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33dbb0b8-ea59-4aaa-bec0-683b89baea4c
The Council have lost little time in using the powers thus conferred upon them, and, as soon as the offices used by the Council in Maxey Road were vacated on the opening of the new Town Hall, a part of them was set apart for a Milk Depot. The object of the Infants' Milk Depot is not to supplant natural feeding, but to ...
cd399eaf-093b-4f03-a73d-5935ee3a26e2
The Act under which the Depot is established prevents the sale of milk for use by any but children under 2 years of age, and the milk is chiefly intended for children under 12 months of age, though, no doubt, many children from 1 to 2 may use it with advantage. The working classes, of whom the great bulk of the populat...
b3b021ab-a6ea-491c-9d6b-9ec73cd54b03
It follows that the Depot will not and cannot be a paying concern, but as the number of its customers is necessarily limited, it cannot, on the other hand, appreciably increase the Borough Rates, and the small additional charge on these will be amply compensated by the gain in human life. The Depot consists of a small ...
e2354866-c551-4993-8bd5-dd2c4475cee5
The walls of the dairy are tiled throughout, but in the other rooms the tiles only reach to a height of about 6 feet, the upper part of the walls being of cement, painted over. Any water falling on the floor passes swiftly, by channels, to the outside, where it discharges over a properly disconnected gully. The rooms a...
a9632237-096b-40d8-a239-ec3844a025e9
The sterilizer is fitted with a sparge pipe discharging the steam at the bottom along the whole length; it is also fitted with a steam pressure gauge, safety valve, and two thermometers. The Cooling Tank is made of one-eight plate galvanized iron, all corners rounded, without any sharp angles. The plates are fused toge...
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The other division of the tank is fitted with thirty-six jets which are connected with the water main. These are for spraying the bottles out after having been washed. Both divisions are fitted with a plug and overflow. The tank, known as the Soaking Tank, is used for soaking dirty bottles when they first arrive in the...
05b1afb5-76bc-4bc1-9390-90505dac292f
An "Alfa-Laval" separator is used for separating the additional cream required. Milk on arrival will be carefully strained through a "Ulex" strainer, which is so constructed that the milk passes through a fine wire gauze and cotton wool. All milk on receipt is tested by a "Gerber" tester. There are two kinds of bottles...
06c31aa6-9538-4462-9962-f5319819a794
The indiarubber teats are made to fit the neck of the bottles sent out from the Depot. The Milk is to be obtained from a Farm in the Borough, situated on high ground, near Chislehurst, which is frequently inspected by the Council's Inspectors. The Cows are out in the fields most of the year; the cowsheds are supplied w...
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But as, in spite of all precautions, milk occasionally conveys the germs of disease from cows suffering from very mild forms of illness, it is necessary to adopt the further precaution of heating the milk to a temperature that will destroy these germs. The milk will not be sterilized unless during hot weather. It will ...
0c0ea085-17aa-42e5-8f59-eae13e47089c
The Public Health Committee considered that the large extent of the Borough, stretching as it does 7 miles in one direction and 33,- in another, made it necessary either to liave several distributing stations or to deliver the milk house to house. For various reasons distributing stations are unsatisfactory, so it was ...
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The milk will arrive about 7 a.m. The churn will be brought into the dairy and the milk tested by the "Gerber" apparatus to see how much cream it contains. A certain part of it will then be taken and the cream separated. The remainder will be strained through a "Ulax" filter and modified by the addition of milk-sugar f...
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The bottles, when filled, will be closed with the "Alu" stopper, placed in baskets, and conveyed on the trolley to the sterilizer ; the door will be shut, the steam turned on and the milk Pasteurized as described above; the 8 time having expired, the door will be opened and the bottles removed to the cooling tank and p...
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The Staff consists of a Manageress, and a Male and Female Assistant. modifications of the milk. Standard of Modification. Age of Infant. No. of Bottles per day. Amount per Bottle in ounces. Amount per day in ounces. A Under 1 month old 9 2 18 1—2 months old 9 3 27 2—3 months old 8 4 32 B 3—6 months old 7 5 35 C 6—9 mon...
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B. Modification c. Total Solids 12.50 9.53 11.05 1249 Fat 3.70 2.51 3.28 3.80 Proteids 2.30 1.24 1.91 2.48 Lactose 6.20 5.49 5.45 5.56 Ash 0.30 0.29 0.41 0.59 9 conditions of contract for milk supply. The Contractor must be prepared to increase or diminish the supply within reasonable limits, at one day's notice from t...
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The cows shall be subject, if required, to a periodical veterinary inspection by a veterinary surgeon duly appointed by the Council, and the Contractor shall undertake not to supply Milk or Cream from any cow which is diseased, newly calved, or under physic. The udders and teats of the cows shall be carefully cleansed ...
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The Contractor shall at all times, in the management of the Cow-shed and Dairy, and the supply of the Milk, comply with any reasonable request of the Medical Officer of Health. Subject to these conditions being complied with, a certificate of approval will be given every month by the Medical Officer of Health. nstructi...
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3. The following are the charges for a full supply of the milk:— For children under 6 months old 3d. per day, is. 6d. per week. „ from 6 to 12 ,, Id. ,, 2s. Od. ,, „ over 12 ,, 5d. ,, 2s. 6d. ,, For children living outside the Borough an extra charge of 9d. per week will be made. The Milk will be delivered at the house...
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On no account must a bottle be opened until the infant is ready to be fed. 6. Keep the Milk in a cool place. 7. Baby must be fed regularly by the clock, as follows :— Infants under two months: Every two hours by day, and every four hours by night, if awake (6.0, 8.0, 10.0, 12.0 a.m., 2.0, 4.0, 6.0, 10.0 p.m., 2.0 a.m.—...
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Infants between three and six months: Every three hours by day, and once at night if awake (7.0, 10.0 a.m., 1.0, 7.0, 10.0 p.m., 3.0 a.m.—7 bottles). After six months gradually increase the interval between the bottles until they are only given every four hours by day, and not at all between 10.0 p.m. and 6.0 a.m. (6.0...
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When the Milk in a bottle is not finished at a meal, the remainder must not be kept for baby; a fresh bottle must 11 10. No other food should be given unless ordered by a doctor. 11. Immediately after use the bottle should be rinsed in cold water, and the teat should be thoroughly washed inside and out with soda and ho...
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In order to see if it is thriving, bring your baby to be weighed at the Depot once a fortnight, on Tuesday or Thursday afternoon, from 3 to 4. 14. The presence of infectious disease in a house must be at once notified to the Medical Officer of Health at the Depot. 15. If the above instructions are wilfully disregarded,...
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Margaret's Road, Plumstead. Macnamara, Alderman T., 42, Wilmount Street, Woolwich. Robson, Alderman E. J., 132, Powis Street, Woolwich. Baglow, J., 67, Whitworth Road, Plumstead. Bourne, R. J., 196, Lakedale Road, Plumstead. Bull, W. J., 280, Plumstead Common Road, Plumstead. Doubleday, Arthur (Rev.), 103-105, New Road...
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Town Clerk— ARTHUR B. BRYCESON. Medical Officer of Health— SIDNEY DAVIES, M.A., M.D., Oxon., D.P.H., Camb. Chief Sanitary Inspector— ALBERT G. DUCK (Cert. San. Inst.). Manageress— MISS F. PETTY. Town Haix, October 31st, 1906.
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Woo 12 Metropolitan Borough of Woolwich. ANNUAL REPORT OF THE Medical Officer of Health FOR WOOLWICH. 1906. Woolwich: H. Pryce & Son, Printers (T.U. Federation), 33 & 35, Powis Street. 2 Public Health and Housing Committee:— Henry Smith Syer (Chairman), 45, Plumstead Common Road. William Parry Jackson (Vice-Chairman), ...
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Margaret's Road, Plumstead. James Henry Hcdgis, 45, Thomas Street, Woolwich. Jeremiah James Mahoney, 67, Beresford Street, Woolwich. James Newman, 75, Heavitree Road, Plumstead. William Raven, 72, Samuel Street, Woolwich. William Hardie Ross, 6, Cantwell Road, Plumstead. Richard Bailey Baxter Wakelen, 79, Greenvale Roa...
0f72ef40-9e4f-419d-b114-daecb52cb202
Margaret's and Central Wards. William Wood (Cert. San. Inst.), Parish of Eltham and St. Geqrge's Ward. Alfred G. Potter (Cert. San. Inst.), River Ward. William Tedham (Cert. San. Inst.), St. Nicholas Ward. Thomas Powell (Cert. San. Inst.), Burrage and Glvndon Wards. Inspector of Cowsheds and Slaughter-houses (Woolwich ...
689f1bfa-4757-4604-b705-f317b442cb90
San. Insp. Exam. Board and A.R. San. I.) Public Health and Housing Committee Clerk 5— Charles Ellis. General Clerks Aiiyas Britter (A.R. San. I.) Geo. H. Triggs (A.R. San. I.) Junior Clerk : — H. M. Collyer. Mortuary Keeper;- Frank Leason. Medical Officer of Health :— SIDNEY DAVIES, M.A., M.D., Oxon, D.P.H., Camb., Fel...
27e9bcfc-b1fe-4847-af2a-24e8e77b85b0
Area of Borough 8276-6 Acres Population—Census, 1901 117,178 do Estimated to middle of 1906 127,345 Inhabited Houses—Census, 1901 18,086 Total Houses to middle of 1906 21,833 Persons to a House—Census 6.47 Marriages 1,045 Births 3,524 Birth Rate 27.7 Deaths 1666 Death Rate 13.1 Infantile Mortality 111 per 1000 births 5...
3755f3e4-c7fc-4d74-bd62-20f66a190de8
and Uncertified Deaths 24 Deaths in Public Institutions 24 Small-Pox and Vaccination 25 Measles—Isolation and Nursing (see also Appendix) 25 Scarlet Fever—Return Cases —Isolation at home and hospital— Sources of Infection 28 Diphtheria—Sources of Infection 33 Bacteriological Examination 35 Enteric Fever—Source of Infec...
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Cow Sheds and Milk Shops 65 Milk from Wiltshire 65 Slaughter-Houses 66 Nuisances—Complaints, Sewers, Drains, Public Urinals, House Inspections 66 Over-crowding 68 Smoke Nuisance 68 Defective Light 68 Verminous Rooms 69 Dust Removal—Collection, Cost of 69 Trade Refuse—Offensive and Inoffensive 69 Housing of the Working ...
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North Woolwich 71 Prospect Cottages and Charlton Vale 72 Houses Registered under the By-laws 74 New By-laws 74 Common Lodging Houses 75 Underground Rooms 75 Factories and Workshops—Inspections--Outworkers (Special Report) 76 Bakehouses 79 Ice Cream Shops 80 7 page Disinfection 80 Health Shelter 80 Mortuaries 80 Cemeter...
bdda10ad-77b7-4c98-b1f6-5e02b17e3426
I. Measles—Results of early closure of school classes. II. Health Rules. 8 LIST OF TABLES. PAGE Table I.—Population.
dd30dbda-50e8-4c3c-ad58-b65b223499a5
Births and Deaths for the whole Borough from 1895 to 1906, including deaths of non-residents in the district, also deaths in Public Institutions in the district, and deaths of residents registered beyond the district 95 Number of Inhabited Houses, the average number per house, and the acreage 96 „ Ia.—Institutions insi...
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Total deaths in Public Institutions in district in 1906 103 „ IVb.—Infantile Mortality during the year 1906 105 „ V.—Case and Death-rate for various diseases per 1,000 persons on the population estimated to the middle of the year for 1891 to 1906 107 „ VI.—Vital Statistics of the various London Boroughs for 1906 109 „ ...
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—Summary of Statistics for the third Quarter of 1906 corrected for Public Institutions 119 „ XIII.—Summary of Statistics for the fourth Quarter of 1906 corrected for Public Institutions 120 „ XIV.—Deaths from various causes for the whole Borough in each week, corrected for Public Institutions 123 „ X Ya. Summary of the...
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131 „ X VI.—List of Streets Inspected—House-to-House—and number of houses where defects were found 132 „ XVII.—Prosecutions in 1906 under the Public Health (London) Act and By-laws and Housing of the Working Classes Act 136 „ XVIII.—Summary of Articles Analysed under the Sale of Food and Drugs Act 137 „ XVIIIa.- Procee...
737f4776-e79c-4d51-9b9f-73cfeb0bf75e
List of level Bakehouses in the Borough, 1906 142 „ XXa.—List of certified underground Bakehouses in the Borough, 1906 143 „ XXB.—List of Factory Bakehouses 144 „ XXI.—List of Slaughter-houses in the Borough, 1906 145 „ XXII.—List of Cow-houses in the Borough, 1906 146 „ XX11I.—List of Milk Sellers 147 10 PREFACE. To t...
eee31d15-7ca0-4735-9513-f37006ec82df
It is certain that very many persons have suffered in health and many have died as a result of poverty due to the loss of work, but it is possible that such want and distress as have occurred are less injurious to health than the excess which accompanied the prosperous times of a few years ago. Special consideration ha...
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Duck, Chief Sanitary Inspector, gave invaluable assistance ; mv thanks are due to him and all the Sanitary and Clerical Staff for their co-operation. My thanks are also due to the newly appointed Health Committee for the disposition they have shewn to give due consideration to the recommendations regarding the public h...
33bf71f2-b9be-40c1-9648-e98345af0ad9
Dividing this number by the number of occupied houses, 21,833, we get 5'83 persons per house. The number of persons per house at the census was 6'47. It has been supposed that the number per house in each parish has diminished proportionally to that in the Borough. We thus get the following figures for the three parish...
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do. 1905 483 do. do. 1906 390 Total 21,833 3. There has been no Census since 1901. In the absence of a quinquennial Census, it becomes increasingly difficult to estimate the population correctly. I have endeavoured to err, if at all, rather on the side of under-estimating than of over-estimating the population. 4. The ...
95a98055-f4ba-4a62-859f-544cbd3185f9
North River Ward is taken as in 1904. These populations, being calculated differently, do not agree with the estimated population for the Parishes. I—1 Wards. Dockyard. St. Mary's. River. St. Georges. Burrage. Glyndon. Herbert. St. Margaret's Central. St. Nicholas. Eltham. North. South. Population 8,712 10,439 2,991 11...
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27 6.78 6.83 9.20 5.67 5.78 5.63 6.00 5.61 7.00 5.34 New Houses— April to June, 1001 — — 4 — — — 8 12 61 7 85 80 June, 1901, to June, 1902 — — 71 — — — 8 79 265 7 455 407 June, 1902, to June, 1903 12 — 33 — — — 9 40 153 7 239 250 June, 1903, to June, 1904 4 — 89 14 — 8 — 30 94 7 185 151 June, 1904, to June, 1905 5 18 2...
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1906 11 14 - 9 - - - 36 69 2 150 99 Total Houses 1,357 1,158 640 1,694 878 1,745 1,722 1,842 2,382 1,847 4,089 2,479 Populations 8,712 *9,788 3,991 11,405 8,078 9,726 9,609 10,034 12,975 10,061 22,274 11,919 * Deduction made re 101 houses demolished in Artillery Place, &c. 15 Births 5.
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The number of births was 3524 (corrected for children born in the Infirmary and the Wood Street "Home for Mothers and Babies" whose parents reside outside the Borough), and the birth-rate 27'7 compared with 28'2 in the previous year, and with 29'7, the average for the ten years 1896-1905. The rate for the County of Lon...
36aad84d-36fa-49ff-a5ea-63244b9ca3cc
Dockyard 33.2 28.4 St Mary's 19.8 21.4 River North 36.5 33.8 South 24.4 23.3 St. George's 36.9 35.0 Pll-mstead Parish 30.1 27.8 Burrage 23.4 23.4 Herbert 25.3 24.0 St. Margaret's 33.6 33.6 Central 27.5 24.6 Glyndon 30.6 28.3 St.
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Nicholas 32.5 31.1 Eltham 24.0 22.0 Greenwich Borough 27.6 25.4 Lewisham 25.7 23.3 West Ham 33.1 30.5 East Ham 33.8 28.1 Erith 34.1 30.0 London 28.2 26.6 England and Wales 28.2 27.0 Woolwich Borough 29.2 27.7 16 Correction lias been made this year for the first time for births in the Wood Street "Home for Mothers and B...
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In Eltham, on the other hand, after a decrease in the second quinquenium, there was a marked increase in the third, due. no doubt, to the building of the Well Hall Estate and its occupation by a large proportion of young married people. Average of Years 1891—1895 Average of Years 1896—1900 Average of Years 1901- 1905 1...
b701a2ec-f390-4090-ba0c-8ac1e08ba25a
Illegitimate Births:— 76 of the births registered were illegitimate, giving a rate of 22 per 1,000 total births, compared with 13, 17 and 17, in the three preceding years. The illegitimate birth.rate in London was 36 in 1905. Marriages. 9. There were 1,045 marriages. The marriage-rate was 16.4 compared with 16.9 in Lon...
1d3861f1-c182-4048-a125-c7c28fac3a76
The nett death-rates (which are the only ones referred to, unless otherwise specified), are obtained by distribution of deaths in public institutions, and deaths on which inquests were held, to their proper locality, according as they occur outside or inside the Borough. But in order to institute a fair comparison betw...
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By multiplying by T0690, the factor for the age distribution, we get the corrected death-rate, viz.:—14'0, which rate should be used in comparing Woolwich with other places. The following table shows the nett and corrected death-rates of Woolwich, compared with England and Wales and other large towns:— Nett. Corrected....
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The following table gives the average death-rate in eacli Parish and Ward of the Borough during the five years 1901-5, and the rates for 1906 : — Average: 1901-5. Rate for 1906. Woolwich Parish 16.5 15.5 Wards River 1 North 17.8 15.5 I South 18.l 18.8 Dockyard 16.5 16.8 St. Mary's 12.5 10.0 St. George's 16.8 12.8 Plums...
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Margaret's 12.9 11.2 Herbert 10.9 10.6 Burrage 13.4 14.4 Eltham Parish 10.2 10.2 The Parish of Woolwich lias never had so low a death-rate as last year. Plumstead had a lower rate in 1905, and Eltham in 1902, 1903, and 1905. St. Mary's, Central, and Eltham, again had the lowest death-rates. River South had the highest....
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In Woolwich and Eltham Parishes the five years 1896 to 1900 had a higher rate than the 19 previous five years, but the decline in death-rate in 1901-5 has been much more marked than in Plumstead. Average 188G-1890 Average 1891-1895 Average 1896-1900 Average 1901-1905 Average 1906 Woolwich Boro' 17.2 16.9 13.9 13.1 Wool...
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The death.rate among males was 14'7 and among females 13'6. In 1905 the numbers were 14'0 and 13'4 respectively. These rates are estimated on the numbers of the two sexes found at the census of 1901, and can only be taken, therefore, as representing the relative death.rates of the two sexes—not the absolute. 16. Tables...
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Such people are, for the most part, of the well-to-do classes, who, being better able to provide against illness and bad health, have normally a lower death-rate. Correction can be applied for age distribution but not for class distribution. B 2 20 17. Lives saved. In the two last years, I have estimated that 302 and 3...
5beb138c-0939-4579-9c72-ab025ca9867d
This is good in itself, for in spite of the depression in the Woolwich labour market, there is no over-population in the country at large, and experience has shown the erroneousness of Malthus's doctrine as to the limitation erf the productiveness of the soil. But each of these 259 lives saved means ten others who have...
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Margaret's and Central Wards had the lowest infantile mortality, and South River the highest. The reduction of infantile mortality in St. George's and North River Wards is very marked. Owing to the correction, above referred to, for births in the Home for Mothers and Babies, Woolwich Parish and Dockyard Ward infantile ...
6181cb5c-f10c-4dfa-a3b1-87f0498cf09d
Margaret's 100 78 Herbert 89 71 Burrage 94 134 Eltham 97 94 Greenwich 137 119 West Ham 158 149 East Ham 131 127 Erith 112 85 London 138 132 Seventy-Six Towns — 146 England and Wales 135 133 Borough of Woolwich 119 111 19 The County of London had a lower infantile mortality in 1903 and 1905. Table VIIa shows that three ...
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Woolwich Parish *151 157 170 134 Plumstead „ 121 120 132 113 Eltham „ - 163 160 97 Woolwich lioro — 140 146 119 * 1888, 1889 and 1890. Comparing the years 1886-90 with 1901-5, it is seen that there is a marked reduction in both Woolwich and Plumstead parishes, but the reduction in Woolwich is much greater than in Plums...
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75 (65 in 1905) or about half the deaths under one month, were from premature birth, and of the remainder, 20 (23 in 1905) were attributed to Atrophy, Debility, and Marasmus—indefinite terms often applied to deaths from immaturity. The death-rate from Premature Birth in Woolwich Borough was 0"71 and in London 0.49. Thi...
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Compared with 1905, the past year had among infants many more deaths from diarrhoeal diseases, and more from measles, whooping cough, convulsions, and premature births, but fewer from bronchitis, pneumonia, wasting, erysipelas, and overlaying. There was a loss of 32 lives by increase of diarrhoeal diseases and a nett g...
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23 On the receipt of the returns, after excluding those houses which do not seem to require a visit, a lady inspector calls at each house where a birth has occurred, leaves a card of instructions on infant feeding, and obtains particulars as to the feeding of the infant and other matters. She explains the instructions ...
b97d89e3-e1ad-4ff8-bbfa-39313fd3405c
The Woolwich Board of Guardians have been asked to allow sufficient out-door relief to mothers with young infants for whom the Guardians were responsible, so that the mothers would not be obliged to go to work and leave the baby to be fed with a bottle by some other person. Still-births.— 74 still-born children were bu...
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Zymotic Death Bate.—The number of deaths from the seven principal zymotic diseases was 190, giving a death-rate of 1 '49 compared with 0.96, 2.2, and l.O in the three preceding years. The following table gives the zymotic death-rate in each Parish during the past six years:— 24 Average, 1901 5 1906. Woolwich 1.69 1.93 ...
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Accidental causes:— Burns 5 Drowning 6 Falls 2 Fractures 10 Run over 3 Suffocation, overlaying 4 Other accidental causes 13 3. Homicidal causes:— — 43 Suicide 13 Murder and Manslaughter 2 — 15 121 The "Natural Causes" were 78 in 1905. The "Accidental and Homicidal Causes" were 85, 49, and 59 in the three preceding year...
2ea3ec0b-ca44-4fa8-aecd-277d49289d18
: 293, compared with 278, 272, 261, and 313 in the four preceding years. Table Ia shows the Institutions inside and outside the Borough receiving sick and infirm persons belonging to the Borough, and Table IVa shows the number of deaths from each disease occurring in Public Institutions. The increased number of deaths ...
8c89f791-7762-4bf7-b186-e273fe299122
The Small-pox case-rate in England and Wales was 0'07 per 1000. 29. The following return, kindly furnished by the Vaccination Officers, Mrs. Taylor and Mr. Atkins, gives particulars as to the vaccination of children born in Woolwich, Plumstead, and Eltham Parishes in 1905:— Births 3547 Vaccinated 3029 Insusceptible 16 ...
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There were 31 deaths from Measles, giving a rate of 0'24 compared with 0'18, 0'33, 0.20, 0.22, and 0.l0 in the five preceding 26 years. The rate in London County was 0'40 compared with 0'36 in 1905. Only two Metropolitan Boroughs—Chelsea and Hampstead—had a lower Measles death-rate per 1,000 population, and if the rate...
36f8445f-0866-40c5-9eaa-e418c49193ec
825 notifications were received from School teachers, compared with 326, 646, 661, 1240, and 465 in the five preceding years. The mortality, per cent, of notifications was 3'8, compared with 3 8, 2'3, and 2'8 in the three preceding years. 34. The following table gives the number of deaths and deathrates from Measles fo...
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Rate Rate 1891-5 (average) 20 0.49 29 0.51 Not r ecorded 0.59 1896-1900 (average) 34 0.81 36 0.57 Not r ecorded 0.57 1901 11 0.26 9 0.13 1 0.14 0.43 1902 10 0.24 31 0.43 ... ... 0.5l 1903 8 0.19 14 0.20 3 0.28 0.40 1904 11 0.26 15 0.21 2 0.18 0.49 1905 4 0.10 8 0.11 1 0.09 0.36 1900 7 0.18 21 0.28 ... ... 0.40 27 35.
800f18ee-f079-4e02-a598-ab2f7ca73832
A special report on Measles and the results of EarlySchool Closure will be found in an Appendix. There is given a table shewing the remarkable diminution in the measles deathrate in recent years, and the probable cause stated. If the deathrate prevailing in the Borough from 1896-1900 had continued during 1906, 81 child...
da3f84b4-e2a9-4ce8-90da-c018269f51a6
This could easily be undertaken by the District Nursing Association if their staff was sufficient, but on being applied to, the Committee of the Association replied that with their present staff they were unable to attempt more work. Many lives would doubtless be saved if all cases of measles which were seriously ill c...
1eab0bee-433b-4439-a522-a292e86fe6e5
This is the highest rate since 1899, but it is lower than the rate in each of the years 1892-1899. (See table v). 37. The following table shows the case rates of Scarlet Fever in the Borough and each Parish during 1901-5 and the past year, compared with London. Average 1901-5 1906 Borough 3.15 4.15 Woolwich Parish 2.99...
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There were only 5 deaths, giving a death-rate of 0.04 per thousand population, compared with 0.04, 0'06, 0'03, 0'13 and 0 08, in the five preceding years, and 0'19 in the ten years, 1891-1900. The death-rate has only once been lower, viz. in 1903. The death-rate in London was 0T1. Stoke Newington alone, of the Metropol...
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Twelve cases, or 2 per cent, were reported, after observation at hospital, not to be Scarlet Fever. 29 Tke average duration of stay in hospital was in 1905, eight weeks, and of isolation of home isolated cases, five weeks and six days. 45 (24 in 1905) certificates of satisfactory isolation at home were given to enable ...
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A special report was presented in 1905 on "Return Cases and Fever Hospitals as a source of infection," and ordered to be printed by the Public Health Committee. A copy was sent to the Metropolitan Asylums Board and the Borough Councils. I also prepared a summary of, and a commentary on, the voluminous report of Dr. Cam...
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Home Isolation.— Hospital Isolation means much greater expense, longer isolation, and often the contraction of secondary infection (see Report just referred to.) It becomes, therefore, important to inquire whether satisfactory results are obtained by home isolation. Last year out of the 117 cases isolated at 30 home 12...
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One occurred eight days after cessation of isolation of the primary case; this must be looked on as a 'home return case' i.e., infected by the primary case after the latter was supposed to be free from infection; the primary case had been isolated for six weeks and four days; a third case began in this house after the ...
38b5b28e-ce96-4139-a713-8b21471f4980
These results are not unfavourable when the general advantages of home isolation are considered. The 12 houses contained an average of 3j adults (over ten) and 3¼ children (under ten). 43. Other Sotirces in Injection.—In 41 cases, infection was attributed to other members of the family. Some of these were never notifie...
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It is probable that in this disease, as in Diphtheria, besides many mild and undetected cases, there are numbers of children and some adults who, without any symptoms, carry the infection of scarlet fever in their throats and noses. Under ordinary circumstances, such ' carriers' would infect others, seldom, if at all; ...
9b62e4a2-2c7e-4254-b443-219b295526e4
The Schools which were specially affected by scarlet fever were Greenhill, Vicarage Road, Gordon, and Purrett Road. In December a mild epidemic of scarlet fever prevailed on the Well Hall Estate, Eltham, where Gordon School is situated. A number of children complained of nothing but sore throats. At my request, Dr. C. ...
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It was shown that although there is a very great difference between schools as to the amount of infectious disease incidence, a high notification rate may be altogether independent of any special conditions of the school, and may be consistent with an average amount of infectious disease in the neighbourhood, and with ...
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It was further seen that the only conditions affecting the London County Council Schools, which are variable and likely to influence the prevalence of infection, are the amount of air space and the maintenance of ventilation, and ability and energy in detecting early cases of infectious disease, and excluding the same;...
0b551288-fa2d-4383-b2a5-9e50aea0e266
387 cases of Diphtheria were notified, compared with 216, 233, 186,163, and 273 in the five preceding years. The case rate (number of cases per 1000 population) corrected for mistaken diagnosis, of which 31 were noted, was 2.80; this is the highest rate since 1900. 50. There were 22 deaths, compared with 13, 29, and 18...
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The following Table shows the average caserate in each parish (not corrected for mistaken diagnosis) in the past five years compared with London and the Borough :— Average 1905. 1906. The Borough 1.71 2.80. Woolwich Parish 1.63 3.43. Plumstead 1.87 2.26. Eltham 1.62 6.70. London 1.90 1.70. It is seen that in London the...
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The case mortality was only 5.7 per cent, compared with 8'8, 9.9, 7 0, 17.8, and 6'6 in the five preceding years, and with 8'6 in London. This is the lowest case mortality recorded in the Borough. 16 of the 22 deaths occurred in the Fever Hospitals. The average duration of stay in hospital was 6'6 weeks. c 34 53. Tlie ...
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A child in Stanley House had Diphtheria before the Christmas Holidays; after the holidays another case occurred in the same block, and it was found that a sister of the first case, with nasal catarrh, was acting as a "carrier," and had, doubtless, infected the second case. The Medical Officers of the Royal Arsenal exam...
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The percentage in the three preceding years was 12, 7, and 7 55. Source of Infection. In 160 cases a probable source of infection was noted, viz., in 87, other inmates of the same houses were considered the source; 51 were attributed to school infection : 8 to infection by neighbours and friends ; 5 were " return cases...
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Meanwhile, a coroner's jury had given a verdict of death from bronchitis. Four members of the family were found to be carriers of the diphtheria bacillus. 56. School Infection. The highest incidence was in Wood Street and Gordon Schools. Certain classes were specially affected. A large number of cases occurred about th...
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At Wood Street School, examination and exclusion of infected children were found sufficient to stop recurrence of cases. 57. Be incidence of Scarlet Fever, and Diphtheria, on the large schools during the years 1896-1905, see paragraphs 47 and 48. 58. Bacteriological Diagnosis.— 898 Swabs were sent to the Lister Institu...
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c 2 36 Most of tliese were contacts seen about 10 days after notification of the primary case, for tlie purpose of giving certificates to enable pupils to return to County Council Schools. (N.B.—No children were allowed to resume school from infected houses until they were certified free from infection after bacteriolo...
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Of the 60 cases which had symptoms 19 or 32 per cent, were positive, while of the 180 cases with no noteworthy symptoms, only 31 or 17 per cent, gave positive results. Of 13 cases with purulent discharge, encrustation and soreness of the nostrils, 6 gave a positive result, 3 shewed Hoffman's bacillus, and 4 were negati...
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For the ten years 1892-1901, the rate never fell below 0'41. The case-rate in London was 0.34. Out of 41 cases notified, 28 went to hospital. 60. There were eight deaths, giving a death-rate of 0.06, which is slightly higher than in the two preceding years, but much below the average of the past ten years. The death-ra...
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One patient was a fishmonger, but he was not known to have eaten any of his goods. Another fishmonger supplied two of the cases attributed to fried fish ; he had recently had enteric fever; two cases outside the Borough who bought fried fish from him had enteric about the same time. This is suggestive as showing how fr...
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The deaths from diarrhcea, dysentery, and epidemic or zymotic enteritis were 103, or 0.81 per 1000 population, compared with 0.82, 0.48, 0.36, 119, and 0.52 in the five preceding years. The rate for the 76 great towns was l.16jand for London 0'95. There were, in addition, 18 deaths from enteritis and gastroenteritis, m...
2e295f6b-261e-4f1c-aa46-9547e4482785
Woolwich Parish 33.2 44. River Ward (North) 58.8 81. River Ward (South) 31.4 61. Dockyard Ward 27.4 41. St. Mary's Ward 34.6 33. St. George's Ward 18.0 17. Plumstead Parish 26.6 31. St. Nicholas Ward 36.8 33. Central Ward 16.0 24. Glyndon Ward 34.8 59. St. Margaret's Ward 19.8 18. Herbert Ward 19.8 25. Burrage Ward 12....
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North Woolwich had again the highest death-rate, though compared with the two preceding years, this district shows much improvement {re unhealthiness of North Woolwich, see Administration, par. 30). South River and Glyndon Wards had the next highest rate, and St. George's, St. Margaret's, and Eltham the lowest. 66. Zym...
f62a5c9c-55bc-4094-9311-5757089c8e80
In a Report made to your Council on summer diarrhoea in 1904,1 recommended that the same precautions should be taken with every case of Zymotic Enteritis as with Enteric Fever. For this purpose, it was necessary to know of the existence of cases, so that the houses might be visited, and the necessary directions given a...
e882913d-4e8a-42c4-8488-b4f802affa52
Altogether 366 cases were notified (compared with 212 in 1905) of whom 46 died, giving a case death-rate of 13 per cent., 81 deaths occurring during the quarter were certified to be from diarrhoea or Zymotic Eneritis, so that 35 children died of this disease who were not notified. It appears, therefore, that the majori...