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29
Convalescent Homes.
54 children were examined, of whom 11 were to be sent
away.
The Procedure known as Following Up.
The discovery of defects and of conditions requiring treatment,
though necessary and important, is only a beginning. It is very
essential to know whether treatment was obtained, if it was successful,
and what was its final effect. Again, many cases do not
require treatment at the moment, but need to be kept under medical
supervision, so that the conditions of school life may not increase
the defect.
The following paragraphs give a description of the methods
adopted for keeping such cases under review.
When a child is found—either at the routine medical inspections,
or as a special case referred for medical advice—to require
further observation, the particulars are transferred to special
" defect cards," of which a specimen is shown here.
Action Education Committee.
Defect Card.
Name Age Address
School Dept Referred by
Date of Inspec Notice sent Treatment obtd
Treatment given by Result Countersigned by
Slightly different cards are used for ringworm and eye cases.
They have spaces for particulars about X rays and provision of
spectacles. On these cards are entered full medical details of the
children. An index is kept of the cards under the heading of
schools, and for chronic conditions a cross index is kept under the
heading of the diseases. In this way it is possible to estimate the
amount of chronic disease among the children in the schools.
After each routine inspection at the school, all the children
on these " defect cards " come up for review, including all the
eye cases. This re-examination is limited as a rule to the point