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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medical examinations the nutritional classification, on the Board's scale, of the children was as follows:—
Table 5
| Sex | Number | Nutritional classification | |||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | ||
| Boys | 49,607 | 1,881 | 28,725 | 18,759 | 242 |
| Girls | 52,311 | 2,141 | 30,409 | 19,463 | 298 |
| Total 1938 | 101,918 | 4,022 | 59,134 | 38,222 | 540 |
| Total 1937 | 87,567 | 2,846 | 47,254 | 37,017 | 450 |
| Total 1936 | 78,706 | 2,130 | 39,536 | 36,547 | 493 |
| Total 1935 | 53,066 | 1,038 | 24,876 | 26,329 | 827 |
Audiometric
examination
in
elementary
sohools
In November, 1934, following experimental use, systematic audiometric examination
of children in the elementary schools, by means of the gramophone audiometer,
was introduced by the Council. The object of this scheme is the ascertainment of
defective hearing in one or both ears, especially in its early stages, so that (a) by
means of timely treatment the defective condition may be remedied and permanent
deafness in later life averted, and (b) the suitable educational environment for the
child may be decided upon. One unit was established in the north-west division
of the county in November, 1934, a second unit in the south-east division in May,
1935, and a third unit in 1936 in the south-western division. In connection with the
new three years' programme one further unit was established during 1938 in the
northern division.
A unit consists of one gramophone audiometer; one full time nurse, who carries
out the testing of the children in the schools, and is present at the clinical examination;
and an otologist, who conducts one clinical examination and one treatment session
each week.
Audiometric
work
The work is under the direction of Mr. A. G. Wells, F.R.C.S., who has submitted
the following report:—
The number of children tested by the gramophone audiometer during the year was 70,960, and the total number of individual testa was 81,512. Particulars of children who failed are shown in the following table:—
Table 6—
| School | Total number tested | Total number of children failed | Number failed in | Percentage of failures (either ear) | |
|---|---|---|---|---|---|
| One ear | Both ears | ||||
| Boys | 36,203 | 2,371 | 1,633 | 738 | 6.5 |
| Girls Total | 34,757 | 2,286 | 1,574 | 712 | 6.5 |
| 70,960 | 4,657 | 3,207 | 1,450 | 6.5 | |
The subjoined table gives the total number of ears tested in 1938 and shows the results
in 4 separate groups, viz.—3 to 6 decibels = the passes; 9 decibels = those who just failed;
12 to 18 decibels = moderate degree of hearing loss; 21 to 30 = severer degree of hearing
loss. (The audiometer records are graded in steps of three decibels.)
Table 7
| Year | Total ears | Number of ears showing level of recording in decibels | |||
|---|---|---|---|---|---|
| —3 to 6 | 9 | 12 to 18 | 21 to 30 | ||
| 1918 | 141,920 | 135,810 | 1,263 | 3,646 | 1,201 |
| 95.7 | 0.9 | 2.6 | 0.8 | ||