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146
tubercular glands in the neck. In the Intermediate group,
there were 2 cases of tubercular glands, and 1 case of old
tubercular scars amongst the boys, and 1 case of tubercular
glands, 1 case of old tuberculosis of the neck, and 1 case suspected
amongst the girls. Of the Leavers, there was 1 case
of hip joint disease (already under treatment) and 1 case of
old tubercular trouble.

Of other diseases of the lungs, there were discovered 8
oases of chronic bronchitis, distributed amongst the various
groups as follows:—Infant Boys 5, Girls 2, Intermediate
Boys 1. Asthma was found in 2 cases, both occurring in the
elder boys.
Adenoids and Enlarged Tonsils.
The serious result of this condition has been frequently
experienced. The chronic interference with proper and normal
nasal breathing produces not infrequently a condition of
general bad health, chronic discharge from the ears and deafness—possibly
a pre-disposition to tubercular trouble. The
general procedure in the schools is to strongly advise parents
to obtain further advice whenever a child is found to be
suffering from chronic obstruction arising from this cause.
It would appear that parents are becoming much more alive
to the necessity of having enlarged tonsils and adenoids removed
than heretofore. This is shown by the considerable
number of children who had already been operated upon previous
to inspection. Unfortunately, however, our efforts
are sometimes quite in vain, as the following instance will
show. A child was seen some years ago both by myself and
your late Medical Officer suffering from marked adenoids.
The parent has been repeatedly requested to have the matter