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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Out of School cases:
Heart cases 1
Cripples 2
Miscellaneous 3
Fresh Ascertainments during the years
Heart cases 13
Cripples 11
Pulmonary Tuberculosis (various forms) 10
Non-pulmonary Tuberculosis 6
Miscellaneous 6
Accurate figures are not obtainable for tuberculous children in special and hospital schools.
DELICATE CHILDREN. These are children who, by reason of impaired physical condition,
cannot, without risk to their health, be educated under the normal regime of an ordinary
school. A few are suffering from some well-defined condition such as asthma, but the major®
ity present a general debility arising from various causes and requiring good food and careful
management to restore them to normal health. So far as possible these children are sent
for treatment to the Pyfield Residential Open-Air School, near Ongar; some are sent to
convalescent homes, approved by the Ministry of Education, for long-term cases. Figures relating
to the admissions to Fyfield and to convalescent homes will be found on page 66.
The number of children ascertained as delicate during the year was 478, and their
disposal was as follows;
Admitted to Fyfield 169
Admitted to Convalescent Homes 250
Refused to go away 19
Removed from district 1
On waiting list for Fyfield or convalescence at
end of year 39
x
These Include children too youngr or otherwise unsuitable, for Fyfield, and
children whose parents withhold consent for admission to Fyfield.
MALADJUSTED CHILDREN. These are children who show evidence of emotional instability
or psychological disturbance, and require special educational treatment in order to effect
their personal, social or educational readjustment. Such children are first investigated
and the diagnosis established at the Child Guidance Clinic. The special educational treatment
required is advised by the Clinic and often wholly or partly carried out there. The
number of children ascertained as maladjusted during the year was 51.
DIABETIC PUPILS. These are pupils suffering from diabetes who cannot obtain the
treatment they need while living at home, and require residential care. Where regular and
effective medical treatment and care can be given to a child living at home there is no
need to disturb his education. If satisfactory care and treatment is Impossible at home,
the child may be admitted to a hostel where this can be given; even so, he will attend an
ordinary school. There were 3 such children known to the School Health Service in 1948
All were in the London County Council Diabetic Unit at Hutton® No new cases were ascertained
during the year.
One child previously ascertained as a diabetic pupil was no longer in need of
residential care and remained under observation in his own home.
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