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(j) Tuberculosis.—Pulmonary. Routine medical inspection
revealed one suspected case of pulmonary tuberculosis which
required treatment, two definite cases where the disease was
quiescent, and six other suspected cases.
Non-Pulmonary. One case of tuberculosis of the knee
requiring to be kept under observation was found at routine
inspection, while two cases of tuberculosis of the spine which
required treatment were found on special examination.
These children were referred to the Tuberculosis Officer at the
County Council Dispensary, it being the usual procedure to refer
to him all children who require either to be kept under observation
or to receive treatment.
(k) Other Defects and Diseases.—Under this heading may
be mentioned defective speech—forty cases requiring treatment
being met with; enlarged cervical glands (non-tuberculous)—
29 cases requiring treatment and 104 requiring to be kept under
observation; and, finally, the many minor defects which occur
(such as sores, minor injuries, etc.) and which comprise more than
one-third of the defects found at routine and special inspections.
FOLLOWING UP.
Medical inspection at the schools and at or through the Health
Centres, or in brief the whole School Medical Service would
fall far short of its object without well organised and efficient
arrangements for ensuring that the defects discovered receive
proper treatment.
At the time of medical inspection the parent, if present,
is advised regarding any defect. To ensure that this advice is
not overlooked, a notice is also sent informing the parent that
the child should see a doctor, dentist, or oculist, as the case may be.
This notice also states that treatment can be obtained under
certain conditions at one of the Health Centres.
Following the annual medical inspection in a school a list is
sent to the head teacher of all the defects found. At the expiration
of six weeks the head-teacher returns this list with information
as to whether or not the children have received treatment. Where
treatment has been obtained no further action is necessary, but