Start
nshd_53_sd
STRICTLY CONFIDENTIAL
EXAMINATION BY THE SCHOOL DOCTOR
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE At the LONDON SCHOOL OF ECONOMICS,

Ref. No.

Generic text

Name

Generic text

Address

Generic text

School

Generic text
FOR THOSE WHO HAVE MOVED

New Address

Generic text

L.E.A.

Generic text

School

Generic text
IF THE FAMILY HAS MOVED TO ANOTHER AUTHORITY PLEASE ENTER THE NEW ADDRESS AND THE NAMES OF THE NEW L.E.A. AND NEW SCHOOL IN THE SPACE PROVIDED. IF THE CHILD CANNOT BE TRACED PLEASE ENTER THE LAST ADDRESS AND ANY OTHER INFORMATION THAT MIGHT HELP US TO TRACE HIM. IN EITHER CASE RETURN THE FORM TO WHOMEVER HAS BEEN DELEGATED BY THE SCHOOL MEDICAL OFFICER TO RECEIVE IT.
Purpose of this enquiry.
This child was enrolled at birth in a national survey which is being made by a Joint Committee of the Institute of Child Health, the Society of Medical Officers of Health and the Population Investigation Committee. The children in this survey are representative of all births in England, Wales and Scotland in March 1946. They are drawn from all social classes and during the first seven years of their lives only 8 per cent. of the children in the original sample have been lost. The value of this inquiry depends on information being obtained for every possible survey child. The Joint Committee are therefore most anxious that this form should be completed.
How to fill in this form.
Six thousand children scattered all over the country are being given this examination, and it is therefore important that the many hundreds of doctors who are examining them should record their findings in a comparable way. For this reason, and also to reduce the amount of clerical work, this examination form has been framed as a series of questions, many of which can be answered by one of several printed alternatives. All that is required is to put a circle round the number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question. Similarly if you feel that any printed answer, though applicable, does not fully explain your findings, we should be most grateful for any further information you can give us. When a question does not apply it should be struck through. When either the Doctor or the Mother is unable to answer a question, this fact should be recorded in the space directly under the question.
In order to ensure that these many medical histories are obtained in the same way, it is important, when questioning the parents, that the wording and order of this form should be adhered to.
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE
It is hoped that the Mother &/or Father will be present at this examination
A. MEDICAL HISTORY
Put a circle round the code number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question.
If a question does not apply, strike it through.
SURVIVAL
If this child has died please state

Date of Death

Date of death

Cause of Death (if known)

Generic text
SOURCE OF INFORMATION

If this child is living but the form cannot be completed please state the reason here :

Generic text

Parent or relative attending with child

1
Mother
2
Father
3
Both parents
*
Other person, namely
0
No one
Other
COLDS, SORE THROAT, ETC.

Does this child breathe with his mouth open in the day time?

1
Yes
0
No

Does he snore at night?

2
Always snores
1
Sometimes snores
0
Never snores

How often has he had a snuffly or running nose during the last year?

3
Continually
2
Frequently (4 or more)
1
Occasionally (3 or less)
0
Never

Has he had a sore throat during the last year? If so, how many has he had? ... sore throats

How many
0
No sore throats
TONSILS
(Previous information entered in red)

Have this child's tonsils been removed?

1
Yes
0
No
(If "yes")
qc_5_a == 1

Where were they removed?

1
Hosp. (I.P.)
2
Hosp. (O.P.)
3
At home

Why were they removed?

Generic text

Has his condition been better, worse or unchanged since their removal?

1
Better
3
Worse
2
Unchanged
(If "better" or "worse".)
qc_5_d == 1 || qc_5_d == 3

Please say in what ways

Generic text
(If tonsils not removed.)
qc_5_a == 0

Has anyone suggested that his tonsils should be removed?

1
Yes, doctor
*
Yes, other person, namely
0
No
Other
(If "yes".)
qc_5_f == 1 || qc_5_f == *

Why was this suggested?

Generic text

Is he on a waiting list for tonsillectomy?

1
Yes
0
No
ASTHMA

Has this child, during the last year, had an attack of asthma?

1
Yes
0
No
(If "yes".)
qc_6_a == 1

How frequent are his asthmatic attacks?

Generic text

How long do they last? ... hours

How many

Has a doctor been consulted about his asthma?

1
Doctor consulted
0
No doctor consulted

Has the cause of the attacks been investigated?

1
Yes, at hospital
2
Yes, by family doctor
0
No investigation

Name and address of hospital where investigated Name

Generic text

Name and address of hospital where investigated Address

Generic text

What treatment is being given?

Generic text
COUGHS

Has this child during the last year had attacks of coughing when he has NOT got a cold?

2
Yes, continually
1
Yes, sometimes
0
No

When he coughs, is it at night only, in the day only or both in the day and night?

1
Night only
2
Day only
3
Both day and night
TEETH

How many times has this child been seen by a dentist during the last year? ... times

How many
0
Not seen by a dentist
A_HEART

During the last year, has this child been treated for heart trouble?

1
Yes
0
No
(If "yes".)
qc_9_a == 1

Did this treatment lead to any restriction of his activities?

*
Yes, namely
0
No restriction of activities
Generic text
A_ABDOMEN

Has this child had any attacks of abdominal pain during the last year?

1
Yes
0
No
(If "yes".)
qc_10_a == 1

Was a doctor called in or was he taken to hospital?

1
Doctor called in
2
Taken to hospital
0
Neither

Has this child, during the last year, had recurrent attacks of vomiting (i.e. out of sorts at least 12 hours and at least one vomit)?

1
Yes
0
No
(If "yes".)
qc_11_a == 1

About how often does he have these attacks?

1
Less than once a month
2
More often
HEARING

Is this child hard of hearing sometimes, or all the time?

1
Sometimes deaf
2
Always deaf
0
Normal hearing
(If "sometimes deaf".)
qc_12_a == 1

Is he hard of hearing when he has colds?

1
Yes
2
No
FITS AND CONVULSIONS

Has this child, during the last year, had a fit or convulsion or lost consciousness?

1
Yes, fits, etc.
0
No fit or convulsion
(If "fit or convulsion".)
qc_13_a == 1

How many fits or convulsions has he had during the last year? ... fits or convulsions

How many

Did they occur during an illness or while he was in normal health?

1
During an illness
2
While in normal health
GENERAL HEALTH

Are you in any way worried about this child's health?

1
Yes
0
No
(If "yes".)
qc_14_a == 1

Please give your reasons for worrying

Generic text
BEHAVIOUR

Are you in any way worried about this child's habits or behaviour?

1
Yes
0
No
(If "yes".)
qc_15_a == 1

Please give your reasons for worrying

Generic text
B. EXAMINATION

Pulse rate at beginning of examination ... per minute

How many
NASAL PASSAGES

Is there a nasal discharge?

1
Yes
0
No
(If "yes".)
qc_17_a == 1

Is it watery or muco-purulent?

1
Watery
2
Mucopurulent
(All children.)

Is there a post-nasal discharge hanging down behind the uvula?

1
Yes
0
No
Y
Not seen, child gags

Are this child's nasal passages obstructed?

1
Yes, by adenoids
2
Yes, by catarrh
*
Other causes, namely
0
Not obstructed
Other
THROAT AND TONSILS

Colour of pillars of fauces.

1
Congested
0
Not congested
Y
Not seen, child gags

Tonsils.

1
Present and intact
2
Remnants
0
Removed
Y
Not seen, child gags
(If tonsils present.)
qc_18_b == 1

Size of tonsils.

1
Meet in mid line
2
Buried and atrophic
3
All other sizes

Crypts.

1
Contain pus
2
Do not contain pus
3
No crypts seen
4
Concretions

Tonsillar glands.

1
Palpable
0
Not palpable

In your opinion should this child's tonsils be removed?

1
Yes
0
No
2
Undecided
(If "yes".)
qc_18_f == 1

Please give your reasons

Generic text
LUNGS

Are there any abnormal signs present in the lungs?

1
Abnormal signs present
0
No abnormality detected
(If "abnormal signs".)
qc_19 == 1

Please describe

Generic text
B_HEART
Please examine this child standing up and lying down.

Rhythm Standing

0
Regular
1
Irregular

Rhythm Lying

0
Regular
1
Irregular
(If "Irregular".)
qc_20_a_i == 1 || qc_20_a_ii == 1

Please describe the nature of the irregularity

Generic text

Murmurs. Standing

0
No murmur heard
1
Murmur(if present

Murmurs. Lying

0
No murmur heard
1
Murmur(if present
(If "murmur(s)".)
qc_20_b_i == 1 || qc_20_b_ii == 1

Please describe, giving timing and location

Generic text
(All children.)

Details of any other cardiac abnormalities not noted above

Generic text
B_ABDOMEN

Is there any evidence of hernia or weakness of the inguinal canal?

1
Yes
0
No
(If "yes".)
qc_21 == 1

Please describe

Generic text

Are both testicles in the scrotal sac?

1
Yes, both
2
Left only descended
3
Right only descended
4
Neither descended
Y
Question does not apply
MISCELLANEOUS

Lymphatic glands Neck (Exc. tonsillar glands)

1
Palpable
0
Not palpable

Lymphatic glands Axilla

1
Palpable
0
Not palpable

Lymphatic glands Groin

1
Palpable
0
Not palpable

Skin.

0
No obvious abnormality
1
Septic spots or boils
*
Other abnormalities, namely
Other

Nails and fingers.

0
No abnormality
1
Bitten nails
2
Clubbed fingers
*
Other, namely
Other

Orthopaedic defects.

0
None
1
Defect
(If "defect".)
qc_26 == 1

Please give details

Generic text
PHYSICAL MEASUREMENTS

Present weight. (In underpants or knickers only and WITHOUT SHOES. If this is impossible please list the clothes in which he was weighed ... ) ... st. ... lbs. ... ozs.

Generic text
Stones
Pounds in stone
Ounces in pound

Scales used.

1
Beam balance
2
Spring balance

Present standing height. (WITHOUT SHOES.)

Feet
Inches in foot
1
Height measurer used
2
Measured against wall
["The most accurate results are obtained if heels, shoulders and buttocks touch an upright wall, and the child looks straight ahead so that the lower border of the orbit and the external auditory meatus are in the same horizontal plane. The child should be told to make himself as tall as possible without lifting his heels from the ground. A deep breath should be taken as this helps to bring him up to his maximum height." Report of C.M.O., Ministry of Education, 1950/51, p.61.]
SPEECH

Speech.

0
No abnormality
1
Stammering
2
Dyslalia
*
Structural speech defect, namely
Generic text
(If "stammering", "dyslalia" or other defect.)
qc_29_a == 1 || qc_29_a == 2

Does this child, in your opinion, need speech therapy?

1
Yes
0
No
EARS

External Auditory Meatus. Right

1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other

External Auditory Meatus. Left

1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other

Drums. Right

0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other

Drums. Left

0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other

What is your assessment of this child's hearing?

3
Average or good
2
Poor
1
Very poor
EYES

Squint.

0
Does not squint
1
Concomitant squint
2
Paralytic squint
Visual acuity.
Without glasses With glasses
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Right eye
Left eye

If acuity not measured please state reason

Generic text

Eye defects not noted above:

Other
HANDEDNESS

Which hand does this child use to write or draw with?

1
Right hand
2
Left hand
3
Either hand

Remarks on other abnormalities or deformities not reported above

Generic text

Pulse rate at end of examination ... per minute.

How many
ASSESSMENTS

Alertness and activity.

2
Average
3
Above average
1
Below average
0
Apathetic

Physical development.

1
Average
2
Superior
0
Inferior

Estimate of the reliability of the medical history given by this mother.

1
Probably reliable
2
Probably unreliable
0
Undecided
Queries arising out of the Iast Medical Examintion:-

Name of Doctor making Examination

Generic text
1
School doctor
2
Family doctor

Date of Examination

Generic date

Time taken for this interview

Time taken
ALL QUESTIONS SHOULD BE ANSWERED (OR CROSSED OUT IF NOT APPLICABLE). PLEASE CHECK THAT THIS HAS BEEN DONE.
End

nshd_53_sd

STRICTLY CONFIDENTIAL
EXAMINATION BY THE SCHOOL DOCTOR
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE At the LONDON SCHOOL OF ECONOMICS,
Ref. No.
Generic text
Name
Generic text
Address
Generic text
School
Generic text

FOR THOSE WHO HAVE MOVED

New Address
Generic text
L.E.A.
Generic text
School
Generic text
IF THE FAMILY HAS MOVED TO ANOTHER AUTHORITY PLEASE ENTER THE NEW ADDRESS AND THE NAMES OF THE NEW L.E.A. AND NEW SCHOOL IN THE SPACE PROVIDED. IF THE CHILD CANNOT BE TRACED PLEASE ENTER THE LAST ADDRESS AND ANY OTHER INFORMATION THAT MIGHT HELP US TO TRACE HIM. IN EITHER CASE RETURN THE FORM TO WHOMEVER HAS BEEN DELEGATED BY THE SCHOOL MEDICAL OFFICER TO RECEIVE IT.
Purpose of this enquiry.
This child was enrolled at birth in a national survey which is being made by a Joint Committee of the Institute of Child Health, the Society of Medical Officers of Health and the Population Investigation Committee. The children in this survey are representative of all births in England, Wales and Scotland in March 1946. They are drawn from all social classes and during the first seven years of their lives only 8 per cent. of the children in the original sample have been lost. The value of this inquiry depends on information being obtained for every possible survey child. The Joint Committee are therefore most anxious that this form should be completed.
How to fill in this form.
Six thousand children scattered all over the country are being given this examination, and it is therefore important that the many hundreds of doctors who are examining them should record their findings in a comparable way. For this reason, and also to reduce the amount of clerical work, this examination form has been framed as a series of questions, many of which can be answered by one of several printed alternatives. All that is required is to put a circle round the number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question. Similarly if you feel that any printed answer, though applicable, does not fully explain your findings, we should be most grateful for any further information you can give us. When a question does not apply it should be struck through. When either the Doctor or the Mother is unable to answer a question, this fact should be recorded in the space directly under the question.
In order to ensure that these many medical histories are obtained in the same way, it is important, when questioning the parents, that the wording and order of this form should be adhered to.
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE
It is hoped that the Mother &/or Father will be present at this examination

A. MEDICAL HISTORY

Put a circle round the code number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question.
If a question does not apply, strike it through.

SURVIVAL

Date of Death
Date of death
Cause of Death (if known)
Generic text

SOURCE OF INFORMATION

If this child is living but the form cannot be completed please state the reason here :
Generic text
Parent or relative attending with child
1
Mother
2
Father
3
Both parents
*
Other person, namely
0
No one
Other

COLDS, SORE THROAT, ETC.

Does this child breathe with his mouth open in the day time?
1
Yes
0
No
Does he snore at night?
2
Always snores
1
Sometimes snores
0
Never snores
How often has he had a snuffly or running nose during the last year?
3
Continually
2
Frequently (4 or more)
1
Occasionally (3 or less)
0
Never
Has he had a sore throat during the last year? If so, how many has he had? ... sore throats
How many
0
No sore throats

TONSILS

(Previous information entered in red)
Have this child's tonsils been removed?
1
Yes
0
No
Where were they removed?
1
Hosp. (I.P.)
2
Hosp. (O.P.)
3
At home
Why were they removed?
Generic text
Has his condition been better, worse or unchanged since their removal?
1
Better
3
Worse
2
Unchanged
Please say in what ways
Generic text
Has anyone suggested that his tonsils should be removed?
1
Yes, doctor
*
Yes, other person, namely
0
No
Other
Why was this suggested?
Generic text
Is he on a waiting list for tonsillectomy?
1
Yes
0
No

ASTHMA

Has this child, during the last year, had an attack of asthma?
1
Yes
0
No
How frequent are his asthmatic attacks?
Generic text
How long do they last? ... hours
How many
Has a doctor been consulted about his asthma?
1
Doctor consulted
0
No doctor consulted
Has the cause of the attacks been investigated?
1
Yes, at hospital
2
Yes, by family doctor
0
No investigation
Name and address of hospital where investigated Name
Generic text
Name and address of hospital where investigated Address
Generic text
What treatment is being given?
Generic text

COUGHS

Has this child during the last year had attacks of coughing when he has NOT got a cold?
2
Yes, continually
1
Yes, sometimes
0
No
When he coughs, is it at night only, in the day only or both in the day and night?
1
Night only
2
Day only
3
Both day and night

TEETH

How many times has this child been seen by a dentist during the last year? ... times
How many
0
Not seen by a dentist

A_HEART

During the last year, has this child been treated for heart trouble?
1
Yes
0
No
Did this treatment lead to any restriction of his activities?
*
Yes, namely
0
No restriction of activities
Generic text

A_ABDOMEN

Has this child had any attacks of abdominal pain during the last year?
1
Yes
0
No
Was a doctor called in or was he taken to hospital?
1
Doctor called in
2
Taken to hospital
0
Neither
Has this child, during the last year, had recurrent attacks of vomiting (i.e. out of sorts at least 12 hours and at least one vomit)?
1
Yes
0
No
About how often does he have these attacks?
1
Less than once a month
2
More often

HEARING

Is this child hard of hearing sometimes, or all the time?
1
Sometimes deaf
2
Always deaf
0
Normal hearing
Is he hard of hearing when he has colds?
1
Yes
2
No

FITS AND CONVULSIONS

Has this child, during the last year, had a fit or convulsion or lost consciousness?
1
Yes, fits, etc.
0
No fit or convulsion
How many fits or convulsions has he had during the last year? ... fits or convulsions
How many
Did they occur during an illness or while he was in normal health?
1
During an illness
2
While in normal health

GENERAL HEALTH

Are you in any way worried about this child's health?
1
Yes
0
No
Please give your reasons for worrying
Generic text

BEHAVIOUR

Are you in any way worried about this child's habits or behaviour?
1
Yes
0
No
Please give your reasons for worrying
Generic text

B. EXAMINATION

Pulse rate at beginning of examination ... per minute
How many

NASAL PASSAGES

Is there a nasal discharge?
1
Yes
0
No
Is it watery or muco-purulent?
1
Watery
2
Mucopurulent
(All children.)
Is there a post-nasal discharge hanging down behind the uvula?
1
Yes
0
No
Y
Not seen, child gags
Are this child's nasal passages obstructed?
1
Yes, by adenoids
2
Yes, by catarrh
*
Other causes, namely
0
Not obstructed
Other

THROAT AND TONSILS

Colour of pillars of fauces.
1
Congested
0
Not congested
Y
Not seen, child gags
Tonsils.
1
Present and intact
2
Remnants
0
Removed
Y
Not seen, child gags
Size of tonsils.
1
Meet in mid line
2
Buried and atrophic
3
All other sizes
Crypts.
1
Contain pus
2
Do not contain pus
3
No crypts seen
4
Concretions
Tonsillar glands.
1
Palpable
0
Not palpable
In your opinion should this child's tonsils be removed?
1
Yes
0
No
2
Undecided
Please give your reasons
Generic text

LUNGS

Are there any abnormal signs present in the lungs?
1
Abnormal signs present
0
No abnormality detected
Please describe
Generic text

B_HEART

Please examine this child standing up and lying down.
Rhythm Standing
0
Regular
1
Irregular
Rhythm Lying
0
Regular
1
Irregular
Please describe the nature of the irregularity
Generic text
Murmurs. Standing
0
No murmur heard
1
Murmur(if present
Murmurs. Lying
0
No murmur heard
1
Murmur(if present
Please describe, giving timing and location
Generic text
(All children.)
Details of any other cardiac abnormalities not noted above
Generic text

B_ABDOMEN

Is there any evidence of hernia or weakness of the inguinal canal?
1
Yes
0
No
Please describe
Generic text
Are both testicles in the scrotal sac?
1
Yes, both
2
Left only descended
3
Right only descended
4
Neither descended
Y
Question does not apply

MISCELLANEOUS

Lymphatic glands Neck (Exc. tonsillar glands)
1
Palpable
0
Not palpable
Lymphatic glands Axilla
1
Palpable
0
Not palpable
Lymphatic glands Groin
1
Palpable
0
Not palpable
Skin.
0
No obvious abnormality
1
Septic spots or boils
*
Other abnormalities, namely
Other
Nails and fingers.
0
No abnormality
1
Bitten nails
2
Clubbed fingers
*
Other, namely
Other
Orthopaedic defects.
0
None
1
Defect
Please give details
Generic text

PHYSICAL MEASUREMENTS

Present weight. (In underpants or knickers only and WITHOUT SHOES. If this is impossible please list the clothes in which he was weighed ... ) ... st. ... lbs. ... ozs.
Generic text
Stones
Pounds in stone
Ounces in pound
Scales used.
1
Beam balance
2
Spring balance
Present standing height. (WITHOUT SHOES.)
Feet
Inches in foot
1
Height measurer used
2
Measured against wall
["The most accurate results are obtained if heels, shoulders and buttocks touch an upright wall, and the child looks straight ahead so that the lower border of the orbit and the external auditory meatus are in the same horizontal plane. The child should be told to make himself as tall as possible without lifting his heels from the ground. A deep breath should be taken as this helps to bring him up to his maximum height." Report of C.M.O., Ministry of Education, 1950/51, p.61.]

SPEECH

Speech.
0
No abnormality
1
Stammering
2
Dyslalia
*
Structural speech defect, namely
Generic text
Does this child, in your opinion, need speech therapy?
1
Yes
0
No

EARS

External Auditory Meatus. Right
1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
External Auditory Meatus. Left
1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
Drums. Right
0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
Drums. Left
0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
What is your assessment of this child's hearing?
3
Average or good
2
Poor
1
Very poor

EYES

Squint.
0
Does not squint
1
Concomitant squint
2
Paralytic squint

Visual acuity.

Without glasses With glasses
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Right eye
Left eye
If acuity not measured please state reason
Generic text
Eye defects not noted above:
Other

HANDEDNESS

Which hand does this child use to write or draw with?
1
Right hand
2
Left hand
3
Either hand
Remarks on other abnormalities or deformities not reported above
Generic text
Pulse rate at end of examination ... per minute.
How many

ASSESSMENTS

Alertness and activity.
2
Average
3
Above average
1
Below average
0
Apathetic
Physical development.
1
Average
2
Superior
0
Inferior
Estimate of the reliability of the medical history given by this mother.
1
Probably reliable
2
Probably unreliable
0
Undecided
Queries arising out of the Iast Medical Examintion:-
Name of Doctor making Examination
Generic text
1
School doctor
2
Family doctor
Date of Examination
Generic date
Time taken for this interview
Time taken
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Name

1953 Examination by the School Doctor