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TUBERCULOSIS IN SCHOOLS
Following the receipt of information that a member of the non-teaching staff at
a school in the Borough was suffering from tuberculosis, investigations were carried out
in conjunction with the Consultant Chest Physician. All possible contacts (staff and
pupils) were investigated and I am pleased to report that no further cases were discovered.
I am grateful for the co-operation of the Chest Physician, staff and parents in
carrying out these investigations.
I would stress here the importance of regular chest X-rays for all personnel in
contact with children.
CHILD GUIDANCE SERVICE.
The Medical Directors of the Child Guidance Clinics, Dr. Robin Higgins, M.A.,
M.B., B.Chir., D.P.M., and Dr. Agnes Main, M.B., B.S., report as follows: —
Dr. Robin Higgins —

Referring Agents :
General Practitioners 17
School Medical Officers and Health Visitors 30
Consultants 4
Educational Sources 27
Parents 29
Speech Therapists 4
Children's Department 5
Miscellaneous (Courts and N.S.P.C.C., etc.) 3
119
The brunt of the psychotherapy has been undertaken by Mrs. Powell, but during
the course of the year we have also enjoyed assistance from Miss Hyman, (Music),
Mrs. Laird (Drama), and Miss Mann, (Remedial Teacher). Two Certificate in Social
Work Course students at Chiswick Polytechnic have been placed in the Clinic for
periods of 4 months each, and one student for 9 months from the Institution of Education
Course for teaching maladjusted cnildren.
We have carried out a detailed analysis of our work during the years 1969 and
1970 with a view to assessing our role and function in the light of prospective and
actual changes within the Health and Social Services of the Borough. We have also
given a number of talks about our work to outside organisations.
Dr. Agnes Main —