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Of the 1,745 children referred, 453 were reported after examination to be unsuitable
for treatment at Queen Mary's hospital, Carshalton, or High Wood hospital,
Brentwood. These children were either suffering from advanced heart disease, or
rheumatism in the convalescent stage; 329 of them were admitted to Downs hospital,
Sutton, for supervised convalescence.

As in former years the cases admitted to Queen Mary's hospital, Carshalton and
High Wood hospital, Brentwood, are analysed separately from those who received
convalescent treatment at the Downs hospital, Sutton.

The heart was found to be affected in 315 children (boys 148, girls 167) at the time
of their examination for admission.
The 347 children (boys 152, girls 195) admitted to the Downs hospital were
classified : cardiac disease, 75 (boys 41, girls 34); and convalescent rheumatism or
chorea 272 (boys 111, girls 161).
During the year 1,000 cases (boys 407, girls 593) were discharged from Queen
Mary's hospital, Carshalton, and High Wood hospital, Brentwood. Of these, 585
(boys 242, girls 343) were held to be fit for the ordinary curriculum of an elementary
school; 132 (boys 68, girls 64) were recommended for restrictions concerning games
and drill; 175 (boys 62, girls 113) were certified for schools for physically defective
children ; 24 (boys 10, girls 14) were certified to be temporarily unfit for attendance
at any school; 75 (boys 21, girls 54) were over school age at the time of their
discharge from hospital; while the parents of 9 children (boys 4, girls 5) had moved
out of the Council's area during the time their children were in hospital.
The discharges from the Downs hospital, Sutton, were : fit for elementary school,
199 (boys 80, girls 119); fit for elementary school with restrictions, 51 (boys 21,
girls 30); certified for schools for physically defective children, 54 (boys 23, girls 31);
temporarily unfit for any school, 3 (boys); over school age, 15 (boys 5, girls 10);
parents now resident outside the Council's area, 2 (boys 1, girls 1).
Rheumatism
supervisory
centres.
The work of the rheumatism supervisory centres continues to grow, the
figure for the total attendances during 1933 (14,880) being more than twice that
of 1930 (6,670). The number of children attending the centres for the first time
during 1933 was slightly below that for 1932, but twelve of the sixteen centres
experienced a rise in the average number of children attending at each session. Two
centres, Queen's hospital and King's College hospital, found it impossible to provide
adequate supervision for the children at a weekly session. From the beginning of