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APPENDIX B. PRELIMINARY REPORT FROM Du. A. G. PATERSON ON ASPECTS OF CHILD-WELFARE WORK IN BRITAIN AND AMERICA. Having been granted a year's leave of absence by the Department for the purpose of inquiring into matter connected with maternity and child welfare abroad, I have the honour to forward a preliminary report on some of the results of my observations and. investigations in both Europe and America. 1 left Wellington for Sydney in December, 1921. While in Australia I was fortunate in meeting with Dr. Harvey Sutton, Principal Medical Officer for the Education Department of New South Wales, and Dr. Jane Grcig, who occupies the corresponding position in Victoria. Though it was holiday season, and therefore impossible to see work in progress, I was glad of the opportunity to discuss school medical topics with these energetic and experienced officers. I travelled to England via Suez, and en route spent three weeks in Egypt and Palestine, where I visited several Native schools and dispensaries. 1 reached England in March, and with the exception of six weeks on the Continent 1 remained in Britain till the following November. I returned to New Zealand by way of America, spending six weeks in Canada and the United States. I had the honour of representing the Dominion in Paris in July at the Congrcs International do Protection Maternelle et Infantile, and also at Bournemouth during the same month at the Congress of the, Royal Sanitary Institute. Those meetings Ihavc already dealt with in special reports. Upon my arrival in London, Sir James Allen, High Commissioner for New Zealand, kindly gave me letters of introduction to Sir Robert Blair, Chief Education Officer, L.C.C. ; Dr. W. H. Hamer, County Medical Officer of Health and School Medical Officer, L.C.C. ; and Sir George Newman, Chief Medical Officer, Ministry of Health. I was thus given opportunity for seeing such aspects of the work as I wished. I must record that wherever I travelled the presentation of the, official introductions given me on departure by the Hon. the Prime Minister, the Hon. the Minister of Health and Education, the Director-General of Health, and the Director of Education was sufficient to ensure me a cordial welcome, and to place at my disposal all possible facilities. In Edinburgh Sir Leslie Mackenzie, Director of the Scottish Board of Health, not only planned out my short stay in Edinburgh to advantage, but arranged with Dr. Alistcr McKenzie my visit to Dumfermline and the Carnegie Trust there. Lady Mackenzie and Dr. Mary Menzies (Superintendent of Maternity and Child-welfare Work, Scottish Board of Health) gave up a day to showing mo interesting phases of work in Edinburgh, and Dr. Mary Menzies also accompanied me to Dumfermline. In Glasgow, Mr. Clark (Director of Education) and Dr. Roberts (Principal Medical Officer) planned out my time to host advantage, and on one or two occasions placed a departmental motor at my service. Dr. Buchan, M.O.H for Bradford, and Dr. Matthew Hay, of Aberdeen, were equally kind. Dr. Wheatley, M.O.H. for Shropshire, invited me to be the guest of his wife and himself during my short stay there. In America I must specially acknowledge the hospitality and attention given mo by the Health Department in Toronto. Dr. Hastings, M.0.H., arranged for an officer of the Department (with a motor-car) to take me to such places as I wished to visit. By the courtesy of Dr. Barrie Lambert (hon. secretary of tho Invalid Children's Aid Association and a member of the L.C.C.) I was invited to attend the summer conference of the Royal Orthopaedic Society, which was held for two days in May at the Lord. Mayor Treloar Hospital for Crippled Children at Alton and Hayling Island (Hampshire). Many of the eminent orthopsedic surgeons of England were present, the main interest being the study of tho helio-therapeutic treatment of tuberculosis carried on there by Sir Henry Gauvain. When in London, in view of the use of such knowledge when dealing with mentally backward, children, I took a course in psychological medicine at the Mansdley Hospital. The course, which was that for Part II for the diploma of Psychological Medicine, composed the following :— (1.) The diagnosis, prognosis, and treatment of mental diseases. (2.) Mental defect and crime (W. C. Sullivan, M.D., Broadmoor Asylum). (3.) The practical aspect of mental deficiency (Dr. H. Shrubsall). (4.) The pathology of mental diseases—including brain syphilis, its symptomatology and treatment. (5.) The symptomatology of mental diseases. (6.) The psychoneuroses (Bernard Hart, M.1).). (7.) Demonstration in neurology (Sir F. Mott and Mr. Golla). Dr. Shrubsall, who is in charge of the special schools under the L.C.C, gave demonstrations of the examination of mentally defective children. Dr. Mapother gave a series of demonstrations at Epsom Mental Hospital. I took also a post-graduate course of infant and child welfare by Dr. Eric Pritchard, at the Marylebone General Dispensary. This course comprised twelve lectures, and attendance at infant consultations conducted by Dr. Pritchard twice weekly at the dispensary. The Royal Society of Medicine in Wimpole Street I found most useful. After introduction by a Fellow of the Society I was given the use of its well-equipped library and reading-room and the privilege of attending lectures by eminent men of the profession. I have also attended the out-patient departments of Great Ormond Street Hospital for sick children ; St. John's Hospital for skin-diseases ; the London and tho Royal Orthopedic Hospital.