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(1) Visits will be paid in first instance by the London County
Council Inspectors under the Midwives Act;
(2) If hospital treatment is urgently necessary the Inspectors
will take immediate steps to obtain it;
(3) The name and address of each case will be sent to the
Medical Officer of Health of the borough concerned, special note
being made of the fact if the patient has gone to hospital;
(4) After the notification has reached the Medical Officer of
Health of the district concerned the responsibility for further action
is in his hands ; and
(5) Information as to the patient's further progress should be
sent to Sir Shirley Murphy for entry upon the records.
Sir Shirley Murphy asked the medical officers of health to let him
know of any cases of inflammation of the eye, amongst midwives' patients
attended by midwives in their districts, coming to their knowledge.
London County Council and Nursing Arrangements.
A communication was received from Sir Shirley Murphy enclosing
a memorandum showing the arrangements made by the London County
Council in connection with cases of Ophthalmia Neonatorum occurring
in the practice of midwives, as follows:—
The London County Council's Inspectors visit all cases of
inflammation of the eyes of infants in the practice of midwives and
a record is kept of the conditions at the times of the visits and of
the results.
Arrangements have been made with certain nursing associations
in London for the nursing of cases which required special
care on account of the severity of the symptoms or on account of
the home conditions such as to make this assistance desirable, and
the services of nurses from one or two other institutions have also
been utilised. This assistance has been provided gratuitously by
the following nursing institutions
Queen Victoria's Jubilee Institute for Nurses, 58,
Victoria Street, S.W.—This institute has published a map