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101
Although the number of new cases has been relatively small,
old cases have remained under review, and during the year 10 3
patients have attended making a total of 232 attendances. (This
total does not include attendances in the Children's Out-Patient
Department on other days than Supervisory Clinic Sessions).

From all children on the Rheumatic Register, the following
changes have occurred during the year:-
Admitted to hospital 11
Discharged from clinic
(full recovery or on leaving school) 12
Transferred to other Hospitals 7
Lapsed 12
Deaths (Child from Tottenham Area) 1
The Clinic has continued to assist the School Medical Officer
(a) to decide which children with rheumatic symptoms required
limitation of school activities and other forms of treatment;
(b) to assess children found to have cardiac murmurs at routine
school medical examinations; (c) to supervise and treat children
with chorea and distinguish them from children with similar
symptoms of emotional origin.
As a result of grouping these problems together, much school
absence and unnecessary restriction has been avoided
Hospital School
The hospital school in the Paediatric wards at St. Ann's
General Hospital, Tottenham, has continued the work started in
1952. The average number of children being taught per session
was 19, The value of such work in maintaining the educational
standard of long term cases cannot be over-estimated.
V