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(b) Found to require treatment, 158,476 (70.06 per cent.).
(c) Actually treated, 124,992 (including (d) ).
(d) Re-treated as the result of periodical examination, 3,830
(2) Half-days devoted to—Inspection, 2,025.
Treatment, 16,577—Total 18,502.
(3) Attendances by children for treatment, 206,663.
(4) Fillings—Permanent teeth, 72,825.
Temporary „ 29,887—Total 102,712.
(5) Extractions—Permanent teeth, 52,221.
Temporary „ 354,152—Total 406,373.
(6) Administrations of general anesthetics for extractions, 68,217.
(7) Other operations—Permanent teeth!
Temporary Total 24,994.
Group V.—Cleanliness—1926.
(a) Average number of visits per school made during year by school nurse, 6.
(b) Examinations of children in the schools by school nurses, 1,990,201.
(c) Instances of uncleanliness, 261,135.
(d) Children cleansed under Council's arrangements, 105,570.
(e) Cases in which legal proceedings were taken, 277.
APPENDIX.
In his report for 1926 on "The Health of the School Child," p. 25, the Chief Medical Officer
says:—
"In London, where roughly 95 per cent, of children admitted to cripple schools attend
hospital regularly during school life, we find that in seven ordinary cripple schools subjected
to scrutiny 260 children left in the year ending 30th June, 1926, and that of those 93 (35.7
per cent.) were still wearing apparatus on leaving. There are no doubt circumstances in
London which make this figure substantially higher than in some provincial cities."
"In Liverpool, for instance, 46 out of 293 (15.7 per cent.) crippled children leaving
school during the same period were wearing apparatus."
". . . speaking broadly, the new orthopaedic surgery ought now to be able to restore
the bodies of these children without a high percentage of ' leavers ' having to wear surgical
apparatus."
Since pp. 147-153 of this report were written an analysis has been made by the Council's
Medical Officers of the number of children aged 14 and upwards wearing splints in the cripple
schools of Birmingham, Liverpool and Manchester, and a comparison of those of the same
age wearing splints in eleven London cripple schools. There were in Birmingham 46 children
aged 14+ ; of these, 20, or 42 per cent., wore apparatus. In Manchester, 16 children aged 14 +
were seen, and of these 8, or 50 per cent., wore apparatus. In Liverpool, 78 children aged 14+
were seen, and of these 35, or 44-9 per cent., wore apparatus. In London, 312 children, that is,
all aged 14 and upwards in eleven cripple schools have been examined. Of these 102, or 32-6
per cent., were wearing apparatus.
In the three provincial cities, out of 140 children, 63, or 45 per cent., were wearing apparatus.
Amongst the children seen, however, there were very many admitted to cripple schools who
had not suffered from any disease which would, in any circumstances, require the wearing of
surgical apparatus. Only two diseases were found which, to any extent, cause crippling of a
nature likely to require the wearing of surgical apparatus. These are surgical tuberculosis and
infantile paralysis. A fairer method would be to limit the comparison to children suffering
from these diseases. In Liverpool, there were 48 children aged 14+ suffering from these diseases,
and 35 (72 per cent.) were wearing apparatus. In the three provincial cities combined there
were 76 children suffering from surgical tuberculosis or infantile palsy, and 55 (72-3 per cent.)
were wearing apparatus. In London, there were 161 children suffering from surgical tuberculosis
or infantile palsy, and of these 90 only were wearing apparatus, or 54-9 per cent., while 61 (37-9
per cent.) who had at one time worn apparatus had discarded it.
These figures appear to show that the new orthopedic surgery is more successful in London
than elsewhere, if the comparison is strictly confined to those diseases which are capable of being
'dealt with by surgical methods.