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c87c4d35-f563-4539-856e-ba36cf057931 | Palmerston Road 3 βKingswood Road 3 β Winchester Street 2 ,, Somerset Road 2 ,, Berrymead Gardens 2 β Berrymede Road 2 β Park Road East 1 β Junction Road 1 ,, Essex Park Mews 1 ,, Meon Road 1 β Saville Road 1 ,, Fletcher Road 1 β Osborne Road 1 ,, Park Road North 1 ,, Holland Terrace 1 ,, Shaftesbury Road 1 ,, Nelson P... |
408fd064-5b15-4f96-bd0a-3aaa0b4a50d3 | It is estimated that a house is overcrowded if the average number of persons per room exceeds two. Taking this standard as a basis in 13 cases out of the 36 there was overcrowding, and the vitiated atmosphere which resulted, probably caused the large number of deaths from lung complications. 17 Death very seldom occurs... |
9cea1182-00ad-4ba3-ae64-4a45417d8006 | On the subsidence of the symptoms associated with the eruptive stage, the child would often be left in the care of some person in the house other than the mother, or taken to a neighbour's house to be looked after. In either case, the same care would not be taken to avoid exposure as would be exercised by the mother. I... |
04e56f1a-4ad2-413e-a989-2ffda08c8c32 | Where a second case occurred in a house, the infection took place during the early stages in the illness of the previous one, and it is very doubtful if systematic disinfection would have any effect in preventing the spread of the disease in a household. In the Annual Report for 1906, reasons were given to show that th... |
e00b8641-4e0d-441f-a793-0c878da4f4cb | Not only is the nature of the virus unknown, but the length of the infection is doubtful. Moreover, the disease is infectious before a diagnosis can possibly be made. It is true that the same remark applies to Measles and Scarlet Fever, but in the two latter diseases, the initial symptoms are fairly characteristic whil... |
9865b311-1d77-448b-a746-cf6e5271b2ba | The earliest to declare itself is Whooping Cough, which is the assigned cause of some deaths even in the first month, but becomes much more frequent later on; next comes Measles, but with no great number of deaths until the eighth or ninth month is reached, after which it takes many victims; while Scarlet Fever is stil... |
283d7a16-237f-4fae-b699-9868059d9616 | SCARLET FEVER. During the past two years, Scarlet Fever has prevailed in much greater degree than in the immediately preceeding years. 484 cases were notified in 1908, and this figure represents the highest number yet recorded in the district. The cases notified are equal to a rate of 8.8 per 1,000 inhabitants. Fifteen... |
b6e781f8-6d68-4853-a5f9-2dfbb7561321 | On October 12th, W.H. aged 18, was notified of Scarlet Fever. He contracted the disease outside. A second case was notified from the same house on October 26th, and a third on October 30th. On October 25th, a girl L.F, of Antrobus Road, called to see the case notified on October 26th, and on October 30th, L. F. and her... |
95a132f5-c12f-45a5-9ad5-f615618b4806 | 11th β 6 ceses β 11th 6 β β l8th 8 β β 18th 8 β β 25th 11 β β 25th 7 β August 1st 1 case February 1st 15 β β 8th 4 cases 8th 7 β 15th 3 β β 15th 11 β 22nd 1 case β 22nd 14 β β 29th 1 β β 29th 6 β September 5th 9 cases March 7th 9 β β 12th 10 β β 14th 0 β β 19th 11 β β 21st 2 β β 26th 9 β β 28th 11 β October 3rd 24 β Ap... |
ba84764e-78c8-4a41-9eb4-271df8ff1259 | 24th 5 β β 25th 6 β 30th 17 β May 2nd 7 β November 7th 16 β β 9th 10 β β I4th 14 β β 16th 11 β β 21 st 9 β β 23rd 11 β β 28th 19 β β 30th 10 β December 5th 16 β June 6th 1 case β 12th 11 β β 13th 9 cases 11 19th 19 β β 20th 9 β β 26th 11 β β 27th 10 β To β 31st 8 β July 4th 8 β There is one point of exceeding interest ... |
e4d3960d-ea0e-4fc0-ab46-b89ff0bf287a | It will be noticed that for the five weeks ended August 29th, there is a sharp drop in the number of notifications, followed by a rise which culminated in the week ended October 3rd. The elementary schools of the district were closed for the summer holidays on July 23rd, and re-opened on August 25th. 21 Allowing the us... |
7f95be0a-5d8a-4b85-9208-6f4615c96ebc | We are compelled to regard school attendance as one of the factors in the spread of the disease. One mode in which school attendance operates, is through the occurrence of "missed" cases, and probably the "missed " case plays the most important role. The distribution of the cases among school children was as follows:β ... |
b0db2f2b-d23d-4f79-810b-99c97c3e563a | In South Acton, Beaumont Park and Southfield Road, missed cases were found attending school. In South Acton a boy had been ill since August 24th, but was not notified until September 8th. Between August 25th and August 28th, he had attended schcol. similarly in Beaumont Park a case was notfiied on October 5th, and had ... |
c7fc54d8-e935-4a14-b4e8-129aaf7f1181 | He had had a rash and a sore throat on September 9th, but his doctor had certified that he could attend school. It may have been a coincidence, but the exclusion of the boy from school attendance was associated with the cessation of cases from the class he attended. On October 13th, two children were found in attendanc... |
2e31da05-9770-47fd-a582-2516a25618de | were a necessary factor in an extensive spread of the disease. The argument that the children in the Senior Department were less susceptible and more protected is hardly a sufficient one. A girl in the Priory School was notified of Scarlet Fever on December 3rd. Two days previously she had a sore throat and was sick at... |
0dbc1967-5d6a-4d61-8960-d203ae5522de | It is admitted that the "missed" case will always be a. problem difficult of solution, as it depends partly upon the type of the disease, 23 But one significant fact should be borne in mind; in spite of the extreme mildness of the disease in this district last year, when enquiries were carefully made afterwards, in all... |
58f0d4d6-cf24-4f66-9ba0-e15013788cd7 | Moreover, every care is exercised by the teachers to detect any case of infectious disease at school, and testimony should be borne to the valuable assistance rendered by the teachers. It would be almost impossible to detect the "missed" cases, but for the assistance rendered at the schools. Unless the children are ver... |
41a35dea-a618-44c2-ab2c-0f2dc8973af9 | There is hardly any disease concerning which opinions have recently more profoundly changed. It was formerly held that the disease was not infectious until peeling had commenced, and that the infection was connected with the desquamation. This theory has been exploded, and we now know that infection can be conveyed dur... |
bcba2c80-ce16-4e19-a9b3-993c90779424 | It is generally held that the infection lies in the throat, nose and mouth. When a person is sick, the epithelial layer of the mucous membrane is denuded and the vomit is almost certain to be infectious. It is important to recognise the possibility of this early infection for disinfection purposes. Where disinfection h... |
0583fbf5-9b00-4826-9346-a9be029a8abe | When the outbreak ceased in a class, sometimes it is found that the last cases had a rash on a Monday or a Tuesday and the sore throat commenced on a Saturday or Sunday. Another factor which may affect the spread of the disease amongst school children is the possibility of prolonged infection. This aspect will be discu... |
ce009a5a-784d-4daf-bf4d-9d22a6b4e37a | J. B. was examined on September 8th, and the probable conditions which would give rise to a "return" case, were the enlarged tonsils and adenoids. There was also a slight discharge from the nose, but no abrasion. At the end of three 25 weeks from his discharge from the Hospital, J. B. attended the Beaumont Park School.... |
29c5e5dc-7f01-44a8-9f43-3e47526d46b1 | It was noticed that J. B. had a slight discharge from his nose, but no abrasion of the mucous membrane. On November 9th, it was decided to exclude him from school, and the only case that occurred after J. B.'s exclusion was notified on November 21st, but this case was probably infected at home, as two cases had been re... |
51cd9fb8-acf0-44db-b2d9-3ef847ca7bda | Multiple cases occurring probably as a result of infection from previous cases in the house. 2. Cases occurring in a house within a definite period of the discharge of another member of the family from the hospital. 3. Cases recurring in houses after prolonged periods. It will be convenient when dealing with the first ... |
184c6b51-442b-4a5b-9668-d194680baf79 | In each of 28 houses there were 2 cases, in 9 there were 3 each, in 5 there were 4 each, and in 2 houses there were 5 each. Of the 28 houses where a second case occurred, in 12 instances both notifications were received on the same day, in the others the interval that elapsed between the receipt of the first and second... |
a17e1712-f585-4a85-bea1-7c82d7f6bcdb | The three exceptions were nursed at home ; in one of these the two notifications were received on the same day, and in the two others an interval of 8 days elapsed between the receipt of the first and second notification. In the 9 instances where 3 cases had occurred in each house, in one of them the 3 notifications we... |
4beccc6e-59b1-4e58-96d0-6f7a6730388f | 2. ,, ,, ,, β 11 ,, ,, ,,,, 4,, 3. ,, ,, ,, ,, 13 ,, ,, ,, ,, 2 ,, In one instance the children were nursed at home ; the first and second notifications were received on the same day and the third after an interval of 11 days. In 2 of the instances where four cases occurred, all notifications 27 were received on the sa... |
021a4df1-be63-4e2e-83c8-f653802a8493 | Where 5 cases had occurred the dates of the notifications were as follows :β 1. October 13th, 24th, 29th, 29th, 31st. 2. November 2nd, 2nd, 4th, 21st, 26th. In almost all the instances where two or more notifications were received on the same day, one of the cases had been ill for some time, and the others had been inf... |
696c0bb6-520a-4bc9-a7dc-50c4ab2923c1 | Very seldom is isolation practised at the commencement of the illness, and the above instances show how difficult it is to fulfil the most essential conditions of the spread if the disease is to be prevented. One of the conditions is, that the infection must not be handed on by the patient before seclusion, but in all ... |
07cc7656-90f4-4a9f-bece-aa3bf7541859 | In the vast majority of instances, there was no possibility of obtaining any kind of isolation in the homes, and the limited outbreaks in classes 28 and families which resulted from "missed" cases are sufficient proof of the necessity of Hospital Isolation. Another factor which militates against the complete success of... |
9e0a2108-2fca-4f6f-a849-d73cbee05e04 | Probably this group of cases is more closely related to the third group (where cases recur in houses after a prolouged period) than we have hitherto recognised, but it will at the present time be convenient to treat the occurrence of cases in the two groups as separate phenomena. For this purpose, an arbitary period of... |
8216ca92-5f06-41b5-82b2-54b0a1c9aa25 | It has been found in some districts that by placing patients in a convalescent ward for about a fortnight before their discharge, and systematically disinfecting the skin, nose and auditory canals, not a single return case had occurred. This statement is probably true, but it certainly will not explain everything in co... |
e8598f20-cb04-449a-b370-287d1bd97cb4 | It is not even fair, as far as return cases are concerned, to compare home isolation with Hospital isolation Home isolation is usually attempted when there are no other susceptible persons in the house, so that when the patient is released from exclusion, there is little chance of a return case in the house. Moreover, ... |
9fe45c33-f2cd-4445-95f9-09e53b63821d | Not only is it necessary to separate the convalescent from the acute cases, but it is desirable that the patients should during the last week or fortnight of their stay in the Hospital, be kept under conditions which approximate as nearly as possible to those which obtain at their homes. In almost all the "infecting" c... |
3ff349a5-c32f-49bb-b916-679e001dfdbe | Another fruitful cause of nasal discharge after arrival home, was the disinfecting bath, &c., on the morning of discharge, but whenever 30 possible the disinfection and preparation. of the patient is now carried out some days before the day of discharge. Although a better classification and a more satisfactory system o... |
20a839da-f712-4b26-9f29-a5a98204a86a | 43 of these houses came under group 1, where the secondary case occurred within the month of the removal of the previous case to Hospital; in 27 of the houses the cases came under group 2βthe "return" cases referred to on a previous page, and the remainder, 20, referred to houses from which a recurrent case was notifie... |
5952514c-08c1-4287-8e6a-fdad13691e36 | There are many factors which operate, the most important depending upon the number of susceptible persons in the houses, and the chances of infection in school. Numerically, the last group does not seem very important, but taken in conjunction with the return cases, it may repay analysing, as some light may be thrown o... |
8514660a-c923-492e-8ef9-86ac6270aee2 | A somewhat similar case was that of J. W. The two brothers T. W. and W. W. were notified on March 24th, and removed to Hospital on the same day. On account of a nasal discharge, they were kept in the Hospital for a couple of weeks after the mother had been informed that they were ready to go home. They were ultimately ... |
266e58eb-a0b7-4e24-b227-6e06a9513848 | The result of disinfection after Scarlet Fever is rendered, to some extent, uncertain, because the specific germ causing the disease has not been isolated. It is quite as important to know what to disinfect as how to disinfect. Until quite recently, it was held that Scarlet Fever was not infectious "until desquamation ... |
367a477d-279f-4bca-886c-5a4124ec822e | It is understood that the article referred to are those that have in some way come in contact with the mucous discharged from the patient. The other 16 cases will not allow of this explanation. Even allowing the most liberal margin for error, the occurrence of recurrent cases in these 16 houses in one year cannot be ex... |
6c9efb95-c369-43d8-8a54-fdedb1ab9720 | Butler read a paper on this subject before the Epidemiological Society in November 1908, and emphasized the following three points. 1. Under varying but occasionally recognisable conditions, persons recovered from Scarlet Fever are capable of conveying the infection to others after intervals frequently of prolonged dur... |
adf7aec8-674d-4be0-981e-2d9b3363132d | These matters are of great epidemiological interest and three instances may be given which seemed to indicate that it was something in the persons attacked and not in the buildings which was determining the persistence of the infection. 33 A married man was notified of Scarlet Fever on December 5th, 1907, and discharge... |
9a872826-af81-47e8-be4d-b38ff37038bb | In July, 1908, the brother wasnotified, and no other cases had occurred in the school where he attended. In one sense the following case is more interesting still. J. C., a lodger, contracted Scarlet Fever in September, 1906. He married his landlady's daughter and went to live in another part of the district, and two t... |
9964712a-ee39-4cbd-bdd0-e607496db86d | The 16 only include those where the disease had recurred in the same house. A case occurred in the Cottage Hospital during the year, which illustrates the possibility of a person harbouring the infection in their tissues and after some time becoming the source of their own infection. On February 1st, two cases of Scarl... |
62adbce9-d7c6-4411-96da-80c46056a55c | The nurse had not been discharged from the Isolation Hospital, 34 It is of course possible, that the infection was harboured in the ward, and it may be mentioned that when the Cottage Hospital was' emptied and the place thoroughly disinfected, no further cases occurred there. On the other hand, it seems that a few days... |
efea70d7-462d-4bec-a7da-4f0407d80f3f | It is proved that the germs of Typhoid and Diphtheria have been harboured for years by a very small percentage of the persons who have suffered fromthe disease, and a similar phenomenon is not impossible in Scarlet Fever. The age incidence and the ward distribution of the disease are given on Table III. DIPHTHERIA. Eig... |
329f99e3-1850-4512-919a-0315d4d37107 | We are in a far happier position when dealing with Diphtheria. Not only is its microbial origin fully proved, but we have means within our reach which enable us to deal with outbreaks of the disease. Diphtheria is only acquired directly or indirectly from another case, and cannot arise from bad drains or insanitary con... |
1f28d5a6-cab5-43f8-b135-95fa251cf8bc | The following instances show the importance of carrier cases in spreading the disease, and the desirability of making a bacteriological examination of the immediate contacts. Last July, several cases were notified from St. Alban's Avenue and Rusthall Avenue. These children were all in different classes; but an examinat... |
373b7947-1b45-424f-b704-8a1236705edd | The exclusion of these cases from school stopped the notifications among the pupils of this school. ENTERIC FEVER. Fourteen cases of Enteric Fever were notified and two deaths occurred. In most of the cases, the disease was introduced from some outside district. Two persons were infected in Hadlow, Kent. One of these w... |
c12a360d-3d20-4480-91c4-6364eabe24e3 | One of these was the patient's husband, and in his case the infection was probably a direct one. Both husband and wife were removed to Hospital, but prior to their removal they were nursed by a woman from Ramsey Road. When the husband and wife went to the Hospital, their baby was taken to Ramsey Road. Four cases occurr... |
64e22936-39a2-4b74-afc2-c06db5becef1 | In the other cases the source of infection was not traced. All of them had most of their meals outside the district. ERYSIPELAS. Thirty-five cases of Erysipelas were notified, but there was no death from the disease. Opinions differ as to usefulness of retaining Erysipelas amongst the notifiable infectious diseases. Wi... |
f1e88227-ecf2-4a05-9283-db4416ffaf79 | Of the 56 deaths from Phthisis, 41 were Males and 15 Females, and of the deaths over 15 years of age, 39 were Males and 13 Females Prior to their attack of illness the 52 persons over 15 years of age were employed as follows :β MALES. Laundrymen 6 Labourer 3 Clerk 3 Barman 3 Carman 2 Engineer 2 Butcher 2 Horsekeeper 2 ... |
9c66eb5d-30b7-4d1d-9a78-670b31eefd2c | Household 7 Laundress 3 Barmaid 1 Domestic Service 1 Machinist 1 13 38 18 of the deaths from Consumption occurred in the Isleworth Infirmary, and the vastly increased treatment of advanced cases of pulmonary tuberculosis in infirmaries and other institutions has been most valuable in securing segregation of patients fr... |
3252f37b-29cc-4c52-bd24-a6cbaa4c783a | The immediate relatives did not regard the process as an infective one, because the consequences did not appear at once, but after the lapse of years. In only 2 of the 9 did the family occupy more than three rooms. At night, the patient had to sleep in the same room as other inmates of of the family, and it is difficul... |
7d9973d6-6103-4a5b-b885-5fc6efb02582 | In spite of every facility for securing early diagnosis, the Council has not been successful in obtaining a sufficient number of suitable applicants to occupy continuously the two beds maintained at the Northwood Sanatorium. 10 applications were received for admission during the year ; 3 of these were rejected on accou... |
3681416e-7fec-4f8c-b06c-dc611b6941d2 | It cannot be said that the system has been a success, as in addition to the ten patients for whom application was made for admission to the Sanatorium, only three notifications were received. The want of success is probably due to the impression that notification would have a prejudicial effect on the individual suffer... |
6e6307eb-a40f-4477-bc5e-69ea2667eb90 | One hundred and seventy-four deaths under 1 year of age were registered in the district, and 14 infants under 1 year of age died in public institutions beyond the district, making a total of 188. This latter figure corresponds to an infantile mortality of 120 per 1,000 births The infantile mortality in England and Wale... |
5d3eda1a-e0f7-411c-a5da-102f9dcd38b4 | The deaths were distributed as follows:β North-East Ward 30 North-West Ward 26 South-East Ward 29 South-West Ward 103 40 The infantile mortality in each ward would be:β North-East Ward 82 per 1,000 deaths North-West Ward 121 ,, β β South East Ward 88 ,, β β South-West Ward 155 β β ,, The infantile mortality is 10 per 1... |
fda309fb-4496-4b0b-bf60-9ed4a5418ea9 | In 1907 there were 22 infantile deaths from Diarrhceal Diseases and in 1906 the number was 80. There is an increase in the number of deaths from diarrhoeal diseases as compared with 1907, and whatever views may be held as to their causation their can be no doubt as to the beneficial influence of an excessive rainfall. ... |
2da5e862-4f77-4799-80e6-a93096bfcef0 | It is difficult to estimate what percentage of the children are breast-fed and hand-fed, but if we contrast the conditions in deaths from respiratory diseases the above figures will appear significant. Out of 21 deaths from Bronchitis and Pneumonia, 12 of the children were breast-fed, 5 were fed on cow's milk, 2 on con... |
370ce6ce-7c74-4301-b223-6363954e6207 | In 15 of the cases where death occurred from diarrhΕal diseases the mother was employed in some industry which entailed leaving the home and placing the infant under the care of some other person. Married female labour undoubtedly enters into the question of premature weaning, but under present social conditions it is ... |
c65162c1-6832-4713-9ae1-3b4b844dca8c | In the first group of towns, having only 4 to 8 per cent. of its married women engaged in occupations, the infant mortality in 1901-5 varied from 104 in Burton-on-Trent to 202 in Aberdare, the average for the 15 towns being 161; in the second group of towns having from 20 to 39 per cent. of its married women engaged in... |
15e6be76-329b-49e1-a1c1-bb8dd1da7296 | Out of 13 deaths of Prematurity which we investigated, only two of the mothers were employed in industrial 4i Occupations, and out of 11 deaths from Congenital Debility, two of the mothers were so employed. It is doubtful if work is injurious to the expectant mother, provided it be not heavy or prolonged. Possibly, the... |
db0e43d8-a1c4-4f17-97ff-43b9c03bd3d1 | The mother did not select the house where the baby was cared for, on sanitary grounds, and the standard of cleanliness which usually obtained in the " babyminder's " house was below that of the average for the neighbourhood. In January, 1908, the South Acton Day Nursery was opened, and undoubtedly it has fulfilled a lo... |
23f8033d-cb52-4490-b746-1089e0f55154 | A glass of milk, or a cup of cocoa and a biscuit are given to the mothers free whenever she comes to suckle her child. In addition, the Notification of Births Act enables the Sanitary Authorities to advise mothers in time against premature weaning. Formerly many mothers weaned their children before the latter had reach... |
5cbe1707-4a9c-41b7-8c7b-e3e6d6208840 | It was stated in a previous paragraph, that the role of married female labour (under present social conditions) in the production of infantile mortality is not very obvious. It was also stated that possibly the better food, &c., which result, outweigh the disadvantages. One fact though, should be borne in mind, that la... |
159db382-d84d-4451-982d-70fd772d659b | Out of 42 deaths from diarrhoeal diseases, 7 of the children were first-born, out of 46 deaths from diseases other than diarrhoeal and prematurity, 10 of the children were first-born, but out of 13 deaths from prematurity, 6 of the children were first-born. As usual the mortality amongst illegitimate children was exces... |
04f05601-4001-42d4-a261-16668f8f8f6a | The Council passed a resolution to adopt the above Act on November 26th, 1907, and application for the sanction of the Local Government Board was made forthwith. The resolution of the Council was advertised in the " Acton Gazette" and "Acton Express" on December 6th, 1907. 44 The sanction of the Local Government Board ... |
75495504-d7e8-4377-b01d-ba017acbd19c | Four hundred and ninty-two of these were made by doctors, 727 by midwives and 131 by the fathers of the children. Over 100 notifications were received as a result of communications sent to those who were responsible for the notifications. Three hundred and eight births occurred which were not notified within the statut... |
346b0ef6-38d4-46fd-a7c5-aec7309142ef | There were 12 deaths from Cancer of the Breast and 4 from Cancer of the Uterus. The most marked increase was in the number of deaths from Cancer of the Alimentary Canal. In 13 instances the bowels were affected, in 6 the Stomach, in 4 the Liver and Bile Ducts, and in 1 the Pancras. 45 Although the number of deaths from... |
b66c1464-364d-4d41-aad9-14edfe5ff1b2 | On January 1st, 1908, there were 48 patients under treatment and on January 1st, 1909, 51. During the year, 408 patients were discharged and there were 18 deaths. Diphtheria. Fifty-four cases of Diphtheria were admitted, and there were 4 deaths. Scarlet Fever. Three hundred and sixty-nine cases were admitted and there ... |
e32078c8-955a-4c76-ab6a-c7baaed6901d | The question of extending the accommodation at the Hospital has been considered by the Council during the year, and the following report by the Chairman of the Health Committee and the Medical Officer of Health was submitted to the Works Committee in October:β " At a mseting of the Health Committee held on July 28th " ... |
e772983f-1d19-4b5d-83ce-bf2e508b649c | As a rough estimate, one bed for every thousand inhabitants is sometimes adopted, but in view of the diverse circumstances of different districts, this cannot be regarded as a definite standard. Some idea as to the number and nature of the diseases to be treated, may be gained from the following table, which gives the ... |
91512ed5-89da-4067-93d0-6b0eb17f4630 | 1890 108 14 13 1891 63 8 13 1892 74 27 15 1893 192 41 19 1894 86 22 15 1893 67 32 28 1896 193 23 14 1897 93 89 10 1898 167 35 9 1899 111 49 46 1900 243 28 29 1901 82 34 27 1902 109 33 14 1903 76 22 40 1904 129 32 8 1905 137 49 12 1906 170 46 12 1907 267 63 13 It will be seen that, in recent years the number of Typhoid ... |
54e2f256-1947-4a2e-a601-f03bb415ccec | During the first half of the year Acton is usually free from this disease. In the circumstances, we consider that the permanent accommodation for this disease can be provided for in the observation block, 47 The two diseases which take up the major portion of the accommodation at the Hospital are Scarlet Fever and Diph... |
b95d2098-3bfc-4a76-8120-0020b188947e | The disease shows a maximum and a minimum seasonal incidence ; that is to say, Scarlet Fever is usually at its height in the Spring and Autumn, and least prevalent in the Summer and W inter. Consequently, it is not sufficient to provide only such a number of beds that would accommodate the cases if spread evenly over t... |
14e75c04-a317-4d16-a688-edbbf7b405ba | It is reasonable to assume that, during the next ten years, it will increase considerably, though possibly not at the same rate as during the past dedennium. All cases of Scarlet Fever need not be isolated in the Hospital, but it has been found in this district that the demand for Hospital accommodation, now that the r... |
c382d894-4beb-489a-9253-fc5682d9f35d | Moreover, in the southern part of the district where most of the houses are occupied by more than one family, a large number of the households have one or more of their msmbers occupied in the laundry industry, and the importance of the immediate removal of any infectious cases is obvious. It must therefore be assumed ... |
b7f96f25-1dd3-4fb7-8bfc-c86a56da094e | Having taken all the factors into consideration, we are of opinion that an accommodation of 50 beds for Scat let Fever would suffice the district for at least ten years, and we propose for the consideration of the Committee the following arrangement of the accommodation:β 1. Two rooms in the observation block for Typho... |
90ed0cc4-74b2-4e0c-98e9-f925b021cf0a | At the present time the administrative block is barely sufficient for the present pursing and domestic staff, 49 The accommodation is made up as follows :β A. Basement. 1. Kitchen. 4. Servant's sitting room. 2. Scullery. 5. Attendant's bedroom. 3. Housemaid's pantry. 6. Partitioned off Dispensary B. Ground Floor. 1. Wa... |
df561422-5d27-4c0a-94bf-02b48e452e8a | Of the 6 used as bed-rooms, all have sloping roofs, and 5 of them have a maximum height of only 6 ft. 6 ins., and the roofs slope down to a height of less than 3 ft. It will at once be appreciated that these do not conform to the requirements of a healthy bedroom. The sixth bedrcom also has a sloping roof with a height... |
c12e83bf-9d0c-41df-8f71-20e19f7aa1c0 | The present administrative block is not a suitable one for the purpose. It is an old dwelling house, the repair and maintenance of which will mean a considerable and an increasing annual outlay. The number of bedrooms is too small, and in size some of them are too large. At the present time, 3 of the nurses sleep in on... |
23694f18-1eb4-4a05-9795-3c752d884095 | But which plan would entail the least annual charge, should be carefully enquired into by the Committee. 3. The Hospital Pavilion. The following suggestions outline briefly the character of the accommodation which should be provided in the pavilion. It should provide accommodation for 36 beds. A separation ward should ... |
ab8e7b9e-ae5a-430c-893d-e703a28c15df | The sanitary appliances should be in an annexe at the end of each ward; in each such room one sink should be provided for flushing bed pans and connected directly with the drain. The question of providing hot water should be considered. It would probably be more economical to obtain the hot water for the three blocks f... |
6bfad870-f018-4e18-b63c-9e4cb154a9b3 | The Refuse Destructor was completed in February 1909, and all the refuse will in future be burnt. The question of disposing of the town's refuse without creating a nuisance has been before the Council for about 15 years, and during this period the refuse has been tipped on part of the surplus land near the Cemetery. Th... |
1fbdd220-6963-4f40-ac42-4c07b64066d5 | The original intention was to erect a combined refuse destructor and electricity works on surplus land at the Council's Sewage Works. Tenders were invited, and that of Messrs. Beaman and Deas was accepted. Before the contract could be sealed, a decision was given in the High Court which closely affected the scheme. In ... |
76505065-3cb0-4262-b3ae-e558f8dace33 | This was successfully accomplished, but some time elapsed before tenders for the building, &c., could be obtained, and in the meantime an elementary school had been erected on the adjoining land. At the Local Government Inquiry a most strenuous opposition was offered to the erection of a dust destructor on that site. O... |
bab7dd58-4eee-4488-9e50-6aeda7225eeb | The temperature of the gases in the combustion chambers is to be readily maintained at 2,000 degrees Fahr., and the total residum left after burning the house refuse is not to exceed 27 per cent. by weight of the refuse consumsd. INQUESTS. 26 inquests were held the cause of death being :β Accidental burns 5 Overlaying ... |
f8e9e045-2d00-4bd3-8b10-b9cc7897dfe1 | 53 SLAUGHTER HOUSES. There are two licensed and two registered slaughter houses in the district. COMMON LODGING HOUSES. Two Common Lodging Houses are registered annually in the district and there was no addition to the number last year. These two houses have accommodation for 150 lodgers. DAIRIES AND COWSHEDS. There ar... |
c4503174-c899-45d6-81c3-3100fe0dc6b5 | Clause 33 of the Act fixes the amount of sewage which will be received by the London County Council, viz., an average of 50 gallons per head per diem of the population and a maximum rate of flow of 100 gallons in the 24 hours. Clause 21 gives permission to discharge storm water into the River Thames, and places upon th... |
324130be-75b8-45eb-9544-fb603b3e3e78 | In ordinary circumstances the sewage will pass directly into the Metropolitan Sewers, and in cases of storm the overflow will be filtered and emptied into the Thames. 54 FACTORY & WORKSHOP ACT, 1901. The number of Workshops on the Register at the end of 1908 was 394. During the year 22 new workshops were registered. Th... |
b76f774c-ea22-4ae9-8569-f90466b2e1e8 | Inspector were received during the year, and particulars of the defects found and remedied will be found in the Home Office Table. LAUNDRIES. On January 1st, the Factory and Workshop Act of 1907 came into force. From a sanitary point of view its most important provisions relate to domestic laundries. Under Section 103 ... |
27271547-26c9-4eac-bca7-591eba99b1f3 | If the work is carried on by members of the same family, Section 114 of the Act of 1901 applies, and the premises are not exempt from the provisions of the Act, which apply to domestic workshops, unless the labour is exercised at irregular intervals, and docs not provide the whole or principal means of living to the fa... |
1555b49a-179f-45ff-965a-bb3e18fa9562 | The conditions are very different in the large laundry. Although infection may reach the latter, and some of those who sort the foul linen may contract the disease, the temperature in modern rotary machines is sufficiently high, and thorough treatment is carried out for a sufficiently long time to sterilize the linen. ... |
734c2ed8-f20a-4ca0-b906-f4e083fac501 | Miss Williams had to resign owing to a break down in health Miss Stevens was prcmoled, but the secured a iimilar appointment under the Metropolitan Borough of Lewisham. Miss Bhose was appointed Assistant Health Visitor, and on the resignation of Miss Stevens was promoted to the Senior post. Mr. Fearns also suffered a b... |
6a356529-20a8-43e8-b752-452e4278d847 | Deaths of Non-Residents registered in Public Institutions in the District Deaths of Residents registered in Public Institutions bevond District. Nett Deaths at all Ages belonging to the District. No. Rate.* Under 1 Year of age. At all ages. No. Rate per 1,000 Births Registered No. Rate.* No. Rate.* I 2 3 4 5 6 7 8 9 10... |
542aa6b4-8b13-48b6-93ed-1e9581012c9b | 5 206 170 5'9 13,5 6 . . . . 1902 41,000 1,242 30.3 186 150 593 14,4 12 . . . . 1903 43,802 1,422 32,4 150 105 430 9.8 8 . . . . 1904 46,780 1,450 30 207 143 576 12.3 9 . . . . 1905 50,000 1,527 30,5 162 106 537 10.7 27 1 92 628 12.5 1906 52,000 1,533 29.4 193 125 597 11.5 29 7 97 687 13.2 1907 53,000 1,535 29 183 119 ... |
dd8d5746-3c71-49f9-9e1e-3e4dc99fa70f | 4 25 8 140 737 13.9 Averages for yrs 1898-1907 429,768 13,063 30.4 1,850 141 5,401 12.6 . . ... .. ... 1908 55.000 1,568 28.5 174 111 592 10.8 31 1 133 724 13.1 * Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated population. Total population at all ages, 37,744. Number of inhabited houses, 6,114. Average ... |
4d309997-d732-4bac-bd2a-b75bc37e8e4f | 1908. Population estimated to middle of each year 52,000 53,030 55,000 Births registered 1,533 1,535 1,568 Deaths at all Ages 687 737 724 Deaths under 1 year 201 200 188 NORTH-EAST WARD. Population estimated to middle of each year 13,000 13,500 14,000 Births registered 325 331 363 Deaths at all Ages 37 53 145 Deaths un... |
ec599f11-13eb-411b-904e-8694c615d561 | Population estimated to middle of each year 11,000 11,000 12,000 Births registered 255 320 328 Deaths at all ages 122 120 124 Deaths under 1 year 28 32 29 SOUTH-WEST WARD. Population estimated to middle of each year 17,000 17,000 17,000 Births registered 724 671 662 Deaths at all Age 293 347 331 Deaths under 1 year 107... |
0014b70f-ac0f-4fc6-bf72-364e9d42c5b9 | 1 to 5. 5 to 15 15 to 25 25 to 65 Small-pox . . . . . . . . . . . . . . . Cholera . . . . . . . . . . . . . . . Diphthera (including Membranous croup 83 1 33 39 6 4 17 14 18 34 10 10 15 23 58 Erysipelas 35 1 2 . 6 26 8 4 5 18 I . . . 1 Scarlet Fever 484 . 111 317 39 17 76 48 152 209 56 34 107 193 390 Typhus Fever . . .... |
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