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

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Richmond upon Thames 1972

[Report of the Medical Officer of Health for Richmond upon Thames]

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Special Observation/Handicap Register
A register of children who are known to have a handicapping condition or who are
regarded as being at special risk of developing a handicap that could impede or deflect
their normal development continues to be maintained. Names for inclusion on the register
are drawn from many sources including birth notification, hospital discharge reports and
reports direct from health visitors and child health doctors.
At the end of the year, 223 children under five years of age had been identified as
requiring special observation whilst 226 children had a definite physical, mental or
emotional handicap.

Handicaps recorded:—

Cerebral palsy15
Mental subnormality34
Congenital heart disease20
Cleft lip/palate20
Epilepsy16
Visual defects11
Spina bifida8
Hearing loss2
Diabetes5
Other95

Child Health Clinics
At the end of the year, there were 12 child health clinics. (For location of clinics
etc. see map inside the cover at the end of the report). One clinic had 5 sessions a week,
two had 3 sessions a week, 7 had two sessions a week, 2 had one session a week.
To augment the above the arrangement made with Surrey County Council for the
use of its mobile clinic was continued. Five sessions in alternate weeks were held at sites
in Hampton, Twickenham and Whitton.
For details of attendances etc. during the year, see page 21.
Developmental Assessments
All children attending the child health clinics are examined at regular intervals to
assess their progress and to advise parents on particular aspects of development and management.
Many family doctors are also including this examination in their own child
health sessions and where necessary children are referred for further specialist opinion.
Dental Treatment — Expectant and Nursing Mothers and Young Children
Mr. G. H. Tucker, L.D.S. R.C.S., Chief Dental Officer, reports as follows:—
The number of attendances and the amount of treatment given during the year are
shown in Tables I and II below. Comparative figures for 1971 are also indicated.

Table I.

Pre-School Children19721971
Examined at clinic591561
Requiring treatment229253
Commenced treatment266252
Attendances for treatment530534
Fillings inserted542491
Extractions11592
General Anaesthetics5856