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(i) Particularly careful surveillance is given to children with certain ante-natal
or peri-natal histories, for example, the child of a mother who has had German
measles during pregnancy. An observation register is kept and the total on the
register at the end of the year was 1,055.
(ii) Guthrie Test. Routine testing for phenylketonuria continued using the Guthrie
test which is carried out on blood taken by heel prick from infants on the
sixth day of life. No positive tests were obtained.
During the year 13,383 children were brought to child welfare clinics.
MATERNAL AND CHILD HEALTH DENTAL SERVICE (PRIORITY DENTAL SERVICE)
The priority dental groups comprise expectant and nursing mothers* and pre-school
children.

CO-ORDINATION AND CO-OPERATION OP HEALTH DEPARTMENT'S SERVICE WITH HOSPITAL AND FAMILY
DOCTOR SERVICES
During 1970 the scheme of attachment of Health Visitors, Home Nurses and Midwives
to the practice of family doctors was extended to cover the whole Borough. This has
been of great advantage as it means that the health teams of Health Visitor, Midwife and
Home Nurse are now complete.
Under this scheme all doctors whose practices are such they they have thirty families
within an approximate mile radius are allocated a team. This amounts to 69% of the
Borough's General Practitioners. Where it is not feasible for a practice to participate
in the attachment scheme nursing services are, of course, still provided on a geographical
basis.
Officers of the department serve on local maternity liaison committees and geriatric
committees and the health visitor at the Day Treatment Centre also undertakes geriatric
liaison duties.
Links with the Central Middlesex Hospital include regular programmes of instruction
for undergraduate medical students, the work of the diabetic liaison health visitor and
a continuing programme of Health Education in the hospital arranged by the health
education officer.
Lunchtime meetings at Perivale Maternity Hospital continue to promote lively
discussion and are well attended by Health Department staff.
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