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

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London County Council 1938

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

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There were also 365 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 30

Action takenSpecial school classification
P.D.M.D.BlindPartially sightedDeafPartially deafTotal
Returned, on improvement, to elementary schools113817_—129
Over 14 years of age and excluded as no longer certifiable14217—77__236
Total25525184——365

Decertification
of
physically
defective
children

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 31

Morbid conditionsCases deemed no longer certifiableCases deemed fit to return to elementary schools
Infantile paralysis56
Cerebral paralysis——
Various paralyses3—
Tuberculosis of bones and joints1110
Osteomyelitis178
Rickets and resulting deformities—3
Congenital deformities56
Spinal deformities (including scoliosis)——
Traumata and amputations47
Non-tuberculous arthritis and synovitis510
Rheumatism and chorea2622
Various chest conditions—fibrosis, bronchitis, asthma4—
Heart diseases—
Congenital62
Acquired valvularwith history of rheumatism5121
without history of rheumatism—1
Non-valvular(with history of rheumatism25
(without history of rheumatism—1
Ansemia—2
Various nervous conditions—ataxia, etc.——
Other diseases—chiefly medical39
Total142113

Deaf
ohildren
During the year Mr. Wells examined 302 children referred for special examination
owing to defective hearing, and the decisions reached are set out on page 52. An analysis
of the hearing 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 Ha 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 lib includes children who need educational training in a class for
partially deaf children; and grade III includes those children who can only benefit
by education provided in a school for the deaf.