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Group C.-Children examined at their third routine medical inspection.
Of the 2 who came up for this examination, 1 had attended the Centre for Genu Valgum and
was found to be much improved. The other, whose tonsils had been found to be slightly enlarged
at the second medical inspection, and were now causing symptoms, was referred to the Ear, Nose and
Throat Surgeon.
Both had gained well in weight and height.
Group D.-Children Re-examined.
(a) Of the 5 referred for tonsillar enlargement, I had had tonsillectomy. 1 was suffering
from frequent colds and was referred to the Ear, Nose and Throat Surgeon. The enlargement in
2 cases had subsided to the normal, due, no doubt, to the excellent hygienic conditions prevailing
in the Nursery Classes. The slight enlargement in the last case had not increased, and was giving
rise to no apparent symptoms.
(b) Postural Kyphosis noted 6 months previously in 2 cases had been rectified through
exercises at school, and no doubt through the Nursery School routine.
(c) The legs were now straight in one child who 6 months previously had had Genu Valgum.
The other, re-examined for this defect, was referred to the orthopaedic centre as no improvement was
found.
Specially referred case.-This was a child who suffered from fatigue and frequent attacks of
Bronchial Catarrh. While the Nursery School routine had undoubtedly done much to improve his
physique and raise his resistance to disease, it was felt that he could be further assisted by a course
of Ultra Violet Ray treatment, and he was accordingly referred to that department.
Dental Caries.-It is interesting to find that of the 11 children found to have carious teeth,
9 had enlarged tonsils. 3 attended the Centre for dental treatment.
Cleanliness.-The standard of cleanliness of Hair, Skin and Clothing was even better maintained
than during the previous year as shown by the cleanliness inspections carried out by the
Health Visitor each term (which totalled 137 examinations). No children were excluded from
school on account of uncleanliness, and no Cleansing Notices were served on the parents.
The Incidence of Infectious Diseases.-12 cases of Chicken Pox occurred during 1933 among
the scholars attending the Nursery School. The source of infection in 4 cases was the home, where
a brother or sister was lying ill with this complaint, or was just recovering from it. There were also
2 cases of Nasal Diphtheria. Both were removed to the Willesden Municipal Hospital, where 1 had
his enlarged tonsils and adenoids removed. 1 case of Pneumonia occurred, and was admitted to the
Central Middlesex County Hospital. 1 child had Mumps, and another had German Measles. The
ncidence of Infectious Disease in the Nursery Classes during the year was notably small, while the
pread of such diseases as Chicken Pox and Nasal Diphtheria were very limited, due, no doubt, to the
excellent hygienic conditions prevailing in these classes.