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

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Marylebone 1936

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

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56
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.
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.—Of the 93 children who were examined
during 1936, 45 needed treatment for one or more conditions. The following
is a summary of the conditions found:—
Enlarged tonsils and adenoids 14
Dental caries 28
Chronic bronchitis 3
Squint 4
Mentally backward 3
Undernourished and flabby 8
Impetigo 1
Whooping cough 2
Recommended for circumcision 2
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.
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 until
September, 1936, in the Labour Wards at the St. Marylebone Home, Marylebone
Road. The number of births notified from these institutions during 1936 was
2,821; the total births numbering 4,071. The midwives residing in the borough
registered as intending to practise in the administrative County of London, number
22. Two conduct maternity homes which are registered by the London County
Council. By an arrangement with the Paddington and St. 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 28 cases
were dealt with under the arrangement, and 462 visits were paid, the services of
the nurses being greatly appreciated by the patients.
With regard to the Labour Wards at the St. Marylebone Home, it may be
added that the decision of the London County Council to close them in September,
1936, was learned with great regret not only by the Borough Council but by
large numbers of women in the Borough. The alternative accommodation provided
at St. Mary Abbots Hospital, it is understood, is merely temporary pending the
opening of modern Labour Wards at Paddington Hospital.
Work done during 1936.—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 number of orders issued is
shown in the table.