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Cases treated with_orthoptic exercises-
Discharged - Cured 4, 4 )
Cosmetic 2)- 8)
Unresponsive 2) )
Evacuated after partial treatment 9)
Rest from treatment 2) 30
Ceased attending because of raids 2)
Still on treatment 9)
Waiting list 5
(e) Nose and Throat Defects. The scheme for treatment remained
the same as detailed in previous reports.
The following table shows the number of cases treated:-
Year
At Connaught Hospital
Privately
Toto1
1940
14
3
17
1939
51
9
60
(f) Ear Disease and Defective Hearing. (i) Mastoid Disease No
children were referred to the Prince of Wales General Hospital,
Tottenham, for mastoid operation under your Committee's scheme,
(ii) Ear Disease-Minor defects under this heading are treated at
the minor ailments clinic, the numbers treated being given in the
table relating to the work of these clinics.
Ear Clinic-Dr. Francis Clarke reports as follows:-
The following tables show the work done at the clinic during
the year 1940. For explanatory notes on classification tables
see 1939 report.
"The Aural Clinic has been carried on during the whole of 1940
without any serious interruption, except that, arising during two
or three periods of urgent evacuation, the attendances suffered
accordingly, and a certain amount of disorganisation was inevitable.
This was mostly felt in the special suction treatment for Tonsils.
This, to a great extent , disorganised the special inquiry we were
carrying out as to the value of suction in the curative treatment
of diseased tonsils.
The clinic however has been carried on, and one session a week
and a good representative number of children with ear, nose and
throat complaints attended and were satisfactorily treated. The net
special tables of returns have been continued and we find them
exceedingly helpful and informative in making our annual returns.
The increasing number of infants and pre-school children now
treated at the clinic is of special importance, and the results are
satisfying,. It is the policy of the medical services to emphasise
the early recognition and treatment of all affections of the ear,
nose and throat in children of any age, and to have them promptly
and adequately dealt with before they reach the chronic stage.
In the case of acute otitis media (early middle ear
inflammation) 29 infants or children under school age out of a total
of 76 were treated at the clinic and 28 were cured, only one
requiring hospital treatment. If these were neglected many of them
would have drifted into the chronic stage with all its attendant
dangers and disabilities.
The number of chronic ear affections is steadily and relatively
falling. Only a total of 33 cases were found during the year. This
is largely due to insistent policy of efficient treatment in the
early stages, and also the early recognition and treatment of nasal
and throat defects which are generally the starting ground for later
ear affections, The facilities of the clinic now extended to the
treatment of nose and throat conditions as well as ear in infants
and pre-school children is a valuable measure anc one to be strongly
commended