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referred for treatment, 53 were operated on (50 at Richmond
Royal Hospital and 3 privately). Two cases are awaiting operations,
making the percentage of cases treated or under treatment during
the year 96-5. 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 63 children were
operated on during the year (59 at Richmond Royal Hospital and
4 privately) 8 of these being cases referred from 1933.
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. 15 cases were
referred for treatment. Most of these were cases of discharging
ears and they were treated at the Clinic. Six cases were sent
to the Royal Hospital.
(g) Dental Defects. (Table IV., page 25). 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 1934, 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 2,465 children of all age groups and found 1,318 to
require treatment. This is 53'4B per cent., a lower percentage
than in the previous jear. 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 (l) Infantile Paralysis; (2) Rickets; (3) Tuberculosis;
(4) Brain or Nerve Lesions ; (5) Congenital Defects,