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to our purblind senses. The difference is one of degree, not of kind.
The outlook for epilepsy in childhood is good. With modern treatment,
the average patient can look forward to the fits stopping, or
to so few of them continuing that he can lead a perfectly normal
life. An occasional fit occurring during school hours should be
accepted as a matter of course. It looks very much worse than it is,
for there is hardly any danger from it; and when it is over the
child should be encouraged to continue his normal routine.
"I should like to thank the Assistant School Medical Officers
for referring the children to me, and the general practitioners for
granting them permission to do so; and my colleagues, the Patholo'
gist and Radiologist at Whipps Cross Hospital for kindly offering
me the facilities of their deDartments "
Over Under
5 years 5 years
New cases 54 32
Total attendances 104 47
Physical Defects:
No. of cases 36 30
Referred to Hospital 26 9
Discharged 15 3
Psychological Disorders:
(a) Enuresis 18 —
(b) Other — 2
Referred to Hospital 13 —
Discharged 2 1
(h) Speech Therapy.—Treatment centres are provided at the
Old Education Offices, High Street, and at the Open Air School.
The arrangements of previous years have continued in regard
to the selection and reference of children for speech therapy. Cases
are brought forward as a result of medical inspection and re-inspection
and by reference through Head Teachers. In order to exclude
any medical condition and in order to assess the degree of the speech
defect to negative the possibility of deafness, partial deafness, or of a
psychological cause of the defect, a full medical report is recorded
on the case papers sent to the speech therapist. The school Medical
Officers are invited to follow up their cases during the course of
treatment and arrangements have been made for a review of the
case, preferably by the School Medical Officer who referred the case,
and before discharge from treatment.
Miss C. M. Borthwick, L.C.S.T., reports as follows:—
Attendances at the clinic have increased again this year despite
the allotting of more time to individual work. The latter was felt
to be so much more satisfactory that forms were sent to all parents
asking them to state whether or not they would be prepared to