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III
surgical appliances, and is carried out under the direction of an
orthopaedic surgeon.
Payment is made to the Hospital Authorities by a per capita
grant contribution in respect of East Ham scholars sent to the
Hospital through the School Medical Service.
All children referred by the Authority's Medical Officers to
the Hospital for treatment are kept under observation at frequent
intervals at one or other of the School Clinics, in order that the
progress of the cases may be watched and recorded, and to ensure
that treatment has not been allowed to lapse. If at any time such
a case fails to attend the School Clinic it automatically becomes
included in the following-up list of one of the School Nurses.
It was with great regret that we were compelled to discontinue
our arrangement with the Balaam Street Children's Hospital
owing to the occurrence of staffing difficulties which interfered
with treatment being carried out as expeditiously as was previously
the case. A large amount of work has been undertaken at the
Hospital and has been highly satisfactory.
During the year 1929, 25 out-patients have received treatment,
the total out-patient attendances being 474, but no in-patient
treatment has been given for the reasons mentioned above.
In November, 1929, the Authority entered into an agreement
with Queen Mary's Hospital, Stratford, in respect of a complete
scheme for the treatment of orthopaedic cases, a full report of
which will be included in my report for next year.
(j) The Light Clinic.
A further twelve months experience of actino-therapy does
not warrant any change of opinion as to the superior value of this
form of treatment, in the type of cases selected, over all other
measures which have been given a trial, and I can only confirm
my reports of previous years in this respect.
It is very unfortunate that what accommodation we have is
only available for the holding of this Clinic on two sessions and
that for the remainder of the week the apparatus is idle.
(i) Apparatus.
For the purpose of carrying out artificial light treatment there
are two arc lamps in the Town Hall Clinic : a quadruple carbon arc