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

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Walthamstow 1920

[Report of the Medical Officer of Health for Walthamstow]

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78
are accompanied by a leaflet showing the arrangements made for the
treatment of dental defects, enlarged tonsils and adenoids; those with
defects of vision, suffering from Otorrhcea or deafness or minor ailments,
are advised of the facilities offered by the School Clinic.
The medical cards, after the necessary abstracts are recorded, are
returned to the school, with a list of defects found, inviting the cooperation
of the Head with regard to their remedy. When a scholar
leaves school, his medical card is handed to the Attendance Officer;
if the scholar be over 14, the card is filed; if under, it is sent to the
new school.
4a. During the year 1920, all the leavers, that is, those over 12 years
of age, and all the entrants have been examined.
In this last group is included all children under 7 not examined
previously.
Both this group and that of the leavers are unduly swollen owing to
war conditions not being wholly recovered from. This and an outbreak
of Diphtheria in the early months of the year, necessitating constant
supervision of the scholars and systematic swabbing of the noses and
throats, resulted in only 570 of the intermediate group—8-9 years—being
examined. The work is well in hand this year, and, provided nothing
unduly happens, the three age groups will be duly examined.
The actual numbers examined, etc., are given in Table I.
4b. The Board's Schedule of Medical Inspection has been adopted
and followed.
4c. The early ascertainment of crippling defects is secured by (1) the
bringing forward of any particular child by the Head Teacher at any
routine inspection, and (2) by sending the child to the School Clinic;
this latter is perhaps the more common, as it is very frequently at the
request of the mother, who wishes to obtain medical advice.
4d. The Inspection is always conducted on the school premises, in the
Department concerned, sometimes in the Teachers' Room, sometimes
in a class-room; in the latter case it usually means that the class has to
move into the hall, as there is rarely a spare class-room. The average
time that any child would be away from his class might be 30 to 40
minutes; exceptional cases, where the scholar waits for his mother to
arrive, and who turns up late, sometimes occur. Taken on the whole,
the disturbance of school arrangements is very little.
Sixty-nine children were excluded from School under Article 53 (b)
as the result of Routine Inspection for the following defects:—
Sore Throat 9
Tonsilitis 4
Bronchitis 18
Impetigo 6