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on Tuesdays, Thursdays and Fridays Special Inspections are
held to which parents are invited. The work done in the Clinics
during the year is indicated in the following table :—
Inspections of special cases 990
Re-inspections of special cases 609
Number of individual children attending 3,792
Number of attendances made 13,755
Number of exclusion certificates issued 697
Number of return certificates issued 541
(b) Tonsils and Adenoids : Unfortunately the Chiswick
Hospital remained closed during 1937 and in consequence we
had to arrange for the operative treatment of children suffering
from diseases of the above structures at other Hospitals.
Forty-one children were operated upon at the West London
Hospital and two by their own doctor.
115 received other forms of treatment by removing septic
teeth and getting them to attend the Orthopaedic Clinic for
breathing exercises. Marked improvement took place in quite
a number of these cases.
(c) Tuberculosis : Treatment of this disease is undertaken
by the Middlesex County Council and three cases (two girls
and one boy) were admitted to Harefield Sanatorium for
tuberculosis of the lung.
The County Tuberculosis Officer kept under observation
four suspected cases and eight contacts.
(d) Skin Diseases : All cases of skin disease are treated in
the Minor Ailment Clinics.
Ringworm : Three cases of ringworm of the scalp and six
cases of the body were successfully dealt with in the Clinics.
Scabies : After a period of comparative immunity this
affection seems to be very much on the increase and 39 cases
were treated during the year.
Kathiolan is the agent used in the clinics and when used
according to instruction produces a rapid cure. Unfortunately
some families have a genuine difficulty in carrying out all the
cleansing measures required and in these cases the disease is
likely to be protracted. It is hoped that a cleansing station is
to be established by the Joint Hospitals Committee, an action
which will provide a real necessity for this Borough.