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In them, midwives are trained by a competent English lady superintendent. The principles relating to children are taught there, and their parents are taught the principles of hygiene, making clothes, suitable food, and treating common childhood illnesses, all under the supervision of a qualified English nurse.
The expenses of the midwifery schools are borne by the provincial councils and are supervised by the Central Ladies' Committee in Cairo, with the advice of the Director of Public Health and consultation with scientific committees.
A female inspector is now appointed to visit each school in turn and supervise its work, ensuring that the midwives are trained uniformly, obtain their certificates, and report everything that happens there to the teacher. After the midwife completes her work and returns to her village, her activities are subject to inspection by the head of the midwifery school in the province and by members of the local committee, thus maintaining constant contact between her and her school, keeping her work under observation, and also keeping the condition of children in her village under observation.
It is hoped that through this, gradual progress will be achieved throughout the country, addressing the shortcomings of midwives in the villages, and perhaps preventing harm. These efforts are bound to succeed because they emanate from enlightened sources. It is also hoped that all the links in this system will eventually be connected in a single chain by establishing a central hospital for midwives in Cairo and a school attached to it, so that the training there will be comparable to the training in advanced European countries. When this hope is realized, a law for the practice of the midwifery profession will be enacted and its implementation will be under government supervision.
The plague is now in the country, and it seems to have been contained. It is succumbing to the constant onslaught it has faced since its appearance in 1889. The area where it appeared last year was similar to the area where it appeared the year before, but the number of cases decreased, with only 654 cases in 1913 compared to 884 cases in 1912, and only 304 deaths compared to 441 in 1912. Hearts are being worked on in the Pasteur Institute at the Public Health Laboratory to find an easily usable treatment, including for fleas and their species.
The capacity of hospitals in Egypt has increased slightly, and what is remarkable is that many people now go to them voluntarily, as the misconceptions that people had about hospitals of all kinds in the countryside are disappearing. I know the reason for this is that the Egyptian doctors working in them have become more knowledgeable and competent than they were in past years, and the standard of care has also improved due to increased attention to the training of nurses and the upbringing of the junior staff there.