MAJORITY REPORT. 
MATERNITY AND CHILD WELFARE. 
38. Maternity and Child Welfare schemes are conducted by 
County Councils and County Borough Councils and the Councils 
of certain of the larger County districts. Amongst the services 
for which the schemes provide are included the salaries and 
expenses of inspectors of midwives, health visitors and nurses 
engaged in maternity and child welfare work, the provision of 
midwives for necessitous women in confinement, and the 
expenses of Centres, i.e., institutions providing any or all of 
the following activities : medical supervision and advice for 
expectant and nursing mothers, and for children under five years 
of age, and medical treatment. 
39. The expenditure on these services is met by a 50 per cent. 
grant from the Exchequer, the balance being found from the 
rates; and the grant is made on condition that the work of 
the agency is co-ordinated, as far as practicable, with the Public 
Health work of the Local Authority. The total Kxchequer grant 
paid to Local Authorities and Voluntary Agencies was in 1922-23 
about £785,000. The total expenditure on the whole service 
amounted to about £1,530,000 in 1922-23. 
PoRT SANITATION 
40. The primary object of the Port Sanitary Service 1s to 
protect this country and Biitish shipping from the introduction 
of grave infectious diseases which are endemic in certain parts of 
the world but are not ordinarily found in this country, for 
example, plague, cholera, yellow fever and in a lesser degree 
typhus fever and small-pox. Constant inspection and super- 
vision of shipping is carried out to this end, and in the course 
thereof, all cases of ordinary infections disease which are dis- 
covered are also dealt with. Efforts are likewise made to secure 
healthy conditions on board ship. The other main branch of 
port sanitary administration is the inspection of food entering 
the country in bulk. 
41. The total annual expenditure of the Port Sanitary Autho- 
rities in England and Wales amounts to about £90,000, and an 
Exchequer grant is made amounting to 50 per cent. of the 
approved net expenditure. 
INFECTIOUS DISEASES. 
42. The control and treatment of acute infectious diseases, 
such as scarlet fever, diphtheria and small-pox, is carried out in 
the main by the local sanitary authorities without assistance from 
Government funds. Broadly speaking, the functions of the 
sanitary authorities in respect of infectious disease are :— 
(1) To receive from medical practitioners in their district 
notification of cases of certain infectious diseases. Inquiries 
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