Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
This subject is closely associated with that of abortions,
still-births, and deaths in the first two weeks after birth. One of
the most promising methods for securing the sound development of
ante-natal work consists in the investigation of still-births and
early infant mortality. When these inquiries are made mothers can
be induced to obtain medical advice not only at the time, but also
in the event of a subsequent pregnancy. The investigation at the
patient’s home of all such cases and assistance in prevention of
recurrence of unnecessary ante-natal, natal, and early post-natal
deaths have as great an importance as the building up of a successful
ante-natal clinic. The anti-syphilis work now being carried on will
help greatly in this direction.
_Dental Assistance_
There has been a large extension of dental assistance at Centres for
expectant and for nursing mothers, and for children, especially in
the metropolis and its vicinity. The government has lately extended
its grant to cover dentures for mothers who are nursing or pregnant,
if the medical officer of the Centre is satisfied that the woman’s
health will be materially improved by the denture, and that she is
unable to provide it for herself.
_Creches_
Creches and day nurseries may be expected to exercise influence in
educating mothers in the care of their children. For this purpose it
is very desirable to have the creche attached to or near an infant
welfare centre.
These creches, unless managed with the most rigid medical and
general cleanliness, are very apt to spread infectious diseases; not
merely such diseases as whooping cough, measles, and chickenpox,
but also catarrhal and diarrhœal diseases. In the prevention of all
of these the enforcement of the strictest cleanliness is essential,
especially during the summer months for the last named diseases. For
the prevention of catarrhal infections, it is essential that the
creche should be conducted, so far as practicable, on strict open-air
lines. Open-air creches give admirable occasional relief to mothers,
even when these do not go out to work. The “toddler’s playground”
is a blessing to all concerned, but the indoor creche may be, and
often is, mischievous. The risks are greatly reduced by insisting on
open-air conditions and by not allowing large groups of children to
come together. Smaller groups mean greatly decreased possibility of
cross-infection.
_Observation Beds at Child Welfare Centres_
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