London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1937
[Report of the Medical Officer of Health for London County Council]
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There were also 395 cases returned, on improvement, to elementary schools, or, when over 14 years of age, deemed to be no longer certifiable. The details are as follow:— Table 39
| Action taken | Special school classification | ||||||
|---|---|---|---|---|---|---|---|
| P.D. | M.D. | Blind | Partially sighted | Deaf | Partially deaf | Total | |
| Returned, on improvement, to elementary schools | 101 | 10 | — | 3 | — | — | 114 |
| Over 14 years of age and excluded as no longer certifiable | 148 | 39 | — | 94 | — | — | 281 |
| Total | 249 | 49 | 97 | — | — | 395 | |
The following table classifies the children who improved to such an extent that they were able to return from the schools for physically defective children to the ordinary elementary schools, or were "no longer certifiable" as defective between the ages of 14 and 16 years:— Table 40
| Morbid conditions | Cases deemed no longer certifiable | Cases deemed fit to return to elementary schools | ||
|---|---|---|---|---|
| Infantile paralysis | 11 | 2 | ||
| Cerebral paralysis | — | — | ||
| Various paralyses | 1 | 2 | ||
| Tuberculosis of bones and joints | 21 | 17 | ||
| Osteomyelitis | 11 | 13 | ||
| Rickets and resulting deformities | 3 | 5 | ||
| Congenital deformities | 2 | 7 | ||
| Scoliosis | — | 1 | ||
| Traumata and amputations | 5 | 6 | ||
| Non-tuberculous arthritis and synovitis | 1 | 2 | ||
| Rheumatism and chorea | 29 | 17 | ||
| Various chest conditions—fibrosis, bronchitis, asthma | — | 2 | ||
| Heart diseases— | ||||
| Congenital | 4 | 2 | ||
| Acquired valvular | with history of rheumatism | 51 | 22 | |
| without history of rheumatism | 1 | — | ||
| Non-valvular | with history of rheumatism | 3 | 2 | |
| without history of rheumatism | 1 | — | ||
| Anaemia | 1 | — | ||
| Various nervous conditions—ataxia, etc. | — | — | ||
| Other diseases—chiefly medical | 3 | 1 | ||
| Total | 148 | 101 | ||
During the year Mr. Wells examined 362 children with defective hearing, the Deaf
decisions regarding whom are set out on page 61, and an analysis of the hearing children
defects and grading is given below. Grade I includes children who can benefit educationally
at an ordinary school without any form of special facility; grade Ila includes
those children who can benefit educationally at an ordinary school, but require
special facilities such as favourable position in class, mechanical hearing aid,
etc.; grade IIb includes children who need educational training in a partially
deaf class; and grade III includes those children who can only benefit by education
provided in a school for the deaf.
Decertification
of
physically
defective
children