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

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Erith 1919

[Report of the Medical Officer of Health for Erith]

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7
Entrants are not examined for eyesight defects unless
specially brought forward for some obvious defect.
Every child who had one or more defective teeth is included,
special attention being devoted to the possible
preservation of slightly decayed teeth.
Many cases of enlarged tonsils are kept on observation
for possible increase, although not sufficiently
pronounced as to require surgical interference.
Other diseases include skin affections and heart and
lung affections.
Cleanliness of Head and Body.
The same difficulty meets us every year in trying
to keep down these conditions. It takes an immense
amount of effort on the nurse's part to watch over these
young people and to induce their parents to spend a
little time over keeping the children's heads clean.
There is a great objection to having the girls' hair worn
short. If this were done we should not have so much
trouble with vermin in them.
We are constantly meeting the same children time
after time. No sooner do we get them clear of these
pests than after a few months or even weeks they return
as bad as ever through sheer want of attention.
Suffering from this condition there were 106 children,
a percentage of 4.9 of the total number examined
at the Routine Inspection.
The School Nurse spends as much time as she
possibly can spare from her Clinic duties and has paid
during the year 270 visits to the schools, taking them
in rotation. She examined 10,036 children for cleanliness
of head and person, and reported to me at the
Clinic 106 as affected with vermin present in the head.
These I excluded till clean. Letters of remonstrance
are sent to the parents. Directions are sent and also
given personally by the Nurse and remedies to destroy
live vermin and make the child fit to associate with
other clean children.