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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Walthamstow 1938

[Report of the Medical Officer of Health for Walthamstow]

Published
1939
Pages
98
Tables
82

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82 tables in this report

  • Page 6
    School Hygiene and Accommodation. —The following table shows the number of schools in the Borough and the accommodation: Number of Schools and Accommodation. Seating Accommodation.
    Boys.Girls.Infts.Mxd. Boys.Girls.Infts.Mxd.
  • Page 9
    The following table gives a summary of the returns of medical inspection for the last two years:—
    1938.1937.
  • Page 9
    Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.
    Age Groups.No. of Children Inspected"A" Excellent."B" Normal."C" Slightly Subnormal."D" Bad.
    . No.%No.%No.%No.%
  • Page 9
    The findings may be shown comparatively as follows:—
    A and B.C.D.
  • Page 12
    The following table gives comparative figures for the past two years:—-
    1938.1937.
  • Page 12
    ( c ) Minor Ailments and Skin Defects. —The following is the number of skin diseases found during the year:—
    1938.1937.
  • Page 12
    ( d ) Visual Defects and External Eye Diseases. —The number of patients requiring treatment and observation was as follows:—
    1938.1937.
    Treatment.Observation .Treatment.Observation.
  • Page 13
    ( e ) Nose and Throat Defects. —The number of patients requiring treatment and observation was as follows:—
    1938.1937.
    Treatment.Observation .Treatment.Observation.
  • Page 13
    ( f) Ear Disease and Defective Hearing. —Patients requiring treatment:—
    1938.1937.
  • Page 13
    ( g ) Dental Defects.—
    Inspection.Requiring treatment.Per Cent.Actually treated.Fillings.Extractions .Gas Anaesthetic.Other Operations.
  • Page 13
    ( i ) Heart Disease and Rheumatism.— The findings were as follows:—
    1938.1937.
    Requiring Treatment.Observation.Requiring Treatment.Observation.
  • Page 14
    ( k ) Other Defects and Diseases. —The following table shows the numbers of various other defects which were found: —
    1938.1937.
    Requiring Treatment.Observation.Requiring Treatment.Observation.
  • Page 14
    6. FOLLOWING UP. The school nurses paid a total of 4,547 home visits during 1938. The visits are classified below:—
  • Page 15
    The following quantities of the tonics stated were supplied during 1938:—
    Cod Liver Oil.Parrish's Food.Syrup Lacto Phosphate.Cod Liver Oil and Malt.Cod Liver Oil and Parrish's Food.
  • Page 16
    The work done at the school clinics is shown in the table given below:-
    Number Excluded under Art. 20 B.Number not Excluded.Re-inspections.
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 16
    The attendances at Lloyd Park and Markhouse Road Clinics are summarised below:—
    First Inspections.Re-inspections.Total.Grand Total.
    Excluded.Not Excluded.
    Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 17
    "The following table shows the defects found in the new cases seen:—
    Defect.Under 7 years.7-11 years.Over 11 years.Secondary Schools.Total
    Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 17
    "The details of the group described as various are as follows:—
    Defects.Boys.Girls.
  • Page 18
    "The types of squints seen and treated are given in the next table:—
    Under 7 years.7-11 years.Over 11 years.Total.
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 19
    "Treatment lasts for 20-30 minutes twice weekly, and the course may take anything from three months to two years to complete, according to the type of squint.
  • Page 19
    The following table shows the number of cases treated:—
    Year.At Connaught Hospital.Privately.Total.
  • Page -
    TABLE A. ACUTE OTITIS MEDIA. (I) CHILDREN OVER 5.
    Diagnosis.Totals.Tonsils and Adenoids.Treatment.Result.
    Zinc lonisation.Antiseptic Treatment.Tonsils and Adenoids Conservative: Nasal: Diastolisation.Tonsils and Adenoids Operation.Cured.Improved.Still under Treatment or Observation.Left or Treatment Lapsed.Referred to Hospital for Operation.| Declined Treatment.
    abcdeFGhIjkl
    Acute Non-Suppurative Otitis Media196Operation before Clinic—4——6-----
    13No Operation—7-—13—————
    Acute Non-Suppurative Otitis Media with Nasal Conditions: Enlarged Tonsils and Adenoids61Operation before Clinic—1——1—————
    5No Operation—4312—12——
    Acute Suppurative Otitis Media449Operation before Clinic—9——8—1———
    *(5)35No Operation233——25—46——
    Acute Suppurative Otitis Media with Nasal Conditions: Enlarged Tonsils and Adenoids23Operation before Clinic----------
    23No Operation22112614—351—
    Totals9247915769—9131-
    (ii) CHILDREN UNDER 5,
    abcdefGhijkl
    Acute Non-Suppurative Otitis Media3Operation before Clinic----------
    3No Operation—3—-2——1——
    Acute Suppurative Otitis Media131Operation before Clinic—1--1—————
    *(2)12No Operation—12—-11——1——
    Acute Suppurative Otitis Media with Nasal Conditions: Enlarged Tonsils and Adenoids1Operation before Clinic----------
    1No Operation—1—-——1———
    Totals17—17—-14-12—-
    * The figures in brackets indicate the number of cases with Bi-lateral Otorrhoea.
  • Page -
    TABLE B. Chronic Suppurative Otitis Media.
    (Children over 5.) Chronic Tympanic Sepsis Complicated by:—Totals.Chronic Tympanic Sepsis Complicated by:-Tonsils and Adenoids.Treatment.Result.
    Granulations: Simple Polypii.Mastoid Disease.Enlarged Tonsils and Adenoids.Nasal Catarrh: Rhinitis: Sinusitis.External Otitis: Eczema.Primary (Ear)Collateral (Nose and Throat)Cured.Improved.Still under Treatment or Observation.Left or Lapsed Treatment.Referred to Hospital for Operation.Declined Treatment.
    Old Operation.No Operation.Zinc lonisation.Antiseptic Treatment or Cautery.Tonsils and Adenoids Conservative: Nasal: Diastolisation.Tonsils and Adenoids Operation.
    ABCDEFGHIJKLMNO
  • Page -
    TABLE C. nose and throat conditions. (I) CHILDREN OVER 5.
    Diagnosis. Primary.Total.Tonsils and Adenoids.Secondary Conditions.Treatment.Result.
    Deafness.Nasal Catarrh.Enlarged Tonsils and Adenoids.Diastolisation.Antiseptic Treatment.Displacement.Tonsils and Adenoids.Cured.Improved.Still under Treatment or Observation.Left or Treatmentnot completed.Referred to Hospital for Operation.Declined Treatment.
    Conservative Treatment.Operative Treatment.
  • Page 25
    TABLE D. MISCELLANEOUS CASES.
    Diagnosis.Total.Result.
    Cured.Improved.Still under Treatment or Observation.Left or Treatment not completedReferred to Hospital for Operation.Declined Treatment.
  • Page 26
    INSPECTIONS.
    Ages.Total Inspected .No. Offered Treatment.% requiring Treatment.
    111213141516
  • Page 26
    TREATMENT.
    No. of Children.Attendances.Extractions.Anaesthetics.Fillings.Other Operations
    Temp. Teeth.Perm. Teeth.LocalGeneral.Perm. Teeth.Perm. Teeth.
  • Page 29
    RHEUMATISM CLINIC, 1938.
  • Page 30
    Continued from previous page...
  • Page 30
    At the end of the year the live register of notified cases of school age was as follows:—
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 31
    The monthly figures were as follows:—
    Sore Throat.Measles.Whooping Cough.Mumps.Ringworm & Scabies.Impetigo Sores, etc.Chicken Pox.
  • Page 32
    As in former years, a summary of Head Teachers' weekly returns is given:—
    School.Dept.S.T.M.W.C.Mps.c.p.R.W. Scab.SoresSore Eyes.S.F.Diph.N.C. Diph.
  • Page 33
    Continued from previous page...
    School.Dept.S.T.M.W.C.Mps.C.P.R.W. Scab.SoresSore Eyes.S.F.DiphN.C. Diph.
  • Page 34
    The following are the weekly average numbers of children away from school owing to exclusions and the non-notifiable infectious and other diseases named:—
    Exclusions.Chicken Pox.Measles.Whooping Cough.Sore Throat.Influenza.
  • Page 36
    Vaccination.—The vaccinal condition of each child examined at routine medical inspection was noted, and a summary shows the following:—
    Number Examined.Number found to be Vaccinated.Percentage Vaccinated.
  • Page 37
    Action under Article 23 ( b) (i.e., attendance below 60 per cent. of number on register).—Certificates were granted as follows: —
    School.Month.Disease.
  • Page 38
    Playing Fields.
    Name.Area.Availability.
  • Page 38
    (b) School Journeys.—The following school journeys were made during the year:—
    School.Place.Date.
  • Page 39
    The following diploma results were obtained:—
    Length.100 yds.1/4 MileHalf Length on backRoyal Life-Saving Society Certificates.
    ElementaryIntermediateMedallions
  • Page 44
    ''Number of certificates gained:
    Lengths.100 yds.¼-mile.½-Length on back.Royal Life Saving Society Certificates.
    Elem.Inter.Medallions
  • Page 49
    The number of meals was as follows:—
    Year.Number of Children.Number of Meals.Average Meals per Child.
  • Page 50
    MILK IN SCHOOLS.— SUMMARY. March and October, 1937.
    School.Dept.No. on Roll.Free.For Payment.Total.% receiving Milk.
    Mar.Oct.Mar.Oct.Mar.Oct.Mar.Oct.Mar.Oct.
  • Page 51
    MILK IN SCHOOLS.— SUMMARY.— continued.
    School.Dept.No. on Roll.Free.For Payment.Total.% receiving Milk.
    Mar.Oct.Mar.Oct.Mar.Oct.Mar.Oct.Mar.Oct.
  • Page 52
    The progress of the scheme since 1935 may be seen from the following table:—
    Number on Roll.Receiving Free Milk.Available for Voluntary Milk.Receiving Voluntary Milk.Percentage receiving Voluntary Milk.Total receiving Milk.Percentage receiving Milk.
  • Page 53
    DISTRIBUTION OF MILK DURING SCHOOL HOLIDAYS, 1938.
    Centre.Voluntary.Official.Totals.Grand Total.
    Easter.Whitsun.Summer.Xmas.Easter.Whitsun.Summer.Xmas.Easter.Whitsun.Summer.Xmas.
  • Page 54
    PARTICULARS RE VOLUNTARY MILK. November, 1938.
    School.Average No. Supplied in Afternoons.
  • Page 55
    Continued from previous page...
    School.Average No. supplied in Afternoons.
  • Page 55
    12. (a) CO-OPERATION OF PARENTS. The following table shows the attendance of parents during 1938:—
    Boys.Number Inspected.Number of Parents.Per cent. 1938.Per cent. 1937.
  • Page 56
    "New cases (in addition to many re-applications) were referred by:—
    Over 5 years.Under 5 years. Total.
  • Page 57
    Continued from previous page...
  • Page 57
    "Help given to Old and New Cases (all ages):—
    Old.New
  • Page 57
    (b) National Society for the Prevention of Cruelty to Children. — The following summary of the work done in Walthamstow during 1938 is reported by Inspector Luff:—
    Nature of Offence.How Dealt with.
  • Page 60
    (i) Blind School. —Your Committee provide a Blind School at Wood Street with accommodation for 85 children of both sexes. The following table shows the classification of children attending the school at the end of 1938, and has been supplied by the Head Teacher, Miss Balls:—
    Blind.Partially Blind.
    Walthamstow.Other Authorities.Walthamstow.Other Authorities.
  • Page 61
    "A list of the pupils attending the school, together with the various causes of their defective vision is given below.
    Defect.Boys.Girls.
  • Page 63
    "There were 21 children on the register at the end of 1938— 10 boys and 11 girls. The defects were as follows:—
    Deaf within the meaning of the Act.Partially Deaf.Speech Defects.Aphasic.Cleft Palate.
  • Page 65
    "Children who have left during 1938:—
    Open Air Section.Orthopaedic Section.
    Boys.Girls.Boys.Girls.
  • Page 65
    "The number on roll at December 21st, 1938, was as follows:—
    Debilitated.Epileptic.Orthopaedic.Cardiac.Total.
    Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 66
    ORTHOPAEDIC SCHEME.
    Defects.Boys.Girls.
    5-16 years.Under 5 yrs.Over 16 yrs.5-16 years.Under 5 yrs.Over 16 yrs.
  • Page 67
    Number of cases seen by the Surgeon:—
  • Page 67
    Miss Garratt, C.S.M.M.G., has kindly summarised the admissions and operations done during 1938 as follows:—
  • Page 68
    Continued from previous page...
    Classification of Defects.Under 5 years.5 years and over.
  • Page 68
    A summary of the work done under this heading during the last two years is given below:—
    1938.1937.
  • Page 69
    At the end of 1938 the classification, according to the latest available intelligence quotients, was as follows:—
    1938.1937.1936.1935.
  • Page 71
    TABLE OF RESULTS.
    Defect.Discharged. Cured.Withdrawn .Left School.Transferred to Special Schools.Left District
  • Page 73
    The following table shows the findings at medical inspection:—
    High School. (Girls.)Sir Geo. Monoux Grammar (Boys.)South-West Essex Technical College.
    (Girls.)(Boys.)
  • Page 74
    Continued from previous page...
    (Girls.)(Boys.)(Girls.)(Boys.)
  • Page 75
    (c) The Director of the National Milk Publicity Council reports that the following lectures were given during 1938 by the Council's lecturer :—
    Date.No. of Lectures.AttendancesSchool.
  • Page 78
    Medical Examinations. —The following examinations were made during 1937 by the medical staff:—
    New Appointments.
  • Page 79
    Statement of the Number of Children notified during the Year ended 31st December, 1938, by the Local Education Authority to the Local Mental Deficiency Authority. Total number of children notified, 8. Analysis of the above Total.
    Diagnosis.Boys.Girls.
  • Page 80
    TABLE I. MEDICAL INSPECTIONS OF CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS.
  • Page 80
    Similarly a child suffering from two defects other than defective vision should appear once only in column 3 and once in column 4.
    Group.For defective vision (excluding squint).For all other conditions recorded in Table IIa.Total.
    (1)(2)(3)(4)
  • Page 81
    Table II. A.— Return or Defects found by Medical Inspection in the Year ended 31st December, 1938.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.
    (1)(2)(3)(4)(5)
  • Page 82
    B.— Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.
    Age Groups.Number of Children Inspected.A (Excellent).B (Normal).C (Slightly subnormal).D (Bad).
    No.%No.%No.%No.%
  • Page 82
    Table III.— RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 83
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf, and Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 84
    B.— Delicate Children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or InstitutionTotal.
  • Page 85
    Table IV.— Return of Defects Treated during the Year ended 31st December, 1938. TREATMENT TABLE. Group I.— Minor Ailments (excluding Uncleanliness, for which see Table VI).
    Disease or Defect.Number of Defects treated, or under treatment during theyear.
    Under the Authority's Scheme.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 86
    Group 11. — Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).
    No. of Defects dealt with.
    Under the Authority's Scheme.Otherwise.Total.
  • Page 86
    Group III.— Treatment of Defects of Nose and Throat. Number of Defects.
    Received Operative Treatment.Received other Forms of Treatment.Total Number Treated.
    Under the Authority's Scheme, in Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's Scheme.Total.
    (1)(2)(3)(4)(5)
    (i)(ii)(iii)(iv)(i)(ii)(iii)(iv)(i)(ii)(iii)(iv)
  • Page 86
    (i) Tonsils only, (ii) Adenoids only, (iii) Tonsils and Adenoids, (iv) Other defects of the nose and throat. Group IV,— Orthopaedic and Postural Defects.
    Under the Authority's Scheme. (1)Otherwise. (2)Total number treated.
    Residential treatment with education. (i)Residential treatment without education. (ii)Nonresidential treatment at an orthopaedic clinic. (iii)Residential treatment with education. (i)Residential treatment without education. (ii)Nonresidential treatment at an orthopaedic clinic. (iii)
  • Page 87
    Table V.— Dental Inspection and Treatment.
  • Page 87
    Table VI.— Uncleanliness and Verminous Conditions.