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(e) Tuberculosis.—One definite case of pulmonary tuberculosis
requiring to be kept under observation was found at routine
medical inspection. In this child the disease was quiescent.
Fourteen suspected cases of pulmonary tuberculosis requiring
to be kept under observation were found at routine medical inspection
and one on special inspection.
One case of tuberculosis of the elbow requiring treatment and
three suspected cases of tuberculosis of the glands to be kept under
observation were found at school medical inspection. One other
form of tuberculosis to be kept under observation was found on
special examination.
(f) Deformities.—The crippled children under supervision
at the end of the year numbered 38. Three of these were so
severely affected that they were unable to attend an ordinary
elementary school and were maintained at a Certified Hospital
School.
The list of crippled children of school age is practically a
complete one and is compiled from information received from the
health visitors, who transfer to the School Medical Department
the records of such children as attain five years of age, from the
teachers, the school nurses, and the school enquiry officers, all of
whom immediately supply particulars regarding crippled children
whom they find in the course of their duties.
Each crippled child newly admitted to school is examined at
the earliest possible opportunity and all crippled children are
examined at least once a year to determine their exact condition,
or to estimate their progress and put them forward for any treatment
that is required under the Committee's Orthopaedic Scheme.
(g) Uncleanliness.—The heads of all the girls attending
public elementary schools were inspected three times in the year
after the usual school holidays. Of the 25,252 children examined,
325, or 1.3 per cent., were excluded on account of verminous
condition. There were 33 other children with verminous heads
and 5 with verminous bodies found at the routine medical inspection
in the schools, and 101 found at special inspections after
being referred for examination by the head-teachers. The low
percentage of children with uncleanly heads is due to the regular
examination of the heads of the children and the prompt exclusion
of offenders.