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11
"So many people are afraid to let children out to play in the
evenings."
Nutritional Surveys.—Following the receipt of Circular 1443
(issued in December, 1935, by the Board of Education), your
Committee decided that nutritional surveys should be carried out
at the conclusion of medical inspection in each Department.
The following instructions were issued to the Medical Inspectors,
and the scheme became operative early in January, 1936:—
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 should 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-examined (and re-classified
if necessary) at each subsequent re-inspection. Removal from the
"Official" milk list will only be effected at such re-inspections.
Tf no classification has already been entered on the existing
cards, this should be done.