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141
be able to give complete treatment to all cases found to require
attention as the result of the dental inspection of 5,000 children,
and subsequently to examine and treat all entrants and to reinspect
and re-treat where necessary, at annual intervals, all the
children previously dealt with. This is the only way to ensure
freedom from oral sepsis and dental decay.
(See also Report of Dental Surgeon, p. 163-6).
(t) Crippling Defects.
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.
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.
The treatment at the hospital includes operative, electrical
and massage treatment, remedial exercises and the supply of
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.
During the year 1930, 21 out-patients have received treatment,
the total out-patient attendances being 381.
Negotiations are in progress with the East Ham Memorial
Hospital for the provision of facilities for the treatment of certain
defects in children elicited upon routine medical examination.