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

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London County Council 1951

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

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98
During the year 22 clinics have been opened in connection with the special
E.S.N, schools. The number of children treated was 205, 20 children were discharged
improved, and 7 ceased treatment for various reasons. The number remaining under
treatment was 178. This has shown itself to be rewarding work. Results are obtained
that are valuable though the rate of progress is slower in most cases than in those
attending the clinics for normal school children.
The clinics for E.S.N, schools have brought to particular notice some children
whose main handicap appears to have been some degree of deafness, and some children
have so improved in speech as to be able to give a more accurate account of themselves
when their intelligence is being assessed.
A new development has been the treatment of children too severely handicapped
to attend school and who are receiving tuition at home. Four were visited by therapists
and advice has been given to the parents and teachers. The children will continue
to be visited at intervals.
To further the very necessary co-operation betweeen the school and the speech
therapist, a pamphlet has been produced for the guidance of the teacher and the
care organiser. That this has proved to be valuable is evident from reports from the
schools.
Remedial
exercise
classes
A course tor interested teachers and assistant medical officers was given at the
L.C.C. College of Physical Education in the autumn by Dr. Doris Baker and the
senior inspectors of physical education of the Education Officer's department. The
arrangements are that one medical officer in each division is responsible for the
selection of children for the class and their discharge on improvement and general
supervision. Dr. Doris Baker visits each class at least once a year. The classes are
held mainly in primary schools, mostly for children in their last year in the school,
and are taken by a class teacher who has attended the course. While there is a
general shortage of teachers in primary schools, this means considerable rearrangement
of the work of the whole school while the daily class is being held.
It says much for the interest of all concerned that there were 74 classes in operation
at the end of 1951. It had been hoped to supplement the work of the teachers by
the employment of some part-time remedial gymnasts, but the present economic
conditions make this impossible.
Handicapped children
6,660 examinations of children were made during the year with a view to
ascertaining either the need for special educational treatment or for its continuance.

The number of examinations in each category was as follows:—

Vision250
Hearing251
Epilepsy50
Educational subnormality2,656
Delicate (i.e. suitable for open-air education)1.994
Physically handicapped549
Dual defects41
Speech defects869

In addition, 305 children were considered with regard to the need for special
educational treatment as maladjusted pupils and 9 as diabetic pupils.
Tables 16 to 24 in the atmendix show the results of the above examinations.
Accommodation

Day Special Schools

DefectNo. of schoolsRoll
Partially sighted6414
Deaf4348
Partially deaf487
Physically handicapped191,497
Delicate101,292
E.S.N.242,911
676,549