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The recommendations on the 77 new eases were as follows:-
Tonsillectomy and/or adenoidectomy in 30 cases; tonsillectomy
alone 4 cases: mastoid drainage in 5 cases definitely, and to be
considered in 2 cases; myringotomy 1 case; eustachian catheterisation 7
cases; nasal sinusotomy to be considered in 4 cases, and to be carried
out in one case. The operative treatment was carried out, as before,
in the Prince of Wales's General Hospital and 35 children returned to
the clinic for after care.
In audition, convalescent home treatment with a course of UltraViolet
Light was recommended in 9 cases, and local treatment to the
nose and ears was advised, in the majority of cases and carried out
under the Education Authorities arrangements-.
(g) Dental Defects.
Edmonton is still far from being "dental conscious, "although
up hill work is done by the entire School Medical Staff to encourage
more regular attendance at the Dental Clinics. The dental scheme
continued on the same lines as in 1938 until the outbreak of war, when
work was temporarily suspended. It was resmued almost at once at
the Pymmes Park Clinic
(h) Orthopaedic and Postural Defects.
This Special Clinic cortinued to run in the most satisfactory manner,
with the Consulting Surgeon attending one session per month, and
the Masseuse holding four sessions weekly.
On the outbreak of war the Surgeon was unable to attend on account
of war duties, but the clinic was continued under the care of the
Masseuse.
The number of cases attending showed a relative increase during
the year, and the total attendances were notably increased.
New cases numbered 293. The total attendances were as follows
1537 BOYS and 1930 GIRLS - a total of 3467.
(i) Heart Diseases and Rheumatism.
No change took place in the arrangements of this clinic during
1939° Dr. Browning Alexander attending on the third Thursday of each
month and one of the Assistant Medical Officer seeing cases weekly in
the interval.
The total attendances for the first 3 months ofl939 were 521, and
of the 175 individual crises, 62 were discharged, or left school, or
removed from the Borough during the war. It was noted that only a
negligible proportion ore irregular in attendance. Although the
majority of the cases were of a slight to moderate severity, 46, cases
either had rheumatic heart disease when first examined, or developed
it during their illness. Forty cases of chorea were included in the
total of these cases showed a definitely highter incidence of heart
disease.
The clinic continued to be mainly advisory in its function, that
is, cases Were reommended the appropriate treatment. More serious
cases were referred to their own doctors for treatment, or to Hospital
when the infection was acute, and one such case died. It was usually
found that when such recommendations wore strictly adhered to, definite
improvement followed.
(j) Tuberculosis.
Once again I have to express my gratitude to the Tuberculosis
Officer for his unfailing courtesy and promptitude in attending to
all cases referred. There is never any difficulty in prevailing on
parents to attend this Clinic for reports.
During 1939 the number of notified cases and the mortality of
children of school age taken from the records of the Public Health
Department, is as follows:-
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