View report page

Medical Inspection.
41
teachers to refer such cases as they occur to the Inspection
Clinic, whence they are referred for suitable
treatment. The number of these cases dealt with in the
year is indicated in Table IV.A.
(c) Enlarged Tonsils and Adenoids.—On routine inspection
there were found 127 cases of enlarged tonsils,
30 cases of enlarged tonsils and adenoids, and 24 cases
of adenoids. Thus there were altogether 181, or 7.6
per cent, with enlarged tonsils or adenoids requiring
operation. In addition to these cases found on routine
inspection 17 other cases of enlarged tonsils requiring
operation were found at the inspection Clinic.
Operation is not recommended in all cases of enlarged
tonsils. Some cases of enlargement are accompanied
by redness, and are due to some acute inflammation
which subsides rapidly and does not require operative
treatment. Chronically enlarged tonsils are recommended
for operation • when the enlargement is such
as to interfere with breathing, when it is accompanied
by deafness, when it causes thickness or nasal intonation
of the voice, or when the child suffers from repeated
attacks of sore throat. Operation is advised in all
cases of adenoids.
(d) Tuberculosis.—Two suspected cases and no
definite cases of tuberculosis were found on routine
medical inspection. In the two suspected cases the
lungs were concerned. At the Inspection Clinic one
definite and one suspected case of tuberculosis of the
lungs and four cases of tuberculosis of the glands were
discovered.
(E) Skin Diseases.—One case of ringworm of the body,
10 cases of scabies, 9 cases of impetigo and 10 other