Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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Period. | 0- | 1- | 2- | 5- | 10- | 15- | 20- | 23- | 35- | 45- | 65- | 06+ | All ages. |
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Cause of death. | 1911 to 1914. | 1915 to 1918. | 1919 to 1922. | 1923 to 1926. | 1927 to 1930. | 1929. | 1930. | 1931. | 1932. | 1933. |
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Metropolitan boroughs in topographical order. | Birth-rate per 1,000 living. | Legitimate births per 100 married women aged 15-45. | Illegitimate births per 100 total births. | Infant Mortality. | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
1921-23 | 1930-32 | Increase (+) Decrease (-) Per cent. | 1921-23 | 1930-32 | Increase (4-) Decrease (—) per cent. | 1921-23 | 1930-32 | Increase ( + ) Decrease (-) per cent. | 1921-23 | 1930-32 | Increase ( + ) Decrease '-) per cent. |
Age-group. | Death-rates per 1,000 living at each age. 1921-30. 1841-50. | Decrease per cent. in rate, 1841-50 to 1921-30. | ||||
---|---|---|---|---|---|---|
Males. | Females. | Males. | Female. | Males. | Females. |
Period. | Expectation of lite at birth. | Excess of expectation of females over males. | |
---|---|---|---|
Males. | Females. |
Metropolitan Borough. | Number of notifications. | Metropolitan Borough. | Number of notifications. |
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Borough. | Age. | Sex. | Vaccinal condition. | Date of death. | Certified cause of death. |
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Year. | 1923 | 1924 | 1925 | 1926 | 1927 | 1928 | 1929 | 1930 | 1931 | 1932 | 1933 |
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Age. | 0- | 5- | 15- | 23- | 35- | 45- | 55- | 83- | Tolal. |
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Area. | 1922. | 1923. | 1924. | 1925. | 1926. | 1927. | 1928. | 1929. | 1930. | 1931 | 1932. |
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Year 1933. | Age-period. | Total. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0- | 1- | 2- | 3- | 4- | 5- | 6- | 7- | 8- | 9- | 10- | 15 + |
Area. | 1922. | 1923. | 1924. | 1925. | 1926. | 1927. | 1928. | 1929. | 1930. | 1931. | 1932. |
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Year 1933. | Age-period. | Total. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0- | 1- | 2- | 3- | 4- | 5- | 6- | 7- | 8- | 9- | 10- | 15 + |
Area. | 1922. | 1923. | 1924. | 1925. | 1926. | 1927. | 1928. | 1929. | j1930. | 1931. | 1932. |
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Metropolitan boroughs arranged in topographical order. | Childbirth deaths per 1,000 births. | Number of deaths in ohildbirth. 1933. | |||||||
---|---|---|---|---|---|---|---|---|---|
1920-27. | 1928-33. | ||||||||
Puerperal fever. | Other causes. | Total. | Puerperal fever. | Other causes. | Total. | Puerperal fever. | Other causes. | Total. |
Period. | Death-rate per 1,000 of the population of age and sex indicated. | ||||||
---|---|---|---|---|---|---|---|
25-35. | 35-45. | 45-55. | 55-65. | 65-75. | 75-85. |
Age (*) | Males. | Females. | ||||||
---|---|---|---|---|---|---|---|---|
Cancer deaths in the life-table population at age x and over (Ps = 10,000). | Probability of dying from cancer after attaining age x. | Cancer deaths in the life-table population at age x and over (1s = 10,000). | Probability of dying from cancer after attaining age x. |
Period. | Pulmonary tuberculosis death-rates. | Non-pulmonary tuberculosis death-rates. | ||||
---|---|---|---|---|---|---|
Males. | Females. | Total. | Males. | Females. | Total. |
Form of tuberculosis notified. | Sex. | Number of formal primary notifications of new cases of tuberculosis. | Total notifications. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0- | 1- | 5— | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65 + | Total all ages |
Form of tuberculosis notified. | Sex. | New cases of tuberculosis coming to knowledge otherwise than by formal notification. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0- | 1- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65 - | Total. |
Source of information. | Number of cases. | ||
---|---|---|---|
Pulmonary. | Non-pulmonary. |
Metropolitan boroughs in topographical order. | Cases on register at beginning of 1933. | Cases added to register during registration year. Brought to knowledge by | Cases removed from register during the registration year. | Cases on register at end of 1933. | |||
---|---|---|---|---|---|---|---|
Notification. | Otherwise. | Cured, removed, etc. | Deaths. | Total. | Per 1,000 of population. |
Metropolitan boroughs arranged in topographical order. | Estimated resident population 1933. | Births. | Deaths. | Infant mortality (per 1,000births). | Measles | Scarlet fever. | Diphtheria. | Whooping rough. | Typhoid fever. | Diarrhœa and enteritis, age 0-2 (per 1,000 births). | Pulmonary tuberculosis. | Pneumonia. | Bronchitis. | Cancer. | Maternal mortality (per 1,000 births). | Notifications of infectious disease. | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Scarlet fever. | Diph-theria. | Typhoid fever. | Erysipelas. | Cerebrospinal fever. | Acute pneumonia. |
Period | Anthrax | Cerebrospinal fever | Continued fever | Diphtheria | Dysentery | Encephalitis lethargica | Enteric fever | Annual rates per 1,000 living. | Puerperal fever (per 1,000 births) | Puerperal pyrexia (per 1,000 births) | Scarlet fever | Smallpox | Typhus | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Erysipelas | Malaria | Ophthalmia neonatorum (per 1,000 births) | Pneumonia | J Polioencephalitis | Poliomyelitis |
Period | Annual rate per 1,000 living | Mortality per 1,000 living | Annual mortality per 1,000 births | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Births | Marriages | Deaths (all causes) | Cerebrospinal fever | Diphtheria | Enteric fever | Scarlet fever | Smallpox | Whooping-cough | Measles | Influenza | Tuberculosis | Pneumonia (all forms) | Bronchitis | Other resp. diseases | Heart disease | Cancer | Diabetes | Infants 0—1 | Diarrhœa and enteritis 0—2 | Puerperal fever | Other acc. of ch. birth | ||
Pulmo | nary | Non-pulmonary |
Metropolitan boroughs in topographical order. | Anthrax. | Cerebrospinal fever. | Continued fever. | Diphtheria (including membranous croup). | Dysentery. | Encephalitis lethargica. | Enteric fever. | Erysipelas. | Malaria. | Ophthalmia neonatorum. | Pneumonia. | Polioencephalitis. | Poliomyelitis. | Puerperal fever. | Puerperal pyrexia. | Scarlet fever. | Smallpox. | Typhus. |
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Year. | Common lodging houses (inmates) | Casual wards (inmates) | Homeless. | Total. | Year. | Common lodging houses (inmates) | Casual wards (inmates) | Homeless. | Total. |
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Sanitary authority. | Cowsheds. | Slaughterhouses. | Offensive trades. | Smoke nuisances. | Common lodging houses. | Cleansing of persons and rooms. | Water supply. | Milk-shops. | Ice cream premises. | Premises where food is prepared for sale. | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. licensed. | No. of inspections. | No. licensed. | No. of Inspections. | No. authorised. | No. of inspections. | Observations. | Intimations. | Complaints. | Notices. | Houses licensed. | No. of inspections. | Persons. | Rooms or premises. | Tenement houses extra supply. | No. on register. | No. of inspections. | No. on register. | No. of inspections. | No. of places. | No. of inspections. | |||
Adults. | Children. | After infectious diseases. | For vermin. |
Sanitary authority. | Population (Census) 1931 | Male. | Female. | Health visitors. | |||
---|---|---|---|---|---|---|---|
Whole time. | Part time. | Whole time. | Part time. | Whole time. | Part time. |
1933 | Completed examinations. | Number tuberculous. | Percentage. |
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Department | Number of samples taken | Number found to be tubercle infected | Number found to be negative |
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Department | Number of visits | Number of examinations made | Number of cows with tuberculosis | Number of cows with other unhealthy conditions (apart from t.b.) | ||
---|---|---|---|---|---|---|
Cows | Bulls | Young stock |
London. | Middlesex. | Essex. | Surrey. | Kent. | Herts. | Bucks. | East Ham. | West Ham. | Croydon. | Total. | "Other places." | Grand total. |
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Year. | New cases. | Total venereal cases. | ||||||
---|---|---|---|---|---|---|---|---|
Syphilis. | Soft chancre. | Gonorrhoea. | ||||||
M. | F. | M. | F. | M. | F. | M. | F. |
Year. | New cases. | Total attendances (venereal and non-venereal) | In-patients days. | ||
---|---|---|---|---|---|
Venereal. | Non-venereal | Total. |
Year. | From treatment centres. | From medical practitioners. | Year. | From treatment From medical centres. practitioners. |
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Year. | Adults. | Children. | Total. | Year. | Adults, | Children. | Total. |
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Year. | Application for first period of treatment. | Application for further treatment. | Total applications. | ||||
---|---|---|---|---|---|---|---|
Ex- service. | Civilian male. | Female. | Ex-service. | Civilian male. | Female. |
1933. | 1932. | |||
---|---|---|---|---|
*Pulmonary. | Number. | Percentage. | Nu Tiber. | Percentage. |
Classification. | Immediate results of treatment. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Quiescent. | Not quiescent. | Died in institution. | Totals. | |||||||||
Years. | Years. | Years. | Years. | |||||||||
1931. | 1932. | 1933. | 1931. | 1932. | 1933. | 1931. | 1932. | 1933. | 1931. | 1932. | 1933. |
Immediate results of treatment. | Classification. | Surgical. | Total. | |||
---|---|---|---|---|---|---|
A. | Bl. | B2. | B3. |
Metropolitan borough. | On dispensary register, 1-1-33. | Transferred during 1933 from other areas and cases returned after discharge. | Examined for first time during 1933. (a) New cases excluding contacts. (b) Contacts (printed in italics). | Total number (including contacts) under dispensary supervision during 1933. | Removed from dispensary register during 1933. | On dispensary register 31-12-33. | Total attendances. | Visits to home for dispensary purposes by | No. of specimens of sputum examined. | No. of X-Ray examinations. | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Definitely tubercular. | Diagnosis not completed. | Pulmonary. | Non-pulmonary. | Diagnosis not completed. | Non-tuberculous. | Total. | (a) Re-sovered, (b) Non tubercular printed in italics.) | (a) Transferred to other areas or lost sight of (b) Died (printed in italics). | Definitely tubercular | Diagnosis not completed. | |||||||||||||
Tuberculosis officers. | Nurses or health visitors. | ||||||||||||||||||||||
Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. |
Metropolitan borough | Number of new cases examined per 100 deaths from tuberculosis in the borough | Number of contacts examined per 100 deaths from tuberculosis in the borough | Total attendances per case on register | Tuberculosis officers' visits per case on register | Nurses' visits per case on register | Number of definitely tubercular persons on dispensary register per 100 inhabitants | X-ray examinations | |
---|---|---|---|---|---|---|---|---|
per 100 new cases and contacts | per 100 new cases |
Year | Number | Year | Number |
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Sex | Source of notification. | Feeble minded | Imbecile | Idiot | Morally defective | Not defective | Total | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Children | Adults | Children | Adults | Children | Adults | Children | Adults | Children | Adults | Children | Adults |
Other parent. | Children. | |||||
---|---|---|---|---|---|---|
Supernormal. | Normal. | Retarded. | Mentally defective. | Unstable. | Number examined. |
Parents. | Children. | ||||
---|---|---|---|---|---|
Supernormal. | Normal. | Retarded. | Mentally defective. | Unstable. |
Description. | Registration of the blind. | Training of the blind. | Total. | ||
---|---|---|---|---|---|
M. | F. | M. | F. |
Males. | Females. | Total. |
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Males. | Females. | Total. |
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Number of baths. | Number of examinations made. | Bacterial content per c.c. | B. coli. present in | |||
---|---|---|---|---|---|---|
Average. | Highest. | Lowest. |
Age group. | 1920. | 1925. | 1926. | 1927. | 1928. | 1929. | 1930. | 1931. | 1932. | 1933 |
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Year. | Routine inspections. | Special inspections. | ||||||
---|---|---|---|---|---|---|---|---|
Number of inspections. | Requiring treatment. | Requiring observation. | Total cols. 3 & 4 | Percentage. | Requiring treatment. | Requiring observation. | Total cols. 3, 4, 7 & 8. | |
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
Age group. | 1921. | 1933. | ||||
---|---|---|---|---|---|---|
Good. | Fair. | Bad. | Good. | Fair. | Bad. |
1933. | Former standard. | |||
---|---|---|---|---|
Number of children examined. | Average height. cms. | Probable error. | Number examined. | Average height. cms. |
1933. | Former standard. | |||
---|---|---|---|---|
Number of children examined. | Average weight. kgms. | Probable error. | Number examined. | Average weight. kgms. |
Age. | Mean height inches. Roberts' artisans. | Mean height inches. Roberts' public schools and cadets. | Average height recent secondary school boys. |
---|---|---|---|
(1) | (2) | (3) |
inches. |
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Defect treated. | No. of cases. | Treated. | Untreated. | |||||||
---|---|---|---|---|---|---|---|---|---|---|
By private doctor. | Under Council's scheme. | At other hospitals. | Discharg'd | Improved. For observation only. | Still needing treatment. | |||||
Discharg'd | Not dis charg'd | Discharg'd | Not discharg'd | Discharg'd | Not. discharge'd |
Ailment. | Provision made in 1933. | Numbers treated 1933. | Numbers treated 1932. |
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Year. | Number of spectacles ordered. | Number of spectacles obtained. | Percentage. |
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Division. | Total no. of examinations made. | New cases. | Cases carried over from 1932. | Old cases returned. | Cases examined, but no treatment required. | Cases cured. | Lost sight of. | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. |
Division. | Total no. of examinations made. | New cases. | Cases carried over from 1932. | Old cases returned. | Cases cured. | Cases partially relieved. | Cases unrelieved. | Cases requiring no treatment. | Lost sight of | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. | Patients. | Ears. |
Cause of suppuration. | Total ears. | Cured. | Referred for mastoid operation. | Lapsed. | Still under treatment. |
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Patients. | Ears. |
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Patients. | Ears. |
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Patients. | Ears. |
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Centre. | Number of cases. | Mother. | Father. | Sisters. | Brothers. | Grandmothers. | Grandfathers. | Aunts. | Uncles. | Cousins. | No stammer in family |
---|---|---|---|---|---|---|---|---|---|---|---|
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12). |
1931. | 1932. | 1933. |
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Boys. | Girls. | Total. |
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Boys. | Girls. | Total. |
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Name of rheumatism supervisory centre. | Number of children attending during 1933. | Number of new cases. | Attendances of old cases. | Total attendances. | Average number per session. | Number of children from the centre who received hospital treatment or convalescence under the rheumatism scheme. |
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Cases. | Percentage of total. | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
1929. | 1930. | 1931. | 1932. | 1933. | 1929. | 1930. | 1931. | 1932 | 1933. |
Division. | No. of visits to schools. (No. of schools concerned in brackets.) | No. of cases of smallpox found as a result of examination by school nurse. | No. of children excluded by school nurse with suspicious symptoms. | No. of home contacts supervised in school. | No. of absentees (home contacts) reported to borough medical officer of health. | No. of hours devoted to work. |
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Year. | New cases. | Cured cases. | Cases outstanding at the end of the year. | Percentage of cures effected by X-ray treatment. |
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Boys. | Girls. | Total. |
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School. | Period. | Place visited. | No. of children. | |
---|---|---|---|---|
From | To |
Provided, schools:— | Boys. | Girls. |
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First class certificates. | Boys. | Girls. | Total. |
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Boys. | Girls. | Total. |
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Meal. | May, 1933 (23 school days). | November, 1933 (20 school days). | December, 1933 (19 school days). | |||
---|---|---|---|---|---|---|
For payment. | Free. | For payment. | Free. | For payment. | Free. |
Meal. | On payment. | Free. | Liability accepted by Public Assistance Committee. |
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Breakfast. | Amount. | Dinner. | Amount. | Tea. | Amount. | Supper. | ||||
---|---|---|---|---|---|---|---|---|---|---|
Age | 3-9 yrs. inc. | 10-15yrs. inc. | Age | 3-9 yrs. inc. | 10-15 yrs. inc. | Age | 3-9 yrs. inc. | 10-15yrs. inc. | 10 and over. |
Defect. | Number nominated. | Suitable for admission to | Returned to elementary school. | Invalided as for the time unfit for any school. | Notified under M.D. Acts. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Boys. | Girls. | Blind school. | Myope class. | Swanley. | Boys. | Girls. | Boys. | Girls. | Boys. | Girls. | ||||||
Boys. | Girls. | Boys | Girls. | Boys. | Girls. |
Morbid conditions. | Boys. | Girls. | Total. |
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Morbid conditions. | Elementary school. | Invalided. |
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Transferred | ||||||||
---|---|---|---|---|---|---|---|---|
Action taken. | Special school classification. | ||||||
---|---|---|---|---|---|---|---|
P.D. | M.D. | Blind. | Deaf. | Sight saving. | Hard of hearing. | Total. |
Defect. | Cases deemed no longer certifiable. | Cases deemed fit to return to elementary schools. |
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Year. | Total. | Percentage alive 5 years after discharge. | Percentage dead. | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
A. | B.1 | B.2. | B.3. | A. | B.1.* | B.2. | B.3. | A. | B.1.* | B.2. | B.3. |
year | Total. | Percentage alive 5 years after discharge. | Percentage dead. | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Hip. | Spine. | Other bones. | Glands | Other parts. | Hip. | Spine. | Other bones. | Glands. | Other parts. | Hip. | Spine. | Other bones. | Glands. | Other parts. |
Classification. | Male. | Female. | Total. | Grand total under headings. |
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Defective parent. | Number. | Average intelligence quotient. |
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Defective parents. | Father. | Mother (married). | .Mother (unmarried). | |||
---|---|---|---|---|---|---|
No. | Intelligence quotient of children. | No. | Intelligence quotient of children. | No. | Intelligence quotient of children. |
Defective parents. | Father. (25 cases). | Mother (married). (53 cases). | Mother (unmarried). (12 cases). | |||
---|---|---|---|---|---|---|
No*. | Intelligence quotient of children. | No. | Intelligence quotient of children. | No. | Intelligence quotient of children. |
Parent dealt with under the Mental Deficiency Acts. | Parent attended a special school. | ||||||||
---|---|---|---|---|---|---|---|---|---|
Intelligence quotient of childr'n | Male. | Married woman. | Unmarried woman. | Total. | Intelligence quotient of childr'n | Male. | Married woman. | Unmarried woman. | Total. |
Intelligence quotient of children | Intelligence quotient of parents. | Total No. | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
25. | 30. | 35. | 40. | 45. | 50. | 55. | 60. | 65. | 70. | 75. | 80. | 85. |
Offences. | Boys. | Girls. |
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Defect. | Boys (1172). | Girls (135). | ||
---|---|---|---|---|
No. | Percentage. | No. | Percentage. |
Age. | Retardation. | |||||||
---|---|---|---|---|---|---|---|---|
Testing to age. | 1 year. | 2 years. | 3 years. | 4 years. | 5 years. | 6 years. | 7 years. |
Age. | Testing to age. | 1 year. | 2 years. | 3 years. | 4 years. | 5 years. | 6 years. | 7 years. |
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Age. | Testing to age. | 1 year retarded. | 2 years. | 3 years. | 4 years. | 5 years. | 6 years. | 7 years. |
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Age. | Testing to age. | 1 year retarded. | 2 years. | 3 years. | 4 years. | 5 years. | 6 years. | 7 years. |
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Classification. | Total. | Group 1. | Group 2. | Group 3. | |||
---|---|---|---|---|---|---|---|
Number. | Percentage. | Number. | Percentage. | Number. | Percentage. |
Year. | Group 1. | Group 2. | Group 3. |
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Status. | Number examined. | Number fit. | Number rejected. | Number who withdrew after being referred for remediable defects or were not due for reexamination until 1934. | ||||
---|---|---|---|---|---|---|---|---|
Male | Female | Male Female | Male | Female | Male | Female |
Group. | Boys. | Girls. | Total. |
---|
Routine inspections— Defects. | Special inspections— Defects. | |||||
---|---|---|---|---|---|---|
Disease or defect. | Requiring treatment. | Requiring observation. | Requiring treatment. | Requiring observation. | ||
Elementary schools. | Special schools. | Elementary schools. | Special schools. |
Age group. | Inspected. | Found to require treatment. | Percentage requiring treatment. |
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Classification. | At certified special schools. | At public elementary schools. | At other institutions* | At no school or institution | Total. |
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Type of School. | At other institutions (Gen. hosp., etc.) | At no Schl. | Total | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Defect. | Day M.D. | Residential M.D. | Day Blind | Residential Blind | Day Deaf | Residential Deaf | Epileptic colony | Day P.D. | Certified hos pital Schls. |
Disease or defect. | Defects treated or under treatment. | ||
---|---|---|---|
Under Council's scheme. | Otherwise. | Total. |
Disease or defect. | Defects dealt with. | ||
---|---|---|---|
Under Council's scheme. | Otherwise. | Total. |
Defect. | Received operative treatment. | Total. | Received other forms of treatment. | Total number treated. | |
---|---|---|---|---|---|
Under Council's scheme. | Private practitioner or hospital. |
Year. | Routine examinations. | Special examinations. | Re- inspections. | Examinations at special enquiries into outbreaks of infectious disease. | Special ear inspection centre attendances. | Rheumatism supervisory centre attendances- |
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Year. | Minor ailments, f | Vision. | Nose and throat. | Dental. | ||||
---|---|---|---|---|---|---|---|---|
Under the Council's scheme. | Otherwise. | Under the Council's scheme. | Otherwise. | Under the Council's scheme. | Otherwise. | Under the Council's scheme. | Otherwise.* |
Classification. | Council secondary schools. | Other secondary schools. | Council and other junior tech. schools. | Training colleges. | Total. | |||||
---|---|---|---|---|---|---|---|---|---|---|
Boys. | Girls. | Boys. | Girls. | Boys. | Girls. | Male. | Female | Male. | Female |