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be, present. By this means pre-tuberculous cases also are kept
under observation, and can receive any requisite treatment. During
the year 59 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 98 cases were entered in the School
Diseases Register. 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.
Tuberculous Children (out of school) having Institutional
Treatment.
Langdon Hills Children's Sanatorium 40
Seven Oaks Open Air School 7
Heritage Craft Schools, Chailey 5
Sir William Treloar's Home, Alton 3
Alexandra Hospital, Guildford 3
Alexandra Hospital, Swanley 4
Princess Mary's Home, Margate 1
Whipps Cross Hospital 8
St. Vincent's Cripple Home, Pinner 5
Victoria Home, Bournemouth 1
Royal National Orthopaedic Hospital, Stanmore 1
Children's Hospital, Balaam Street 1
St. John's Home, Clewer 1
In addition to the above, there were 46 "Out of School'
Cases, calculated up to the end of December, 1928.
(d) SKIN DISEASES.
The majority of skin diseases are already included under the
Section, " Minor Ailments." One, however, needs special
mention, as a special line of treatment is adopted.
Ringworm of the scalp, if discovered quite early and
before any large area is involved, may be treated at the Clinic and
its course cut short, but if well-established can only be adequately
and expeditiously dealt with by X-Rays.
Arrangements have accordingly been made for this method
of treatment (1) with Dr. Kennedy, (2) with the London Hospital,
leaving the choice to the parent. The child is first examined by
one of the School Medical staff, hairs taken for examination,
the diagnosis confirmed or otherwise, and if necessary, a voucher
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