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31
with all requisites and appliances necessary for the diagnosis
and treatment of cases sent in from the maternity centres and
by medical practitioners and midwives. The clinic is under
the direction of a specialist, Dr. Roxborough (of St.
Bartholomew's Hospital), assisted by Dr. Skene. The clinic is
held weekly on Wednesdays from 3 to 5 p.m.
This special department was opened on the 15th of
October, and I have been favoured with a report from Dr.
Roxborough of the first few months' work carried on (which
includes the early part of the year 1922).

Of these patients 46 have been discharged as not suffering
from V.D. Twenty-six are still under treatment and
observation.
Nine have ceased to attend without permission to do so.
Of these 9 defaulters 3 could not come for treatment, though
willing to do so, on account of their husband's opposition; I
left the Borough; I was not proved to be suffering from V.D.,
but refused a second test. Four cases have been seen lately by
the Health Visitors, and may be able to attend again.
Of the 35 patients suffering from some form of V.D., 30
mothers gave blood tests for this disease group-—18 in-patients
and 12 out-patients. Three babies (out-patients) also gave
tests, positive for V.D.
Of 3 babies with ophthalmia neonatorum, in 1 a smear
from the eye was found, on bacteriological examination, to be
positive.
Samples of blood from all patients were sent for tests to
the laboratory at St. Bartholomew's, and, in addition, the
following bacteriological examinations were carried out by Dr.
Roxborough and Dr. Skene in the department:—