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15
CLINICS AND TREATMENT CENTRES.
These have been set out in tabular form in previous reports
and no additions or alterations have been made during the year.
MATERNAL MORTALITY.
The Medical Officer of Health is directed by Circular 1,206
to "describe any special arrangements made for the investigation
of maternal deaths and cases of puerperal fever or puerperal
pyrexia.''
While the arrangements for rendering help to medical practitioners
in cases of puerperal fever or puerperal pyrexia are
complete and satisfactory, there are no special arrangements for
the investigation of cases beyond the report form which a medical
practitioner may, at his own option and discretion, complete and
return to the Medical Officer of Health for forwarding to the
Ministry of Health.
I am also asked to give particulars of action taken by the
Local Authority in the light of Circular 1,167 and Memorandum
156/M.C.W. These have received careful consideration, and I
am glad to be able to report that the full scheme outlined in
the Memorandum is in operation in the Borough.
HEALTH VISITING.
(a) Health Visiting of Infants up to 1 Year.
Infants are visited once a month for the first three months,
and then every second month till they reach the age of 1 year.
Special difficulties in feeding and management may require more
frequent visits in certain cases.
(b) Health Visiting of Children between 1 and 5 Years.
Circular 1,206 asks specifically for comment on the adequacy
of the arrangements for the visiting of children between the ages
of 1 and 5 years. This request is no doubt prompted by the
desire of the Ministry to direct the attention of health authorities
to the need for more active measures to safeguard the health of
the pre-school child. This important aspect of preventive
medicine is receiving more attention in Hornsey, with a view
to reducing the number of defects found at medical inspection
of school entrants.