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31
and Mr. James reminds me that such an improvement occurred
in 1914-1918, due, according to some observers, to increased consumption
of wholemeal bread, and a reduction in sweet eating.
It will be interesting to note what the effect of these factors will
be during 1942.
Mr. Macky reports that no less than sixteen children were
referred to the Western Ophthalmic Hospital for operation for
squint, and two for other eye operations. His work increased
during the year.
Mr. Hogg's report again shows the need for careful supervision
of pathological conditions affecting the ear, nose, and throat in
young children. Four cases were referred to hospital for operations
which have materially improved their health, and this is apart
from cases of enlarged tonsils and adenoids.
There is still a need for a better orthopaedic service than we
have been able to organise, and this is a matter receiving the
attention of the Committee.
During the course of the year there were a number of children
found to be suffering from speech defects for whom I hope to suggest
some appropriate treatment in the coming year.
Lastly, I have the very pleasant task of once more expressing
my appreciation to the Education Committee for the courtesy I
have received throughout the year, and for the ready sympathy
with which the members have always received any suggestions
from me that might improve the health of the children of the district,
either generally or individually. For this sympathy an official is
always grateful, though opportunity to express his gratitude is
not often available. To my own staff I would once again express
my appreciation of their loyalty, and devotion to duty ; and to
the Director of Education, Mr. Pascal, for his ever present eagerness
to help me in solving the many problems of health and education
that are brought to our notice throughout the course of the
year, and that have to be faced when one has to consider how best
to help a school child.
I am, Mr. Chairman, Ladies and Gentlemen,
Your obedient Servant,
DENNIS H. GEFFEN,
School Medical Officer.