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It is interesting to note that a very large number of
children examined at the Routine Inspections had alreadiy been
operated upon for Bnlarged Tonsils and Adenoids. It is also
noteworthy that many parents bring their children to have
their throats examined with a view to the operation beinfc done.
(d) .Tuberculosis.
Three cases of definite Pulmonary Tuberculosis and one
suspected case were seen during the year and referred for
treatment.
Seventeen children whose lungs were doubtful were put
under observation and advised to appear regularly at the
Clinic until a definite diagnosis can be made.
Of non-pulmonary Tuberculosis only one case of Tubercular
hip and one case of Lupus were seen.
(f) External Bye Diseases.
Fifty-five cases of External Eye Diseases were seen
during the year and referred for treatment. The most common
of these Diseases were Blephariti u, an inflammation of the
eyelidSo
(s) Vision, including. Squint.
No fewer than 223 children were referred for treatment
for defective vision. Here again it is a pleasure to note
that children are brought to the Clinic or to School with a
request that the eyes may be tested at the Routine Inspections
A good number of children were noticed to be wearing glasses
obtained for the most part at the School Clinic, but in some
cases children were not wearing glasses previously prescribed.
All these cases were referred to the Eye Clinic for further
examination, as the glasses might not be suitable and required
changing.
(h) Ear Disease, and Defective Hearing.
Thirty-six oases were referred for treatment, while
twenty-eight were placed under observation. These numbers do
not include the cases of slight deafness caused by adenoids.
(i) Dental Defects.
During the Routine Inspections the teeth are of course
examined, but not as a Dental Surgeon examines with a probe
and mirror. Only the obvious carious teeth were therefore
.seen and generally speaking, when the child has four or more
carious teeth, the parents are advised to seek advice.
The School Dentist inspects most of the children and
therefore it is only in bad and urgent cases that children
are referred from the medical inspections.
6- INFECTIOUS DISEASE.
The Medical Officer of Health is notified of all Infectious
Diseases occurring in school children, either by the Doctors
in attendance on the notifiable disease cases, or by the
parents or teachers-in the non-notifiable diseases,
5.