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19160517 Minutes.Pdf I Szammary of cases of Infectious Disease notified 'dur?,ng the thirteen weeks ended March 25th, 1916. Fevers. Tuberculosis. P4 . Districts. ^ ^• '^ ^ 3a ° ° ^ °^ ^ 9 m q P.4o m -- - ^ Urban ..................... .741,801 - 367 545 27 4 17 285 F6 (2) (383) 1643) (37) (9) (24) (270) (76)- Rural ....................... 315,314 - 200 170 8 1 4 96 30 - (223) (270) (6) (2) (6) (75). (2t1) Total .................. 1,057,115 - 567 715 35 5 21- - 381 116 (2) (606) (913) (43) (11),1(30) , 11 (345) (96) 1 1 The figures in brackets relate to the corresponding quarter of the previous year. Cases occurring among the military and naval units stationed in the county are not included im this return. 2.-Administration of Midwives Act, 1902.--(a) The following summary indicates the work carried out by the inspectors of midwives from January 1st to-March 31st, 1916 Midwives inspected. No. of District. Inspections TotalNumber of Registered. of Midwives. Visits. Trained.. Bona fide. Unregistered. North and West .. 84 -106 29 52 1 South and East ...... 171 92 62 30 Z- Total ...:........ 255 198 91 82 173 One letter has been written to a midwife directing her attention to certain rules of the Central,.' Midwives Board which she had infringed. (b) PuraPra,az FEvza. -Five notifications were received during the above period. In one instance a midwife attended at the confinement, and in four cases a doctor was in attendance. (c) SIISPENSIdPFs:-The following midwives were -suspended until satisfactory disinfection h9d been carried out, after being in attendance on cases of puerperal fever:- Midwife No. 37377.-Three days. Midwife No. 27825•,-6-Two days. Midwife No. 28356,-Four days. The undermentioned tnidwives were also suspended until satisfactory disinfection had been carried out :- Mid:wife No,. 364+28:-..Twenty-foar hours ; after having been in contact with, a case of influenza. Midwife No. 37549.---Seven days ; after having been in contact with a case of measles. The above circumstances have-already been reported to the Central Midwives Board as requii ►ed by the rules, I)rPI^i ^^ ^ 6e1 that]Nfur^ i^' ain has reaigned• her appointment a dispensary nnr^ I beg to report i, - minate h ^tendent. and - (^®nnoil, h^^ng' ^^ait^^a^d. _^ . ^ .as Assistant.. [^o^ n^'. nn the ^ent County duties on of Gloucestershire-^- She will ter Inspector^t^sr of ^ili^+c"nvu^s for the County as her successor, at the same rate of salary, nameky 9100 per I have a^^appointed ' uas-e A. Foster 27th under the County Council- ^^^m with travelling expenses. She will commence work on. Xpril I received a communication from the Clerks of the Milton Regis Urban, the On March 24th suggesting tka.at, the arrangement for the Sittimgrbourre Ut°baan, and the Milton Rural, District Councils, of a nurse at a salary of L100 per annum in connection with tuberculosis work, join: appointment. paid by the Kent County f"orincn_@, P-9-5 by the Kent s,F-i'p^oI work And health ^^iting, (f-25 being should lapse, on account of the fact Edueat¶^^^^n Committee and ,^.:^0 by the joint District councils), Maternity and Child-We]lfa:re and the administration of the, that ad lLtioiiai work in relation to necessitating the appointment ^..IeaS,ie.RiegaFs.tionsD 1915, had fallen on the District Councils, therefore, said councils to discharge adequately their increased obligations. To of awhope-fime nurse by the necessary for the appointment of a whole-- and to meet the alteration it ha.,.^ been -this, Course Iagreeuln Tim^^ nurse under the Kent County, Council and the Kent Education Committee for the combined riaork of tu8 Fere:nFoss'ms and school ngarssing. I have bad this alteration in contemplation myself for some time, as Iom:So^er there is sufficient work nn this area to occupy the full time of a nurse for your Council, the matter forward, in and the Kent Education Commiittee, as above, but I did, not purpose bringing she ordinary coarse, until after the war- As mcntionod below, Nurse I'"urat.ning-er has ceased her work under the Serbian Red Cross and has- returned to her civil duties, and I have appointed her to the post of whole-time school and ituberculosis_ r:b:rser as from April S",rd, at a, salary of 2100 per annum, with a bicycle allowance of L3 per annum., half To be payable by the Kent County Council and half by the Kent Education Committee. Nurse^ I3uirne, who temporarily carried out, the work under the original arrangement in Nurse Furminger's. absence, has been appointed by the district councils to the -c apac't The Elementary Education Sub-Committee have approved the arrangement so far as school work is concerned, and I ask your approval of the appointment under the °1"uberculosis Scheme. ii. CLKFRW.-Miss E. ^Iughes has resigned her appointment as temporary clerk at the Gillingham- V Martindale as her tuberculosis dispensary, as from February 19th. I have appointed Miss . successor at awa,ge of 22s. 6d. per week, to be increased to 25s. per week as from July lst, 1916, if satisfactory. She commenced duties on February 14th. iii. CARX°rAkXns..-Xrs. Ostler, temporary cleaner of the Erith dispensary, discontinued duties ou- < January 15th, and I appointed I-[rs. McCartney- in the same capacity as from that date. The terms. in each case are is. 6d. per attendance ^^s. Od. per weeh). A permanent caretaker and cleaner will be appointed to this dispensary when a suitable candidate is forthcom.ing. Mrs Rp ence has been appolnt e d cieaner to the Folkestone tuberculosis dispensary at a wage o tis. per week, as from January 24th, 1916. Previous to this date the work was carried on by temporary help, Mrs. Spence having acted temporarily for some time. I he caretaker and cleaner of the Gravesend dispensary, 'Irs. Cole, who lives. on the dispensa^ remises rent free rn"nen of wages, has been involved in, extra work on aocaunt of ont alterations on be}ialforkmenof the I anbe dIor g n pthe premises• for a protracted period last autumn, ctaarying IItliink a sam of and _also on behalf- of the (;onn^ Gouncil, and ae^a far r^tnuneratiori accorciingl^'. and I ask7^ our G`ommittee's app rova^I' of bhepa^e>it thirty shillings will meet the circamstance^ A IN's°rlTmonAtr Taranrr^ ron ZNNlarsU-Rltn Pzssoars.-'The following is aIist of un4100red ►der,, tuberculous patients either admitted to, or discharged from, institutions during the quarter ut review:- I}ate admitted. I- Date di®aharged. Intithation ^ Name. 24/11/15 20/2/16 West Kent, General Hospital ...... 15/11/15 10/1/16 Violet Venus ........................... 16/2/16 laa oscenor Sanatorium .. ......... Ernest Mace .. ........................ 8/12/15 8tin under tment John Overy ..... ..................... Gravesend Hospital.^l ........ .-.. ..... 7/2/16 25(2/16 Br^-mapton Hospital ................. 17/2/16 Iris Thompson ..... .. .. ............ Hc+epatsl ............. 18/3/16 Violet Moore ........................... Gravesend 15/2/16 still under treatmelit' Ethel Jupe ..... ...... .................. West Kent General ..................Hospital ...... 2/3/16 Ditto. ; GraveeendH.usPi^ 8/3/16 - Rose Murphy -.• ....................... ... Died in H^: 8)8W" Gravesend General H t^or+tm^^ John T_ Wildish ..... ..... .......... ospital . .. ... 2,5^ ^16 still under Thomas Penfold........................ West Kent .. ... Calrin mount ........................ tara"send Hospital ............. stzffering frOi P. ^taedonald, a discharged soldier With regard to the case of Maurice attendant (Dr. Shelley), at the r®q$e^ ^'^t ^'^ medical Shelley'a tuberculosis, who was treated at home ^^ to meet Dr. Committtee is PrePared the Local Government Board, the Ins^^ ^t=tbe Goanty council paying the % far as their special arrangements fund will p a '. " -, A 1; 1916 .(e} Lrx$^Dt IIx-You'r Chairman an^ I: visited this Institation $rohiteet, the Coutraetor, and the Clerk of Works, ol%'Frida March-24th, . '^°here we met the amount of work to be Qa,rriecl`; out, before the built^ings will be completeThsuchsw^orkere is considerable of the main drain and inany subsidiary drains, the making of roads and patlis the includesrmatides the terraces, the fixing of emergency staircases, the provision of machinery in the laundry, the iakin on certain walls and doors, painting, plumbing, etc. g ofof Labour difl'iculties.have been considerabl would appear that about three months still will elapse before the building is completed, e and it 4.- Office Administration. STAFF VOLUNTEERING FOR MILITARY DUTY AND TEMPORARY APPOINTMENTS.--During March,1916 the Second Army, Central Force, whose Sanitary Officer I. was, and the Headquarters of which were situated at Tunbridge Wells, ceased to exist as such, and the Southern Army (Home Defence) -was formed. I was appointed the Sanitary Officer to the Southern Army. Then there was a re-arrange- ment of troops, and the Headquarters of the Southern Army removed to Brentwood in Essex. This re-arrangement of the troops led to the severing of my connection with the Southern Army, and had I left Kent, the County Council would have been without medical supervision of the Public Health Administration of the County. Therefore I became demobilised as and from March 29th,1916, with the approval of the War Office. I have received written appreciation of my work from my late superior officer, Colonel Sloggett, who is now the Assistant Director of Medical Services to the Southern Army (Home Defence), Doctors Grabham and Carrick have enrolled under the scheme arranged by the Central War Medical Committee and the War Office with the approval of the Local Government Board. Enroll- ment does not carry with it the indication that the enrolled person will necessarily be "called up,"'. and I understand that neither the Central War Medical Committee nor the War Office will allow the it calling up" of public health officials without the consent of the Local Government Board.
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