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cases in 1945 to 439 cases in 1946. The prevalent type of scarlet
fever continues to be mild, and no death due to scarlet fever has
been recorded during the last five years.
Owing to the continued rise in the birth rate (2,223 births in
1946, compared with 1,474 during the previous year), your Council's
arrangements for institutional and domiciliary midwifery have been
subjected to great strain— due in great part to the difficulty in
recruiting midwifery and domestic staff. A welcome and much
needed reform is the official approval recently given for the use of
motor cars for the transport of midwives.
On 12th August the Council, with the co-operation of the
Women's Voluntary Service, put into operation a new scheme for
the supply of Home Helps and Domestic Helps. Details of the
scheme will be found in pages 40-42.
In accordance with the provisions contained in the Education
Act, 1944, the County Council is now the Local Education Authority.
Leyton—formerly a Part III Education Authority—is now an
"Excepted District," with a Leyton Committee for Education, in
which members of the County Council have been co-opted. Although
the County Council is directly responsible for such matters as
policy, finance and staffing, the actual school Medical Service
arrangements have been delegated to the local Divisional Executive
and continue to be carried out by the medical, dental, nursing and
specialist staff of the former Part III Education Authority.
I have the honour to be,
Mr. Mayor, Ladies and Gentlemen,
Your obedient servant,
Cwal ferrsh