View report page

66
In 38 cases the tonsils were removed because they were
septic and there were frequent complaints of sore throat.
In 3 cases adenoids only were removed because they caused
a definite obstruction to nasal breathing. The tonsils in these cases
were left because they appeared to be quite healthy.
4 cases were operated on because of middle ear disease
associated with infected tonsils and adenoids.
The last 2 cases were operated on because the very large
size was interfering with swallowing, an unusual condition. We
watched these cases for a time in the hope that the condition would
subside, but finally we decided that operation was absolutely
necessary.
Report on the feeding of necessitous School Children.
The feeding of children has continued during the year and
we submit a general survey of the conditions prevailing.
It will be realised that many of these children form part of
a floating population at the Centres because meals have to be
discontinued when economic conditions in the homes improve,
and parents frequently obtain work away from the district, so that
the children have to leave our schools.
Where the figures given do not refer to a period of a year,
due explanation will be given.
Feeding of malnourished children was commenced early in
1932, and we explained in last year's report that the scheme also
provided for the supervision of malnourished children, whether
necessitous or not.
In considering defective nutrition, we used as a basis the
relation between the height and weight of the child, and we singled
out for a special examination any child who fell below 7% of the
standard weight for height. In every case, before a child was
recommended for meals, he was examined at the Clinic in the presence
of a parent. We insisted on dental treatment, and discussed
other matters, such as the time of going to bed, and various health
habits.
The children were provided with milk in the morning and a
mid-day dinner. In some cases afternoon rest at school was also
recommended.