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minute, any farther extension of the disease to the upper place
of bone covering the inner ear, may lead to suppuration within
the brain cavity and death.
The number given 55, does not by any means exhibit the
total number of cases existing in the schools, as a large number
with a small amount of discharge, regard the matter of no
importance and are not discovered until Routine or Medical
Inspection, or some complaint brings the matter to notice. A
very large proportion of these cases suffering from ear trouble,
can be cured in the early stage by ionization but unfortunately,
treatment is not available in the district, and it is difficult to
induce many of the parents to take their children into the centre
of London, as owing to the present prevailing unemployment,
they cannot afford the necessary fare.
Eye Disease.
28 cases of Eye Disease have been treated at the School Clinics.
These have been chiefly Conjunctivitis, Blepharitis, with some
Phylctenular and Corneal Ulcers, and suppurative conditions of
the lids.
Tonsils and Adenoids.
Out of 78 children referred for treatment, 40 received treatment
either privately or through a hospital, whilst 14 were treated under
the Education Authority's Scheme. Arrangements have been in
force since 1921, whereby children requiring operative treatment
for enlarged tonsils and adenoids, can obtain this either at the
Hounslow or Richmond Hospital, the Education Committee
accepting all responsibility tor the fee. Re-payments are claimed
from the parents in accordance with the following scale:—
Weekly family income Amount per
per head, less rent. case.
Under 8/- nil.
From 8/- to 10/- 5/From
10/- to 12/- 10/Above
12/- 21/Under
the above scale, which was authorised by this Committee
since September 1922, the number of cases of Tonsils
and Adenoids operated on, is comparatively small. Personally, I
am strongly opposed to the wholesale removal of Enlarged Tonsils,
as in my experience a considerable portion of these disappear in