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

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West Ham 1948

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

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EPILEPTIC CHILDREN. The definition of an epileptic child for our purpose is one who,
by reason of epilepsy, cannot be educated in an ordinary school without detriment to the
interests of himself or other pupils and requires education in a special school. It is not
every child with epilepsy who can be technically *ascertained* as an epileptic. The definition
is a functional one, relating not to the medical classification of the disease but to
the child’s educational needs or to his influence on others, and these factors are the sole
criteria which determine whether a child shall be ascertained. Children ascertained as
epileptic can only be properly educated in a boarding special school The work relating to
epilepsy during the year may be summarised as follows:-
Number of ascertained cases known to the Authority 10
Number of cases in residential special schools 7
Number in day special schools 1
Number out of school 2
Number of fresh ascertainments during the year 2
Disposal of these cases:
Out of school (awaiting admission to special
school) 2
PHYSICALLY HANDICAPPED CHILDREN. The general definition of such a child is one who,
by reason of disease or crippling defect, cannot be satisfactorily educated in an ordinary
school or cannot be educated in such a school without detriment to his health or educational
development. As may be seen from the table below, this includes a variety of conditions,,
A great proportion of the tuberculosis cases are under the supervision of the tuberculosis
service, and most of those listed under hospital schools are In the Sanatorium at
Langdon Hills. The following figures set out the position regarding physically handicapped
children in the Borough in the year 1948:-
Total number known to the Authority:
(includes all children on register at any time during the year.)
Heart cases 39
Cripples 56
Pulmonary Tuberculosis (various forms) 87
Non pulmonary Tuberculosis 25
Miscellaneous 14
Physically Handicapped Children in Residential Special Schools and Hospital Schools2
Heart cases 17
Cripples 13
Miscellaneous 7
Physically Handicapped Children in Day Special Schools:
Heart cases 21
Cripples (non-tubercular conditions) 41
Miscellaneous 4
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