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32.
Under a special arrangement between the Borough
Council and the Fulham District Nursing Association,
239 cases were attended by the District Nurses, who
made 1,889 visits to the homes of these patients.
Under the Metropolitan Borough of Fulham
(Measles; Regulations, 1920, all cases of Measles (not
German Measles) are compulsorily notifiable to the
Medical Officer of Health of the Borough. The majority
of the cases are notified by Medical Practitioners but a
considerable number were first brought to the notice of
the Department by Head Teachers and School Nurses
of London County Council Schools and some of the cases
were notified by parents and others.
In connection with the prevention and control of
the disease the Borough Council's Health Visitors meet
the School Nurses and discuss cases of suspicious school
absentees. Home visits are made by the health visiting
staff both to notified cases and to suspicious school absentees
discovered by the School Nurses.
One of the duties of the Health Visitors is to ascertain
if patients can receive proper attention and if
necessary cases are recommended for hospital treatment.
In other instances arrangements are made for the District
Nurses to attend the homes in order to carry out
the doctor's instructions if the patient is under medical
care or to advise in cases in which a doctor is not in
attendance.
The co-operation of the County Council staff is very
helpful in securing the supervision of some cases at an
earlier stage or in bringing to the notice of the Borough
Council staff cases which would otherwise not be notified.
As in former years it was impossible for the Health
Visitors and Sanitary Inspector Mrs. Davies to cope
with the large number of cases at the height of the
epidemic and additional Health Visitors were engaged
from 26the March to 8th July. During five weeks of
this period (19th May onwards) two nurses were
engaged.