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referred for treatment, 59 were operated on (44 at Richmond
Royal Hospital and 15 privately). 13 cases are awaiting operations,
making the percentage of cases treated or under treatment during
the year 94.7. No case is recommended for operation unless it is
obvious that the condition is causing general physical disability, or
a special defect, such as deafness. Actually 74 children were
operated on during the year (56 at Richmond Royal Hospital and
18 privately) 15 of these being cases referred from 1932.
All cases sent to Richmond Royal Hospital are seen by the
Nose and Throat Specialist before operation is finally decided upon.
(/) Ear Disease and Defective Hearing.—25 cases were
referred for treatment. Most of these were cases of discharging
ears and they were treated at the Clinic. 4 cases were sent to the
Royal Hospital—1 being a case of Defective Hearing which was
operated on for Tonsils and Adenoids.
(g) Dental Defects.—Table IV., page 27). During the Routine
Medical Inspection the teeth are examined, but not as thoroughly
as they are examined by the Dental Surgeon, i.e., with probe and
mirror. Only the obvious carious teeth are therefore seen and
noted by the School Medical Officer.
During 1933, children of all age groups, i.e., 5—15, were
examined by the School Dentist.
Miss E. Russell, L.D.S., the School Dental Surgeon,
examined 2,289 children of all age groups and found 1,291 to
require treatment. This is 56.40 per cent., a higher percentage
than in the previous year. This may seem to be a large proportion,
but it must be remembered that the treatment in many cases is
very small in amount and is conservative, that is, the preservation
of the permanent teeth.
(h) Orthopcedic and Postural Defects.—The former may be
caused by (1) Infantile Paralysis, (2) Rickets, (3) Tuberculosis,
(4) Brain or Nerve Lesions, (5) Congenital Defects,