[Report of the Medical Officer of Health for Walthamstow]

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Accommodation. —The following table shows the number of schools in the Borough at the 31st December :—

	Boys	Girls	Mixed	Infants	Nursery

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5. MEDICAL INSPECTION The following gives a summary of the returns:—

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(a) Classification of the Nutrition of Children inspected during the year in the routine age groups:—

	Number Inspected	"A" Good		"B" Fair		"C" Bad
	Number Inspected	No.	%	No.	%	No.	%

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(b) Uncleanliness.—The following table gives comparative

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(c) Minor Ailments and Skin Defects.—The following was the number of skin defects found to require treatment and observation:—

	Treatment	Observation

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(d) Visual Defects and External Eye Diseases.—The number of patients requiring treatment and observation was as follows :—

	Treatment	Observation

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Squint.—The totals of children requiring treatment or observation for squint during the last five years, and the totals of medical inspections and re-inspections were:—

	1953	1952	1951	1950	1949

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(e) Nose and Throat Defects.—The number of patients requiring treatment and observation was as follows:—

	Treatment	Observation

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(f) Ear Disease and Defective Hearing. — The number of patients requiring treatment and observation was as follows:—

	Treatment	Observation

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(h) Dental Defects.

Inspection at Schools. Requiring			Children Actually treated.	Fillings.	Extractions.	General Anesthetics.	Other Operations.
Inspected.	Treat ment.	Per Cent.	Children Actually treated.	Fillings.	Extractions.	General Anesthetics.	Other Operations.

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(i) Heart Disease and Rheumatism.—The findings were as follows:—

	Treatment	Observation

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The notifications of tuberculosis in the age group 5—15 years have been as follows:—

	1949	1950	1951	1952	1953

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(f) Other Defects and Diseases. — The following shows the number of various other defects which were found to require treatment:—

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(a) Tonics. —The following shows the quantities of tonics issued during 1953:—

Cod Liver Oil.	Parrish's Food.	Syrup Lacto Phosphate	Cod Liver Oil and Malt.	Cod Liver Oil and Malt and Parrish's Food.	Emulsion.

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of cases of skin disease is shown in the following table detailing the work done at the school clinics:—

	First Inspections		Re-inspections
	Boys	Girls	Boys	Girls

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The following table shows the new cases and attendances at Minor Ailment Clinics since 1948. The decrease probably reflects the tendency for children to be taken to family doctors :

	1948	1949	1950	1951	1952	1953

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(a) Eye Clinic.—The following tables show the work done in 1953:—

New Cases.	Under 7 years.		7-11 years.		Over 11 years.		Total.
New Cases.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.

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Number of children for whom glasses were:—

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(b) Orthoptic Clinic. —The following shows the work done at the Clinic

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ORTHOPAEDIC SCHEME

	Boys.			Girls.
	5—16 years.	Under 5 years.	16—18 years.	5—16 years.	Under 5 years.	16—18 years.

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New cases seen by Surgeon:—

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TABLE I. Analysis of Figures for 1953

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Continued from previous page...

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TABLES II and III. Analysis of Problems Referred and Cases Diagnosed

	Referred	Diagnosed

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TABLE IV. Analysis of Cases Closed during the Year (including cases Referred in previous years)

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The consultative clinic is already being used as a diagnostic centre for suspected spastic children; it would not take much to equip Hale End as a completely adequate treatment centre.

	Under 5 years.	Over 5 years

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The ideal would be a sound-proof room for recording, but this is an individual problem according to the situation of the clinic.

Annual Report and Clinical Analysis.		High St. Clinic		Open-Air Sch. Clinic

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No. of Cases suffering from:—

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The Unit carried out the second survey of school leavers in April, 1953, and the attendances were as follows:—

Group	Male	Female	Total

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The number of children reported by Head Teachers in conformity with the Regulations was as follows:—

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Notifications from general practitioners of infectious diseases occurring in the 5—15 year age group were as follows:—

	1952	1953

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During the five years to 1953 the percentage of children protected in the various age-groups were as follows:—

Year	Population	Percentage Immunised		0-15 years
Year	Population	Under 5 years	5-15 years	0-15 years

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(c) 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.

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The following awards were gained:—

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15. CO-OPERATION (a) Co-operation of Parents. The following table shows the attendance of parents during 1953 at the periodic medical inspections:—

	Number Inspected	Number of Parents	Per cent. 1953	Per cent. 1952

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(i) The Invalid Children's Aid Association.— Mrs. Osora, Secretary of the local branch, has kindly contributed the following report:—

Children referred by:—	Under 5 years.	Over 5 years.

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Continued from previous page...

Classification of Cases:—	Under 5 years.	Over 5 years.

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Children referred for visiting, advice, help or follow-up:—

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(ii) National Society for the Prevention of Cruelty to Children.—The following is a summary of the work done in Walthamstow during 1953:—

Nature of Offence		How dealt with

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Number of Children dealt with:—

Under 5 years		Over 5 years
Boys	Girls	Boys	Girls

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HANDICAPPED CHILDREN The following number of special examinations were carried out by the medical staff in respect of the categories stated:

	Examinations	Re-examinations

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Walthamstow Special Schools. —The numbers of children at the special schools in Walthamstow at the end of 1953 were as follows:—

	Partially Sighted	E.S.N.	Physically Handicapped	Deaf	Total	Percentage

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The numbers of children in residential special schools and homes at the end of the year were as follows:—

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The following table gives the classification of children attending the school on a locality basis at the end of the year.

	Walthamstow	Other Essex Divisions	Out County

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The children on roll at the end of the year was as follows:—

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The total numbers of the various items of consultation and treatment carried out in the School Health Service during 1953 have been extracted and are set out below:—

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20. STATISTICAL SUMMARY

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Dental Inspection and Treatment:—

	Periodic	Specials

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Walthamstow 1953

48 tables in this report

Accommodation. —The following table shows the number of schools in the Borough at the 31st December :—

5. MEDICAL INSPECTION The following gives a summary of the returns:—

(a) Classification of the Nutrition of Children inspected during the year in the routine age groups:—

(b) Uncleanliness.—The following table gives comparative

(c) Minor Ailments and Skin Defects.—The following was the number of skin defects found to require treatment and observation:—

(d) Visual Defects and External Eye Diseases.—The number of patients requiring treatment and observation was as follows :—

Squint.—The totals of children requiring treatment or observation for squint during the last five years, and the totals of medical inspections and re-inspections were:—

(e) Nose and Throat Defects.—The number of patients requiring treatment and observation was as follows:—

(f) Ear Disease and Defective Hearing. — The number of patients requiring treatment and observation was as follows:—

(h) Dental Defects.

(i) Heart Disease and Rheumatism.—The findings were as follows:—

The notifications of tuberculosis in the age group 5—15 years have been as follows:—

(f) Other Defects and Diseases. — The following shows the number of various other defects which were found to require treatment:—

(a) Tonics. —The following shows the quantities of tonics issued during 1953:—

of cases of skin disease is shown in the following table detailing the work done at the school clinics:—

The following table shows the new cases and attendances at Minor Ailment Clinics since 1948. The decrease probably reflects the tendency for children to be taken to family doctors :

(a) Eye Clinic.—The following tables show the work done in 1953:—

Number of children for whom glasses were:—

(b) Orthoptic Clinic. —The following shows the work done at the Clinic

ORTHOPAEDIC SCHEME

New cases seen by Surgeon:—

TABLE I. Analysis of Figures for 1953

Continued from previous page...

TABLES II and III. Analysis of Problems Referred and Cases Diagnosed

TABLE IV. Analysis of Cases Closed during the Year (including cases Referred in previous years)

The consultative clinic is already being used as a diagnostic centre for suspected spastic children; it would not take much to equip Hale End as a completely adequate treatment centre.

The ideal would be a sound-proof room for recording, but this is an individual problem according to the situation of the clinic.

No. of Cases suffering from:—

The Unit carried out the second survey of school leavers in April, 1953, and the attendances were as follows:—

The number of children reported by Head Teachers in conformity with the Regulations was as follows:—

Notifications from general practitioners of infectious diseases occurring in the 5—15 year age group were as follows:—

During the five years to 1953 the percentage of children protected in the various age-groups were as follows:—

(c) Vaccination.—The vaccinal condition of each child examined at routine medical inspection was noted, and a summary shows the following:—

The following awards were gained:—

15. CO-OPERATION (a) Co-operation of Parents. The following table shows the attendance of parents during 1953 at the periodic medical inspections:—

(i) The Invalid Children's Aid Association.— Mrs. Osora, Secretary of the local branch, has kindly contributed the following report:—

Continued from previous page...

Children referred for visiting, advice, help or follow-up:—

(ii) National Society for the Prevention of Cruelty to Children.—The following is a summary of the work done in Walthamstow during 1953:—

Number of Children dealt with:—

HANDICAPPED CHILDREN The following number of special examinations were carried out by the medical staff in respect of the categories stated:

Walthamstow Special Schools. —The numbers of children at the special schools in Walthamstow at the end of 1953 were as follows:—

The numbers of children in residential special schools and homes at the end of the year were as follows:—

The following table gives the classification of children attending the school on a locality basis at the end of the year.

The children on roll at the end of the year was as follows:—

The total numbers of the various items of consultation and treatment carried out in the School Health Service during 1953 have been extracted and are set out below:—

20. STATISTICAL SUMMARY

Dental Inspection and Treatment:—