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70
THE SECOND ANNUAL REPORT ON
NURSERY CLASSES
for the
Year ending 31st December, 1932.
LOWER PLACE NURSERY CLASSES.
Since the 1st Report on the Nursery Classes in Lower Place School was submitted, 24 out of
the 39 children, the results of whose medical examination appeared in it, have proceeded to the
Infant School. In the interval between the publication of the report and their transference to this
department, 6 had dental treatment at the Health Centre for defective teeth found at the Medical
Inspection ; in addition 3 of these, as well as 3 others, who were noted to have Enlarged Tonsils
had tonsillectomy at the Willseden General Hospital under the Council Scheme; while 6 were reexamined
for the defects scheduled, viz.:
(a) Spinal Curvature.—3 were re-examined for Spinal Curvature. The 1st, who had had a
slight degree of Round Shoulders caused by general debility, had improved so much that no curvature
was detected, and he was removed from observation. The 2nd was a case of Postural Kypho-lordosis
which had been examined at the Health Centre by the Orthopaedic Surgeon, and treatment recommended
there. The mother, however, was unable to attend, so arrangements have been made for
him to have special exercises at school. Improvement was noted, and he was entered up for reexamination
in 6 months. The 3rd, who had Round Shoulders and faulty posture, had been referred
to the Orthopaedic Surgeon, but the mother had found it impossible to keep the appointment in the
meantime. The condition was much less noticeable, and he was put down to be called up again in
6 months.
(b) Enlarged Tonsils.—2 were re-examined for Enlarged Tonsils. In 1, an anaemic child, the
enlargement, which had been slight, had subsided as his health improved. In the other, the condition
did not call for any immediate treatment, and he will be re-examined in the Infant School.
(c) General Debility.—1 was a case of Debility associated with a functional apical systolic
bruit. Though the murmur was still audible, his health was much better, and he will be kept under
observation in the Infant Department.
Three of the 39 children included in last year's report have since left the Nursery Classes, their parents
having moved out of the district. Before leaving, however, 1 with slightly Enlarged Tonsils had
dental treatment at the Health Centre as advised; while another, who had been considered prerheumatic,
had been followed up 3 months later by the Health Visitor in the home, and had been found
much improved generally, the mother reporting that the child was eating and sleeping better. A
3rd who had had Sub-acute Rheumatism, for which he was attending hospital as an out-patient, had
left shortly after he was examined. Another child had left whose parents had gone to live in Marylebone.
They have now returned to Willesden, and she has been re-admitted to the Nursery Class
after an absence of 6 months.
Therefore, only 12 of the original batch under consideration remain in the Nursery School.
Since they were medically examined last year
One who was put under observation for Enlarged Tonsils, has been re-examined, and
no further enlargement detected. Another has had dental treatment.
Four have had their 2nd Routine Medical Inspection according to the scheme in force.
2 of these were between 3 and 4 years of age, and 2 between 4 and 5 years of age.
Three parents attended.
Cleanliness of hair, skin and clothing was again noted in all 4 children.
All had made a very satisfactory gain in height and weight. In 2, no defect had been found at the
1st Routine Medical Inspection. In both the tonsils had become enlarged, but not sufficiently to
cause any symptoms. They will be seen again in 6 months. 1 had, in addition, developed dental
caries, and subsequently attended the Health Centre for treatment. In the remaining 2 the tonsils
had been noted to be slightly enlarged at the 1st Medical Inspection. 1 had since suffered from
Otorrhcea and Bronchial Catarrh, so he was referred to the Council's Otologist, who recommended
tonsillectomy. This the parents wish to postpone until the child is older. The Impetigo, which he
had, quickly cleared up under treatment. The 4th had developed Knock-knee. Long outside
splints are being worn at night, and the soles and heels of the shoes have been wedged as advised by
the Orthopaedic Surgeon at the Health Centre where he is attending.