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Here it must be observed that the aim of the Maternity and Child
Welfare Service is the prevention of the onset of dental caries in
the child, and, for this purpose, the improvement of the health of
the mother and of her diet during pregnancy, the encouragement
of breast feeding and the use of suitable dietaries for the young
child, together with the practice of mouth hygiene, are all factors
which must be dealt with by the Maternity and Child Welfare
staff, in order to bring about an improvement in the structure of
the teeth, and delay in the onset of caries.
ORTHOPAEDIC CLINIC.
Eighteen children under school age were referred from the
Infant Welfare Clinics or by the local medical practitioners for
examination by the Orthopaedic Surgeon during the course of the
year, and, in addition, 29 cases attended for re-exainination.
Three of the children received in-patient treatment at Orthopaedic
Hospitals, and surgical instruments were provided in three cases.
The cases dealt with for the first time during 1927 were referred
for the following conditions :—
Deformities—Bones and Joints—
(a) Congenital:
(i) Digit 3 Foot R. and L 1
(ii) Webbed Digits 1
(b) Acquired:
(i) Rickets 6
(ii) Genu Valgum 1
9
Muscular Deformities—
(а) Congenital:
(i) Talipes 3
(ii) Amyotonia 1
(б) Acquired:
(i) Pes Planus Valgus .. .. .. .. 1
5