ual report - archive
TRANSCRIPT
EDUCATION COMMITTEE
UAL REPORT
PR!NCIPAL SCHOOL MEDICAL OFFICER
INDEX
Accidents to school children ...
Adult speech therapy
Audiometric report
B.C.G. vaccination
Cardiac list
Children in nursery schools and nursery classes
Clinics
Conservative Dental Treatment
Dental treatment of cardiac cases
Dental report
Diphtheria immunisation
Ear, nose and throat report
Education Committee ...
Handicapped children
Health education
Home visits by School Nurses
Infectious diseases
Lip reading tuition
Medical and dental inspection and treatment tables ...
Number of children on roll
Ophthalmic report
Orthopaedic report
Orthoptic report
Other medical examinations
Physical education report
Poliomyelitis immunisation
School dinners and school milk
School Psychological Service
Smoking and lung cancer
Speech therapy report
Staff
Tuberculin testing
Page
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1
EDUCATION COMMITTEE
Chairman :
COUNCILLOR W. T. VAUGHAN, J.P.
Deputy-Chairman :
COUNCILLOR F. V. CORNFORD, J.P.
Members :
Alderman W. F. E. SMITH, J.P.
„ W. CASEY, J.P.
„ J. R. WARDELL, O.B.E., J.P.
„ A. E. PUGH, J.P., F.S.A.A.,
F.C.I.S., F.R.Econ.S.
„ R. S. TYACK.
T. F. MOONEY, J.P.
Mrs. M. J. DUNN.
„ A. E. WILLS, J.P.
W. PINNELL, B.E.M.
.Councillor E. ASTON.
G. H. COULSON.
„ R. H. LEY.
„ D. DAVIES, J.P., M.A.
A. G. LOVELL.
W. E. REYNOLDS.
„ W. J. HALL.
W. C. HUCKLE.
Councillor A. E. HAMES.
A. S. JENKINS.
S. T. MILLER.
F. A. EDWARDS.R. MORGAN.J. MARSH.D. TURNBULL.
A. J. PRITCHARD.
C. F. INSELL.
Rev
F. H. L. KEMP.
A. T. HUBBARD, B.A., B.D.
Rev. T. P. LENANE, B.A.
Rev. P. J. WALL, M.A.
Mr. W. R. W. DAWSON, B.A.
Mr. T. J. HUGHES.
Mr. G. A. D. LAWRENCE, B.E.M.
Mr. C. D. JONES.
Mr. C. H. GRIFFITHS.
S. M. WATSON.Town Clerk :
J. G. ILES.
Deputy Town Clerk :
J. R. LONG, LL.B., D.P.A.
Chief Education Officer :
J. H. FUSSELL, M.A., B.Sc.
Deputy Education Officer :
W. J. EDMONDS, F.C.I.S.
EDUCATION (GENERAL PURPOSES) COMMITTEEChairman :
ALDERMAN W. CASEY, J.P.
Deputy-Chairman
ALDERMAN Mrs. M. J. DUNN.
Alderman W. F. E. SMITH, J.P.
Councillor E. ASTON.
W. T. VAUGHAN, J.P.
D. DAVIES, J.P., M.A.
S M. WATSON.• t
Members :
Councillor A. S. JENKINS.
„ A. J. PRITCHARD.
„ F. H. L. KEMP.
Rev. T. P. LENANE, B.A.
Mr. G. A. D. LAWRENCE, B.E.M.
2
Gwyneth M. Daniel, M.B., B.S., M.R.C.S.,
L.R.C.P., D.P.H.
Richard Roderick, M.R.C.S., L.R.C.P.
R. M. Brown, M.B., Ch.B., D.P.H.
Denise Y. Jacobs, B.Sc., M.B., B.Ch.
(resigned 30.6.59.'
STAFFPrincipal School Medical Officer :
W. B. Clark, M.B., Ch.B., D.P.H.
Deputy Principal School Medical Officer
John Sleigh, M.B., Ch.B., D.P.H.
School Medical Officers
Mary Parry Jones, M.R.C.S.,
Beryl M. L
M.
Principal School Dental Officer
W. G. Clarkson, L.D.S.
School Dental Officers :
L.R.C.P.,D.P.H.
Callaghan, M.B., B.S.,
M.R.C.S., L.R.C.P.
Mary Guest Gray, B.Sc., M.B., B.Ch.
(appointed 1.7.59).
Mary K. E. Owen Williams, L.D.S. G. A. O. White,
(retired 30.9.59). P. C. Robertson,
R. G. Watkeys, L.D.S. (part-time)
(resigned 27.10.59). R. A. Harris,
T. C. Hughes, L.D.S. (part-time).Superintendent School Nurse :
Teresa M. Inns, S.R.N., S.C.M., H.V. (appointed 19.1.59).
School Nurses :
L.D.S. (part-time)
L.D.S. (part-time).
(appointed 10.8.59).L.D.S. (part-time).
(appointed 5.10.59).
CatherineCecilia M.Sylvia M.
Ceinwen Parker, S.R.N., S.C.M., H.V.
Bathsheba Hoare, S.R.N., S.C.M., H.V.
Sylvia I. Herritts, S.R.N., S.C.M., H.V.
Alice Jones, S.R.N., S.C.M., H.V.
Eleanor E. Neve, S.R.N., S.C.M., H.V.
Glenys M. Cayzer, S.R.N., S.C.M., H.V.Christine M. Mountain, S.R.N., S.C.M., H.V.
Elizabeth G. P. Williams, S.R.N., S.C.M.,H.V. (resigned 5.8.59).
Rees, S.R.N., S.C.M., H.V.Curtis, S.R.N., S.C.M., H.V.Markland, S.R.N., S.C.M., H.V.
Joyce M. Brock, S.R.N., S.C.M., H.V.(resigned 28.12.59).
Hilda A. Ford, S.R.N., S.C.M., H.V.Iris C. Lewis, S.R.N., S.C.M., H.V.Florence E. Rossiter. S.R.N., S.C.M., H.V.
Margaret E.
Ann Elliott.
Ann L. Shead (resigned 8.5.59)Carol Baber (resigned 31.8.59).
Grace Douglas, S.R.N., S.C.M., H.V.Rena Davies, S.R.N., S.C.M., H.V.
(resigned 9.4.59).
Doreen E. Swain, S.R.N., S.C.M., H.V.Vilma E. Brain, S.R.N., S.C.M., H.V.
(appointed 1.7.59).
Edna M. Morgan, S.R.N., S.C.M., H.V.(appointed 1.7.59).
Edith Powell, S.R.N., S.C.M., H.V.(appointed 1.9.59).
Margaret D. Williams, S.R.N., S.C.M.,H.V. (appointed 19.10.59).
Cecile M. Boucher, S.R.N., S.C.M.Norah Sheahan, S.R.N., S.C.M.
,H.V.
Rosina Prosser, S.R.N.Edna M. Bowman, S.R.N.Hilda M. Young, S.R.N.
Speech Therapist :
Harris, L.C.S.T. (resigned 29.8.59).Audiometrician :
Jane MarshDental Attendants :
Ann E. Boorman (appointed 26.1.59).Rhoda Hughes (appointed 25.5.59).Pauline A. Dyer (appointed 14.9.59
resigned 9. 1 2.59).
VISITING STAFFOphthalmic Surgeon :
F. W. Robertson, M.A., M.D., D.O.M.S.Ear, Nose and Throat Surgeons :
D. B. Sutton, M.B., B.S., F.R.C.S., D.L.O. J. L. D. Williams, M.D., F.R.C.S.Orthopaedic Surgeon :
A. O. Parker. F.R.C.S. (resigned 9.1.59).Orthoptist :
Susan Lonnon, D.B.O.
CLERICAL STAFFChief Clerk :
F. I. Headworth.Clerks :
Winifred S. Weare.Ronald Lewis.Margaret Weaver.Cecilia I. Watkins.
Doris E. Packer(resigned 18.4.59).
Julia Davies.David Porter(appointed 20.4.59 resigned
31.12.59).
CLINICS
Minor Ailment Clinics
Dental Clinic
Speech Therapy Clinic
Audiometric Clinic
Ear, Nose and Throat Clinic :
Ophthalmic Clinic :
Orthopaedic Clinic :
Orthoptic Clinic :
8 clinics at different centres, morningsor afternoons from Monday to Friday.
1st and 3rd Tuesday mornings.2nd, 4th and 5th Friday mornings.
Monday, Thursday and Saturdaymornings.
2nd and 4th Tuesday mornings.Monday afternoons.
Monday and Friday mornings.
Monday to Thursday mornings.Monday to Friday afternoons.
ANNUAL REPORT
To the Chairman and Members of the Education Committee.
Mr. Chairman, Lady and Gentlemen.
I beg to submit my Annual Report for the year 1959.
STAFF CHANGES
Dr. Denise Y. Jacobs, Assistant Medical Officer of Health and School Medical
Officer, resigned on 30th June, 1959.
Dr. M. Mary Guest Gray, Assistant Medical Officer of Health and School
Medical Officer, was appointed on 1st July, 1959.
Mrs. Mary K. E. Owen Williams, School Dental Officer, retired on 30th
September, 1959.
Mr. R. G. Watkeys, School Dental Officer(part-time), resigned on 27th
October, 1959.
Mr. P. C. Robertson, School Dental Officer (part-time), was appointed on
10th August, 1959.
Mr. R. A. Harris, School Dental Officer (part-time), was appointed on 5th
October, 1959.
Miss Teresa M. Inns, Superintendent Health Visitor and School Nurse, was
appointed on 19th January, 1959.
4
Mr A. 0. Parker, Visiting Orthopaedic Surgeon, retired on 9th January
1959 after 30 years faithful and conscientious service in the School Health
Service.
CARDIAC LIST
During 1959 a start was made with the maintenance of a Cardiac
List, including children with rheumatic heart disease, children who
had had rheumatic fever but had not developed rheumatic heart disease,
and children with congenital heart disease. Children with rheumatic
heart disease and children with congenital heart disease were found by the
Consultant Paediatrician or by School Medical Officers, but in the latter case
were sent to the Consultant Paediatrician for confirmation as it was important not
to create hypochondriacs by putting children in these categories unneccesarily.
In the absence of compulsory notification of rheumatic fever (which together
with its complication of rheumatic heart disease was responsible for 7,567 deaths
in England and Wales in 1958) children who had had rheumatic fever were
found as a result of information received from the Consultant Paediatrician,
General Practitioners, School Nurses, Teachers, Education Welfare Officers and
parents.
In the case of children with rheumatic heart disease and children with
congenital heart disease, the list is maintained in order to ensure that when they
are to receive ear, nose and throat or dental treatment they are given appropriate
drug treatment beforehand, to prevent possible infection occurring in the damagedor abnormal heart valves, and in the case of dental treatment, to ensure that this
is carried out, like ear, nose and throat treatment, in hospital. In the case of
children with rheumatic heart disease and children who have had rheumaticfever, the list is also maintained in order to obtain information about the in-
cidence of rheumatic fever (which in the absence of compulsory notification of
rheumatic fever is at present lacking) and to provide the basis for a programmeof long term prevention of recurrences of rheumatic fever by appropriate drugtreatment if this is eventually instituted. It is the case that each attack of
rheumatic fever renders the person concerned more susceptible to subsequentattacks, and that each attack renders the person concerned more susceptible to
damage to the heart valves, and that subsequent attacks can be prevented byappropriate long term drug treatment.
Up to the end of the year 5 cases of rheumatic heart diseases, 13 ofrheumatic fever without heart damage, and 28 of congenital heart disease, hadcome to attention among school children.
DENTAL TREATMENT OF CARDIAC CASES
Very satisfactory arrangements have been made with the Dental andPaediatric Consultants at the Royal Gwent Hospital for the admission to thehospital for dental extractions of children with rheumatic and congenital heartdisease and of children with haemophilia and diabetes. These children arelooked aftei by the Consultants while in hospital and given appropriateprophylactic drug treatment and general anaesthesia rather than gas and airanaesthesia and the possibility of complications due to their disabilities is thusminimised.
5
CONSERVATIVE DENTAL TREATMENT
It will be of interest to give hereunder a table showing the fall in the per-centage of dental extractions and the rise in the percentage of fillings, carriedout by the School Dental Service over the last 10 years.
<0
<D
>
Number
of
Dentists.
Fillings. Fillings
per
Dentist.
Percentage.
Extractions. Extractions
per
Dentist.
Percentage.
Fillings
and
Extractions.
Fillings
and
Extractions
per
Dentist.
1949 2 1,405 702 13.7 8,815 4.408 86.3 10,220 5.1101950 2 1,507 754 14.5 8,902 4,451 85.5 10,409 5.205
1951 2 1,547 774 13.6 9,864 4,932 86.4 11,411 5,7061952 2.5 2,935 1,174 23.1 9,741 3,896 76.9 12,676 5,0701953 4 5.464 1,366 35.0 10,128 2.532 65.0 15,592 3.898
1954 3.4 4.184 1,231 26.3 11,720 3,447 73.7 15,904 4,678
1955 3.1 3,590 1,158 29.3 8,666 2,795 70.7 12.256 3.953
1956 2.4 4.272 1,780 37.0 7.280 3,033 63.0 11,552 4,813
1957 2.2 3.920 1,782 37.2 6,619 3,009 62.8 10,539 4.791
1958 2.4 5.474 2,281 42.2 7,487 3,120 57.8 12.961 5.401
1959 3.1 6,739 2,174 46.4 7.796 2.515 53.6 14.535 4.689
As will be seen from the table there has been a fall in the number of
extractions, and in the number of extractions per dentist, and a rise in the
number of fillings, and in the number of fillings per dentist. The total number of
operations, and the total number of operations per dentist, remains more or less
unchanged. Over the 10 year period the emphasis of the work has shifted moreand more in the direction of conservative treatment.
ORTHOPAEDIC REPORT
1,023 children were examined at the Orthopaedic Clinic. These children
came from the following sources:—Grammar Secondary Junior Infant Nursery M.&C.W. Other TOTAL
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
1
23|40 86 126 130 1 1 1 64 27 20 5 174 209 5 3 502 521
2,431 attendances were made at the Clinic by these children.
During the year 9 children received operative treatment at the Prince of
Wales Orthopaedic Hospital, Cardiff : 1 grammar school girl. 1 secondary school
boy, 1 secondary school girl, 3 junior school boys, 1 junior school girl, and 2
infant school boys.
589 school children were given massage or fitted with appliances at the
Orthopaedic Clinic, and 1,405 attendances were made at the Clinic for massage
and exercises by school children.
501 attendances were made at the Clinic for massage and exercises by
children under school age.
6
OPHTHALMIC REPORT
150 sessions were held during the year by Mr. F. W. Robertson, Ophthalmic
Surgeon.
1,527 children were examined for defective vision making an average of
10.2 cases per session. Details of these cases are as follows:—Grammar Secondary Junior Infant Nursery M.&C.W. Other TOTALBoys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
Myopia 20 18 22 31 25 31 2 1— —
1 — 2 5 72 86
Myopic Astigmatism .
35 27 43 48 32 37 6 7 — — 3 — 6 4 125 123
Hypermetropia 7 2 14 16 22 25 12 15 2 1 5 10 3 2 65 71
HypermetropicAstigmatism 13 16 70 80 104 120 26 48 1 2 20 18 9 8 243 292
Mixed Astigmatism .
7 4 9 15 13 18 4 2 — — 2 1 1 2 36 42
Anisometropia 2 1 1— 5 3 — — —
1 — 1 1 1 9 7
No refractive erroror error not sufficientfor correction 12 16 42 49 71 58 27 22 5 2 28 20 3 1 188 168
TOTAL .
.
96 84 201 239 272 292 77 95 8 6 59 50 25 23 738 789
Myopia was responsible for 10.3% of the total, myopic astigmatism for16.2%, hypermetropia for 8.9%, hypermetropic astigmatism for 35%, mixedastigmatism foi o.l /o, anisometropia for 1%, and no refractive error or errornot sufficient for correction for 23.5%.
Of the 158 cases of myopia, 89 had a total error of less than 2 dioptres,62 had a total error of 2 to 5 dioptres, and 7 had a total error of 5 to 10 dioptres!
Of the 248 cases of myopic astigmatism, 87 had a total error of less than2 dioptres, 122 had a total error of 2 to 5 dioptres, 33 had a total error of 5 to 10dioptres, and 6 had a total error greater than 10 dioptres.
Of the 136 cases of hypermetropia, 61 had a total error of less than 2dioptres, 68 had a total error of 2 to 5 dioptres, and 7 had a total error of 5 to10 dioptres.
Of the 535 cases of hypermetropic astigmatism, 134 had a total error ofless than 2 dioptres, 319 had a total error of 2 to 5 dioptres and 82 had a totalerror ot o to 10 dioptres.
Of the 78 cases of mixed astigmatism, 60 had a total error of less than 2
10° dioptres
^ 3^ 61101 °f 2 to5 dioptres’ and 1 had a total error of 5 to
Of the 16 cases of anisometropia, 9 had a total error of less than 2 dioptres6 had a total error of 2 to 5 dioptres, and 1 had a total error of 5 to 10 dioptres!
As far as possible all myopic children are examined every year and specialattention is paid to those children whose condition shows a definite tendency to
"pe^aTnin"*0 err°' °‘ "" ‘° “d
7
I he following abnormal conditions were reported:—Epicanthus ... 23 Congenital cataractLeucomata ... 14 ChorioretinopathyPtosis 5 Corneal nebulaCongenital nystagmus ... 4 Partly albinoDiplopia ... 3 Congenital macularBlepharitis ... 18 Limbal dermolipomaAphakia ... 1 Optic atrophy
disease
4
3
1
41
1
1
Thirteen sessions were given to operative treatment at the St. WoolosHospital during the year and 45 operations were carried out.
EAR, NOSE AND THROAT REPORT
Removal of Tonsils and Adenoids
53 sessions were given to operative treatment at St. Woolos Hospital duringthe year by Mr. D. B. Sutton, Ear, Nose and Throat Surgeon, and 244 operationswere carried out. The children came from the following sources:—Grammar Secondary Juniot Infant Nursery M.&C.W. Other TOTALBoys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
— 1
1
|
4 6 35 59 60 62 3 1 5 6 — 2 107 137
In addition 14 operations were carried out otherwise than under arrange-ments made by ihe School Health Service.
At the end of the year there were 270 children on the waiting list for removalof tonsils and adenoids and 162 on the observation list.
Aural Clinic
This clinic is held for the purpose of treating chronic ear conditions andpreventing deafness and 44- sessions were held during the year by Mr. D. B.
Sutton and Mr. J. L. D. Williams, Ear, Nose and Throat Surgeons. The 427children examined came from the following sources:—Grammar Secondary Junior Infant Nursery M.&C.W. Other TOTALBoys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
6 71
30 39 79 73 78 58 8 I7
i 1
101
111
i
14 7 225 202
720 attendances were made at the Clinic by these children.
DENTAL REPORT BY THE PRINCIPAL SCHOOL DENTAL OFFICER
In presenting the School Dental Report for the year 1959, for which detailed
figures are to be seen in the table, comparison with the previous year shows pro-
gress has been made, with increases both in the number of children inspected
at school and in all forms of treatment given at the School Clinic.
Staff
In July. 1959 Mrs. E. 0. Williams, a full-time dental officer for 19 years,
retired. Her work at the Clinic, and the assistance she rendered by remaining
during difficult years, is much appreciated.
8
The resignation of Mr. R. G. Watkeys, a part-time dental officer for four
years, is also recorded with regret.
In their place we welcome two additional part-time officeis, Mr. Peter
Robertson and Mr. R. A. Harris.
The average stall for the year in terms of full-time officers was 3.1 as
compared with 2.4 officers for 1958, with the addition of four dental attendants.
Dental Inspections
During the year all 37 junior schools and all 16 secondary schools received
a visit for dental examination. Again stress was laid on the offer of treatment
to those in need of conservative measures.
The total number of children inspected during the year was 13,761, madeup of 11,081 children examined at school and 2,680 children examined at the
School Clinic.
The figures make a total increase on the previous year of 745 children,
with 765 more children having a dental examination at school and 20 fewer
having a dental examination at the School Clinic.
The children receiving a dental examination at the Clinic consisted of those
referred by doctors and nurses, and those brought by parents mainly for the
relief of toothache.
A total of 6,587 children were offered treatment but only 4,873 attended,
making an acceptance rate of 73.4%, a welcome increase on last year’s figure
which was 53.8%.
Treatment
A total of 1,210 half-days were devoted to treatment when 12,354 attendanceswere made by the 4,873 school children. These figures continue to show howdental caries is on the increase—an average of 2.5 visits per child being requiredto complete the treatment, whereas in 1958 the figure was 2.4 visits.
The total number of teeth extracted was 7,796, consisting of 2,395 permanentand 5,401 temporary teeth, an increase over the previous year of 309 teethextracted.
For the extraction of teeth 3,785 general anaesthetics were administered, anincrease of 65 on the previous year.
200 half-days were devoted for this purpose by a Medical Officer. Thisrepresents an average of 18.9 children per session, an increase of 0.3 childrenper session on last year’s figure.
The total number of fillings inserted in the teeth was 6.739 with 614 of themin temporary teeth. This shows a welcome total increase of 1,265 fillings overthe previous year.
Despite this increase, treatment for the permanent dentition remains thesame as last year in that for every permanent tooth extracted 21/2 fillings wereinserted in permanent teeth. This is explained by the increase in fillings bein°in the temporary dentition.
0 &
9
Orthodontic Treatment and Artificial DenturesAs formerly, all patients in need of appliances for the regulation of teeth
were referred to Mr. A. J. P. Cousins, a Cardiff Orthodontic Specialist. Duringthe year 64 such children were referred—an increase of 21 on the previous year.
The replacement by artificial dentures of front teeth lost by accident or
decay was continued with the workshop mechanics being done by a local firm of
dental artificers.
During the year 57 dentures were inserted, an unwelcome increase of 25dentures on the previous year.
Maternity and Child WelfareAs in former years the Maternity and Child Welfare patients were dentally
examined and treated by the School Dental Officers. During the year 379mothers and 299 pre-school children were found to be in need of treatment.
ConclusionGrateful thanks are again extended to all members of the medical and
teaching staffs for their help and co-operation during the year, and to all
members of the dental staff for their loyalty and cheerfulness at all times in a
service having many trying moments.W. G. CLARKSON,
Principal School Dental Officer.
SPEECH THERAPYThe report for speech therapy covers only a part of the year because the
Speech Therapist resigned her appointment on 29th August, 1959, and
unfortunately no applications have been received in answer to advertisements to
fill the vacancy.
222 children were attending at the beginning of the year.
During the period from 1st January to 29th August, 48 cases were
discharged. Of these 23 had attained normal speech, 13 had left school, 10
did not attend and 2 were referred to the Educational Psychologist for treatment.
16 new cases commenced treatment during this period.
The 92 children attending on the 29th August can be classified according
to defects as follows:—General dyslalia
Multiple dyslalia
Simple dyslalia
Multiple dyslalia and interdental sigmatism
Simple dyslalia and interdental sigmatism
Simple dyslalia and lateral sigmatism
Multiple dyslalia and stammer
Interdental sigmatism
Lateral sigmatism
Stammer ••• ••• •••
Retarded speech
Retarded speech and general dyslalia ...
Cleft palate
Double hare lip and cleft palate
Deafness
12
23
3
1
1
2
2
7
7
19
62
3
1
3
92
10
98 cases were then under observation at intervals for from 3 to 12 months
and 12 cases were on the waiting list for treatment.
The three deaf children were referred to the part-time specialist teacher of
the deaf for treatment.
One session per week was again undertaken at St John s School for
educationally sub-normal children where an average of 7 chddren were treated
at a session.
From the time we were without the services of a full-time speech therapist
until the end of the year 159 new cases were referred by Head Teachers and
medical staff and these cases have been added to our existing waiting list.
Temporary arrangements have been made with the Monmouthshire County
Council for cases in urgent need of speech therapy to receive treatment by their
therapists. At present two children are receiving such treatment.
There are no children in residential schools.
AUDIOMETRIC REPORT
During 1959, the total number of special cases tested at the School Clinic
was 1,085.'' These can be divided up into 4 groups:—1. Children who Attended the Ear, Nose and Throat Clinic
Any child with a hearing defect was tested immediately before seeing the
specialist. If a course of treatment was recommended by the specialist the child
received a hearing test immediately the course was finished. Three, six and
twelve monthly hearing tests were given to children with defective hearing after
they were discharged from the E.N.T. Clinic.
2. Children Recommended from School
Besides the children discovered to have a hearing loss by the gramophoneaudiometer routine tests at school, tests are requested by other sources. If a
child fails to respond satisfactorily to a whisper test given by a school medical
officer during the school medical examination the medical officer then requests a
hearing test at the School Clinic by either the gramophone audiometer or the
pure tone audiometer. The result of this test is returned to the medical officer.
Head teachers or parents also request hearing tests. The child first of all
sees the School Medical Officer at the School Clinic, after this a hearing test is
done, and once again the result is returned to the medical officer for his
recommendation.
3. Children with Speech Defects
These children were given hearing tests on both the gramophone audiometerand the pure tone audiometer. This is to discover if defective hearing is retard-ing their speech. In 1959 however the number of children in this category witha hearing defect was very slight.
4. Pre-School Children
The Audiometrician only assists in the testing of these children. In somecases however, successful tests were carried out on the pure tone and gramophoneaudiometer.
The number of children who had a routine hearing test at school during1959 was 2,896. As a result of this test 81 children were examined by a SchoolMedical Officer and the following action was then taken.
11
Nine children were recommended to be seen by the Ear, Nose and ThroatSurgeon.
lwenty-three were recommended for removal of wax.
Three were recommended for removal of tonsils and adenoids.
Twenty-five received a further test.
ORTHOPTIC REPORT
At the beginning of the year 489 children were attending for orthoptictreatment or were under obesrvation. During the year 110 children weredischarged as follows:—
Nothing abnormal detected 19Treatment unnecessary 5Functionally cured ... 28Functionally satisfactory 4Cosmetically satisfactory ... 37Left the town 4Failed to attend 11Cases of heterophoria—symptom free 2
Total ... 110
104 children commenced attending during the year and the position at theend of the year was as follows:—
Children receiving or having received regulartreatment ... ... ... ... ... 102
Children under observation ... ... ... 293Children who have had an operation still attending
Clinic ... ... ... ... ... 43Children on operation waiting list attending Clinic 45
Total ... 483
2.058 attendances were made by these 593 children during the year.
LIP READING INSTRUCTION
Tuition in lip reading and instruction in the correct use of hearing aids
has been continued by the part-time teacher of the deaf appointed last year.
Three distinct groups have had to be arranged because of the varying levels of
age and degree of hearing. These were dealt with in separate classes of onehour’s duration as follows : 1—Pre-school children, 2—children of school
age and 3—adolescents who had just left residential schools for the deaf.
The young woman of 20 years of age who is deaf and slightly spastic,
referred to in my last report, has regularly attended her class and whilst her
progress is necessarily very slow due to her complete deafness, she has learnt
and understood upwards of a dozen words. Her lip reading is of course still
very retarded but having regard to her great handicap she is very conscientious
and willing to learn.
Attendances over the year were erratic for a variety of reasons understand-
able in so far as they appeared justifiable to parents and children. The numbers
covered during the year were as follows:—Pre-school children, 4; children 5-15, 3; adolescents, 5.
12
ADULT SPEECH THERAPY
In July, 1959 seven cases were attending the Adult Speech Therapy Class.
They may he classified as follows:—One cleft palate.
One stammer.
One dysphonia.
One functional dysphonia.
One dyslexia with mild dyspraxia.
Two expressive dysphasia with associated dyslexia and dysgraphia.
At the end of the year three of these cases had been discharged from theclass, having attained normal speech. The cleft palate patient (36 years) hadnot received any plastic surgery treatment since babyhood and was thereforereferred to St. Lawrence Hospital. The stammerer was referred to St. Cadoc’sHospital for psychiatric treatment.
Two new cases were admitted — one slight expressive dysphasia, oneexpressive and slight receptive dysphasia.
In December, 1959 six cases were attending.
J his class has filled a definite need, which is clearly emphasised by the factthat the attendance has been so well maintained.
B.C.G. VACCINATION
B.C.G. vaccination was offered during the autumn term to all childrenleaching theii fouiteenth birthday during the school year and it is interesting tocompare the figures with those for previous years.
Summer term 1955:B.C.G. % TB + % Total
Grammar school children reaching14th birthday 188 72.9 70 27.1 258
Autumn term 1955:All children reaching 14th birthday ... 675 79.1 178 20.9 853
Autumn term 1956:All children reaching 14th birthday ... 745 81.4 170 18.6 915
Autumn term 1957:All children reaching
Autumn term 1958:14th birthday ... 911 86.2 146 13.8 1,057
All children reaching 14th birthday ... 814 90.5 85 9.5 899Autumn term 1959:
All children reachingO 14th birthday ... 933 90.6 97 9.4 1,030
Total 4.266 85.1 746 14.9 5,012
13
This programme was not fully implemented until the Autumn term 1955.The group done during the Summer term 1955 was a pilot programme to ensurethe smooth performance of the full programme for children reaching the ageof 14 during the school year 1955-56.
It is satisfactory to report that the fall in the numbers coming forward fortuberculin testing and B.C.G. vaccination in 1958 as compared with 1957 wasfollowed by a rise in the numbers coming forward in 1959 as compared with1958 which almost reached the 1957 figure. It had been feared that the fall in
1958 was partly due to parents thinking that a child who had been immunisedagainst poliomyelitis did not need to be vaccinated against tuberculosis, andpartly due to parents not being prepared to take the trouble to sign consentforms for both procedures, and no doubt this was the case. However presumablyincreasing familiarity with poliomyelitis immunisation led to a reduction in the
influence of these factors. This is just as well for tuberculosis killed thirty-four
times as many people in England and Wales in 1958 as poliomyelitis did (4.480as against 130).
It will be seen that there has been a fall in the percentage of children foundto be tuberculin positive from 20.9% to 9.4% during the five years in whichthe full programme has been carried out, indicating a fall in the sources of
tuberculosis infection. If the result of the pilot programme is included the fall
has been from 27.1% to 9.4%, but this result is not strictly comparable, partly
because the numbers were much smaller and more important because the children
were eight months older and had been exposed to infection that much longer.
It will also be seen that the very large falls in the percentages of children found
to be tuberculin positive seen in the earlier years has not been repeated on this
occasion, which suggests that the fall in the reservoir of sources of infection is
itself decreasing. This in turn is confirmed by the fact that over the country as
a whole the fall in the number of deaths from tuberculosis has itself almost
ceased. Tuberculosis is by no means dead yet.
It is as well that B.C.G. vaccination has at last been accepted in this
country, as without it the removal of sources of tuberculous infection, which in
most cases produce immunity rather than disease in those exposed to the infec-
tion, would have produced a population increasingly susceptible to the disease.
In particular the compulsion to have milk tuberculin tested or pasteurised re-
moved the oportunity to have what in most cases was a symptomless but
immunising infection.
TUBERCULIN TESTING
Tuberculin testing was offered during the year to all children reaching
their tenth and sixth birthdays during the school year and it is interesting to
compare the figures with those for the three previous years.
TB- % TB + % Total
1956: Children reaching 10th birthday .. . 1.073 88.8 135 11.2 1.208
1957: Children reaching 10th birthday .. . 1,285 90.5 135 9.5 1.420
1958: Children reaching 10th birthday .. . 1.257 94.4 74 5.6 1.331
1959: Children reaching 10th birthday .. . 1.104 94.8 60 5.2 1.164
Total . 4,719 92.1 404 7.9 5.123
14
1956: Children reaching 6th birthday
TB-. 781
%96.4
TB +29
%3.6
Total
810
1957: Children reaching 6th birthday . . 910 96.6 32 3.4 942
1958: Children reaching 6th birthday .. 788 91.7 71 8.3 859
1959: Children reaching 6th birthday .. 807 99.1 7 0.9 814
Total .. 3,286 95.9 139 4.1 3,425
This programme was commenced in 1956.
It will be seen that there has been a further fall in the numbers both of ten
year olds and of six year olds coming forward for tuberculin testing
in 1959 as compared with 1958, the numbers for 1958 being themselves
less than those for 1957. No doubt the poliomyelitis immunisation programme
is responsible for this in the manner suggested in the last section of the report
before this one.
It will be seen that there has been a fall in the percentage of ten year olds
found to be tuberculin positive from 11.2% to 5.2% during the four years in
which the programme has been carried out, indicating a fall in the sources of
tuberculous infection. As with the fall in the number of fourteen year olds
found prior to B.C.G. vaccination to be tuberculin positive, this fall has been
much less this year than in earlier years. The suggested explanation for this is
discussed in the last section of the report before this one.
The very small percentage of six year olds found to be tuberculin positive
this year is no more easily explicable than the comparatively large percentage
found to be tuberculin positive last year. Last year it was though that staff reading
tuberculin tests for the first time had been reading them wrongly and further
instruction in reading of tuberculin tests was given to the staff concerned. Thatexplanation cannot be the correct one this year and one would have expected the
small fall in the percentage of tuberculin positive fourteen year olds and ten
year olds to be paralleled by a similar small fall in the percentage of tuberculin
positive six year olds. Perhaps this matter will clear itself up with the result of
future programmes.
The tuberculin positive children were given a chest X-ray. No cases of
tuberculosis were found in either age group. Tuberculin testing is a muchcheaper and more efficient way of finding cases of tuberculosis than mass X-ray,as it makes it unnecessary to X-ray any but the tuberculin positive cases.
DIPHTHERIA IMMUNISATION
584 school children were given reinforcing immunisation against diphtheriaduring the year and 155 primary immunisation.
POLIOMYELITIS IMMUNISATION
3,937 children under 15, mainly school children, were given immunisationagainst poliomyelitis during the year.
INFECTIOUS DISEASES
12 school children were notified by doctors as suffering from whoopin<>cough during the year and 15 by Education Welfare Officers making a total of
15
2/. Whooping cough is the main cause o! bronchiectasis (lung abscess) and oneoi the causes of bronchitis. It is preventable by immunisation and now thatimmunisation against whooping cough is given to babies along with immunisa-tion against diphtheria it is hoped that the number of notifications will fall.
250 school children were notified by doctors as suffering from measlesduring the year and 72 by Education Welfare Officers making a total of 322.Almost every child gets measles, usually before he goes to school, and as it isnot a serious condition it is impossible to see why it is notifiable. In contrastlheumatic fevei, which is the cause of rheumatic heart disease, is not notifiablealthough 7,567 people died of rheumatic heart disease in England and Walesin 1958.
42 school children were notified by Education Welfare Officers as sufferingfrom german measles during the year. German measles is a cause of blindnessand deafness in children born to mothers who contracted the infection in earlypregnancy and it is satisfactory to be able to report that this tragedy is not likelyto happen to the children of the 21 girls included in the total.
130 school children were notified by Education Welfare Officers as sufferingfrom mumps during the year.
271 school children were notified by Education Welfare Officers as sufferingfrom chicken-pox during the year.
HANDICAPPED CHILDREN
Blind and Partially Sighted
Two children, 1 boy and 1 girl, attend the Glamorgan School for the Blind.
One boy attends the Royal Normal College for the Blind at Shrewsbury.
Deaf and Partially Deaf
The part-time teacher of the deaf continued during 1959 to hold her special
class for deaf and partially deaf on Tuesday evenings.
One partially deaf boy had to be withdrawn from a Residential School
because he developed diabetes. He is now receiving special tuition by a Teacherof the Deaf.
The question of opening a Day Class for partially deaf is still being con-
sidered and although the incidence of deafness has diminished considerably in
the last few years, it is considered that there is a sufficient number of cases in
Newport to start such a class.
11 children are attending Residential Schools for the Deaf.
Delicate
During the year 18 children were admitted to the two class Day Unit for
Delicate Children at the Gaer School and 14 were discharged to ordinary schools.
During this year following a discussion between the Head Teacher of the
Gaer School, the Physical Training Organiser, and the Medical Officer, the
children attending this unit have been given physical training graded according
to their handicap.
The Head Teacher lias allowed them to use the apparatus in the Gaer Junior
School. Most of the children enjoy this and show improvement in posture and
general physique as a result.
16
Seventeen children were admitted to Mounton House Residential School
and thirteen were discharged.
Physically HandicappedThere are four children in Residential Schools for handicapped children.
One hoy is in Bradstock Locket School at Southport.
Two girls are in Erw’r Uelyn, Penarth.
One boy is in Craig-y-Parc near Cardiff.
Educationally Sub-Normal26 pupils were admitted to and 16 discharged from St. John’s Day School for
Educationally Sub-Normal Pupils.
2 pupils improved sufficiently to return to ordinary school and two pupilswere found to be ineducable and were notified under Section 57 (3) of theEducation Act, 1944, to the Mental Health Authority.
In all 7 children were dealt with under Section 57 (3).
The Head Teacher of St. John’s School, during 1959, has commenced aSocial Club for ex-pupils each Wednesday evening. This is held at the Schooland it is noticeable that many of the children who were most difficult to dealwith whilst attending school are the most regular users of the club.
Six boys attended Residential Schools. Five of these were in attendanceat Hilston Park School, Monmouth.
Maladjustedy
Nine children are attending Residential Schools for Maladjusted Children.
There are 5 boys at the Mount School, Chepstow, and 4 boys at the SutcliffeSchool, Winsley, near Bradford-on-Avon.
The Consultant Psychiatrist visits the Mount School regularly and each terma School Medical Officer, the Educational Psychologist, and the PsychiatricSocial Worker visit the Mount School to discuss the boys with the Head Teacher.
Close liaison is maintained between the School Medical Service and theChild Guidance Clinic, a Medical Officer, the Educational Psychologist, and thePsychiatric Social Worker meeting each week to discuss cases.
Epileptics
c ,
T,
Wr°
ci iI-?re"’ °?e
,
and one gM, are attending Lingfield ResidentialSchool for Epileptic Children.
The following table gives details of handicapped pupils requiring educationat special schools:— no
= T>«T3 <D
CO Q.qj op
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TO <DCL T>
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oO
Q>
o.yis) "U
r CJZ CT3
CL _C
TO_C CO
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(TJ Oy c3.0TJ 3LU in
a<D
A. Newly placed in special schoolsduring 1959
B. Newly assessed as needing specialeducational treatment in specialschools during 1959 ...
— 36(i)
3 27(iii)
6 — 72
- — 37(ii)
1 24(iv>
6 — 68
17
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try DC <D
CD CL u) a
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CD oy c3-0T3 DLU to
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5
ao
C. On the register of special schools
on 22nd January, 1960 as
(i) 1. Maintained schools
(a) day pupils ...
(b ) boarding pupils
2. Non-maintained schools
() day pupils ...
() boarding pupils
(ii) On the register of independent
schools on 22nd January,
1960 under arrangementsmade by the Authority ...
(Hi) Boarded in homes on 22ndJanuary, 1960 and not al-
ready included under C ( i )
or (ii)
41 — 146 187
— 2 1 — 12 2 66 — 29
— 233— 2 — 42 16
13 4
Total C ... — 4 5 6 55 4 152 10 2 238
D. Being educated under arrange-
ments made under Section 56 of
the Education Act, 1944
(i) In hospitals ...
(ii) In other groups
( iii) At home
E. (i) Requiring places in special
schools
(a) day
( b ) boarding
(ii) Included in E (i) who had not
reached the age of five
(a) awaiting day places...
(b ) awaiting boarding
places
(iii) Included in E (i) who had
reached the age of five but
whose parents had refused
consent to admission
(a) awaiting day places..
( b )awaiting boarding
places
8 — — 1 — 9
6 4 1 11
1 11—3
— 1 1
18
F. Were on the registers of hospital special schools: 17.
G. During 1959 reported to the Local Health Authority:
() Under Section 57 (3) of the Education Act 1944 [excluding any
returned under (6)]: 7
() Under Section 57 (3) of the Education Act 1944, relying on Section
57 (4): 0.
(c) Under Section 57 (5) of the Education Act 1944: 19.
(i) Includes 19 at the Authority’s Day Classes for Delicate Children.
(ii) Includes 20 at the Authority’s Day Classes for Delicate Children.
(iii) Includes 26 at the Authority’s St. John’s Day Special School.
(iv) Includes 23 at the Authority’s St. John’s Day Special School.
ACCIDENTS TO SCHOOL CHILDREN
Details of accidents to school children were made available to the School
Health Service in 1959 for the third time. The total number of accidents was 221
as compared with 179 and 227 for 1958 and 1957, giving a rate of 12.3 accidents
per 1,000 school children among the 17,936 school children in Newport. Of the
school children involved in these accidents 93 were referred to hospital.
Type of Grammar Secondary Junior Infant Nursery Totalinjury Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
Fractures 7 3 4 4 10 5 5 1 2 — 28 13
Dislocations . .
.
— 1 4 1 — — 1 — — — 5 2
Burns andscalds — — 1 — — 1 — — — — 1 1
Cuts andpunctures . .
.
3 2 11 7 20 4 12 4 3 5 49 22
Strains andsprains — 2 5 3 1 3 2 1 — 1 8 10
Bruises andabrasions . .
.
6 4 5 5 15 5 15 2 5 — 46 16
Crushed fingers — — — — — 1 4 3 2 — 6 4Dog bites — 1 — — 1 — — — — 1 1
Others 2 — — 1 1 — — — 1 3 4 4
Total 18 13 30 21 48 19 39 11 13 9 148 73
Once again as in 1958 and 1957, it will be noted that there are more injuriesamong boys than among girls in every age group of the school population, butthis yeai, unlike the two previous years, the accident rate is not higher amonggrammar and secondary school children than among junior and infant schoolchildren, the same rate of 11.2 per 1,000 applying to both, and the rate amongnursery school children being above the average although the numbers involvedaie probably too small for this to be of any significance. Fractures are themost serious type of injury listed and here the total of 41 is considerably morethan that for 1958 (25) and similar to that for 1957 (40).
19
Place of Grammar Secondary Junior Infant Nurserv Totalaccident Boys Girls Boys Girls Boys Girls Boys Girls Boys Cirls Boys Girls
Playgrounds . .
.
7 2 13 3 33 12 23 5 9 4 85 26
P.T. and games in
playgrounds 4 7 11 6 0 4 0 1 1 28 18
Classroomsand halls ... 2 2 1 7 4 2 9 4 3 3 19 18
Steps andstairs 1 1 — 1 1 1 — — — 1 2 4
Swimmingbaths 1 — 1 3 1 — — — — — 3 3
Playing fields.
.
2 1 — — 2 — — — — — 4 1
Woodwork andmetalwork .
.
1 — 3 — — — — — — 1 4 1
Science
laboratories — — 1 — — — — — — — 1 —Others — — — 1 1 — 1 1 — — 2 2
Total 18 13 30 21 48 19 39 11 13 9 148 73
Once again as in 1958 and 1957 it will be noted that the largest number of
accidents occur in playgrounds where the children are under less close supervision
than elsewhere and that the number of accidents in swimming baths and on play-
ing fields is a good deal less than the number in the course of P.T. and gamesin playgrounds or in classrooms and halls. The number of accidents in wood-
work and metalwork rooms and science laboratories is smaller still.
SMOKING AND LUNG CANCER
Arising from the receipt of Ministry of Education Administrative
Memorandum No. 555 dated 27th June, 1957, a talk was given during the autumn
term in all secondary schools to children reaching the age of 15 during the school
year and the talk will be given yearly.
Graphs were shown to illustrate the changes in the number of deaths over
the last ten years in England and Wales from lung cancer and from five other
cancers and from five other causes and some of the figures on which these
graphs were based are given hereunder.
1948 1958 % Change
Cancer of lung ... 10,162 ... 19,809 ... + 94.9
„ „ bowel ... 17,072 ... 14,980 — 12.2
„ „ stomach ... 14,392 ... 14.112 - 1.9
„ „ breast ... 7,843 ... 8,945 ... + 14.1
„ „ womb ... 4.321 ... 4,109 - 4.9
Leukaemia ... 1.489 ... 2.379 ... + 59.8
Rheumatic heart disease ... 10.237 ..: 7.567 - 26.0
Home accidents ... 4.521 ... 6.252 ... + 38.3
Road accidents ... 3.579 ... 5.438 ... + 51.9
Tuberculosis ... 21.675 ... 4.480 — 79.3
Poliomyelitis 239 ... 130 ... — 45.6
20
The enormous change in the importance of lung cancer as a cause of death
both absolutely and in its relation to oilier causes is made clear from these
figures and was shown even more clearly on the graphs.
Statistical evidence drawn from various surveys reported in the medical
press was then presented to show the connection betwen smoking and lung cancer.
It was shown that whereas in a group of 1,357 men with lung cancer 340 (25.0%)smoked the equivalent of 25 or more cigarettes a day, and seven (0.5%) were
non-smokers, in a control group of 1,357 men 182 (13.4%) smoked the equiva-
lent of 25 or more cigarettes a day, and 61 (4.5%) were non-smokers.
It was shown that the death rate from lung cancer in a group of 40,000
British doctors rose from 0.07 per 1,000 among non-smokers to 2.76 per 1,000
among those who were smoking 25 or more cigarettes a day, or in other wordsto a rate 39 times as high.
It was shown that whereas the chances of dying of lung cancer before 55,
60 and 65 were approximately one in 1,000, one in 500, and one in 333 amongnon-smokers, they were one in 30 (33 times as high), one in 13 (38 times as
high) and one in seven (48 times as high) among those who smoked 25 or morecigarettes a day, on the basis of deaths in 1958.
Similar statistical surveys on the connection between smoking and bron-chitis, and on the connection between smoking and pulmonary tuberculosis in
middle aged men (where the theory is that smoking causes a healed primarytuberculosis to break down), were also quoted and it was suggested that smokingwas probably responsible not only for the 19,809 deaths from lung cancer in
1958, but also for the excess of male over female deaths from bronchitis(20,326 - 9,066 = 11,260) and from pulmonary tuberculosis (2,950 - 1,050 =1,900) or for 32,969 deaths altogether.
It had been feared that there would be difficulty in retaining children’sattention for the 35 minutes required to give the talk and that they might havedifficulty in following a talk on a subject which was quite new to them, butthese fears proved completely groundless. Attention was held on every occasionwithout difficulty and the many intelligent questions which followed each talk,taking between them as long as 25 minutes to answer, showed that the talk hadbeen followed.
HEALTH EDUCATION
Four films have been purchased by the Public Health Department and theEducation Department jointly with the object of showing them to senior schoolchildien and to parents associations, following the showing with a period ofquestions to be answered by a medical officer of the authority, the hope beingthat the films will have encouraged the audience to think about health, ratherthan about disease, and that they will ask for information or advice either onsubjects discussed in the films or on other subjects connected with health.
There are many films about disease, but few about health, and the choicelor purchase was limited. The films bought were:
Youi children walking. ’ Some hints on the importance of healthy feet.
Round figures.” The importance for health of good posture.
••Old wives’ tales.” Exploding the fallacies: Ne’er cast a clout; A little dirtwon t hurt you; Night air is dangerous.
21
"A modern guide to health.” Correct posture, value of exercise and freshair, importance of suitable clothes, how to avoid insomnia.
The response to this offer has been most disappointing. No doubt it causesinconvenience to the school to make arrangements for a talk to be given to
children but it seems a great pity that this should not be accepted. The rules
of health are so simple, and there is such abysmal ignorance of them. Attentiongiven to a few simple precepts could result in a rich dividend of better health
in adult life.
CHILDREN IN NURSERY SCHOOLS AND NURSERY CLASSES
There are five nursery schools and five nursery classes in Newport with total
accommodation for 315 children. Medical examination of these children is
the responsibility of the School Health Service.
507 children in nursery schools and nursery classes were given a routine
medical examination during the year. 371 of these children were also re-examined
making a total of 878 medical examinations during the year.
Two children only were found to be in an unsatisfactory physical condition.
CHILDREN UNDER CARE OF CHILDREN’S DEPARTMENT
121 medical examinations of children under the care of the Children's
Department were carried out during the year.
CHILDREN FOR EMPLOYMENT
163 children were medically examined under the provisions of the bye-laws
regulating the employment of children during the year.
TEACHERS
135 prospective teachers under the Education Authority were medically
examined for fitness during the year.
TRAINING COLLEGE ENTRANTS
55 entrants to training colleges were medically examined for fitness during
the year.
EDUCATION DEPARTMENT EMPLOYEES
1 80 prospective employees of the Education Authority were medically
examined for fitness during the year.
HOME VISITS BY SCHOOL NURSES
1.213 visits to homes of maintained primary and secondary school children
were made by school nurses in connection with after care and welfare.
22
SCHOOL PSYCHOLOGICAL SERVICE
Number of Cases Examined During the Year 1959:
Referred by Head Teachers of Schools ... ... 94
Principal School Medical Officer ... ... 54
Medical Practitioners ... ... ••• 5
Magistrates of the Juvenile Court ... 15
Probation Officers ... ... ••• 6
Parents ... ... ... ••• 6
Youth Employment Officer ... ... 2
Other Sources ... ... ... ... 9
Referred for Home Tuitian ... ... ... ... 6
197
The Social Worker, Mrs. A. Cook, resigned in July after a most helpful
and valuable period of service. She has been replaced by Miss M. Hill who is
extending the work with enthusiasm.
The Clinic team consist of the Child Psychiatrist, the Educational
Psychologist and the Social Worker. The Psychiatrist is available for only onesession per fortnight and, since only eight patients can be seen in a session, andfour of these eight are new cases, it has been difficult to provide the necessary
time for satisfactory therapy. To ease the situation the Psychiatrist hasarranged to see some of these cases regularly at the hospital with some success.
Both the Psychologist and the Social Worker are counselling other children
under the guidance of the Psychiatrist.
A recent extension of play therapy has grown and every Saturday morning-some four or five children meet regularly in the playroom. The play equipmentis gradually being increased. A punch hall has become a most valuable addi-tion and an aggressive child can be occupied for long periods bangingvigorously and noisily with his fists. The comments which are made as thefists fly are often helpful guides as the ball is labelled by various names. Insteadof attacking the living enemy the young boxer attacks a ball which he namesas that enemy.
Since therapy must also he creative, woodwork equipment has been addedand in addition to the jubilant cacophony of the hammer and the saw, thereis the aim of making a real object.
Much use of the painting and drawing material has been made and someof the pictures produced have been quite exciting.
It is hoped that in the near future a second play group will begin onThursday evenings. The Saturday group is mainly of junior school childrenand the Thursday evening group will consist of adolescents.
It is important to have these sessions at times other than school hours asregular school attendance is so very necessary.
23
Remedial teaching is also organised to avoid school hours although thisrestricts the number of cases that can he taken.
1 here are now six children at the Mount Residential School forMaladjusted Pupils and regular visits of the team to this school are maintained.1 he Headmaster has been most co-operative and it is a real pleasure to workwith him. Personal contacts with residential schools is of fundamental im-portance and regular visits to Mounton House Delicate School and HilstonPark Special School are a present aim.
The number of cases referred by Lhe Juvenile Court have more than doubledthis year and the child guidance team and the Superintendent of Crick RemandHome gain reciprocal benefit by frequent conferences about these unfortunatechildren.
Children who require home tuition have been visited and examined by thePsychologist. Recently, however, this responsibility has been transferred to
the Assistant Education Officer, to ease the load of the School PsychologicalService. Special cases will still be seen by the Psychologist if it be deemednecessary.
The classes for children in St. Woolos Hospital have been extended to the
Royal Gwent Hospital and this addition is under careful review. The Assistant
Education Officer has taken the responsibility of this work recently.
Educationally sub-normal children benefit the more, the sooner they receive
special teaching. This year the aim has been to transfer such a child to St.
John’s School as early as possible. If a child enters a special school at seven
years old, there is always the hope of such a child returning to normal school
in the future. If, on the other hand, a child enters the special school after three
or four years in an ordinary junior school, the prognosis for the future is not
so good. Miss A. Charles, the Head Teacher of St. John’s School, and the
Infant School Head Teachers have been most helpful and co-operative in this
work. It is hoped that each year these backward children will pass from the
infant school to St. John’s School without a period in the junior school and in
this way many of the children will, in due course, enter the ordinary secondary
school and leave school in the normal way.
Finally the remedial teaching in junior schools by peripatetic teachers is
proceeding satisfactorily and those teachers who have recently been appointed
for this work are rapidly gaining new interest: in the problems.
J. EDWARD HAZELTON,Education Psychologist.
PHYSICAL EDUCATION REPORT
In junior and infant schools increasing use lias been made of portable
climbing apparatus with significant improvements in strength, mobility and
general confidence where indoor facilities have permitted the regular use of
such equipment. Except with first year infants the pupils are required to erect
and dismantle all apparatus used during their lessons. This aspect of physical
education lessons requires a high degree of team work and self discipline.
For the first time pupils at the Gaer Delicate School were introduced to
junior climbing apparatus at the adjacent junior school. With a variety of
apparatus set out in the hall, the children in groups of four or five progress from
one apparatus to another, not to perform pre-determined activities but to
explore, within their individual limits of ability and confidence, many ways of
moving about the apparatus.
In the Secondary Schools, once again, serious handicaps have been caused
by the acute shortage of women physical education specialists. Whilst the
majority of women physical education teachers in secondary modern schools
24
are not three year specialist trained, two schools share one teacher and another
has had no woman teacher of physical education since September.
In many schools difficulty is still being experienced in securing the co-
operation of pupils and parents with regard to the wearing of appropriate
clothing for physical education lessons. Many parents are reluctant to allow
their children to remove restrictive clothing. For reasons of hygiene, freedomof movement, and safety in the use of climbing apparatus, it is essential that
children should wear the minimum of clothing for their lessons. Whilst schools
possess limited numbers of gym shoes, for hygiene reasons parents should beencouraged to provide children with their own shoes.
Facilities for Physical Education
Du ring the year facilities in junior schools have improved considerably.Of the 26 junior schools, 5 possess no indoor accommodation for physicaleducation, and only 2 schools now use their halls as temporary classrooms.
The Ringland Junior and Milton Infants’ Schools, opened during the year,possess excellent indoor and outdoor facilities, and already a high standard ofwork is being produced at both schools.
Outdoor facilities for games and athletics have been enhanced by:—(i) Complete development of the Lliswerry playing field now pro-
viding excellent grass and porous pitches, long and high jumppits with cinder approaches, a cricket square and concretepractice wickets.
(ii) The use of St. Julian’s running track changing rooms by pupilsusing the adjacent playing fields.
The benefits derived from the St. Julian’s track changingroom with its hot and cold shower facilities draw attention to^ thecontrasting inadequate changing and washing facilities at otherparks and playing fields throughout the town. On many occasionsgames lessons have been cancelled because of the total lack ofwashing facilities at certain parks rather than because of thecondition of the pitches.
Swimming
During the past year extensive alterations to the Maindee and Stow Hillbaths have seriously curtailed swimming for the Newport Schools. The con-
1•
CU)ties
,of Providlng_ adequate swimming bath space have beenlenected in a di op from the previous years in the number of swimming certifi-cates gained. Although the number of Royal Life Saving Society Awards
RespTratioif Awards 'gained!
ye" r * ^ d" e *° 'he great nUml>er °f
The Primary Schools’ Swimminc SchemeAs previously mentioned swimming facilities were extremely limited and
30V \oP20mm,
rm,S°f
OlS SC',eT !
he ti"'e» II»eation Pei' lesson was reduced by?,
U/o to ™ ,n,,tes for most of the schools taking part. Despite this handiranhe results from the scheme show only a slight drop from those of the mstfour years as shown in the following table.mose the past
25
SUMMARY
OF
RESULTS
DURING
THE
PERIOD
1955-59
NON
SWIMMERS
ONLY
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fN 00 o — or-VO rri o' vonio
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r-o VOOO'vo — r- N" VO rslin O' — m o— in in 'T rn
: : ; : : :
_i'
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_ QJ
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H O iZ
26
^Dre chiWren eligible to attend this scheme are all who have taken the 11 +
tests In 1959 this number was I860. The number attending the scheme was
1.723, showing a total of 137 absentees. It is presumed that the majority of
absentees were excused for medical reasons.
Absentee figures for the last five years (1955-6-7-8-9)
Eligible to attend W5 ... /o
In attendance ••• ^,700 ... •
Absentees 965 ... 11.2%
Swimming and Life Saving Awards
The following swimming certificates were gained:—1959 Compared with
Primary Schools ... 1,585
Secondary Schools ... 612
2,197
19581,650
849
2,499
These figures do not include the 798 25 feet certificates awarded during
the Primary Schools’ Swimming Scheme.
Five hundred and sixty-three awards of the Royal Life Saving Society were
gained by Secondary School pupils.
In comjietition with all Secondary Schools in South Wales the following
life saving trophies were gained:—Secondary Modern Schools (Girls) Trophy : Belle Vue Secondary School.
Secondary Modern Schools (Boys) Trophy: Brynglas Secondary School.
These trojihies are awarded for securing the highest number of points for
Royal Life Saving Society Awards in 1959.
In examinations conducted by the Baths Departments 12 boys and 3 girls
were successful in gaining free admission passes to Newport Baths for a period
of one year.
THE ACTIVITIES OF SCHOOLS’ SPORTS ASSOCIATIONS—WINTER
Association FootballDuring the year 30 primary and 19 secondary schools were affiliated to
the Newport and District Schools’ Football Association.
With ‘ friendly ’ matches arranged in three sections : Primary, Secondary-
funder 13 years) and Secondary (under 15 years) approximately 600 boys took
part in inter-school games on Saturday mornings throughout the season.
Teams representing Newport primary and secondary schools played 8 and
23 games respectively.
Hockey (Girls)
The newly formed Newport Schools’ Hockey Association held its first rally
during the year. Its activities have been mainly directed towards the coachingof girls under 15 years of age.
NetballWith representatives from its 14 affiliated schools the Newport Schools’
Netball Association held trials to select players for the South Wales trials in
both the Junior and Senior sections. As a result of the latter trials 2 players
and 2 reserves were selected to play for the Senior South Wales team, and a
further 2 players and 2 reserves were selected for the Junior South Wales team.
27
Rugby FootballMost Newport Secondary Schools field at least two rugby teams and
increasing difficulty is being experienced in securing sufficient rugby pitches forschools games lessons.
1 he Newport Schools’ Rugby XV reached the semi-final of the DewarShield competition.
SUMMERAthletics (Primary Schools)
At a sports meeting organised by the Newport Primary Schools SportsAssociation over 1,100 children competed after qualifying at their own sports
meetings. Through the generosity of the Newport Athletic Club, the sports
meeting was held at the Newport Athletic Grounds. The meeting, conducted byover 150 primary school teachers, produced high standards of performances in
all events.
Athletics (Secondary Schools)The availability of the new Glebelands running track has contributed
considerably to the general improvement of performances in all events.
In view of the great interest being aroused in athletics in the NewportSchools it is surprising that so few children pursue the sport on leaving school.
BaseballDuring the season 30 teams affiliated to the primary or secondary sections
of the Schools’ Baseball Association played friendly fixtures resulting in
approximately 350 boys actively enjoying the game on Tuesday evenings.
Inter-town matches were played with Cardiff and Liverpool, the latter fixture
being preceded by a Civic Reception for both teams.
CricketThe Newport and District Schools’ Cricket Association arranged friendly
fixtures for 21 primary and 14 secondary affiliated teams providing play for
approximately 420 boys on Saturday mornings throughout the season.
WINTER/SUMMER
Swimming (Boys and Girls)
Over 600 children took part in preliminary swimming galas from which
approximately 300 reach the finals of the Newport Schools’ Swimming
Association Championships.
Teams representing Newport Secondary Schools took part in the three major
swimming events shown below:—No. of Newport
swimmers Results
1 . Inter-Cities Gala... 2nd.(At Cardiff)—7 towns 47
2. Welsh Schools’ Championships
(At Newport)—9 areas 50 17 1st places.
11 2nd or third places.
3. E.S.S.A. ( Division 5) Trials
(At Bristol)—8 areas 16*
*From the Division Trials 9 swimmers were selected to represent Division
5 at the English Schools’ Swimming Association Championships. One Newport
boy won a National Championship and a girl secuied a 2nd place.
28
Duke of Edinburgh’s Award SchemesOne girls’ and two boys’ secondary schools’ are now participating in the
Duke of Edinburgh’s Award Schemes for Boys and Girls.
Representatives from the three schools took part in a demonstration ofScheme activities at the Royal Air Force Camp at St. Athans during the visit ofthe Duke of Edinburgh.
GENERAL
During the year four secondary school teachers of physical education (men)weie seconded fiom the Authority to attend one year supplementary courses inphysical education. One teacher ( man) returned from a supplementary course.
Local teachers’ courses were conducted in swimming, recreative dance andjunior school physical education. The latter course extended over two full daysand was arranged in conjunction with the Monmouthshire Teachers’ AnnualRefresher Course at Caerleon.
1 wish to thank the many teachers without whose willing co-operation itwould not be possible to develop the wide-range of out-of-school activities atpresent being enjoyed by the school children of Newport.
R. H. DIAPER,
Organiser of Physical Education.
SCHOOL DINNERS AND SCHOOL MILK
903.678 dinners were eaten by children in Newport schools during theyeai as compared with 808,533 during the previous year.
At the beginning of the year dinners were served in 32 school canteens 13 ofwhich were self-contained and 19 of which had dinners delivered from otheri c lens. In September one new dining centre was opened so that, at thecommencement of the Autumn term, there were 13 self-contained canteens which
n rj PI
hl
d mi
erS t0 20 dlnfS centres - Dinners were also served in fivenursery schools and five nursery classes.
2.744.678 one-third pints of milk were drunk by children in Newport schoolsduring the year as compared with 2,770,742 during the previous year.
ACKNOWLEDGMENTS
F 1
I
t
ShOUn (r
like t0 the members of ^e Education Committee the Chief
o.herT«cher!f” fer^ufpSt°ffiCer
’ and the Head
School’Health SentfceL’r the?fassis^nce'""“"S^ “d S‘" ff °f
rtt ^Jotthfcht’C°T
Itant P,
a“a".Health Service, and Mr. A. J. P. Cousins. OrthndnnF
™ain.
ta\ns with the School
expert advice which lie gives to the School Dental ServKe.^f°r the
School Health Service.
26 Clytha Park Road,
Newport.
March, 1960.
I am, Mr. Chairman, Lady and Gentlemen,Your obedient servant.
W. B. CLARK,Principal School Medical Officer.
29
RETURN OF NUMBER OF CHILDREN ON ROLLIN JANUARY, 1960
Type of School Number of
Schools
Number on Roll
TOTALBoys Girls
Primary
—
Junior 1 3,206 3,038 6,244
Infants }
422,061 1,982 4,043
Secondary
—
Grammar 4 1,108 977 2,085
Other 13 2,631 2,587 5,218
Special.
—
Educationally
Sub-normal 1 90 56 146
Other
—
Nursery 5 98 102 200
TOTAL 65 9,194 8,742 17,936
MEDICAL INSPECTION RETURNS
Note: TablesA, B and C relate only to medical inspections of pupils attending
maintained schools prescribed in Section 48 (1) of the Education Act,
1944.
PART I—MEDICAL INSPECTION OF PUPILS ATTENDING MAINTAINED
PRIMARY AND SECONDARY SCHOOLS (INCLUDING NURSERY ANDSPECAL SCHOOLS)
Table A.—Periodic Medical Inspections
Age GroupsInspected
(By years of birth)
Number of
Pupils
Inspected
Physical Condition of Pupils Inspected
Satisfactory Unsatisfactory
No. % of
Col. (2)
No. % of
Col. (2)
(1) (2) (3) (4) (5) (6)
1 955 and later 356 355 99.7 1 0.3
1954 163 162 99.4 1 0.6
1953 884 879 99.4 5 0.6
1952 455 452 99.3 3 0.7
1951 27 27 100 — —1950 17 17 100 — —1949 1 040 1,039 99.9 i 0.1
1948 557 557 100 — —1947 33 33 100 — —1946 21 21 100 — —1945 909 909 100 — —
1 944 and earlier 501 501 100 —TOTAL 4,963 4,952 99.78 1
1
.22
30
Table B.—Pupils Found to Require Treatment at Periodic Medical
Inspections (excluding Denial Disease and Infestation with Vermin)
Notes : Table B relates to individual pupils and not to defects. Consequently,
the total in column (4) will not necessarily be the same as the sum of
columns (2) and (3).
Age Groups Inspected(by year of birth)
(1)
For defective vision
(excluding squint)
(2)
For any of the
other conditions
recorded in
Part II
(3)
Total individual
pupils
(4)
1 955 and later 3 123 1251954 — — —1953 14 225 2311952 10 1 12 1 141951 ... 3 5 51950 2 1 31949 70 184 2651948 45 67 1 161947 1 7 101946 1 6 91945 ... 39 122 249
1944 and earlier 24 73 136
TOTAL 212 925 1,263
Table C.
—
Other Inspections
Notes : A special inspection is one that is carried out at the special request ofa parent, doctor, nurse, teacher or other person.
A re-inspection is an inspection arising out of one of the periodicmedical inspections or out of a special inspection.
Number of special inspections ... ... ... 2,871
Number of re-inspections ... ... ... 6,021
Total ... 8,892
Table D.
—
Infestation with Vermin
(a) Total ™mber of individual examinations of pupils in schools bvschool nurses or other authorised persons ... 34 487
(h) Total number of individual pupils found to be infested 990
<C) Number of individual pupils in respect of whom cleansing noticesweie issued (Section 54 (2), Education Act, 1944) ... 1.052
(d) Number of individual pupils in respect of whom cleansing orderswere issued (Section 54 (3), Education Act. 1944) ... ... _
31
PART II—DEFECTS FOUND BY MEDICAL INSPECTION
DURING THE YEAR
Table A.
—
Periodic Inspections
Note: All defects, including defects of pupils at Nursery and Special Schools,
noted at periodic medical inspections should be included in this Table,
whether or not they were under treatment or observation at the time of
the inspection. This Table should include separately the number of pupils
found to require treatment and the number of pupils found to require
observation.
PERIODIC INSPECTIONS
Entrants Leavers Others TOTAL
C c C C
Defect Defect4—
ooc <*•2 DC C 0fl"c4—
DC CO
DC--
CodeNo.
orDisease
C 0)
:e e *- >3 O
C O:ee n
c 0:ee
.E *0 C <u
:e e.E 0•- >3 0
21?CT v)
CD XI gj! U co
0X1 0’S0 z. O X Ss C7 co
CDX£*O BO- arO 0:0 CB\- cco
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
4. Skin 1 1 18 24 17 34 26 69 61
5. Eyes
—
a. Vision 24 10 63 179 125 65- 212 254
b. Squint 24 25 21 2 54 14 99 41
c. Other 18 7 1 5 14 12 33 24
6. Ears
—
a. Hearing 13 21 17 22 20 19 50 62
b. Otitis Media 12 12 8 1 1 20 22 40 45
c. Other 44 14 16 3 53 12. 113 29
7. Nose and Throat . .
.
113 213 19 26 87 227 219 466
8. Speech 16 23 — 5 16 15 32 43
9. Lymphatic Glands 2 47 — 2 2 35 4 84
10. Heart 3 30 4 T7 2 43 9 90
11. Lungs 10 65 3 25 14 66 27 156
12. Developmental
—
16a. Hernia 1 8 — 3 2 5 3
b. Other 5 10 3 19 3 23 1 1 52
13. Orthopaedic
—
14 21 35a. Posture 3 13 3 8 15
b. Feet 60 47 44 18 60 55 164 120
c. Other 40 35 26 33 61 72 127 140
14. Nervous System
—
10 1 1 28a. Epilepsy 2 1 1 2 7 7
b. Other — 14 3 7 1 20 4 41
15. Psychological
—
a. Development 3 10 3 6 4 23 10 39
15b. Stability ... 1 3 — 6 — 6 1
16. Abdomen — 13 — 2 1 9 1 24
17. Other 1 2 10 6 1 8 12 16
32
Table B.—Special Inspections
Note: All defects, including defects of pupils at Nursery and Special Schools,noted at special medical inspections should be included in this Table,whether or not they were under treatment or obesrvation at the time ofthe inspection.
Defect DefectCode orNo. Disease
(1) (2)
4. Skin ...
5. Eyes
—
a. Vision ...
b. Squint ...
c. Other . .
.
6. Ears
—
a. Hearingb. Otitis Mediac. Other ...
7. Nose and Throat8. Speech9. Lymphatic Glands
10. Heart11 .
12 .
13.
M.
15.
16.
17.
LungsDevelopmental
—
a. Hernia ...
b. Other ...
Orthopaedic
—
a. Postureb. Feetc. Other ...
Nervous System
—
a. Epilepsyb. Other ...
Psychological
—
a. Developmentb. Stability
AbdomenOther
Special Inspections
PupilsRequiring Observation
(4
)
230
210
Note,
PART III—TREATMENT OF PUPILS ATTENDING MAINTAINEDPRIMARY AND SECONDARY SCHOOLS (INCLUDING NURSERYAND SPECIAL SCHOOLS)
Tins part of the return should he used to give total numbers of:-1 1) cases treated or under treatment during the year by members of the
Authority s own staff;
"" C
7S !"“*? 0r under lreatm ent during the year in the Authority’s
scltool clinics under National Health Service arrangements withRegional Hospital Board
; and
'iK>
7C
,
S k"°W,
n '» *hc Authority to have been treated or undertreatment elsewhere during the year.
33
Table A.
—
Eye Diseases, Defective Vision and Squint
No. of cases known to
have been dealt with
External and other, excluding errors of refraction
and squint 317
Errors of refraction (including squint) ... 1,399
Total 1,716
Number of pupils for whom spectacles were
prescribed 1,190
Table B.
—
Diseases and Defects of Ear, Nose and Throat
No. of cases known to
have been dealt with
Received operative treatment:—
(a) for diseases of the ear ... 3
( b )for adenoids and chronic tonsillitis 245
(c) for other nose and throat conditions 9
Received other forms of treatment 313
Total 1,070
Total number of pupils in schools who are known
to have been provided with hearing aids :—
*(a) in 1959 1
( b ) in previous years 25
*A pupil recorded under (a) above should not be recorded at (b) in respect of the
supply of a bearing aid in a previous year.
Table C.—Orthopaedic and Postural Defects
No. of cases known to
have been dealt with
(a) Pupils treated at clinics or out-patients
departments
(b) Pupils treated at school for postural defects
Total ... 757
34
Table D.—Diseases of the Skin
(excluding uncleanliness, for which see Table D of Part I)
No. of cases known to
have been dealt with
Ringworm
—
(a) Scalp ... ... ... 4
( b )Body ... ... ... 3
Scabies ... ... "... ... ... 2
Impetigo ... ... ... ... ... 17
It
Other skin diseases ... ... ... ... 822
Total ... 848
Table E.
—
Child Guidance Treatment
No. of cases known tohave been dealt with
Pupils treated at Child Guidance Clinics ... 197
Table F.
—
Speech Therapy
No. of cases known tohave been dealt with
Pupils treated by speech therapists ... ... 238*
'Until 29.8.59 when she resigned her appointment.
Table G.—Other Treatment Given
No. of cases known tohave been dealt with
(a) Pupils with minor ailments ... ... 721
(b) Pupils who received convalescent treatmentunder School Health Service arangements
(c) Pupils who received B.C.G. vaccination ... 933( 13-14 yrs.)
(d) Other than (a),( b ) and (c) above:—
(e) Tuberculin skin testing
(/) Diphtheria imunisation
(g) Poliomyelitis
Total
814 (5-6 yrs.)
1,164 (9-10 yrs.)
739(includes 584 boosters)
3,937(from 6 mths.-15 yrs.)
8,308
35
PART IV—DENTAL INSPECTION AND TREATMENT CARRIED OUTBY THE AUTHORITY
1. Number of pupils inspected by the Authority’s Dental Officers:—(a) Periodic 11,081
( b ) As specials ... ... ... ... ... ... ... 2,680
Total (1) 13,761
2. Number found to require treatment ... ... ... ... 9,274
3. Number offered treatment ... ... ... ... ... 6,587
4. Number actually treated ... ... ... ... ... ... 4,873
5. Number of attendances made by pupils for treatment, including
those recorded at 11 below ... ... ... ... ... 12,354
6. Half days devoted to:
() Periodic (School) Inspection ... ... ... ... 54
() Treatment ... ... ... ... ... ... ... 1,210
Total (6) 1,264
7. Fillings:-
—
() Permanent teeth ... ... ... ... ... ... 6,125
() Temporary teeth ... ... ... ... ... ... 614
Total (7) 6,739
8. Number of teeth filled:—(a) Permanent teeth ... ... ... ... ••• ••• 5,172
( b
)
Temporary teeth ... ... ... ... ••• ••• 574
Total (8) 5,746
9.
Extractions:—(a) Permanent teeth ... ... ... ... ••• ••• 2,395
(b )
Temporary teeth ... ... ... ... ••• 5.401
Total (9) ... ... ... 7.796
10. Administration of general anaesthetics for extraction ... ... 3./85
11. Orthodontics:—No cases were treated at the Dental Clinic but 64 cases were
referred to a private dentist for treatment at Cardiff.
12. Number of pupils supplied with artificial teeth
13. Other operations:—(a) Permanent teeth
( b )Temporary teeth 474
Total (13) 996
36
