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scheme under any conditions other than those specified in Paragraph
19 of the Circular of the 9th August, 1918, M.C.W.4, with
the addition of nursing for cases of Polio-Myelitis. The Borough
can supply a midwife and a nurse to a confinement case, but if
the infant is injured at the confinement no assistance can be given
on behalf of the Maternity and Child Welfare Committee. The
child may receive treatment at a Centre for such conditions as
threadworms, etc., but the nurse must not attend at the home to
supplement or administer the treatment advised by the Doctor.
In the same way various non-notifiable diseases such as Measles
and Whooping Cough can be nursed, but those such as Chickenpox,
German Measles, etc., and such conditions as Acute
Bronchitis do not come within the scope of Maternity and Child
Welfare Nursing. This also applies to mothers in attendance at
Ante and Post-natal Centres, who, if referred by their doctors
from the Centres for attention, cannot receive nursing assistance
for the alleviation of such conditions as inflammation or abscess
of the breast. The total number of visits for the past 4 years
amounts to 8,199.
Provision of Milk and other Foods to Necessitous Mothers and Children.
The supply of milk to necessitous mothers and children was
first granted as a public measure in 1918. The conditions governing
the issue of milk were slightly modified by an Order issued
in 1919, these orders being rescinded in March, 1921, the service
being permitted by sanction of local schemes under authority
given to the Ministry of Health by the Maternity and Child Welfare
Act, 1918, the conditions under which this sanction would be given
being set out in Circular M.C.W. 185.
The conditions under which milk (fresh and dried) was supplied
to necessitous mothers and infants received careful consideration
in Hackney at the close of 1920 and during 1921, the arrangement
hitherto in force of granting milk through the Maternity and Child
Welfare Centres was discontinued, and the present system of
direct control by the Maternity and Child Welfare Committee,
through the Public Health Department, was introduced. At the