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The welcome fall in the relative numbers of chronic otorrhoea
cases now seen is no doubt due to the early detection and treatment
of acute and incipient instances of otitis, more especially amongst
pre-school children, and also to the treatment of pre-disposing
factors in the nose and throat. 183 cases of diseased nose and
throat conditions alone were seen during the year.
Zinc ionisation has been used as the main treatment of
chronic otorrhoea with very satisfactory results.
Proetz method of sinus displacement has been used where pus
or muco pus has been suspected in the sinuses. It is a sound and
reliable method and well tolerated by even quite young children.
For nasal catarrh, rhinitis, deafness due to' catarrh etc.,
diastolisation has been the chief method employed. In a certain
number of suitable cases of rhinitis the Argyrol Pack method has
been used satisfactorily.
Dmphasis is laid on the necessity of the early detection and
treatment of any diseased or incipient conditions in the ear, nose
or throat of young, especially pre-school, children, and their
steadily increasing number at the clinic is a great advance in
this direction. It no doubt entails a good deal of inconvenience
for the mothers when treatment at the clinic is necessary, but in a
large number of cases the treatment can be carried out at home under
suitable directions and the child kept under observation at regular
intervals.
The increased modern facilities provided at this new clinic in
the Town Hall have helped very materially in the successful working
of the clinic.
On the whole, we have not noticed that war conditions have
affected the general health, nutrition, morale, or nervous
conditions of the children."
(g) Dental Defects - Treatment of Secondary and Technical Pupils
The work done for the Essex County Council is shown below and is not
included in Table IV at the end of the report.

(h) Orthopaedic and Postural Defects. Details of the work done
under the scheme are given in the section dealing with Defective
children.
(i) Heart Disease and Rheumatism. Dr. Sheldon contributes the
following report on the work of the Rheumatism Clinic during 1941:-
10.