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The meticulous care with which these defects are
noted is reflected in the number ascertained during the
year and which is a considerable increase over past
years. However, this does not give any cause for alarm
as the number recommended for treatment after
examination by the Orthopaedic Surgeon is still
relatively small, and the treatment itself is almost
entirely one of exercises, etc. In many cases these
defects are only evident to the medical officer, but
early treatment is recommended to obviate later
disability.
Details of the work carried out at your Orthopaedic
Clinic will be found on pages 215, 216 and 247, and on
pages 211, 212, 213 and 214 will be found the
report of the Consulting Orthopaedic Surgeon, Mr. B.
Whitchurch Howell.
(i) Municipal Foot Clinic.—The services of the
Municipal Foot Clinic, which was commenced in
July, 1938, were made available to school children
during the year and in all 33 children were referred to
this clinic. Next year it will be possible to give figures
for a full year's working of this service.
(j) Heart Disease and Rheumatism.—Out of 4,716
children examined at routine medical inspection, 218
were found to be suffering from some defect associated
with these diseases—this being an increase when
compared with the previous year.
(k) Tuberculosis.—Eleven cases of Tuberculosis
amongst children of school-age were notified to the
Medical Officer of Health during the year. Of these,
six were pulmonary, and five were non-pulmonary.
In addition, eight notified cases of Tuberculosis amongst
school-children were transferred to this area. Of these,
two were pulmonary, and six were non-pulmonary.