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101
The incident coincided with a similar outbreak at another primary
school, where 50 children required laboratory tests. The
presence of Sonne dysentery was confirmed in 13 school children
and six pre-school children. Symptoms were not severe in these
outbreaks, and recovery from infection took place in all cases.
Typhoid Fever
Three confirmed cases of typhoid fever occurred during the
year, two of which were brothers aged 7 and 9 years who had
recently arrived in this country by air from India where it was
thought they had first become infected.
Both boys attended a local school during the week prior to
admission to hospital and class contacts at the school were therefore
bacteriologically examined. Health precautions were immediately
taken at the school and at the homes of children who had
been in contact with the patients. In all, 47 contacts were examined
and kept under surveillance and all were found to be in good health.

More detailed information about some of these clinics will be
found on pages 104 and 105 of this report.
Handicapped pupils
Handicapped pupils who may need special educational treatment
are referred from many sources. In some cases (e.g. physical
handicaps, delicate children) examinations are carried out by
school medical officers and recommendations made by the Principal
School Medical Officer either direct to the Education Officer
or to the Medical Adviser of the Inner London Education Authority.
In other cases (e.g. partially sighted, blind, deaf or maladjusted)
the examinations are carried out by staff of the Medical
Adviser, who makes his recommendations to the Education Officer.