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(h) Orthopaedic and postural Defects. Details of the work done unde???
the scheme are given in the section dealing with Defective Children,
(i) Heart Disease and Rheumatism. Dr. Sheldon reports that two '
children (aged 13 and 10 years) both had patent ductus arteriosus, a
form of congenital heart. Both had the ductus ligated with immediately
return of the heart to normal and disappearance of murmur. Subsequent
history showed acceleration in growth rate and improvement in
learning capacity at school. One child (W.B. aged 10 years) showed
an improvement in intelligence quotient from 110 to 131.
These operations were amongst the earliest of their kind in
this country.
Rheumatism Clinic. The following is a report on the work of
the Rheumatism clinic during 1943:-
Number of sessions 22
" " new cases 100
" " old cases 138
" discharged 78
" still under treatment 29
"of new cases with rheumatism or cardiac defect 10
" number excluded from school 6
" excluded half time school 1
" " from games and exercises 2
" to begin games and exercises 4
n referred for convalescent home treatment 6
" sent away 6
" referred to Open Air School 1
(j) Tuberculosis-. The number of school children examined during the
year was - boys 112 and girls 102 - of which 27 boys and 16 girls were
referred by the school medical staff. 56 of the cases were sent by
private practitioners, and 115 were examined as contacts,
At the end of the year the live register of notified oases of
school age was - Pulmonary 31, Non-pulmonary 27,
(k) Artificial Sunlight Treatment. The number of children treated
was .42, making 696 attendances.
8. INFECTIOUS DISEASES.
Notification in the 5-15 years age group during 1943 was as
follows (1942 cases shown in parenthisis) - scarlet fever 553 (224)
diphtheria 15 (4), pneumonia 19 (12), erysipelas Nil (4), cerebro
spinal meningitis Nil (Nil), measles 245 (418), whooping cough 27 (46)
Dysentery 37 (nil), Anterior Poliomyelitis 1 (nil).
Six cases of scarlet fever and 9 cases of non-clinical
diphtheria were discovered by the medical staff.
Non-notifiable infectious disease is chiefly brought to light
by the weekly returns made by Head Teachers under the local
"Regulations as to Infectious Diseases in Schools."
12.