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

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Marylebone 1947

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

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7
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 1947, 107 examinations were
carried out.
Laboratory Facilities.—Dr. C. J. C. Britton is the Council's Bacteriologist, and the work is carried out
at No. 121, Harley Street, W.l.
Mr. Thomas McLachlan, A.C.G.F.C., F.R.I.C., whose laboratory is situated at No. 4, Hanway
Place, W.l, is the Public Analyst for the Borough.
Home Nursing.—The Paddington and St. Marvlebone District Nursing Association continued to provide
adequate nursing services in the home under an arrangement made with the Council. During 1947,
visits were paid to cases (number shown within brackets) as follow: maternity 335 (20) ; ophthalmia
neonatorum 6 (1); measles and German measles 20 (3); whooping cough 22 (1); influenza 18 (3);
erysipelas 10 (2): pneumonia 242 (15) ; tuberculosis 114 (6); shingles 30 (1); chicken-pox 8 (2);
other ailments 109 (15); old age pensioners, 2,532 (128).
Maternity and Child Welfare.—The Council have two maternity and child welfare centres : No. I
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, dental, and foot clinics. In
addition, ante- and post-natal and infant welfare clinics held at the Middlesex Hospital form part of
the Council's scheme. Two part-time clinic nurses continued to relieve the health visitors of certain
clinic duties and thus enable them to devote more time to home visitation.

TABLE 3.—Work of the Maternity and Child Welfare Clinics.

CentreMaternityInfantLightMassageMaternity ClinicsInfantClinicsLightClinicMassage Clinic
AntenatalPostnatalUnder 1 year1—5 yearsUnder 1 year1—5 yearsUnder 1 year1—5 years
Maternity and Child Welfare Centre No. 1205154362443,2142115,9672,0184921982983
(388)(127)(386)(35)(4)(34)(7)(55)
Maternity and Child Welfare Centre No. 2103256373261,9651495,2172,44441634341,828
(278)(82)(302)(45)(10)(54)(9)(88)
The Middlesex Hospital227202-9,3901,0803,2141,804-----
(900)(389)(169)(8)
*627*80*1,210*718
*(71)*(35)*(54)*(4)
*St. Marvlebone 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. Three health visitors
attended courses held in London during the year.
Student Health Visitors.—Student health visitors from the Royal College of Nursing and the National
Health Society were accepted every three months to gain practical experience of a health visitor's
duties in the Council's welfare centres, etc.
Visitors to Centres and Nurseries.—Among visitors who were afforded facilities for seeing the Council's
maternity and child welfare scheme at work and for visiting the welfare centres and day nurseries
were Princess Ashraf of Persia; doctors, nurses and other health workers from the Socialist Medical
Association; students from the Institute of Almoners; and a party of German journalists who were
accompanied by the Deputy Chairman of the London County Council, the Chairman of the County
Health Committee, and medical officers of the County Council.