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16
Following up.
Following is a description of the methods employed.
If on routine or special examination a child is found to
require subsequent examination, a definite date for the
re-examination is given to the parents for attendance at
the Clinic, as almost all re-examinations are carried out at
the School Clinic. If attendance is not made on the
appointed date, the School Nurses visit the school and if
necessary the home. It will be obvious that re-examination
may frequently be necessary before the precise treatment
necessary may be clear, and thus many children referred for
subsequent observation were subsequently recommended
for treatment.
All cases recommended for medical treatment are
entered in the Treatment Register, and the entry is not
closed until either satisfactory treatment has been obtained
or has been refused or the child has left the district. In the
last case, if the address can be obtained, information has
been sent to the School Medical Officer of the district to
which the family has moved. It is significant to note,
however, that in no case has such information been received
from a School Medical Officer of any other district in
reference to children moving into Twickenham. The
success of following up is entirely dependent on the activity
and tact of the Nursing Staff, and I take this opportunity
of acknowledging the value of their work, an indication of
the extent of which is given by the following figures:—
Visits to schools in connection with Medical and
Dental Inspections, 90; class examination of throats,
136 ; daily visits, 278 ; treatment, etc., 41.
Visits to homes in connection with suspected
infectious disease, 513 ; treatment, 122 ; other, 56.
Total number of visits to schools and homes, 1,236.