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

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Walthamstow 1935

[Report of the Medical Officer of Health for Walthamstow]

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12
The following instructions were issued to the Medical
Inspectors, and the scheme became operative early in January,
1936:—
The Committee has decided that ad hoc nutrition surveys
are to be carried out by the Medical Inspectors at the conclusion
of the medical inspection of each Department, in the
following manner:—
1. The Medical Inspector shall visit each class and pick
out for detailed examination on the basis laid down in the
Board's Administrative Memorandum 124, any child suspected
of falling into classification 'C' or 'D' (i.e., slightly
subnormal or bad).
The opinion of the class teachers should be invited so as
to indicate any other child who may be "unable by reason of
lack of food to take full advantage of the education provided."
Such children should also be examined in detail.
The opinion of the Head Teacher should similarly be invited
to ensure that no child shall be missed. Absentees at the
time of the survey are already adequately covered by the
authority given to the Head Teacher to authorise the provisional
grant of milk. In addition, any doubtful cases can
be referred to the School Clinics.
2. Medical Inspectors shall then examine the child
stripped to the waist (unless already examined at the concurrent
routine medical inspection), and shall classify the
nutritional condition as "A," "B," "C" or "D" along the
lines detailed.
The findings are to be entered on the classification form,
and the names of children for whom milk is recommended
are to be noted, together with the appropriate classification.
Following the completion of the Survey, the Head Teacher
is to be asked to indicate those children already in receipt of
either "Official" or "Voluntary" milk, and the appropriate
entry made against the child's name on the sheet provided.
The classification forms and the list of names are to be
handed in to the Office with the records of the medical
inspection.
3. Nutrition record cards will then be made out, and
the height and weight will be entered on the card. All
children for whom such cards are made out will be re-