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

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West Ham 1933

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

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(k) OTHER DEFECTS AND DISEASES.
During Routine Medical Inspection 375 cases of other defects
and diseases were found and referred for treatment, and ,156
required keeping under observation.
There were in addition 6,439 defects needing treatment and
188 needing observation among the "Specials."
All cases recommended for treatment, and those recommended
for observation only, form the basis of the Doctor's Reinspection,
which takes place by a subsequent visit to the school.
The number of Re-inspections by the School Doctors of Elementary
School children amounted to 7,451.
(6) Following-Up.
At the time of Medical Inspection a following-up card is made
out for all children requiring treatment for any defects found. If
the case is one requiring Clinic or Hospital treatment the child
is followed up by home visits made by one of the School Nurses.
If the treatment required is beyond the scope of domestic
measures the family Doctor or Hospital is advised. Both home
and school visits are made in the course of following-up and the
case is not relinquished until adequate improvement is obtained.
Children requiring new glasses are followed up by one of the
School Nurses attached to the area, until glasses are obtained,
and these children and their glasses are re-inspected by the Doctor
within three months.

The following table gives a summary of work of the Nurses in the process of following-up during the year:—

Total number of children visited at home10848
Total number of children visited at school4833
Total number of hours spent by Nurses in visiting3140

(7) Arrangements for Treatment.
(a) MALNUTRITION.
Tables II. in the Appendix set out the number of Malnutrition
cases found at Routine and Special inspections. These children
are dealt with in various ways, such as admission to a Day
or Residential Open-air School, periods of convalescence (which
is arranged through the Medical Officer of Health's Department),
and the provision of free meals in necessitous cases.
In a number of schools arrangements are made for the supply
of a morning drink of milk, which has been found to be very
advantageous and beneficial to the children.
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