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School
Closing,
Only on one occasion was it found necessary to advise
the closing of the Elementary public school in June I
reported to you as follows:-
"I am pleased to be able to report that the result
of closing the School on account of measles was highly
successful, There was no outbreak amongst the scholars and
only 5 cases occured during the whole month. I think it is
practically certain that had the school net been closed there
would have been a number of cases and probably some deaths
therefrom".
Births.
By referring to the figures supplied by the General
Register office, it will be seen that of the 16 Births recorded,
12 were Boys, and 4 were girls, of which 10 Boys and 3 Girls
were legitimate and 2 Boys and 1 Girl illegitimate
Of the Births 13 were notified according to the Act
for this purpose, 7 By Midwives 5 By Medical practitioner
and 1 by parent.
Copies of cach Notification were forwarded to the
County Mo 0.
The question as to the best means of dealing with
Maternity and Child Welfare is most pressing.
Owing to the rural oharactor of the District the
houses being scattered in isolated areas with considerable
distances between and there being no ordinary public means
of Transport and there being no practising qualified Medical
Man or Woman and no trained or qualified Midwife residing in
the District, these individuals when required have to journey
from the nearest adjacent Town, either Hanwell Ealing Harrow or
Southall, all about 3 miles or more distant. It can be
readily understood that some extra inducement must be offered
in order to obtain their services. This matter has been very
serious for some years and is becoming even more serious so
that I am pleased to find that the Central Authority The
Middlesex County council is at last taking the matter up and
I hope the difficulty and danger to expecting Mothers will soon
be a matter of the past, and with the object in view I attended
Meeting on February 27th of lica1 Medial officers of Hea1th
and the County M. O. with the result that Health Visitors were
appointed and on Saturday 13th April I received and had an
interview with miss Harris appointed Health visitor for
Greenford accompanied by Miss ??? the County Councils
inspector of Midwives. There however remains the difficulty
arising from the fact that there is no one residing in the
District qualified or competent to even attend a Woman in her
confinement, this difficulty I have no doubt will be
overcome and ill be materially assisted when in accordance
with sec 14 of the Midwives Act 1918., The county council
undertake to Pay fees ( as I understand they are about to do)
and fix a ??? for attendance of Medical practitioners for
this purpose.
Infectious
Disease
During the year under consideration 4 cases of
Diphtheria, 2 cases of Scarlet Fever 1 opthalmia ???
and one of Post. Influenza Messingities were notified.
There were also 11 cases of measles reported all
notified by Medical practitioners and six oases of Tuberculosis
all pulmonary, three were new cases and three the remaining
three had been reported on previous occasions on admission to
or or discharge from a public Institution, There were 4
deaths from this disease.
This disease was very prevalent especially during
the last few months of the year, there were 3 deaths from this
cause, and the ??? case of ??? recorded followed