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

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West Ham 1927

[Report of the Medical Officer of Health for West Ham]

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Ringworm of the Scalp, which has had X-Ray treatment
under the Authority's Scheme, is also re-inspected on recovery
by the Doctor at the Clinic.
Failing private treatment after repeated visits a case is drafted
to the Clinic, if the condition justifies this course.
Number of Home Visits 14945
Number of Children visited at School 4126
Number of hours spent in following-up by visits,
including Verminous Cases 4290
Number of Re-inspections by School Doctors of
Elementary School Children 8283
(8) Medical Treatment.
-(a) MINOR AILMENTS.
In a district such as this parents arc somewhat reluctant to
seek the aid of the family Doctor or the Hospital for minor
troubles, partly on account of expense and partly on account of
the time involved by attendance at the latter, so that, failing
domestic measures for their cure, these cases eventually find their
way to the School Clinics. In order to avoid unnecessary visiting
and delay Teachers are provided with Clinic Attendance Cards,
with which to draft such necessitous cases directly to the Clinic
for treatment. The conditions included under this head comprise
slight skin affections, sores, impetigo, eczema, scabies, minor
cuts and bruises, external eye conditions, such as conjunctivitis,
blepharitis, corneal ulcers, ear troubles, such as otorrhoea, eczema,
cerumen (wax) and deafness from any cause, ringworm of head
or body (if of slight degree), and minor first aid cases.
By far the greater proportion of the attendances come from
the special cases sent by the Head Teachers. The amount of these
conditions found at Routine Inspection is kept at a low limit.
Table IV (1) shows the amount of treatment undertaken by the
scheme provided by the Local Education Authority as compared
with that undertaken otherwise, i.e. by Hospital, private Doctor,
or domestic remedies.
(b) TONSILS AND ADENOIDS.
For the treatment of these conditions arrangements for
operative treatment have been made with (1) Queen Mary's
Hospital, Stratford; (2) St. Mary's Hospital, Plaistow; an
application is being considered by the Board for operations to be
done at the Balaam Street Children's Hospital. Before operation
every child us examined by one of the School Medical staff, and
provided with a voucher by one of the School Medical staff, and reinspected
by the Medical staff after notification of the operation
from the Hospital. Cases that attend other Hospitals for operation
146