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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the results have been very promising. In the case of children
where sufficient improvement was not made during the first
course, a repeat course was recommended.
The children are examined by an Assistant School Medical
Officer before and at the end of each Course. During the year
14 boys and 6 girls attended the first class, 13 boys and 5 girls
took a second Course, and 5 boys a third Course. Three boys
were considered to be in need of still further Courses.
Four classes were held during the year. Children from outside
areas are accepted when vacancies are available.
Fyfield Residential Open-Air School.
The Residential Open-air School at Fyfield, Ongar, Essex,
maintained by the Authority for 80 boys and 60 girls provides all
the essentials of outdoor education.
The function of the School is to afford an opportunity of
improving the resisting power of the debilitated child of the noninfectious
type. The children are selected and recommended by
the School Medical Staff and are examined before admission.
The cases selected for admission are children who are below
average in health or physique or who are debilitated after illness.
Children suffering from active disease are not considered suitable
cases for admission. All candidates for Fyfield have their teeth
put in order and any neccssary operation upon the throat performed
prior to admission.
Fortnightly visits are paid to the School by the Chief Assistant
School Medical Officer, when all the children are medically reexamined
and the height and weight noted. In case of emergency
or sudden illness a local practitioner is called in.
During the year 193 boys and 173 girls were admitted and
198 boys and 174 girls discharged. The discharged cases are
medically re-examined a few months after leaving the School to
ascertain if the improvement is maintained.
Of the 392 cases sent for re-inspection, 22 did not attend for
various reasons. Out of the 370 examined 311 showed continued
improvement, whereas 59 had had intercurrent ailments, and their
then present condition was not considered so satisfactory.
My annual report for ,1932 sets out the daily routine at the
school.
The dietary has proved quite satisfactory. A specimen week
is given below:—
168