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In addition to the above seventeen cases there were four other children who were treated^/
privately without X-ray. One infected in May, 1934 was not cured by the end of 1936. One
infected in November, 1934 was still infected at the end of 1936. One infected in November
1934 was clear in March, 1936. One infected in May, 1935 was clear at end of 1936.
No children are re-admitted to school until they have had two negative examinations at an
interval of one week. After re-admission they are kept under observation and re-examined under
the Wood Glass filter until the Medical Officer is satisfied that there is no return of the infection.
(d). Visual Defects and External Eye Disease.
I am indebted to Dr. Roberts, who is in charge of the Refraction Clinic, for the following
report :—
VISION AND THE REFRACTION CLINIC.
Two sessions have been held weekly during the school terms at the Hounslow Centre and
one at Isleworth with an occasional extra session at the beginning of the holidays in order to
complete the term's work.
Since September, Dr. Lewis, the newly appointed Junior Assistant School Medical Officer,
has done the Eye work at the Isleworth Centre.
This year I am able to report that all children for whom spectacles were prescribed obtained
them—hitherto our numbers in this respect have been very good, but this is the first year
that a hundred per cent has been achieved. This has been possible on account of a new arrangement—but
since this has only been working for the last quarter, I am not reporting on it in detail,
but hope to discuss it more fully next year.
The drawing stereoscope continues to be used with considerable benefit in the training of
binocular vision and I wish to acknowledge with gratitude the help given to me in this work by
the Head Teacher of Bulstrode Senior Boys' School. The Secretary for Education gave me
permission to get some wooden plaques made at the school—I consulted the Head Teacher explaining
what I wanted and within forty-eight hours he sent me a number of most excellent
plaques made in the Handicraft class which have proved extremely satisfactory and have greatly
'"^xeased the usefulness of the stereoscope.
As will be seen by the figures given below the work of the Refraction Clinic continues to
increase : there were 363 more appointments than the previous -ear and 291 more attendances.
The percentage attendance however has not been quite so good, probably due to the large amount
of illness, but an attendance of 91.39% is a fairly satisfactory figure—though disappointing after
the figure achieved in 1933 viz., 95%.
Isleworth still lags behind in its response to the treatment facilities offered, and the number
of consents received is only just enough to warrant a session weekly. In spite of the fact
that Isleworth children are usually seen within a week of the consent form being received, the
attendance is poorer than at Hounslow where there is always a waiting list and an average delay
of four to six weeks before a child is seen.
The following figures show the work done at the Clinics in 1936.
Total Appointments 2684 (1935—2321)
Total Attendances 2453 (1935—2162)
Total Percentage Attendance 91.39 (1935—93.15)
HOUNSLOW CENTRE.
Number of sessions 90
Average number of appointments per session 21.58
Average number of attendances per session 19.91