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6
2. CO-ORDINATION.
Close co-ordination is ensured by the fact that the Medical Officer
of Health is also School Medical Officer and Maternity and Child
Welfare Officer. The majority of the Clinics in connection with
the School Medical Service are held in the offices of the Health
Department at Lloyd Park Mansion, which also houses the School
Attendance Department.
The co-ordination between the two Departments is extremely
valuable, especially in regard to the following matters:-Control
of infectious disease in schools (particularly of Smallpox), provision
of meals and of boots for necessitous children and of milk on medical
grounds, ascertainment and after-care of Blind, Deaf, Defective
and Epileptic children, and arrangements for Convalescent Home
treatment.

All cases suspected of suffering from Tuberculosis are referred
directly to the Tuberculosis Officer from whom reports on individual
cases are received, together with subsequent weekly reports on
progress and recommendations as to treatment.
Co-operation is received from the local branch of the Invalid
Children's Aid Society, particularly in regard to children recommended
for Convalescent Home treatment.
It is regrettable that the duties of Health Visitor and School
Nurse cannot be combined (owing to the special qualifications
required by the former), so as to secure continuity of nursing supervision
from infancy to school leaving age. Future vacancies amongst
the School Nursing Staff should be filled with candidates holding
the qualifications necessary to enable them also to work as Health
Visitors, tending, ultimately, to an unified nursing service.
The Nursery School is extremely valuable in bringing the too often
neglected "toddler" under regular medical supervision.