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

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Merton 1969

[Report of the Medical Officer of Health for Merton]

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THE SERVICE
The Service provides for periodic inspections of all children:
(a) for whom primary, secondary or further education is provided
by the Local Education Authority at any school or college
maintained by them, and
(b) receiving primary or secondary education under special arrangements
made by the Local Education Authority otherwise
than at school.
The treatment of minor ailments, eye, dental, speech, postural
and breathing defects, and of children with behaviour problems, is
provided at Clinics in the area. Attendance of children is normally by
appointment. Most other forms of treatment are provided by general
practitioners or the hospital services. There is close co-operation
between the School Health Service, general practitioners and hospitals.
MEDICAL INSPECTIONS
In accordance with modern trends and as advised by the Department
of Education and Science, the education authority approved a
modified system of selective medical examinations, commencing in
the new school year in September, subject to review after one year's
operation.
The following schedule of examinations is now carried out: —
(a) PRIMARY SCHOOL
(i) Full medical inspection during the first year.
(ii) Hearing test at six years.
(iii) Vision test at seven years.
(b) MIDDLE SCHOOL
(i) Full medical inspection during the first year, including
colour vision test.
(ii) Hearing tested during last year in middle school.
(c) HIGH SCHOOL
(i) Selective medical examination plus vision during first year.
(ii) Full medical inspection during the school leaving year.
The selective medical examination involved the sending of a
confidential questionnaire to the parents of all pupils in the age group.
Following scrutiny of the completed medical questionnaires by school
medical officers, pupils are selected for medical examination. The
child's progress at school is also taken into account.
AUDIOMETRY AND AUDIOLOGY

Details are given below of audiometric primary testing carried out during the year:—

Number of primary schools visited39
Number of children tested2,758
Number of primary failures181
Number of middle schools visited12
Number of children tested1,511
Number of middle failures54

A total of 4,269 children (primary and middle) were tested, of
these 235 failed the audiometric test.
92