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

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Marylebone 1941

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

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Home Nursing.—The Paddington and St. Marylebone District Nursing Association continue to provide adequate
nursing services in the home under an arrangement made with the Council. During 1941, visits were paid to cases
(number shown within brackets) as follow : Maternity, 291 (14) ; pneumonia, 73 (5) ; tuberculosis, 49 (4) ; influenza,
40 (4) ; puerperal pyrexia, 16 (1).
Health Centres.—The Council has two health centres : No. 1 in the Town Hall Extension, comprising a tuberculosis
dispensary (with X-ray plant), maternity and child welfare and various auxiliary clinics, and a diphtheria immunisation
clinic ; No. 2 at No. 217, Lisson Grove, with provision for maternity and child welfare clinics and auxiliary services
of various kinds, including dental treatment. In addition, consultations held at Queen Charlotte's Hospital (until
4th March, 1941) and at the Middlesex Hospital formed part of the Council's maternity and child welfare scheme.
Maternity and Child Welfare.— A normal service was provided throughout the year and full advantage was taken
of the facilities available at all centres, at each of which a health visitor acts as superintendent. Table 3 gives an
account of the work done during 1941. In addition to the centres named in this table, consultations were held weekly
at the St. Marylebone and Western General Dispensary until June, 1941.

TABLE 3.

Work of the Infant Consultations and Other Clinics.

Centre.Health Centre No. 1.Health Centre No. 2.Queen Charlotte's Hospital.The Middlesex Hospital.
No. of Consultations held:—
Infants15311218154
Maternity505333209
Massage74
Light895
No. of attendances of mothers at clinic:—
Ante-natal270313595 (42)3,450 (266)
Post-natal81325 (-)196 (11)
No. of attendances of babies1,9031,56430 (21)1,509 (415)
No. of attendances of children over one year1,46096633 (29)1,048 (297)
No. of attendances at Light Clinic :
Infants476-
Toddlers2,09484-
No. of attendances at Massage Clinic:—
Infants40-
Toddlers609
No. of Orders issued for milk1720
No. of Home Visits1,5922,10762,388
No. of new cases :—
Infants1651375 (2)142 (29)
Toddlers5328-13 (10)
Ante-Natal6590139 (8)558 (42)
Post-natal71219 (-)340 (27)
Massage:—
Infants6
Toddlers43
Light-
Infants4
Toddlers97

Note.—Figures in brackets refer to St. Marylebone residents attending Queen Charlotte's Hospital (last
clinic held on 4th March, 1941) and the Middlesex Hospital.
Health Visitors and Home Visits.—The number of visits paid during the year by the five whole-time and four
part-time health visitors was as follows : (a) to expectant mothers, first visits, 327, total visits, 665 ; (b) to children
under 1 year of age, first visits, 321, total visits, 3,271; (c) to children between the ages of 1 and 5 years, total
visits, 4,740. In April the Minister of Health requested that health visitors who had been diverted from their ordinary
work to first-aid posts and other civil defence activities should be released for their normal welfare duties. Arrangements
were made accordingly.
Milk and Food, etc.—The Food Executive Officer has kindly provided the following information as to milk supplied
under the National Scheme during the period 30th December, 1940, to 28th December, 1941 : liquid milk—36,022i
gallons (free, 12,212J gallons ; at 2d. per pint, 23,809J gallons) ; full cream dried milk—850-20 oz. cartons, one
carton being equivalent to 7 pints of liquid milk (free, 301 cartons ; at l/2d. per carton, 549) ; half cream dried
milk—introduced on the 30th June, 1941—35 cartons (free, 18 cartons ; at 1 /2d. per carton, 17).
The Council's arrangements for the supply of milk under maternity and child welfare powers remain in force to meet
the needs of those who, on medical grounds, require the milk provided under the National Scheme to be supplemented
or replaced by a modified milk product. The quantity of dried milk supplied free or at reduced price under the Council's
scheme to expectant and nursing mothers and young children was 282 lbs., no liquid milk being ordered. The amount
expended was £22 6s. 6d. The number of cases dealt with was 13 and the number of orders issued 37.