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Dental Clinic.—This was originally established for the treatment of women,
and children of pre-school age. By arrangement with the London County Council
school children are also dealt with.
Massage Clinics are held twice weekly at Salisbury Street, and weekly at
Marylebone Lane, and Queen Charlotte's Hospital.
Schick Testing, etc., Clinics.—As already indicated arrangements for holding
clinics of this kind are made at 113, Marylebone Road. The clinic was held twice
weekly throughout the year and, as the figures given elsewhere show, was largely
used.
Three-Year-Old Pre-School Clinic.—This clinic, established in an experimental
way in the early part of 1931, has continued to grow in importance and favour.
The object of its initiation under Dr. Bulman was to endeavour to make touch
before they entered school with children who had never attended any clinic or
welfare centre and to find out something with regard to their condition for their
own benefit and for the information of the School Medical Officer.
To this end children who would attain the age of three years in the various
months of the year were picked out of the register, care being taken to confirm
that they were still alive and had not been in attendance at the centres, and a visit
paid to the house to renew the invitation and explain more fully the objects, etc.
Clinics are held once a month and speaking generally have been well attended.
Of the 112 children who were examined during 1935, 73 needed treatment for
one or more conditions. The following is a summary of the conditions found:—
Enlarged tonsils and adenoids 10
Dental caries 28
Chronic bronchitis 5
Acute bronchitis 1
Rheumatism 1
Squint 1
Signs of old rickets 2
Mentally backward 4
Undernourished and flabby 7
Impetigo 1
Heart disease 1
Nephritis 1
Influenza 5
Whooping cough 3
Chickenpox 1
Measles 1
Stammers 1
Hospital Treatment.—Children's cases are referred from the centres to the
dispensaries and hospitals in the borough, and the Queen Charlotte's and Middlesex
Hospitals are available for ante-natal and complicated maternity cases. By
arrangement cases calling for special examination or treatment are referred to
Middlesex Hospital. The fact that a special centre has been established at the
Western General Dispensary has already been mentioned.
Maternity Cases.—The Council has not established a Maternity Home or
Hospital, having regard to the large amount of accommodation available within
the borough at Queen Charlotte's Hospital, Middlesex Hospital, and in the Labour
Wards at the St. Marylebone Home, Marylebone Road. The number of births
notified from these institutions during 1935 was 2,578; the total births numbering
3,776. The midwives residing in the borough registered as intending to practise
in the administrative County of London, number 18. Two conduct maternity
homes which are registered by the London County Council. By an arrangement
with the Paddington and Marylebone Nursing Association all women in the
borough attended by externs of St. Mary's Hospital, are provided with nursing
attention by the Association. During the year 29 cases were dealt with under the
arrangement, and 500 visits were paid, the services of the nurses being greatly
appreciated by the patients.
Work done during 1935.—The following table gives some idea of the work
done at the various centres during the year. Full details of the method adopted
in relation to the granting of orders for milk under the Maternity and Child
Welfare Act, 1918, are given elsewhere. The total numbers of orders issued is
shown in the table.