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102
In 1934 arrangements were made with the Western Ophthalmic
Hospital that for a fee of ten guineas per annum the hospital should
accept for in-patient or out-patient treatment all children referred
there by the School Ophthalmic Surgeon.
During the course of the year the following cases were referred
to the Western Ophthalmic Hospital:—
6 for operation for squint.
8 for other conditions.
In addition to these, 21 children attended the hospital during the
year for treatment for squint, making a total of 196 attendances.
Tuberculosis.—One case of pulmonary tuberculosis was found.
Crippling Defects.—The following defects were seen during the
course of Routine Medical Inspection:—
1 case of hemiplegia.
2 cases of spinal curvature.
1 case of cleft palate.
1 case of cleft palate and hare lip.
1 case of congenital shortening of leg.
3 cases of club foot.
1 case of severe knock-knee.
1 case of amputation of leg due to tuberculosis.
1 case of web fingers.
1 case of infantile palsy.

The Enfield school children were reasonably free from infectious
disease during the year. It will be noted that the number of
children suffering from diphtheria was much less than that for 1937,
whilst the figure for Scarlet Fever increased.
Children are brought in small numbers to our clinics requesting
immunisation against diphtheria, and some attend at the Public
Offices on Saturday mornings, to be immunised there. The number,
however, is small. It seems that propaganda and advice which
are given during periods when the incidence of diphtheria is low are