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67
TONSILS AND ADENOIDS.
44 cases were operated on for the removal of adenoids and
for tonsils and adenoids under the Authority's scheme during the
year 1937.
40 children had their tonsils and adenoids removed because
of repeated attacks of tonsillitis, frequent colds, enlarged glands in
the neck from frequent sore throats, etc., etc.
32 of these were recommended by the School Medical Officers,
5 by Mr. Griffiths, Ear, Nose and Throat Consultant at the Acton
Hospital, 1 by Dr. Nicol-Roe, Tuberculosis Officer, 1 by the West
London Hospital and 1 by the patient's own doctor.
2 children had tonsils and adenoids removed because of
continued ear discharge. These children were referred from the
Ear Clinic to see Mr. Griffiths at the Acton Hospital and the operation
was advised by him.
2 children had adenoids only removed because of slight deafness
and improvement followed the operations.
RHEUMATISM.
In last year's Annual Report, the position in Acton was
Reviewed with regard to Rheumatism in childhood. It was reported
then that Rheumatism was on the increase in the Borough and
various suggestions were made as to the reasons for this. In 1936
there were twice as many cases reported as there had been in 1935.
following the theory of some expert observers that acute Rheumatism
comes in waves in some years, it was considered that
perhaps Acton was approaching the crest of one of these waves,
and that that might account for the excessive increase in cases.
Whether this be so or not, there has been only a slight increase in
the cases reported in 1937 as compared with those for 1936 and by
no means the startling increase that 1936 showed over 1935. The
number in 1937 exceeded the number for 1936 by only two cases.