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Crematorium.—Two hundred and forty-six certificates authorising cremation at the St. Marylebone Crematorium,
Finchley, were issued—191 by the Medical Referee (Dr. H. A. Bulman); 22 by the Deputy Medical Referee (Dr.
M. MacGregor), and 33 by the Deputy Medical Referee (Dr. W. H. S. Wallace).
SECTION B—GENERAL PROVISION OF HEALTH SERVICES.
Staff.—Many movements among the staff took place during the year. Dr. Murdoch MacGregor, Tuberculosis Officer
and Assistant Medical Officer of Health for 7½ years, relinquished his appointment on the 22nd September, 1946,
to take up the position of Medical Officer of Health of the Metropolitan Borough of Bethnal Green. Dr. W. H. S.
Wallace, who had been Assistant Medical Officer of Health for 11 years, and returned to duty on the 27th May, 1946,
after 3£ years' service in the Royal Army Medical Corps, was appointed Deputy Medical Officer of Health on the
1st December, 1946. Five other members of the staff (Miss M. T. Challis and Messrs. C. D. Turbayne, S. P. Fleming,
V. A. Bignell and L. Newland) resumed service with the Council on demobilisation from His Majesty's Forces. Miss
P. K. Pepler, Health Visitor and Tuberculosis Visitor, resigned on the 28th April, 1946, and Mr. M. Kelly, Clerical
Assistant, on the 30th November, 1946, to take up appointments with other local authorities. Two Sanitary Inspectors
retired—Mr. F. C. Cook on the 30th September, 1946, after 33 years' municipal service, including 25 years in St.
Marylebone ; and Mr. T. A. Cartledge on the 30th November, 1946, after 39 years' service in local government,
including 36 years in St. Marylebone. Both these officers had given efficient and devoted service to the Council and
to the inhabitants of the Borough. Owing to shortage of sanitary inspectors, Mr. Cook remained on in a temporary
capacity. Mrs. E. E. Spears retired on the 31st October, 1946, after 22 years' service—first in the unique position,
for a woman, of Mortuary Keeper, and in later years as Matron-Housekeeper of the Lisson Grove Welfare Centre.
Mr. A. W. P. Robinson was appointed as a Sanitary Inspector and commenced duty on the 1st July, 1946.
Staff Medical Examinations.—Since the 24th June, 1946, medical examinations for the purposes of the Council's
Superannuation Scheme, formerly conducted by a private practitioner, have been undertaken by the medical staff
of the Public Health Department, and during the remainder of the year 49 examinations were carried out.
Laboratory Facilities.—At the end of 1945, Sir Lionel Whitby, C.V.O., M.C., found it necessary to terminate his
services as Bacteriologist to the Council, a position he had held since 1932. He was succeeded by Dr. C. J. C. Britton,
of No. 121, Harley Street, W.l, on the 1st January, 1946.
Mr. Thomas McLachlan, A.C.G.F.C., F.R.I.C., whose laboratory is situated at No. 4, Hanway Place, W.l, in the
Public Analyst for the Borough.
Home Nursing.—The Paddington and St. Marylebone District Nursing Association continued to provide adequate
nursing services in the home under an arrangement made with the Council. During 1946, visits were paid to cases
(number shown within brackets) as follow: maternity, 1,702 (105); pneumonia, 244 (14); tuberculosis, 87 (3);
puerperal pyrexia, 9 (1); measles and German measles, 4 (4); whooping cough, 15 (2); influenza, 177 (19); other
ailments, 191 (40).
Maternity and Child Welfare.—The Council have two maternity and child welfare centres : No. 1 in the Town Hall
Extension comprising ante- and post-natal, infant welfare, child guidance, artificial sunlight, massage, and diphtheria
immunisation clinics; No. 2 at No. 217, Lisson Grove with provision for ante- and post-natal, infant welfare, artificial
sunlight, massage, and dental clinics. In addition, ante- and post-natal and infant welfare clinics held at the Middlesex
Hospital form part of the Council's scheme. Owing to increased attendances at the ante-natal clinics it was found
necessary to conduct an additional clinic at Welfare Centre No. 1, as from the 29th January, 1946 ; and, at the suggestion
of the District Nursing Association, a special ante-natal clinic for midwives cases was established at that Centre on the
2nd October, 1946. A part-time clinic nurse was engaged on the 11th February, 1946, to relieve the health visitors of
certain clinic duties and thus enable them to devote mOre time to home visitation.

.St. Marylebone residents attending the Middlesex Hospital.
Refresher Courses for Health Visitors.—As recommended in the Second Report of the Nurses Salaries Committee
(Ministry of Health) arrangements were again made to grant health visitors special paid leave to attend refresher
courses and to pay their fees and travelling expenses. Miss E. D. Mann attended a course held in London during the
fortnight commencing 18th May, 1946.