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Hernia.
Inguinal hernia was present in 11 children—9 boys and 2 girls. Of the
11 cases 7 were right inguinal, 2 were left inguinal, and 2 double inguinal hernia.
Three of the children with hernia were wearing trusses. Five children had
been operated on for hernia.
There were two cases of umbilical hernia, and one case of hernia in
the linea alba.
Other Defects or Deformities.
Four children, three boys and a girl, had knock knee; five children, all
boys, were "pigeon chested." Two children, a boy and a girl, had deformities
which are the result of infantile paralysis. One child showed evidence of
congenital syphilis. Two children had club foot, two children had marked flat
foot. Nocturnal enuresis, "wetting the bed," was complained of in the case of
16 children, 12 boys and four girls. This complaint, distressing alike to parents
and children, seems one of the most difficult to cure after the child has got to
school age. One child, a girl, was a hœmophiliac. One child had six toes,
another had a cervical rib.
SCHOOL CLINICS.
The third meeting of the Sub-Committee was held on Tuesday, February
4th. The School Medical Officers presented a report based on a new work on
School Clinics, published by the National Physical League, showing the nature
of the work and its extent in places where a school clinic is already established.
The Deptford clinic was visited on Friday, June 13th, and the London County
Council centre at Barnsbury on June 11th.
A fourth and final report of the School Medical Officers was submitted to
the Sub-Committee on nth July. This gave an estimate of the probable
number of cases in Edmonton that would require treatment at the school
clinic during the first year, based upon experience in routine medical inspection
of an average of 4,000 children per year since 1908. Eight different methods
of treatment were mentioned, coupled with a statement of their observations at
visits to the two clinics above mentioned. On July 9th the Architect and
Medical Officers visited Pymmes Park House and inspected the rooms
suggested to be used. The Sub-Committee reported to the full Committee at
their meeting on 7th October recommending that courses 2 and 3 be undertaken
if possible. Course 2 provides treatment of minor ailments and skin troubles
by a school nurse under medical supervision. Course 3 provides dental treatment
by a whole or part-time dentist. The Architect also submitted plans
showing the necessary alterations at Pymmes Park and his estimate of the cost