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6
good record that Ealing has had for many years in this
direction
The lack of County Borough powers is the greatest
handicap to the efficient working of public health services.
The responsibility for services being divided between
the County Medical Officer. Area Medical Officer and the
Borough Medical Officer of Health can never evolve a
satisfactory functioning As Medical Officer of Health I
have no hesitation in deploring the present position which
in rry view is wasteful and inefficient
May I take this opportunity of expressing appreciation
of the support and assistance given at all times by the
Chairman and of the conscientious care given by the offi
cers to their duties during the year These two factors
have made the work of the department of great interest
and most satisfying in its execution
Your obedient servant,,
W. G. BOOTH,
Medical Officer of Health