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the training of local authority medical officers
in the early detection of hearing loss and
screening techniques. In July the postgraduate
students who were attending the
course in Developmental Paediatrics at the
Institute of Child Health spent an afternoon
at the clinic when Dr Fisch gave a lecture/
demonstration
A group of twelve American medical students
attended the centre for one session in October
thirty students from Cologne came with
Professor Jussen to spend a day at the centre.
In November Dr Fisch Dr Tyson and Dr Jepson
visited Condover Hall School for Blind
Children with other handicaps at Shrewsbury
where there is a unit accommodating 5 deaf/
blind children. An evening meeting was held
which was attended by the teaching staff and
medical staff of Condover Hall, In February
a four day course in developmental paediatrics
was held at the centre which was attended by
the borough medical officers and medical
officers from several nearby boroughs
Dr Fisch wrote a leaflet on the nature of
high frequency loss This gives a very clear
explanation of the nature of this type of
hearing loss It is given to teachers patents
and other people concerned in the management
of children with a high frequency hearing loss.
Regular parent meetings for the parents of
pre-school children with a hearing loss were
organised at the clinic by the peripatetic
teacher during the year
During the year several very valuable items
of equipment have been acquired:Impedence
Meter. This machine is a useful
addition to the diagnostic facilities of the
clinic It measures air pressure in the middle
ear and is very useful in diagnosing the
presence of fluid in the middle ear
Sound Filter: This is a machine whereby sounds
of various frequencies can be filtered from a
tape It is extremely useful as a teaching aid
and particularly in helping parents and teachers
to understand the nature of a child's hearing
loss
The work of the unit for the deaf blind
rubella children attached to Heston School
for the Deaf continued during the year Mrs
Cornwell who had taught at this unit since it
opened left to take up a new appointment.
Under her care and teaching, the children had
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made considerable progress. Mrs Plumb has
now taken charge of the unit and so the
continuity of care and teaching has been
maintained.
Medical Advisory Unit and Cerebral Palsy Unit
The assessment of the multiply handicapped
child continues in this unit. During the year
a total of 108 children were seen as outpatients,
71 being pre-school age and 37 of
school age 33 of the children of pre-school
age had cerebral palsy. 26 had spina bifida
and 12 had other physical defects. 33 of the
children of school age had cerebral palsy, 2
had spina bifida and 2 had other defects. 95
pupils attending Martindale School were
examined during the year
The following table shows the type of
handicap dealt with at the Medical Advisory
Unit in 1969

Table II shows the number of children on
the school register and on the waiting list
for 1965 - 1969