111. In setting up these additional centres valuable assist- ance was given by the United Nations International Children's Emergency Fund by the provision of the necessary equipment. In addition the work benefitted from the provision by the World Health Organization of a medical consultant to advise the Medical Officer in charge. This consultant worked throughout the year under review and at the end of this period a public health nursing advisor arrived in the Colony to provide further assistance to the public health nursing services.
112. New attendances at ante-natal sessions numbered 5,715 and total attendances 16,077. The average attendance rate per session was approximately 20 and the average number of visits per person was just less than 3.
113. In the latter half of the period under review post-natal sessions were initiated in the 3 main centres. This activity did not make great progress but 172 first visits and 53 re-visits were recorded.
114. Total attendances at child health centres numbered 189,554 In the main centres the average attendance rate per session was 112 and at the subsidiary centres 61. This work continues to be limited only by the staff and premises available, in fact, even now attendances are in excess of personnel and, in general, overcrowding occurs in the premises available.
115. During the year the health nurses paid 19,743 home visits and much useful work was accomplished. Health education continued to be a major preoccupation of Maternal and Child Health staff and this work was pursued vigorously in all centres in which talks and demonstrations were given, discussions encouraged and films and film strips exhibited. Secondary school girls received systematic instruction in molber craft at the main Maternal and Child Health centres.
116. Details of attendances at the various centres are set forth in Appendix 5.
School Health
117. The School Health Service is available to students in Government and Government Subsidized schools who make an annual payment of $5, and those in Private and Grant-in-Ald schoola making an annual payment of $15. In addition teachers from Subsidized and Private and Grant-in-Aid schools who make an annual payment of $15 are able to enjoy the benefits of the scheme, namely free medical attention. Treachers in Government schools in any case are provided with free medica) attention by virtue of their conditions of service.
118. The number of participants in the School Health Service showed an increase during the period under review and reached the figure of 46,051. As the total school population is approximately 200,000 the proportion in the School Health Service amounts to little more than one-fifth, but with the present staff and premises it is not possible to treat a larger number. Participants in the scheme are medically inspected on entry to school and thereafter at the age of 5. T. 10, 12, 15 and 18. To deal with defects found on these routine inspectiona $ special school clinics were operated. These clinics, in addition, provided general and special out-patients services free to parti- cipating children and school teachers. Full clinical services are provided, including dental, eye, ear, nose and throat treatment, to the extent of available resources. Children requiring treat- ment not available at these special clinics are referred to other Government institutions. Cases requiring treatment in hospital are admitted to the Government hospitals and only a nominal maintenance fee is charged. An additional benefit which is available is the provision, when necessary, of free spectacles.
119. The number of medical inspections carried out during the year was 56,982, of which 20,369 were new entrants and the remainder re-inspections. Of all those examined approxi- mately 28% were found to be free from defects, 62% were noted for observation or re-inspection and the remaining 30% were referred for treatment. The most common defect observed was, once again, dental caries and the majority of the other cases requiring attention were minor disorders. The nutritional state of the children was little different from previous years. Approxi-
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