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In a further 203 cases both conditions were present, 145 children being referred for
operation and 58 for observation.
Ear Disease and Defective Hearing.
Amongst children examined at the routine medical inspections, 5 cases of defective hearing
were found, 3 of these being referred for treatment.
Special examinations at the Clinics account for 18 cases of defective hearing, and 136 cases
of ear disease.
Dental Defects.
One thousand eight hundred and twenty-seven cases of dental caries were discovered at
routine medical inspection, and a further 141 cases were found by examination at the Special
Clinics.
At the routine dental inspections in the schools, a total of 8,187 children were found
requiring treatment. Table IV., Group V,.on page 33 gives further statistics in this connection.
See also Statistical Table on page 16.
Orthopaedic and Postural Defects.
Fifty-three cases of deformity of varying degrees were discovered by inspections at the
schools and at the Special Clinics.
Heart Disease and Rheumatism.
Sixteen cases of heart trouble were found during the year to need treatment, whilst 66 cases
were marked for observation.
Tuberculosis.
No case of Tuberculosis was found by medical inspection during the year.
Other Defects and Diseases.
Eight defects which could not be classified under any other heading in Table II. were
marked for observation during routine medical inspection.
The number of "other defects and diseases" found by special inspection was 1368. Of
these, 1,267 were referred for treatment. They were almost entirely minor ailments (minor
injuries, bruises, sores, etc).
6.—FOLLOWING UP.
Every possible care is taken that no child requiring treatment shall be allowed to continue
without it. Parents are notified in writing of all physical defects discovered in their children
during routine medical inspection, and those parents who take advantage of our invitation and
attend the inspection, receive verbal advice also. A special " Following-up " card is then made
out, and one of the School Nurses visits the home and explains how treatment can be obtained.
Further visits are paid from time to time as may be necessary. The Following-up card is " kept
alive " until the condition for which it was made out is remedied.
Nurses paid 429 visits in this connection during the year.
The most difficult feature of this work is the wilful neglect of certain parents whose
obstinacy fails to respond to persuasion. Such cases have to be referred to the Committee, who
generally decide to pass them on to the National Society for the Prevention of Cruelty to Children.
The following is a list of the School Nurses' duties, with brief statistics relating to their
activities during the year under review.
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