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(5) When otorrhoea fails to respond to conservative
ment within four weeks, and after the teeth and
mouth have been excluded as a source of sepsis.
(6) When the tonsils are pitted or baggy and the child
has the white, unhealthy appearance of chronic
toxaemia, accompanied by lethargy.
(7) When enuresis is accompanied by snoring or restless
sleep.
(8) Sleep walking and other neuroses with no discoverable
psychic origin.
(9) Cases of chronic blepharitis or conjunctivitis in
children who are not the subjects of ametropia.
During the year 188 children were operated upon, under the
Council's Scheme, for either diseases of the tonsils or adenoids.
EAR DISEASES AND DEFECTIVE HEARING.
During the year 19 children were discovered to be suffering
from various degrees of defective hearing, but 16 of these cases
were not of as serious a character as to preclude their being
educated in a public elementary school. The remaining 3 cases,
however, were found to be suffering from such a degree of deafness
as necessitated their being educated at a special school for
deaf children, and arrangements have been made accordingly. The
Council now maintain 11 children at Special Schools for the Deaf or
Partially Deaf.
OTITIS MEDIA.
In addition to these numbers 106 children were discovered to
be suffering from ear discharge, due to middle ear disease and
these were treated either at the Health Centres or were referred
to the Ear, Nose and Throat Departments of certain Hospitals.
In this connection I would like to express my gratitude to
Dr. Deacon for the work which has been carried out at the Redhill
County Hospital, where an Out-Patient Department has been
established and fully staffed and equipped for this particular type
of work. All cases referred have been carefully treated and
admitted for in-patient treatment where that seemed desirable,