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103
There is a fall in this defect compared with previous
years' figures, many of the minor conditions having: been
remedied by the development of physical training, which
has now been given in Bromley schools under the
Physical Training Organisers for some two years.
(i) Heart. Disease and Rheumatism.
One case of organic heart disease was discovered at
Routine Inspections, and 25 children were found to
require further investigation. Sixteen children are
under treatment and observation at the school clinics,
which is under the supervision of Dr. Schlesinger, the
heart specialist.
The condition of these children fluctuates from
time to time, and where the condition is at all active,
the children are referred to the Heartsease Hospital,
which is under the supervision of Dr. Schlesinger,
the heart specialist.
Once the heart has been damaged, the weakness will
persist, and it not infrequently results in permanentin
capacity.
It is a practice with some authorities to establish
Rheumatism clinics in order that these crippling defects
may be prevented, and much valuable work has been
done by the London County Council in this respect. The
establishment of such a clinic in Bromley is a matter
worthy of the consideration of the Authority.
(j) Tuberculosis.
No case of tuberculosis was found in the Routine
Inspections in 1938.
(k) Other Defects and Diseases.
Diseases of the nervous system and those conditions
which are largely seasonal, swell the returns of the
fecial inspections. Nervous conditions or an unbalance
attitude to their environment are to be noted
among many children who attend school for the first
time. Such conditions are especially marked in the preschool
child, and the opening of nursery classes for these
children is recommended to the Authority.