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

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London County Council 1959

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

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Telescopic visual aids for partially sighted pupils—During recent years an important
development in the care of the partially sighted has been the introduction of telescopic
visual aids. During 1959 arrangements were made for the inventor and manufacturer
(Mr. Keeler) to visit the day schools for the partially sighted and, in conjunction with the
Council's consultant ophthalmologist who visits the schools (Miss Irene Gregory, f.r.c.s.),
to select those pupils who might benefit therefrom to receive a trial with telescopic devices.
The Ministry of Health have agreed that the provision of such appliances falls within the
responsibility of the regional hospital boards as part of their hospital eye service arrangements
for school children.
Maladjusted pupils
A special article, Appendix B, reviews the growth and development of child psychological
services.
During 1959 consideration was given to Ministry of Education circulars 347 and 348,
and Ministry of Health circulars 3/59 and H.M. (59) 23, which implemented certain of
the recommendations of the report of the Underwood Committee on Maladjusted
Children. It was decided, in principle, that new child guidance clinics were needed in certain
areas of London and, in accordance with the circulars, negotiations were opened with
the metropolitan regional hospital boards on the question of future planning in this field.

Details of the work done during 1959 at the five child guidance clinics maintained by the Council follow:

BatterseaBrixtonEarl's CourtPeckhamWoodberry DownTotal
Patients At 1 January, 1959
On waiting list3444383653205
In attendance481247624250522
During 1959
Applications received11424717483247865
Applications withdrawn2839173754175
Cases closed571756040160492
At 31 December, 1959
On waiting list4140671298258
In attendance7016114454238667
Visits During 1959
No. of home visits by staff694622181*264
No. of school visits by staff121281285174*402

*includes visits by students.
Research and investigation
Dr. W. J. Israelsohn, of the Institute of Child Health, was given permission to visit the
day schools for educationally subnormal boys, to take buccal mucosal smears which
were to be examined at the Hospital for Sick Children for chromatin positive cells, with a
view to detecting cases of Klinefelter's syndrome at an early age before the appearance
of the post-pubertal overt symptoms.
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