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(d) Visual Defects and External Eye Diseases.
The clinic for the treatment of visual defects was held, as usual, at the
Central Hall, Fore Street, N.9, but was transferred to the Pymmes Park Clinic
in November of this year.
Statistics are given at the back of this report.
(e) Nose and Throat Defects
and
(f) Ear Diseases and Defective Hearing.
Mr. William Ibbotson attended the Aural Clinic at the Croyland Road
Clinic twice each month. The yearly attendances were:—
New Cases: 235. Old Cases: 217. Total: 452.
Children recommended for the removal of their tonsils and/or adenoids were
admitted to the E.M.S. Hospital at Barley Lane, Goodmayes, and later to the
Royal Waterloo Hospital, S.E.I. Children were conveyed to both hospitals by
ambulance and brought home again. Children referred for other throat operations
other than Tonsillectomy were referred to the Prince of Wales' General Hospital.
The number of children who received operative treatment during 1945
was 337.
Arrangements were also made for children to see the Ear, Nose and Throat
Specialist at the North Middlesex County Hospital, when parents preferred this,
and the number of operations carried out there during 1945 was 200.
Cases of speech defects were dealt with by the Speech Therapist, and the
following is an account of the year's work: —
"During the year the work of the speech clinic has continued steadily.
During the latter part strenuous efforts have been made to readmit all children
who have returned from evacuation and are still in need of Speech Therapy. For
this reason the discharges are lower, but the number of children on the waiting
list is halved.
"On January 1st, 1945, there were 148 cases on the books, there have been
52 new cases during the year, making a total of 200. These are accounted for as
follows: —
Discharged cured 38
Deleted 48 (this includes numerous evacuees,
left the district, left school, etc.)
Returned from evacuation but
not yet seen 4
Awaiting previous treatment 9
Waiting list 9
Receiving treatment 92
200
Number at the beginning of 1946 is therefore 114.
The somewhat large number listed as 'receiving treatment' is due to the
fact that in some cases instead of recalling defaulters we readmitted returning
evarnees: all defaulters will be recalled early in the New Year.

(The number waiting includes those requiring previous treatment.)
36