View report page

78
Enlarged Tonsils.—1 whose tonsils had been enlarged at the first medical inspection had had them
removed as advised, while another was having the operation when he was older. The slight enlargement
which had been noted in 3 cases at their first medical inspection had subsided, and the children
appeared in good health. 2 were found to be slightly enlarged, and will be re.examined in 6 months.
Bony Affections.—There were 5 cases of Genu Valgum, all of which had been found at the
previous medical inspection. 1 had been treated at the Orthopaedic Department, and had improved.
1 had been associated with general debility, and had improved along with the child's general condition
which had been treated. The 3 remaining cases, noted to be slight at the first medical inspection, had
improved.
Cardiac Conditions.—2 cases were found. 1 was a functional apical bruit associated with
Enlarged Tonsils and Debility. The second was associated with Enlarged Tonsils and a history of
pneumonia.
Skin Conditions.—1 child had a naevus which has been since treated at Paddington Green
Children's Hospital. Another child had Impetigo which has cleared up under treatment at the
Health Centre.
Respiratory Conditions.—2 children suffering from Bronchial Catarrh were found. Both had
also Enlarged Tonsils and some degree of Genu Valgum, which in 1 case had been treated.
General Debility.—2 children who were found to be suffering from General Debility at their
first medical inspection, were found to have improved very much.
Dental Caries.—6 of the children who had their first medical inspection were found to have
defective teeth, all of whom had enlarged tonsils as well. 3 at the second medical inspection were
found to have defective teeth, 2 in association with Enlarged Tonsils.
Nutrition.
Group A.—In 2 of this group the nutrition was considered above the normal. In 12 the nutrition
was normal. In 7 the nutrition was subnormal. Of the latter 2 had Enlarged Tonsils; 1 suffered
from Chronic Bronchial Catarrh; 1 had defective teeth and Enlarged Tonsils; 1 had Rickets; 1 had
Dental Caries.
Group B.—4 of this group whose nutrition had been noted as normal at the first medical
inspection had satisfactorily gained in weight and height. 5 of this group whose nutrition had been
noted as sub.normal at the first medical inspection one year previous, had now attained the normal
standard. This testifies to the benefit in health gained by these children through attending the
Nursery Classes.
Cleanliness.—The standard of cleanliness of hair, skin and clothing was considered to be even
higher than last year. Again no child out of the 136 examined by the Health Visitor was excluded,
and no Cleansing Notices were served on parents.
Infectious Diseases.—The Incidence of Infectious Diseases was notably low, and is as follows :—
(1) There were 4 cases of Diphtheria. The first case occurred in March and the remaining
3 practically simultaneously in May. All were moderate in type, and were admitted
to the Willesden Municipal Hospital 1 only developed a complication, viz.: Nephritis.
1 was noted to have Enlarged Tonsils and Adenoids, and was referred to the Council's
Laryngologist.
(2) There were 2 cases of Measles, 1 of which occurred in March, and 1 in July. They were
mild and uncomplicated, and treated by private medical practitioners.
(3) There was 1 case of Chicken Pox.
(4) There was 1 case of Whooping Cough which was mild in type.
(5) In addition there were 2 cases of Pneumonia, both of whom were admitted to the Central
Middlesex County Hospital. 1 occurred in March and the other in November, and both
made a good recovery.
Nursery Classes were started in October, 1934, at the following Schools: Bridge Road, Carlton
Vale, Kensal Rise, Chamberlayne Wood Road, Braintcroft and Dudden Hill Infants.
Medical inspections do not commence until February, 1935.
These Classes have been visited frequently by the School Medical Officers who report, that all
arrangements made were being carried out in an entirely satisfactory manner.
No child has been specially referred either by the Head teachers or Health Visitors to the
School Medical Officers since the opening of these classes.