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130
Student Health Visitors.
During the year six Student Health Visitors from the Royal College
of Nursing have been given a course of practical training.
Post-Graduate Course.
Two Health Visitors attended a Post-graduate Refresher Course during
the year.
Training of Probationers at the Observation Wards.
As in previous years lectures have been given by the Matron, and the
Probationers have also attended the Courses arranged by the National
Society of Day Nurseries.
Observation Wards.
Report of Dr. H. St. H. Vertue, Consulting Physician at the
Maternity and Child Welfare Observation Wards.

Remarks.—Poorly nourished children below the normal weight,
with physique below the average, are frequently admitted. No disease
is found to account for their condition.
In the good environment of the Wards they gain weight and improve
in strength, colour and vigour in an extremely rapid way. Sometimes
care has to be taken in feeding them at first, especially in the amount
of fat given, as being unaccustomed to a rich diet, they are apt to get
indigestion. The results of treatment are in all such cases good. But
now and again it transpires that one is, after all, suffering from an
organic disease. Among such we found Tumour of the Chest, Mental
Deficiency, Diseases of the Nervous System and Congenital Disease of
the Muscles. We usually send these to hospital. Rickets is now only
present in minor degrees. No doubt the distribution of cod-liver oil