View report page

249
analysed for the country as a whole and a new, more elastic
system of medical supervision devised. As the School Medical
Service is a national service, the reforms must come from the
central authority.
In the Board of Education's Tables for 1933 a new group
of cases was incorporated in Table IV. in respect of the treatment
of Orthopaedic and postural defects, and this has been
included again this year.
Dr. J. W. Pickup resigned in August, but his successor had
not taken up his duties when the year closed. Dr. G. B.
Matthews has acted as locum tenens in the meanwhile.
The complete Sanitary Survey of the Schools, which was originally
included in my report for 1934, has again been revised. This
table shows interesting differences as between the schools. The
survey, however, embraced all aspects of school hygiene, including
lighting, ventilation, size of class-rooms, etc. For the sake
of brevity much of this has had to be omitted from this report.
Co-ordination with Other Health Services.
Close co-operation exists between the Public Health Department
and the School Medical Service, as all the officers of the
litter service are also engaged for a part of their time in Public
Health work. If the facilities offered by the School Medical
Service, in the way of routine medical and dental examinations,
could be extended to the pre-school child, it would be a valuable
preventive measure. Very few children attend Infant Welfare
' tntres after the age of 3 years, and, unfortunately, there is no
method comparable with that of the School Medical Service for
parents to obtain treatment for defects that may arise.
The continued co-operation of the Head Teachers and of the
School Enquiry Officers has been a valuable help without which
much of the medical work and following up would have been
difficult of proper fulfilment. The Voluntary School Care