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48
On the other hand, young children under the age of five are
frequently being referred to the Infant Welfare Clinics by the
Tuberculosis Nurses from homes in which Tuberculosis has
occurred, for examination as contacts by the Clinic Medical Officer,
and observation, if desirable, at the Clinics themselves.
The co-ordination and co-operation between the departments
named well illustrates the relationship that exists, wherever
possible, between the Maternity and Child Welfare Department
and other public services in the Borough. It is also an illustration
of the value of the Infant Welfare Clinics in reference to the
detection of incipient illness in young children.
Tonsils and Adenoids.
When, in children attending the Clinics, operation for
enlarged Tonsils and the presence of Adenoids is found to be
desirable, the mothers are encouraged to choose hospitals on their
own account, and are recommended accordingly.
When, however, after careful inquiry into the family circumstances
of such a case, financial aid is found to be necessary, the
child is referred, at the cost of the Borough Council, to St. Mary's
Hospital, Plaistow, or to the Balaam Street Children's Hospital,
Plaistow, for the needful surgical treatment. During 1928, 21
children received treatment at St. Mary's Hospital, and 18 at the
Balaam Street Hospital, at the expense of the Council.
In such cases, on the day following operation, a Health
Visitor visits the home, and gives the mother general advice as to
after-treatment of the child. 66 visits of this character were made
by the Health Visitors.
It is encouraging to note that marked improvement in the
general health of the children is observed in many cases after
the removal of Tonsils and Adenoids.
Ringworm.
Two cases of Ringworm of the Scalp were referred to the
School X-ray Department for radical treatment.
Dental Treatment.
Children referred from the Maternity and Child Welfare
Centres are treated by the School Dentist, one afternoon in each
week being set apart for this purpose. It is encouraging to find