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It will be seen that congenital cardiac lesions now form a
larger group than other cases of true rheumatic heart disease in
childhood. The supervision of these congenital cases is regarded
as an important additional aspect of the work of this clinic.
Many of these children need no restrictions and are able to lead
an active normal life. In other cases, full exercise is not
possible, and periodic review is necessary the increasing
possibilities of cardiac surgery may make it possible to advise
the parents that the child's condition can be improved in certain
carefully selected cases.
Another group of children are approaching the school leaving
age the problems of future careers and occupations are discussed
with their parents and it is often possible to supervise the early
school leavers for one or two years subsequently, to ensure that
they have become firmly established in a suitable occupation.
Hospital School
The Borough Education Officer for Tottenham reports that over
the past year the Tottenham Education Committee have provided
tuition for the children in the paediatric wards in St. Ann s
Hospital and to a few children in special wards in the Prince of
Wales' s Hospital.
This has covered an average of 25 children weekly with an age
range of 5 - 16 years.
Although practically all the teaching is individual work part
of a ward at St. Ann' s Hospital is used as a schoolroom for pupils