hospital for tonailectomy, and 153 admissions to hospital for other causes.
202. 792 cases of notifiable disease were reported during the year and 3,156 contacts of these cases were put under observa- tion.
203. Prophylactic immunizations are arranged for all school children as part of the general health services of the Colony irrespective of participation in the School Health Service. During the year a total of 197,999 immunological procedures were carried out for school children. Particular emphasis is on the measures against diphtheria, typhoid fever, smallpox and tuberculosis.
204. Sanitary inspection of all school premises is a duty of the two Health Inspectors of the School Health Service: 2,648 such inspections were made in 1956.
205. In relation to children the health of teachers, partico- larly in regard to tuberculosis, is of primary importance and all applicants for registration as teachers are required to have chest X-rays prior to acceptance; during the year 3,956 pro- spective teachers (exclusive of Government teachers) were X-rayed and of these 461 were referred to Cheat Clinics for clinical examination. Of those referred 49 (plus a further 25 who fell sick during the year) were found to have active infective pulmonary tuberculosis and for this reason wore not permitted to teach.
206. Health visitors and school nurses attached to the School Health Service carry out most important functions as health contact educators, advisors and co-ordinators establishing between teachers, parents, and the pupils on all health matters, Stimulation of interest in personal and community health is the main objective and the appointment of a Health Education Liaison Officer by the Education Department has been of great assistance.
207. A revision of the Health Education Course for use in the Teachers' Training Colleges was completed during the year and 18 lecture periods are now undertaken by Medical Depart- ment staff in each course of 60 lecture periods.
48
208. A special nutrition survey was carried out in 1956 on 18,948 children to assess standards of nutrition and the follow- ing results were obtained:
Yow entreaĆA Already in School
Total
Table 21
Total No. Examined
Normal
Slightly below
Gormal
Paar
D
6,003
59.20
25.04
5.65
12,145
43.24
50.89
5.86
18,944
49.0
45.25
5.79
209. A dental survey with the provision of complete dental treatment including fillings, scaling, and periodical re-examina- tion was carried out in 3 Government Primary Schools. following findings are recorded:
No. examined --་་----
No requiring treatment
No of ylalts for treatment
No rendered dentally fit
2,702
1,800
3,996
STO
The
210. The dental condition was worst in the lowest classes though 46% of the cases with dental caries involved permanent teeth.
Health Education,
211. Considerable Increase of work in this field is to be recorded during 1956. Though there is no general programme of health education by the Medical Department as a whole, each sub-department of the health section conducts campaigns of this nature limited to its own special needa, The School Health Service gives courses of lectures by doctors to teachers in training and the School Nurses and Health Visitors continually endeavour to instil principles of elementary hygiene in pupils. Maternal and Child Health clinics hold planned series of talks, demonstrations, and discussions on matters of health interest to mothers concerning themselves and their babies. Social hygiene advice on venereal diseases and the value of blood tests for expectant women has been distributed by means of pamphlets, 212. Tuberculosis visitors are able to spread knowledge of the means used to limit the spread of tuberculosis by infectious patients when they visit contacts and families in their homes.
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