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been spent. It is clear that the provision of general anaesthesia
will increase largely the number of attendances at the clinic, and
the amount of work which can be accomplished, while very urgent
cases will not have to wait until the hospitals are able to accept
them.
Miss Marsdcn reports :—
The Schools in this area were all inspected in the usual manner,
and treatment given to those accepting it. On the whole,
there does seem to be an improvement in the condition of the children's
teeth. One does not see nearly so many really dirty and
septic mouths as formerly.
The children, too, take a more intelligent interest, and feel
some pride when told that their mouths are now in good condition.
They are taught to take care of their teeth in their homes.
Conservative treatment is still a "bone of contention," but I
think that here, too, there is a small improvement.
Head Teachers and Class Teachers have the greatest influence
over the children, and I should like to thank all for using their
influence and encouraging the children to accept treatment at the
Clinics.
(h) ORTHOPAEDIC AND POSTURAL DEFECTS.
All cases found to require treatment are advised to go to
Hospital. The Authority have an arrangement with a local
Children's Hospital for Orthopaedic In-Patient and Out-Patient
treatment, and undertake financial responsibility for all such cases
sent there. The Committee also from time to time maintain
special cases at Orthopaedic Hospital Schools approved by the
Board. (See Table IV., Group IV., of the Appendix.)
Any children found with minor Postural defects are noted on
the Special Confidential list left with Head Teachers. Recommendations
regarding any definite exercises and forms of drill are
given according to the nature of the defect.
(i) HEART DISEASE AND RHEUMATISM.
There is no special Clinic for the treatment of Heart Disease
and Rheumatism. Children found at Routine Inspections and
special examinations, and cases referred through private practitioners
and Hospitals are examined by the Chief Assistant School
Medical Officer, and those cases found to require periods of stay
at Heart Hospital Schools, etc., are recommended accordingly,
the Committee accepting responsibility for maintenance.
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