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213
tion necessary immediately after a fit, and the progressive
tendency towards mental deterioration exhibited by the
majority of these children.
Cases of epilepsy other than those indicated above under
(a), (b), (c) and (d) may be fit to attend an ordinary school
or with even more advantage an open-air school, but other
cases, including (a), (b), (c) and (d) would be best suited by
attendance at a residential institution.
Physically Defective—i.e., a child who is incapable by
reason of physical defect of receiving proper benefit
from the instruction in the ordinary public elementary
schools, but not incapable by reason of such
defect of receiving benefit from instruction in
special classes or schools. [Elementary Education
(Defective and Epileptic Children) Act, 1899.]
The conditions from which physically defective children
suffer include the following:—
(1) Tuberculosis—Lungs, bones or joints, abdomen,
glands, etc.
(2) Anaemia, malnutrition and conditions not yet
sufficiently developed for accurate diagnosis—Pre-tuberculous
conditions—so-called delicate children.
(3) Chronic conditions—Chronic bronchitis, asthma,
chronic rheumatism, exophthalmic goitre, chronic glandular
enlargements, chronic inflammatory conditions of the
eyes, ears, mouth, nose, throat, etc.
(4) Convalescence after St. Vitus' Dance, pneumonia,
pleurisy, rheumatism, operations, e.g., for removal of
enlarged tonsils or adenoids, for empyæma, etc.
(5) Uncompensated heart disease.
(6) Oral Sepsis.
(7) Paralysis.