London's Pulse: Medical Officer of Health reports 1848-1972

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Holborn 1926

Report for the year 1926 of the Medical Officer of Health

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100
The number of deaths of young children under two years of age classified
under the head, Diarrhœa and Enteritis, was 12, of whom 10 were under 1 year.
The deaths were equal to a rate of 22.43 per 1,000 births in comparison with
11.8 for all London.
The methods used to deal with the disease have been detailed in a previous
report; the most important perhaps is that during the third quarter of the year
extra visits are paid to those homes in which epidemic diarrhoea is more likely to
occur.
Nursing Arrangements.
Nursing arrangements have been made with the Metropolitan Nursing Association
of 31, Bedford Place, W.C. 1, for the nursing, when required, of necessitous
cases of measles, whooping cough, ophthalmia neonatorum, epidemic diarrhoea,
pneumonia, encephalitis lethargica, tuberculosis, maternity (including complications
after confinements), puerperal fever and puerperal pyrexia.
In cases of tuberculosis nursing is restricted to patients recommended for
such services by the Tuberculosis Officer.
Nursing in necessitous maternity cases is subject to the prior approval of the
Maternity and Child Welfare Assistance Sub-Committee. In these cases and those
relating to puerperal fever and puerperal pyrexia, it is expected that the patients
or their relatives will contribute towards the cost in accordance with their means

The services of the nurses were used as follows in 1926: —

Deficient Lactation20 Cases225 Visits.
Measles16 „164 „
Ophthalmia Neonatorum2 „83 „
Pneumonia1 Case3 „
Influenza3 Cases26 „
Tuberculosis6 „146 „
Total48 Cases647 Visits.

Widows', Orphans' and Old Age Contributory Pensions Act, 1925.
This Act, passed in 1925, imposed certain limited duties on Local Authorities
respecting cases where, in the interests of a child, a pension payable under the
Act should be administered other than through the mother. The Local Authority
in London for this purpose was the London County Council, but authority was
conferred on that Council to delegate the powers and duties to the Metropolitan
Borough Councils, and shortly after the Act came into operation, the London
County Council delegated the whole of the powers and duties conferred on it by
Section 6 of the Act to the Borough Council.
The duty includes enquiry to ascertain the facts of any cases which may
have to be dealt with, and ordinarily the widow or other person affected will be
given an opportunity of presenting her case to the Local Authority before the
particulars are submitted to the Minister of Health. No such case was referred
to the Council during the year.