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

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Dagenham 1963

[Report of the Medical Officer of Health for Dagenham]

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normal or good result in all but, say, hearing and speech, this would be a
good indication that this child is deaf. Similarly for the other groups.
Later that year I attended a course on the Ascertainment of Cerebral
Palsied Children at the Sheffield University, and at this I learnt a great
deal about the Cerebral Palsied Child. Their methods of assessment are now
used at the Kingsley Hall Day Centre for Handicapped Children.
The purpose of all this work is the early detection of deviation from
the normal in young children, be it physical, mental or emotional, and the
evolvement of a logical approach to their training and teaching.
Professor Illingworth warned that we must be humble in this work; the
practice is easy but training must be long and thorough, and we are only at
the beginning.
Below is a summary of the work carried out at the clinic, but this does
not include the first six months, for which no detailed records were kept
at the time. At this point I must acknowledge the great assistance given
by Miss Milbank, without whom this work would not have been possible. Apart
from her assistance at the clinic, she is responsible for all the clerical
work, which is quite considerable, the keeping of records, sending out
appointments, recalling of patients for review, etc. A good deal of this
work has been carried out in her own time. She recently attended an
audiology course in Manchester, and is making great use of the knowledge
gained there.

We have just completed our 300th new assessment since the keeping of detailed records, i.e. just over two years. These can be broken down into the following groups:-

0-28 weeks73
28 - 52 weeks54
1 year - 3 years106
3 years - 6 years64
6 years - 7 years3
300
Children seen more than once:
0-28 weeks8
28 - 52 weeks37
1 year - 3 years30
3 years - 6 years21
96

Defects found which require further observations-

Slight to moderate mental retardation12
Speech defects19
Emotional instability5
Poor manipulation1
Hearing defect2
Visual defect1
Physical development retardation5
Neurological defect1
46 i.e. 15%

These do not include the severely mentally handicapped children tested
for Kingsley Hall Day Centre, as these were included in that report.
Nine bright children with I.Q. of over 120 were found in this series.
41