Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Leyton]
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170
LEYTON URBAN DISTRICT COUNCIL.
Medical Inspection, under Sec. 13 of the Education (Ad. Prov.) Act, 1907.
School
MEDICAL SUMMARY SHEET.
No. of Card | CHILD'S NAME | Sex | Age (Years and 12ths) | Sunday School or other Classes | OCCUPATION OF PARENT | No. of Children in Family | Tuberculosis in Family | Age at which Child has suffered from | Vaccination Marks | Regularity of Attendance | PHYSICAL CONDITION. | Absent for Illness | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Measles | Whooping Cough | Chicken-Pox | Scarlet Fever | Diphtheria | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | No. of Days | Cause. | |||||||||||||||
Clothing and Foot Gear | Height | Weight | Nutrition | Cleanliness and Condition of Skin | Teeth | Nose and Throat | External Eye Disease | Vision | Ear Disease | Hearing | Speech | Mental Condition | Heart and Circulation | Lungs | Nervous System | Tuberculosis | Rickets | Deformities, Spinal Disease | Infectious or Contagious Disease | Other Disease or Defect | |||||||||||||||||||||||
Right | Left | Right | Left | ||||||||||||||||||||||||||||||||||||||||
(T) | (M) | (W) | (C) | (S) | (D) | ||||||||||||||||||||||||||||||||||||||
(T) | (M) | (W) | (C) | (S) | (D) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) | (15) | (16) | (17) | (18) | (19) | (20) | (21) | (22) | (23) | (24) | (25) | ||||||||||||||||
Average. | Number of Cases | ||||||||||||||||||||||||||||||||||||||||||
SUMMARY | Boys Examined | ||||||||||||||||||||||||||||||||||||||||||
Girls Examined |