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19
of bone covering the inner ear, may lead to suppuration within
the brain cavity and death.
Continuous suppuration of the middle ear always causes
impairment of hearing, and further affects the general health
of the child, the glands in the neck behind the ear frequently
become enlarged, and a general debility results.
Considerable loss of attendance at school is caused by this
ailment, and when in school the child does not benefit to the full
by the education provided. Ionization seems to offer one of the
best forms of treatment for early cases. Unfortunately such treatment
is not at present available in this district, and parents often
find it difficult to take the children to London.
Eye Disease.
21 cases of Eye Disease have been treated at 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 180 children referred for treatment, 47 received treatment
either privately or through a hospital, whilst 13 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 for the fee. Re-payments are claimed
from the parents in accordance with the following scale: —
Weekly family income Amount per
per head. case.
Under 8/- nil.
From 8/-to 10/- 5/-
From 10/- to 12/- 10/-
Above 12/- 21/-
The number of cases treated is small compared with those
referred for treatment. In many cases, however, treatment was
considered advisable, and the parent was notified, but except in
urgent cases the operation was not pressed.
The results of the removal of the diseased tonsils and excessive
adenoid tissue in those children who were submitted to operation,