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Children exhibiting nervous symptoms, unless some definite cause otherwise,
is apparent, should be suspected as sufferers of rheumatism.
Of the 38 cases in the series showing heart involvement, a history of
vague nervous symptoms, or chorea, was obtained oftener than that of
rheumatic fever.
When a child suffers from definite rheumatic fever, it is obvious that
all care and precautions will be taken to avoid, if possible, cardiac complications
in the future, but unless chorea, or indeed, nervous manifestations are recognised
as being of rheumatic origin, the same care and precautions will too
often be neglected.
Of the children seen by me at the Clinic during the period under
consideration, 7 were recommended for the " open air school."
I have been greatly impressed with the great improvement in the
condition of those who were fortunate enough to be admitted to such schools.
I hope, and wish, that it may be possible in the future to be able to extend
such privileges to a greater number of children suffering from early, and *
even mild rheumatic tendencies.
During the year only 20 were discharged, and this may seem a very
small percentage, but in my opinion, one of the great advantages of the
rheumatic clinic, is that one can observe the cases over a protracted period,
and guarantee for them, as far as is reasonably possible, an assurance that in
later 'life they will have no recurrences, or complications of the disease."
(j) Open Air School.
The headmaster has submitted the following report :—
"The number on roll has remained constant at 140. 91 children
were discharged in the course of the year and this number is considerably
above the average. 91 children were admitted.
The weather during the early part of the year was very severe and
for days on end the temperature was below 32 degrees. The children stood
up to this remarkably well and, in fact, appear to have thrived in the cold
but dry conditions.
There are 125 children admitted under category 'E' and 15 under
category ' J"
(^) Educationally Subnormal Children.
The following is the headmaster's report :—
"There are at present 58 Edmonton children attending the School.
Enfield children number 66.
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