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and delay Teachers are provided with Clinic Attendance Cards,
with which to draft such necessitous cases directly to the Clinic
for treatment. The conditions included under this head comprise
slight skin affections, sores, impetigo, eczema, scabies, minor
cuts and bruises, external eye conditions, such as conjunctivitis,
blepharitis, corneal ulcers, ear troubles, such as otorrhœa, eczema,
cerumen (wax) and deafness from any cause, ringworm of head
or body (if of slight degree), and minor first aid cases.
By far the greater proportion of the attendances come from
the special cases sent by the Head Teachers. The amount of these
conditions found at Routine Inspection is thus kept at a low limit.
Table IV (1) shows the amount of treatment undertaken by the
scheme provided by the Local Education Authority as compared
with that undertaken otherwise, i.e. by Hospital, private Doctor,
or domestic remedies.
(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; (3) Application
was successfully made to the Board for this treatment to
be undertaken at the Children's Hospital, Balaam Street, and the
work is now undertaken in respect of school children of 12 years
and under. The child is admitted to hospital on the day preceding
the operation, and not discharged from hospital until the day
following the operation.
Before operation every child is examined by one of the School
Medical Staff, and at the time provided with a voucher, and re-inspected
by the Medical 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 1,315 operations for this condition were performed
under the Authority's Scheme and 117 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 dealing with
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
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