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62
INFESTATION.
The steps taken to combat infestation include cleanliness
inspections by School Nurses at Schools once per term, treatment
at School Clinic (which includes the supply of Lethane and of
steel combs) and inspection and treatment for Scabies at the Skin
Clinic.
In addition educational work is carried out at all Walthamstow
Schools, Clinics, Day Nurseries, and Welfare Centres.
As a result of a special enquiry it was found that at the end of
October last, out of some 38 infectious disease patients admitted
to the Sanatorium during the month, 13 were infested on admission
(i.e., 34.2%).

On the other hand infestation amongst the mothers admitted
to Thorpe Coombe is, fortunately, very unusual.
CLINICS.
Dr. M. Sheppard reports as follows:—
"The Welfare and Ante-Natal Clinics continued to function well
during 1945. There were 35,946 attendances at the Welfares;
384 new cases were seen at the Ante-Natal Clinics, the total attendances
being 1,257. There were also 49 new Post-Natal cases, and
a total of 77 attendances.
' 'The number of Post-Natal cases is disappointing, and I would
urge the midwives to impress on their patients the advisability of
a Post-Natal examination even for those mothers who appear to be
progressing satisfactorily after their confinement.
"I am also concerned at the number of babies who on their
first visit to the Welfare are already wholly or partly bottle fed, the
usual reason given being 'my milk went when I got up', and I
would like to see an intensive breast-feeding campaign started in
the Borough.
"The auxiliary services, i.e., orthopaedic, dental and ophthalmic
have been much appreciated.