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3b80e1ae-0e96-4c34-a362-419e1aa17133 | The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases:— 1926 1927 1928 1929 Scarlet Fever 78 117 132 164 Diphtheria 35 39 67 44 Measles and German Measles 353 1 342 191 Chicken-pox. Whooping Cough 153 99 262 378 20 (7) FOLLOWING UP. A summary of the "following up" work undertaken by your school nurses is given herewith:— Number of visits to schools for medical inspection 131 Total number of visits to schools 245 Number of home visits in connection with:— 1927 1928 1929 (a) Routine medical inspections 3,419 3,345 3,549 (b) Infectious disease 137 571 520 (r) Uncleanliness inspections 251 212 80 (d) Non-attendance for treatment, etc. |
d251a91f-0257-4b63-9b98-5de7426784e3 | 367 542 124 (e) Dental Inspections — — 460 It will be noted that visits in connection with dental inspection are included in the above table for the first time. This is because during the year under review, owing to a rearrangement of duties, the dental nurse now only does home visiting during certain holiday times and the number of visits included in this table has actually been carried out by the school nurses, the which work they have not regularly undertaken heretofore. It has also been found practicable to draw up routine letters +0 send to parents in cases where they have failed to fill in the dental consent forms or where for no very obvious reason they have refused to consent to the work going on. The benefit of this system we hope to be able to show next year. |
37539f79-4280-4377-bd9d-e6f2879ae73c | The enormous drop in the number of home visits in connection with uncleanliness inspections is explained as follows:— During the year under review your school nurses report there has been a much better attendance at the Clinic on the part of children who have been excluded and that thus they have been able to deal with these children at the Clinic instead of having to follow them up at home. 21 Clinics.—The numbers of school children attending in 1928 and 1929 were as follows:— Clinic. No. of 1st attendances of children. Total No. of attendances. 1928 1929 1928 1929 Minor Ailments 2059 2139 12749 10757 Ophthalmic 128 139 559 482 Dental 1852 951 2787 2997 Ringworm 9 15 18 30 Orthopaedic for examination 29 28 2427 2997 for treatment 62 32 Minor Ailments Clinic. |
eb430cba-c7b0-48de-889e-a1ef20fd6169 | 1928 1929 No. of days clinic was open 302 331 Total No. of attendances 12749 10757 Daily average attendance 42.2 32.5 No. of cases treated 2059 2139 (8) MEDICAL AND SURGICAL TREATMENT. Minor Ailment Clinic.—Minor ailments are treated daily at the Clinic at East Street. Three nurses attend from the Plaistow Maternity Charity, and the Clinic is opened at 8.30 a.m. On the days when there are gas sessions at the Dental Clinic, one of these three nurses assists the dental nurse. This Minor Ailment Clinic meets a very real need. Last year it will be noted that the attendance nearly doubled that of the previous year. This year we have roughly maintained the happy position of which I was able to advise you for 1928, but I feel that there is an even greater future for this type of work. |
c5d329a4-6b54-4d39-a66b-2b27afe1ea43 | • I want to make it quite clear that we run this Clinic without encroaching on the realms of private practice. The work carried out is the treatment of sores and scabs, bad eyes and running ears— the sort of work which wants the daily attention of a nurse rather than of a doctor, although, of course, all the nursing work must be carried out under the direct supervision of a doctor, who is responsible for the treatment undertaken in each individual case. 22 During 1929 the Minor Ailment Clinic has still suffered from a lack of continuity of supervision, but this I hope will be materially altered during the year 1930. Tonsils and Adenoids. —Operations for the surgical treatment of tonsils and adenoids are carried out by arrangement with Queen Mary's Hospital, Stratford, and St. Mary's Hospital, Plaistow. |
98a53537-4e66-47a8-b38d-bc54384a6904 | Wherever necessary the services of your ambulance are available for bringing children home after operation, but I do feel it wise that as and when possible, you should make arrangements for the detention of these children following the operation. Tuberculosis. —The care of tubercular children is in the hands of the County Council. There is a lot of overlapping. In London, tuberculosis, orthopaedics and many other special services are quite incoordinate, particularly so where people run from one hospital to another as their fancy takes them, and the time has come when there should be a general conference on the whole question, with the intent that a sound scheme should be evolved to prevent the present losses in time and efficiency. Skin Diseases.—The loss of time from school owing to various skin diseases amongst the scholars is still capable of improvement. |
7660fe98-0e8b-4cd2-8628-5daef7bfb365 | I am hopeful that more continuous supervision of the Minor Ailment Clinic will achieve an improvement in this direction, and I do suggest you should entertain the possibility of appointing a nurse whose duty it would be to work continuously in the Clinic. We cannot over-estimate the very real work which is being done by the Plaistow nurses, but these are being replaced every few months, with the result that there is not that personal intimate acquaintance with the individual children who come up to the Clinic repeatedly and who could be dealt with more expeditiously than they are at present if the Clinic were in the hands of someone who had a permanent appointment there. The treatment of ringworm of the head is satisfactorily carried on by X — Ray and you yourselves have provided amenities for treating cases of scabies. 23 External Eye Disease.—The work with reference to external eye disease has gone on satisfactorily during the year under review. Looking after the children's eyes is one of the very well-worth schemes you have in operation. |
bd2f2fc1-5f05-4f2f-80b4-fe570ae5a71b | Not only by your efficient service do you reduce to a minimum the period the children are off school but you do specially increase the general efficiency of their school life. Vision.—The treatment of defective vision is carried out at the East Street Clinic. The pupils of the children's eyes are dilated, and refraction is carried out. It is only when children's eyes are so dilated that refraction can be carried out properly, and although this does mean that for a few days the children themselves cannot see so well as usual, and this interferes with their school work, it is an interference no one yet has found a means of mitigating. Ear Disease.—The most common ear disease with which we have to deal is the ordinary discharge from the external ear. The suitable medical treatment is carried out, but the time has come for you to entertain the possibility of appointing a special aural surgeon, who would attend in the first instance, say once a month. |
766e3e22-78fc-44f9-8e8b-d461b87c7717 | He would inspect the ears of the children referred to him by the medical officers and would himself carry out any necessary emergency treatment and also indicate the line of treatment to be adopted between his visits. There is no doubt that a large amount of minor defects pass unnoticed, which defects often represent all the difference between what would be a bright boy and a boy rather below the average. There are now special instruments for testing the acuity of hearing, by which the acuity of hearing can be tested well-nigh as accurately as the acuity of vision. Dental Defects.—Dental defects are very adequately dealt with at the Dental Clinic. The work at this Clinic is set forth in detail in a report by Mr. Foy. 24 Crippling Defects and Orthopaedics.—The work carried out during the year in question has followed closely that of the previous year. |
78ccf617-9fe0-40cd-b183-afd18deef3fa | In my last Annual Report I said that the question of the provision of extra service in orthopaedics was intimately linked up with the extension of the medical services as a whole, and that although highly desirable, I was not in that Report prepared to advise the inauguration of any extra service until the general extension had been undertaken. It is now, however, my privilege to be able to say that these general extensions are about to take place and that therefore i seriously urge you to increase your orthopaedic work. In the first place, whereas the services of an orthopaedic nurse are available only for three days a week, they should be made available for every day in the week ; and in the second place, arrangements should be made for extending the present clinic accommodation. This can be done either by taking in an adjoining classroom or alternatively by building in the precincts of the school. |
46e5d4af-3c44-467e-89de-6dfb4d777c9d | The fact that such buildings, perhaps of a temporary nature, are likely to be built for class purposes, suggests that they could be built so that they could later be used either as an Orthopaedic Clinic or to house the present manual instruction class, which would make this classroom adjoining the clinic available for clinic purposes. The lack of co-ordination between various hospitals interested in orthopaedic work is still a disadvantage to the work as a whole. We do what we can to a certain extent by correspondence, but as I said last year, the time is overdue for a conference between all the hospitals who are engaged in orthopaedic work and Local Authorities and others who are otherwise interested financially in this work. 25 — 26 PARTICULARS OF WORK DONE IN CONNECTION WITH ORTHOPAEDIC CLINIC. No of visits by Orthopaedic Surgeon No. |
ea7ebb1d-f053-4f09-8186-921ee259501c | of visits byMasseuse ATTENDANCES Primary Examination Re-Examination For Treatment Total School Children Under School Age School Children Under School Age School Children Under School Age 11 234 28 27 145 86 2824 936 4046 TREATMENTS Massage Electricity Remedial Exercises Ultra Violet Therapy Radiant Heat Dressings and Splintage No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments School Children 2 90 - — 17 1909 10 948 - - 3 83 Under School Age 7 157 — — 2 45 79 725 - - 6 142 Admission to Orthopaedic Hospitals On waiting List for Admission 31/12/29. |
fe9476bc-38ff-4722-b0d2-40b57f5647db | School Children Under School Age Total School Children J Under School Age Total 6 2 8 2 — 2 27 (9) OPEN-AIR EDUCATION. Playground Classes. —May I take this opportunity of stressing the need there is for more classes to be held in the open air ? It is unfortunate that school furniture, school stationery and the school curriculum generally are not such as to make playground classes so easily arranged as they should be, and that on account of the inherent difficulties of arranging playground classes they cann'ot be so often arranged as they should be. It ought to be possible, with a minimum of effort, for any class of scholars to take the whole of the essential furniture into the open air without difficulty. For this purpose the furniture should be light and if necessary collapsible. Reading books and stationery should be of coloured paper, so that work can be undertaken in the open air without any eye strain, and the curriculum, etc. |
64620fca-131e-44af-acaf-3c85a3092907 | so arranged that there are lessons which can with advantage be taken out of doors. School Journeys. —The following school journeys were made by scholars during 1929:— Date. School. Place Visited. 17/6/29 Ripple Girls' School Valentine's Park, Ilford. 27/6/29 Westbury Boys' School East India Dock, Isle of Dogs, Blackwall Tunnel, Greenwich Museum, River Thames at Greenwich, Greenwich Observatory, Woolwich Foot Tunnel. 21/10/29 Westbury Girls' School Barking Church and Abbey Grounds. 21/10/29 Ripple Girls' School Barking Park. The question of school journeys on a much more comprehensive basis than that which has obtained in the past is being considered by you. 28 School Camps.—School camps are run during the week-ends from Friday to Monday evening. The camp is of a permanent nature and is situated at Hainault. . |
50bb5788-e786-497a-a122-2c3e33023079 | During the summer holidays, too, there are additional camps where children are taken for a fortnight at a time to the same huts at Hainault. All the children are medically examined before they proceed to camp and many children in this way get at least a short holiday in the open air who otherwise would probably never leave Barking from one year's end to another. Open-air Classrooms in Public Elementary Schools.—The more modern schools occupied in the town have facilities for turning the classrooms into modified open-air classrooms, and I do hope that in the schools which are being erected even more attention will be given to this. Children need light as much as plants do and they thrive best in the open air. Ultra Violet Light Treatment.—Ultra violet light treatment has been carried out at Faircross School during the year, the total cases treated being 10. The period of treatment of these cases varied from one month to twelve months and the total number of doses was 948. |
b5896e5b-89f1-4622-8938-5a1548572962 | Children diagnosed as suffering from Tuberculous Glands, Alopaecia, Rheumatism, Anaemia, Debility, Impetigo and Cervical Adenitis are among those who have derived considerable benefit from this treatment. With the increased medical staff which will be operating in the near future I hope it will be possible to maintain fuller medical supervision over this form of treatment than has obtained in the past. (10) OPEN-AIR SCHOOLS. Year after year I have discussed in my Annual Reports and elsewhere the alternative merits of Open-air Schools as such and the 29 same amount of money spent on residential schools for similar types of school children. Whilst in Switzerland last year I had an opportunity of examining not only ordinary elementary schools but also of seeing one of their special schools for debilitated children. In the special instance which came to my notice, what appeared to be an ordinary house which lent itself particularly to the purpose, had been taken high up from the valley. |
d438c31b-0eb2-471d-a1d5-619a926dee6c | The type of children appeared to be very much the same as those we admit to our Open-air School. This special school was open all the summer-time. It has always appeared to me that an Open-air School open for about twenty-five hours during the week cannot be of the same economic value as a similar school where the children have the benefits of the exceptional amenities afforded for the whole duration of their stay. It must not be supposed I am speaking at all to the detriment of Open-air Schools as such. I do, however, look upon them as pioneer schools showing the line of future development rather than a fixed form of accommodation. If and when we learn the lessons these schools have to teach— i.e., as and when our other schools are so built that they afford similar amenities—the need for Open-air Schools will pass, although of course, the education of children who by reason of their physical defects are not quite fit for the curriculum of ordinary elementary schools will still remain an educational problem. |
aa086986-f6a2-4032-a9f3-fe210b0abf22 | During the year we have had an exceptional experiment by reason of the fact that the Authority have decided to use one of the classrooms at the Open-air School for ordinary elementary education. It is my unfortunate experience that we have not made the most intelligent use of this classroom. The children have not received their full maximum of open air by reason of the fact that the windows have been unnecessarily shut and the children have 30 often had their lessons indoors when I opine it should have been possible for them to be out of doors. This is most unfortunate because it was agreed when this class was inaugurated that there should be no invidious distinctions between the ordinary elementary school children and the open-air children, and it is futile to suppose it has been necessary for the normal children to be protected by closing the windows, etc., at the same time we have had the Open-air School being used as an Open-air School for the debilitated children. (ii) PHYSICAL TRAINING. |
edfc0bef-1c79-4300-9541-222b1318cf73 | The Local Education Authority have no officer with special duties for organising physical training in your schools. May I ask those who are interested in physical training to read again my Report under this heading for last year ? I am persuaded there are many minor disabilities causing a great deal of physical suffering and reducing the efficiency of education, which could be overcome by quite ordinary physical training within the scope of the curriculum of any ordinary elementary school. (12) PROVISION OF MEALS. With reference to the provision of meals, I have dealt with this elsewhere, and it only remains for me to add that the dietaries are submitted to me for approval. 33,991 free meals were provided during 1929. (13) SCHOOL BATHS. School baths are provided at the Special School and the Park Modern School, and I hope they will soon be found in every school, and that certainly provision will be made for baths at every new school opened by the Local Education Authority. 31 Once again I want to plead that the skin is an organ of the body. |
8b90495c-52aa-409d-a069-6ae8db4c6d82 | It requires not only to be kept clean—it requires also to be kept working. Bathing is a very good way in which to give the skin some work to do. The exposure of the body to the air and the friction of the towel are very fine things, and I hope that even if it may not be necessary to give children baths in the schools, the effect of school life will promote a more extended use of the facilities for bathing which we have and hope to have in Barking. There are public swimming baths at East Street. These belong to the Council. Children attending elementary schools are instructed in swimming at these baths, and here is a healthy exercise which should be encouraged. (14), (15), (16) and (17) CO-OPERATION OF PARENTS, TEACHERS, SCHOOL ATTENDANCE OFFICERS AND VOLUNTARY BODIES. The attendance of parents at routine medical inspection is considerable, no less than 65.7 per cent. having attended during the year 1929. |
ddaddee2-b779-4070-9212-437eb2de51b0 | The teachers, too, take a remarkable interest in this work, and their help is invaluable. People are still found who do not understand that routine medical inspection, in addition to affording them an opportunity of having their children examined to see that there is no early disease, is also a census of the health of the school population of the town. Without the accurate knowledge obtained from such a census, you, as a governing authority, would be quite unable to determine to what extent school life is in the best interests of the health of the children. It is obvious, therefore, that if you are to have such a census, healthy children must be counted in as well as others and it is necessary for us from this standpoint to deal with the health}' as well as those who are ailing. |
e057927b-c61d-434a-8708-964481f56022 | 32 I have at times been dumbfounded to find that this point of view is not recognised, even when it has been quite clearly advanced, and J do hope that all those who are interested in the welfare, not only of children as infants, but in the education of children as a whole, will do their best to show the public that they cannot make the best use of their education rate unless you can have the facts revealed by such a census, and that such a census cannot be completed unless all children in the necessary age groups are examined. I have already called attention to the work which Mr. Goodaker undertakes as Investigation Officer. The information he is able to lay before us is of most valuable help to us in co-ordinating our work with the other services of the Authority. We ourselves are also in close co-operation with the other various schemes and agencies, voluntary and otherwise, which artinterested in the happiness of children and endeavour to work in a spirit of friendly co-operation with all of them. |
496a6714-b000-47ea-a47b-4f8855835e6d | I am credibly informed that the National Society for the Prevention of Cruelty to Children have dealt with 22 cases. The following table shows the way in which these cases have been dealt with:— Total number of cases investigated 22 (a) Prosecutions 1 (b) Warnings 19 (c) Otherwise dealt with 2 In addition to the above, the local inspector, so I am advised, has paid 123 supervisory visits. May I take this opportunity of again assuring you that the National Society for the Prevention of Cruelty to Children are most helpful and that they never undertake a prosecution unless they are really driven to do so by circumstances they find unable to tolerate or remedy ? 33 (18) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. \\'c believe that all the blind, deaf, defective and epileptic children are known to you. Your great difficulty is in obtaining the necessary accommodation, particularly for children who are suffering from more than one of these disabilities. |
28cbef55-34a1-4f03-8ea6-e942f2b20307 | It seems to me that concerted action should be taken in order to obtain the necessary accommodation, and although I do not wish to make any proposal which could possibly be thought to have in the least any political aspect, I do think that the possibility of establishing institutions with an income guaranteed by the State should be entertained, each Authority paying for their individual cases. Six deaf and dumb children have attended at Frederick Road Centre, Custom House, during the year. No deaf and dumb child has been maintained in a residential institution. The number of known epileptics of all grades is 8. Mentally Defective Class, Open-air School.—This class continues to serve a very useful purpose, and my submissions for last year on the problem involved remain, in my opinion, quite sound. In addition to what I said last year I would like to discuss the problem of the dull and backward child from the health standpoint. The percentage of physical defects amongst these children is higher than amongst normal children, and altogether their average physical development and endurance is considerably less. |
62aa965d-5a3b-4600-a9f7-10019462bfea | These dull children do not stand the same chance in life's battle as their better endowed brothers and sisters and may become the hewers of wood and the drawers of water of to-morrow. It is impossible to endow these children with forceful intellects. Their only chance in life rests on their physical fitness, without which they could never hope to obtain the necessities and the comforts of life. 34 This outlook should influence the whole of their education. Scholarship, as something different from education, is not of primary importance, and moreover, whereas the normal child at fourteen has a plastic mind and is still on the threshold of life mentally, the dull child at fourteen is a finished product. (19) NURSERY SCHOOLS. There are no nursery schools in the district. On the 5th December, 1929, the Ministry of Health and the Board of Education sent out a circular on the question of nursery schools. |
0908d0db-d84a-4923-a694-7563ed510e9c | They say in the third paragraph of this circular that " many small children cannot get personal attention where the home is squalid, where food is bad and insufficient, where the only playroom is the gutter, and where ill-health passes unnoticed till chest trouble, rickets or other ailments have developed. These conditions, prevalent in parts of all our cities, cry aloud for attention." My own opinion is that nursery schools could be tried in a limited way as an experiment if and when the money is available, particularly in those parts of the town where there is most need, but I do feel that the real problem rests in the home and that no case has been made out for nursery schools until more intensive use has been made of the Maternity and Child Welfare organisation, which has done so much for the children during the first and second years of life and which could do much more for the children up to the age of five if more money and consequently a more comprehensive service were available. |
3b2ce0b2-9730-4eb8-9d60-c0c57036edd8 | The Maternity and Child Welfare Service tends to call attention to environment and facts which require social measures for their alleviation. Taking children out of the home rather tends to hide these environmental difficulties. (20) SECONDARY SCHOOLS. Once again I want to point out how invidious it is for children leaving your ordinary elementary schools to proceed to a higher 35 education to be debarred from the very comprehensive medical services you have set up. It has so far proved itself impracticable for the County Council to offer amenities similar to your own. The difficulties they would find in setting up such services would be considerable, but there is no doubt that there is a very real need for the children to be looked after in the way in which you look after your own children, and I do hope that during the next year something will be done along the lines of the County handing over the whole of this work to you, whatever the financial consideration involved may be. (21) CONTINUATION SCHOOLS. |
d49d469e-461e-42db-90d6-9ff08cb7fbd6 | There are no continuation schools in the district. (22) EMPLOYMENT OF CHILDREN AND YOUNG PERSONS. Milk and newspaper deliveries, general errands, etc., are the usual forms of employment of children and young persons. In accordance with Pye-laws of the Education Authority, 29 applicants of school age submitted themselves for examination prior to employment, of which number it was necessary to refuse one applicant on medical grounds. Street trading is permissible to boys of 15 years, although licence is refused girls under 16 years, no prior medical examinations being required of applicants. Certain conditions, however, such as mental defect, prevent street trading being engaged in. (23) SPECIAL ENQUIRIES. There have been no special enquiries within the meaning of the Board of Education. The work we have been doing on industrial pneumoconiosis has been of great interest to the Local Authority, particularly to the Juvenile Employment Sub-Committee. |
5aecbcd5-2e3b-470c-a526-708569f85803 | 36 There is much more work waiting to be done, and it is unfortunate that the services available are only sufficient for the ordinary day to day routine. I do feel that not only in Barking but throughout the whole of the country much good would accrue if all services were sufficient for reasonable time to be allowed for independent research, which would naturally proceed along the lines presented by each several authority. (24) MISCELLANEOUS. Two young persons who desired to become bursars and student teachers were medically examined during the year by a private medical practitioner, neither being rejected on medical grounds. This closes the report for the year 1929. 1930 opens up new vistas. It is wise to pause and reflect, and I would urge you to remember that although this report deals with much work of an inspectorial nature and much work which is essentially curative, the aim of the service as a whole is that " Prevention is better than cure." |
96bec98e-28a1-4c72-81b2-b0bad50c8177 | The School Medical Service is a branch of preventive medicine and indeed the curative work is undertaken in the confident expectation that any such strictly curative measures will prevent the incidence of more serious illnesses and disabilities. One of the problems which will present itself to you on the development of the Becontree Estate is the possibility of co-ordinating maternity and child welfare and school work. The number of Inspectors and so forth visiting the homes of the people to-day is enormous, and anything which can be done to check the number of inspectors has much to commend it. It would be possible to redistribute the work, whereby maternity and child welfare work and school work would be carried out in any one area by one nurse. 37 Out of 2827 whole-time nurses employed throughout the country in school work, 1,298 engage in this work only, while 1,529 are combined health visitors and school nurses. |
29c70413-4f27-41d0-b592-c2f31df4dade | These figures, of course, refer to rural as well as urban districts, and it is only right to mention that in urban districts it is easier than it is in rural districts to run separate nursing services for health and education, but notwithstanding this, I am of opinion there is a definite advantage in nurses having definite areas within which they are the competent nurse to deal with all cases, both under the Maternity and Child Welfare Scheme and under schemes approved by the Board of Education. It is estimated that in an urban area one nurse is required for 2,500 school population, in addition to a dental nurse where a dentist is maintained. It is, however, to be remarked that with this average a certain amount of time would be spent by these nurses on clinic work, but because these figures include both progressive and backward authorities, I am of opinion it is only right for me to advise you that the whole-time staff of two nurses which this town at present enjoys must be looked upon as a minimum and should not be taken as the basis for computations as to future requirements. |
8825dc42-365d-475d-bf63-77870f110d8f | During my visit to the Annual Conference of the Royal Sanitary Institute at Sheffield in July, 1929, amongst other things it was brought forward that:— 1. Ten per cent. of school children are more than two years behind normal. 2. We overestimate the exhibition of mental ability as to education and underestimate the virtue of behaviour. We should not ask what a child can do but how he does it and why. 3. Teachers should report difficult children quite as readily as children backward in their school work. 4. Food fads are due to bad parentage. 38 REPORT OF THE ORTHOPAEDIC CLINIC. Orthopaedic Clinic, Faircross School, Barking, Essex. To the School Medical Officer. The Orthopaedic Clinic this year has shown a slight increase in numbers, particularly in children under school age. The numbers are as follows:— School Children. Under School Age. |
a5cd283c-e9ca-49a3-8a2c-59340ff529d7 | Primary Examinations 28 27 Re-examinations 145 86 ,The findings of my primary examinations are as follows:— SCHOOL CHILDREN. 1. Deformities—Bones and Joints— (a) Congenital— (i) Shoemaker's Chest 1 (b) Acquired— (i) Fractures 4 (ii) Arthritis 2 (iii) Genu Valgum 4 (iv) Tubercle of Spine 1 2. Muscular Deformities— (a) Congenital— (i) Torticollis 1 (ii) Scoliosis 1 (b) Acquired— (i) Pes Piano Valgus 7 (ii) Kyphosis .. 5 (iii) Kypho-Lordosis 3 (iv) Injury to Ankle 1 39 3. |
998156a0-180a-4b55-ac73-84c5d05d87b1 | Paralysis— (a) Acquired— (i) Anterior Poliomyelitis 1 (ii) Encephalo-myelitis 1 CHILDREN UNDER SCHOOL AGE. 1. Deformities—Bones and Joints— (a) Congenital— (i) Digits of Hand 1 (b) Acquired— (i) Genu Valgum 3 (ii) Genu Varum 1 (iii) Hallux Valgus 1 (iv) Digitis Varus 1 (v) Bow Legs 1 2. Muscular Deformities— (a) Congenital— (i) Torticollis 3 (ii) Talipes 4 (iii) Subluxation of Shoulder Joints . 1 (iv) Lower Limb, short and small 1 (v) Outward Rotation of Humerus 1 (b) Acquired— (i) Pes Piano-Valgus 6 (ii) Abnormal Gait _ . |
3f5f846c-b1d5-414d-9fd9-dfeb8f03c2c9 | 1 3. Paralysis— (a) Congenital— (i) Spastic Hemiplegia 1 (ii) Spastic Diplegia 1 (iii) Erb's 1 (b) Acquired— (i) Paresis of Neck Muscles 1 40 During the year six school children and two children under school age were admitted to hospital. |
1f8b8a0b-fc36-47ac-b748-b35265296e8b | The following operations have been carried out:— (a) School Children— (i) Sliding osteotomy ulna 1 (ii) Cuneiform osteotomy femur tion of recurvatum and varum deformities) 1 (iii) Tarsectomy 1 (iv) Open elongation Tendo Achilles 4 (v) Stoffel's operation—median nerve (Hemiplegia) 1 (vi) Manipulation of foot and plaster splint 1 (vii) Plaster bed for scoliosis 10 (b) Children under School Age— (i) Tenotomy Tendo Achilles 1 (ii) Manipulation and Plaster Splint rection of equinus) 1 (iii) Skin grafts for webbed hand 1 (iv) Tenotomy sterno mastoid (Torticollis) 1 4 Total 14 The special features of this year's work are the successful results of the operations performed, particularly the case of torticollis under school age, |
b410b516-6229-491d-acb1-734a40ad0466 | and the treatment of club foot at an early age. B. WHITCHURCH HOWELL, F.R.C.S. 41 REPORT OF DENTAL SURGEON. To the Medical Officer of Health, Barking, Essex. From the Public Dental Officer, Barking, Essex. Sir, I have the honour to submit the annual report of the School Dental Services for the year ended 31st December, 1929. The control of the Dental Clinic during this period has been handed over on three occasions, Mr. Spencer Smythe resigning his appointment in August, 1929; a locum tenens maintaining service until November, 1929, when the present Dental Officer took over duties. In spite of these changes, the amount of work accomplished has not decreased in comparison with other years. A more intelligent acceptance by parents of the importance of dental treatment for children is a notable feature of the year's work. |
9c000cca-bc68-4f49-9a1c-3fb89d9086e4 | If a child requiring attention is accompanied by a parent, not only is advice given and accepted, but also reasons given for the treatment necessary in each case, a procedure which results in any objection on the part of the parent being voluntarily withdrawn. In this matter full credit must be given to the nursing and visiting staffs and also to the teaching staff for their excellent co-operation in matters relative to oral health. Dental education in Barking over a number of years has shown a markedly favourable result, a result that is both gratifying and stimulating, but by no means representing the full possibilities of what can be accomplished with every circumstance favourably inclined. The percentage of extractions to the number of teeth examined is a fair basis upon which to judge the dental health of a community, and more particularly is this to be applied to the permanent teeth. A child leaving school and retaining in sound condition and correct position all the permanent teeth that may have erupted, can be classed as orally healthy. |
e755a6cd-d087-40f1-9932-cfa1fcb3b0e7 | At the present stage of Dental education in England it is not reasonable to expect a majority percentage of such cases but there is every indication of a progressively increasing number each year, and it is such a result that the professional staff of your Dental Clinic desire to attain. Considerable handicap must be encountered by the indifference of the child to oral cleanliness, the equal 42 indifference of many parents, and social difficulties such as the control of diet and environment. Dental caries is very prevalent among school children of the present day, but it should be remembered that most cases of decay, if treated in time, will mean saving a tooth which, if left without skilled treatment is surely doomed to extraction. If the case is one involving a permanent tooth there is no natural replacement, and if a temporary tooth then a detrimental effect upon the permanent teeth is usually resultant. A happv feature of the work for the year in Barking is the increase in the number of permanent fillings. |
49dd0232-3423-4219-991b-0eed0ad41755 | It cannot be too strongly urged that the wholesale sacrifice of permanent teeth does not prove that a service is an economic or a professional success, and obviously only permanent teeth that present at the time of their examination a menace to the health and comfort of the patient should be removed. *! During the latter part of the year many cases of misplaced teeth and mal-developed jaws have been inspected. In the past it has been customary to refer such cases to the London Hospital. Such procedure is contra-indicated for the following reasons:— 1. Travelling expenses are incurred by the parents while the patient attends the hospital on the numerous visits necessary for each case. 2. Loss of school time. 3 Adequate treatment can be carried out at the Clinic where the patient can be constantly under observation with greater convenience. I have to report that several cases are now under treatment and show satisfactory progress. |
f04d3018-ca6f-4791-9837-10748d50f365 | Jaw malformation and misplacement of teeth can be the result of many different causes, most of which are preventable by proper parental control and supervision of the child. 43 The common causes are :— 1. Too early extraction of temporary teeth due to decay, the decay itself being due to insufficient care of the child's teeth at an early age, or to injudicious diet. 2. A badly chosen diet insufficient in vitamins and mostly of a soft nature, a condition which does not give exercise to the jaw bones by not demanding vigorous chewing. 3. Mouth breathing, due to nasal obstruction or habit. One is tempted to say that in such cases not only is there a retarded oral development but also a retarded mental development. 4. Finger and thumb sucking, and that most pernicious of unsanitary childish habits—dummy sucking. |
d86377b8-2d26-4692-88e3-e749447e9230 | It is to be noted that malformation of the jaws and misplacement of the teeth are more noticeable among children of comfortably placed parents, especially when there is an only child, than among children of large families in less fortunate social surroundings. Usually the single child is somewhat spoiled in the matter of desires and objections. The diet of the child is considered more for its tastiness than for its utility, and the habit of eating some sweet delicacy between meals is encouraged. Retarded development usually results. The poorer and more numerous family eat what they can get, when they can get it, usually hard tack, and development is more primitive, less refined and more strongly aggressive. The prevention of dental disease is simple. Natural foods, correctly cooked where necessary, and well chewed, and cleanly teeth at night before bed. If sweets are given at all, the old-fashioned barley sugar is best, but preferably children should be encouraged to eat .sound fruit and plenty of it. |
01a1815f-2e3a-4c0d-b9e8-049eb4af5b5e | The ideal scheme of Dental treatment in Barking should permit the examination of each school child at least once a year, and the complete establishment of sound mouths by dental surgery of all those cases needing treatment. Regrettably this, has not been 44 possible in Barking for some years, due to the large number of children to be examined and to be treated. With the annual increase in the school-child population of the district the position becomes progressively difficult, and at present although all school children are examined and treatment completed, the period between two examinations is approximately fifteen months. Thus instead of a child receiving the opportunity of treatment every twelve months, thre? very serious months are added, serious inasmuch as they are prolonging the period in which dental disease may occur and thrive. It is hoped that the publicity given these comments in your report may form useful propaganda. I am Sir, Your obedient Servant, W. H. FOY, L.D.S., R.C.S. (Eng.), Public Dental Officer. |
596a84de-6fbd-4457-b361-bee45f8b9167 | 45 SCHOOL MEDICAL SERVICE. TABLE I.—RETURN OF MEDICAL INSPECTIONS. A.—Routine Medbal Inspections. Number of Code Group Inspections: Entrants 914 Intermediates 958 Leavers 572 Total 2444 Number of other Routine Inspections 339 B.—Other Inspections. Number of Special Inspections 162 Number of Re-inspections 1452 Total 1614 46 TABLE II.—A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1929. Defect or Disease. Routine Inspections. Special Inspections. No. of Defects. No. of Defects. Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment. (1) (2) (3) (4) (5) Malnutrition 13 26 1 - |
9ac792e2-8449-4f3c-bf36-d8a68fd43d02 | Uncleanliness 1 — — - Skin Ringworm—Scalp — 2 — 1 Body — — — - Scabies — — — - Impetigo 3 1 3 1 Other Diseases (NonT uberculoua) 3 1 2 - Eye Blepheritis 4 1 3 - Conjunctivitis — 1 1 - Keratitis — — 1 - Corneal Opacities — — — - Defective Vision (excluding Squint) 106 48 22 2 Squint 8 5 2 1 Other Conditions 1 — 1 — Ear Defective Hearing 1 3 1 — Otitis Media 6 4 6 — Other Ear Disease — — — — Nose and Throat Enlarged Tonsils only 97 161 9 6 Adenoids only 3 9 — 2 Enlarged Tonsils and Adenoids 78 87 4 3 Other Conditions 4 4 7 |
a99136fe-5e98-40e1-ad77-f399c14b7526 | 4 Enlarged Cervical Glands (NonT.B.) 1 73 - 6 Defective Speech — 3 2 4 Teeth—Dental Disease (See Table IV., Group IV.) 115 (f ound, not referred). Heart and Circulation. Heart Disease: Organic — 22 — — Functional — 53 — 12 Anæmia 12 11 - 1 Lungs Bronchitis 7 44 - 2 Other Non-Tuberculous Diseases 1 8 — — 47 TABLE II.—Continued. Defect or Disease. Routine Inspections. Special Inspections No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment. |
68df02ab-9e73-4c8c-9c9a-c383c082cda7 | (1) (2) (3) (4) (5) Tuberculosis Pulmonary : Definite — — — - Suspected — 5 — 1 Non-Pulmonary : Glands 1 3 — 1 Spine — — — 1 Hip — — — - Other Bones and Joints - - - - Skin — — — - Other Forms — 1 — - Nervous System Epilepsy — 2 1 - Chorea 3 1 - - .Other Conditions — 2 — 1 Deformities Rickets 1 2 — - Spinal 1 3 — - Other Forms 6 13 1 1 Other Defects and Diseases 6 41 3 23 48 (B.)—Number of Individual Children FOUND AT Routine MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DISEASES). Group. Number of Children. Percentage of Children found to require treatment. Inspected. |
38b2e9d3-facb-4366-9e1c-67975333347b | Found to require treatment CODE GROUPS : Entrants 914 129 14.1 Intermediates 958 156 16.3 Leavers 572 76 13.3 Total (Code Groups) 2,444 361 14.8 Other Routine Inspections 339 14 4.1 49 table iii.—return of all exceptional children in the area. Boys. Girls. Total. Blind (including partially blind.) (I.) Suitable for training in a School or Class for the totally blind. Attending Certified Schools or Classes for the Blind - - - Attending Public Elementary Schools - - - At other Institutions - — - At no School or Institution - — - (II.) Suitable for training in a School or Class for the partially blind. |
42e2b7bd-92bb-4e4d-a8c1-1a8e4f731f40 | Attending Certified Schools or Classes for the Blind - 2 2 Attending Public Elementary Schools 1 - 1 At other Institutions - — — At no School or Institution - — — Deal (including deaf and dumb and partially deaf.) (I.) Suitable for training in a School or Class for the totally deaf or deaf and dumb. Attending Certified Schools or Classes for the Deaf 3 3 6 Attending Public Elementary Schools - - - At other Institutions — — — At no School or Institution 1 - 1 (II.) Suitable for training in a School or Class for partially deaf. Attending Certified Schools or Classes for the Deaf - - - Attending Public Elementary Schools - - - At other Institutions — — — At no School or Institution - — — Mentally Defective Feeble Minded cases not notifiable to the Local Control Authority. |
5b8376d6-63fc-4b9d-a40e-ac2f4a12f82b | Attending Certified Schools for Mentally Defective Children 22 24 40 Attending Public Elementary Schools - - - At other Institutions — — — At no School or Institution — — — Notified to the Local Control Authority during the year. Feeble minded 1 2 3 Imbeciles — — — Idiots Epilepsy. Suffering from severe Epilepsy. Attending Certified Special Schools for Epileptics 1 1 2 In Institutions other than Certified Special Schools - - - Attending Public Elementary Schools - - - At no School or Institution — — — Suffering from Epilepsy which is not severe. Attending Public Elementary Schools 2 4 6 At no School or Institution - - - 50 TABLE III.—continued. Boys. Girls. Total. Infectious pulmonary and glandular Tuberculosis. |
c0451c4b-3140-4510-9202-c28aef76cbe1 | At Sanatoria or Sanatorium Schools approved by the Ministry of Health or the Board of Education 1 - 1 At other Institutions - 2 2 At no School or Institution - - - Non-infectious, but active pulmonary and glandular tuberculosis. At Sanatoria or Sanatorium Schools approved by the Ministry of Health or the Board of Education - 1 1 At Certified Residential Open Air Schools - - - At Certified Day Open Air Schools - - - At Public Elementary Schools - — — At other Institutions - — — At no School or Institution - - - Physically Defective. Delicate children (e.g., preor latent tuberculosis, malnutrition debility, anaemia, etc.) At Certified Residential Open Air Schools - - - At Certified Day Open Air Schools 52 71 123 At Public Elementary Schools 7 5 12 At other Institutions - - - At no School or Institution — - — Active non-pulmonary tuberculosis. |
1a96e05d-f501-4032-9c80-d4c4c62c2937 | At Sanatoria or Hospital Schools approved by the Ministry of Health or the Board of Education 2 - 2 At Public Elementary Schools — - — At other Institutions — - — At no School or Institution — - - Crippled Children (other than those with active tuberculous disease), e.g., children suffering from paralysis, etc. jand including those with severe heart disease. At Certified Hospital Schools - - - At Certified Residential Cripple Schools - - - At Certified Day Cripple Schools 21 15 36 At Public Elementary Schools - - - At other Institutions — 1 1 At no School or Institution - - - 51 TABLE IV.—TREATMENT TABLE. Group I.—Minor Ailments (excluding Uncleanliness, for which see Group V.). Disease or Defect. Number of Defects treated, or under treatment during the year. Under the Authority's Scheme. Otherwise. Total. |
a4a633df-647a-4e10-a572-622dd48c7f58 | Skin:— Ringworm—Scalp 17 — 17 Body 29 — 29 Scabies 7 — 7 Impetigo 306 2 308 Other Skin Diseases 47 5 52 Minor Eye Defects (Externa] and other, but excluding cases falling in Group II.) 70 5 75 Minor Ear Defects 121 2 123 Miscellaneous (e.g., minor injuries, bruises, sores, chilblains, etc.). 1542 - 1542 Total 2139 14 2153 52 Group II.—Defective Vision and Squint (excluding Minor Eye Defects Treated as Minor Ailments—Group I.) Defect or Disease. Under Authority's Scheme. Number of defects dealt with. Submitted to refraction by private practitioner or at hospital apart from the Authority's Scheme. Ouierwise Total. |
4931c101-df11-4a8b-9910-1e81dc2b4d84 | (1) (2) (3) (4) (5) Errors of Refraction (including Squint) 103 42 - 145 Other Defects or Diseases of the eyes (excluding those recorded in Group I.) - - - — Total 103 42 - 145 Total number of children for whom spectacles were prescribed :— (a) Under the Authority's Scheme 103 (b) Otherwise 40 Total number of children who obtained or received spectables :— (a) Under the Authority's Scheme 98 (b) Otherwise 40 Group III.—Treatment of Defects of Nose and Throat. NUMBER OF DEFECTS. Received Operative Treatment. Received other forms of treatment. Total number treated. Under the Authority's Scheme, in Clinic or Hospital. By Private Practitioner or Hospital, apart from the Authority's Scheme. Total. |
93f5ab3b-9a7e-4c1b-b3fc-9b772c318d12 | (1) (2) (3) (4) (5) 189 16 205 23 228 53 GROUP IV.—Dental Defects. (1) Number of Children who were :— (a) Inspected by the Dentist. |
e0431d2e-37eb-4ba8-931d-d0facee402d3 | Routine Age Groups— Age 3 — 4 7 5 330 6 634 7 602 8 788 9 958 10 725 11 526 12 553 13 600 14 411 15 108 Special 13 Total 6255 (b) Found to require treatment 4153 (c) Actually treated 2997 (d) Re-treated (included in (c))2046 (2) Half-days devoted to Inspection 37 Treatment 356 Total 393 (3) Attendances made by children for Treatment 2997 (4) Fillings—Permanent Teeth 1063 Temporary Teeth 452 Total 1515 t (5) Extractions—Permanent Teeth 424 Temporary Teeth 4205 Total 4629 (6) Administrations of General Anaesthetics for Extractions 1058 (7) Other Operations—Permanent Teeth Temporary Teeth 304 54 GROUP V.—Uncleanliness and Verminous Conditions. |
0959bde5-b1a0-4b06-a068-31fe693fca28 | (i) Average number of visits per school made during the year by the School Nurse 3 (ii) Total number of examinations of children in the schools by School Nurses 16588 (iii) Number of individual children found unclean 1394 (iv) Number of children cleansed under arrangements made by the Local Education Authority 36 (v) Number of cases in which legal proceedings were taken :— (a) Under the Education Act, 1921 — (b) Under School Attendance Bye-laws — |
38025b1a-718c-4f75-9a62-48b4c9328bfe | BARK24 Borough of Barking REPORT OF THE MEDICAL OFFICER OF HEALTH For the Year 19301 C. LEONARD WILLIAMS, B.Sc. Hons. (Lond.) M.R.C.S. (Eng.) D.P.H. (Camb.) L.R.b.P. 2 TABLE OF CONTENTS Page STAFF 8 INTRODUCTION 9 SECTION I.—STATISTICS AND SOCIAL CONDITIONS OF THE AREA. Age Mortality 13 Asbestosis 19,20 Births 10.11.12. 17 Births, Notifications 17 Deaths 10,16 Deaths, Causes of. |
9a6a8b51-a465-4a08-a62e-587d717c5f67 | (Tables) 14, 15, 16 Diphtheria 20 General Statistics 10 Illegitimate Births 17 Industries17,18 Infantile Mortality 10,11,12 Infantile Mortality (Table) 16 Inquests 14 Marriages 17 Overcrowding 20 Poisonous.Gas 20 Postal Arrangements 18 Psittacosis 18,19 Rheumatic Affections ??? Sickness, Causes of 18, 19. 20 Smallpox 20 Social Conditions 17, 18 Stillbirths 10,17 Transport 19 Vaccination 20 Vital Statistics 10,11.12 Zymotic Diseases, Deaths from 14 SECTION 2.—GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Adoptive Acts 24 Ambulance Attendant 98 Ambulance Facilities 33 Bye-laws 25 Clinic and Treatment Centres 34,35,36 Counties' Laboratory 23,24 Homeless Children, Institutional provision for 32, |
0ad2f8d4-1c32-4f5a-ad89-053fd72b7da8 | 33 Hospital Services 21,26,31 Hospital Services, Tables of 27,30 3 SECTION 2—Continued Page Infectious Diseases Nursing 21 Illegitimate Infants, Institutional provision for 32, 33 Investigation Department 37, 38 Joyce Green Hospital 26 King George V Hospital 21,31 Laboratory Facilities 23, 24 Legislation Relating to Public Health 24, 25 Local Acts 24 Local Government Act, 1929 37, 38 Maternal Mortality 32 Maternity Cases 22 Maternity Homes 31 Maternity Ward, Municipal Hospital 22, 26, 31 Mental Defectives, Institutional provision for 33 Midwifery 21,22 Midwives, Supervision of 22 Municipal Hospital 26 National Health Insurance 22, 23 Nursing Homes 31 Nursing in the Home 21 Oldchurch Hospital 23 Plaistow Maternity Charity 21,22,32 Poor Law Medical Out-Relief 23 Private Medical Practitioners, |
0fc80390-13ea-41df-941d-3afb3ab07684 | Co-operation of 22,23 Public Assistance Committee 37,38 Public Hospital Services 27-30 Puerperal Fever and Pyrexia 32 Regulations 24 Smallpox Hospital Arrangements 26 Special Acts and Orders 25 Specimens submitted to Laboratory for Examination 23 Unmarried Mothers, Institutional provision for 32, 33 Voluntary Hospitals. Co-ordination with 31 Voluntary Hospital Services 27-30 SECTION 3—SANITARY CIRCUMSTANCES OF THE AREA. Cesspools 41, 42 Closet Accommodation 41, 42, 45 Common Lodging Houses 51 Counties' Laboratory 39 Creekmouth Generating Station 50, 51 Dampness 45 Defects found under the Factory and Workshops Act, 1901 48 Drainage and Sewerage 41,42,45,54 Dustbin Maintenance 42, 46 Dwelling Houses, |
283ae285-6ef1-436a-8a4a-b5f437f1229d | Inspection of 43 Essex Sewers Commissioners 40 4 SECTION 3—Continued Page Factories, Inspection of 44,47 Factory and Workshops Act, 1901 47-41 Fouling by Dogs 43 Home Work 48 Houses Let in Lodgings 51 Miscellaneous Sanitary Inspections 44 Miscellaneous Sanitary Work carried out 46 Northern Outfall Sewage Works 41 Notices Served 47 Offensive Trades 52 Out-workers 49 Pail Closets 41 Parks and Open Spaces 53 Piggeries 52 Port of London Authority 41 Premises Controlled by Bye-laws and Regulations 44 Premises and Occupations controlled by Bye-laws and Regulations 51, 52 Privies 41 Rag Flock Acts, 1911 and 1928 54 Rainfall 41 Refuse Disposal 43 Refuse Storage and Collection 42 Refuse Tips 52 Registered Workshops 49 Rent Restriction Act 51 Repairs, General 46 Rivers and Streams 40, |
a48257f3-7c3d-4caf-aa6b-a1ce6a73f0e8 | 41 Sanitary Inspection of the Area 43-49 Sanitary Work, Summary of 45, 46, 48 Scavenging 42,43 Schools 53, 54 School Closure and Exclusion of Scholars 54 Schools, Drinking Fountains 53 Schools, Drying Facilities 53 Schools, Sanitary Inspection of 53, 54 Sinks 45 Smoke Abatement 50, 51 Stables 52 Stour Water Supply Scheme 39, 40 Street Cleansing 43 Tents, Vans and Sheds 51 Trade Refuse 43 Underground Sleeping-rooms 51 Water Supply 39, 40, 45 Workplaces, Inspection of 44,47 Workshops, Inspection of 44,47 Yard Paving 46 5 SECTION 4— HOUSING. Page Closet Accommodation . . . . . . 62 Closing and Demolition Orders . . . . 51,57 Fitness of Houses . . . . . . 61, 62 Food Storage Accommodation . |
dddf0359-7963-487a-b956-85a7d0726c27 | . . . . 62 Houses Built in the District, 1926—1930 . . . 60,61 Houses Erected during the Year . . . . . 55 Housing Conditions . . . . . . . 57-62 Housing Defects Remedied . . . . . 56, 61, 62 Housing Inspections . . . . . . . 55 Housing Statistics . . . . . . . 55-62 Housing Supply and Demand . . . . .59-61 Inhabited Houses, Number of . . . . . 57 Land, Reclamation of . . . . . . 60 Proceedings under Public Health Acts . . . . 56 Proceedings under Sections 11, 14 and 15 of the Housing Act, 1925 57 Proceedings under Section 17 of the Housing Act 1930 . . 56 Proceedings under Section 19 of the Housing Act, 1930 . . 57 Shed Structures . . . . . . 58, |
2a6dcd3b-2d5c-42cb-9638-b413a154498e | 59 Slum Clearance Programme . . . . . . 62 Small Dwellings Acquisition Act . . . . . 57 Unfit Dwelling Houses . . . . . . 55 Unhealthy Areas . . . . . . . 62 Water Supply . . . . . . . 62 SECTION 5—INSPECTION AND SUPERVISION OF FOOD. Adulteration of Food .. .. .. .. .. 67, 68 Animals Slaughtered .. .. .. .. .. .. .. 65 Bacteriological Examination of Ice Cream .. .. .. .. 67 Bacteriological Examination of Milk .. .. .. 03, 64 Bottl-ng of Milk .. .. .. .. .. .. .. 64 Chemical Examination of Food .. .. .. .. .. 68 Diseased Meat Destroyed .. .. .. .. .. .«. |
721e9f7e-febb-4040-a3e3-3435aed3f68d | 65 Food and Drugs (Adulteration) Act, 1928 .. .. 67, 68 Foodstuffs Legislation .. .. .. .. .. .. 66, 67 Graded Milk Licences Granted .. .. .. .. .. 64 Ice Cream • .. .. .. .. .. .. .. 66, 67 Meat and Other Foods .. .. .. .. .. .. 64-68 Milk (Special Designations) Order, 1923 .. .. .. 63, 64 Milk Supply .. .. .. .. .. .. .. 63, 64 Nutrition .. .. .. .. .. .. .. 68, 69 4 Prosecutions .. .. .. .. .. .. .. 64, 68 Slaughter-houses .. .. .. .. .. .. .. 64 Tuberculous Milk .. .. .. .. .. .. 63,64 Unsound Food Destroyed .. .. .. .. .. .. 68 SECTION 6—PREVALENCE OF AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. |
05316c34-813d-4a9c-8057-c7781ec03efa | * Admissions to Isolation Hospital (Table) .. .. .. .. 91 6 SECTION 6—Continued. Page "After-care" of Tuberculosis 83 Asbestosis 90 Boots for the Bairns 86 Cancer 88 Cancer, Occupations of Fatal Cases (Table) 89 Chickenpox 85 Compulsory Segregation of Tuberculous Persons 78 Diphtheria 75,92 Diphtheria Notifications (Monthly Summary Table) 75 Diseases Notifiable 72 Dysentery 76 Encephalitis Lethargica 78 Enteric Fever 85 Erysipelas 85 Hospital Accommodation for Infectious Diseases 91, 92 Houses for Tuberculous Patients 83, 84 Infectious Diseases 71-90 Infectious Diseases (Tables) 71, 73-75,79 Influenza 88-90 Isolation Hospital 91, 92 London Fever Hospital 91 Malaria 76 Measles 85, 86, |
36d5641f-4c2a-44a4-a4c8-3cd2c6effbd4 | 92 Mosquitoes 94 Natural History Society 94 Non-notifiable Acute Infectious Diseases 85-90 Notifiable Infectious Diseases 71-85 Notifications classified according to Wards (Table) 73, 74 Pathological Specimens, Examination of 92 Pneumonia 76, 88 Psittacosis 87 Puerperal Fever and Pyrexia 76, 85 Rats 93 Rheumatic Fever 86 Scarlet Fever 76, 86, 92 Scarlet Fever Notifications (Monthly Summary Table) 75 Schick and Dick Tests . . . . . . 92 School Intimations of Disease . . . . . 86 Section 62, Public Health (Prevention of Tuberculosis) Regulations, 1925 . . . . . . . . 7» Smallpox . . . . . . . 77, 92, 93 Summer Diarrhoea . . . . . . . 35 Tuberculosis . . . . . . . . |
011373f9-ebcd-40e2-8d2f-10f0621d30da | 78-85 Tuberculosis Dispensary . . . . . . "9 Tuberculosis Register . . . . . . 84, »5 Tuberculosis Service in Barking . . . . . 80-8.1 Unnotified Fatal Cases of Tuberculosis . . . . 7 SECTION 6—Continued Page Vaccination 92 Verminous Persons, Cleansing and Disinfection of 93 Whooping Cough 85, 86 SECTION 7—MATERNITY AND CHILD WELFARE. Ante-Natal Clinics 97 Artificial Sunlight Clinic 108,109 Baths for Expectant Mothers 09 Birth Notifications 96, 97 Birth Rate 97 Children Act, 1908, Part I 104 Convalescent Treatment 103 Dental Clinic 106, 107, 111-113 Dental Treatment 103, 106, 107, 111-113 Eye Defects 104 Facilities for Treatment 103. |
4f484037-404c-49d4-863a-7fc7f8b3d612 | 104 Foster Children 104 General Practice and the Clinic System 95, 96 Health Visitors, Work of 102, 103 Illegitimacy 106 Infantile Mortality 104-106 Infantile Mortality, Years 1891-1930 (Table) 105 Infant Welfare Clinics, Work of 102 Maternal Mortality 99, 100 Maternal Mortality, Years 1926-1930 99 Maternity Ward. Municipal Hospital 97-99 Meals to Expectant and Nursing Mothers 109 Minor Ailments 103 Neo-Natal Mortality 100 Non-Notified Births 96 Ophthalmia Neonatorum 98, 101,102 Ophthalmia Neonatorum (Table) 102 Orthopaedic Clinic 107 Orthopaedic Treatment 103,107,108 Plaistow Maternity Charity 97 Provision of Dried Milk, etc. |
2f96ebcb-5a13-4505-942c-3a96d8491b57 | 110 Provision of Fresh Milk 109 Puerperal Fever and Pyrexia 98, 99 Registration and Notification of Births 96, 97 Report of the Dental Surgeon 111-113 St.Alban's Clinic 95 Still Births 101 Toddler's Refraction Clinic 104 Tonsils and Adenoids 103 SCHOOL MEDICAL SERVICE. Table of Contents will be found on pages 116-117 8 STAFF, 1930. Medical Officer of Health, School Medical Officer, Medical Superintendent, Isolation Hospital, and District Tuberculosis Officer. C. LEONARD WILLIAMS. B.Sc. Hons. (Lond.) M.RC.S (Eng) D P.H. (Cambs.) Asst. Medical Officers of Health and Asst. |
c390ac24-f5fe-4c71-b8fa-1c75bb86f8f3 | School Medical Officers: J. GWEN BEVAN, B.Sc., M.R.C.S.. L.R.C P HILDA C. DEAN, M B., B.S., M.R.C.S., L.R.C.P.. D.P.H. Orthopaedic Surgeon (Part Time): B. WHITCHURCH HOWELL M.B.B.S.. F.R.C.S Denial Surgeon: W. H. FOY, I.D.S., R.C.S (Eng.). Sanitary Inspectors : N. BASTABLE (Chief Sanitary Inspector) (b. c, d and: H CARR (Sanitary Inspector) (b, c, e and m). C. S. COOK (Sanitary Inspector) (b and c). Health Visitors : MRS. G. STOKES (g and i). MRS. M. W. WALTON (a. h and I). MISS G. ELLIOTT (a. h and 1). |
c5c33ab4-f473-47d0-b8b3-bb8d3240bfb4 | MISS E. M. CROSS (g, h and i). Matron, Isolation Hospital : MISS M. J. HEDGCOCK (h. i and j). Masseuse, Orthopaedic Clinic (Part Time) . MISS A. E. FINDLAY, C.S.M.M.G. (k). Clerical Staff. Chief clerk: E. W. HII.L (Resigned February, 1930). Clerk: F.READ (Comraenetd June, 1930). D. G. TONKIN. MISS V. SHEAD. MISS H. NUNN MISS H. KING. A. J. STOKER. Disinfector and Mortuary Attendant: H. LONG. (a) Sanitary Inspector's certificate of Sanitary Inspectors' Examination Board. (b) Sanitary Inspector's certificate of Royal Sanitary Institute. (c) Meat, etc.. Inspector's certificate of Royal Sanitary Institute. |
6fc5b853-28d1-4cfb-aede-3048767f7eb9 | (d) Smoke Inspector's Certificate of Koyal Sanitary Institute. (e) Building Inspector's certificate of Worshipful Company of Carpenters. (f) Sanitary Science Certificate of Royal Sanitary Institute. (g) Health Visitor's certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives' Board. (i) General Hospital Training. (j) General Fever Training. (k) Certificate M.E. and S.R.E. (1) Health Visitor's Diploma of Board of Education. (m) Smoke Inspector's Certificate, L.C.C. School of Engineering. 9 ANNUAL REPORT OF THE Medical Officer of Health for the Urban District of Barking Town, in the County of Essex, for the Year ended 31st December, 1930. Public Health Offices, Barking, Essex. June, 1931. To the Chairman and Members of the Urban District Council of Barking Town. Mr. Chairman, Mrs. |
c8aa2f22-4d01-4b37-8309-1e4dc28d7e40 | Jackson and Gentlemen, Herewith I beg to submit for your favourable consideration my Report as Medical Officer of Health for the year ended December 31st, 1930. This Report is drawn up in accordance with Circular 1119, 1930, from the Ministry of Health. The Annual Report for the year 1930 is not a special Survey Report within the meaning of the Regulations of the Ministry of Health, but it does, in accordance with the requirements of the Ministry, contain information on certain matters in more detail than has been given in the Reports for the last four years. • I am, Mr. Chairman, Mrs. Jackson and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, Medical Officer of Health. 10 SECTION 1. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. 1. General Statistics. Area (acres) 4,106 Ward areas 3,808 Tidal Water H.W.M. |
0b21c0f2-e505-4090-a2a5-281294a16f65 | Thames 240 Roding 58 Loxford Water 2 300 4,106 Population (1921, Census) 35,523 Population (June, 1929) (Registrar General's estimate) 42,169 Population (June, 1930) (Estimated) 45,000 Number of inhabited houses (1921 Census) 6,762 Number of inhabited houses, March, 1931, according to Rate Books 10,941 Number of Families or separate occupiers (1921 Census) 7,594 Population Density, i.e. No. of persons per acre 10.9 Rateable Value—General £419,003 0 0 Sum represented by a penny rate £1,538 16 9 Education rates:— Elementary | Included in General Rate Figure 3 4 Secondary 6½ General Rate 14 4 2. Extracts from Vital Statistics for the Year. Live Births:— Total. Males. Females. |
08f490ad-25a8-4c57-b9a1-db7fba054e11 | Birth Rata. Legitimate 777 399 378 17.3 Illegitimate 22 15 7 0.5 Total 799 414 385 17.8 Still Births Rate per 1,000 total births:— Legitimate 33 18 15 39.7 Illegitimate — — — Deaths 435 218 217 Death Rate 9.7 Standard Death Rate (Factor 1.049) 10.2 Percentage of total deaths occurring in public institutions, 27.8 Number of women dying in, or in consequence of, childbirth:— From Sepsis. From other causes. Total. 0 3 3 Number of deaths of infants under one year of age :— Total Infantils Death Death Males. Females. Total. Rate. |
dce465f1-c92c-4457-a0b9-3a6f1a61a4f4 | Rate Legitimate 23 23 46 59.2 61.3 Illegitimate 1 2 3 136.4 Number of deaths from Measles (all ages) " ,, ,, Whooping Cough (all age3) „ „ Diarrhoea (under 2 years of age *The estimated population at June, 1930, has been taken for the purpose of arriving at the Vital Statistics, in accordance with-Circular 1119, of the Ministry of Health, dated 18th June, 1930. THE YEAR. Birth Kate per 1,000 Total Population. Annual Death Rate per 1,000 Population. Kate per 1,000 Births. Percentage of Total Deaths. All Causes. Enteric Fever. Small Pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under Two years). |
d6e9687b-0ab1-464d-a6ef-7b9bd4b42ef9 | Total Deaths under One year. Causes of Deaths Cer. tified by Registered Medical Practitioners Inquest Cases. Certified by Coroner after P.M. No Inquest. Uncertified Causes of Death. England and Wales 16.3 11.4 0.01 0.00 0.10 0.02 0.05 0.09 0.12 0.55 6.0 60 90.4 6.9 1.7 1.0 107 County Boroughs and Great Towns including London 16.0 11.5 0.01 0.00 0.15 0.02 O.Ou 0.10 0.1 1 0.50 8.3 64 90.6 6.6 2.3 0.5 169 Smaller Towns (1921 Adjusted Populations 20,00050,000) 16. |
1aa416ff-f225-44f1-b84e-7fd1b787697d | 2 10.5 0.00 0.00 0.08 0.01 0.05 0.07 0.13 0.43 4.4 55 91.8 5.9 1.2 1.1 London 15.7 11.4 0.01 0.00 0.2:5 0.02 0.03 0.10 0.08 0.55 9.9 59 88.3 7.4 4.3 0.0 BARKING 17.8 9.7 0.00 0.00 0.42 0.04 0.04 0.29 0.00 0.60 8.76 61 86.6 8.3 4.8 0.04 4. VITAL STATISTICS OF WHOLE DISTRICT FROM 1924 to 1930. Year. |
9bab8f37-84c2-4398-8375-918229e36f8f | Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths Nett Deaths belonging to the District. Nett. Number. Rate. Of Nonresidents registered in the District. Of residents registered out of the District. Under One year of age. At all Ages. Number. Rate. Number. Rate per 1,000 Nett Births. Number Rate. 1 2 3 4 5 6 7 8 9 10 11 12 1924 37,890 846 22.3 273 7.2 3 109 72 85.1 379 10.0 1925 38.450 825 21.4 287 7.4 8 107 66 80.0 386 10.0 1926 38,920 818 21.0 259 6. |
5964c8b5-550a-40e5-838f-9710ff760323 | 6 11 118 49 59.9 366 9.4 1927 39,900 710 17.7 251 6.2 7 162 47 66.1 406 10.1 1928 40,870 805 19.7 276 6.7 6 144 51 63.3 414 10.1 1929 42,160 781 18.7 291 6.9 8 152 42 53.4 435 10.3 1930 45,000 799 17.75 250 186 7 186 49 61.3 435 9.7 13 5. DEATHS (a) General.—There were 256 deaths registered in Barking in J 930. Of these 7 were deaths of non-residents. Barking residents to the number of 186 died elsewhere during the year. |
274823db-35c3-4fea-abda-d7743aa2123f | Including the latter and excluding the deaths of visitors, the net number of deaths was as follows:— Males. Females Total 218 217 435 The death rate for 1930 was 9.7 per 1,000, compared with 10.3 in 1929, 11.4 for England and Wales, 11.5 for the hundred and seven Great Towns, 10.5 for the hundred and fifty-nine Smaller Towns, and 11.4 for London. (6) Age Mortality.—The deaths in various age groups, according to the figures obtained locally, were as follows:— Age Group. No. of Deaths. |
82a31436-35ba-4ed3-a425-811ff645c642 | Under 1 year 49 1- to 2 years 16 2 to 6 years 15 5 to 15 years 24 15 to 2o years 29 25 to 45 years 55 45 to 65 years 101 Over 65 years 147 14 (c) Causes of death in 1930.—The table on page 15 shows the principal causes of death at various ages. Those diseases, etc. causing most deaths or important from a Public Health a spec! were as follows :— Disease. No. of Deaths. Percentage of total net deaths registered. |
94fa0ab5-4580-4979-bff3-269cdbbc6db5 | Cardio-vascular system 58 13.3 Cancer 48 11.03 Tuberculosis (all forms) 37 8.5 Pulmonary affections, (exclusive of tuberculosis), viz.. Bronchitis 29 6.6 Pneumonia (all forms) 24 5.5 Other respiratory diseases 5 1.1 Zymotic Diseases 43 9.8 (d) Deaths from Zymotic Diseases.—These diseases caused 9.8 per cent, of the total deaths, such deaths being caused in the following proportions:— Enteric Fever — Measles 19 Whooping Cough 2 Scarlet Fever 2 Diphtheria 13 Diarrhoea 7 Smallpox — (e) Inquests.—Coroner's inquests were held on 34 deaths, eleven being held within the District and 23 outside the District. 15 (f) Causes of and ages of death during the year 1930. (Nett Deaths.) |
59753a1b-d433-494f-8d17-c9a8cf62d7e5 | Causes of Death Deaths at the subjoined ages of "Residents" whether occurring in or beyond the district. Under one year I and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards Total Acute Encephalitis 1 - - - - - - 1 Influenza - - - - - - - - Scarlet Fever - 1 1 - - - - 2 Smallpox - - - - - - - - Measles 15 4 - - - - 19 Whooping Cough - 2 - - - - - 2 Epidemic Influenza - - - - - - - - Diarrhoea and Enteritis (under 2) 6 1 - - - - - 7 Diphtheria - 1 12 - - - - 13 Enteric Fever - - - - - - - - Erysipelas - - - 1 - 2 |
0e756b9c-4f09-4953-a165-7cd2aea51fc8 | 1 4 Puerperal Fever - - - - - - - - Other accidents and diseases of pregnancy and parturition - - - 2 1 - - 3 Phthisis (Pulmonary Tuberculosis) 1 - 1 12 14 4 2 34 Other Tubercular Diseases - 2 - - - 1 - 3 Asbestosis - - - - 1 - - 1 Cancer (Malignant Disease) - - - - 4 21 23 48 Bronchitis 1 - - - 2 4 22 29 Pneumonia (all forms) 10 4 2 1 2 2 3 24 Other Inspiratory Diseases - 1 1 - - 3 - 5 Alcoholism (Cirrhosis of Liver) - - - - - - - - Premature Birth. Malformation and Debility 25 - - - - - - 25 Accidents 1 - 1 4 |
300c01d2-cfb4-4b32-a102-ac2093aa3d0e | 1 5 6 18 Suicides - - - - 3 5 1 9 Rheumatic Fever - - - - 1 - - 1 Diabetes - - - - - 3 2 5 Cerebral Hæmorrhage - - - - 3 6 7 16 Heart Disease - 1 1 3 5 14 24 48 Arterio-Sclerosis - - - - - - 9 9 Ulcer of stomach or duodenum - - - - 1 3 - 4 Asthma - - - - - 1 - 1 Anaemia - - - - 1 - - 1 Arthritis - - - - - - - - Meningitis (non-tubercular) 1 - - - - - - 1 Appendicitis and Typhlitis - - - - 1 - - 1 Acute and Chronic Nephritis - - - 2 4 11 6 23 Other defined diseases 3 |
6d0ced83-e7d2-4fc6-8521-a20485b1c34b | 2 1 4 10 15 41 76 Causes ill-defined or unknown - - - - 1 1 - 2 Totals 49 30 24 29 55 101 147 435 16 (g) Infant mortality during the year 1930. The following table gives the actual causes of death of children dying under one year of age. Nett deaths from stated causes at various ages under one year:— Causes of Death. (All causes certified.) Under 1 week. 1—2 weeks. 2—3 weeks. 3—4 weeks. Total under 4 weeks. 4 weeks and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total under one year. Acute Encephalitis — — — — — 1 — — — 1 Atelectasis 3 — — — 3 — — — — 3 |
fb046ebf-28b6-458a-b55b-81b4f989e1e0 | Bronchitis — — — — — 1 — — — 1 Congenital Debility 3 — — — 3 1 — — — 4 Congenital malformation 2 — 1 2 5 1 — — — 6 Convulsions 1 — — — 1 — — — 1 Deficient inherent vitality 1 — — — 1 — — — — 1 Diarrhoea and Enteritis — — 1 — 1 2 1 2 — 6 Mastoid Disease — — — — — — — 1 — 1 Meningitis(non-tubercular) — — — — — — — — 1 1 Miliary Tuberculosis — — — — — — — — 1 1 Peritonitis — — 1 — 1 — — — — 1 Pneumonia (all forms) — — — 1 1 2 1 3 3 10 Premature Birth 7 — — — 7 3 |
f8096995-e2ff-44a0-8f08-2fff7d054a6a | — — — 10 Pyonephrosis — — — — — — — 1 — 1 Want of attention at birth 1 — — — 1 — — — — 1 Totals 18 — 3 3 24 11 2 7 5 49 Nett Births in the year:— Legitimate 777 Illegitimate 22 799 Nett Deaths in the year:— Legitimate 46 Illegitimate 3 49 17 6. MARRIAGES. The following table shows the number of marriages registered in the district and the marriage rate per 1,000 population for the years 1922 to 1930. Year. No. of Marriages. Rate per 1,000 Population. |
7aca7e2a-063a-4b38-8906-8e7b56f41cfe | 1922 208 5.6 1923 219 5.9 1924 208 5.4 1925 258 6.7 1926 249 6.3 1927 304 7.6 1928 311 7.6 1929 276 6.5 1930 287 6.4 7. BIRTHS. The net number of births registered in 1930 was 799, affording an annual birth rate of 17.8 per 1,000 population, compared with 18.7 in 1929, 19.7 in 1928 and 17.7 in 1927. Of all births, 22 were illegitimate, giving a percentage of 2.7 of the total births. |
15b7dcf3-a79b-4030-8b92-afda0bcc3198 | Notification of Births Acts, 1907-1915.—During 1930 there were 798 births notified to the Medical Officer of Health, 612 being notified by midwives and 186 by parents and doctors. Twentythree still-births were notified, 19 being notified by midwives and 4 by doctors. Ten still-births were not notified. 8. SOCIAL CONDITIONS. (a) Industrial. Barking has practically a 99 per cent. industrial population. The chief industries are:— The production of gas at the Gas Light and Coke Company's Works at Beckton. 18 The production of electricity at the County of London Electric Supply Company's generating station at Creekmouth. The manufacture of asbestos goods, rubber elastic, matches, paint, varnish and wood paving. The storage, etc., of petrol and timber. |
c714b1b7-42c1-42fc-b5e7-971888c775f2 | Whilst a large number of people are engaged in these industries, a very large number work out of Barking, travelling to and fro on trams, omnibuses and the railway. The influence of occupation on public health is dealt with in a later part of this Report. (b) Postal Arrangements.—The work of the department is to a certain extent hampered by the Post Office, who have a futile arrangement whereby a large part of the Barking area is designated " Dagenham " for postal purposes. Much of our correspondence reaches us through my colleague in Dagenham, with consequent delay and unnecessary duplication of work. 9. CAUSES OF SICKNESS. (a) Psittacosis.—During the year there were three deaths from psittacosis, a disease transmitted to man from birds of the parrot type. The disease is so simple to prevent that, however deplorable these deaths may have been, they do not represent a serious public health problem. |
87d1ca54-da1b-43a9-be14-e829a9b47a5c | It is only for people to refrain from buying birds that are known to transmit this disease, and so far as we know the incidence of the disease is arrested. Research workers in curative medicine are trying to find a serum that will cure the disease, but as a Public Health authority we advocate the prevention of the disease by the simple means I have suggested. It wants to be clearly understood that there is no need for people who have had birds of this sort for many years to anticipate 19 trouble; there is no need for people to do away with birds which have become family pets of long standing. (b) Rheumatic Affections.—Barking was chosen, so I am given to understand, to be the site of the Abbey which has made it famous by reason of the fact that it was reasonably secure from hostile attack, because it was then surrounded by marshes. |
0c64b86f-9b59-4aaf-ab97-ec421fa2f927 | This low lying site, which was an advantage in the far off days of hostile incursions, is now of course a disadvantage, and Barking suffers from rheumatic affections, like many other places in the Thames valley. We cannot make Barking any higher than it is, but people can, by careful attention to diet, increase their resistance to the microbes provoking rheumatism, and particularly in children by keeping the nose and throat healthy they can prevent the entry of these microbes into the body. This matter is discussed in my Annual Report on the School Medical Services in this area, both for this year and for last year. (c) Transport.—The conditions of transport to and from Barking are still much to be deplored. Many pioneers are now renowned for undergoing hardships and difficulties of travel hardly worse than those met heroically day after day by the people of Barking. |
8f40a82c-b6b3-4b41-a739-a189b269d72c | Some improvement has, I believe, been made in the number of electric trains coming in and out of Barking, but any such increase does not appear materially to have improved the situation, owing probably to an increase in the number of the travelling public, consequent on the development of the Becontree Estate. I look upon this as a very serious matter, and am surprised that the public have tolerated the present conditions so long as they have. (d) Asbestosis.—The passing of the Workmen's Compensation (Silicosis and Asbestosis) Act, 1930, should in time do much to mitigate the lung trouble from which many persons in Barking 20 suffer, and which is provoked by the inhalation of asbestos dust. It will, however, take years for any substantial improvement to be felt. It is not unreasonable to suppose that for the next fifteen years we shall be getting deaths from asbestosis-amongst those people whose lungs are already affected. |
feb20ccb-dce9-4b78-ad1a-6ac164dbad8c | (e) Diphtheria.—The nature of diphtheria still continues to be serious, and during the year under review we have had many cases of mixed infection. This experience has, I believe, been shared by neighbouring authorities. There were a large number of cases of diphtheria—to wit, 358—and they came from all parts of the town. (f) Poisonous Gas.—From time to time in the neighbourhood of the railway station, hydrogen sulphide gas can be smelt. This is a poisonous gas and may, so we believe, come from an industrial process carried on outside the boundaries of this district. The attention of the Medical Officer of Health for the area concerned has been called to this matter from time to time. (g) Overcrowding.—It is impossible to leave this section of the report without once again referring to overcrowding. |
c3e19670-b794-417c-b40d-8a56bff0d7f1 | I know what you are doing, and I know that what you are doing is very good indeed, but the need there is for more houses and for better houses is so imperative that I cannot but feel impatient of any delay whatsoever. I want to reiterate that good housing will not solve all our public health problems, but that our public health problems will never be solved without good housing. (h) Smallpox.—Equally it is difficult for me to close this section without speaking of smallpox, although one is getting rather resigned to smallpox in these days. Smallpox can be prevented by vaccination, and it does seem futile to spend a lot of money on smallpox (for instance, smallpox recently cost Barking £1,000 in six months) when there are other things on which this money could be spent to advantage, if only smallpox were wiped out. 21 SECTION 2. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. 10. NURSING IN THE HOME. |
baa85408-1713-421a-bab7-436f10c407d9 | (a) General.—The Plaistow Maternity Charity provides a staff of nurses, who attend at the homes of the sick once or twice a day, carry out such skilled nursing as required, and offer instructions where advisable in hygienic home practices in relation to the sick. My information is that this organisation does not receive from the public in Barking financial assistance comparable with the amount of work they are carrying out, and that, to put it bluntly, Barking is not paying its way. This is not at all surprising. The appeal for the King George Hospital is so strong and the need for this hospital so urgent, that we are apt to overlook the equally pressing need there is for nursing in the home. In recognising the insistent demand for raising funds for the King George Hospital, we must not forget an organisation which has looked after the sick in Barking these very many years. |
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