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

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London County Council 1932

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

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Children licensed to perform in public entertainments must be medically
certified as fit and must be seen at regular intervals. Such examinations are usually
held at County Hall.
In special schools the age groups subjected to routine inspection are the same
as in elementary schools, but children are liable to attend until the age of 16 years.
It is the duty of the Council to provide education for blind and deaf children,
and such children are medically examined with regard to their particular defect.
It is also the Council's duty to ascertain what children in its area are (i)
mentally defective, idiots or imbeciles, and (ii) epileptic or physically defective.
Children admitted to schools for the mentally or physically defective are medically
examined with special reference to the defect once in 9 months. Blind and deaf
children are also medically examined at 9-monthly intervals.
Children at myope and hard-of-hearing schools are also medically examined
for their special defect from time to time. Such children generally leave school at
14 years of age.
Open-air schools are recognised as schools for the physically defective, and the
children are medically examined for admission, and from time to time when in
attendance.
In the Council's secondary schools the medical inspection of pupils is statutory
on admission and at each subsequent year of their period of attendance, and the
Council's regulations provide for detailed medical examinations at the ages
of 12 and 15 years. These examinations also apply to Council scholars at nonmaintained
schools.
The Council also provides for medical inspection of fee-paying pupils at nonmaintained
schools if the Governors apply for it. The grant to the Governors is
adjusted according to the number of sessions given to the work by the Council's staff.
Dental inspection is carried out at all elementary schools including some Dental
central schools, the desired object being to see each child once a year. Such Inspections
inspection is, however, not generally carried out in respect of children who are to be
medically inspected in any particular year.
Visits to schools by school doctors are frequently necessary in connection with infectious
the occurrence of infectious diseases, notably scarlet fever, diphtheria and smallpox, diseases
with a view to preventing a further spread of these diseases.
When a child is found at a medical inspection to be suffering from any defect, Medical
an advice card is issued to the parent. If the parent is present this is done at the treatmentinspection;
otherwise the parent is interviewed at a later stage by the care
committee worker and if he has not taken any action, and is desirous that the child
shall be treated under the Council's arrangements, application is made by the care
committee to the divisional treatment organiser for the child to attend one of the
appropriate centres.

The following is a statement as to the defects dealt with at the 90 treatment centres and the financial arrangements in 1932:—

Defect for which treatment is provided.Cost to Council (including establishment charges).Paid to centre committees. Capitation.Charge to parents.
Minor ailments (discharging ears, blepharitis, etc.)7/61/-1 /- after free fortnight.
Ear, nose and throat, usually adenoids and/or enlarged tonsils.16/112/-15/- T. & A op. in-patient2/- non-operative treatment. 5/- for in-patient operative treatment.
†Vision6/12/-None.
TeethV/-2/-1/- slight.
2/- ordinary.
3/- extensive.
X-ray (ringworm)25/1v-2/-

†The examination of eyes for visual defect is regarded as "inspection" and not treatment.