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Tonsils and Adenoids.
(c) Definite enlargement of Tonsils and Adenoids demanding
operation is found mostly among the entrants, at which stage it is
usually remedied. Amongst the older children where enlargement
still persists it is usually found to be of moderate degree where no
disability is apparent to the parents and where operative steps
have consequently been postponed and palliative treatment tried.
During the year 226 routine cases of much enlarged tonsils were
discovered, with 731 cases where the tonsils were moderately enlarged.
Amongst " specials " the numbers were 47 and 8 respectively.
Definite adenoids were present in 65 routine cases and
suspected in 143 routine cases, whilst among " specials " the
numbers were 138 and 6. The combination of enlarged tonsils
and adenoids was found in 81 routine cases and 88 "specials,"
whilst 33 routine cases and 16 " specials " showed both enlarged
tonsils and adenoids present in a moderate degree.
Tuberculosis.
(d) Definite pulmonary tuberculosis was diagnosed in two of
the routine cases and 1 special case, whilst it was suspected in 20
routine cases and 3 special cases. All these were referred to the
Tuberculosis Dispensary for treatment. In addition 6 routine
cases and 15 special cases were under periodical supervision of the
School Medical Officer pending a diagnosis. A further number
of children in whom no lesion could be found but who were judged
to be pre-tubercular attend the Tuberculosis Dispensary to receive