30lh Nmiembei
1937.
On the motion of Councillor Forbes, the Council Resolved :
1247. That the following Report of the Public Health Com­
mittee of a meeting held on 10th November, 1937,
be received :—
REPORT OF THE
PUBLIC HEALTH COMMITTEE.
10th November, 1937.
Present : —
Councillor Forbes, J.P. (in the Chair).
Councillor Colyer.
Councillor Mrs. Henderson.
,,
Cridford.
,,
Juckes.
,,
Daniels.
,,
Kincaid.
,,
Dobbie.
,,
Mrs. Leech.
Ellis.
,,
Munns.
Mrs. M. E. Webb.
PART I.—RECOMMENDATIONS.
RECOMMENDATION I.—Maternal Mortality : Nutrition.
Your Committee have considered paragraph (iv) of the Report
of the Public Health (Executive) Sub-Committee of 8th November,
1937 (appearing in the Appendix to this Report), and approve the
recommendation therein contained. The recommendation envisages an
increase in the amount of milk to be supplied to expectant and nursing
mothers so that two pints shall be available instead of only one pint
as at present, and the supply, in addition, of adexolin tablets. A
variation of the scale for maternity assistance is also proposed, having
the effect of entitling a larger number than at present of expectant and
nursing mothers to receive the increased issues both free of charge and
at half cost.
Resolved to RECOMMEND :
That the Council approve and adopt the Recommendation contained
in paragraph (iv) of the Report of the Public Health (Executive)
Sub-Committee of 8th November, 1937, relating to the amend­
ment . of the scheme of assistance for expectant and nursing
mothers.
On the motion of Councillor Forbes, the Council Resolved:
1248. That Recommendation I of the Report of the Public
Health Committee of 10th November, 1937, be
approved and adopted.
RECOMMENDATION II.—City of London Maternity Hospital :
Remuneration of Consultant.
Your Committee have considered a suggestion that the services of
Dr. Christie Brown, the Consultant Gynaecologist for the Consultant
Ante-natal Clinic, in connection with patients from the Clinic admitted
under his care to the City of London Maternity Hospital should be
recognised.
676
At present Dr. Christie Brown attends such patients at the Hospital
30(* ^imbe''
and operates, when necessary, without remuneration. All cases referred
—
'"committee! from the Clinic to the Hospital are, of course, abnormal, and require a
considerable amount of time to be devoted to them. During the present
year approximately 37 such cases have already been attended by Dr.
Christie Brown, and your Committee recommend that an annual payment
should be made in consideration of this service and that an expression
of the Council's appreciation of his work should at the same time be
conveyed to Dr. Christie Brown.
Your Committee have also considered a request that the Medical
Registrar of the City of London Maternity Hospital should be recognised
as deputy to Dr. Christie Brown, and recommend accordingly.
Resolved to RECOMMEND :
(a) That the Council approve the making of an annual payment
to Dr. Christie Brown in consideration of his services in respect
of patients from the Consultant Ante-Natal Clinic, admitted
under his care to the City of London Maternity Hospital, and
express to Dr. Christie Brown their thanks for the services
he has in the past rendered to mothers in the District.
(b) That for the year 1937 such payment be the sum of £105.
(c) That the Medical Registrar of the City of London Maternity
Hospital be recognised by the Council as deputy to Dr. Christie
Brown in respect of the services referred to in paragraph (a)
above.
On the motion of Councillor Forbes, the Council Resolved :
1249. That Recommendation II of the Report of the Public
Health Committee of 10th November, 1937, be
approved and adopted.
RECOMMENDATION III.—Maternity Hospital Accommodation.
Your Committee now learn that the Minister of Health is unable
to accede to the Council's request that consent should not be given to
the borrowing of money by Middlesex County Council for the purchase
of Bushey Heath Clinic.
Your Committee have, therefore, felt it to be desirable that a
further protest to the Minister should be made immediately, and have
accordingly instructed the Clerk of the Council to communicate again
with the Minister of Health urging the reconsideration of the matter and
requesting the Minister to receive a deputation, consisting of Councillors
Cridford, Ellis and Forbes, thereon.
Your Committee have also directed that copies of the original
formal representation of the Council and of relevant correspondence be
forwarded to the Members of Parliament for the Harrow and Hendon
Divisions respectively and to Major C. R. Atlee, M.P., and Mr. H. C.
Charleton, M.P. (being Members resident in the District), with a request
for their assistance in the matter, and that copies of the documents be
also forwarded to the Prime Minister.
As the circumstances clearly necessitated the taking of immediate
action, your Committee have now to ask the Council to confirm the
action taken.
677
Resolved to RECOMMEND :
soth November,
1937
That the action taken by the Public Health Committee, as set out
—Heaitn
in the foregoing Report, in connection with the representation committee.'
made to the Minister of Health upon the proposal by Middlesex
County Council to acquire Bushey Heath Clinic, be approved
and confirmed.
On the motion of Councillor Forbes, the Council Resolved :
1250. That Recommendation III of the Report of the Public
Health Committee of 10th November, 1937, be
approved and adopted.
PART II.—MINUTES.
1.
MINUTES.
(Not requiring confirmation.)
Resolved :
That the Minutes of the last meeting of the Committee, having
been circulated, be confirmed and signed.
2. REPORT OF (EXECUTIVE) SUB-COMMITTEE.
Resolved :
(a) That the Report of the Public Health (Executive) Sub-Com­
mittee of 8th November, 1937 (appearing as an Appendix to
this Report) be received.
(b) That the Report, so far as it requires confirmation and is not
otherwise dealt with in this Report, be confirmed, with the
exception of the recommendation contained in paragraph (ii)
thereof.
3. INFANT WELFARE CENTRES: PERAMBULATOR SHELTERS.
Resolved :
That the recommendation of the Public Health (Executive) SubCommittee contained in paragraph (ii) of the Report of 8th
November, 1937, be referred back for further consideration ;
that the Authorities of the Church Halls at Streatfield Road,
Imperial Drive and Love Lane, Pinner, be asked as to whether
they would agree to the erection of a shelter of a more tem­
porary type, and that the Surveyor be requested to submit
details as to the erection of cheaper structures.
4. MATERNITY AND CHILD WELFARE SERVICES.
The Report of the Medical Officer of Health for the month of October,
1937, was submitted. The Report showed that during the month
270 births were notified, 2,368 visits were made to infants by Health
Visitors and 107 visits to expectant mothers.
5.
TREATMENT SERVICES.
180 cases were dealt with under the Council's scheme of treatment
service during the month of October, 1937, and during the month 41 free
and 12 half-price milk grants were issued and 300 grants were renewed.
678
30(A November, 6.
CLINICS.
l—
conmiittee.
Resolved :
(«) That the changing of the Ante-natal and Infant Welfare sessions
at Northolt Road from Friday to Tuesday, in the morning and
afternoon respectively, be approved.
(b) That the Report of the Medical Officer of Health upon the
heating arrangements at Streatfield Road Centre and Imperial
Drive Centre be received.
(c) That, for the time being, no action be taken to establish an
Infant Welfare Centre at Hatch End.
7.
COUNCIL OF CHILD WELFARE NURSERY SCHOOL.
Resolved :
That the Council of Child Welfare be granted the services of a
health visitor from 9.30 a.m. to 10.30 a.m. daily, for the purpose
of attending to minor ailments of, and inspecting, the children
at the Nursery School, for the sum of £40 per annum being a
proportionate amount of the health visitor's salary.
8.
MATERNITY AND CHILD WELFARE : TREATMENT SERVICES.
Resolved :
That consideration of a suggestion to amend the scheme of treatment
services to enable persons within a certain income limit to use
the various services at cost price be referred to the Public
Health (Executive) Sub-Committee for consideration and report.
9.
MIDWIFERY SERVICE.
(a) Attendance of Midwives on Operation Cases.
Resolved :
That, where midwives in the service of the Council, whilst acting
as maternity nurse, also render nursing services in cases of
circumcision an additional charge of 10s. 6d. per case be made.
(b) Laundry Charges.
Resolved
That the Council's midwives be authorised themselves to arrange
for the laundering of uniforms, that the cost thereof be
re-imbursed at the rate of 2s. 6d. per week, payable
quarterly ; and that the Council's conditions of service be
amended accordingly.
10. CITY OF LONDON MATERNITY HOSPITAL.
Resolved :
That an increase from £4 4s. to £4 14s. 6d. per week in the charge
for patients admitted to the City of London Maternity Hospital
be agreed.
11.
CHILD LIFE PROTECTION.
Resolved :
That the notices now submitted from the under-mentioned persons,
679
pursuant to Section 206 of the Public Health Aot, 1936, as to
—
the reception of children for reward, be received, and, so far as
Pcominitti«.h
the same require approval, be approved :—
No. of Foster
Children.
Name and Address of Foster Mother.
Mrs. M. F. Worts, 35, Charmain Avenue,
1
...
...
...
...
...
Stanmore
Mrs. M. J. Smith, 7, Morley Crescent (East),
2
...
...
...
...
...
Stanmore
Mrs. E. M. Peak, 239, Torbay Road, Rayners
3
...
...
...
...
Lane, Harrow
Miss V. G. St. Clair, 19, The Close, Pinner
5
...
...
...
...
Hill, Pinner ...
12.
NATIONAL BIRTH CONTROL ASSOCIATION.
Resolved :
That no action be taken upon the invitation now submitted from
the National Birth Control Association to appoint a repre­
sentative of the Council to the Association.
13.
MIDWIVES ACT, 1936 : COMPENSATION TO MIDWIVES REQUIRED
TO CEASE PRACTICE.
Resolved :
(a) That Middlesex County Council be informed that the Council
agree to the giving jointly by the County Council, the Hendon
Town Council and the District Council, of a direction under
Section 5 (2) of the Midwives Act, 1936, to Mrs. Gertrude Ellen
Sarell (No. 74,138), and to such direction requiring the sur­
render by Mrs. Sarell of her Certificate to the County Council.
(b) That the Clerk of the Council be authorised to approve the
form of the direction and to sign the same on behalf of the
Council.
14.
RAYNERS LANE ISOLATION HOSPITAL : COOKING STOVE.
Resolved :
That the existing gas cooker at the Rayners Lane Isolation Hospital
be replaced by two " Guest-house " cookers, at a quarterly
rental of £2 19s. 6d., and that the Clerk of the Council be
authorised to sign any necessary agreement with the Gas Light
& Coke Co., for the hire of the stoves.
15.
ISOLATION HOSPITAL : CHRISTMAS ARRANGEMENTS.
Resolved :
That, as in previous years, a sum of 7/6 per head be spent upon the
provision of Christmas fare for those in residence at the Isolation
Hospitals at Christmas, 1937, and that a sum not exceeding
£5 be allowed for Christmas entertainment at the Hospitals.
16.
HANDBOOK ON HEALTH SERVICES.
Resolved :
That the offer of E. J. Burrow & Co. Ltd., to supply 5,000 free copies
of a handbook on local health services, be accepted, but that
680
it be intimated to the Company that the Committee are of
opinion that their quotation of £6 6s. Od. per thousand for
additional copies is excessive.
30tk November.
Public Health
committee.
17. NATIONAL CAMPAIGN ADVERTISING THE HEALTH SERVICES.
The Medical Officer of Health reported as to the cost of hiring a
projector and the services of an operator for films in connection with
the National Campaign Advertising the Health Services.
Resolved :
That the Committee agree to consider applications from local
organisations for grants towards the cost of health film displays
arranged by such organisations.
HARROW URBAN (MIDDLE ROAD) HOUSING CONFIRMATION ORDER,
1937 : HARROW URBAN (GREENFORD ROAD) HOUSING CON­
FIRMATION ORDER, 1937.
The Clerk of the Council reported confirmation by the Minister of
Health of the Harrow (Middle Road) Clearance Order, 1937, and the
Harrow (Greenford Road) Clearance Order, 1937, respectively. Both
Orders become operative on 17th December, 1937.
18.
HOUSING ACT, 1936, SECTION 11 : DEMOLITION ORDERS.
The Committee considered the condition of the under-mentioned
dwelling houses, in respect of which statutory notices under Section 11
of the Housing Act, 1936, had been served, namely :—
(a) Nos. 57, 59 and 61, Greenford Road, Harrow.
(b) No. 99, Greenford Road, Harrow.
(c) No. 101, Greenford Road, Harrow.
(d) Nos. 112 and 114, Greenford Road, Harrow.
19.
The Committee interviewed Mrs. R. Hampton in regard to No. 101,
Greenford Road.
Resolved .
(a) That, pursuant to section 11 of the Housing Act, 1936, Demo­
lition Orders under the Common Seal of the Council be made in
respect of the under-mentioned houses, requiring them to be
vacated within 28 days from the date upon which the Orders
become operative, and demolished within six weeks after the
expiration of that period, or, if the houses are not vacated
before the expiration of that period, within six weeks after
the date on which they are vacated, namely :—
Nos. 57, 59 and 61, Greenford Road, Harrow.
(b) That consideration of the question of making Demolition Orders
in respect of the under-mentioned houses be deferred until the
next meeting :—
Nos. 99 and 101, Greenford Road, Harrow.
(c) That the owner of the under-mentioned houses be informed
that, unless in the meantime he gives an undertaking to re­
condition the houses in accordance with the specification
prepared by the Senior Sanitary Inspector, the Committee will
at their meeting to be held in December, 1937, make Demolition
Orders in respect of such houses, namely :—
112 and 114, Greenford Road, Harrow.
681
20. INSANITARY CONDITION OF HOUSES.
3otk November,
The Report of the Senior Sanitary Inspector, dated 3rd November, pUbiicHeaith
1937, as to insanitary condition of houses, was received.
committee.
Resolved •
(a) That consideration of the question of taking action to secure
the demolition of Northampton Cottage, Lower Road, Harrow,
in respect of which a Demolition Order has become operative,
be deferred for the present.
(b) That, pursuant to Section 10 of the Housing Act, 1936, notices
be served upon the owners and/or persons having control of
the under-mentioned houses in respect of which notices served
under Section 9 of the Housing Act, 1936, have not been com­
plied with, of the Council's intention to enter upon the houses
and themselves do the work required to be done by the notices
under the said Section 9, and that the Senior Sanitary Inspector
be authorised accordingly :—
64 and 66, Graham Road, Wealdstone.
25, Wellington Road, Wealdstone.
(c) That, pursuant to Section 9 of the Housing Act, 1936, notices
be served upon the owners and/or persons having control of
the under-mentioned houses, requiring the execution of repairs
as specified in the Report of the Senior Sanitary Inspector
within a period in each case of 28 days from the date of
service of the notice, namely :—
880, Kenton Lane.
33, Athelstone Road.
93, Masons Avenue.
50, Herga Road.
127 and 127A, Pinner Road.
31, Hide Road.
54, Malvern Gardens.
29, Merlin Crescent.
32, Prescelly Place.
58, St. Pauls Avenue.
6A, Handel Parade.
20, St. Pauls Avenue.
25, Kingsley Road.
(d) That, pursuant to Section 66 of the Housing Act, 1936, notices
be served upon the occupiers of the under-mentioned premises
requiring them to abate overcrowding existing at the premises
within a period in each case of 28 days from the date of service
of the notice, namely :—
22, Nolton Place.
100, Axholme Avenue.
2, Taunt on Way.
(e) That, pursuant to Section 93 of the Public Health Act, 1936,
abatement notices be served upon the person or persons by
whose act, default or sufferance the nuisances referred to in
the Report of the Senior Sanitary Inspector (now submitted)
exist at the under-mentioned premises, requiring abatement
within the times hereunder specified :—
682
M™**",
Snack Bar Arcade, Station Road, North Harrow
PubiirH«ith
committee.
66 ' Capthorne Avenue
...
The Elms, Pinner Road ...
18, Roseberry Avenue
...
18, St. Margarets Avenue
16, Angel Road ...
...
48, WeUesley Road
...
Ballards Yard
...
...
6/9, Canons Corner
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
7 days
... 21 „
... 28 „
... 28 „
... 14 ,,
... 21 „
... 21 „
... 28 „
... 28 ,,
(f) That, pursuant to Section 75 of the Public Health Act, 1936,
notices be served on the owners and/or occupiers of the under­
mentioned premises, requiring within a period in each case of
21 days from the date of service of the notice, the provision of
approved covered dustbins at the premises, namely :—
15. College Close.
16. Sancroft Road.
25, Risingholme Road.
23, Felbridge Avenue.
77, Hampden Road.
75 and 81, Long Elmes.
49, Windsor Road.
61 and 82, Pinner View.
54, Bolton Road.
58 and 69, Hide Road.
22, 33, 35 and 37, Roxborough Road.
66, Cunningham Park.
14 and 18, High Street, Pinner.
29, Radnor Avenue.
78, Welldon Crescent.
3, Amersham Road.
3, Oakley Road.
48, Wellesley Road.
(g) That the occupiers of 2, High Street, Wealdstone, be requested
within a period of 14 days to cleanse the bakehouse and other
rooms in which food is prepared for sale, pursuant to Section
72 of the Public Health Act, 1925.
(h) That, pursuant to Section 45 of the Public Health Act, 1936
a notice be served upon the owner and/or occupier of the
under-mentioned premises requiring that the necessary steps
be taken to put the water closet at the premises into a satis­
factory condition, viz. :—
81, High Street, Wealdstone.
21.
SHOPS ACTS, 1912-1936.
The Senior Sanitary Inspector submitted a Report as to failures to
comply with provisions of the Shops Acts, 1912-1936.
Resolved :
(a) That the Report be received.
(b) That the Clerk of the Council be authorised to issue a final
warning to the following :—
Mr. H. C. Smith, 7s, Ashill Parade, Pinner.
683
22.
GAME LICENCE.
ReS°lwd :
so/*
1937.
That, subject to the payment of the necessary fee, a licence to dea Committee.
in game be issued, as follows : —
Name of Licensee.
Address of Premises.
F. Cooper ...
... 317, Northolt Road, South Harrow.
23.
REQUISITIONS.
Resolved :
That the requisitions appearing in the requisition book, as signed
by the Chairman and dated 10th November, 1937, be approved.
684
3Wl f903T'"r'
APPENDIX .
pubii7~Heaith
Report of Sub-Committee:
Committee.
Executive SubCommittee.
REPORT OF THE PUBLIC HEALTH (EXECUTIVE) SUB-COMMITTEE.
n.j XT
i.
mn~i
8th November, 1937.
Present:—
Councillor Ellis (in the Chair).
Councillor Forbes, J.P.
Councillor Juckes.
(i)
MINUTES.
Resolved:
That the Minutes of the last meeting of the Sub-Committee, having
been circulated, be confirmed and signed.
(ii)
INFANT WELFARE CENTRES : PERAMBULATOR SHELTERS.
Your Sub-Committee have considered designs prepared by the
Surveyor for the erection of perambulator shelters at the Baptist Church
Hall, Streatfield Road, and the Methodist Church Hall, Love Lane,
Pinner. The shelters in each case would accommodate 40 perambulators
and are estimated to cost approximately £100 each. In view of the fact
that the Church Halls are only being used as clinic premises temporarily,
your Sub-Committee consider that this expenditure would not be war­
ranted and that the complaints would to a great extent be met if a
number of loose covers were provided.
Resolved to RECOMMEND :
That, as an experiment, one dozen loose waterproof covers be
purchased for issue at the Streatfield Road Centre.
(iii)
CO-ORDINATION OF SERVICES : NKW BUILDING PROPOSALS.
Your Sub-Committee have considered the plans provisionally
approved by the General Purposes Committee for buildings with accom­
modation for combined services on the following sites, namely :—
(1) Marsh Road and Cecil Park, Pinner.
(2) Malvern Avenue and Alexandra Avenue, South Harrow.
(3) Honeypot Lane, Stanmore.
Your Sub-Committee are of opinion that the accommodation pro­
posed to be provided in the buildings for Maternity and Child Welfare
services will be adequate.
Resolved to RECOMMEND :
That, so far as the accommodation proposed to be provided in the
buildings for maternity and child welfare services is concerned,
the plans now submitted be approved.
(iv)
MATERNAL MORTALITY : NUTRITION.
Your Sub-Committee have considered the Report of the Medical
Officer of Health upon Ministry of Health Circular 1622, relative to the
recommendations made in the report on Maternal Mortality which was
presented to Parliament in April, 1937, and in connection therewith
have reviewed the whole of the existing arrangements for the supply of
milk, etc., to expectant and nursing mothers. Your Sub-Committee
are of opinion (a) that additional nourishment can best be supplied by
the increase of trie amount of milk granted from one to two pints a day
and by the issue in addition of Adexolin Tablets ; (b) that both nursing
and expectant mothers should be granted the additional nourishment
referred to in the preceding paragraph, and (c) that the scale for mater-
685
nity assistance should be amended to enable a greater number of
expectant and nursing mothers to benefit from any such increased grant,
.
as follows :—
rates,
Net income per head of family per week after deduction of rent
compulsory insurances and travelling expenses.
No. in
family.
2
3
4
5
6
7
MILK.
Present practice .
Expectant
and nursing
mothers
(1 pt. per day)
Proposed.
Expectant
and Nursing
mothers
(2 pts. per day
and Adexolin)
a
b
c
d
s. d.
10 6
8 6
7 6
7 0
6 6
6 0
s. d.
12 6
10 6
9 0
8 0
7 6
7 0
s. d.
14 6
12 6
11 0
9 6
8 6
8 0
s. d.
16 6
14 0
12 0
10 6
9 6
9 0
free
half cost
—
—
free
free
e
18
16
14
12
11
10
—
6
0
0
6
0
0
/
g
s. d.
21 0
17 6
15 0
14 0
12 6
11 0
s. d.
22 6
19 0
17 0
15 6
14 0
12 0
—
—
half cost half cost
The cost of increasing the milk grant and making the additional
issue of Adexolin to both nursing and expectant mothers under the
suggested extended scale is estimated to amount to approximately £200
for the remainder of the current year or to approximately £1,400 for a
full year. In order that any overspending caused by the adoption of
the proposal should be as small as possible, the Sub-Committee consider
that the amended scheme should, in the first place, apply only to
expectant mothers and to nursing mothers whose children are born
between the 1st December, 1937, and 1st April, 1938, upon which latter
date it is suggested that the scheme should come into full operation.
Resolved to RECOMMEND :
(a) That the scheme of assistance to expectant and nursing mothers
be amended as follows :—
(1) Two pints of milk daily and Adexolin to be issued
instead of one pint of milk only per day as at present.
(2) Free issues to be made to persons within the income
limits specified in columns (a) and (b) of the scale set
out above, and half price issues to persons within the
income limits of columns (c) and (d), instead of free
issues in respect of column (a) and half price issues
in respect of column (b) as at present.
(b) That, in the case of expectant mothers, the foregoing proposals
be brought into effect as from 1st December, 1937, and in the
case of nursing mothers, as from the 1st April, 1938, except
that nursing mothers whose children are born between 1st
December, 1937, and 1st April, 1938, shall continue to receive
the issue made to them as expectant mothers.
30** Nm-embe
1937.
Public Heal
Committee
Executive Stii
Committee.
30** November,
1937
Kxcmmnit?te b~
IV)
PREVENTION OF BLINDNESS.
Your Sub-Committee have considered the matters arising out of
the Ministry of Health Circular No. 1621 on the subject of prevention
of blindness. The majority of the recommendations contained in the
Circular are already covered by the existing services, and the only
suggestion which your Sub-Committee consider should be adopted is
that the Medical Officer in charge of an isolation hospital should be
empowered to call in an ophthalmologist to advise on and treat cases
of infectious disease requiring specialist's advice.
Resolved to RECOMMEND :
That the Medical Officer of Health be authorised to obtain the
services of an ophthalmologist in any cases at the isolation
hospitals which in his opinion require specialist treatment.