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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
Barking 1937
[Report of the Medical Officer of Health for Barking]
- Published
- 1938
- Pages
- 206
- Tables
- 129
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Page 12
SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA.
Live Births :— Total. Males. Females. Birth Rate. -
Page 13
3. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1937. (England & Wales, London, 125 Great Towns, and 148 Smaller Towns and BARKING.)
Rate per 1,000 Total Population. Annual Death Rate per 1,000 Population. Rate per 1,000 Live Births. Live Births. Still-births. All Causes. Enteric Fever. Small-pox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under two years). Total Deaths under one year. -
Page 13
4. VITAL STATISTICS OF WHOLE DISTRICT FROM 1927 TO 1937.
Year. Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths. Net Deaths belonging to the District. Nett. Of Nonresidents registered in the District. Of Residents registered out of the District. Under One year of age. At all Ages. Number. Rate. Number. Rate. Number. Rate per 1,000 Live Births. Number. Rate. 1 2 3 4 5 6 7 8 9 10 11 12 -
Page 15
(b) Age Mortality. —The deaths in various age groups, according to the figures obtained locally, were as follows:—
Age Group. No. of Deaths. -
Page 16
Those diseases, etc., causing most deaths or important from a public health aspect were as follows:—
Disease. No. of Deaths. Percentage of total net deaths registered. -
Page 16
(d) Deaths from Zymotic Diseases.—These diseases caused 2.83 per cent, of the total deaths, such deaths being caused in the following numbers
-
Page 17
(Net Deaths).
Causes of Death. Deaths at the subjoined ages of " Residents " whether occurring in or beyond the district. Registrar-General's Figures. Under one year. 1 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards Total -
Page 18
The following table gives the actual causes of death of children dying under one year of age. Causes of death under 1 year of age, year 1937 :—
0-1 month. 1-3 months. 3-6 months. 0-9 months. 9-12 months. Total under 1 year. -
Page 18
Net Births in the year:— Net Deaths in the year:—
-
Page 18
Neo-Natal Mortality means deaths among the newly born. Causes of Neo-Natal deaths, year 1937:—
Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total. -
Page 19
The following table shows the comparative figures of infant mortality and neo-natal mortality for the past ten years:—
Year. Infantile Mortality Infantile Mortality Rate Neo-Natal Mortality Neo-Natal Mortality Rate -
Page 22
Copy of comparative statement of local unemployed by industries, as at December, 1936 and December, 1937:—
Dec. 1936. Dec. 1937. Men. Women. Men. Women. -
Page 25
1. GENERAL HEALTH SERVICES. (a) Laboratory Facilities. — The following table shows the routine work which has been carried out by arrangement with the Essex County Council at the Counties' Public Health Laboratories, situated in Queen Victoria Street, London, E.C.4 :—
Specimen. Number examined. -
Page 29
TABLE 1. HOSPITAL SERVICES, public or voluntary, within or without the District, which are used by the inhabitants of the Borough of Barking.
Name of Hospital. Situation. Purpose. Number of beds available. Other beds available. Total. Management. Men Women Children -
Page 31
TABLE II. HOSPITAL SERVICES, showing the number of beds for each purpose, and other facilities available.
Name of Hospital. Number of beds for the following purposes:— Total Other facilities available Arrangements for pathological work Accident Cardiac Chest (non-tub.) & Heart Children Chronic Sick Dental Dermatological Ear, Nose & Throat General Medical General Surgical Genito-urinary Gynaecological Infectious Diseases Isolation & Observation Maternity Mental Neurological Ophthalmic Orthopaedic Plastic Psychological Radium Septic Tuberculosis Venereal Diseases Unassigned -
Page 31
In the case of Hospitals under the control of the Borough of Barking:—
Upney (Maternity) Hospital Barking (Isolation) Hospital -
Page 33
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 35
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 38
The following tables shows the attendances at these clinics during the year:—
Central Clinic. Woodward Clinic. No. of Sessions. First attendances. Re-attendances. Total attendances. No. of Sessions. First attendances. Re-attendances. Total attendances. -
Page 41
The following is a summary of notifications received from midwives:—
-
Page 41
The following is a summary of the 191 cases in which medical help was sought Mother:-
-
Page 45
The following table gives you similar information for the last fourteen years:— Maternal Mortality—Statistics.
Year. Barking. England and Wales Deaths from Rate per 1,000 births. Rate per 1,000 births. Puerperal Sepsis. Other Puerperal Causes. -
Page 47
(m) Convalescent Treatment. — During 1937 a number of mothers and children were recommended for convalescent treatment. The following table shows the number of mothers and children who have been treated:—
No. treated. -
Page 49
The following table shows the work which has been carried out at your Minor Ailments Clinics:—
No. of cases seen by medical officers:— Central Clinic. Woodward Clinic. -
Page 51
(v) Infant Welfare Clinics. —The following table shows the work carried out at your various Infant Welfare Clinics during the year:—
Central. Great-fields. Alexandra. Woodward. Porters Avenue. Totals. -
Page 53
(w) Home Visiting. — The home visits carried out by your Health Visitors are shown in detail in the following table:—
-
Page 53
(x) Provision of Fresh and Dried Milk. —Particulars of the amounts of wet milk supplied free and at reduced rates to necessitous mothers and children are given in the following table:—
No. of pints supplied at reduced price. No. of pints supplied free. Total. Total cost of milk supplied. Council's liability in respect of fresh milk supplied. -
Page 54
Particulars of the amounts of dried milks, etc., supplied free and at reduced rates are as follows:—
Cost Price (pkts.) Half Price (pkts.) Free (pkts.) Total (pkts.) -
Page 61
The following tables, which are prepared on lines similar to those previously used, show the work which has been carried out at the Orthopaedic Clinic amongst toddlers.
-
Page 62
(b) Deformities—Muscular.
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Page 62
(c) Paralysis.
-
Page 62
(d) Miscellaneous.
-
Page 63
No. of sessions held by Orthopaedic Surgeon No. of sessions held by Masseuses ATTENDANCES. Primary Examination Re-examination For Treatment Totals School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers -
Page 63
TREATMENTS.
Massage Electricity Remedial Exercises U Itra-Violet Therapy Radiant Heat Dressings and Splintage Totals. No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments -
Page 63
Continued previous page...
School Children Toddlers Total School Children Toddlers Total -
Page 66
DENTAL CLINIC. Mothers and Toddlers.
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Page 76
The housing defects dealt with numbered 6,801.
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Page 77
(2) Premises Controlled, by Byelaws and Regulations.
Inspections. Contraventions. Notices served. -
Page 77
(3) Factories, Workshops and Workplaces.
Inspections. Defects. Notices. -
Page 77
(4) Miscellaneous.
Inspections. Defects. Notices. -
Page 78
Continued Previous Page...
Inspections. Defects. Notices. -
Page 80
(1) Inspections (including inspections made by Sanitary Inspectors).
Premises. Number of Inspections. Written Notices. Prosecutions. Intimations. Statutory. -
Page 81
(2) Defects found.
Particulars. Number of Defects. Number of Prosecutions. Found Remedied Referred to H.M. Inspector -
Page 82
(4) Registered Workshops.
Workshops on the Register (sec. 131) at the end of the year. Number. -
Page 82
(6) Outworkers. The following list shows the nature of the homework carried out in this district by 61 outworkers:—
-
Page 83
(5) Offensive Trades. — The number of premises used for this purpose are as follows:—
-
Page 95
HOUSES BUILT IN THE DISTRICT. 1926—1937.
Year. Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). -
Page 99
CLEARANCE AREAS.
Area. Date of Representation Aereage Dwelling Houses Shops Total Premises Total Persons Date of Inquiry Date of Confirmation Premises Excluded Final Date for Vacation Date of Demolition Subsequent Use of Site -
Page 103
The following table sets out the results of the bacteriological examination of various samples, from which it will be seen that, out of a total of 47, one was found to be unsatisfactory:—
Type of Sample. Satisfactory. Unsatisfactory. Totals. -
Page 104
The following table gives particulars of notifications received, and the animals slaughtered, during the ten years ended December 31st, 1937.
Year 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 -
Page 105
The following additional table gives information as to carcases inspected and condemned during the year 1937:—
Cattle excluding Cows Cows Calves Sheep and Lambs Pigs -
Page 107
The following list gives particyulars of unsound food destroyed during the year:-
-
Page 112
The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1937 :— TABLE I.
Disease. Males. Females. Total. Total cases removed to Hospital. Deaths. -
Page 113
TABLE 11.
Notifiable Disease No. of cases notified at age groups Cases classified according to Wards Under one year 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 10 years 10 to 15 years 15 to 20 years 20 to 35 years 35 to 45 years 45 to 65 years Over 65 years Totals Abbey Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes -
Page 115
Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1937 :-
Scarlet Fever. Diphtheria. Total. -
Page 117
(a) Admissions. — The following is the table of admissions, etc., in respect of infectious diseases during 1937:—
Disease. In Hospital January 1st, " 1937. Admitted during the year. Died. Discharged. In Hospital Dee. 31st, 1937. -
Page 118
The following table shows what has been done under the immunisation scheme
Diphtheria Scarlet Fever. Whooping Cough. -
Page 119
The following table shows the occupations of the 86 people who died from cancer during the year 1937
*Male. Female. -
Page 120
The following table shows the ages of the persons who died from cancer and the organs affected:—
Organ. Under 1 year. 1-5 years. 5-15 years. 15-25 years. 25-45 years. 45-65 years. Over 65 years. Total. M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 121
The following table shows that the number of cases of Ophthalmia Neonatorum during 1937 was 5, compared with 10 in 1936. Four cases were treated at home, and in no case was the vision impaired.
Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital. -
Page 121
Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1937 are given in this Report in the following form :—
New Cases Notified. Deaths. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. -
Page 122
The following are particulars of cases notified on Forms I and II during the year :—
Form I. Form II. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. -
Page 132
The following table shows the number of medical examinations conducted at school at routine and special inspections during 1937 classified according to the schools, the number of inspections held in each school, and the number of parents or guardians present:—
School. No. of Inspection Sessions. Numbers Inspected. No. of Parents present (Routine and Special Exams.) Routines and Specials. Re-Exams. -
Page 133
The following table is similar to Table I (C) of the Returns to the Board of Education (given on page 175 of this report), except that it shows the percentage of children found to require treatment:—
Group. Number of Children. Percentage of children found to require Treatment. Inspected. Found to require Treatment. -
Page 134
The following tabic shows the results of cleanliness inspections for the past two years:—
1936 1937 -
Page 134
The following is the number of cases of skin diseases referred for treatment during the year:—
-
Page 135
(e) Nose and Throat Defects. — The number of nose and throat defects referred for treatment at medical inspection at schools and clinics shows a small increase over the figures for 1936.
-
Page 136
The following table shows the position with regard to the notification of tuberculosis amongst school-children during 1937, and also the number removed from the "register" during this period:—
-
Page 136
(6) FOLLOWING-UP. A summary of the following-up work by your School Nurses is given herewith:—
-
Page 137
Continued from previous page...
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Page 137
A summary of the work of the Clinics is included in the following table :— All Clinics.
Clinic. No. of first attendances of school children. Total No. of attendances of school children. 1936 1937 1936 1937 -
Page 139
A summary of the work of the Minor Ailments Clinics is included in the following table:— Minor Ailments Clinics.
Central Clinic. Woodward Clinic. 1936 1937 1936 1937 -
Page 141
The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases during the past five years:—
1933 1934 1935 1936 1937 -
Page 146
Number of attendances and certificates gained:—
Year. Attendances. Certificates. Public Baths. Park Pool. 100 yds. 50 yds. 30 yds. -
Page 149
During the year 1937, 102,077 free meals were provided, and the following table shows the numbers of free meals which have been provided during the past five years:—
-
Page 150
The following are specimen menus of the dinners supplied:—
-
Page 151
The following table shows the issues made since the inception of the scheme:— Issues of Cod Liver Oil and Malt and similar preparations during 1937.
Cost price (packets) Free (packets) Total (packets) -
Page 152
The following table shows the work which has been undertaken in Barking by the National Society for the Prevention of Cruelty to Children during the last five years:—
1933 1934 1935 1936 1937 -
Page 153
(13) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. The following table shows the number of children who have attended at the Faircross Special School—in the Open-Air, Physically Defective and Mentally Defective Sections—and, in addition, in other parts of the report will be found figures as to how many children have been admitted to the Brookfield Orthopaedic Hospital and elsewhere for orthopaedic conditions:—
Open-Air Section Physically Defective Section Mentally Defective Section -
Page 153
Hereunder are particulars of the number of children maintained by the Authority in special schools outside the district as at December 31st, 1937:—
-
Page 154
The following table gives information in respect of medical inspection at the Faircross Special School during the year 1937:—
-
Page 159
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 161
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 165
PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPÆDIC CLINIC DURING 1937.
No. of sessions held by Orthopaedic Surgeon No. of sessions held by Masseuses ATTENDANCES. Primary Examination Re-examination For Treatment Totals School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers -
Page 165
TREATMENTS.
Massage Electricity Remedial Exercises Ultra-Violet Therapy Radiant Heat Dressings and Splintage Totals. No. of Children No. of Treatments No. of Children No. of Treatments No. of Children- No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments -
Page 167
(2) Acquired:
-
Page 168
During the year, sixteen children were admitted to Hospital, fifteen for operations and one for observation, as follows:—
-
Page 173
STATISTICS RELATING TO THE WORK OF THE OPHTHALMIC CLINICS DURING 1937. TABLE 1.
-
Page 173
TABLE II. MYOPIA. TABLE SHOWING WORK CARRIED OUT DURING 1937 IN CONNECTION WITH SCHOOL-CHILDREN SUFFERING FROM MYOPIA.
Individual Cases. Spectacles. No. of Cases reviewed within:— Recommendations to Head Teachers for:— Ordered for first time. Changed. No Change. Months. Ordinary Routine. "Easy Treatment." "Special" Treatment. 3 4 6 9 12 -
Page 173
TABLE III. External Diseases of the Eye treated at the Clinics: —
-
Page 174
TABLE IV.
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Page 174
TABLE V. TREATMENT OF ELEMENTARY SCHOOL CHILDREN AT THE ORTHOPTIC (SQUINT TRAINING) CLINIC.
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Page 174
Cases still under treatment:—
Over 12 mths. After treatment for Under 3 mths. 9-12 mths. 6-9 mths. 3-6 mths. -
Page 175
SCHOOL MEDICAL SERVICE. Statistical Tables—Public Elementary Schools, 1937• TABLE 1.—RETURN OF MEDICAL INSPECTIONS.
-
Page 175
Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
Group. For defective vision (excluding squint). For all other conditions recorded in Table II A. Totals. -
Page 176
TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1937.
Defect or Disease Routine Inspections Special Inspections No. of Defects No. of Defects Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. -
Page 177
TABLE II. (A).— continued.
Defect or Disease Routine Inspections Special Inspections No. of Defects No. of Defects Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment Requiring to be kept under observation, but not requiring Treatment -
Page 178
TABLE II. (B)—CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS.
Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly subnormal) D (Bad) No. % No. % No. % No. % -
Page 178
TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. B lind C hildren.
At Certified Schools for the Blind At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 178
Partially Sighted Children.
At Certified Schools for the Blind At Certified Schools for the Partially Sighted At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 179
TABLE III.— continued. Deaf Children.
At Certified Schools for the Deaf At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 179
Partially Deaf Children.
At Certified Schools for the Deaf At Certified Schools for the Partially Deaf At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 179
Mentally Defective Children. Feeble-Minded Children.
At Certified Schools for Mentally Defective Children At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 179
Epileptic Children. Children Suffering from Severe Epilepsy.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 180
TABLE III.— continued. Physically Defective Children. A.—Tuberculous Children. I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.)
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 180
II.—Children Suffering from Non-Pulmonary Tuberculosis. (This category includes tuberculosis of all sites other than those shown in I. above.)
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 180
B.—Delicate Children.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 181
TABLE III.— continued.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 181
D.—Children with Heart Disease.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 181
Children Suffering from Multiple Defects.
Combination of Defect At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 182
Analysis of the above Total.
Diagnosis Boys Girls -
Page 183
TABLE IV. RETURN OF DEFECTS TREATED DURING THE YEAR ENDED 31st DECEMBER, 1937. GROUP 1.—Minor Ailments (excluding Uncleanliness, for which see Table VI).
Defect or Disease Number of Defects treated, or under treatment during the year Under the Authority's Scheme Otherwise Totals -
Page 184
TABLE IV.—continued. GROUP II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).
Number of Defects dealt with Under the Authority's Scheme Otherwise Totals -
Page 185
TABLE IV.—continued. GROUP III.—Treatment of Defects of Nose and Throat. Number of Defects.
Defect Received Operative Treatment Received other forms of Treatment Total number treated Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Totals -
Page 185
GROUP IV.—Orthopaedic and Postural Defects.
Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopedic clinic Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopedic clinic Number of children treated 10 2 424 — 9 5 439 -
Page 186
TABLE V. DENTAL INSPECTION AND TREATMENT.
-
Page 187
TABLE V.—continued.
-
Page 187
TABLE VI.—UNCLEANLINESS AND VERMINOUS CONDITIONS.
-
Page 188
TABLE I.—RETURN OF MEDICAL INSPECTIONS. (Secondary Schools only.)
-
Page 189
C.—Children found to require Treatment. Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
Group. For defective vision (excluding squint). For all other conditions recorded in Table IIA. Totals. -
Page 189
TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1937. (Secondary Schools only.)
Defect or Disease Routine Inspections Special Inspections No. of Defects No. of Defects Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment Requiring to be kept under observation, but not requiring Treatment -
Page 190
TABLE II. (A).—continued. (Secondary Schools only.)
-
Page 191
TABLE II. (B)—CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS. (Secondary Schools only.)
Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly) subnormal) D (Bad) -
Page 192
GROUP 1.—Minor Ailments (excluding Uncleanliness, for which see Table VI).
Defect or Disease Number of Defects treated, or under treatment during the year Under the Authority's Scheme Otherwise Totals -
Page 193
TABLE IV.—continued. (Secondary Schools only.) GROUP II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).
Number of Defects dealt with Under the Authority's Scheme Otherwise Totals -
Page 194
TABLE IV.—continued. (Secondary Schools only.) GROUP III.—Treatment of Defects of Nose and Throat. Number of Defects.
Defect Received Operative Treatment Received other forms of Treatment Total number treated Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Totals -
Page 194
GROUP IV.—Orthopaedic and Postural Defects.
Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaidic clinic Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaedic clinic Number of children treated — — 14 — — 3 17 -
Page 195
TABLE V.
DENTAL INSPECTION AND TREATMENT. (Secondary Schools only.) -
Page 196
TABLE VI.—UNCLEANLINESS AND VERMINOUS CONDITIONS. (Secondary Schools only.)