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Medical Officer for a fee of 11s. per case, the parents in all cases
where they are able to do so contributing this fee.
The School Medical Officer is given power to reduce or remit
the fee at his discretion. Experience has demonstrated that it is
seldom the full fee can be afforded, and 5s. is the most that can be
obtained. The School Medical Officer is decidedly of opinion that
5s. or 6s. should be the maximum fee. The neighbouring
Authority, West Ham, only charge such a fee, and much dissatisfaction
arises through neighbours being charged fees between
which there is so great a discrepancy. Fred Stoker, F.R.C.S.,
the specialist attached to the hospital, is a most skilful operator,
and his cases are exceedingly successful.
The children operated on as a rule return to their homes
within a few hours of the operation, and no ill results of this practice
have come to the notice of the School Medical Officer. The
question of a systemised course of breathing exercises following
operation has engaged the attention of the Committee and the
School Medical Officer has been requested to prepare a scheme of
which the appointment of an expert would play a part.
Tuberculosis.
The County is the authority for dealing with Tuberculosis, and
to them are referred the cases or suspected cases met with during
the course of medical inspection. The utmost cordiality and
friendship has always existed between the School Medical Officer
and the local Tuberculosis Officer, and, in addition to the purely
formal exchange of cases, most useful and informal consultations
are of frequent occurrence.
Dr. J. Sorley, although a very much overworked man, is ever
ready to discuss and assist in any difficulty. The School Medical
Officer here desires to record the pleasure it has given him to
work with so genial a colleague.
Skin Disease.
The ordinary common skin diseases, Impetigo, Eczema,
Herpes, etc., are dealt with in the Minor Ailment Clinic. Cases of
a severer type are referred to the various hospitals. It must be
admitted that the almost entire absence of these cases in the
schools is eloquent testimony to the efficiency of the methods