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139
and payment is made to the hospital authorities on a "per
capita" grant basis, in respect of East Ham scholars sent to the
hospital from the School Medical Department.
A further step towards more complete co-ordination was
reached by the agreement, between the Education Committee and
the Maternity and Child Welfare Committee, that diseases of the
ear, nose and throat, occuring in infants and children under school
age, should be treated at the School Aural Clinic.
(See also Report of Aural Surgeon, p. 151.)
(h) Dental Defects.
It has been pointed out on former occasions that one Dental
Surgeon can deal satisfactorily and efficiently with a school population
of 5,000. He should be able to give complete treatment
to ail cases found to require attention as the result of the dental
inspection of this number, and subsequently examine and treat
all entrants and re-inspect 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. 153.)
(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