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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culosis. The classification "pulmonary tuberculosis" includes
tuberculosis of the pleura and of the intra-thoracic glands, and
the classification "non-pulmonary tuberculosis" includes tuberculosis
of all sites other than these.
In 1937 the number of cases of pulmonary tuberculosis
which were under the supervision of the Authority was 48. Of
these 41 were in certified special schools, 5 were in public elementary
schools, and 2 were at home. The number of cases of
non-pulmonary tuberculosis under the Authority's supervision
was 50. Of these 39 were at certified special schools, 10 were
at public elementary schools, and 1 was at home.
Delicate children. This sub-group includes all children
(except those included in other groups) whose general health
renders it desirable that they should be specially selected for
admission to an open-air school, and in respect of whom the
medical officer is prepared to certify under section 55 of the
Education Act, 1921, that they are incapable by reason of physical
defect of receiving proper benefit from instruction in the ordinary
public elementary schools. Such children are included in this
classification irrespective of the practicability of sending them to
residential schools at the time when the diagnosis is made.
In the year 1937 the number of delicate children who were
under the supervision of the Authority was 640. Of these 263
were at certified special schools, 371 were at public elementary
schools, and 6 were not at school.
Crippled children. This classification is confined to
children (other than those diagnosed as tuberculous and in need
of treatment for that disease) who are suffering from a degree
of crippling sufficiently severe to interfere materially with a child's
normal mode of life, i.e., children who generally speaking are
unable to take part, in any complete sense, in physical exercises
or games or such activities of the school curriculum as gardening
or forms of handwork usually engaged in by other children, and
in whose case the medical officer would be prepared to certify
under section 55 of the Education Act, 1921, that they are
incapable by reason of such physical defect of receiving proper
benefit from the instruction in the ordinary public elementary
schools.
In the year 1937 the number of crippled children who were
under the supervision of the Authority was 103. Of these 68
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