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Tonsils and Adenoids.—Defects of Vision:—Owing to the
close supervision exercised in the schools and at the "Inspection"
Clinic, percentages of these defects found at "routine"
inspections are quite unreliable. It may be stated, however,
that practically every child with a defect is known and is
kept under observation until remedy is secured. There were
eleven refusals to submit children to operative treatment for
tonsils and adenoids.
Tuberculosis Cases:—Close co-operation is maintained
with the Tuberculosis Officer in regard to children attending
the Tuberculosis Dispensary under the Surrey County Council,
and a Register of all known cases of Tuberculosis is kept at
the Clinic. In addition to the supervision of actual cases, cooperation
in the diagnosis in suspected cases of Tuberculosis
is also carried out.
Twenty-three cases of definite Tuberculosis are on the
Register. Of these, 4 are cases of lung trouble; 12 cases are of
bone or joint disease; and 7 of the glands. Of the 23 cases, 2
children are confined to bed, 3 are in Sanatoria, and the remainder
are under observation conjointly at the Dispensary and
School Clinic. No cases of "open" Tuberculosis are attending
School.
Dental Inspections:—37 afternoon sessions were given to
inspections. 3,059 children were inspected, and 2,418 (79 per
cent.) required treatment. Only 419 children were free from
dental caries. Of the 2,418 offered treatment, 1.197 (61 per
cent.) attended for treatment. 297 "casual" cases were also
inspected and treated.
In many cases extraction of teeth was carried out in order
to correct irregularity and overcrowding of the teeth. The
actual regulation of the teeth by mechanical appliances is
carried out by the family dentist or at the Royal Dental
Hospital. The Wimbledon Education Authority subscribes
£2 2s. annually to the Hospital for such special cases.
All children of 9 years of age and under were inspected,
and those of 10, 11 and 12 years of age, who had previously
accepted treatment, were re-inspected.
Crippling Defects:—All children with crippling defects
are kept under close observation. Special cards are filed under
each defect, so that a failure to report is easily observed. Very
few new cases were discovered during the year.
Infectious Diseases:—The local regulations relating to
periods of exclusion of school children on account of infectious
diseases were revised in 1925, in order to conform with the
periods suggested in the Memorandum on Closure of and
Exclusion from School issued conjointly by the Ministry of
Health and the Board of Education.
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