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ISLEWORTH CENTRE.
Number of sessions 43
Average number of appointments per session 17.26
Average number of attendances per session 15.37

Note.—Elementary includes a few children under school age.
E. L. ROBERTS,
Deputy School Medical Officer.
(e). Nose and Throat Defects.
Six hundred and seventy three children were referred for treatment on account of nose
and throat defects. Of this number, 95 were operated on under the arrangements made by the
Authority with the Hounslow and Richmond Hospitals in 1921, 71 received operative treatment
by private arrangement of the parents.
Our methods of arranging operative treatment for tonsils and adenoids remain the same as
in past years. A child must be referred for treatment by one of the Medical Officers and the
parents are then given an application form on which they are asked to state details of their income
and outgoings, number in family, etc. As soon as this form is completed and returned, it is
forwarded to the Education Secretary who fixes the amount the parents shall be asked to contribute
towards the cost of the operation. The parents are then asked to give their written consent
to the operation, and when this is received the child's name and address is sent to the
appropriate Hospital. The hospitals make the appointment for treatment, and the Authority
pays one guinea for each case operated on.
Owing to the difficulties which so frequently arise in connection with the operation, for
Tonsils and Adenoids, I felt it necessary to see if something could be done to ensure that the
children were retained in hospital for at least one night after the operation. I found that the
County Council Authorities were anxious to help as far as possible, and arrangements are in
progress between their Committee and myself for obtaining what 1 require. I have no- doubt
that in the early part of the coming year we shall have satisfactory arrangements for the children
of the area.
(/). Ear Disease and Defective Hearing.
One hundred and ninety two cases of ear disease or defective hearing were dealt with at
the school clinics, and 13 were treated by private arrangement of the parents.
B.I.P. Paste is still used in the three school clinics and the results are extremely satisfactory.
(g). Dental Defects.
The following paragraphs are extracted from the Dental Surgeon's report:—
" The work of the Dental Section during 1936, is set out, in detail, in Table IV.
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