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(b) TONSILS AND ADENOIDS.
For the treatment of these conditions arrangements for
operative treatment have been made with (1) Queen Mary's
Hospital, Stratford; (2) St. Mary's Hospital, Plaistow. Before
operation every child is examined by one of the School Medical
staff, and provided with a voucher to take to the Hospital.
All cases are re-inspected by the staff after notification of the
operation from the Hospital. Cases that attend other Hospitals
for operation are few, and are not chargeable to the
Local Education Authority. During the year 1,222 operations
for this condition were performed under the Authority's
Scheme and 60 privately or at other Hospitals.
The value of these operations cannot be over-estimated,
the benefits resulting comprising various improvements both
general and special in the child's condition. Anaemia, deafness,
poor appetite, mental backwardness, debility, disturbed
sleep, are all benefited by this radical operation properly performed.
(c) TUBERCULOSIS.
The treatment of this condition is not provided for by the
Education Committee, but arrangements exist for transferring
such cases under the Tuberculosis Scheme of the Council. The
examining School Doctor refers the case by a special card to
the Tuberculosis Officer whenever Tuberculosis is, or is suspected
to be, present. By this means pre-tubercular cases also
are kept under observation, and can receive any requisite
treatment. During the year 77 cases were so referred.
Both the School Doctors and the Tuberculosis Officer
notify the School Medical Officer of school cases coming under
their notice. During the year 136 cases were entered in the
School Diseases Register as exclusions, and eleven cases, two
of which were Tuberculosis of the Glands, were not excluded.
Only those cases liable to be infectious are excluded from
school.
Provision is made for Institutional treatment of those
children unfit for ordinary school life. The following Table
gives the number of children suffering from some form of
Tuberculosis who were being maintained at various Institutions
at the end of the year.