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different forms,, sinusitis, impaired hearing,, otitis media (with
or without discharge), functional hypertrophy of tonsils, etc.
Cases of chronic otorrhoea which used to be very common some years
ago have become greatly reduced and only a comparatively small
number is now seen,
A detailed account of those various ailments, their effects,
immediate and remote,, complications and treatment is not included
here as this is not intended to be a clinical article,
Local authority specialist clinics conveniently situated have
many advantages. The travelling problem, as regards safety,
distance and time is much less acute than if these young patients
were obliged to attend, say,, the out-patient department of a
hospital* At the local clinics children may attend for treatment,
by themselves after the first one or two attendances with aparent,
thus saving the parent s time.
A most important point is that the administration of these
clinics is under the supervision of the school medical officer who
is well acquainted with the particular conditions of the patients
attending and the treatment given, and can link this up with his
general overall direction of the public health of the community
for which he is responsible as medical officer of health.
Further, the full clinical records of all the patients
attending the clinic are within easy access of the medical officers
and staff when an urgent enquiry is made for the clinical record
of any child, as often happens".
Orthopaedic Service Tottenham
I am indebted to Mr. E.H. Hambly. F. R.C. S., for the following
report:-
"These clinics continue to be heavily attended in figures for
new patients and old patients. Certain difficulties arise in
advising remedial exercises for children aged 10 to 11 on account
of the 11 plus examination, and also in older age groups, about
the age of 15, on account of higher examinations. This is
unfortunate, as it is the girls who stoop over their desks working
hard for such higher examinations who are in the greatest need of
these remedial exercises.
The expense of surgical appliances has been borne in mind
constantly throughout the year, as this is now a major financial
item. At first sight, it appeared that wedges to shoes were