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57
Dr. Horton reports as follows :
Medical Officers at the Toddlers' Clinic and at the infant
consultations who find children in need of expert advice and
treatment for enlarged tonsils and adenoids can refer them
to the Queen's Hospital for Children for consultation with
aural specialists. Children are admitted to hospital for
operation or attend as out-patients. Should, however,
treatment be advised notification of operation is received
and the children are visited by a Health Visitor on their
return home to be sure that they are completely recovered.
48 children have been recommended this year, of whom
17 have made satisfactory recovery from operation and 11
await admission.
ARTIFICIAL SUNLIGHT CLINIC.
I append the report of Dr. Horton, who conducts
the Light Clinic :—
This clinic is held 3 times a week in the mornings.
There are 3 mercury vapour lamps in use. Another warm
and sunny summer made the clinic less necessary for a longer
period in the year than usual, so that we show no increase
in work done. The average attendance is about the same as
last year and the subsequent attendances are exactly the
same, so the steady work of the clinic has been satisfactorily
maintained.
Re-attendances have been good, the proportion of lapsed
cases, i.e., those who do not complete the course of treatment,
being well below last year's figure. Analysis of this
group shows that about half of them lapsed owing to illness
in the family and the mother did not complete the treatment
because she was genuinely unable to attend.
Clinically liickets in its early stages showing slight
signs only is the biggest group and results are good in those
who have completed the course. Malnutrition and its subgroups
of subsidiary conditions forms the next biggest
group and about three-quarters of these children definitely
improved after treatment. Delayed development, children
who are late in teething, walking, and in other ways backward,
forms the third big group and this year three-quarters
of them have done well. There is an increase in the number
of children attending the clinic for nervous tension and it is
satisfactory to note the high proportion of these that grow
calm and happy and sleep well at night after their course
of sunlight.