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In addition, a considerable amount of following up has been
carried out by the School Nurses in the case of children who
have been referred for treatment to their own doctors or where
hospital treatment has been found necessary. By these means
undesirable delay in obtaining treatment has been obviated.
7. ARRANGEMENTS FOR TREATMENT.
Table IV gives a return of the defects treated during the
year under arrangements made by the Education Committee.
(a) Malnutrition. Milk was provided in school for thirtythree
children. The milk is only given on medical grounds and
the financial circumstances in each case are considered by the
Committee. These children were suffering from malnutrition
and debility. As a rule the milk was supplied for a period of
at least three months in quantities varying from one third to half
a pint daily.
(b) Uncleanliness. The Education Committee have, for a
number of years, made arrangements for the cleansing of children
with dirty heads at the Health Centre. A cleansing room has
been equipped with all the necessary facilities for this work and
is under the charge of the senior school nurse.
As a rule, no child is cleansed at the Health Centre unless
the mother, on account of illness or other bona fide reasons is
unable to cleanse the child herself. During 1933 one hundred
and fifty-three children were cleansed by the school nursing
staff.
In no case were legal proceedings necessary, under the School
Attendance Byelaws, for absence from school due to uncleanliness.
(c) Minor Ailments and Diseases of the Skin. The work
of the Minor Ailment Clinic at the Health Centre is shown in
Table IV. This clinic is well attended and the number of cases
dealt with shows an increase of one hundred and fifteen over
the figure for the previous year. The senior school nurse is in
attendance at this clinic daily, including Saturdays, from 9 to
11 a.m.
The Committee have made arrangements for the treatment
of children with ringworm of the head by means of X-rays at
the St. John's Hospital. No case of ringworm of the scalp was
detected either at the routine or the special inspections during
the year.
Twenty-one children with ringworm of the body, sixteen with
scabies, one hundred and thirty-seven with impetigo and one
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