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for enlarged tonsils and adenoids during 1938 at the Nelson
and Wimbledon Hospitals under the Education Committee's
scheme. These patients remain in hospital overnight after
their operations. The children are examined by the medical
officer at the Health Centre before they return to school. In
addition, five children with enlarged tonsils and one child with
enlarged tonsils and adenoids were operated on privately.
This makes a total of eighty-five children who received surgical
treatment. It will thus be seen that twenty-seven more
children were submitted to operation for the removal of tonsils
and adenoids during 1938 as compared with the previous year.
Where children are operated on under the Education
Committee's Scheme the cost to the Local Authority is
£1 6s. Od. for each case. This includes the operation, the
anaesthetist's fee, and one night in hospital. In a number of
cases it has been found necessary to keep the children in hospital
for a longer period. Under such circumstances the
Committee has made a payment of 2/6 for each additional day.
In all, twenty-three children have been maintained in hospital
for ninety-six additional days at a cost of £12. The parents
contribute towards the cost in accordance with their financial
circumstances.
Full details are outlined in Table IV., Group III.
(f) Ear Diseases and Defective Hearing. In 1937, the
Education Committee, in conjunction with the Maternity and
Child Welfare Committee, established an Aural Clinic at the
Health Centre. The ear, nose, and throat surgeon appointed
was Mr. R. J. Cann, from the staff of Guy's Hospital. The fee
paid to the surgeon is three guineas a session. This Clinic is
held at the Health Centre every fourth Wednesday from 2 to
4 p.m.