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

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Marylebone 1937

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

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35
The number of visits paid in 1937 by health visitors to children between the
ages of 1 and 5 years was 7,367.
Clinics.
There are three infant welfare centres provided and maintained by the Council
at which children of from 18 months to 5 years are seen.
At the Welfare Centre, 14, Salisbury Street, a special "toddlers' clinic" is held
once a week. The mothers are encouraged to bring their children to this clinic once
a month. Regular visits are carried out by the health visitor to encourage them to
attend, and cards are sent to the mothers to remind them of the date of the clinic
when their children should next be seen. Children of from 18 months to 5 years
are also seen at any of the other consultations held at the centre if it is more convenient
for the mothers to attend then.
At the welfare centres at 113, Marylebone Road and 24, Hill Road, children of
from 18 months to 5 years may be seen at the ordinary clinics held twice a week.
In addition to these centres, consultations are held weekly at Queen Charlotte's
Hospital, Middlesex Hospital, Church Army Dispensary, and at the St. Marylebone
and Western General Dispensary. All these clinics are chiefly attended by infants,
but children up to the age of 5 years are also seen. At the Middlesex Hospital a
special clinic for toddlers is held once a week. All the consultations are open to other
than St. Marylebone babies.
Clinic for Pre-School Children.
At 113, Marylebone Road, a special clinic is held for 3 year old children.
The object of this clinic, which was established experimentally in 1931, was to
endeavour to make touch, before they entered school, with children who had never
attended a clinic or welfare centre, and find out something with regard to their
condition for their own benefit and for the information of the school medical officer.
To this end all children who have reached the age of 3 years are found from a register,
and unless they are already in attendance at a clinic, an invitation is sent and they
are visited specially, if they have not been recently seen during one of the health
visitor's routine calls, and attendance at the clinic advised. Owing to re-building
operations, it was possible to conduct the clinic during the first half of the year only.
Of the 57 children who were examined during 1937, 45 needed treatment for one or
more conditions. Table 19 gives a summary of the conditions found.

TABLE 19.

Condition.Cases.
Dental caries21
Enlarged tonsils necessitating removal8
Under-nourished and flabby children recommended to massage and sunlight cli nic7
Bronchitis2
Difficult and spoilt children advised to attend child guidance clinic4
Enuresis1
Impetigo1
Scabies1

Treatment of Minor Ailments.
Children suffering from minor ailments were treated at the London County
Council clinic at 12, Salisbury Street, and (from August, 1937) at the Council's
Health Centre, 217, Lisson Grove.