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(h). Orthopaedic and Postural Defects.
Although handicapped by the absence of a Clinic for the supervision of crippling dcfccts,
we have, nevertheless, been able to secure expert advice for such cases as have been found to
require it. This is due entirely to the co-operation of the Royal National Orthopaedic Hospital, at
whose Out-patient Department 28 school children from this area attended during the year.
Three children were admitted to the Hospital for in-patient treatment for the following
respective conditions; Infantile Paralysis; Genu Varum and Lordosis; and Torticollis. The
Education Authority paid the usual maintenance charges.
One child, for whom exercises were recommended on account of severe Scoliosis, was able
to have regular supervision at the Brentford and Chiswick Orthopaedic Clinic by arrangement with
that Education Authority.
Four other children are known to have obtained in-patient treatment by private arrangement
at the Royal National Orthopaedic Hospital for the following conditions:—T.B. Spine;
Kypho-Scoliosis; Flat Feet; and Arthritis of Right Hip.
Eight children received non-residentional treatment of various forms, e.g., Exercises;
Manipulation and Special Boots.
(i). Heart Disease and Rheumatism.
We have no arrangements for the medical treatment of cases of heart disease and
rheumatism, but all cases which we discover are referred to Hospitals for expert opinion and
advice. These cases, however, are kept under observation at the school clinics, where they attend
regularly. Many cases attend school half-days for a period, or have otherwise modified curricula.
(j). Tuberculosis.
The treatment of tuberculosis is in the hands of the Middlesex County Council.
Any suspicious case is immediately referred to the County Tuberculosis Officer, with whose
Dispensary in Bell Road we are in constant touch.
8.—INFECTIOUS DISEASE.
The rules as to exclusion of infected children and contacts as laid down by the Ministry
of Health and Board of Education in the joint Memorandum of 1927, have been carefully
followed.