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weekly at Mattock Lane Centre, so that although the surgeon has
not attended so frequently massage and remedial exercises have
been carried out.
Diphtheria Immunization was resumed at the beginning of
December, two sessions being devoted to this work weekly at
Ravenor Park, Greenford Green and Mattock Lane Centres and
one at Islips Manor Centre.
While the Health Centres were being used as First Aid Posts
the Minor Ailment Clinics were carried on in those schools which
were open and the School Nurses visited the schools once or twice
a week depending upon the number of children attending. A
Medical Officer accompanied them on these occasions and with the
co-operation of the Head-teacher they carried out routine medical
inspection as far as possible and also searched for children whose
physical condition appeared to be under normal.
At the beginning of the war school medical work was handicapped
by the employment of some of the School Nurses at First
Aid Posts, by the undesirability of asking children to attend by
themselves at the Health Centres far from their homes and by the
evacuation of a large number of children from the district and the
closure of some of the schools. These nurses have now been
replaced by fully trained nurses at the First Aid Posts and have
returned to their normal duties. One of the School Nurses was
transferred to Buckinghamshire to assist the Buckinghamshire
County Medical Officer to look after the Ealing children who were
evacuated there.
In addition to the routine work there was a considerable
amount of work in connection with the Evacuation Scheme. All
children registered for evacuation were medically examined as
soon as possible after registration and were subsequently kept under
constant supervision until they were evacuated.
Since February, 1940, a systematic survey of all the children
in the schools has been conducted in order to find whether the
health of any of the children has deteriorated. The procedure
followed is to survey a class and to select any children who do not
appear robust and to refer them for a thorough examination at
which enquiries are made regarding illnesses, hours of sleep, the
financial position of the family and the need for milk which is