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

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Chiswick 1920

[Report of the Medical Officer of Health for Chiswick]

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only necessary to advise that the hair be cut short in order
to remedy the trouble. It is difficult to make any headway
with regard to these conditions in some families. It is said
that nits are dead and therefore they do not trouble to remove
them, or the mothers state that in spite of all washing,etc.,
they are unable to effect a cure, As it has been demonstrated
that a head can be cleansed in half an hour, it should not be
difficult to realise the ideal of having every scholar with a
clean head. Those parents who regularly neglect this care of
their children should be brought to book, as they continually
keep up the infection in a school.
Cleanliness of body.
13 girls were classed as dirty while 111 were only fairly
clean.
Among the boys 22 were dirty and 118 only fairly clean.
Chiswick is fortunate in having a splendid open air bath,
but lacks provision for the cleansing of those people who
have no baths in their homes„ It is to be hoped that shortly
public baths and wash houses may be provided. If this cannot
be undertaken at present, a cleansing station in connection
with the School Clinics would be a very useful adjunct.
During the year periodical visits were made to the
Schools by the School Nurses with a view to examination of
the general cleanliness. 6512 children, mainly girls, were
seen at these visits, and those found in an uncleanly state
were either referred to the school clinic for inspection by
the School Medical Officer or were given a special notice to
the parents re cleanliness.
(b) Minor Ailments.
During the year 730 children were referred for treatment
owing to Minor Ailments. These children were seen either at
Routine Inspections or at the Minor Ailment Clinic (sent by
teachers or parents).
These minor ailments consist chiefly of skin diseases,
such as Ringworm, Scabies, and Impetigo, and the methods of
dealing with these are referred to later.
(c) Enlarged Tonsils and Adenoids..
These conditions of nose and throat may be divided into
(1) Enlarged Tonsils only.
(2) Adenoids.
(3) The combination of the above.
During the year 31 cases of Enlarged Tonsils were
referred for treatment while 249 children were kept under
observation as their Tonsils were only slightly enlarged*
27 cases of Adenoids were noticed and referred for
treatment while 37 children were put on the observation
list for further examination. In all the latter cases advice
was given regarding breathing exercises etc. /with a view to
an improvement in the condition.
Seventy cases of Enlarged Tonsils and Adenoids were
referred for treatment and 24 for further observation.
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