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10
Nineteen children were referred for discharge and one child left the
district. Ten children ceased to attend (no reason being given) and another
ten children failed to keep first appointments.
Of the new children admitted, the majority had defects of articulation
Some had grossly distorted speech, sometimes associated with a generalised
language difficulty, and others had an articulatory defect which involved only
one or two consonants. One child had cleft palate speech, one was partially
deaf and one had a speech defect resulting from a brain injury. There were
six stammerers.
Weekly sessions at Lansbury School, the Town Hall Annexe and the Child
Guidance Clinic were continued, and the fortnightly session at Storey Street
School was changed to a weekly session. Students from the West End Hospital
Speech Therapy Training School assisted during term time, both at Lansbury
School and at Manor Park Clinic.
Attendances continued to drop sharply during the school holidays and,
as usual, attendance in bad weather was poor, but most of the children who
attended regularly made satisfactory progress during the year."
Ophthalmic Clinic
Mr. Morris, ophthalmic surgeon, holds four clinic sessions weekly at
the Town Hall Annexe. As visual defect is now the most frequently noted defect
at routine medical inspection it was decided after consultation that the
following earliest deviations from the norm warranted not a period of observation
in the school clinic but direct reference to the Ophthalmologist:-
1. Distant vision of 6/9 or worse in either eye.
2. Near vision of N8 or worse.
Although this may well mean an increased case load falling on an already
very busy clinic, it should ensure that corrective measures are instituted at
the earliest possible opportunity.
I should like to thank Mr. Morris for the keen interest and willing
co-operation he has shown in these developments.

Nine cases of squint were treated in the clinic by occlusion and of
fifteen sent to hospital for a further opinion, three were recommended for
operation.