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

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Marylebone 1907

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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39
The number of lists of Outworkers received from all
quarters has greatly increased this past year ; this, of course,
entails an increase of clerical work, but a true return of those
resident in the Borough cannot be given, as comparatively few
visits have been made.
Number of outworkers on register at end of
year 1906 991
Number of removals known 12
Number of inspections made during 1907 322
Number of addresses forwarded to other
Boroughs 1,248
Number received from other Boroughs 1,502
Infant Life.
Since the month of June last, in addition to the Midwives'
returns formerly sent, a weekly return of births has been received
from the Registrar-General, thus increasing the average number
of births to be visited per week from 14 to 56. The mother and
child have been visited within the week of notification, and,
where necessary, friendly advice given on the treatment and
cleanliness of the child. A very large per cent. of infants in
this Borough start life on breast feeding ; indeed, save for the
necessity there often is for the mother to assist in earning bread
for the family, the number of infants not breast fed is comparatively
small, and then it is seldom an act of negligence. Unfortunately
the development of the child is not able to be kept
well under observation as the number of revisits possible is few ;
so that at the time when advice may be most essential it cannot
be given.
Phthisis.
Since the month of August the number of visits to phthisical
patients has been 178 ; in the case of removal to hospital or
death, the premises have been disinfected with few exceptions ;
although it is not always an easy matter to educate those
concerned up to the importance of disinfection.
Cleansing of School Children.
The Nurse appointed by the London County Council reports
to me most of the worst cases of verminous children and those
having skin diseases attending schools in this Borough; on
visiting them it is possible to persuade them to attend the Baths
regularly and also to induce cleaner habits in the home. In the
48 cases visited during this year a marked improvement in the
child has been reported.
The public conveniences for Women have been regularly