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156
natal and nursing mothers. Extraction of teeth is carried out
under gas or by local anaesthetic. Filling of temporary and permanent
teeth is done wherever possible. Dentures are supplied
when necessary.
The teeth of the babies on the whole show some improvement
over past years. I am glad to be able to record that the
mothers are making more use of this important service, which
will greatly benefit their health and that of their babies.
May I thank my colleague, Mr. A. E. Hall, L.D.S., and the
two Dental Nurses for their valued co-operation during the year,
and also the Medical Officers, Teachers, and Staff for their help.
(i) Crippling Defects.
1. Orthopaedic and Postural 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.
Eight out-patients have received treatment during the year.
The total out-patient attendances were 205.
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.
The recent extension of facilities for orthopaedic treatment
at the East Ham Memorial Hospital has enabled the School