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224
Five cases of pulmonary Tuberculosis and 14 cases of nonpulmonary
Tuberculosis were notified to the Medical Officer of
Health during the year. One child died of pulmonary Tuberculosis
and 2 of non-pulmonary Tuberculosis. The ages at death of
these cases were 5, 7 and 14 years.
Taking the total school population as 26,488 the mortality
rate from Pulmonary Tuberculosis in school children was 4 per
100,000, and the incidence rate 23 per 100,000. For Non-pulmonary
Tuberculosis the respective figures were 7 and 75.
Nose and Throat.
In all the groups 603 boys and 626 girls had enlarged tonsils;
4.2 boys and 45 girls had adenoids only ; 446 boys and 385 girls had
adenoids and enlarged tonsils; 77 boys and 50 girls were mouth
breathers; 540 boys and 436 girls exhibited enlarged glands in the
neck.
Taking the two groups of cases of adenoids and enlarged tonsils
with adenoids as requiring operative measures, it is seen that 10.8
per cent. of all school children examined in the three groups were
in need of surgical attention to the throat and nose. In 1931,
dealing with another group of children, the figure was 8.6 per cent.
The importance of training in correct methods of breathing after
the removal of adenoids and tonsils cannot be too strongly emphasised.
All cases are invited to attend Breathing Exercises Classes
held at St. Andrew's Hall and 163 attendances were made.
Of all children examined at Routine Medical Inspection, in the
Entrant group 17.8% had enlarged tonsils; 1.5% had adenoids alone ;
15.9% enlarged tonsils and adenoids, and 15.8% had enlargement
of the submaxillary or cervical glands. In the Intermediate group
the respective percentages were 15.3%, 0.9%, 8.4% and 10.6%;
2nd in the Leaver group, 8.7%, 0.5%, 3.7% and 6.7%. The percentages
for the three groups, in relation to the total number of
children examined, were 14.4%, 1.0%, 9.9% and 11.4%.
Table IV. gives in summary the percentage of Nose and
Throat defects and of enlarged glands in the various groups
examined.