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

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Willesden 1935

[Report of the Medical Officer of Health for Willesden]

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44
Physically Defective Children.—Physically Defective children are children who, by reason
of physical defect, are incapable of receiving proper benefit from the instruction in the ordinary
Public Elementary Schools, but are not incapable by reason of that defect of receiving benefit from
instruction in Special Schools for physically defective children.
The exact classification of physically defective children is admittedly a matter of difficulty
Defective children are recorded below as accurately as possible under the selected sub-headings.
(a) Tuberculous Children.—In this category are placed only cases diagnosed as tuberculous
and requiring treatment for tuberculosis at a sanatorium, a dispensary, or elsewhere. Children
suffering from crippling due to tuberculosis which is regarded as being no longer in need of treatment
are recorded as crippled children, the degree of crippling being such as to interfere materially with
the child's normal mode of life. All other cases of tuberculosis regarded as being no longer in need
of treatment are recorded as delicate children.
(i.) Children Suffering from Pulmonary Tubercidosis. (Including pleura and intra-thoracic
glands.)
At Certified Special Schools —
At Public Elementary Schoolsf —
At other Institutions 3
At no School or Institution
Total 3
(ii.) Children Suffering from Non-pulmonary Tubercidosis. (This category should include
tuberculosis of all sites other than those shown in (i.) above.)
At Certified Special Schools 4
At Public Elementary Schoolsf —
At other Institutions 1
At no School or Institution 3
Total 8
† It is essential that tuberculous children who are, or may be, a source of infection to others
should be promptly excluded from Public Elementary Schools.
(b) Delicate Children.—This Section is confined to children (except those included in other
groups) whose general health renders it desirable that they should be specially selected for admission
to an Open Air School. Such children are included irrespective of the actual provision of Open Air
Schools in the area, or of the practicability in present circumstances of sending the children to
Residential Schools. At the same time children are not regarded as suitable for admission to an
Open Air School unless the Medical Officer certifies that they are incapable by reason of physical
defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools.
At Certified Special Schools 62
At Public Elementary Schools 323
At other Institutions —
At no School or Institution —
Total 385
(c) Crippled Children.—This Section is confined to children (other than those diagnosed as
tuberculous and in need of treatment for that disease) who are suffering from a degree of crippling
sufficiently severe to interfere materially with a child's normal mode of life, i.e., children who generally
speaking are unable to take part, in any complete sense, in physical exercises or games or such activities
of the School curriculum as gardening or forms of handwork usually engaged in by other children.
At Certified Special Schools 58
At Public Elementary Schools —
At other Institutions —
At no School or Institution 4
Total 62
(d) Children with Heart Disease.—This Section is confined to children whose defect is so severe
as to necessitate the provision of educational facilities other than those of the Public Elementary
School.
At Certified Special Schools 60
At Public Elementary Schools —
At other Institutions —
At no School or Institution 3
Total 63