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

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West Ham 1936

[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, Private Practitioner's 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 bv one of the
School Nurses attached to the area, until glasses are obtained,
and these children and their spectacles 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 home 13644
Total number of children visited at school 9713
Total number of hours spent by Nurses in visiting 3796
(7) Arrangements for Treatment.
(a) NUTRITION.
Table I IB 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 of 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 Clothing 26
Unclean Heads 1724
Unclean Bodies 13
Skin Diseases 19
160