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148
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. 166.)
(i) Crippling Defects.
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 on a per capita
contribution basis 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 1931, 21 out-patients have received treatment,
the total out-patient attendances being 411.
The highly satisfactory results achieved are due, in no small
measure, to the efforts and keen co-operation of Mr. Lindsay, the
responsible Orthopaedic Surgeon.
(j) The Light Clinic.
A full account of the arrangements and methods adopted in
regard to treatment by artificial light was included in my reports
for the years 1928 and 1929.