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Croydon 1938

[Report of the Medical Officer of Health for Croydon]

Published
1939
Pages
322
Tables
255

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255 tables in this report

  • Page 24
    Table I. Table showing the classification of the accommodation and the number of beds occupied on the 31st December, 1938.
    Classification.Number of Wards.Men.Women.Children under 16 yrs. of age.Total.
    Provided.Occu-pied.ProvidedOccupied.ProvidedOccupied.ProvidedOccupied.
  • Page 30
    Table I.
    WARDS.Estimated Population.Births.Deaths.Birth Rate.Death Rate.Deaths under 1 year per 1,000 Births.Death Rate from Six Zymotic Diseases (excluding Diarrhoea)Death Rate from Diarrhoea.Death Rate from Bronchitis and Pneumonia.Death Rate from Pulmonary Tuberculosis.Death Rate from Non-Pulmonary Tuberculosis.Death Rate from Heart and Circulation Diseases.Death Rate from Nervous Diseases.Death Rate from Cancer.Estimated persons per acre .Natural Increase or Decrease of Population.
  • Page 32
    Table II.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Reg. in the District.Transferable Deaths.Nett deaths belonging to the District.
    of Non-residents registered in the District.of Residents not registered in the District.Under 1 Year of Age.At all Ages.
    Uncorrected Number.Nett.Number.Rate.
    Number.Rate.Number.Rate per 1,000 Nett Births.Number.Rate.
  • Page 33
    Table III. REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE, AGE AND SEX.
    Causes of Death.SexAll Ages.0-1—2—5—15—25—35—45— 55—65—75—
  • Page 35
    Table IV. CLASSIFICATION OF DEATHS ACCORDING TO DISEASE OVER A PERIOD OF 10 YEARS.
    Cause of Death.1929193019311932193319341935193619371938Death Rate.
    Total Deaths.Total DeathsTotal Deaths.Total Deaths.Total Deaths.Total Deaths.Total Deaths.Total DeathsTotal Deaths.Total Deaths.
  • Page 37
    Table V. METEOROLOGICAL RECORD.
    Months.Air Temperature in Degrees Fahrenheit.Rainfall Total.Bright Sunshine.
    Hrs. per day.Percentage of Possible
    Means ofMean of A. & B.
    A. Max.B. Min.Daily Mean
  • Page 38
    The Ward accommodation provided is as follows:—
    No. of beds provided.Total.
    Men.Women.
  • Page 39
    Table I.
  • Page 40
    Table II. Classification of In-Patients who were Discharged from or who Died in the Institution during the year ended 31st December, 1938.
    Disease Groups.Children (under 16)Men and Women.
    Discharged.Died.Discharged.Died.
  • Page 43
    THERAPY DEPARTMENT.
    Condition for which Treatment was given.No. of Patients.No. of Applications.Cured.Relieved.Died.Transferred to other Hosps.Still under Treatment.
  • Page 47
    Table III
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 48
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 49
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 50
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical. i iTotal
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 51
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total.
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 52
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total.
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 53
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical. i iTotal
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 54
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 55
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 56
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 57
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 58
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 59
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 60
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 62
    Table I. CASES OF NOTIFIED INFECTIOUS DISEASE, 1938.
    Notifiable Disease.Cases notified in the whole District.Total cases notified in each Ward.Total cases removed to Borough Hospital <S diagnosis confirmed.Total Deaths in the Borough.1938.
    At all Ages.At ages—years.Upper Norwood.Norbury.West Thornton.Bensham Manor.Thornton Heath.South Norwood.Woodside.East.Addiscombe.Whitehorse Manor.Broad Green.Central.Waddon.South.Addington.
    Under 1 year.1—5.6—15.16—25.26—45.46—65.66 and up.
    MF
  • Page 63
    Table II.
    Notified Disease.Incidence Rate per 1,000 population.Housing Conditions.Case occurring in Institutions in the Borough.Total cases notified
    1-3 rooms.4-5 rooms.Over 5 rooms.
    19381937
  • Page 64
    Table III. SCARLET FEVER.
    YEARCases notified in Croydon.Attack Rate Per 100,000 of Population-No. of Deaths.Percentage of Death s| to Cases notified.All Cases Admitted to Hospital with a Diagnosis of Scarlet Fever.
    No. Admitted.No. of Deaths.Percentage of Deaths to Casea Treated*]
    12345678
  • Page 65
    Table IV. DIPHTHERIA.
    YEAR.Cases notified in Croydon.Attack Rate Per 100,000 of Population.No. of Deaths.Percentage of Deaths to Cases notified.All Oases Admitted to Hospital with a diagnosis of Diphtheria.
    No. \dmitted.No. of Deaths.Percentage of Deaths to Cases Treated*
    12345678
  • Page 68
    Summary or Results of 1,208 Primary (Anterior) Schick Tests.
    Age Group.Positive.% Positive.Negative.% Negative.Total.
  • Page 69
    Summary of Attendances and Treatment, 1938.
    Under Treatment 1/1/38.Received T.A.M.Received T.A.F.Received A.P.T.DefaultedGiven Primary Schick Test 1938.No. Pos.% Pos.No. not given Primary Schick.Total new cases 1938.
  • Page 69
    Summary of the Work of the Clinic since its start.
    Year.Total attended for treatment.New cases attended.No. of sessions held.Av. attend per session.No. given Primary Schick.% Pos. on Primary Schick.No. given Posterior Schick.No. Neg. on Posterior Schick.% Neg. on Posterior Schick.No.com-pleted treatm't Schick neg.
  • Page 70
    Origin and Source of Cases attending.
    Year.School.Inft. Welfare C.Others under 5 yrs.
    Total.Per cent.Total.Per cent.Total.Per cent.
  • Page 71
    Distribution of School Children who have attended the Immunisation Clinic since its Inauguration.
    SchoolCompleted treatment or Schick negative in :New cases attended clinic in 1938Total Schick negative to end of 1938
    19341935193619371938
  • Page 72
    Continued from previous page...
    School.Completed treatment or Schick negative in:New cases attended clinic in 1938Total Schick negative to end of 1938
    19341935193619371938
  • Page 73
    These changes of address have been noted and the Medical Of fi cer or Health o f the district concerned has been informed.
    Name of Institution.No. not completed, 1938.No. Primary Schick.No. Positive.% Positive.No. given A.P.T.No. retested.No. Negative.% Negative.Uncompleted.emoved from District.
  • Page 75
    T able V.
    Complaint for which admitted.Patients remaining in Hospital on 1st January, 1938Patients admitted and discharged in 1938Patients admitted during 1938 and remaining in Hospital on 1st January, 1939Analysis of Cases admitted whether discharged or not during the year.
    Total.Recovered.Died.Total.Recovered.Died.Total.Recovered.Died.Total.Recovered.Died.Case Mortality.| Average | No. of days | in Hospital.
  • Page 76
    T able VI.
    Total CasesSerum Cases.Non-Serum Cases.Total.
    90516606
  • Page 77
    T able VII.
    Age.Males.Females.Totals.Percentage.
  • Page 77
    Monthly Admissions of Scarlet Fever Patients. T able VIII.
    Month.Cases 1937.admitted. 1938.Cases notified. 1938.
  • Page 79
    Table IX.
    Age.Males.Females.Totals.Percentage.
  • Page 79
    Table X.
    Month.Cases admitted, including Non-Clinical Cases.Cases admitted. 1937.Notifications. 1938.
  • Page 80
    Particulars of Fatal Cases of Diphtheria. T able XI.
    Name.AgeCondition on Admission.Subsequent Progress.Time of Death after admission.
  • Page 81
    Continued from previous page...
    Name.Age on Admission.Condition on Admission.Subsequent Progress.Time of Death after admission.
  • Page 84
    Table XII. Other Diseases.
    Age Group DiseaseEnteric FeverPara-typhoid BPuerperal FeverPuerperal PyrexiaErysipelasMeaslesRubellaC.S.MWhooping CoughChicken PoxOphthalmiaMumpsTonsillitisAnterior PoliomyelitisEncephalitis LcthargicaPemphigusDysentery, SonneDermatitisTonsillitisNo DiseaseTotals
  • Page 85
    Table XIII.
    Disease.Males.Females.Totals.Deaths.
  • Page 85
    T able XIV. DIPHTHERIA.
    NOSE AND THROAT SWABS EXAMINED.
    New Cases Positive on Admission.Convalescent Cases.Negatives.Total.
  • Page 87
    TABLE A V. At the Laboratory, Croydon General Hospital.
    Swabs for DiphtheriaVirulence tests for DiphtheriaSputum for Tub. Bac.Pus for Tub. Bac.Pus for Gonococci.Pus for other organismsBlood for Typhoid GroupsBlood for WassermannMaterial for SpirochaetesFaeces for Typhoid GroupHair for RingwormExamination of UrineExamination of Pleural FluidExamination of C.S. FluidOther Examinations
  • Page 88
    Table XYI.
    Nature of Examination.Nature of Examination.
  • Page 88
    Bacteriological Examination of Milk. Table XYII.
  • Page 89
    Table XVIII.
    Registration Sub-Districts in V.O. District.Births Registered.Vaccinated.Insusceptible!Statutory DeclarationsDied Un vaccinated.p. p.o.Transferred tootherVOs.Not traced Removals.In Default.Overage when Registered.
  • Page 90
    Table XIX.
    Name of Public Assistance Institution or Vaccination District.Numbers of successful Primary Vaccinations of persons.No. successful re-vaccinations, i.e., successful vaccinations of persons who had been successfully vaccinated at some previous time.
    Under 1 year of age.1 year and upwards.Total.
  • Page 92
    Table I.
    FORMAL NOTIFICATIONS.
    No. of Primary Notifications of new cases of tuberculosis.Total Notifications on Form A.
    Age periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal (all ages)
  • Page 92
    Table II.
    Age periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 6555 to 6565 and upwardsTotal Cases
  • Page 93
    The sources from which information as to the above-mentioned cases was Obtained are shown below:—
    Sources of Information.No. of Cases.
    Pulmonary.Non-Pulmonary.
  • Page 93
    Table III.
    PULMONARYNON-PULMONARYTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 93
    Number of cases removed from the Registers during the year and the reasons for such removal.
    Pulmonary.Non-Pulmonary.Total Cases.
    Males.Females.Total.Males.Females.Total.
  • Page 94
    Table IV.
    Not NotifiedUnder 1 week1-2 weeks2-4 weeks1-2 months2-3 months3-6 months6-12 months
  • Page 95
    Table V.
    Year.0—55—1515—2525—4545—65Over 65Total
  • Page 97
    T able VI. The diagnoses of the new cases entered in the Notification Register during 1938 were as follows:—
    Male.Female.
  • Page 98
    Table VII. TUBERCULOSIS. (Summary of Notifications and Deaths at various age periods).
    Age periods.1938 Population at age period, (estimated)Pulmonary,Non-Pulmonary.
    New Cases,All Cases.New Cases.All Cases.
    Number.Incidence Rate.Deaths.Death Kate (based on 1938 figures).Number.Incidence Rate.Deaths.Death Rate (based on 1938 est. fig .)
    MFMFMFMFMFMFMFMFMF
  • Page 99
    Table VIII. Incidence and Death-Rates in Wards.
    Ward.Density of Population persons per acre.New CasesTotalIncidence Rate per 1000Death Rate per 1000
    PulmonaryNon-Pul monary
  • Page 102
    The results of examinations made in 1938 are as follows:—
    For Clinic.For General Practitioners.Totals.
  • Page 103
    Table IX. Pulmonary Cases Treated in Institutions, 1938.
    In at beginning of 1938Admitted during 1938Discharged during 1938Died during 1938In at end of 1938
    AdultsCAdultsCAdultsCAdultsCAdultsC
    MFMFMFMFMF
  • Page 104
    Table X. Non-Pulmonary Cases Treated in Institutions, 1938.
    In on 1st Jan., 1938Admitted during 1938Discharged during 1938Died during 1938In on 31st Dec., 1938
    AdultsCAdultsCAdultsAdultsCAdultsC
    MFMFMFCMFMF
  • Page 108
    T able XI.
    Patients occupying a separate bedroom.Patients occupying a separate bed but not a separate bedroom.Patients not occupying a separate bed.Totals.
  • Page 109
    Table XII. Shewing the Condition at the end of 1938 of cases discharged from Sanatoria during the years indicated.
    1934.1935.1936.1937.1938.Totals.
    T.B.t.b. +t.B.T.B. +T.B.T.B. +T.B.t.B. +T.B.T.B. +T. B.T.B. +
  • Page 110
    It is instructive to compare the results obtained in oases discharged from Sanatoria during the five years 1934—1938, with those for 1929—1933, and this is done in the Table below.
    Result.Five years, 1929-1933.Five years, 1934-1938.1929-1933.1934-1938.
    T.B. -T.B. +T.B. -T.B. +
  • Page 111
    Summary of Work Done.
    Males.Females.Total.Year 1937
  • Page 112
    Review of Work Done.
    Males.Females.Total.Year 1937.
  • Page 114
    Table XIII.
    In-patients on Jan. 1st, 1938.Admitted during year 1938.Discharged during year 1938, including deaths.In on Jan. 1st, 1939.Died during year 1938.
    MFMFMFMFMF
  • Page 114
    T able XIY.
    Group.Total number of cases discharged 1938.Quiescent.Improved.No Material Improvement.Died in institution.Average dura-of stay in days.Discharged before completion of treatment.
    MFMFMFMFMFMF
  • Page 116
    Table XV. ( A) Return showing the work of the Dispensary.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.Grand Total.
    Adults.Children.Adults.Children.Adults.Children.
    m.f.m.F.m.f.m.f.m.f.m.f.
  • Page 117
    Table XVI. (C) Number of beds available for the treatment of Tuberculosis on the 31st December in Institutions belonging to the Council
    Name of Institution.For Pulmonary CasesFor Non-Pulmonary CasesTotal.
    AdultsChildren under 15AdultsChildren under 15
  • Page 117
    Table XVII. (D) Return showing the extent of Residential Treatment and Observation during the year In Institutions (other than Poor Law Institutions) approved for the treatment of Tuberculosis
    In Institutions on Jan. 1st. (1)Admitted during the year (2)Discharged during the year. (3)Died in the Institutions. (4)In Institutions on Dec. 31st. (5)
  • Page 118
    Table XVIII. (F) Return showing the results of observation of doubtfully tuberculous cases discharged during the year from Institutions approved for the treatment of Tuberculosis.
    Diagnosis on discharge from observation.For Pulmonary Tuberculosis.For Non-Pulmonary Tuberculosis.Totals.
    Stay under 4 weeks.Stay over 4 weeks.Stay under 4 weeks.Stay over 4 weeks.
    m.F.Ch.m.F.Ch.m.F.Ch.m.F.Ch.m.F.Ch.
  • Page 118
    Table XIX. (G) Return showing the Immediate results of treatment of definitely tuberculous patients discharged during the year from Institutions approved for the treatment of Tuberculosis. SECTION I.— P ulmonary T uberculosis.
    Classification on admission to the Institution.Condition at time of discharge.Duration of Residential Treatment in the Institution.
    Under3m'ths but exceeding 28 days3-6 months.6-12 months.More than 12 months.Totals
    m.f.Ch.m.f.Ch.m.f.Ch.m.f.Ch.M.f.Ch.
  • Page 119
    SECTION II.—Non-Pulmonary Tuberculosis.
    Classification on admission to the Institution.Condition at time of discharge.Duration of Residential Treatment in the Institution.Grand Totals
    Under3m'ths but exceeding 28 days3-6 months.6-12 months.More than 12 months.Totals.
    M.F.Ch.M.F.Ch.M.F.Ch.M.F.Ch.M.F.Ch.
  • Page -
    T ABLE XX. PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1938 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register. The Table is arranged according to the years in which the patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classification at that time.
    Condition at the time of the last record made during the year to which the return relates.Previous to 192819281929193019311932193319341935193619371938
    Class T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T. B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minuslass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. Minus.Class T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plus
    Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (ClassT.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2 1Group 3Total (Class T.B.pIus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (ClassT.B. plus)
  • Page -
    Table XXI. NON-PULMONARY TUBERCULOSIS Supplementary Annual Return showing in summary form (a.) the condition at the end of 1938 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.
    Condition at the time of the last record made during the year to which the return relates.Previous to 192819281929193019311932193319341935193619371938
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral | GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral Glands
  • Page 120
    Death-rate per 1,000 of the population for the previous 11 years are as follows:—
  • Page 120
    Deaths From Cancer in Municipal Wards. Table I.
    WardMale.Female.Total.Death-rate.Estimated Mid Male.Population. 1938. Female.
  • Page 121
    Table II. Deaths from Cancer Occurred at the Following Ages:—
    Age period.Male.Female.Total.Calculated population at this age period.Incid perl pers livii
  • Page 121
    Table III. Sites of Fatal Cancer.
    Site.Male.Female.Total.Percentage of Total.
  • Page 123
    Table I. Attendances at the Croydon Clinic during past 10 years.
    1929.1930.1931.1932.1933.1934.1935.1936.1937.1938.
  • Page 124
    Table II. Attendances of Patients at Venereal Diseases Clinic at the Croydon General Hospital during the past 5 years.
    Authority.1934.1935.1936.1937.1938.
    In-patients (days).Out-patients.In-patients (days).Out-patients.In-patients (days).Out-patients.In-patients (days).Outpatients.In-patients (days).Out-patients.
  • Page 124
    Table III. Croydon Cases attending London Hospitals.
    Hospital.Cases seen for the first time.Conditions other than venerealTotal No. of Attendances.Aggregate No. of Inpatient Days.
    Syphilis.Gonorrhoea.
  • Page 125
    Table IV. Bacteriological Examinations carried out at London Hospitals for Croydon Patients.
    Hospital.Detection of Spirochetes.Detection of Gonococci.Wassermann Re-action.Other Exams.Total.
    For Clinic.For Prac.For Clinic.For Prac.For Clinic.For Prac.For Clinic.For Prac.
  • Page 126
    T able V. Return relating to all persons who were treated at the Treatment Centre at Croydon General Hospital during the year ended the 31st December, 1938.
    SyphilisSoft ChancreGonorrhoeaConditions other than venerealTotals
    MFMFMFMFMFTtls
  • Page 127
    Continued from previous page...
    SyphilisSoft ChancreGonorrhoeaConditions other than venerealTotals
    MFMFMFMFMF
  • Page 127
    Table VI. Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided.
    Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales) to be inserted in these headings.CroydonSurreyKentLondonTotal
    A. Number of cases in Item 3 and 4 from each area:—
  • Page 129
    Notifications were received from:—
    Live Births.Still Births.Total
  • Page 130
    Table I.
    YEAR.♦BIRTHS.Puerperal Toxaemias.Haemorrhages.Other Causes.
    Puerperal Infection.Eclampsia.Hyperemesis.Ectopic Gestation.Plaoenta Praevia.Post.partum Haemorrhage.Pulmonary Embolism.Caesarean Section. !Shock.Heart Disease. Syncope.Renal Trouble.Other Causes.TOTAL.Maternal Mortality.Infant Mortality.
  • Page 131
    YEAR.BIRTHS. Live and Still.TOTAL. Deaths.Maternal Mortality.Infant Mortality
  • Page 131
    T able II. The following Table gives fuller details concerning theses cases.
  • Page 131
    Accommodation for Confinement. The following Table gives information concerning the accom modation utilized for confinements.
    Number.Percentage.
  • Page 134
    Ophthalmia Neonatorum. Twenty cases were notified during 1938. The following table gives the notifications in Croydon during the past eleven years:— Table III.
  • Page 134
    Results of Treatment. Table IV.
    Cases treated.Vision Unimpaired.Vision Impaired.Died.RemovedRemaining under Treatment.
  • Page 135
    Neo-Natal Mortality. Number of deaths within the first month of life:— Table V.
    Year.No. of Deaths.No. of Births.Rate.
  • Page 135
    The following table gives the causes of death during the first month of life:—
  • Page 136
    T able VI. D eaths under one year, arranged in days, weeks and months.
    causes of death.1st day.2nd day.3rd day.4th day.5th day.6th day.|7th day.lst-2nd wk.2nd-3rd wk.3rd-4th wk.Under 1 mnth.1-2 mths.2-3 mths.3-4 mths.4-5 mths.5-6 mths.6-7 mths.7-8 mths.8-9 mths.9-10 mths.10-11 mths.11-12 mths.TOTAL.
  • Page 138
    The following table gives the chief causes of infant deaths, is compared with 1937:— Table VII.
    Percentage Deaths per Total Infantile Deaths.Deaths per 1,000 Births.
    1938.1937.1938.1937.
  • Page 139
    Table VIII.
    BirthsDeaths193819371936
    Mortality per 1000 BirthsGeneral Birth RateGeneral Death RateMortality per 1000 BirthsGeneral Birth RateGeneral Death RateMortality per 1000 BirthsGeneral Birth RateGeneral Death Kate
  • Page 140
    19311932193319341935193619371938Average over 8 years.
  • Page 141
    Reasons for sending for medical aid:—
    Ante-Natal Complications (36)—
  • Page 142
    Medical Aid for the Baby—
  • Page 142
    Confinements Attended by Midwives (Including Municipal Midwives).
  • Page 142
    table gives details of the reasons for sending for medical aid:—
    For Complications during Pregnancy:
  • Page 143
    Continued from previous page...
    For Complications during Labour:
  • Page 144
    Table X. Nursing Homes (Registration) Act, 1927.
    Maternity Homes.Other Nursing Homes.Combined Maternity and other Nursing Homes.Total.
  • Page 152
    Some cases appear in more than one category in the summary.
    Mayday Hospital Booked.Mayday Hospital EmergencySt. Mary's Maternity Hospital Booked.Total.
  • Page 153
    [$$$[Mayday Hospital Booked.Mayday Hospital Emergency.St. Mary's Maternity Hospital Booked.Total.
  • Page 155
    Accidental Ante-Partum Haemorrhage (6 cases).
    Mayday Hospital. Booked.Mayday Hospital. Emergency.St. Mary's Maternity Hospital. Booked.Total.
  • Page 156
    (For Ante-natal treatment of breech cases, see page).
    Mayday Hospital Booked.Mayday Hospital Emergency.St. Mary's Maternity Hospital Booked.Total.
  • Page 156
    An uncomplicated breech delivery is one where an additional risk to the life of the foetus is not present—such conditions as Ante-Partum Haemorrhage, Prematurity, Monstrosity, etc.
    Mayday Hospital BookedMayday Hospital Emergency.St. Mary's Maternity Hospital Booked.Total.
  • Page 158
    Table XII.
    Place of Delivery and Category.1st and 2nd degree.3rd degree.Total.
  • Page 160
    One Mayday "Emergency" obstetrical case and one gynaecological case died.
    Infants.Mayday Hospital. Booked.Mayday Hospital. Emergency.St. Mary's Maternity Hospital. Booked.Total.Per cent.
  • Page 160
    There were 20 cases of Twins and one of 'Triplets. There was no maternal death.
    Mayday Hospital. Booked.Mayday Hospital. Emergency.St. Mary's Maternity Hospital. Booked.Total.
  • Page 161
    Table XIII.
    Mayday Hospital.St. Mary's Hospital.Totals.
  • Page 162
    T able XIV. SOURCES OF THE CASES:
    From Mayday Hospital—Cases.Deaths.
  • Page 163
    The 39 cases treated may be classified as follows:—
    Cases.Deaths.Mortality Rate.
  • Page 165
    Table XV. Attendances at Infant Centres —1938.
    Municipal.Boston Road.St. Andrew's.South Croydon.Shirley.Woodside.Lr. Addiscombe Road.South Norwood.Westow Street.St. Alban's.St. Paul's.St. Oswald's.West Croydon.Norbury.Waddon.St. Jude's.Selhurst.Addington. ‡Total 1938.Total 1937.Total 1936.Total 1935. ITotal 1934.
  • Page 166
    Table XVI.
    DeathsAttended M. & C. W. centreAttended at Birth byFull Time BabyBirths during the same periodDeaths in Institutions
  • Page 168
    The Conditions of Babies on First Attendance at a Maternity and Child Welfare Centre, Table XVII.
    No. found healthy on 1st visit.Percentage.No. found ailing on 1st visitDigestive Troubles.Rickets.Respiratory TroublesOther Causes.Babies on Breast Feeding' only.Percentage.Babies Bottle fed only.Babies partly breast and partly bottle fed.No. found healthy on 1st visit.Percentage.No. found ailing on 1st visit.Digestive Troubles.Rickets.Respiratory TroublesOther Causes.No. still on Breast at 1st visit.No. Weaned and on solid food.Percentage.No. on solid food and the Breast.No. on solid food and the bottle.Total first attendances tabulated.
  • Page 169
    T able XVIII. The Work of the Health Visitors.—Maternity and Child Welfare Only.
    I.II.III.IV.V.VI.VII.VIII.IX.X.XI.XII.XIII.XIV.XV.XVI.XVII.XVIII.XIX.XX.XXI.XXII.XXIII.XXIV.XXV.Totals.
    c.w.R.A.A.W. W.M.S.A.P.A.W.J.C.E.H.A.H.K.T.V.C.C. Wa.D.S.J.A.A.O.L.W.I.E.M. W.M.B.G.R.l.o.L.B.W. W.B.D.Others
  • Page 170
    Table XIX.
    On Dec. 31st, 1937.New cases during the year.Cases discontinued.On Dec. 31st, 1938.
  • Page 170
    The amount of milk granted was '261,000 pints In 1937 it was 173,000 pints. Table XX.
    Supplied to Families.No. of Pints.Corporation Liability.
    £s.d.
  • Page 170
    The amount of dried milk granted free or at half-price was 14,108 packets. In 1937 it was 11,480 packets. Table XXI.
    No. of Packets.Corporation Liability.
    £s.d.
  • Page 171
    The following Table summarises the work done, and indicates the type of case referred.
  • Page 171
    Table XXII.
    Conditions for which referred.Males.Females.Total.
  • Page 173
    The following Table gives a summary of work accomplished, and shows a welcome rise in conservative measures, especially for pre-school children: —
    Expectant.Nursing.Young Children.Total.
    1938.1937.
  • Page 176
    A grant of £500 was ma.de by the Council to the Association for this work in 1938. The year is the financial year.
    Children under 5 sent to Homes.Total number of weeks.Cost.Cost of other forms of Convalescence.
    £s.d.£s.d.
  • Page 177
    T able XXIII.
  • Page 178
    Condition on discharge.
    0—45—89—12Over 12Total
    M.F.M.F.M.F.M.F.M.F.
  • Page 178
    T able XXIV. FOSTER CHILDREN.
    No. as at Dec. 31st 1937Notice of Reception of Children during the yearNotice of removal to—Children AdoptedDiedChildren reaching age of 9No. as at Dec. 31st 1938
    ParentAnother area with Foster ParentAnother Foster MotherPublic Institution
  • Page 178
    T able XXV. FOSTER MOTHERS.
    No. as at December 31st 1937Applications for Registration during the year.Removals during the yearRegistratior cancelled for other reasonsNo. as at December 31st 1938
    With ChildWithout child
  • Page 186
    Table I. Summary of Cases Attending the Orthopadic Clinic.
    Jan. 1st, 1938.New Cases, 1938.Cases Discharged, 1938.Cases on books, Dec. 31st, 1938.
    M.C.W.S.M.S.Tuberc.M.C.W.S.M.S.T uberc.M.C.W.S.M.S.T uberc.M.C.W.S.M.S.T uberc
  • Page 187
    Table II. Cases Seen by the Orthopaedic Surgeon.
    Defect.School.M.C.W.Tuberculosis.Total.
    Cases.Visits paid.Cases.Visits paid.Cases.Visits paid.Cases.Visits paid
  • Page 188
    T able III. Cases referred from Orthopaedic Clinic for Remedial Treatment and X-Ray at Croydon General Hospital.
    tsSchool CaseM.C.W CastsTuberculosis CasesTotal
    CasesNo. of TreatmentsX-RaysCasesno. of TreatmentsX-RaysCasesNo. of Treat mentsX-RaysCasesNo. of TreatmentsX-Rays
  • Page 188
    T able IV. Cases Sent to Residential Institutions.
    of InstitutionSchool CasesM.C.W. CasesTuberculosis Case*TotalNo. in on Jan. 1st. 1939.
    No. in on Jan. 1st, 1938AdmittedDischargedNo. in on Jan. 1st, 1938.AdmittedDischarged,No. in on Jan. 1st, 1938.AdmittedDischargedNo. in on Jan. 1st, 1938-AdmittedDischarged
  • Page 189
    Table V. Conditions for which Patients were admitted to Hospitals and the results of treatments.
    Condition.In on Jan. 1st, 1938.AdmittedDischargedDied.In on Jan. 1st, 1939.
    Cured.Much ImprovedImprovedI.S.q.
  • Page 190
    The Table below gives a summary of the traffic during the year.
  • Page 191
    The following Table gives a summary of the attendances made:— Table I.
    Department.No. of Cases.Aggregate duration of treatment in weeks.Aggregate No. of Sessions Attended.No. of Patients discharged.No. continuing treatment end of 1938
  • Page 191
    The Table under gives the complaints treated and the results achieved in completed cases. Eighteen ceased attending before completion of treatment, and three cases left the Borough.
    Condition.School Cases.M. & C. W. Cases.T.B. Cases.Total Completed Cases.
    Much Improved.Improved.Slight Imp.I.S.Q.Much Improved.Improved.Slight Impt.I.S.Q.Much Improved.Improved.Slight Impt.I.S.Q.
  • Page 192
    Continued from previous page...
    Much Improved.Improved.Slight Impr.I.S.Q.Ceased Attending.Total.
  • Page 194
    welfare of the blind—registration. As at 31/3/39. TABLE I.
    Age period 0—1Age period 1—5Age period 5—16Age period 16—21Age period 21—40Age period 40—50Age period 1 50—65Age period 65—70Age period 70 and over(i) Total of all age groups (ii) Age unknown
    MF.T.M.F.T.M.F.T.MF.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.
  • Page 194
    TABLE II.—AGES AT WHICH BLINDNESS OCCURRED. (The total of this Table should agree with the total of Table I.)
    Age period 0—1Age period 1—5Age period 5—10Age period 10—20Age period 20—30Age period 30—40Age period 40—50Age period 50—60Age period 60—70Age period 70 and oyerAge period Unknown
    M.F.T.M.F.T.M.F.t.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.
  • Page 194
    TABLE III.—Children of School Age, 5—16.
    NormalMentally DefectivePhysically Defective
    M.F.M.F.M.F.
  • Page 194
    TABLE IV.—Training and Employment. Age Period 16 and upwards.
    EmployedUndergoing Training.(b) Trained but unemployed(i) No training but trainable(j) Unemployable(k) Total
    By Blind Organisations(c) All others not included in (a) and (b)(d) Total Employed(e) Industrial(f) Secondary(g) Professional and University
    (a) Workshops(b) Home
  • Page 194
    TABLE Y.—Occupations of Employed Blind Persons included in (d) of Table IY.
    Agents, Collectors, &c.Basket WorkersBedding (including Divans & Ottomans) and UpholsteringBoot RepairersBraille Copyists and Proof ReadersBrush MakersCarpenters and WoodworkersChairseatersClerks and TypistsCoal Bag MakersDealers. Tea Agents, Newsagents, Shop-KeepersFirewood WorkersHardenersHawkers. News-vendors, &c.Home TeachersKnittersLabourersMassageMat MakersMinisters of ReligionMusicians and Music TeachersNetting MakersPorters, Packers, CleanersPoultry FarmersSchool TeachersShips Fender (Fendoff) MakersTelephone OperatorsTunersWeaversMiscellaneousTotal
    Mattrees MakersMachinistsUpholsterersHandMachine
  • Page 194
    TABLE YI.— Physically and Mentally Defective (including those given in Table III.)
    (a) Mentally Defective.(b) Physically Defective.(c) (i) Deaf (ii) Deaf-muteCombinations of (a) and (b)Combinations of (a) and (c)Combinations of (b) and (c)Combinations of (a), (b), (c)Total
  • Page 194
    TABLE VII.—Unemployable persons resident in Homes for the Blind, Mental Hospitals or Poor Law Institutions.
    Homes for the BlindMental HospitalsPoor Law Institutions
  • Page 205
    Table I. FACTORIES.
    1. Inspections.
    Premises.Number ot
    Inspections.Written Notices.Prosecutions.
  • Page 205
    Table II.
    Particulars.No of Defects.Referred to H.M. Inspector.Prosecutions.
    Found.Remedied.
  • Page 207
    Table III. NATURE OF EMPLOYMENT OF WORKERS ON THE REGISTER, 31st DECEMBER, 1937.
    Nature of Work.Number employed.Oulwork in infected premises.Outwork in unsalisfaclory prem ses.Remarks.
  • Page 209
    The receipts and expenditure for the last ten years are as follows :—
    Receipts.Expenditure.
    £s.d.£s.d.
  • Page 209
    Table IV. The following Table gives the situation of and the accommodation in the common lodging houses :—
    Premises.No. of Rooms.Accommodation.
  • Page 210
    T able V. The following Table gives the situation of these premises :—
    No. of Houses
  • Page 215
    TABLE VI.
    Premises.No. of Visits made.No. of Poison and other baits laid.No. of Rats Killed.
  • Page 217
    The following table shows the premises in the Borough at which foodstuffs are known to be sold, manufactured or stored:—
  • Page 218
    Table VII. The following animals were slaughtered at the I 'ubli Slaughterhouses during 1938:—
    Pitlake.
    Public SlaughterhousesCattle-Sheep.Pigs-Calves.Total.
  • Page 219
    Table VIII. The number of animals slaughtered in the Private Slaughterhouses during the year was:—
    CattleSheep.Pigs.Caves.Total.
  • Page 219
    The following meat and offal from Private Slaughterhouses was surrendered and destroyed during 1938:—
    Description.Cause.
  • Page 219
    Table IX. Total number of animals slaughtered for human consumption in the Borough during 1938:—
    Cattle.Sheep.Pigs.Calves.Total.
  • Page 220
    Table X. Summary of whole carcases destroyed with the reasons for such destruction.
    Class of Animal.Tuberculosis.Emaciated and Dropsical.Inflammatory Conditions.Immaturity, etc.Swine Fever.Acute swine erysipelasJaundicet Total carcases.
  • Page 220
    Table XI. Carcases Inspected and Condemned.
    Cattle.Calves.Sheep and Lambs.Pigs.
  • Page 221
    General Food Inspection. The following table gives a summary of the inspections made during the year (not including visits made to slaughterhouses or dairies, cowsheds and milkshops):—
  • Page 221
    The following articles of food were surrendered and destroyed during 1938 : —
    104 beef parts and trimmings(Imported)Unsound
  • Page 222
    Table XII. General Summary of Meat and other articles destroyed during the year 1938.
    ARTICLES.Weight in lbs.Remarks.
    Diseased.Unsound.Total.
  • Page 224
    The following statement shows the number of Cowkeepers, Cowsheds, Dairies and Purveyors of Milk premises on the register:—
  • Page 225
    Milk (Special Designations) Order, 1936. The following licences were granted during the year under this Order:—
    Description of Licences.No.
  • Page 226
    Table XIII.
    TUBERCULIN TESTED (Licences granted under the Milk (Special Designations) Order, 1936).Present.Absent.Present in 1/100 m.l.Absent.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied test.
  • Page 226
    Table XIV.
    ACCREDITED MILK (Licences granted under the Milk (Special Designations) Order, 1936).Present.Absent.Present in 1/100 m.l.Absent.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.i Satisfied.Not satisfied.
  • Page 227
    Table XV.
    PASTEURISED MILK (Licences granted under the Milk (Special Designations) Order, 1936).Present.Absent.Over 100,000 per m.l.Under 100,000 per m .l.Present.Absent.Present.Absent.Present.Absent.
  • Page 227
    The above 172 Pasteurised Milk Samples contained bacteria per m.l. as follows :—
  • Page 228
    Table XVI.
    ORDINARY MILKPresent.Absent.Over 100,000 per m.l. Under 100.000 per m.l.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied.Not Satisfied
  • Page 229
    The 288 samples of Ordinary Milk contained total bacteria per m.l. as follows:—
  • Page 230
    Table XVII.
    Areas.No. obtained.No. Tuberculous.
  • Page 231
    Table XVIII.
    Samples ofTotal SamplesGenuine.Not Genuine.Prosecutions.ConvictionCautions.
  • Page 232
    T able XVIII. (Continued).
    Samples ofTotal Samples.Genuine.Not Genuine.Prosecutions.Convictions.Cautions.
  • Page 233
    2. Result of Analysis of New Milk Samples.
    SOLIDS NOT FAT* (Legal standard is 8.5%).
  • Page 233
    The Samples of Milk for analysis were obtained as follows : —
  • Page 233
    The following is a detailed statement of the adulterated samples and action taken:—
    No.Sample.Adulteration or Deficiency.Remarks.
  • Page 234
    Continued from previous page...
    No.Sample.Adulteration or Deficiency.Remarks.
  • Page 236
    The following are the details of the samples taken from the Open Air Swimming Pool, Purley Way, Croydon, and submitted for bacteriological examination to the Borough Pathologist : —
    Date taken.Time taken. P.M.Temp, of water. Degrees FAHR.No. of bather? during the day up to time of samplingWeather Conditions.Remarks.Result.
  • Page 237
    The following are the details of the samples taken from the Open Air Swimming Pool, Purley Way, Croydon, and submitted for bacteriological examination to the Borough Pathologist— (continued)—
    Date taken.Time taken. P.M.Temp, of water. Degrees FAHR.No. of bathers during the day up to time of samplingWeather Conditions.Remarks.Result.
  • Page 238
    The following are the details of the samples taken from the Open Air Swimming Pool, Purley Way, Croydon, and submitted for bacteriological examination o the Borough Pathologist— (continued) —
    Date taken.Time taken. P.M.Temp, of water. Degrees FAHR.No. of bathers during the day up to time of samplingWeather Conditions.Remarks.Result.
  • Page 239
    The following are the details of the samples taken from the Open Air Swimming Pool, Purley Way, Croydon, and submitted for bacteriological examination to the Borough Pathologist—(continued)—
    Date taken.Time taken. P.M.Temp, of water. Degrees FAHR.No. of bathers during the day up to time of samplingWeather Conditions.Remarks.Result.
  • Page 241
    SCHOOL CLINICS.
    Name.Purpose.Where held.Times.
  • Page 245
    Sanitary Accommodation.
    School.Approx. No. of scholarsNo. of W.C.sType of closet.Urinal space.No. of wash basinsNo. of towels in use at time of insp.No. of towels used ea. wk.
  • Page 246
    Sanitary Accommodation.
    School.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basinsNo. of towels in use at time of insp.No of towels used ea. wk.
  • Page 247
    Sanitary Accommodation.
    School.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basinsNo.of towels in use at time of insp.No. of towels used ea. wk.
  • Page 248
    Sanitary Accommodation.
    School.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basin:No. of towels in use at time of insp.No. of towels used ea. wk.
  • Page 249
    Sanitary Accommodation.
    School.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basinsNo. of towels in use at time of insp.No. Of towels used ea. wk.
  • Page 250
    Continued from previous page...
    School.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basinsNo. of towels in use at time of insp.No. of towels used ea. wk.
  • Page 251
    school.Approx. No. of scholars.No. of W.C.sType of closet.Urinal space.No. of wash basinsNo.of towels in use at time of insp.No. of towels used ea. wk.
  • Page 252
    Table 1.
    No. of Departments.Average number on the Registers.Average attendance.Average attendance per cent.
  • Page 254
    Table II.
    Entrants.Intermediate.Leavers.Other Ages.
    Number Exmnd.Parents Present.Number Exmnd.Parents Present.Number Exmnd.Parents Present.Number Exmnd.Parents Present.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 254
    PERCENTAGE OF PARENTS PRESENT AT MEDICAL INSPECTIONS.
  • Page 256
    Table III. HEIGHTS AND WEIGHTS. 1938.
    BOYS.GIRLS.
    Year of Birth.Number Examined.Average Height in inches.Average Weight in lbs.Average maximum Height in inches.Average maximum Weight in lbs.Average minimum Height in inches.Average minimum Weight in lbs.Number Examined.Average Height in inches.Average Weight in lbs.Average maximum Height in inches.Average maximum Weight in lbs.Average minimum Height in inches.Average minimum Weight in lbs.
  • Page 257
    RANGE OF VARIATION.
    Height. inches.Weight. pounds.
  • Page 259
    Table IV. Summary.
    Group.* Nose and Throat Defects.Enlarged Glands.
    Boys.Girls.Boys.Girls.
  • Page 261
    Table V.
    Extent of Defect.Intermediate.Leavers.Total.
    Boys.Girls.Boys.Girls.Boys.Girls.
    No.%No.%No.%No.%%%
  • Page 261
    Table VI. TEETH.
    Entrants.Intermediate.Leavers.
    Boys.Girls.Boys.Girls.Boys.Girls.
    No.%No.%No.%No.%No.%No.%
  • Page 262
    Table VII. SUMMARY OF THE FINDINGS AT ROUTINE EXAMINATIONS. (Percentages.)
    Condition.Entrants.Intermediate.Leavers.Other Ages.All Groups.
    BoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirls
  • Page 263
    Table VIII.
    School.Intermediates.Leavers.School.Intermediates.Leavers.
    BoysGirlsBoysGirlsBoysGirlsBoysGirls
  • Page 264
    Table IX. Return of Defects Found in the Course of Medical Inspection, 1938.
    Defects.Boys.Girls
    No. requiring Treatment.No. referred for Observation.Percentage of total Examined.No. requiring Treatment.No. referred for Observation.Percentage of total Examined.
  • Page 265
    Table X. CHILDREN EXAMINED AT ROUTINE INSPECTIONS AND FOUND TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DEFECTS).
    Group.No. of Children Inspected.No. referred for treatment.Percentage referred for treatment.Corresponding percentage for 1937.
  • Page 266
    TABLE XI. CHIEF CAUSES OF EXCLUSIONS FROM SCHOOL.
    Condition.Exclusions during 1938.Percentage of total exclusions.Exclusions during 1937.Percentage of total exclusions.
  • Page 267
    Table XII. CONDITIONS NOTIFIED BY TEACHERS AND SCHOOL ENQUIRY OFFICERS.
    Name of School.School Population.Measles.Whooping Cough.Chicken Pox.Mumps.Scabies.Impetigo.Sore Throats.Ringworm (Body).Ringworm (Scalp).Indefinite Sickness.111. Not InfectiousConjunctivitis.Scarlet Fever.Diphtheria.Ac. Primary Pneumonia.Percentage incidence of Infectious Diseases in Schools.
  • Page 269
    The following Table summarises the visits paid, etc., in connection with these duties:—
  • Page 269
    Home Visits.
  • Page 270
    Table XIII. Summary of Attendances.
    1938.1937.Increase or Decrease.
  • Page 271
    Table XIV.
    19381937.
    Complaint.Cases.Attendances.Average No. of Attendances. per case.Cases.Attendances.Average No. of Attendances. per case.
  • Page 272
    Table XV.
    Number of defects dealt with.Spectacles prescribed.Spectacles obtained.
    Under the Authority's Scheme.Submitted to refraction by private practitioner or Hospital apart from the Authority's scheme.Otherwise.Total.Under the Authority's Scheme.Otherwise.Under the Authority's Scheme.Otherwise.
  • Page 273
    Table XVI. Spinal and Other Remedial Clinics.
    1938.1937.
    Attendances. Sessions.Av. att.Attendances.Sessions.Av. att.
  • Page 273
    St. Giles' School, Addington.
  • Page 278
    Scholarship children are treated at all the clinics and the following is a summary of the work:—
  • Page 280
    DENTAL DEFECTS.
    (1) Number of children who were—Year 1937.
  • Page 281
    Continued from previous page...
  • Page 282
    These 120 cases were classified into three main groups:—
    1938.1937.
  • Page 285
    Table XVII. Cases Examined at Rheumatism Clinic.
    1936.1937.1938.
  • Page 285
    Classification of Rheumatic Cases-
    Primary.Re-examination.
  • Page 285
    Age when Examined—
  • Page 286
    Grouping of Cases (Classification of Dr. R. Miller).
    1937.1938.
  • Page 286
    The "Definite and Active Group" included, besides cases of frank rheumatic carditis, those with marked physical signs of Rheumatic Fever or Chorea.
    Group IV.—Rheumatic manifestations.Total: 76 cases.
  • Page 289
    SUMMARY OF CASES REFERRED TO CHILD GUIDANCE CLINICS DURING 1938.
    No.M.Age.Why referred.By whom referred.Where referred.Action taken and result of treatment.
    F.
  • Page 291
    The number of children that can attend each class at any given time is limited as each child has to be dealt with individually.
    Cured.Improved.Ceased Attendance non-co-operation.Referred psych. trt.Temporarily discharged.Still Attending.
  • Page 292
    SCHOOL CAMPS AT PILGRIM FORT, CATERHAM. The following schools sent parties, each of which was under the care of two teachers:—
    No. of Children.
  • Page 293
    The following numbers of children were examined by the medical officers during 1938 as to their fitness to follow the part-time employment indicated.
    19381937.19361935.1934.
  • Page 302
    SECONDARY SCHOOLS. HEIGHTS AND WEIGHTS. 1938.
    Year of Birth.Number Examined.Average Height in inches.Average Weight in lbs.Average maximum Height in inches.Average maximum Weight in lbs.Average minimum Height in inches.Average minimum Weight in lbs.Number ExaminedAverage Height in inches.Average Weight in lbs.Average maximum Height in inches.Average maximum Weight in lbs.Average minimum Height in inches.Average minimum Weight in lbs.
  • Page 303
    Table I.
    YearYear
    1938.1937.
  • Page 303
    C.—Children Found to Require Treatment. Number of individual children found at Routine Medical Inspection to require treatment (excluding Nutrition, Uncleanliness and Dental Diseases).
    Group.For Defective Vision (excluding squint).For all other conditions recorded in Table 11 a.Total.Total 1937.
  • Page 304
    TABLE II. A.— Return of D efects found by M edical Inspection in the Year ended 31st D ecember, 1938.
    defect or disease. (1)Routine Inspections. No. of Defects.Special Inspections. No. of Defects.
    Requiring Treatment. (2)Requiring to be kept under observation, but not requiring Treatment. (3)Requiring Treatment. (4)Requiring to be kept under observation, but not requiring Treatment. (5)
  • Page 305
    Continued from previous page...
    DEFECT OR DISEASE. (1)Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    Requiring Treatment. (2)Requiring to be kept under observation, but not requiring Treatment. (3)Requiring Treatment. (4)Requiring to be kept under observation, but not requiring Treatment. (5)
  • Page 305
    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 306
    TABLE III. Return of all Exceptional Children in the Area.
    At Certified Schools for the Blind.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 306
    PARTIALLY BLIND CHILDREN. Only children who, though they cannot read ordinary school books or cannot read them without injury to their eyesight, have such power of vision that they can appropriately be taught in a school for the partially blind are included. Children who are able by means of suitable glasses to read the ordinary school books used by children without fatigue or injury to their vision are not included in this Table.
    At Certified Schools for the Blind.At Certified Schools for the Partially Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 306
    DEAF CHILDREN. Only children who are so deaf that they can only be appropriately taught in a school for the deaf are included.
    At Certified Schools for the Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 306
    PARTIALLY DEAF CHILDREN. Only children who can appropriately be taught in a school for the partially deaf are included.
    At Certified Schools for the Deaf and Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 307
    MENTALLY DEFECTIVE CHILDREN. Feeble-Minded Children. Mentally Defective children are children who, not being imbecile and not being merely lull or backward, are incapable by reason of mental defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools but are not incapable by reason of that defect of receiving benefit from instruction in Special Schools for mentally defective children This category includes only those children for whose education and maintenance the Local Education Authority are responsible, and excludes all children who have been notified to the Local Authority under the Mental Deficiency Act.
    At Certified Schools for Mentally Defective Children.At Public Elementary Schools.At Private Schools.At no School or Institution.Total.
  • Page 307
    EPILEPTIC CHILDREN. Children Suffering from Severe E pilepsy. Only children are included who are epileptic within the meaning of the Act, i.e., children who, not being idiots or imbeciles, are unfit by reason of severe epilepsy to attend the ordinary Public Elementary Schools.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 307
    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.Total.
  • Page 308
    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.Total.
  • Page 308
    B. Delicate Children. This Section is confined to children (except those included in other groups) whose general health renders it desirable that they should be specially selected for admission to an Open Air School.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
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    C. Crippled Children. This Section is confined to children (other than those diagnosed as tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling sufficiencly severe to interfere materially with a child's normal mode of life, i.e., children who generally speaking are unable to take part, in any complete sense, in physical exercises or games or such activities of the School curriculum as gardening or forms of handwork usually engaged in by other children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
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    D. Children with Heart Disease. This Section is confined to children whose defect is so severe as to necessitate the provision of educational facilities other than those of the Public Elementary School.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
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    Children Suffering from Multiple Defects.
    Combination of Defect.At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At No School or Institution.Total.
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    TABLE IV. Treatment Tables.
    Disease or Defect. (1)Number of Defects treated, or under treatment during the year.
    Under the Authority's Scheme. (2)Otherwise. (3)Total. (4)
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    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.Total.
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    Group III.—Treatment of Defects of Nose and Throat. number of defects.
    Received Operative Treatment.Received other forms of Treatment. (4)Total number treated. (5)
    Under the Authority's Scheme, in Clinic or Hospital. (1)By Private Practitioner or Hospital; part from the Authority's Scheme. (2)Total. (3)
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    GROUP IV.—Orthopaedic and Postural Defects.
    Under the Authority's Scheme.Total number treated.
    Residential treatment with education. (i)Residential treatment without education. (ii)Non-residential treatment at an orthopaedic clinic. (iii)
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    TABLE V.—Dental Inspection and Treatment.
    (1) Number of children inspected by the Dentist—
    (a) Routine age-groups:
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    TABLE VI.—Uncleanliness and Verminous Conditions.
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    SECONDARY SCHOOLS. Year ended 31st December, 1938. Table I. RETURN OF MEDICAL INSPECTIONS.
    Year 1938.Year 1937.
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    TABLE II.—A.—Return of Defects Found by M edical I nspection in the Year Ended 31st December, 1938
    DEFECT OR DISEASE. (1)Routine Inspections. Number of defects.Special Inspections Number of defects.
    Requiring treatment. (2)Requiring to be kept under observation but not requiring treatment. (3)Requiring treatment. (4)Requiring to be kept under observation but not requiring treatment (5)