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13
School Dental Clinic. The establishment of this Clinic would
have cost £130, but the additional expenditure was not approved
by the Ministry of Health.
Midwifery assistance was provided during the year to 57
mothers confined in their homes, and Home Helps granted in three
cases, in addition to in-patient hospital treatment to 265 confinement
cases at the City of London Maternity Hospital and Mothers'
Hospital, Clapton, under the Council's agreement with these
institutions.
The King's Home for Nurses has supplied nursing assistance
to 135 necessitous cases of infectious disease under the agreement
between the Association and the Council, and 1,879 visits were
paid to those cases by the nurses.
Tuberculosis.
The Tuberculosis Death-rate shows a slight decrease, the
mortality being 1.05 per 1,000 of the population, as compared with
117 for 1921, the number of deaths being fewer by 26 in 1922,
and there were 62 less primary notifications as compared with
1921.
One of the outstanding features of the tuberculosis service
is the extremely unsatisfactory conditions under which the treatment
of advanced cases is carried out. There is no adequate
provision for the institutional treatment of advanced pulmonary
tuberculosis.
It should also be borne in mind that a large proportion of the
cases who are tabulated among the deaths in institutions have in
reality, during the greater part of the time that the disease was
advanced, been under treatment at home, such cases frequently
entering and leaving hospitals and infirmaries (see pages 49 and
55), while in an extremely infective condition.