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

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West Ham 1937

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

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Treatment of eye conditions. All cases of visual defect
are examined by the school oculist. This specialist devotes ten
sessions per week to these refractions. Each case is re-examined
by the respective assistant school medical officer within three
months after the primary examination. Satisfactory dark rooms
for ophthalmological work have been constructed at two of the
school clinics.

The following table gives a resumd of the work of the school oculist during 1937:—

Elementary Schools.Higher Education.Special Schools.
Cases referred to oculist2,53155940
Number who attended2,01847932
Percentage attendance79.785.780.0
Glasses ordered1,83545030

The total number of clinic sessions devoted to refraction
work was 362. Those children who did not keep the first appointment
were followed up by the school nurses, and in most cases
further appointments were made.
The following is a report by Dr. Agnes A. S. Russell, the
school oculist:—
"The work of the ophthalmic clinic includes the examination
of the eyes of all school children referred by the assistant school
medical officers. The children examined are mostly those who
require glasses because of defective vision, or strabismus, or
because of headaches due to eyestrain; they also include a number
of cases of eye diseases which require treatment.
Where glasses are prescribed the children are re-inspected
after obtaining them, either in the ophthalmic clinic or at a school
clinic by the assistant school medical officers, who have been
provided with a copy of the report of the ophthalmic examination.
I have found that the number of children with strabismus
forms a large proportion of the children attending the ophthalmic
clinic. As the majority of these cases benefit by treatment
additional to the correction of the refractive error, I have all such
cases under observation. These children attend the clinic at
frequent intervals, and the nature of the condition and the
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