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Maternal Morbidity and Mortality.
During the year 3 cases of puerperal pyrexia were notified, but no maternal death
and no deaths associated with abortion.
It is gratifying to know that in 1945 the drop in the number of cases of puerperal
pyrexia from 1944 to 1945 was from 14 to 3, and this in spite of increasing difficulties which
face expectant mothers, i.e., lack of hospital accommodation, overcrowded homes, etc.
GENERAL PROVISION OF HEALTH SERVICES IN THE BOROUGH.
Nursing in the Home.
General Nursing :
The local District Nursing Association provides three nurses in the district for the
home nursing of cases of ordinary sickness and accidents.
During 1945 the total number of visits made by the nurses was 9,500. A certain
number of these patients were referred to the Nursing Association from the Maternity
and Child Welfare Clinics.
It must be noted that the services of the District Nurses are being used to an increasing
extent throughout the year. The increase in 1945 was 500 over the 1944 figure.
The Council makes a monetary grant towards the service generally, and a specific
grant per visit to toddlers treated under the Maternity and Child Welfare scheme.
Infectious Disease {Measles).
The Health Visitors act if need be as nurses in the case of measles outbreaks. No
call was made on their services during the year.
Clinics and Treatment Centres.
The services provided in the district are shown in Appendix, Table I.
A report on the work in the diphtheria prevention clinic is given on page 17.
The Council affords facilities to all medical men practising in the district for the
examination of pathological specimens. This work is carried out by the Ministry of Health
Emergency Laboratory.
The following table shows the work done during the year 1945 (including work
done for the Isolation HosnitalV

Scabies Clinic.
The total number of attendances at the clinic for treatment of scabies and other skin
conditions during 1945 was 3,946. Details of the cases were as follows :—
Scabies First Visits 389, Re-attendances 1,228, Total 1,617.
Other skin conditions ,, „ 207 „ 15614 „ 1,821.
Verminous heads „ „ 281 „ 227 „ 508.
Attendances at the cleansing station increased considerably during 1945. The
total number—3,946—compares with a total number of 2,251 in 1944.
A large part of this increase was caused by the increase in the number of skin conditions
other than scabies or vermin which were sent to the clinic by general practitioners or
the general clinics for diagnosis and treatment.
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