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For extreme cases of heart defect, where ordinary
schooling is not possible, arrangements for treatment
are made at hospitals, where education in some measure
can be given. There is, however, no comparable
arrangement in Barking itself where patients can
undergo prolonged rest and receive education together
with medical treatment.
(j) Tuberculosis.—The Essex County Council is
responsible for the treatment of tuberculosis in Barking,
and cases of tuberculosis or suspected tuberculosis are
referred direct to their competent officer.
(k) Speech Training.—Prior to their recommendation
to the Speech Training Centre, all children are
examined medically for physical defects.
(1) Other Defects and Diseases.—Many children
suffering from minor defects and diseases, not already
mentioned, are examined at the school clinics, where
appropriate treatment is advised. Others, for the
treatment of whom no special provision has been made,
are followed up by school nurses, who urge upon the
parents the importance of obtaining treatment.
Finally, I would say that the time is not far distant
when, as envisioned in past Reports, there will be a
central out-patients' department, where all special
services, including orthoptics, i.e., correction of squint,
audiometry, i.e., estimation of hearing, etc., will be
united together.
(8) INFECTIOUS DISEASES.
The section of the Department concerned with the
control of infectious or communicable diseases cooperates
closely with the school medical service section.
Certificates regarding the exclusion from and
readmission to school of children suffering from
notifiable infectious diseases, non-notifiable communicable
diseases and of contacts are sent to head