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1e721caa-35c7-43ca-a90b-9823b556b853 | (b) Infectious Diseases.—In the event of an epidemic, the Council can provide nurses for such cases as may require to be nursed in their own homes, but, as you know (vide page 13 of my Report for 1929), I favour hospital accommodation for these cases rather than nursing in the home. 11. MIDWIFERY. By agreement, dated January 1st, 1924, with the Plaistow Maternity Charity, the Council annually subsidise the Charity on any deficit from £300 in respect of 300 District Midwifery cases attended by the Charity reckoned at the rate of £1 per case. 22 The takings of the Charity for the year ended December 31st, 1930, in respect of 219 cases, amounted to £224 9s., leaving a balance due to the Charity from the Council of £75 11s. |
cc44caf1-fbd4-4620-a459-31dc6349d466 | According to information obtained from ihe County Medical Officer, at the end of 1930 there were eight midwives practising in the District, three of which were employed by you at your Maternity Ward at Upney Lane, two under the Plaistow Maternity Charity, and three practising privately. During 1930 there were 811 maternity cases. 205 of these were conducted by the Plaistow Maternity Charity, 172 of them were conducted by your own midwives at Upney Hospital, leaving 434, which were dealt with by medical practitioners, private midwives or otherwise. It will be seen, therefore, that roughly one half of the midwifery is already under your supervision, because not only is your Medical Officer of Health, Medical Superintendent of the maternity ward at Upney, but he is also on the Committee of Management of the Plaistow Maternity Charity. |
c37e8db6-be42-4800-a00e-42607881f4ba | It is this circumstance which makes it very curious indeed that the Ministry have not been willing for you to become the authority for the supervision of midwives. I advise that you make further representations to the Ministry, asking them that the authority for the supervision of midwives shall be delegated to you. 12. NATIONAL HEALTH INSURANCE. The fact that general medical practitioners are called in by the midwives at Upney, who practise as midwives under the rules of the Central Midwives' Board, and the fact that your Medical Officer of Health, as Tuberculosis Officer, is in constant touch with the general medical practitioners practising in the area, and the further fact that your Medical Officer is similarly in touch with these general medical practitioners in consultation over cases of 23 smallpox and other infectious diseases, link up the National Health Insurance work with the technical medical work carried out by you. |
ec2fbf05-4185-494f-be40-b4d041f0d658 | There is a very real spirit of co-operation, for which I am particularly indebted to my colleagues in private practice, and nowhere has this been shown more readily than in the way they have assisted me to revise the Tuberculosis Registers, which—as I have said elsewhere—were in need of revision. 13. POOR LAW MEDICAL OUT-RELIEF. Similarly, in the case of poor law medical relief, both for inpatients and out-relief, we have been in constant touch with the Superintendent of Oldchurch Hospital, to whom I am indebted for many courteous considerations. It is our object to get cases of tubercle admitted to Oldchurch, and, where necessary, retained in Oldchurch so long as possible, and Dr. O'Loughlin, the Medical Superintendent, has been at great pains to co-operate with us in this important matter. 14. LABORATORY FACILITIES. |
ea1c9c3f-4b01-4cb3-a439-b7818e8d293d | The necessary laboratory work of the district is carried out by arrangement with the Essex County Council at the Counties' Laboratory, situated in Queen Victoria Street, London, E.C.4, particulars of the number of specimens submitted for examination being supplied by the following table:— Specimen Number examined Diphtheria 5,460 Sputa 466 Typhoid 18 Ringworm 5 Miscellaneous 19 In addition there were 51 biological examinations. 24 The work carried out by the Counties' Laboratories of Qeen Victoria Street is of a very high order, but I do wish that some arrangements could be made, either for getting swabs quickly to Queen Victoria Street over the week-end, or, alternatively, for these swabs to be examined in Barking. As and when we have a laboratory at the new hospital at Upney, no doubt you will entertain the possibility of undertaking a part at least of this work, with the particular object of avoiding the present difficulty we have of getting swabs to Queen Victoria Street during the week-end. |
721b6ab9-26f1-4cdb-99bd-c4938090c16d | It is to be noted that there is no difficulty when once the swabs are at the laboratory, because they are examined forthwith, and the reports can be sent through by telephone. 15.—LEGISLATION RELATING TO PUBLIC HEALTH. (a) Local Acts: Barking Town Wharf Act, 1893. Barking Parish Act, 1888. (b) General Adoptive Acts : Batns and Wash-houses Acts, 1847, etc. Infectious Diseases (Notification; Act, 1889. Public Health Act (Amendment Act), 1890, Parts 2, 3 and 5. Public Health Act (Amendment Act), 1907, Parts 2, 3, 4, 5, 6 and 9, and Section 95 of Part 10. Local Government and other Officers' Superannuation Act, 1922. Public Health Act, 1925. |
fbde71e3-cdd7-4f41-a390-0e69fbed2e23 | (c) Regulations: Regulations as to Cemetery, 1902. Barking Town (Pneumonia) Regulations, 1924. 25 (d) Bye-laws with respect to: Nuisances, 1884. Common Lodging Houses, 1884. Offensive Trades, 1907 (revised 1924). Houses let in lodgings, or occupied by members of more than one family, 1924. Public Baths, 1900. Tents, Vans, Sheds and similar structures, 1909. Paving of Open Spaces, 1901. Nuisances in connection with the removal of offensive matter, 1908. Employment of Children and Young Persons, 1921 (revised 1924). New Streets and Buildings, 1926. Slaughter Houses, 1890. Hospitals, 1897. Sanitary Conveniences, 1924. |
0191d2fa-9412-4238-8a11-5fcd3327ee6d | Pleasure Grounds, 1902. Mortuary, 1901. (e) Among the Special Acts and Orders in force within. the district, and important from a public health standpoint, are :— 1910.—Orders declaring the trades of fish-skin scraper, fish fryer, dealer by retail in rags, bones, skins, fat or other like articles in an offensive condition, blood drier, tanner, leather dresser, fat melter or fat extractor, glue maker, size maker, gut scraper, and oil boiler to be offensive trades, the last being so declared in 1926. 26 16. HOSPITALS. Hospitals provided or subsidised by the Local Authority: (a) Smallpox.—By arrangement with West Ham, smallpox cases are dealt with at Orsett or at the London County Council hospital at Joyce Green. |
c222c6a4-f666-4b24-a13a-6c28ada75108 | This arrangement with West Ham is about to terminate, and I advise you to make an arrangement with the London County Council for the admission of your cases to Joyce Green. One suggestion has been made of building, somewhere in Essex, a hospital similar to the one at Joyce Green, Dartford. I believe, however, that such a hospital would prove a white elephant, and with the present perfected methods of transport, Dartford is not really a very long way off. (b) Hospital Provision at Upney Lane.—You, as a corporation, have provided two hospitals. They are both situated in Upney Lane, one for the isolation and treatment of infectious diseases, and the other for maternity cases. You are building a new isolation hospital, and the time has come for building a new maternity hospital, to which should be added a separate ward for the treatment of ailing infants, particularly those under the age of one year who are suffering from errors of diet. |
9b61f52c-3270-48e3-9c92-bcb024322967 | Although the actual number of beds for which there is space at the hospital is 38, if judged by the standard of 144 square feet per bed, as laid down by the Ministry of Health in Circular 1119, dated June 18th, 1930 (See Table I, Pages 27 and 28), the various wards at the hospital are designed to accommodate more beds than this number, and larger numbers than 38 have been accommodated when necessary. (c) General Provision of Hospital Services for the District.— A special report has been prepared, and is here included, which shows in tabular form the hospital services available, public ar.d voluntary, for the people of Barking. HOSPITAL SERVICES, public or voluntary, within or without the District, which are used by the inhabitants of the Harking Town Urban District. Name of Hospital. Situation. Purpose. Total number of beds available. Management. Men Women Children Centrolled bv the Harking Town Urban District Council 1. |
f47b06f2-7c13-40c4-971b-b8287aa6b903 | Maternity Ward, Municipal Hospital Upney Lane, Barking, Essex Maternity — 12 — Barking Town U.D.C. 2. Municipal Hospital Upney Lane, Barking, Essex Isolation of general infectious diseases (excluding smallpox) 38 Barking Town U.D.C. Not con/rolled by the Barking Town Urban District Council 3. Brentwood Mental Hospital Brentwood, Essex Mental 716 1054 — Essex County Council 4. Brookfield Orthopaedic Hospital. Hale End, Woodford Green, Essex. Orthopaedic — — 30 Voluntary 5. City of London Hospital for Diseases of Heart and I ungs Victoria Park, E.2 Heart and Lung Diseases 85 88 8 Voluntary 6. East Ham Memorial Hospital Shrewsburv Road, E. 7 General Medical and General Surgical. 38 38 20 Voluntary 7. |
45dc8baf-4aeb-4400-9512-8bc32856dc90 | East London Hospital for Children Glamis Road, Shadwell, E.l Children — — 140 Voluntary 8. Golden Square Throat, Nose and Ear Hospital Golden Square, Piccadilly Circus, W.l. Ear, Nose and Throat 33 32 11 Voluntary 9. Guy's Hospital London Bridge, S.E. 1 General Medical and General Surgical, etc. 299 285 64 Voluntary. 10. Hospital for Sick Children Great Ormond Street, W.C.1 General Medical and General Surgical and Isolation (Children only). — — 252 Voluntary. 11. Joyce Green Hospital Dartford, Kent Isolation of Smallpox (information not available) London County Council 12. King George Hospital Ilford, Essex General Medical and General Surgical. 16 20 22 Voluntary 13. London Hospital Whitechapel Road, E.l General Medical and General Surgical. 377 373 89 Voluntary 14. |
ec6b236a-02c1-48f5-a47b-22129aa59f15 | London Lock Hospital and Home 283, Harrow Road, W. 9 Maternity, Genito-Urinary and Venereal Diseases. 38 123 44 Voluntary 15. London Skin Hospital 40, Fitzroy Square, W.l Skin. (No in-patients.) — — — Voluntary 16. Orsett Joint Smallpox Hospital Stifford Long Lane, Grays, Essex. Smallpox 11 11 — West Ham County Borough Council 17. Poplar Hospital for Accidents East India Dock Road, E.14 General Medical and General Surgical. 56 30 26 Voluntary 18. Public Assistance Hospital OldChurch Road, Romford, Essex. General Medical, General Surgical, Children, Maternity, Tuberculosis, Chronic Sick, Mental and Orthopaedic. 260 311 100 Essex County Council 19. Queen's Hospital for Children Hackney Road Bethnal Green, E.2. |
1178f90e-9e04-4466-8e96-6fadaebdb956 | Children — — 160 Voluntary 20. Queen Mary's Hospital for the East End Stratford, E.15 Geneial Medical and Surgical, Children, Maternity. 61 111 45 Voluntary 20. Royal London Ophthalmic Hospital (Moorfields Eye Hospital) City Road, E.C.1 Ophthalmic 66 50 19 Voluntary 21. Royal National Orthopaedic Hospital Brockley Hill, Stanmore, Middlesex. Orthopaedic. 45 70 345 Voluntary 22. St. Bartholomew's Hospital Smithfield, E.C.1 General Medical and Surgical, Children, Maternity, etc., Ophthalmic, Orthopaedic, Ear, Nose and Throat, and Septic, etc. 287 344 65 Voluntary 23. St. Hospital for Women and Children Upper Road, Plaistow, E.13 General Medical and Surgical, Children, etc. |
bc3354ff-5f2e-4f8b-93ca-f5ea4ffb638e | — 27 44 Voluntary 24. Sever??? Mental Hospital Mile End, Colchester Mental 717 1064 Essex C.C. and Colchester B. C. 25. Westminister Hospital Broad Sanotuary, minister, S.W.1. Genera! Medical and Surgical. Maternity. Ear, Nose and Tho??? 109 132 26 Voluntary 29—30 TABLE II. HOSPITAL SERVCES showing the number of beds for each purpose, and other facilities available. Name of Hospital Niumber of beds for the following purposes:— Other facilities available Arrangements for pathological work Accident Chest (nontub.) |
c89d920f-2250-4d30-b422-e0ca27dcda7d | & Heart Children Chronic Sick Dental Dermatological Ear, Nose Throat General Medical General Surgical Genito-urinary Gynaccological Infectious Diseases Isolation Observation Maternity Mental Neurological Opthalmic Orthopaedic Radium Septic Smallpox 'tuberculosis Venereal Diseases Centrolled by the Barking Town U.D.C. Maternity Ward, Municipal Hospital — — — — — — — — — — — — — 12 — — — — — — — — — Operative surgery, Dental, Nursing of Puerperal l ever and Pyrexia. Carried out at the Counties' Laboratory, Queen Victoria Street, E.C.4. Manicipal Hospital — — — — — — — — — — — 38 — — — — — — — — — — — Operative surgery, Dental, Ear, Nose and Throat, Orthopaedic, Maternity, Puerperal Eever and Pyrexia, Ophthalmia Neonatorum. ??? |
f3f4abf4-7133-49c6-8772-289a067a27c8 | centrolled by the Barking Town U.D.C. Brentwood Mental Hospital — — — — — — — — — — — — — — 1770 — — — — — — — — All specialised treatment available. Own Laboratory. Brookfield Orthopaedic — — — — — — — — — — — — — — — — — — — — — — — Operative Surgery, Ultra-violet Light, Dental, Massage. No information City of London Hopital for Diseases of Heart and Lungs 72 8 — — — — — — — — — — — — — — — — — — 101 — Operative surgery, X-rays, Ultraviolet light, Dental, Massage, Ear, Nose and Throat, Radium. Own Laboratory. East Ham Memorial — — — — — — 4 40 49 — 8 — — — — — 4 — ~~ — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Electrical, Massage. |
b7fb3c42-a887-4fa9-b072-f59b998885cd | Carried out at Queen Mary's Hospital, Stratford, E. East London for Children — — 140 — — — — — — — — — — — — — — — — — — — — All specialised treatment available. Own Laboratory. Golden Square Throat, Nose and Ear — — — — — — 76 — — — — — — — — — — — — — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Ophthalmic, Radium. Carried out by a Pathologist outside the Institution. Gut's 58 — 14 — 4 6 33 179 150 10 24 — 39 21 4 9 24 19 8 — — — 9 All specialised treatment available Own Laboratories. Hospital for Sick Children — — — — — — — 96 119 — — — 37 — — — — — — — — — — All specialised treatment available. Own Laboratory. |
ecacb054-7840-4dbe-b9d0-8294f53b2df9 | Joyce Green Hospital (Isolation of Smalllpox.). No information available from the London County Council.) . (No information available from the L.C.C.) No information available. King George Hospital — — 22 — — — — — 27 — — — — — — — — — — — 1 — — Operative surgery. X rays. Dental (as cav.alty), Ophthalmic, Massage, Ear Nose and Throat, Radium, Gynaecological, Neurological, Dermatological. Work at present sent out, but Pathological Block is being. erected. The London — — — — — — 28 306 338 — 28 — 94 21 — — 24 — — — — — — All specialised treatment available. Own Laboratories. |
3b5040d1-48fa-41af-abff-0668af5d3ebe | London Lock Hospital — 7 — — — — — — — 20 — — — 55 6 — — — — — — — 124 Operative surgery, Ultra-violet light, Dental, Ophthalmic, Massage, Ophthalmia Neonatorum. Own Pathologist. London Skin Hospital — — — — — — — — — — — — — — — — — — — — — — — Skin diseases only. (No in-patients). Ultra-violet light. Own Laboratory. Orsett Joint Smallpox — — — — — — — — — — — — — — — — — — — — — — — Smallpox Only. - Poplar Hospital for Accidents — — — — — — — 34 78 — — — — — — — — — — — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Massage, Radium by arrangement with the London Hospital. Carried out at the London Hospital. |
a207e40d-75f6-4b38-8997-3ea317a04877 | Public Assistance Hospital — — 100 141 — — 120 120 — — — — 30 32 — — 00 — — — 68 — All specialised treatment available with the exception of Ophthalmic and Radium. Carried out at the Counties' Laboratory, E.C.4. Queen's Hospital for Children — — 160 — — — — — — — — — — — — — — — — — — — — All specialised treatment available with Own Laboratory. Queen Mary's Hospital for the East End.. — — 45 — — — 4 66 61 — 3 — — 50 — — 4 2 — — — — — the exception of Radium. All specialised treatment available. Own Laboratory. Royal London Ophthalmic (Moorfields Eye Hospital.) — — — — — — — — — — — — — — — — 153 — — — — All specialised treatment available with the exception of Operative surgery, Massage and Radium. |
a826ecbf-cb1f-486a-b5bf-96db2c0d6352 | Own Laboratory. Royal National Orthopaedic — — — — — — — — — — — — — — — 460 — — — — — Operative surgery, X-rays, Ultraviolet Light, Massage. Own Pathologist. St. Bartholomew's Hospital — — 16 — — 6 24 234 250 — 44 — 10 17 — — — 18 — 55 — — — All specialised treatment available. Own Laboratories. St. Mary's Hospital for Women and Children — — — — — — — 26 33 — 8 — — — — 4 — — — — — — Operative surgery, X-rays, Ultraviolet light. Dental, Massage, Ear, Nose and Throat, Orthopacdic . |
017462fb-12ea-43a1-a55f-f01e4b9ad750 | Part-time Pathologist in conjunction with other Hospitals Severalls Mental Hospital — — — — — — — — — — — — — — 1781 — — — — — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Ophthalmic. Own Laboratory. Westminister Hospital 10 — 13 6 — 2 7 64 88 — 10 — 8 12 — — 6 5 15 — — — — All specialised treatment available. Own Laboratories. t In the case of Hospilali under the control of the JJurkint: Town Urban District Council:— Number and classification of Medical Staff Maternity Ward | Municipal Hospital The Medical Officer of Health is also the Medical Supt and is assisted in this work by the Assistant M.O. |
fd181b04-b5f1-41a9-b481-41ed6824df23 | 's H Number and classification of Nnno g S'aff: Matron — 1 fister 1 — \.ss:»tant Nurses.. — 6 Midwives .. 2 — Probationer Nurses 4 9 Arrangements for the emfoymcut of consultants Consultants are engaged when necessary In addition to the above Institutions, there are a number of Sanatoria to whih tuberculous persons resident in Barking are admitted at the instance of the Essex County Council, under their scheme for the treatment of tuberculosis. 31 Barking has hitherto been very well served by the hospital in London and the other hospitals within the metropolitan area, so well as by hospitals in the extra metropolitan area, but with the great increase in population in the Gale Street area, there is very real need for further hospital accommodation. |
6e1deed8-860c-40d0-9622-5cbceb95f641 | This further accommodation we hope will be provided by the King George Hospital, but if it is to be provided at the King George Hospital, the scheme which has been envisioned by those, who realise the necessity, must become an accomplished fact. There must be a unit of 400 to 500 beds, and one way or another, the money must be provided. There is no difficulty in getting cases into voluntary hospitals, apart from that which generally obtains in London and the extra metropolitan districts, owing to the general lack of accommodation. We are always very happy to co-ordinate our work with that of voluntary hospitals, where they have a scheme for following up their patients. We know that if they are to do this, it is almost essential it should be done by correspondence, whereas we can achieve a personal touch by our health visitors undertaking this work. Various hospitals, particularly the Hospital for Sick Children, Great Ormond Street, have availed themselves of our help. 17. MATERNITY AND NURSING HOMES. |
6af8f177-1856-4c4f-8c7c-5c5e57c215fc | Up to December, 1930, there were r.o maternity or nursing homes in Barking, excepting of course the Maternity Ward maintained by the Council. Since the end of the year, however, one small Home has been established, and I recommend you to apply for powers to be the supervising authority for these Homes. 32 18. MATERNAL MORTALITY. Cases of deaths due to pregnancy or childbirth are investigated, and during the year two confidential reports have been submitted to the Ministry of Health. The small number of such deaths precludes the possibility of my advancing any hypothesis on this vexed problem. Similarly, cases of puerperal fever and puerperal pyrexia are the subject of investigation, and any necessary steps are taken to secure adequate nursing and hospital facilities for the patients. |
348f28d8-9a08-45e1-9840-e2804a37a67c | If necessary, cases are nursed in the infectious fever hospital, and although there have been three cases of puerperal fever and ten cases of puerperal pyrexia, there have fortunately been no fatalities. The work of the Plaistow Maternity Charity is carried out with such meticulous accuracy that I should suppose, in areas in which they operate, the number of cases of pyrexia notified will be rather higher than elsewhere. 19. INSTITUTIONAL PROVISION FOR UNMARRIED MOTHERS, ILLEGITIMATE INFANTS AND HOMELESS CHILDREN. We have not, in Barking, any institutions which make provision for unmarried mothers, illegitimate infants and homeless children, other than those provided by the Public Assistance Committee and the various voluntary agencies, with which we are constantly in touch. The competent sub-committee responsible for recommending admissions to Upney, wherever practicable, take a very kindly view with reference to unmarried expectant mothers. |
3ab7628d-e4c2-4f59-a6fd-bc89ddd505ef | 33 The problem of illegitimate infants and homeless children is not a serious one in Barking, and the fact that we do not find it a serious problem indicates that the various agencies which are operating in the area meet the demands of the area. The unmarried pregnant woman is quite another problem, which is seriously dealt with in a later part of this Report. 20. INSTITUTIONAL PROVISION FOR THE CARE OF MENTAL DEFECTIVES. Institutional provision for the care of mental defectives does not come within the scope of the Council's activities, but great interest is taken in this problem, particularly in so far as it relates to children and young persons, and members of the Committee have visited the Royal Eastern Counties' Institution at Colchester. 21. AMBULANCE FACILITIES. (a) A motor ambulance is provided for the removal of infectious cases to the Isolation Hospital, Upney Lane. |
84b815bd-26da-47aa-9e7a-023801d9dddd | (b) For non-infectious and accident cases, two motor ambulances are kept at the Fire Station, the ambulance and fire services being run in conjunction under the Chief Fire Officer. Last year I called your attention to the fact that it would be an advantage to have a nurse in attendance, at least sometimes, when the ambulance is used. From time to time it would be desirable that such a nurse snould be in attendance, and I hope that you will make the necessary arrangements. 34 22. CLINICS AND TREATMENT CENTRES. The following table shows the various out-patient departments under the control of the Local Authority. The proper housing of these various activities is, I know, a matter which is having your very serious consideration, and I do hope that the forthcoming year will show some definite steps taken towards securing suitable buildings for the multifarious activities you are carrying on. 35—36 CLINIC AND TREATMENT CENTRES. |
70a65b24-229e-4a36-85f9-27e348b5b0fa | Name and Situation When held Nature of Accommodation By whom Provided 1 MATERNITY AND CHILD WELFARE— (a) Centres Clinic Premises, East Street. Tuesdays and Fridays, 2 p.m. Accommodation for consultations, weighing of babies, waiting room, etc. Local Authority. Great fields Centre, Movers Lane. Mondays, 2 p.m., and „ „ „ „ „ Alexandra Centre, St. Pauls Road Thursdays, 2 p m. „ „ „ „ „ *St. Albans Centre, Urswick Road. Wednesdays, 2 p.m. „ „ „ „ „ (b) Ante-natal Clinic Clinic premises, East Street. Wednesdays, 2 p.m. ; Fridays, 10.30 a.m. to 12 noon. Accommodation for consultations. „ „ Alexandra Centre, St. Pauls Road. |
7e66733c-d7c4-4a3b-9ac9-0d2a72b3599f | Tuesdays, 2 p.m. „ „ „ „ „ *St. Albans Centre, Urswick Road. Wednesdays, 10.30 a.m. to 12 noon. „ „ „ „ „ (c) School Nurseries Nil Nil Nil Nil (d) Day Nurseries Nil Nil Nil Nil 2 SCHOOL MEDICAL SERVICE— (a) Inspection Clinics and treatment of minor ailments. †St. Albans Centre, Urswick Road. Daily, 8.30 a.m. to 12 noon. Large Hall. Local Authority. Clinic premises. East Street. Daily, 8.30 a.m. to 12 noon. Three rooms. „ „ (b) Eye Clinic „ „ Saturdays, 10 a.m. to 12 noon. One room. „ „ (c) Dental Clinic „ „ Daily, 9 a.m. |
2c89f92f-f9d6-4a47-8c8c-f2734e9958b6 | to 12 noon and 2 to 4 p.m. Two rooms. „ „ (d) Orthopaedic Clinic Faircross School. Mondays, 9 a.m. to 12 noon, and 2 to 4 p.m. Wednesdays, Pitto. Fridays, Ditto. One room. „ „ 3 TUBERCULOSIS— 37, Linton Road Mondays, 3 to 5 p.m. Thursdays, 10.30 a.m. to 12 noon. Three rooms. Essex County Council. 4 VENEREAL DISEASES— London Hospitals, etc. - - By arrangement with Essex County Council. *Commenced 3rd December, 1930 †Commenced 5th November, 1930 37 23. LOCAL GOVERNMENT ACT, 1929. |
e3f1fd4b-afe3-49be-99d2-07088de74ac2 | The operation of the Local Government Act, 1929, has not affected Barking very much, because, although the duties of the former Poor Law services have been transferred to the County Council, the actual position remains very much as it was before. It seems to me that much fuller co-operation and co-ordination is required, if we are to realise the benefits which represent the ideals which were actually the primary moving factor in this recent legislation. In Barking there is an investigation department, which has been brought to a very high level of efficiency. It seems a very great pity, with this efficient organisation at hand, that no use is made of it in distributing the various forms of relief controlled by the County, as well as those for which it is already used and which are controlled by the Town. |
67d11050-1c8a-47ee-be44-74a42d82a1dc | It seems to me that there ought to be a unified system for distributing the various forms of benefit which are controlled by different authorities—not only those controlled by the Local Council and the Public Assistance Committee, but also those controlled by the Public Health Committee of the County, etc. This would do away with such incongruities as we have at present. Thus the provision of dentures under the County scheme may mean that the patient is asked to contribute a much higher sum than could possibly be asked under the scheme organised by the Town Council. Altogether the whole situation demands a round table conference. It is obvious that, with your highly developed social services, you could very well take over much of the work carried out by the County, particularly the work carried out by the Public Assistance Committee. 38 It is incongruous that you have officers examining infants and children, who are referred for medical treatment, which in manv cases the parents can ill afford and can obtain only through thr Public Assistance Committee. |
bb429536-ec88-4457-a0cd-473e5efc3185 | • This disjointed state of affairs is most unsatisfactory,and means sometimes that the children do not get the medical attention thi-v need. For my part, I do not hesitate to express the view that wher.-, through your activities, you have discovered conditions requiring treatment at home, the responsibility for providing such treatment, where necessary, should fall on you, with of course any necessary financial re-arrangement. 39 SECTION 3. SANITARY CIRCUMSTANCES OF THE AREA. 24. WATER. Water is supplied to the area by the South Essex Waterworks Company, from the Company's wells in the chalk at Ilford, Seven Kings and Dagenham. The water is untreated, and is hard in character. The supply is periodically examined by the Counties' Public Health Laboratories, and is always found to be of the highest degree of bacteriological and chemical purity. |
bc45ec82-9d76-4e0e-9dd8-a2629210aaa1 | With the completion of the Company's scheme to bring water supplies from the River Stour, the work upon which is proceeding very rapidly, an increased quantity will be available. The Council will, of course, be aware that the increased rate for water supply in the district was in connection with the River Stour scheme. The following is a short description of the Stour Supply Scheme, as supplied to me by the Engineer of the South Essex Waterworks Company :— " The Scheme is authorised under the powers contained in the South Essex Waterworks Act, 1928. " The source of supply is the River Stour, from which water will be abstracted at an Intake situated near Langhain Mill, and will flow by gravity through a 40-in. diameter pipe to the sump of the Langham Low Lift Pumping Station. 40 "The water will be pumped thence through a 40-in. |
77e8d567-0721-4f37-8873-61adcc8f5048 | diameter main, about 650 yards in length, to a Sedimentation Reservoir, and will flow by gravity from the reservoir, through a 40-in. diameter main about 400 yards in length, to the Primary Filters, where a preliminary process of rapid filtration will ensue. A by-pass main will be provided around the reservoir to allow of the water being pumped direct from the Low Lift Station to the Primary Filters if required. " Alter leaving the Primary Filters, the water will flow (by gravity) to six sand filter beds of the ordinary type, and after being again filtered and chlorinated, will pass into the Filtered Water Reservoir. An outlet main of 40-in. diameter will carry the water from the latter reservoir to the suction branches of the three sets of pumping plant situated at the Langham High Lift Pumping Station. |
760f0e3b-42c1-4dcc-836f-c2628f3317af | "The water will then be pumped through a main, 32 inches in diameter and slightly over 14 miles in length, into a covered reservoir placed in close proximity to the Tiptree Pumping Station, from which it will be carried to the suction branches of the three pumping units by a short length of main of 36-in. diameter. "TheTiptree Pumping Plant will pump the water thus received, through a main of 32-in. diameter and 94 miles in length, to the Danbury Reservoir, the top water level of which will be about 358 O.D. "From the latter reservoir, thewaterwill flow by gravity through a main of 34-in. diameter and about 13J miles in length to the Company's Herongate Reservoir, from which it will be supplied to the Company's District. " The whole of the mains will bo constructed of steel coated internally with a bitumen lining applied centrifugally." 25. RIVERS AND STREAMS. |
d2de856d-a6d6-49ce-9f29-de817e7b92b0 | The various rivers and streams that run through the area are controlled by the Essex Sewers Commissioners, whilst of course, 41 the River Thames is a law unto itself. One of its tributaries, the River Roding, which flows through Barking, is also under the control of the Port of London Authority. We have not received any complaints during the year with respect to river pollution. 26. RAINFALL. The rainfall for the year ended December 31st was 22.47 inches. Rain fell on 290 days throughout the period in question. 27. DRAINAGE AND SEWERAGE. There has been considerable progress in the work of sewering the district, to convey the sewage of Ilford and Barking to the Northern Outfall Works of the London County Council for necessary treatment. The abolition of the existing treatment works of the Ilford Corporation will be much appreciated by Barking residents in the near vicinity of these offensive works, and the amenities of the Longbridge Park more thoroughly enjoyed. |
da2492cf-8ab5-4144-8faa-2be7dce2752c | The new system of sewerage and sewage disposal, which will be fully in operation during the next two years, will unquestionably be an important advance in the public health services of the town. 28. CLOSET ACCOMMODATION. * In the unsewered portion of the district,there remain 43 premises with cesspools, 51 premises with pail closets and 7 with privies. The sewering of this particular area is nearing completion, and it is expected that the majority of these premises will be connected to the sewerage system during next year. 42 During the year several complaints were received with respect to the cleansing of the cesspools, but the conditions to which complaints related were quickly remedied. 29. SCAVENGING. (a) Storage and Collection.—The collection and disposal of domestic refuse is controlled by the Engineer and Surveyor. Every house is provided with a dustbin, the contents of which are removed weekly in S.D. |
de00e4ab-b56d-4e88-9e88-87397c79b977 | freighters of the dustless loading type. During the year the provision of dustbins has been receiving our serious consideration. The procedure now in force is to call upon the owners of premises to provide a sufficient dustbin for the storage of domestic refuse. The enforcement of such order places considerable work upon the sanitary inspectors, whilst it does not always secure the provision of the most suitable container so expeditiously as we would like. It is therefore suggested that the Council themselves should accept the responsibility of dustbin maintenance, and meet the expenditure out of the general rate, in accordance with the provisions of the Public Health Act, 1875. This suggestion has not previously been made, in view of the fact that the rate levy would have been out of proportion to the service rendered. The operation of the Rating and Valuation (Apportionment) Act, 1928, has largely removed this objection, and the removal of trade refuse, free or at reduced charges, would satisfy any grievance occupiers of shop premises might hold. |
d5f7a114-2e10-4b6e-b533-e6575d282804 | Complete control by the Council of the maintenance of dustbins should result in:— (1) Standard type of dustbin. (2) Definite economy in collection costs. (3) Improved storage of domestic refuse at the home. (4) No troublesome investigations,and no worrying notices to owners. (5) Cheaper dustbin maintenance for the owner, contributed in a fractional rate increase. 43 During the year 5,868 loads of refuse were collected, with an average weight of 1 ton 14 cwts. A charge of five shillings per load is made for the removal of trade refuse, but no charge is made for the use of the public tips by tradesmen, who make their own provision for transport. (b) Disposal.—There has been considerable improvement in the disposal of the crude refuse upon the low-lying land at Mayesbrook: Salvage of certain materials is carried out by controlled labour, whilst tipping trimming and covering is based upon Bradford methods. |
177c9a95-31a7-4de3-b028-eeb36361626d | There is in consequence less need for criticism than heretofore. (c) Street Cleansing.—The streets of the town are generally kept in a very satisfactory state of cleanliness, but much could be done to assist the Council and reduce the cost of cleansing services if the public and tradesmen would co-operate by greater use of the domestic storage available for much of the litter which finds its way into the streets. (d) Fouling by Dogs.—The fouling of footpaths and premises by dogs calls for comment. I recommend that regulations be drawn up and enforced to prevent this nuisance. 30. SANITARY INSPECTION OF THE AREA. (a) Work of Sanitary Inspectors. (1) Inspection of Dwelling Houses. |
f7c3ed6f-fcb9-427f-9b21-45ee50544aa2 | Total Houses Inspected under Public Health or Housing Acts 3,204 Total number of Inspections made 4,577 Housing (Consolidated) Regulations 659 After Infectious Disease 832 Defects Found 7,616 Notices Served (Preliminary) 2,497 Re-inspections re Notices Served 2,922 44 (2) Premises Controlled by Bye-Laws and Regulations. Inspections. Contraventions. Notices served. Houses Let in Lodgings 16 7 3 Common Lodging Houses 62 5 1 Offensive Trades 173 21 5 Tents, Vans and Sheds 53 11 7 Dairies, Cowsheds and Milkshops 191 3 - Slaughter-houses 101 1 - (3) Factories, Workshops and Workplaces. Inspections. Defects. |
44681e5d-4b29-49dc-849f-6cad770d8508 | Notices Factories 97 32 20 Laundries 8 — — Bakehouses 35 2 2 Other Workshops 126 19 11 Other Workplaces 123 31 29 Outworkers' Rooms 13 — — Butchers' Premises 241 34 9 Fishmongers 41 13 5 Restaurants and Dining Rooms 36 2 — Stables and Stable Yards 77 12 5 Piggeries 66 1 1 45 (6) Summary of Sanitary Work Carried Out. (]) Drainage. Choked drains, opened, repaired, and cleansed 270 Drains reconstructed 68 New Drains Nil Ventilation Shafts repaired or new fixed 55 New Inspection Covers 26 (2) Closet Accommodation. Roofs W.C. structures repaired 63 Walls Floors Doors Seats Fixed 78 W.C. Pans Fixed or Cleansed 93 Flushing Apparatus Repaired or Renewed 203 (3) Sinks. |
f12f4d8b-d15c-431d-900c-b857a5093685 | New Fixed 55 New Sink Wastepipes 128 New Gullies 54 New Sink Waste-channels 2 (4) Dampness. Roofs and Flashings 1063 Eavesgutters 533 Rainwater Pipes 143 Damp Walls Remedied 552 (6) Water Supply. Defective Water Fittings Repaired and Supply Reinstated 87 46 (6) Yard Paving. Yard paving repaired or relaid 134 (7) Dustbins. New ones provided 632 (8) General Repairs. |
81d4c9d9-7e4d-4f64-814d-de4c6180b8c3 | House floors repaired 183 Windows repaired or renewed 206 Window sills repaired or renewed 187 Sashcords renewed 274 Washing coppers repaired or renewed 175 Stoves repaired or renewed 217 House doors repaired or renewed 154 Stairs repaired 37 Handrails fixed 4 Chimney pots renewed and stacks rebuilt 183 Dirty or defective rooms repaired, cleansed and redecorated 1,414 Insufficient floor ventilation 12 Insufficient ventilation and light 3 External painting 90 Locks and Fastenings 8 Fences renewed 2 (9) Miscellaneous. Offensive accumulations removed 68 Animals so kept as to be a nuisance 15 Verminous rooms and persons disinfected 46 Dirty premises cleansed 5 Stagnant water 1 Drains tested 528 Dangerous structures reported 57 Overcrowding 54 Water in Cellar 1 47 (c) Notices Served. |
fad594ba-f6b8-4ce7-b486-40057e83df24 | Informal Notices 2,497 Statutory Notices 670 Section 36, Public Health Act, 1875 55 Section 94, Public Health Act, 1875 497 670 Section 41, Public Health Act, 1875 1 Section 5, Infectious Disease (Prevention) Act, 1890 — Section 3, Housing Act, 1925 Section 17, Housing Act, 1930 117 (d) Factory and Workshops Act, 1901, Factories, Workshops and Workplaces. (1) Inspections (including inspections made by Sanitary Inspectors.) Premises. Number of Inspections. Written Notices. cutions. Intimations. Statutory. Factories 97 20 — — Workshops 126 13 — — Workplaces 166 29 — — Total 389 62 — — 48 (2) Defects found. Particulars. Number of Defects. |
702406e5-9e04-405b-9d01-6eead32c9804 | Number of Prosecutions. Found Remedied Referred to H.M. Ins. * Nuisances under the Public Health Acts:— Want of cleanliness 16 16 — — Want of ventilation 3 3 — — Overcrowding — — — — Want of drainage of floors. — — — — Other nuisances 13 13 — — Sanitary accommodation:— Insufficient 18 18 — Unsuitable or Defective 31 31 — — Not separate for sexes — — — — Unscreened for Sexes — — — — Offences under the Factory and Workshop Acts:— Illegal occupation of underground bakehouse (S.101) — — — — Breach of special sanitary requirements for bakehouses (SS. 97 to 100) — — — — Other offences 3 5 — — Totals 84 84 — — * Including those specified in Sections 2, 3, 7 and 8, of the Factory and Workshop Act as remediable under the Public Health Acts. |
ba9e5335-9c14-41f8-aa99-6dd119219580 | (3) Home Work. Five notices were issued to the occupiers of premises in the district where outworkers are employed, who supplied lists twice during the year of 42 workpeople engaged on making wearing apparel, etc. in their homes. 49 (4) Registered workshops. Workshops on the Register (Sec. 131) at the end of the year. (1) Number. (2) Bakehouses (including five factory bakehouses) 13 Other Workshops 63 Total number of Workshops on Register 76 (5) Other matters. Class. (1) Number. (2) Matters notified to H.M. Inspector of Factories:— Failure to affix Abstract of the Factory and Workshop Act (Sec. 133) - Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Acts (Sec. 5) 3 Other - Underground Bakehouses (Sec. |
2b767de9-efa9-4697-9a73-22fddcde1ae4 | 101):— Certificates granted during the year In use at the end of the year — (6) Out-workers. The following list shows the nature of the homework carried out in this district by 42 outworkers:— Belt and brace maker 1 Box maker 1 Brush makers 2 Life belt covering 16 The making 3 Umbrella making 1 Wearing Apparel (various) 17 Christmas Cracker making 1 During the year 27 lists of out-workers were received from other Authorities in respect of addresses in Barking. Five lists were received from employers within the district. In all instances the premises of out-workers were kept in a satisfactory state. 50 31.. SMOKE ABATEMENT. Conditions prevailing in the factories of the district are so improved by the introduction during recent years of better methods, and the greater application of gas, electricity and what was previously waste heat, that, except for mechanical breakdowns or faulty stoking, there are few occasions for complaint. |
2c1d21c5-eec0-4e9b-9ebd-7cc63b50d7b9 | Also, the knowledge that any offence is likely to be the subject of a notice from the Local Authority acts as a deterrent. During the year 115 smoke observations were carried out on factory chimneys and notices were served with respect to the 24 offences registered. The question of grit emission from the chimneys of the generating station at Creekmouth continues to cause anxiety. The trouble is of a serious character, bristling with technical difficulties. The grit emanating from the pulverised fuel plant of the undertaking is of so fine and impalpable a nature as to be difficult to distinguish from ordinary fumes, and therefore difficult to arrest with the usual type of grit arrestor. It is estimated that, working under the best conditions and with fuel of low ash content, at least one half ton of this fine dust is discharged into the atmosphere every hour. Most of this falls over the site of the generating station, but, given unfavourable winds, neighbouring properties and the Creekmouth cottages do at times suffer from this emission. |
2659fb93-eeb8-46c4-a615-983a76c4514d | Experiments are proceeding with a view to remedying or mitigating the nuisance. The question of gas washing is receiving consideration. In view of the difficulty of introducing to a large existing plant equipment for this purpose, the possibility of a solution on these lines is unlikely unless engineering research finds some way of dealing with the gases during the high velocity flow. The enormous storage chambers required whilst the gases are being reduced from high to low velocity make impracticable the provision of gas washing plant in any building not specially designed to accommodate such chambers. 51 The Local Authority is aware of the whole circumstances, keeps in touch with the electricity undertaking, and expects all reasonable works to be carried out which are likely to remedy or mitigate the nuisance from sulphur or grit. As to whether these products of combustion can be dealt with satisfactorily is a problem which we hope will be solved when the projected station at Battersea, which is being equipped with plant for such purposes, is in operation. |
993b0f57-170d-4023-a1e6-7d18e766441a | Enquiries so far made have not shown that any works carried out at existing large installations for this purpose have been successful. 32. PREMISES AND OCCUPATIONS WHICH CAN BE CONTROLLED BY BYE-LAWS OR REGULATIONS. (a) Houses Let in Lodgings.—Owing to the operation of the Rent Restriction Act it has been found difficult to deal with the small number of tenements by registering them in accordance with the bye-laws. Supervision is exercised over them and reasonable home conditions obtain. During the year three tenement houses were the subject of Closing Orders, the tenants re-housed and the premises demolished. (b) Common Lodging Houses.—Sixty-two visits were paid to the two common lodging houses, four of the visits being made at night. Five defects were discovered and one notice served. (c) Tents, Vans and Sheds.—There are still 8 occupied van dwellings, which are located in yards where water supply and sanitarv accommodation are provided. |
26fef195-ddd5-443a-9337-5017ea076f58 | ‘Generally speaking, these vans are kept in a cleanly condition. The only complaints received were from occupiers of houses in the neighbourhood of one yard, in respect of a smoke nuisance. (d) Underground Sleeping Rooms.—There are no such occupied rooms in the district. 52 (e) Offensive Trades.—The following is a summary of the offensive trade premises registered:— Fish Fryers 25 Dealers in Rags and Bones 9 Gut Scraper 1 Fat Melters 2 Fish Skin Scraper 1 Oil Boiler 1 Total 39 One hundred and seventy-three visits were paid to these 39 premises, and 21 contiaventions of the bye-laws were discovered and any necessary action taken. During the year the Council approved two applications to commence the business of soap boiler. Although these applications were granted, the firms concerned had not commenced operations at the end of the year. (f) Refuse Tips.—Situated at West Bank are certain privately owned tips, which were the subject of complaint. |
509e5faa-2064-4423-a92b-52e9088c880e | Proceedings were instituted in respect of two contraventions of the bye-laws relating to the outbreak of fires, the offenders being fined £5 on each information. Since that date discussions between the Local Authority and the tip owners have taken place, and it is hoped that there will not be any repetition of the conditions which were the subject of complaint. (g) Piggeries.—The few remaining piggeries in the district are removed from occupied dwellings, but their presence on the marsh 'and is not satisfactory because of the difficulties in drainage. (h) Stables.—Seventy-seven visits were paid during the yea' to the stable premises in occupation and 5 notices were served respect of various unsatisfactory conditions. 53 33. PARKS AND OPEN SPACES. The Council of an industrial town like Barking is to be congratulated not only upon the fine parks and open spaces it has provided but also upon the provision of added opportunities for enjoyment. |
936c9a26-6a39-4e98-8297-545c5608bd5e | During the year there has been added to the Longbridge Park an extension of the boating lake, a paddling pool for toddlers and a large open-air swimming bath. This latter was not ready for service at the end of the year but is expected to be completed in time for next swimming season. When open it should be the finest bath in the south-east of England. The monotony of vista in several of the new streets has been greatly relieved by the planting of shrubberies on the verge of the footpaths. All these contributions not only add to the amenities of the town but definitely assist the well-being of the community by promoting that interest in " out doors " which results in improved health. 34. SCHOOLS. There are 10 elementary schools in the district, together with the Park Modern School and the Abbey Secondary School. With the exception of the Abbey Secondary School, sanitary inspections are regularly carried out in order that any unsatisfactory conditions may be remedied. |
10a07c30-811c-4614-b1d5-2550e2e0550c | Upon complaints being made, any necessary work is usually carried out forthwith. I have previously directed attention to the absence of sufficient and suitable facilities for the drying of clothes after inclement weather and also to the absence of proper drinking fountains at the older schools. These conditions have not so far been dealt with. 54 Of the elementary schools, that of the Church of England, situated in the older part of the town, is of a type we do not regard as being in conformity with our present standards. The Castle School at Rippleside remains unconnected with the public sewer, but it is anticipated that on the completion of the drainage of this area proper arrangements will be made. In connection with the prevention of infectious disease exclusion of contacts is carried out in accordance with the Memorandum drawn up by the Ministry of Health and the Board of Education. |
eb73f9ce-6c2a-47ac-9b91-30a5c5cb8992 | It has not been tound necessary to close any department of the schools as a result of infectious disease, but during the year, owing to certain instances of smallpox occurring amongst the scholars at the Cambell School, there was a considerable fall in the school attendance. All necessary disinfection and other precautions were adopted to prevent the spread of the disease. 35. RAG FLOCK ACTS, 1911 AND 1928. There are two premises where upholstery repairs are carried out and these premises are regularly inspected. The general practice at both establishments is to use fibre or wood wool for the purpose of repairs. On no occasion has rag flock been found in use. 55 SECTION 4. HOUSING. 36. STATISTICS. (a) General. Number of new houses erected during the year:— (1) Total 1,064 (2) As part of a municipal housing scheme— (a) Barking 59 (b) L.C.C. |
af4e28ba-2e7f-47ba-98b1-956be0cc0d20 | 970 (3) Others (including private enterprise and subsidy houses) 35 (b) Unfit Dwelling Houses. Inspection. (1) Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 4,577 (2) Number of dwelling houses which were inspected and recorded under the Housing (Consolidated) Regulations, 1925 659 (3) Number of dwelling houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 8 (4) Number of dwelling houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 2,486 56 Remedy of Defects without Service of Formal Notices. (5) Number of defective dwelling houses rendered fit in consequence of informal action by the Local Authority or their officers 1,827 Action under Statutory Powers:— Proceedings under Section 17 of the Housing Act, 1930. |
7c097b32-3a94-4f4d-b9ee-f295c2c7cefa | (6) Number of dwelling houses in respect of which notices were served requiring repairs 117 (7) Number of dwelling houses which were rendered fit— By owners 107 By Local Authority in default of owners 10 (8) Number of dwelling houses in respect of which Closing Orders became operative in pursuance of declarations of owners of intention to close Nil Proceedings under Public Health Acts. |
7f21edc0-6221-452f-a776-d94248940237 | (9) Number of dwelling houses in respect of which notices were served requiring defects to be remedied 553 (10) Number of dwelling houses in which defects were remedied:— By owners 553 By local Authority in default of owners Nil 57 Proceedings under Sections 11, 14 and 15 of the Housing Act, 1925, and Section 19 of the Housing Act, 1930:— (11) Number of representations made with a view to the making of Closing Orders 8 (12) Number of dwelling houses in respect of which Closing Orders were made 8 (13) Number of dwelling houses in respect of which Closing Orders were determined, the dwelling houses having been rendered fit Nil (14) Number of dwelling houses in respect of which Demolition Orders were made 4 (15) Number of dwelling houses demolished in pursuance of Demolition Orders 4 37. HOUSING CONDITIONS. |
49f05c37-49ed-4f35-bf6d-3626255af5af | (a) General Observations.—The total number of inhabited houses in the district is 10,941, which, compared with the total of 6,762 at the census of 1921, gives an indication of the growth of the town during the past decade, the greatest increase having taken place during the immediate past two years. Of the total of 10,941 dwelling houses, 1,216 are owned by the Council and approximately 2,000 have been erected in the area by the London County Council since the year 1929. It is interesting to note that 1,499 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. The houses in the area are of the typical town street terrace type of cottage. |
ac517d72-7d70-4c99-bd51-a56f04f8177b | Apart from the old houses situated in the Abbey and Centra) Wards, together with a few cottages of a rural character on the outskirts of the district, the dwellings are of a vype and structure which permit of adequate lighting and ventilation, with reasonable back garden area. 58 The provision of a sufficient open space at the rear of all occupied buildings is a primary consideration in modern housing schemes, whether municipal or private. Further, very few houses are now erected with a back addition building likely to obstruct sunshine or the free circulation of air. Having these essential amenities in mind, it is particularly unfortunate that householders should erect the shed structures which are to be seen in the back gardens of many of the houses in the town. A large number of such structures are erected without any regard to the law upon the ma matter. It is to be deplored that laws introduced to provide a sanitary environment should be broken and made of no avail by the very people such laws were designed to protect. |
f1cd01aa-0a60-42ef-80fa-ce9d5081f13b | It is estimated that there are 7,000 houses (70 per cent.) in the district where temporary buildings have been erected in the back gardens of the premises. Many of these are used for the dumping of household litter, most are ugly and mis-shapen, and almost all are open to objection. They encroach on the limited open space available and oftentimes harbour rats. Among the types of structures which should never be allowed in the small gardens of cottage dwellings are:— Poultry houses and fowl runs. Large wringer slieds. Tool sheds and workshops. Motor cycle sheds. Lean-to additions with insufficient roof lightandventilation. As the Council is aware, the most satisfactory method of dealing with the problem is to make greater use of its powers for the control of temporary buildings. |
b00b5eab-2ca0-4ec6-b133-a29a6239849b | 59 With the advent of a large new population to the district and the erection of so many new houses, the time appears to be opportune for the prohibition of anything but a standard type of structure, the site to be not within 15 feet distance from any window of the dwelling house. The average rent in Barking of the two-bedroomed houses, of which there are a large number, is 8s. l0d. per week inclusive. There are in the Abbey Ward several decayed residences, now let in tenements. The Council's practice of demanding a reasonable standard of housing is reflected over the area as a whole and the public now look for and expect a good type of accommodation. There is, however, a tendency on the part of some owneroccupiers to convert what is essentially a self-contained house into separate apartments on the ground floor and first floor respectively. This in many instances means sharing closet and washing accommodation, whilst food storage is provided by means of a temporary box arrangement. |
f9b21a6b-585c-4968-9cd5-03686e8cac9d | There does not appear to be much objection to such a practice where the occupying families are small in number, but there is a potential danger of overcrowding as the families increase. (b) Sufficiency of Supply of Houses and Overcrowding.—The sub-letting by owner-occupiers is a feature the Council should have in mind when considering housing schemes, particularly as, owing to the operations of the London County Council and private builders, the available land now free for development is totally insufficient for the needs of the existing population. Applications by residents for houses in the Council's ownership have recently been sifted, and as a result it has been found that there remains a total of 1,115 live applications, to which total additions are still being made. It will be seen that a programme of 100 new houses per annum must fail completely to meet so large a need. |
15727838-e3e8-4dff-8e26-5dea6474e7b5 | 60 Apart from the existing overcrowding, as shown by the number of current applications, the influx of new industries to the area which is expected to follow upon present activities is bound to bring new residents. These residents, after a short domicile, will expect proper housing accommodation. In view of the absence of suitablesites it appears that any accommodation provided must be in the form of tenements or by the erection of houses outside the boundary of the district. I do not think the Council should dismiss too lightly the possibility of reclaiming parts of the extensive marsh land, with a view to future building use. Modern methods of reclamation obviate many of the objections previously properly sustained. It is understood that on the completion of the building programme of the London County Council in the year 1932 there will have been erected a total of approximately 7,000 houses by that Authority within the Barking area, giving an added population estimated at 33,000. |
93a38c44-363c-4f6d-866a-6a3e762e56ca | The following summary shows the number of dwelling houses erected during the quinquennium. HOUSES BUILT IN DISTRICT. 1926—1930. Total. . As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses.) 1926 289 47 242 1927 358 30 328 1928 375 40 335 1929 700 (Barking) 206 237 (L.C.C.) 257 1930 1,064 (Barking) 59 35 (L.C.C.) 970 Totals 2,786 1,609 1,177 Of the 1,609 houses shown above as part of Municipal Housing Scheme, 382 were provided by the Barking Town U.D.C. and 1,227 by the London County Council. |
d4dd2b9d-4410-4276-ab93-7a250b492d0f | 61 It will be observed from those figures that the Local Authority has in the last five years provided 382 dwellings, which have been let to persons living in overcrowded conditions. As a result of people from outside the district crowding into houses situated in Barking, it was found necessary to introduce a residential qualification in order that applications from such new residents should not receive prior consideration. Proceedings were instituted in two cases of overcrowding. The families concerned each occupied one room in a tenement house. In one instance there were eight persons in family and in the other six persons. The magistrate made an Order in each case. There is at the present time considerable demand for houses of the two bedroom, non-parlour type. There is no doubt that this small house is favoured rather on account of its low rent than on account of its social amenities. |
fc2b1a49-f3f2-41c7-b128-f0955064abfe | It does, however, appear that a reasonable social standard can be maintained by many small families in such houses, and because this is so we favour the building of houses of this sort. It is obvious that people cannot afford to pay more than onesixth of their income as rent and rates, so that even for people earning so much as £3 per week a maximum of ten shillings only can be allotted for this purpose. (c) Fitness of Houses.— The defects existing are as indicated in the summary of sanitary work carried out. Under the present restricted rent conditions owners are unwilling to carry out even minor repairs without notices. Much of the maintenance repair work follows the issue of informal notices, but in many instances where major repairs are required it is necessary to serve formal notices. During the past year we have been successful in getting carried out extensive re-pointing of brickwork to whole terraces of houses and considerable painting of external woodwork where 62 decay was, commencing. |
e434fca2-c9a2-419c-8e45-aec7fe4c0429 | This work is more often the result of convincing owners of the economic advantage to be gained by the preservation of the structure than by the service of formal notice. Where owners are not financially able to carry out forthwith the required repairs it has been found necessary either to allow ample time for completion, or alternatively where the work is urgent, for the Council to do the work in default, the owner making repayment by instalments in accordance with the Housing Acts. In one instance the two-storied back addition of a house was so rebuilt by the Council, the owner paying for such by instalments. With the exception of twelve houses, which have been included in clearance schemes, every house in the district is provided with water supply inside the premises. In only two instances is closet accommodation shared, and here again the houses concerned are the subject of representation as unfit dwellings. Owing to the architectural arrangement it has been found impracticable to provide suitable food storage accommodation to many houses already erected. |
22ef683e-8272-4e56-9b06-0505949a98ca | For this reason some owners have not been called upon to provide such accommodation. (d) Unhealthy Areas.—With a view to action under the Housing Act, 1930, a five-year programme of slum clearance has been prepared. In the schedule are included many of the old properties which require constant supervision because of their decayed and worn out condition. It may also be said that the accommodation existing in these properties is inadequate for family life. It is proposed to demolish 297 houses in clearance areas and 43 individual unfit houses outside clearance areas. Representations in respect of such areas were pending at the end of the year. 63 SECTION 5. INSPECTION AND SUPERVISION OF FOOD. 38. MILK SUPPLY. Registered with the Authority are 41 retail purveyors, of whom 12 occupy premises outside the district. In addition there are 2 cow keepers, with a total of approximately 40 milch cows. |
d8c47b25-c0ad-4598-a3bb-252697cd8c6a | The following table sets out the results of the bacteriological examination of various samples, from which it will be seen that out of a total of 46, five were found to be unsatisfactory:— Type of Sample. Satisfactory. Unsatisfactory. Totals. Grade "A" (T.T.) Milk 8 — 8 Grade "A" Milk 1 — 1 Raw Milk 13 1 14 "Pasteurised" Milk 18 4 22 Grade "A" Milk Pasteurised 1 — 1 Totals 41 5 46 Whilst 18 of the samples examined are described as pasteurised milk, the majority of the samples represent supplies which, although pasteurised, were not retailed as such, a condition to which I drew your particular attention in my Report for the year 1929. There were during the year 14 samples of milk submitted to biological examination for the presence of tubercle. |
d4c042e0-072f-46d2-81e8-3e441a96fb73 | Of this number one sample was found to be infected. The source of infection was discovered and the animal destroyed. The bacteriological examination of all milk samples is carried out for this Authority by the Counties Public Health Laboratories of 91, Queen Victoria Street, London, whilst the examination of 64 samples of milk for the presence of tubercle is carried out by Professor R. T. Hewlett of the Seamen's Hospital, Greenwich, by animal inoculation. The following table shows the number of licences granted during the year for the sale of graded milks under the Milk (Special Designations) Order, 1923:— "Certified" Milk 1 Grade "A" Milk 1 "Pasteurised" Milk 3 Grade "A" (T.T.) Milk 10 Grade "A" Milk, Pasteurised 1 Licences were granted to two local firms for the bottling of Grade "A" (T.T.) Milk. |
ed6dee62-bed8-497e-af1b-a1175dc36076 | There are in the district 46 retailers and 11 wholesale distributors of sterilised milk. One dairyman was prosecuted for bottling milk in the street. The provision during the year of steam raising equipment for the cleansing of their utensils and bottles, was an improvement for which dairymen in the district should be given every credit. Bacteriological examination of milk taken subsequent to the installation of such equipment indicated the improvement in the conditions of cleanliness. 39. MEAT AND OTHER FOODS. (a) Meat.—The one licensed slaughter-house continued in the occupation of the same person and has not given cause for complaint during the year. 65 The following table gives particulars of notifications received, and the animals slaughtered, during the five years ended December 31st, 1930. Year 1926 1927 1928 1929 1930 Total. |
b0163fa1-032f-430b-9b0b-817f02a11409 | Notifications Received 109 160 126 72 64 521 Cattle 3 97 40 64 80 284 Pigs 86 204 409 137 93 929 Sheep 611 786 815 426 332 2970 Calves 156 137 71 10 11 385 Totals 856 1224 1335 637 516 4568 Diseased meat was destroyed as under:— Description. Disease. Weight. 1 beast's pluck Tuberculosis 25 lbs. |
7378df20-2a8c-4c27-bf37-21b752d4d610 | 11 beasts' lungs „ 65 ,, 2 „ lungs Pleurisy 12 „ 6 „ lungs Pneumonia 36 „ 9 „ lungs Parasites 54 „ 16 „ livers „ 224 „ 4 „ livers Distomatosis 56 ,, 1 beast's liver Tuberculosis 14 „ 4 beasts' livers Cirrhosis 56 „ 2 ,, mesenteries Tuberculosis 6 „ Hindquarters of bobby calf Necrosis 27½„ Portion of leg of veal Contusion 4 „ 3 sheeps' plucks Parasites 21 „ 68 „ lungs „ 184 „ 6 „ livers „ 24 „ 1 sheep's liver Cirrhosis 4 „ 11 pigs' lungs Parasites 33 „ 8 „ livers „ 40 „ 1 pig's liver Cirrhosis 6 ,, 2 pigs' heads Tuberculosis 20 „ Total weight 91½ lbs. |
c28aa53b-8a47-48dd-ae9e-faa7bdd8feba | 66 We do not regard present legislation as being sufficiently stringent in its application to the sale of foodstuffs. Unless the condition of the food exposed for sale is so bad as to be definitely unfit within the meaning of the Public Health Act, 1875, little action can be taken. We think that legislation should be introduced which would provide the Local Authority with power to exercise such control over the display, preparation and distribution of food supplies as would prevent such food becoming exposed to the many forms of contamination to which it is now subjected. The inadequacy and ambiguity of the Public Health (Meat) Regulations, 1924, as applied to stalls and shops is an example of the type of legislation to avoid. (b) Ice-cream.—In this country ice-cream is still regarded as a luxury rather than a food, although, following upon improved methods of manufacture and distribution, the demand for this product is now becoming more continued. |
767d96d0-03fe-4dd0-9344-ed4b44b19814 | So far the only powers for control of this trade are included in local acts, national legislation being non-existent, except from the point of view of probable contamination. Unlike other and kindred products such as milk, butter, etc., no standard of chemical composition or cleanliness of the product has been set up. The wholesomeness of ice-cream, as with most prepared foodstuffs, is influenced chiefly by:— (1) Purity and storage of ingredients. (2) Method of preparation. (3) Storage and distribution of the finished product. The chief constituent of ice-cream should be cream or milk, whether fresh, dried or condensed. In the absence of legal standards, it is not surprising that many ice-creams show variations in the milk fat content between 1 per cent and 20 per cent, the retail prices of 67 the product often being the same. |
9e5807c4-0852-444f-ba61-a1d49cfd74c4 | It has been suggested that a minimum of 8 per cent butter fat and not less than 18 per cent total milk solids should be the standard of composition. In view of the increasing general consumption, I am of opinion the time has arrived when standards of cleanliness and chemical composition should be enacted, together with the registration of producers and distributors, as in the case of milk supplies. Such legislation would increase public confidence in the article and would enable Authorities to remove from business the unscrupulous and dirty trader, and would materially assist the conscientious vendor in distributing a safe and valuable foodstuff. I earnestly advise the Council to initiate or support any action directed to this purpose. Herewith I submit the results of bacteriological examinations of ice-cream during the year. Sample No. B. Count. B. Coli 83 20,100 Absent in 1 c.c. 84 19,400 ditto 85 12,600,000 Present in 0.00001 c.c. |
7f70835d-4cab-4fc8-a8e9-9f525fe89f6d | 86 27,000 Absent in 0.1 c.c. In view ol the fact that ice-cream is prepared in a manner similar to that of pasteurised milk, I see no reason why a similar standard of cleanliness should not be instituted. Pasteurised milk should not contain more than 100,000 bacteria per cubic centimetre, with an absence B. Coli in a like quantity. This is the standard adopted by large manufacturers in this country and recommended in the United States of America. 40. ADULTERATION, ETC. The Food and Drugs (Adulteration) Act, 1928, and kindred Acts and Regulations are administered in this district by the Essex County Council. 68 I am indebted to Mr. H. C. Card, Chief Food and Drugs Officer for the Metropolitan Area of the Essex County Council, for the particulars of samples purchased and submitted for analysis during the year. These samples are submitted for chemical examination to Dr. |
8fde21f2-7e46-4160-a49b-087e7307627e | Bernard Dyer, the County Analyst. Other Milk. Butter. Samples. Total. 81 86 86 253 No proceedings were instituted in relation to these samples during the period covered. 41. UNSOUND FOOD. The following list gives particulars of the unsound food destroyed during the year :— 1 ½ sheeps' livers. Part of breast of lamb. 1½ bushels plums. Two cases of haddocks. One bushel two gallons whelks. 42. NUTRITION. Through the schools, through the various clinics and by the quiet teaching in the home by the health visitors and school nurses, a lot of useful work is being done in making available for the general public the results of recent work in the value of different foods. The chief trouble we experience is that the principles are very simple and that carrying out these principles is fraught with many difficulties, both social and economic. |
f2c0cc41-b564-4818-b3c9-ff7d4a22ed41 | There is no doubt that much of the money at present spent on food is spent to economic disadvantage and that those people who are least able to afford it, pay most in many cases for their food. 69 In many of the homes in Barking facilities are lacking for preparing food under suitable conditions, and it is not to be wondered that when the circumstances are such that the proper preparation of food is a matter of great difficulty, people resort to expediencies which are not altogether to be commended. The greatest difficulty is a lack of variety. For my part, I deprecate a good housewife thinking in terms of calories and vitamins just as I should not expect a great artist to think in terms of the latest scientific enquiries into the theories of colour vision. |
e523267c-2ac9-4d14-bd48-63e5252f9ba4 | If good, plain, straightforward food is made available for the public at a price the public is able to pay, and if that food is as widely variable as possible, and if the public arc taught to avail themselves of these amenities, they will, without any scientific knowledge, prepare foods wnich are scientifically accurate. 71 « SECTION 6. PREVALENCE OF AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. 4:5.—NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases received during 1930 :— TABLE I. Diseases. Males. Females. Total Total cases rem'd to Hos. |
683e769d-2df4-4611-a58a-ecb0a1dbb240 | Deaths Small-pox 18 27 45 45 - Scarlet Fever 80 98 178 151 2 Diphtheria 165 193 358 350 13 Puerperal Septicaimia - 3 3 2 — Pneumonia: Acute Influenzal 16 8 Following Measles 3S 26 12 4 8 Other Forms 36 8 Erysipelas 17 23 40 6 - Ophthalmia Neonatorum 12 — 12 1 - Puerperal Pyrexia — 10 10 4 — Enteric 4 1 5 4 — Epidemic Cerebro-Spinal Meningitis 1 1 1 - Chicken-pox 132 156 288 2 - Totals 467 537 1004 570 39 72 The following diseases were notifiable in 1930 under the original Infectious Disease (Notification) Acts, 1889, |
ed09b5e6-8dd4-4c37-bce6-fd90921afd3a | and 1899:— Small-pox, diphtheria, relapsing fever, cholera, erysipelas, typhus, plague, puerperal fever, enteric fever, scarlet fever and continued fever, and hy Orders or Regulations framed under Section 180, Public Health Act, 1875:— Tuberculosis (all forms), ophthalmia neonatorum, cerebro-spinal fever, acute poliomyelitis, encephalitis lethargica, influenzal pneumonia, acute primary pneumonia, malaria, dysentery, trench fever, and puerperal pyrexia. An order was made under the Infectious Disease (Notification) Act, 1889, making chicken-pox a notifiable disease throughout the district. The Barking Town (Pneumonia) Regulations, 1924, provides for the notification of Pneumonia supervening upon Measles. |
8ab14b83-5423-4dc8-9ada-e95ac09d5197 | The total notifications of infectious diseases numbered 1,004 exclusive of tuberculosis and inclusive of chicken-pox, compared with 547 the previous year. During 1930 the number of notifications of tuberculosis (all forms) was 95 compared with 64 in 1929. 73—74 TABLE II. Notifiable Disease. No. of cases notified at age groups. Cases classified according to Wards. Under one year. 1 to 2 years. 2 to 3 years. 3 to 4 years. 4 to 6 years. 5 to 10 years. 10 to 15 years. 15 to 20 years. 20 to 35 years. 36 to 45 years. 45 to 65 years. Over 65 years. Totals. Abbey. | Gascoigne. Central. Ripple. Longbridge. Westbury. |
1a3b9d6a-b898-4eb6-a00e-26a935abeec4 | Small-pox 2 3 1 1 21 5 1 8 1 2 45 2 2 34 1 6 Scarlet Fever 1 6 12 15 17 68 30 12 12 5 — - 178 13 30 22 39 43 31 Diphtheria I 13 20 21 34 171 45 19 25 6 3 - 358 48 61 30 84 44 91 Puerperal Septicaemia — — — — — - - — 3 — — - 3 — — — 2 1 - Pneumonia (primary, influenzal and following Measles) 4 10 6 3 1 11 2 2 5 4 12 4 64 10 12 8 14 10 10 Erysipelas 1 — 1 — — 2 — 3 6 |
4b3576cd-871e-4623-8b5a-35f3e239e6e9 | 4 16 7 40 4 7 4 9 8 8 Ophthalmia Neonatorum 12 - - - - - - - - - - - 12 2 3 - 5 2 - Puerperal Pyrexia — - — — — — — — 9 1 — — 10 — 2 1 4 3 — Enteric Fever - - - - - 1 1 1 2 — — — 5 1 — — 1 2 1 Cerebro Spinal Meningitis - - - - - - - - 1 - - - 1 - - - - - 1 Chicken-pox 9 25 23 12 22 149 36 3 6 2 1 — 288 20 63 39 66 50 50 Totals 28 56 65 52 75 423 119 41 77 23 34 11 1004 |
d09ad661-d8bd-4800-84f2-4b92568d11f0 | 100 178 106 258 164 198 75 TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1930 :— Scarlet Fever. Diphtheria. Total. January 30 24 54 February 15 20 35 March 9 38 47 April 18 31 49 May 16 24 40 June 11 22 33 July 10 31 41 August 11 26 37 September 10 21 31 October 26 49 75 November 12 47 59 December 10 25 35 Totals 178 358 536 44. NOTIFIABLE INFECTIOUS DISEASES. (a) Diphtheria.—358 cases were notified, compared with 95 the preceding year. Of cases notified, 337 were removed and treated in the local isolation hospital. 13 deaths from diphtheria occurred. |
fb1305ea-9467-4a90-87e9-a2eedacd771c | The average stay of clinical diphtheria in hospital was 48 days, the longest stay being 253 and the shortest 7 days. Sex.—165 cases were male and 193 female. To a certain extent this number is explained by the activity of general practitioners and of your own officers, who have been at great pains to try to round up every possible case of diphtheria, but after allowing for this, it must be admitted with regret that the year has been a bad one from the standpoint of the incidence of diphtheria. 76 All parts of the town have been affected and although several investigations have been set on foot it has been found impossible to find any common factor explaining the incidence of the disease. The diphtheria has been of a serious type and the paralyses which are a feature of the later stages of diphtheria have been pronounced and have required very long and careful convalescences. |
ad240705-0e0f-494c-a4ee-51109674a180 | There were 13 deaths out of a total number of 358 cases, making a percentage death rate of 3.6. Anti-toxin is readily available for all cases. This is kept at the Fire Station and may be obtained at the hospital, but in most cases (as is shown by the table on page 71), patients requiring anti-toxin are removed to hospital. (b) Scarlet Fever.—The number of cases notified was 178 compared with 277 the previous year. Two fatal cases occurred. 141 cases were isolated at the local Infectious Hospital. The average stay of scarlet fever cases in the Municipal Hospital was 44 days, compared with 39 days in 1929. The longest period of detention was 191 days and the shortest 11 days. Sex.—80 cases were male and 98 female. Evidence in Barking is not sufficiently extensive to warrant any opinion as to the correlation between scarlet fever and puerperal fever. |
56e8b8e9-a83c-47c3-b42d-1e2e53a4360c | (c) Pneumonia, Malaria and Dysentery.—The following table shows the incidence during the year of pneumonia, malaria and dysentery, which are notifiable under the Public Health (Infectious Diseases) Regulations, 1927 :— Diseases. No. notified. No. of deaths. Malaria None None Dysentery None None Pneumonia 64 24 77 (d) Smallpox.—There have been 45 cases of smallpox during the year 1930. Not one case proved fatal, but one case was of a very severe order and left permanent injury to one eye of the patient. |
ba7daa46-1a7b-4b21-a283-9c867ef39d57 | This case is interesting by reason of the fact no contact could be proved with any similar serious case, in which circumstance we have once more evidence for believing that the serious type of smallpox and the lesser types of smallpox are all one, the only real difference between modern epidemics and epidemics of olden days being that, whereas in olden days a relatively small number of cases were mild and the majority of cases were severe, at the present time the larger number of cases are mild and only a few cases are severe. The system of persons being admitted to an hospital from which they can be and are discharged without even a consultation with the Medical Officer is bad. One case stands out in my memory during the past year of a man in whom the signs were, and were known to be, equivocable. Every consideration was given to the question, and the diagnosis rested to a certain extent not only on the actual physical signs but also on the epidemicological evidence. |
eace173b-8f0f-4c7e-b4a8-b8470ea7e0d4 | This man was admitted one day, we got in touch with the hospital and fouNd that they too confirmed the signs and they, with us, thought they were very suggestive, and then on the fourth day the man was discharged without even a consultation. Of course, it is quite possible that your Medical Officer would have changed his mind if he similarly had had an opportunity of observing the case in hospital for four days, but on the other hand, the question was one of such difficulty and one in which a personal opinion is likely to vary, that it does seem unfortunate that a Medical Officer should have returned to his area a patient who may after all, so far as he knows, very well be suffering from smallpox. The County Medical Officer still continues to duplicate the circulars we send out to neighbouring authorities with reference to cases of smallpox which occur in Barking. f 78 I have had no satisfactory explanation of this procedure, although I have been in touch with the County Medical Officer. |
3b486af3-a3e0-4c19-834d-441e2a7376ca | * You will remember I brought this matter up in my Report for the year 1929. (e) Encephalitis Lethargica.—There was one death from encephalitis during 1930, the diagnosis being made post mortem. The case was an acute one of unknown origin ; there was oedema of the brain, but microscopical sections failed to reveal anything further. (/) Tuberculosis.—Particulars of new cases of tuberculosis and of all deaths from the disease in the area during 1930 are given in this Report in the following form:— New Cases. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
6b963186-0540-4108-b856-411010ef3487 | Under 1 year 1 1 1 to 5 years — — 4 2 — — 1 1 5 to 10 years — — 3 3 — 1 — - 10 to 15 years 2 — 4 2 — — — - 15 to 20 years 2 5 1 2 1 6 — - 20 to 25 years 6 7 — 1 9 4 — - 25 to 35 years 7 16 — — 2 6 — - 35 to 45 years 3 7 — 1 1 4 — - 45 to 55 years 6 4 — — 2 - 1 - 55 to 65 years 3 — — — 2 - — - 65 yrs. |
8cfbdf57-75f4-41bc-b843-f7c6c3694e1b | & upwards — 2 — 1 1 1 — - Totals 30 41 12 12 12 22 2 1 No action has been takEn in any court of summary jurisdiction under the Public Health (Prevention of Tuberculosis) Regulations, 1925, or under Section 62 of the Public Health Act. 1925, but you have from time to time, on the representation of your officers, given instructions for such action to be taken if necessary. On the one hand a more enlightened public opinion in Barking and on the other hand the knowledge that you are prepared to enforce isolation have made it possible for us to arrange on a voluntary basis isolation which could be enforced after application to the magistrates. 79 Daring the year, 95 notifications were received of all forms of tuberculosis—pulmonary 71, and non-pulmonary 24. Information was received of the removal into the district of 21 tuberculous persons, included in number of notifications received. |
fe6faa53-5436-43e6-ab75-c8f5d8d6526e | Once again I want to call attention to the large number of inward transfers. This is due in large part to the expansion and development of the district. The following are particulars of cases -notified under Forms C and D during the year :— Form C. Form D. Pulmonary. Non-Pulmonary Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. 27 43 7 6 24 28 5 5 There were 842 attendances at the dispensary during the year for the purpose of medical examination, 188 being new cases. Of new cases attending during the year, 27 were subsequently notified as suffering from tuberculosis, 51 had been previously notified, while 15 were inward transfers. The following table gives in tabular form the number of patients removed from the Dispensary Register during the year :— No. on Dispensary Register 31-12-29. |
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