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and report, and 12 were diagnosed as definite tuberculosis after X-Ray
and bacteriological investigations.
Surgical tuberculosis was dealt with by the Committee's Orthopaedic
Surgeon.
Hospital Treatment.—For defects and illnesses which have not
come within the scope of treatment carried out at school clinics, patients
have been referred to private practitioners and hospitals. The proximity
of the Prince of Wales's and North Middlesex County hospitals and the
existence of so many great general and special hospitals in London has
ensured the adequate treatment of many cases requiring hospitalisation.
As in previous times, the Hospital for Sick Children, Great Ormond
Street, has been a most valuable asset to the Tottenham School Medical
Services. Throughout the year there has been close co-operation between
this hospital and the School Medical Department, thus ensuring continuity
of treatment and observation.
FOLLOWING -UP.
Review of the arrangements for the following-up of children suffering
from various defects, including a summary of work undertaken by the
school nurses:—
Arrangements do not differ materially from the methods adopted in
previous years. Following-up in the homes and schools is undertaken
by the medical officers, school nurses and attendance officers, and has
included the re-examination and home-visiting of all children who were
found during medical inspection to present defects, non-attenders at
clinics and school absentees.
All surgical appliances supplied to elementary school children are
examined by one of the school medical officers before being approved
for the contribution made by the Education Committee towards the cost
of these appliances.
Defective children attending the various special schools are examined
at six-monthly intervals.