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The death-rate from Diarrhoea and Enteritis per 1,000 live
births was 4.1.
4. CHILD WELFARE.
The arrangements for Child Welfare were fully detailed in the
1930 Report.
An additional Health Visitor was appointed during the year
and assumed duty on 28th September. The additional appointment
was chiefly made in order to staff the extra clinics which your Council
decided to open at the Institute, St. Andrew's Road, Higham Hill
and the Memorial Hall. Winchester Road. Highams Park. One
session per week was held at each Clinic on Tuesdays at 2 p.m. and
the first sessions were held on 13th October.
(a) Municipal Scheme.—The normal staff of Health Visitors
is six, one of whom devotes approximately half-time to the supervision
of outworkers under the Factory and Workshops Acts.
Your Council also have an arrangement with the Woodford
Urban District Council, under which, for a payment of £20 per
annum, their Health Visitor carries out the necessary visiting in
the Woodford portion of your area. In addition, one of your
Visitors carries out supervisory visits.
Dr. R. A. Vere Hodge, Medical Officer of Health, kindly states
that the Woodford Nurse paid the following visits during 1931
Children under 1 year—first visits 22, subsequent visits 179,
total 201; Children 1 to 5 years, 54. Total, 255.
Initial visits are paid as soon as possible after the Doctor and
Midwife have ceased attending—usually about the tenth day.
Children who progress favourably are, as far as possible, visited
once a quarter during the first year of life and half-yearly afterwards
until attaining the age of five. Infants and children who do not
progress favourably are visited as frequently as possible.
In addition, visits in connection with the following matters
are also carried out:—Supervision of Nurse Children, enquiries in
connection with applications under the Assisted Milk Scheme,
Ante-natal work, Ophthalmia Neonatorum, Puerperal Fever and
Pyrexia, provision of home helps and enquiries as to Maternal
Deaths, Stillbirths and Neo-natal deaths.
Circular 1167 and Memorandum 156—M.C.W.—The
following extensions of the Maternity and Child Welfare services were
sanctioned by your Committee during the year:—