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the arrangements in connection with home visiting. She attends the centre each morning and
confers with the workers thereat in regard to the work of the day so as to prevent any waste of
effort. Her records are kept at the Centre in order to be available for reference on doctor's
consultation days.
The arrangements which were put into operation on January 1st, 1921, have proved to be
satisfactory and add considerably to the efficiency of the work being carried out.
The Advisory Committee have been engaged on other questions but most of their recommendations
have been submitted during the year 1921, and will be considered in the next annual report
on the health of the Borough.
DISTRIBUTION OF MILK TO MOTHERS AND CHILDREN.
The administration of the distribution of milk to mothers and children is part of the Council'
Maternity and Child Welfare Scheme, but at the suggestion of the Ministry of Health the record
of the work done is given under the "Food Supply" section of this report and will be found on
page 27.

These grants have been sanctioned by the Minister of Health, with the result that 50 per cent.
will be refunded to the Council by the Government.
The Council have decided to distribute an amount not exceeding £1,000 to the Infant Welfare
Centres during 1921 and this proposal has received the approval of the Minister of Health.
ADMINISTRATION.
In addition to the record under each of the preceding headings of this report, it will be useful
to submit a separate summary of certain of the main branches of Public Health administration.
STAFF OF PUBLIC HEALTH DEPARTMENT.
Medical Officer of Health.—Dr. Sandilands relinquished his appointment as Medical
Officer of Health in December, 1919, on leaving to take up his duties as Executive Health Officer
for Bombay, and I had the honour of being selected to be his successor on January 13th, commencing
duty on February 18th, 1920.
Male Sanitary Inspectors.—The normal staff is one Chief Sanitary Inspector and ten
district Inspectors.
The Chief Sanitary Inspector undertakes the supervision of the work of the district Sanitary
Inspectors and assists the Medical Officer of Health in special inquiries. For the purposes of
sanitary inspection the Borough is divided into ten districts, one of which is allotted to each of
the ten male Sanitary Inspectors, who carry out duties under the Public Health Act, the Housing
Acts, 1890-1919, the Sale of Food and Drugs Acts, the Rag Flock Act, 1911, the London County
Council General Powers Acts and, so far as men's factories and workshops are concerned, under the
Factory and Workshop Act, 1901.
Mr. James Steward, who had completed over 25 years faithful service as one of the Council's
district Sanitary Inspectors, died after a very short illness on 24th September, 1920. The vacancy
caused by his death and the vacancy arising from the death of Mr. A. E. Friend, who died in 1916,
have been filled by the appointment of Mr. John McDermid and Mr. T. W. Forbes.
A summary of the work of the Inspectors will be found in Table VI. of the Appendix.
Women Sanitary Inspectors.—There are two women Sanitary Inspectors whose duties
consist in the inspection of factories and workshops where women are employed, and in visiting
cases of measles, whooping-cough and consumption. Miss Bennett resigned owing to ill-health in
June, 1920, and in view of the re-organisation of the work of the Council's Women Health Officers,
the vacancy caused by her resignation was not filled until the beginning of 1921. A record of the
work of these two officers appears under various headings in this report.
Health Visitors—The work of the four Health Visitors consists in visiting mothers of the
poorer classes and advising them in the care and management of their infants, in visiting cases of
ophthalmia in newly born infants, and in assisting with the work at five of the Infant Welfare
Centres. The visits made by these officers are detailed in the section on "Maternity and Child
Welfare."
Clerical Staff.—There are five clerks and a shorthand-typist.
Other Staff.—There are:—
(а) Four disinfectors, including a man who acts as engineer.
(b) A Mortuary Keeper.
(c) A sanitary labourer who assists in drain testing.
(d) A Superintendent and Matron of the Cleansing Station and
(e) A man employed as a Rat Officer.