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NATIONAL HEALTH SERVICE ACT. 1946
The Corporation of London is responsible for services as set out in Sections 21 to 29 (excluding
Section 27) of the National Health Service Act, 1946. The Greater London Council is
responsible for the administration of all ambulance services within the Greater London area under
Section 27 of the Act.
SECTION 21 - HEALTH CENTRES
There are no such Centres in the City of London.
SECTION 22 - CARE OF MOTHERS AND YOUNG CHILDREN
There were no (NIL)notified cases of congenital defects recorded during the year either to
City residents or to non-City residents.
Infant Deaths
1968 1969
Stillbirths NIL NIL
Neo Natal NIL NIL
Perinatal I NIL
Others under 5 years NIL NIL
Maternal Deaths
1963 1969
NIL NIL
Child Health Clinic
Clinic Attendance of Children under 5 years. 1963 1969
Attendances 547 419
Medical Examinations 205 165
Hearing Tests 17 7
Phenylketonuria Tests 31 15
Dr. A. White Franklin, the Paediatrician, has reported as follows:
"The routine work of the Child Welfare Clinic continues to be satisfactory, with most babies
being brought for routine medical examination at set periods.
The machinery for screening for Phenylketonuria now works well.Many babies are still being
tested by the Guthrie method in Maternity Wards. Those born at St,. Bartholomew's and those nst
so tested before attending the Clinic have their blood samples examined for Phenylalanine levels
in the Department of Chemical Pathology at St. Bartholomew's. This estimation with a critical
upper limit of normal at 6 mgm per cent is really a specific test rather than a screening test.
The number of false positives is, therefore, minimal, and fortunately, though not unexpectedly,
no true positives have yet been identified.
The Triple and Polio Vaccinations are well accepted. The problem of population movement
still impedes the success of smallpox vaccination as now recommended officially in the second
year of life. Measles vaccination has suffered a setback owing to Press comment on the potential
danger of using one of the vaccines. The recognition of the relatively high incidence of German
Measles in causing congenital defects greatly increases the need for a Rubella vaccine.
The population attending has the great benefit of easily arranged consultation with the
Specialists at St. Bartholomew's Hospital."
Vaccinations and Immunisations at Child Health Clinic
1968 I 969
Diptheria/Tetanus/Whooping Cough 5 21
Poliomyelitis 14 15
Smallpox 6 II
Measles 61 2
At Risk Register
1968 1969
Children under 5 years of age 5 4
At the end of the year four children remained on the Observation At Risk Register.One child's
name had been removed following successful heart surgery and a general improvement in health.
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