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21
Cleanliness.
School nurses examine children regularly for uncleanliness and
vermin. Children are watched both at school and at home.
Treatment by a Lethane compound has been found useful. In the
appendix the number of unclean children and the manner in which
they were dealt with is shown.
Scabies.
Children and relatives treated were in larger numbers earlier
in the year, but numbers diminished later, despite a vigilant
search ; and probably scabies is now decreasing in this area.
Ultra Violet Light Treatment.
203 children were given ultra violet ray treatment, the total
number of attendances being 2965. The work is done at the Municipal
.Medical Centre, Park Lane, by agreement with the Maternity
and Child Welfare Committee, so that we make use of the ultra
violet ray apparatus installed for treatment of children under five.
The improvement in health of children after this treatment is
marked, and Medical Officers send increasing numbers to the sunlight
clinic. We are therefore installing additional lamps at the
Medical Centre, Lordship Lane; school nurses will give the treatment.
Exposures are systematically reduced in length, so that
the patient will be gradually separated from his artificial aid and
the risk of the so-called '' negative phase " be reduced.
Diphtheria Immunisation.
National and local propaganda for immunisation has been
vigorous. The number of sessions in Tottenham has been doubled;
each section of the Borough is now conveniently near a weekly
clinic. The drive has been helped by head teachers, who have given
details, and underlined at school assembly the fact that it. is vitally
important to be protected against diphtheria. Similarly, at
school medical inspections, minor ailments land even nutrition
clinics, the medical staff has tried as much as possible to talk to
parents in person; this is the best way of all to get parents to consent.
Copies of the Minister of Health's "Urgent Letter to
Parents" (which "must be returned whether signed or not") have