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74
ANÆMIA.
Eight children were suffering from Anaemia, one was sent to a
Convalescent Home for a period and returned much improved, the
remaining seven obtained advice and treatment through the Clinic.
TUBERCULOSIS.
Tuberculosis.—All children found suffering from, or suspected
to be suffering from Tuberculosis are sent to the Tuberculosis
Dispensary for observation and treatment. As the School Medical
Officer is also Tuberculosis Officer for this area of Kent, the
following up of these children is simplified.
During the year 29 children attended the Dispensary, and the
following statement classifies them according to the form of disease
from which they were suffering and gives some details as to the
severity of the disease, fitness for school, and treatment .
Nine cases appear under the heading of suspected pulmonary
disease, 12 as disease of glands, 1 as disease of the spine, 1 lupus
of face, 2 disease of hip joint, and 4 of the peritoneum.
Of the nine suspected pulmonary cases four have physical signs
of enlarged glands at the root of the lung, 4 have been classed as
Pulmonary A (i.e., no tubercle bacilli have been found in the sputum
after repeated examinations), and 1 is under observation.
No case of pulmonary disease with tubercle bacilli in the sputum
was found during the year.
This group of children, who are usually of poor physique, with
signs and symptoms of bronchial irritation, cough, sputum, and
perhaps the physical signs associated with enlarged glands at the
root of the lung, is one where it is difficult to be certain of the actual
pathological condition. Many of them come from homes where