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I am therefore more than ever convinced that the preventitive treatment afforded by orthodontics
must eventually lead to a reduction in the amount of normal dental work which would
otherwise fall on the Clinic. This being granted, it appears to me that in the long run orthodontic
sections cannot cause interference with routine dental procedure at any Clinic, and such sections
should therefore be instituted throughout the Country.
I would even go so far as to state that in my opinion it is a far better thing to countenance
the risk of caries provided orthodontic treatment is carried out if by so doing the child's future
general good health is assured.
H. R. EVANS, L.D.S., R.C.S., ENG.
Orthodontic Consultant.
Orthodontic Demonstrator, Children's Department, Royal Dental Hospital.
(h). Orthopaedic and Postural Defects.
Although handicapped by the absence of a Clinic for the supervision of crippling defects,
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 29 school children from this area attended during the year.
Seven children were admitted to the Royal National Orthopaedic Hospital for in-patient
treatment, the Education Authority accepting responsibility for the Hospital charges.
The conditions for which these children were treated were:—
Torticollis.
Thickening of Os Calcis.
Structural Scoliosis.
Left Club Foot.
Septic Arthritis Left Hip.
Old Infantile Paralysis.
Old Poliomyelitis.
Two other children obtained in-patient treatment at the Royal National Orthopaedic
Hospital by private arrangement of the parents. The conditions were respectively:—
Post fracture deformity.
Congenital dislocation left hip.
Seventeen children received non-residential 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 the 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.
Early in the year a scheme was evolved for following up cases of infectious disease. By
agreement with the Medical Superintendent of Mogden Isolation Hospital we are notified of every
case where there are special conditions that require supervision after discharge. These cases are
seen by a member of the Authority's Medical Staff and are kept under observation at the Qinic.
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