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in the matter of house sanitation, milk inspection, the introduction
of a constaht water supply, the remedying of many drain defects,
and very great improvement in the condition of many of the roads
and streets.
In considering questions of Infantile Mortality it must not
be lost sight of that the success or non-success of the treatment
medically advised in only a few cases, may make a considerable
difference in a yearly rate.
The treatment at the out-patient department of general
hospitals is not as a rule conspicuously successful in the case of
infantile diarrhoea, and it is a question whether lives are not
often lost by reason of the journeys there, and the prolonged waiting
sometimes undergone. Other things being equal, in my experience,
the death-rate from infantile diarrhoea, atrophy, &c., is greater in
families where out-patient treatment is resorted to than in those
where sick infants are kept at home.
Circulars 576, 582, & 596 of the Board of Education
open up a new chapter in the relations of Sanitary and Education
Authorities.
In this district the Education Committee of the Surrey County
Council is the Education Authority, and their medical adviser, Dr.
Jones, has been recently appointed Assistant County Medical
Officer of Health, with special duties in respect of Public Elementary
Schools, &c.
Medical men have been appointed to act under Dr. Jones in
carrying out the routine inspection and examination of scholars,
and one of the inspectors has had this district and others
allotted him. The former scheme, whereby local Medical Officers