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occupied by a patient before an ulcer can be healed soundly. Now however, owing to the development
of certain principles it is possible to get ulcers of very considerable size to heal steadily without putting
the patient to bed, and while he or she (more often she than he) continues normal avocations. I
myself have been able to get ulcers measuring 3 ins. by 2 ins. to heal within three months. I enclose
photographs illustrating a case. This treatment depends principally on the use of certain bandages
which possess both adhesive and elastic properties. One of the chief elements in their success is the
support which they give to the leg and the reduction of swelling which takes place in consequence.
I venture to suggest that if the Council could see its way to undertake the treatment of ulcers
in the leg on the lines indicated above they would be conferring a great boon on the working population
of Willesden. I am of course aware that the question of expense is an important one and no new
departure in medical treatment can be made without incurring some outlay of public money, but I
really think that a good deal could be done for these sufferers without any considerable expenditure,
and that to a large extent compensation would ultimately accrue by the release of beds now occupied
by sufferers from ulcerated legs and by increased efficiency and earning power in those who are cured
of the complaint. The progressive policy of Willesden in all matters relating to public health is well
known and I submit that here is an excellent opportunity for the Council to add to its reputation
in this respect and to do real good to the inhabitants of the district under its care.
Believe me,
Yours sincerely,
(Signed) H. HALDIN-DAVIS.
To be presented to the Health Committee, May 12th, 1931.
APPENDIX J.
MEMORANDUM BY THE MEDICAL OFFICER OF HEALTH.
PRINCESS ROAD VOLUNTARY INFANT WELFARE CENTRE, 84, PRINCESS
ROAD, KILBURN, N.W. 6.
The Medical Officer of Health and the Chief Health Visitor visited the above on Wednesday,
28th January, 1931, at 2 p.m.
The general arrangements of the waiting room, preparation rooms and doctor's room were
satisfactory. There was also a room available for the isolation of a suspicious case. This room is
also used from time to time as a School for Mothers.
The Doctor and the Matron were interviewed.
The average number of babies seen by the doctor at an afternoon session is approximately 25.
The average number of ante-natal cases seen by the Doctor at a morning session is about 8.
The methods of record keeping appeared satisfactory.
Afterwards Mrs. Figgis, the Hon. Secretary and Dr. Radford, the Medical Officer, put the
following points froward for consideration:-
(1) That the Princess Road Infant Welfare Centre should be able to give free supplies of
nutritive foods to mothers and children on the same conditions as free supplies are
given at the Municipal Centres.
(2) That for the purposes of clinic attendance and visitation of expectant and nursing mothers
and children under five years, the Council should allocate a definite area in South
Kilburn to the Princess Road Infant Welfare Centre.
The Medical Officer of Health stated that it was likely that a booklet setting out the Council's
Maternity and Child Welfare arrangements would be prepared shortly. He suggested that copies
should be sent to Princess Road Infant Welfare Centre, that the Committee of the Princess Road
Infant Welfare Centre should consider whether they desired to adopt any of the Council's arrangements,
and that the Council in their tum might consider whether they desired to adopt any of the
arrangements of the Princess Road Infant Welfare Centre, so that methods within the area might
be as uniform as possible.
THE " PRINCESS " DAY NURSERY, 45 & 47, CHICHESTER ROAD,
KILBURN.
The Medical Officer of Health and the Chief Health Visitor visited the Princess Day Nursery
on Wednesday, 28th January, 1931, after the above visit.
The general arrangements for the reception of children and the care of children at this Nursery
are satisfactory. The Nursery is so arranged as to take 8 children under the age of 1 year, 20 children
between the ages of 1 and 2½ years, and 24 children between the ages of 2½ and 5 years, or 52 in all.