared with 12,015 in 1928.
Co-operation with the medical officers of the City of London and the metropolitan
boroughs in remedying verminous conditions in the homes of children has
been continued.
The number of children attending for warm baths during school hours was
37,018 in 1929, as compared with 40,555 in 1928. Arrangements are being made to
extend this scheme to the borough of Fulham.
Use of public
washing
facilities.

A notable increase in the number of children treated for scabies at the children's baths has taken place during the last three years as shown in the following table :—

Division.Year.
1924.1925.1926.1927.1928.1929.
E.330334398453510560
N.E.204177160185171214
N.W.329339289291350385
S.E.291227225233294290
s.w.167207197260356385
Total ...1,3211,2841,2691,4221,6811,834

Scabies.