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

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West Ham 1935

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

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(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 home10237
Total number of children visited at school5138
Total number of hours spent by Nurses in visiting3446

(7) Arrangements for Treatment.
(a) NUTRITION.
Table 11B in the Appendix sets out the classification of the
Nutrition of children inspected during the year in the routine age
groups at elementary and schools ot Higher Education.
Children suffering from malnutrition are dealt with in various
ways, such as admission to a Day or Residential Open-air
School, periods of Convalescence and the provision of free meals
in necessitous cases. There is a Voluntary Milk Scheme in
operation in the schools.
(b) UNCLEANLINESS.
Dirty and verminous children found at Routine Inspection,
Special Inspections and Cleanliness Surveys are followed up at
their homes until clean. A certain number, with the parents'
consent, are cleansed at the School Clinics.

Conditions remedied during the year under the Cleanliness scheme were as follows:—

Defective Clothing39
Unclean Heads2343
Unclean Bodies2
Skin Diseases9