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32
TONSILS AND ADENOIDS.
Enlarged tonsils and the presence of adenoids is one of the
most common conditions met with during medical inspection.
In some cases where there is only a trace of adenoids medical
treatment and breathing exercises are recommended, but very
often otorrhcea accompanies the condition.
Queen Mary's Hospital for the East End continues to treat
cases referred from the Leyton Schools for an inclusive fee of
l1s. per case. 204 cases have been operated on, and the results
are quite satisfactory. 193 cases were treated by private practitioners,
or by other hospitals, and 95 received other forms of
treatment. After the operation a course of breathing exercises
is recommended, but this is seldom carried out in the homes.
It is hoped that when the need for economy is less stringent the
Education Committee will consider the appointment of a teacher
of remedial exercises.
RINGWORM OF THE SCALP.
The only satisfactory method of treating ringworm of the
scalp is by X-rays. During the year 95 cases of ringworm of
the scalp have been noted. Several of these refused X-ray treatment,
and were treated otherwise. Fifty-six were referred to
the Queen's Hospital, Hackney Road, but only 45 actually
accepted treatment.
TUBERCULOSIS IN THE SCHOOLS.
In the course of medical inspection, very few cases of definite
pulmonary tuberculosis were found. When a definite
diagnosis was made the child was immediately excluded from
school and referred to the Dispensary or to a local practitioner.
It is unfortunate, however, that in some cases the parents would
not agree to their children being sent to sanatoria for treatment.
In doubtful cases the child was referred to the Dispensary
and kept under observation. Cases where there is so much
chronic bronchitis that diagnosis is difficult, are also kept under
observation and referred to the school clinic. Advice is given
in every case regarding fresh air, sunlight, food, and exercises.