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95fe0f23-c1c3-4334-9591-2c8684cfc2a7 | Own Laboratories. 24 St. Mary's Hospital for Women & Children 22 37 — 8 — — — — 4 — — — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Massage. Ear, Nose and Throat, Orthopædic. Part-time Pathologist in conjunction with other Hospitals. 25 Severn lis Mental Hospital — — — — — — — — — — 1886 — — _ — — — — — Operative surgery, X-rays, Ultraviolet light, Dental, Ophthalmic. Own Laboratory. 26 Westminster Hospital 10 — 13 5 — 2 7 64 85 — 10 — 8 12 — — 6 4 16 — — — All specialised treatment available. Own Laboratories. |
c5c45937-625c-4b6a-849b-e4535516dee0 | † In the case of Hospitals under the control of the Borough of Barking :— Upney (Maternity) Hospital Barking (Isolation) Hospital Number and classification of Mcdical Staff Number and classification of Nursing Staff: Matron Sisters Assistant Nurses Mid wives Probationer Nurses Arrangements for the emolovment of consultants The Medical Officer of Health is also the Medical Supt. and is assisted in his work by the Assistant M.O.'s H. 1 3 3 3 4 13 Consultants are engaged when necessary. ??? above Institutions, there are a number of Sanatoria to which tuberculous persons resident in Barking are admitted at the instance of the Essex County Council, under their scheme tor the treatment of tuberculosis. 29 18. MATERNAL MORTALITY. Cases of deaths due to pregnancy or childbirth are investigated. |
5b43dcb3-6294-45df-aa4c-f2b97bc02acd | During the year two confidential reports have been submitted to the Maternal Mortality Committee on mothers, one of whom died during pregnancy and the other shortly after the birth of her child. In both cases the medical practitioners have given their opinions that the deaths were not due to pregnancy or childbirth. 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. If necessary, cases are nursed in the infectious fever hospital, and although there have been two cases of puerperal fever and seven eases of puerperal pyrexia, there have fortunately been no fatalities. 19. INSTITUTIONAL PROVISION FOR UNMARRIED MOTHERS, ILLEGITIMATE INFANTS AND HOMELESS CHILDREN. |
d3ce2771-30e8-4590-a2b2-766e4ab1d331 | We have not, in Barking, any institutions which make provision for unmarried mothers, illegitimate infants and homeless children, but we are constantly in touch with the Public Assistance Committee and the various voluntary agencies which deal with these cases. 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. 21. AMBULANCE FACILITIES. (a) A motor ambulance is provided for the removal of infectious cases to Barking Hospital. (b) lor 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. 30 22. CLINICS AND TREATMENT CENTRES. |
966b4551-afd4-45f9-a99b-193009ede7a4 | The table on pages 31—32 shows the various out-patient departments under the control of the Local Authority. 23. LOCAL GOVERNMENT ACT, 1929. In my Report for 1930, I wrote of the possibilities in the operation of this Act. It will, I know, be years before the full benefits can be developed. I do, however, feel strongly that, by means of a joint conference between Local Authorities and the Essex County Council, we ought to achieve that co-ordination and cooperation made possible under this comprehensive legislation. 31—32 CLINIC AND TREATMENT CENTRES. 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. |
6d8723ff-e67e-44e0-ac24-c324f90d8f36 | Greatflelds Centre, Movers Lane. Mondays and Thursdays, 2 p.m. ,, ,, ,, ,, ,, Alexandra Centre, St. Paul's Boad J ,, ,, ,, ,, ,, St. Alban's Centre, Urswick Road. Wednesdays and Fridays, 2 p.m. ,, ,, ,, ,, ,, (b) Ante-natal Clinics Clinic premises, East Street. Wednesdays, 2 p.m. ; Fridays, 10.30 a.m. to 12 noon. Accommodation for consultations. ,, ,, Alexandra Centre, St. Paul's Road. Tuesdays, 2 p.m. ,, ,, ,, ,, ,, St. Alban's 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. |
99534bec-14a7-45a8-a1bf-3824dcad6526 | SCHOOL MEDICAL SERVICE— (a) Inspection Clinics and treatment of minor ailments. Clinic premises, East Street. Daily, 8.30 a.m. to 12 noon. Three rooms. Local Authority. St. Alban's Centre, Urswick Road. Daily, 8.30 a.m. to 12 noon. Large Hall. ,, ,, (b) Eye Clinic Clinic premises, East Street. Approximately twice weekly. One room. ,, ,, (c) Dental Clinic ,, ,, Daily, 9 a.m. to 1 p.m. and 2 to 5 p.m. Two rooms. ,, ,, (d) Orthopedic Clinic Faircross School. Mondays, 9 a.m. to 12 noon, and 2 to 4 p.m. Wednesdays, ditto. Fridays, ditto. One room. |
fac383f0-25c1-4bc3-aa40-296243190b34 | ,, ,, TUBERCULOSIS— 37, Linton Road. Mondays, 3 to 5 p.m. Thursdays, 10.30 a.m. to 12 noon. Three rooms. Essex County Council. VENEREAL DISEASES— London Hospitals, etc. - - By arrangement with Essex County Council. S3 SECTION 3. SANITARY CIRCUMSTANCES OF THE AREA. 24. WATER. Water is supplied to the area by the South Essex Waterworks Company. During the month of April, 1932, there was considerable alteration in the general supply to the district, arising from the Company taking supplies from the River Stour. This alteration occasioned a reversal of flow through main supply pipes, with consequent disturbance of silt, and many complaints were received from residents pending the complete washing-out of the mains. |
302bd2cb-98ba-4108-8da8-00738404e854 | It is to be noted that the total hardness of the new supplies is 31 degrees, as compared with a hardness of 18 degrees in our previous supplies. The water is of satisfactory purity. 25. RIVERS AND STREAMS. The rivers and streams running through the area are controlled by the River lioding Catchment Board, whilst the River Thames, your southern boundary, and one of its tributaries, the River Roding, which flows through Barking, is under the control of the Port of London. During the months of August and September bathing took place in the tidal limits of the River Roding. Such bathing was followed by a minor epidemic of enteric fever. Two samples of water obtained from different locations in the river were submitted for examination. The bacteriologist reported on these samples as follows :— 1. This is a grossly contaminated river water, having the bacterial composition of sewage eflluent. 2. |
74387aac-b11e-4df0-b851-a5a9bca9fa2d | This is a grossly contaminated river water, having the bacterial composition of sewage eflluent. In addition, typhoid bacilli could be isolated. ithin the tidal limits the River Roding receives the sewage effluents from the works of three authorities, and higher upstream the effluents from the works of three further authorities. 34 Publicity was given to the danger of bathing in the river, and the Port of . London Authority was advised of the circumstances. It is to be deplored that a river should run through Barking so foul as to give typhoid to people who unfortunately swim in it. 26. RAINFALL. The rainfall for the year ended December 31st, 1932, was 22.47 inches. Rain fell on 196 days throughout the period in question. 27. ULTRA-VIOLET LIGHT RADIATION. One of the most significant facts that the public arc learning is that the ultraviolet rays in sunlight are the vital rays. |
6d661f43-df79-400f-ac86-71adbb3c55d6 | It is further becoming more generally recognised that measurement of such light rays gives an indication of any atmospheric pollution. With the very kindly co-operation of the Borough Librarian—Mr. F. W. McLaren—who undertook the actual work, I am able to supply particulars of the measurements recorded :— Month. Daily Average. January 1.0 units. February 0.6 „ March 0.84 „ April 15 „ May 0.7 „ June 1.12 „ July 1.07 „ August 1.51 „ September 1.4 „ October 1.25 „ November 0.56 „ December 1.0 „ The apparatus used was that designed by Professor Leonard Hill, known as the " test by fading " instrument. The biologically active ultra-violet rays are measured by the fading of a standard solution of acetone and methylene blue. |
a409648f-e994-4232-a0e1-0064e2bb853b | 35 It was found on examining the measurements recorded at Southend that, with the exception of the month of August, our results compared favourably. 28. DRAINAGE AND SEWERAGE. Further considerable progress has been made 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, at Barking. In the Abbey Ward, at certain low-lying parts of the district, flooding took place in times of heavy rainfall. It is anticipated that when the new works are completed any repetition of this trouble will be avoided. The Barking Sewage Disposal Works, situated at Gascoigne Road, Barking, continued in operation during, the year. 29. CLOSET ACCOMMODATION. At the end of the year there remained a total of 45 premises unconnected with the sewer. Ten of these were factory premises. |
6f79c882-ee1c-47e4-aa24-354f6921ffa4 | Of these 45 premises, 12 have cesspools, 27 have pail closets and 6 have privies. Forty-six premises were connected to the sewer during the year without cost to the Corporation. Further conversions were proceeding at the end of the year. 30. PUBLIC CLEANSING. (a) Storage, Collection and Disposal.—The collection and disposal of domestic refuse is controlled by the Borough Engineer and Surveyor. The Corporation have provided hygienic collection vehicles and taken steps to prevent undue exposure during disposal of the rubbish at the tips, but we still have the problem of unsatisfactory storage at the house. I would wish once more to submit my opinion that the provision of dustbins by the Council would, on the whole, prove an economy, and I hope the Corporation will shortly arrange for the hire-purchase system to be put into operation. 36 During the year, 7,609 loads of refuse were collected, with an average weight of 1 ton 12 cwts. |
a7f3d24e-6bb5-4ab0-bddf-6fad744f172f | This figure shows a yield of 11.1 cwts. per 1,000 of the population per day, as against the average figure of 14.3 cwts. per day for non-mining towns. 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. The refuse tips at Mayesbrook and Jenkins Lane have continued in use during the year. Now that Barking is becoming such an important town, and so much of the land is now built on, tipping requires to be a more scientific operation than it need otherwise be, and, so long as we have tips in or near the centre of the town, "controlled tipping" is the only form of refuse disposal which we, as a Public Health Department, can advise. (b) Street Cleansing.—The streets of the town arc kept in a satisfactory state. |
e63c9549-08dd-4cae-a642-d8ce57194743 | As you know, I hold the opinion that street gullies should be emptied and cleansed by mechanical means. 31. SANITARY INSPECTION OF THE AREA. (a) Work of Sanitary Inspectors. (1) Inspection of Dwelling-Houses. Total Houses Inspected under Public Health or Housing Acts 3,155 Total Number of Inspections made 4,981 Housing (Consolidated) Regulations 952 After Infectious Disease 746 Defects Found 8,812 Notices Served (Preliminary) 2,376 Re-inspections re Notices Served 4,582 Inspection of Works in Progress 833 (2) Premises Controlled by Bye-Laics and Regulations. Inspections. Contraventions. Notices served. |
3cc017b9-790c-4f4e-8172-f696396b2a6d | Houses Let in Lodgings 4 1 — Common Lodging Houses 103 8 3 Offensive Trades 230 20 13 Tents, Vans and Sheds 78 10 7 Dairies, Cowsheds and Milkshops 302 7 3 Slaughter-houses 73 1 — 37 (3) Factories, Workshops and Workplaces. Inspections. Defects. Notices. Factories 190 18 6 Laundries 15 — — Bakehouses 52 2 — Domestic Workshops 37 1 1 Other Workshops 118 21 9 Other Workplaces 116 21 11 Outworkers' Rooms 136 — — Butchers' Premises 631 36 15 Fishmongers 25 2 1 Restaurants and Dining Rooms 112 30 14 Stables and Stable Yards 163 25 19 Piggeries 40 6 6 (4) Miscellaneous. Inspections. |
9e9f8679-6293-4f1a-b025-b9e12353c218 | Defects. Notices. Rats and Mice (Destruction) Act, 1919 267 20 6 Vacant Land and Refuse Dumps 191 42 17 Public Lavatories 93 12 9 Schools 56 12 6 Markets and General Shops 366 23 9 Ice-Cream Vendors 146 13 6 Petroleum and Celluloid Stores 149 15 3 Waterlogged Ground 2 — — Fair Grounds 2 — — Foul Condition of Ditches 3 — — Drainage Inspections 244 — — Milk Sampling 70 — — Rippleside Conversions 122 — — Other Miscellaneous 34 — — Visits to Smallpox contacts ... ... 761 (b) Summary of Sanitary Work Carried Out. (1) Drainage. |
8ec71d1c-c251-42a9-998a-5a77588487c3 | Choked drains, opened, repaired, and cleansed 393 Drains reconstructed 79 New drains (conversions) 46 Ventilation shafts repaired or new fixed 26 New inspection covers 23 38 (2) Closet Accommodation. Roofs Walls W.C. structures repaired 29 Floors Doors Scats fixed 67 W.C. pans fixed or cleansed 73 Flushing apparatuses repaired or renewed 207 (3) Sinks. New fixed 38 New sink and bath wastepipes 87 New gulley traps 32 (4) Dampness. Roofs and flashings 867 Eavesgutters 503 Rainwater pipes 172 (5) Water Supply. Defective water fittings repaired and supply reinstated 84 (6) Yard Paving. Yard paving repaired or relaid 219 Gulley dishing repaired or renewed 40 (7) Dustbins. New ones provided 906 (8) General Repairs. |
eace5879-303d-48d8-b5e9-26b1272ad06c | External walls repointed 736 House floors repaired 262 Windows repaired or renewed 493 Window and door reveals repaired 181 Window sills repaired or renewed 340 Sashcords renewed 594 Washing coppers repaired or renewed 278 Stoves repaired or renewed 372 House doors and frames repaired or renewed 169 Stairs repaired 56 Handrails fixed 4 Chimney pots renewed and stacks rebuilt 242 Dirty or defective rooms repaired, cleansed and redecorated 1743 39 (8) General Repairs—continued. Insufficient floor ventilation 151 Insufficient ventilation and light 2 External painting 129 Weatherboards fixed 6 Door sills repaired or renewed 18 (9) Miscellaneous. |
2f0b39a5-1635-4ef6-953f-bd2b9254b2a5 | Offensive accumulations removed 97 Animals so kept as to be a nuisance 10 Verminous rooms and persons disinfested 65 Dirty premises cleansed 3 Flooding 37 Drains tested 405 Dangerous structures reported 30 Overcrowding 54 Accumulation of water in cellar 4 Offensive fumes 9 Other conditions 4 (c) Notices Served. Informal Notices 2,376 Statutory Notices Scction 23, Public Health Act, 1875 27 Section 36, Public Health Act, 1875 65 Section 41, Public Health Act, 1875 15 534 Section 94, Public Health Act, 1875 277 Section 17, Housing Act, 1930 150 (d) Factory and Workshop Act, 1901. Factories, Workshops and Workplaces. (1) Inspections (including inspections made by Sanitary Inspectors). Premises. Number of Inspections. Written Notices. Prosecutions. |
90420088-6b9c-46c0-b400-7fb7624610e7 | Intimations. Statutory. Factories 232 6 — — Workshops 280 10 — — Workplaces 116 11 — — Totals 628 27 — — 40 (2) Defects Found. Particulars. Number of Defects. Number of Prosecutions. Found Remedied Referred to H.M. Ins. *Nuisances under the Public Health Acts:— Want of cleanliness 13 12 1 — Want of ventilation 2 2 — — Overcrowding — — — — Want, of drainage of floors — . |
aa3a199c-0898-4b8e-a831-a25d66dc3653 | — — — Other nuisances 19 19 — — Sanitary accommodation:— Insufficient 4 4 — — Unsuitable or defective 27 27 — — 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 7 4 3 — Totals 72 68 4 — ""Including those specified in sections 2, 3, 7 and 8. of the Factory and Workshop Act as remediable under the Public Health Acts. (3) Home Work. Six notices were issued to the occupiers of premises in the district where outworkers are employed, who supplied lists twice during the year of 7 workpeople engaged on making wearing apparel, etc., in their homes. 41 (4) Registered Workshops. |
66f24dac-d7f9-45c6-b579-c7402411f43f | Workshops on the Register (sec. 131) at the end of the year. (1) Number. (2) Bakehouses (including nine factory bakehouses) 14 Other Workshops 46 Total number of Workshops on Register 60 (5) Other Matters. Class. (l) Number (2) .Matters notified to H.M. Inspector of Factories:— Failure to affix Abstract of the Factory and Workshop Act (sec. 133) 4 Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Act (sec. 5) — Other — Underground Bakehouses (sec. 101):— Certificates granted during the year — In use at the end of the year — (6) Out-workers. |
14aec6aa-7855-4a60-8f73-cd124c51a70d | The following list shows the nature of the homework carried out in this district by 33 outworkers:— Box maker 1 Overall making 1 Mattress case maker l Boot and shoe maker 3 Life-belt covering 1 Tie making 3 Artificial flower maker 1 Millinery 1 Wearing apparel (various) 17 Christmas cracker making 2 Fancy goods making 1 Quilt maker 1 During the year, 31 lists of out-workers were received from other Authorities in respect of addresses in Barking. Four lists were received from employers within the district. 42 32. SMOKE ABATEMENT. During the year, 164 smoke observations were carried out on factory chimneys, and notices were served with respect to the 18 offences registered. At the present time, bye-laws are not in operation in the district, but the permissible limit recognised generally is two minutes black smoke in every observation of thirty minutes duration. |
7950d030-061b-4e5d-a437-60f3891ffac5 | In June, 1930, the Electricity Commissioners appointed a Committee "To consider and report upon the measures which have been taken both in this eountiy and in others to obviate the emission of soot, ash, grit and gritty particles from the chimneys of electric power stations." The Committee took evidence so far as power station practice in this country is concerned, and visited twenty power stations in Germany and France. In December, 1932, the Committee reported "Where it is possible to carry out the recommendations contained in this Report, the creation of a dust nuisance will be avoided. The Committee appreciate, however, that at some existing stations there may be considerations which render it impossible to give full effect to the recommendations." The generating station at Creeksmouth is one of two stations in this country having a capacity of over 200,000 kilowatts. The plant includes stoker-fired and pulverised fuel-fired installations. The grit extraction plant fitted is of the Cyclone type. |
c746776b-bdac-4c56-b832-22f87042bbbf | The dust extraction plant recommended by the Committee of the Electricity Commissioners is one consisting of electrostatic precipitators. Our information is that there would be very considerable difficulty in incorporating such plant with existing installations. The two additional 75,000 kilowatt sets referred to in my Report for last year have not yet commenced operation. The new chimneys are 250 feet high, the chimneys of the pulverised fuel plant are 185 feet high, and the chimneys of the old stoker-fired plants are at present being extended 60 feet in height. 43 33. PREMISES AND OCCUPATION'S WHICH CAN BE CONTROLLED BY BYE-LAWS OR REGULATIONS. (a) Houses Let in Lodgings.—Supervision is exercised over the small number of tenements in the town and reasonable home conditions obtain. (b) Common Lodging Houses.— One hundred and three visits were paid to the two common lodging houses, four of the visits being made at night. |
6c0cdf38-8d8d-441d-b007-b0fb7487bf12 | Eight defects were discovered and three notices served. (c) Tents, Vans and Sheds.—There are 12 occupied van dwellings, which are located in yards where water supply and sanitary accommodation arc provided. 7S \ isits were paid and 7 notices were served in respect of 10 defects discovered. (d) Underground Sleeping Rooms.—There are no such occupied rooms in the district. (c) Offensive Trades.—The following is a summary of the offensive trade premises registered:— Fish Fryers 21 Dealers in Rags and Bones 9 Gut Scraper 1 Fat Melters 2 Fish Skin Scraper 1 Oil Boiler 1 Soap Makers 3 Total 41 Two hundred and thirty visits were paid to these 41 premises, and 20 contraventions of the bye-laws were discovered and any necessary action taken. (f) Refuse Tips.—During the year, the occupiers of the privately owned tips at West Bank were prosecuted for infringement of the bye-laws. |
fc741f7f-3afa-446d-ac2f-04e801dbfecd | Fines and costs amounting to £9 were imposed. The tip owners gave an undertaking that the tips would be closed. (jl) Piggeries.—The seven remaining piggeries in the district are removed from occupied dwellings, but the premises are not entirely satisfactory because of the [???] culties in. drainage. 44 (h) Stables.—Owing to the changing circumstances of the district, many of the old stables have been demolished. The result is that various hawkers and dealers in the district who need a pony and cart have been driven in colonies to unsuitable premises. There is a need in the district for a number of stables constructed in a sanitary manner, to provide accommodation for these poor people, who themselves have insufficient means and who depend for their livelihood upon horse transport. One hundred and sixty-three visits were paid during the year to stable premises, and 19 notices were served in respect of various unsatisfactory conditions. 34. |
65075f5b-37bf-411c-81d5-6a7d1b942c99 | PARKS AND OPEN SPACES. You have three hundred acres of parks and open spaces in Barking, including the western and southern open belts, and you are making wonderful use of them. Your large open air swimming bath is marvellous, and I know that you are laying out the open belt which separates the Becontree Estate from the rest of Barking. Once again I can only say I can think of no better way of investing public money to promote health than by the provision of these open spaces, swimming baths, tennis courts, cricket pitches and other facilities for healthy recreation. 35. SCHOOLS. There are fourteen elementary schools, in addition to the Park Modern School, the Faircross Special School, and the Abbey Secondary School. With the exception of the Abbey Secondary School, which is not within the district, sanitary inspections are regularly carried out in order that any unsatisfactory conditions may be remedied. Upon complaints being made, any necessary work is usually carried out forthwith. |
1c57e00f-eb21-4afb-8cc6-b29540b7b552 | It has not been found necessary to close any department of the schools as a result of infectious disease. 36. RAG FLOCK ACTS, 1911 AND 1928. There are three premises where upholstery repairs are carried out and these premises are regularly inspected. The general practice at all establishments is to use fibre or wood wool for the purpose of repairs. On no occasion has rag flock been found in use. 45 SECTION 4. HOUSING. 37. STATISTICS. (a) General. Number of new houses erected during the year (1) Total 1,993 (2) As part of a municipal housing scheme:— (а) Barking 109 (б) L.C.C 1,707 (3) Others (including private enterprise and subsidy houses) 177 (b) Unfit Dwelling-houses. I. |
a3c0a056-0116-4bb2-86b8-2afdf83f090c | Inspection of Dwelling-houses during the Year:— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 3,155 (b) Number of inspections made for the purpose 10,396 (2) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 & 1932 952 (b) Number of inspections made for the purpose 1,075 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 158 (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 2, |
bbe99e9a-9f4b-4c10-9008-85762ef1da3b | 376 Remedy of Defects during the Year without Service of formal Notices:— Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 1,776 46 3. Action under Statutory Powers during the Year:— A.—Proceedings under sections 17, 18 and 23 of the Housing Act, 1930 : (1) Number of dwelling-houses in respect of which notices were served requiring repairs 150 (2) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) By owners 148 (b) By local authority in default of owners 2 B.—Proceedings under Public Health Acts : (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 384 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 357 (b) By local authority in default of owners 27 C. |
fc731519-0ccc-4fb3-aa4d-de608aed9157 | —Proceedings under sections 19 and 21 of the Housing Act, 1930 : (1) Number of dwelling-houses in respect of which Demolition Orders were made 15 (2) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil D.—Proceedings under section 20 of the Housing Act, 1930 : (1) Number of separate tenements or underground rooms in respect of which Closing Orders were made 1 (2) Number of separate tenements or underground rooms in respect of which Closing Orders were determined, the tenement or room having been rendered fit Nil E.—Proceedings under section 3 of the Housing Act, 1925 : (1) Number of dwelling-houses in respect of which notices were served requiring repairs Nil. |
d9491a81-cb7c-419c-9bdb-2b01049c8768 | 47 (2) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) By ownersNil (b) By local authority in default of owners Nil (3) Number of dwelling-houses in respect of which Closing Orders became operative in pursuance of declarations by owners of intention to close Nil 1.—Proceedings under sections 11, 14 and 15 of the Housing Act, 1925 : (1) Number of dwelling-houses in respect of which Closing Orders came operative Nil (2) Number of dwelling-houses in respect of which Closing Orders were determined, the dwelling-houses having been rendered fit Nil (3) Number of dwelling-houses in respect of which Demolition Orders became operative Nil (4) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil 38. HOUSING CONDITIONS. |
e61d731f-3679-4115-b8d8-671309a928c4 | (a) General Observations.—The total number of inhabited houses in the district is 161,232 (including 1,049 shops), which, compared with the total of 10,965 at the census of 1931, gives an indication of the growth of the town. Of the total of 15,183 dwelling-houses, 1,361 are owned by the Council and approximately 5,700 have been erected in the area by the London County Council since the year 1929. It is interesting to note that 1,699 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. During the year 1932, no less than 392 temporary buildings were approved for erection in the back gardens of dwelling-houses in the district. |
9be33e3f-c4b3-414c-a4b8-bbf76e13259f | In my Report for the year 1930, I said " With the advent of a large new population to the district and the erection of so many new houses, the time appears to 48 be opportune for the prohibition of anything but a standard type of structure, the site not to be within fifteen feet distance from any window of the dwelling-house." It is to be seriously deplored that, when in the design of dwellings everything is planned to avoid back additions likely to interfere with the free circulation of air or to obstruct sunshine, the occupiers for whom these benefits are provided should be allowed to erect the unsightly structures so common in the district. HOUSES BUILT IN DISTRICT. 1926—1932. Year Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). |
880ca406-69cb-4b04-8211-5b735c74bc02 | 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 1931 2,557 (Barking) 26 121 (L.C.C.) 2,410 1932 1,993 (Barking) 109 177 (L.C.C.) 1,707 Totals 7,336 5,861 1,475. Of the 5,861 houses shown above as part of Municipal Housing Scheme, 517 were provided by the Borough of Barking and 5,344 by the London County Council. It will be noted that the number of new houses erected as the result of private enterprise is small. |
24258638-93f0-4727-8333-7c7bb7caa0eb | (b) Sufficiency of Supply of Houses and Overcrowding.—The Council is aware that the land available for building purposes is likely to be taken up completely for rehousing purposes subsequent to action under the Housing Act, 1930. 49 This means that there will not be available in the district any houses for the people living in overcrowded circumstances or for the newly married members of the community. It must therefore be concluded that the practice of members of the family marrying and remaining in the same house with their parents will be intensified. I regard a separate house for every family as being an essential, if the wellbeing of the family is to be maintained in every respect. The Council, I know, arc giving serious consideration to this problem. (c) Individual Unfit Houses.—During the year a total of fifteen houses were represented as incapable of repair and Demolition Orders were made. In addition the Council considered the properties Nos. 67-81, East Street, in their ownership, and decided to demolish. |
cdcad62c-abd3-4c56-82c0-855fa50577ce | Arrangements have been made to rehouse all displaced tenants. The premises in respect of which Demolition Orders were made are as follows:— Nos. 2-8, Mayesbrook Cottages. Nos. 1-5, Manor Way Cottages. Nos. 1 and 2, Ivy Cottages. Toll-Gate House. Of the total of 43 premises scheduled for action in the period 1930-1935, there arc 7 premises remaining to be dealt with. (d) Clearance Areas.—In December last, the public enquiry was held with respect to the Bifron Square area, the Holly Square area and the St. John's Retreat area, consisting in all of 63 premises. The Orders were duly confirmed, and at the time of writing this Report most of the families have been rehoused on the Upney Estate. In September, 1932, representations were made in respect of three areas:— (1) Nos. |
42e3568f-8083-4fb0-8afd-41d54f71009f | 1-36, Bridge Street. (2) Nos. 6-31, Back Lane. (3) Nos. 2 and 4, Broadway, Nos. 1 and 2, Church Path, and Nos. 2 and 3, Market House Buildings. In the three areas there were 70 premises, housing 86 families. These families are to be rehoused on a site at Movers Lane. 51 SECTION 5. INSPECTION AND SUPERVISION OF FOOD. 39 MILK SUPPLY AND ICE-CREAM. (a) Milk Supply—Registered with the Authority are 47 retail purveyors, of whom 13 occupy premises outside the district. In addition there are two cowkeepers. There are two occupied cowshed premises, with a total of 40 milch cows. One is of recent construction. |
3f961c45-3a43-4148-b0fd-3fbe321c06d2 | 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 47, six were found to be unsatisfactory:— Type of Sample. Satisfactory. Unsatisfactory. Totals. Grade " A " (T.T.) Milk 6 1 7 Raw Milk 19 4 23 " Pasteurised " Milk 16 1 17 Totals 41 6 47 Whilst 17 of the samples examined are described as pasteurised milk, the majority of the samples represent supplies which, although pasteurised, were not retailed as such. There were during the year 18 samples of milk submitted to biological examination for the presence of tubercle. Of this number, four samples were from supplies produced in the district, and one of these samples was found to be infected. A further sample of milk from the infected source was submitted for examination and the affected cow eventually slaughtered. |
ba7df979-be58-465e-aa90-aacdc254932f | 52 The County Medical Officer took two other samples from supplies produced in the district and these were both negative. 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 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. In addition to the foregoing, arising out of complaints received, two " informal " samples of milk were submitted to the Public Analyst, who reported that both were genuine samples of milk. 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 5 Grade " A " (T.T.) |
f98c35c9-8ddf-459f-8448-3cf193a29716 | Milk 12 Grade " A " Milk, Pasteurised 2 Licences were granted to two local firms for the bottling of Grade " A " (T.T.) Milk, and one for the treatment and sale of milk as " pasteurised." There are in the district 46 retailers and 11 wholesale distributors of sterilised milk. Two milk roundsmen were prosecuted in respect of three contraventions of Article 31 (2) of the Milk and Dairies Order, 1926. It will be seen that a considerable amount of work has been done in endeavouring to maintain a satisfactory standard of food value and purity, but considerable work yet remains to be done. 53 I hope you will take every step you can to see that all milk which is pasteurised shall be sold as pasteurised milk. This, I think, is the first important step to take in promoting a cleaner milk supply. |
00e6808e-3a6b-44ad-9d47-90b18cd48c37 | I am glad to note that legislation may be introduced soon to control the sale of all treated milk, a matter to which I have referred in my reports for the last three years. (b) Ice-cream.—The following results of the examination of three samples of ice-cream show that the product was not so clean as might reasonably be expected. Sample No. B. Count. B. Coli. 39 160,000 Absent in 0.0001 c.c. 40 112,000 „ 0.01 c.c. 41 720,000 „ 0.0001 c.c. In the Barking Bill application is being made for power to register all ice-cream vendors, and this will enable us to obtain greater control of the sanitary condition of the premises. 40. MEAT AND OTHER FOODS. Meat.—The one licensed slaughter-house continued in the occupation of the same person and has not given cause for complaint during the year. |
13df82e0-282e-4f68-83d8-54cead3faa89 | The following table gives particulars of notifications received, and the animals slaughtered, during the five years ended December 31st, 1932. Year 1928 1929 1930 1931 1932 Totals. Notifications Received 126 72 64 39 57 358 Cattle 40 64 80 12 10 206 Pigs 409 137 93 200 84 923 Sheep 815 426 332 173 270 2016 Calves 71 10 11 1 9 102 Totals 1335 637 516 386 373 3247 54 Diseased meat was destroyed as under:— Description. Disease. Weight. 1 beast's head Tuberculosis 28 lbs. |
af5a3987-b8b1-442d-8fe6-35716c2f7d68 | 2 beasts' lungs Tuberculosis 20 „ 2 „ livers Distomatosis 32 „ 1 beast's liver Tuberculosis 16 „ 3 beasts' livers Cirrhosis 48 „ 3 ,, mesenteries Tuberculosis 9 „ 6 sheeps' lungs Parasites 18 „ 1 sheep's pluck Parasites 10 „ l½ ,, livers Distomatosis 6 „ 2 pigs' lungs Pneumonia 8 „ 2 „ spleens Tuberculosis 1 „ 3 „ internal organs Tuberculosis 120 „ 1 pig's lung Tuberculosis 3½ „ 1 „ liver Cirrhosis 6 „ 1 „ liver Tuberculosis 6 „ 13 pigs' heads Tuberculosis 182 „ 2 ,, carcasses Tuberculosis 160 „ 7 „ mesenteries Tuberculosis 14 „ 41. UNSOUND FOOD. The following list gives particulars of the unsound food destroyed during the year. Meat. 1 rabbit. |
5592a1d5-2cab-4753-bde6-c694c41f081e | 78½ lbs. mutton and lamb. 3½ lbs. pigs' kidneys. 20 lbs. pork. 24 lbs. beef. 5 lbs. ox tails. 84 lbs. bacon. Tinned Foodstuffs. 36 1 -lb. tins tomatoes. 2 2-lb. tins tomatoes. 15 small tins peaches. 9 large tins peaches. 1 large tin raspberries. 10 small tins loganberries. 3 1-lb. tins evaporated milk Fish. 1 halibut (15 lbs.). 1 hake (7 lbs.). 1 case large cod. 1½ bushels winkles. 14 lbs. fillet of cod. 1 case dabs (3½ stones). Other Foods. 16 casks gherkins (4 tons). 42 barrels gherkins. 183/4 lbs. |
33d3ca3b-19ea-4a45-80de-37c3fa6f5d3a | mixed dried fruits. 55 42. ADULTERATION, ETC. The Food and Drugs (Adulteration) Act, 1928, and kindred Acts and Regulations are administered in this district by the Essex County Council. I am indebted to Mr. II. 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. Bernard Dyer, the County Analyst, Great Tower Street, London. Other Milk. Butter. Samples. Total. 43 68 112 223 Four proceedings were instituted in relation to these samples during the period covered. 43. NUTRITION. |
a87e28f9-29c8-46fc-a25a-5bb91bf7d101 | You are particularly interested in the education of the public with reference to nutrition, but I think, as I told you last year, that there need not be a lot of scientific training of the public in the nutritive value of various foods, if, by administration, a straightforward food is made available for the public at a price the public arc able to pay and if that food is as widely variable as possible. We find there is need to teach people that it is not always the most expensive foods which are the most nutritious. By the courtesy of the Director of Education, I am able to say that this is done in ail your schools, and on our part we are constantly advising this at your health centres and when your Health Visitors visit the mothers in their own homes. So long as we have people living in rooms, with no proper cooking apparatus, we must suffer as a race, so far as nutrition is concerned, and also so long as we have houses with no proper accommodation for the storage of food, we must similarly suffer. |
b659c8b0-e1ab-4451-8d7c-5f0a4fa91207 | We find that young mothers are positively anxious to avail themselves of all information that we can give, and I feel confident that, if they are given reasonable opportunities of buying the food and cooking the food, the old reproach of families being fed from a frying pan and with a tin opener will be a very stale joke indeed. 57 SECTION 6. PREVALENCE OF AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. 44. NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases received during 1932:— TABLE I. Diseases. Males. Females. Total. Total cases removed to Hospital. Deaths. |
115e9e58-8845-40d9-9a12-f31de59e18a5 | Smallpox 3 2 5 5 — Scarlet Fever 88 90 178 161 1 Diphtheria 45 57 102 101 5 Puerperal Septicaemia — 2 2 — — Puerperal Pyrexia — 7 7 1 — Pneumonia: Acute Influenzal 63 65 34 14 9 Acute Primary . |
49be8167-3d20-414c-bdb5-f80bfb1ef236 | 50 14 Following measles 44 15 Erysipelas 14 23 37 6 — Ophthalmia Neonatorum 3 10 13 1 — Enteric Fever 11 6 17 17 4 (including Typhoid and Para-typhoid Fever) — — Acute Anterior Poliomyelitis 2 — 2 2 — Cerebro-spinal Meningitis 2 1 3 3 — Encephalitis Lethargica — 2 2 2 — Chicken-pox 251 224 475 — — Totals 482 489 971 313 48 58 The following diseases were notifiable in 1932 under the original Infectious Disease (Notification) Acts, 1889 and 1899 :— Smallpox, diphtheria, relapsing fever, cholera, erysipelas, typhus, plague, puerperal fever, cnteric fever, scarlet fever and continued fever, |
abc8b41b-cf12-4532-9fe7-d3548410f4f9 | and by 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. The total notifications of infectious diseases numbered 971 exclusive of tuberculosis and inclusive of chicken-pox, compared with 905 the previous year. During 1932 the number of notifications and transfers of tuberculosis (all forms) was 169 compared with 123 in 1931. 59—60 TABLE II. Notifiable Disease. |
0ccedcd6-3b85-45b0-bb73-81b4f3c4fda5 | 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 5 years. 5 to 10 years. 10 to 15 years. 15 to 20 years. 20 to 35 years. 35 to 45 years. 45 to 65 years. Over 65 years. Totals. Abbey. Gaseoigne. Central. Ripple (West). Ripple (East— L.C.C. Est.) Westbury. Longbridge (West). Longbridge (East—L.C.C. Est. |
7aefc7e2-bc70-4628-b5e5-9eef2319cc7a | ), Smallpox — — — — — 1 1 — 1 1 — 1 5 — — — — — 5 — Scarlet Fever 1 9 22 22 11 77 21 6 8 1 — — 178 15 15 8 16 52 13 29 30 Diphtheria 5 4 14 8 10 28 16 3 11 3 — — 102 12 8 6 8 28 9 23 8 Puerperal Septicemia — — — — — — — — 2 — — — 2 — — — — 1 — — 1 Puerperal Pyrexia — — — — — — — — 6 1 — — 7 — 1 1 2 1 — — 2 Pneumonia (Ac. primary, Ac. influenzal & following measles) 5 19 14 9 |
952295bb-f214-42a2-a044-375e5789f062 | 9 25 3 5 14 10 8 7 128 24 12 12 11 10 9 24 26 Erysipelas — — — — — 1 — 2 4 7 14 9 37 2 8 4 2 1 7 2 11 Ophthalmia Neonatorum 13 — — — — — — — — — — — 13 4 3 1 3 — — — 2 Enteric Fever — — — — 1 3 7 3 1 2 — 17 8 3 — — — 3 3 Acute Anterior Poliomyelitis 1 1 1 Ccrebro Spinal Fever 1 2 1 Kncephalitis Lethnr«icu — — — — — 1 — — — 1 — — 2 — — 1 — 1 — — Chicken-pox 13 24 23 29 |
6d798e7d-71f4-41a9-b676-007361eafef3 | 39 306 34 3 4 — — — 475 62 40 44 96 121 33 41 38 Totals 38 56 73 69 70 443 75 28 53 25 24 17 971 127 90 77 138 217 79 121 122 61 Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1932 :— Scarlet Fever. Diphtheria. Total. January 15 13 28 February 10 11 21 March 11 . 2 13 April 7 9 16 May 17 5 22 June 12 5 17 July 10 9 19 August 9 8 17 September 22 6 28 October 20 8 28 November 23 16 39 December 22 10 32 Totals 178 102 280 45. |
cf80e626-0418-4d36-824c-21a920ecf6c9 | NOTIFIABLE INFECTIOUS DISEASES. (a) Diphtheria.—102 cases were notified, compared with 241 the preceding year. Of eases notified, 96 were removed and treated in the local isolation hospital. Five deaths from diphtheria occurred. The average stay of diphtheria in hospital was 41.1 days, the longest stay being 128 days. Sex.—45 cases were male and 57 female. Diphtheria, on the whole, was relatively mild during the year, although some very bad cases were admitted to your hospital. 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 patients requiring anti-toxin are removed to hospital. 62 (b) Scarlet Fever.—The number of cases notified was 178 compared with 1C1 the previous year. One fatal ease occurred. 158 cases were isolated at the local Infectious Diseases Hospital. |
b44af731-6e7f-4d61-9da1-aa8af507d08b | The average stay of scarlet fever cases in the Barking Hospital was 49.5 days, compared with 42.3 days in 19.31. The longest period of detention was 120 days and the shortest 20 days. The length of treatment necessary for scarlet fever is a question which has received my consideration during the year. I feel that, whilst we have such a large number of cases who cannot hojie to go away to recuperate after leaving the Hospital, we are well advised not to shorten the period of hospital treatment too much ; so too I feel that the number of homes in Barking where scarlet fever can be conveniently nursed arc so few that we have little opportunity of nursing these cases or supervising them at home. Sex.—88 cases were male and 90 female. No relationship has been traced between cases of scarlet fever and puerperal fever. |
e2db7b42-a131-47ed-a3a6-da23a65e3984 | (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 _ _ Dysentery _ _ Pneumonia Acute Influenzal. 34 84 37 Acute Primaiy 50 In addition, 44 cases of pneumonia supervening upon measles were notified under the Barking Town (Pneumonia) Regulations, 1924. (d) Smallpox.—There have been 5 cases of smallpox during the year 3 932. This figure is the same as that for 1931. All 5 cases were of a mild type. (e) Encephalitis Lethargica.—Two cases of encephalitis lethargica were notified during the year. |
0b707612-0fa3-4160-8a3c-08d3c27cad42 | 63 (f) Tuberculosis.—Particulars of new cases of tuberculosis and of all deaths from the disease in the area during 1932 are given in this Report in the following form :— New Cases. 1 Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female Under 1 year 1 1 — — 1 1 1 — 1 lo 5 years 1 — 7 3 1 — 2 3 5 to 10 years 4 — 7 5 — — — — 10 lo 15 years 3 2 7 6 1 — 2 — 15to 20 years 8 6 3 3 2 1 1 — 20 to 25 years 9 17 1 1 3 4 — — 25 to 35 years 17 |
a0133f33-1532-4f85-a759-2b03ccec3939 | 17 1 3 6 0 — 1 35 to 45 years 15 8 1 — 6 4 — — 45 to 55 years 9 5 — — 2 2 — — 55 to 65 years 7 3 — — 4 1 — — 65 years arid upwards — — — — — — — — Totals 74 50 27 21 26 19 6 4 During the year, 169 notifications were received of all forms of tuberculosis— pulmonary 125 and non-pulmonary 44, and there were 12 deaths of un-notified cases (8 pulmonary and 4 non-pulmonary), making a total of 181 new cases during the year. Information was received of the removal into the district of 55 tuberculous persons, included in number of notifications received. Once again I want to call attention to the large number of inward transfers. |
4c7e39c9-fe22-4eb1-a08c-8c53f7ab53f0 | This is due in large part to the expansion and development of the district. The following are particulars of cases notified on Forms I and II during tiic year:— Form I. Form II. Pulmonary. N on-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. 89 23 11 9 21 22 7 9 64 Fifty-five deaths occurred from tuberculosis (all forms) 45 of these being pulmonary cases. The number of deaths in institutions was 29. The death rate for tuberculosis (all forms) during 1932 was 0.91 per 1,000 population, compared with 0.87 for the previous year. I regret to inform you that twelve of the cases which died from tuberculosis had not previously been notified to me as suffering from that disease. |
80926920-29e9-4c3e-acc5-96dc738ed91e | We have written to the certifying practitioners in many of these cases and find that some of the reasons for the non-notification of these cases are as follows :— 1. That some of the medical men do not yet understand that, even though a cate nas been notified in another, district, it must again be notified when permanent residence is taken up in this district. 2. That some people who have removed into the district have only called in a doctor just prior to death. 3. That in several cases the diagnosis has only been established after death. I am to advise you that this figure, which would appear to be quite unsatisfactory, is by no means so unsatisfactory in the light of the enquiries we have made. The following table shows the position of the Tuberculosis Register on 31/12/32 compared with 31/12/27. |
b71f8773-3d24-4ef2-9bb1-759637276329 | Number on Register, 31/12/27 946 Number since admitted to Register 562 Number since discharged from Register: Cured 139 Died 288 Amended Diagnosis 260 Left district or lost sight of 195 Duplicate notification 15 897 Number on Register, 31/12/32 611 (g) Enteric Fever.—Seventeen cases of cnteric fever (including typhoid and paratyphoid fever) were notified during the year, all of which were removed to hospital. Four of the cases proved fatal. (h) Puerperal Fever.—Two cases were notified during the year and both of them recovered. 65 (i) Puerperal Pyrexia.—Seven cases were notified during the year, of which one was removed to hospital; all of the cases recovered. (j) Erysipelas.—37 cases were notified during the year compared with 25 during 1931. Six patients were removed to hospital. |
dabb20ac-ec82-4008-a670-ce7305ddc567 | (k) Chicken-pox.—In view of the prevalence of smallpox in surrounding districts, chicken-pox was made a notifiable disease in the district in April, 1928, and continued to be notifiable throughout 1932. A total of 475 cases were notified during the year compared with 333 during 1931. Sex.—251 were male and 221 female. Ki. NON-NOTIFIABLE ACUTE INFECTIOUS DISEASES. (a) Measles, etc.—The most important of these are measles, whooping cough and summer diarrhoea. Deaths registered were as follows :— Measles 15 Whooping Cough 2 Summer Diarrhoea 11 It will be seen that the deaths from measles number fifteen, i.e., over a quarter of the number of deaths from tuberculosis. |
0634f778-6471-4196-b43d-947044dfee44 | Three times the number of children died from measles than died from diphtheria, and these fifteen deaths from measles contrast very unfortunately with the one only death we had from scarlet fever. I have come to the conclusion that measles, whenever there is any doubt on the issue as to if and whether it can or cannot be nursed at home, should always lx' nursed in hospital. As you know, it is not the actual measles which is the killing disease but the broncho-pneumonia which complicates it. \ou are willing to admit to Barking Hospital cases of measles complicated with broncho-pneumonia. (b) Rheumatic Fever.—Rheumatic fever, as I said last year, is a serious problem in Barking. 66 (e) Cancer.—There have been 59 deaths from cancer, 32 below the age of 65 years and 27 over the age of 65. |
c3a5dcdc-804b-43b3-8904-39f16a68913f | The following table shows the occupations of the 59 persons who died from cancer during the year 1932. Male. Female. Bargeman 1 Infants 2 Coal merchant 1 Music teacher (spinster) 1 Electrician 1 Widows 12 Foreman, contractors' works 1 Wives 20 Gas workers 3 Glass blower 1 Infants 2 Insurance agents 2 Invoice clerk' 1 Labourers 4 Licensed victuallers' representative 1 Machine minder 1 Mechanical engineer 1 Night watchman 1 Plasterer 1 Retired (no occupation) 2 24 35 The following table shows the organs affected, according to the returns of certified causes of death. Organ. Male. Female. |
c0d8fba7-b679-4deb-b961-9526a5fbab9f | Bladder 1 – Breast – 2 Cervix – 2 Colon 3 4 Larynx 1 – Liver 2 6 Lungs 2 3 Mouth 1 – Ovary – 3 Peritoneum 1 – Prostate 1 – Pylorus 1 – Rectum 1 3 67 Organ. Male. female Scrotum 1 – Sigmoid 1 1 Spine .... – 1 Stomach 6 3 Tongue 2 – Uterus – 5 Vulva – 1 Not stated – 1 24 35 These tables show the prevalence of cancer, the occupations and sex of the patients and the organs affected. It is difficult for us to educate the public in the need there is for early treatment without at the same time alarming them. |
44f2b928-a7ac-4edf-82e7-21b1ea79fa8d | In Barking, however, there is not so great a need for this special education as there is in some towns, because, being an industrial town, a large part of the population is either insured or otherwise under medical supervision, and also because, on account of the nearness of the great London hospitals, it is possible to get an opinion without unduly alarming the patient. Persons in Barking are quite used to attending these hospitals, and there is no need in every case to represent the situation as dramatic in order to warrant such a journey. (d) Influenza.—There were 14 deaths from influenza during the year 1932. May 1 repeat that the general public look upon influenza far too lightly, and, by keeping at work when they ought to be in bed, they not only aggravate their own disability and in many cases provoke fatal complications, but also spread the disease. |
9aae27c3-c1d4-4a55-8272-bb4931d60505 | I do think in time we shall create a public opinion sufficiently alive to the danger of influenza that anyone needlessly exposing himself or herself whilst suffering from this disease will be looked upon as a public nuisance and a common danger. W e have but little information as to the incidence of influenza. We know, of eourse, that it was very prevalent, and the fourteen deaths show that it was a serious danger during the year. N ith the opening of Barking Hospital we have taken in serious cases of uilluenza complicated with pulmonary trouble, but, because the Hospital was only i>|H iicd in October, the number admitted was not large. 68 (e) Scabies.—Fifty-eight cases of scabies were brought to the notice of the department during the year. Disinfection of bedding and blankets was carried out in all but seventeen cases, where the parents declined the services offered. (f) General.— Non-notifiable infectious diseases amongst school-children arcmuch more easily traced than the diseases amongst adults. |
d5398060-7dd2-402b-8ab1-5ed12087a426 | As you know, the School Attendance Officers of the Education Committee are General Inquiry Officers, and we have a lot of reliable information on which we can act so far as infectious diseases amongst school-children are concerned. 47. BARKING HOSPITAL. (a) Admissions. The following is the table of admissions, etc., in respect of infectious diseases during 1932 :— Disease. In Hospital January, 1st, 1932. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1932. |
2026fae1-e42b-494f-a395-82df2cba02da | Scarlet Fever 28 161 *2 156 31 Diphtheria (including Membranous Croup) 20 93 3 99 11 Whooping Cough and Convulsions _ 1 1 - _ Puerperal Pyrexia _ 1 _ 1 _ Enteric Fever _ 14 _ 11 3 Pneumonia _ 6 3 2 1 Pneumonia pnd Measles _ 2 1 1 _ Pneumonia and Whooping Cough _ 1 _ 1 _ Pneumonia and Croup _ 2 _ 2 _ Tonsillitis 1 3 _ 4 4 Erysipelas _ 6 _ 6 _ Measles _ 1 _ 1 _ Measles and Laryngeal Croup _ 1 _ 1 _ Others _ 3 _ 2 1 *Hospital diagnosis—Encephalitis and broncho-pneumonia. |
82f068c0-d7c0-432c-8035-e191f0edad32 | 69 (b) Number of Bed Days.—The total number of bed days in the infectious diseases hospital during 1932 was 13,741—that is to say, an average of 38 patients were in hospital throughout the 366 days in the year. (c) Hospital Accommodation.—You have now Barking Hospital, with fifty-eight beds and I know that you are entertaining extending this. As I have reported elsewhere, I hold that 1¼ beds are required in Barking per 1,000 population. The problem of using hospital accommodation to the best advantage is a difficult one. The twelve cubicles you have provided have proved their worth, and I am of opinion that, although it is certainly more costly to nurse any one particular patient in any one particular cubicle, we are by reason of the number of cubicles you have, able to carry out our duties on the whole more economically than we could without them. |
2233763f-0b9a-4835-a236-4aa3524a80e0 | It is my intention, when the second portion of the Hospital is being built, to advise you on the question of cubicle blocks. 48. VACCINATION. Your Medical Officer has carried out no primary vaccinations or re-vaccinations. He works in the closest co-operation with the Public Vaccination Officer. EXAMINATION OF PATHOLOGICAL SPECIMENS, ETC. In a previous table on page 22 I have shown the use which has been made of the facilities provided for the examination of pathological and bacteriological specimens. 50. CLEANSING AND DISINFECTION OF VERMINOUS PERSONS. Last year, I suggested you might well entertain the possibility of setting up a cleansing station. I hope this matter will have your early consideration. 70 51. RAT REPRESSION. No extra special activities were undertaken during Rat Week, except the exhibition of posters directing attention to the matter and advising affected householders what steps to take. |
f09421d9-b5ba-4a07-966e-a073416b808d | The extensive propaganda which has taken place in past years has taught the general public to give notice to this department so soon as any evidence of rat infestation is found. During the year, there were 111 applications for the free supply of raticides, and 267 visits were paid by the sanitary inspectors to infested premises. 52. MOSQUITOES. The prevalence of mosquitoes in Barking for a month or two in summer is well known. The result of the investigations which have been carried out tend to show that the greater part of any nuisance which exists arises from mosquitoes which breed, not down in the marshes, but in the back gardens of the houses in the town itself, and that if persons would see that there were no collections of stagnant water left in old cans and in other places where these mosquitoes could breed we should have but little trouble from these irritating insects. 71 SECTION 7. MATERNITY AND CHILD WELFARE. 53. GENERAL. |
bec8b444-1b9d-4471-9532-dc5337f1c839 | The question of clinic accommodation is one which you have at present before you and is one in which I know you are deeply interested. I hope it will be possible to arrange at an early date for all the clinic work to be done in permanent buildings. 54. REGISTRATION AND NOTIFICATION OF BIRTHS. By the Registration Act, 1836, all live births must be registered within a period of six weeks. The actual number of live births within the district during the year was 1,080, the net total of 1,105 being obtained by adjustment of "transferred" notifications. The live births registered included 574 males and 531 females. There were 20 illegitimate births, or 1.8 per cent. of the total. In comparison with 1931, 158 more births were registered during the year, an increase equivalent to 16.7 per cent. |
684367eb-6ad7-43b8-b52d-c5e44d4ca8f5 | By the Notification of Births Act, 1907, all live births and still-births of seven months and over are required to be notified to the Medical Officer of Health within 36 hours. Of the total live births all except 18 were notified. In addition, 2 stillbirths were not notified. The following table gives details of the notifications received:— By whom notified. Live Births. Still-Births. Medical Practitioners 137 5 Certified Midwives 855 18 Parents and Others 69 1 Of the total live births within the district during the year, 808 or 74.8 per cent. were attended by midwives, the remainder being attended by medical practitioners. 55. BIRTH RATE. The birth rate for the year was 18.3, compared with 15.3 for England and Wales. 72 56. ANTE-NATAL CLINICS. The work of the Clinics was carried on as in previous years. |
ac332504-c857-4ca3-adf3-d7b6b260d422 | The attendances during the year were well maintained. The number of primary attendances was 580, compared with 527 for 1931. Re-attendances numbered 1,902 in 1932, and 1,840 during 1931. Two hundred and seven sessions were held during the year, making an average attendance of 12.0 mothers per session. The total number of births including transfers was 1,153 and the number of first attendances at the Ante-Natal Clinics was 580. It would therefore appear that 50.3 per cent. of these cases availed themselves of our Ante-Natal Service. Sixteen cases attended by midwives were referred by them or by the health visitors for examination at the Ante-Natal Clinics owing to the presence of defects following child birth. 57. UPNEY (MATERNITY) HOSPITAL. |
b4669aaa-437c-4d52-8604-3a90ba6b7025 | The admissions to the Upney (Maternity) Hospital numbered 238, compared with 196 in 1931. Of these 20 cases were admitted for ante-natal treatment, and 218 for confinement. Corresponding figures for 1931 were 27 cases for ante-natal treatment, and 169 for confinement. (а) Number of cases admitted 238 (20 of which were Ante-Natal) (б) Average duration of stay 14.4 days (c) Number of cases delivered by:— Midwives 214 Doctors 4 (d) Number of cases in which medical assistance was sought by the midwife, |
c16dec2b-0fc9-4792-a07d-9692dcdd8414 | with reason for requiring assistance :— Torn Perineum 19 Prolapse of Cervix 1 Rigor with rise of temperature 1 Collapse after 3rd stage 1 Delayed 2nd stage 2 Unsatisfactory condition of patient 13th day 1 Feeble infant 1 • 26 (c) Number of cases notified as puerperal sepsis, with result of treatment in each case (recovered) 1 73 (f) Number of cases notified as puerperal pyrexia, with result of treatment in each case Nil (g) Number of cases of pemphigus neonatorum Nil (j) Number of cases notified as ophthalmia neonatorum with result of treatment in each case Nil (i) Number of infants not entirely breast fed while in the Institution 2 (j) Number of maternal deaths Nil (k) Number of foetal deaths (i) still-born, and (ii) within 10 days of birth, |
b7f2b975-4824-42e9-a8c2-66fca21f1ea5 | and their supposed causes—and the results of the postmortem examination:— (i) Still-born 5 (ii) Within 10 days of birth Nil 58. PUERPERAL FEVER AND PUERPERAL PYREXIA. Two cases of puerperal fever were notified as compared with three in 1931. In addition to the cases of puerperal sepsis, 7 cases of puerperal pyrexia were notified, the confinement in 3 cases being attended by a midwife. All the patients recovered. 59. MATERNAL MORTALITY. No maternal deaths occurred during 1932. The following table shows the number of maternal deaths occurring in Barking during the past seven years:— Year. No. of Maternal Deaths. 1926 1 1927 3 1928 2 1929 2 1930 3 1931 4 1932 — 74 60. |
91b42d1c-be62-4d7c-84f8-f78a2eaec3ec | INFANTILE MORTALITY. During 1932, fifty-nine children died under the age of one year. This is at the rate of 53.4 per 1,000 live births. This is a satisfactory figure, and, although it is not safe to depend too much on the figure in any one year, it is a figure on which you can nevertheless congratulate yourselves. In these 59 deaths, there were the usual number of inevitable deaths, so that I have no reason to suppose it was an exceptionally lucky year. The corresponding figure for the whole of England was 65, for the County Boroughs and Great Towns (including London) 69, for the Smaller Towns 58 and for London 66. The following table shows the infant mortality figure for Barking from 1891 to 1932:— Year. Number of deaths under one year. Infantile Mortality Rate per 1000 live births. Year. Number of deaths under one year. |
8a3849fa-d8f2-4a16-bb22-737944698392 | Infantile Mortality Rate per 1000 live births. 1891 96 150.0 1912 90 95.1 1892 99 151.8 1913 116 113.3 1893 98 156.6 1914 104 106.4 1894 85 122.4 1915 108 115.0 1895 112 162.6 1916 70 75.0 1896 104 148.9 1917 89 117.4 1897 138 178.0 1918 60 82.4 1898 129 178.0 1919 54 65.0 1899 137 172.0 1920 92 83.0 1900 159 203.0 1921 74 74.1 1901 155 172.0 1922 49 55. |
0b5059f3-c1ee-4fd9-b396-117bd7d213d1 | 5 1902 112 134.0 1923 43* 49.8* 1903 97 113.0 1924 72 85.1 1904 129 143.0 1925 66 80.0 1905 128 142.0 1926 49 59.9 1906 143 163.0 1927 47 66.1 1907 98 112.0 1928 51 63.3 1903 110 117.0 1929 42 53.4 1909 93 107.0 1930 49 61.3 1910 88 97.7 1931 61 64.4 1911 158 157.0 1932 59 53.4 * Registrar-General's figures. |
e0538ccf-fef5-4535-a33a-1ee19d20a6db | Of the 59 deaths of infants under the age of one year, one was due to bronchopneumonia following measles. 75 61. NEONATAL MORTALITY. Of the 59 children who died under the age of one year, no less than 28 of these died under the age of one month—i.e., 47.5 per ccnt. Of these 28 children, 12 were female and 16 male. Of the 28 deaths, 14 were due to premature birth and debility and 3 were due to congenital malformations, the remaining 11 being due to various causes. Giving approximate figures, it may be said that the neo-natal mortality rate for 1931—i.e., the number of children dying under the age of four weeks per 1,000 births—was 32.5 and for 1932, 25.3. |
d36dbd84-38b9-43ea-9593-88e128fe1e37 | The corresponding figure for the whole of England for the year ended December, 1931, was 31.59. It will therefore be sem that Barking has a low figure. The Barking figure is lower than that for Creater London, which is 25.63, and lower than that for County Boroughs, which is 33.67. The rate as applicable to children between the ages of one and twelve months works out at 28.05. As I have said for the last 2 years, it is now generally believed that these neonatal deaths can only be materially influenced by more intensive and efficient ante-natal work, and these 28 deaths show you that you have realms to conquer in this direction. 62. STILL-BIRTHS. Of the total notifications received under the Notification of Births Act, 24 related to still-born children, 2 of whom belonged to other districts. In addition, 2 still-births were not notified. |
cc6565e5-bce6-4080-a13e-a78180b67153 | In addition, 7 still-births occurred in Hospitals outside the Borough. It will therefore be seen there were 31 still-births belonging to the district. The Registrar-General expresses this figure as a ratio between the number of still-births per 1,000 total births. In this way we get a rate of 27.3 for 1932. This is a very low figure compared with the figure of 41 for all England and Wales. Investigation of the health visitors elicited the following information:— (a) Duration of pregnancy:— Less than seven months — More than seven months 25 Not elicited 8 76 (b) Presentation:— Twins 2 Extended breech 2 Vertex 9 Breech 7 Footling 1 Anencephalus 2 Not elicited 6 Cæsarean section 1 Face 1 P.O.P. 1 R.O.A. |
ca9e0059-1f2d-4a06-a21f-9ab28b72e897 | 1 (c) Supposed cause of still-birth:— Large baby 1 Accident, etc. 3 Baby's position 2 Shock 2 Difficulties during labour and delivery 10 Not known 15 (d) Occupation of mother:— Household duties at home 20 Shop worker 1 Unknown 2 Tailoress 1 Waitress 1 Clerk 1 Field worker 1 63. OPHTHALMIA NEONATORUM. There was a decrease in the number of cases of ophthalmia neonatorum, notifications being 13, compared with 17 in 1931. Four of the cases occurred in the practice of midwives, the remainder (with one exception) being attended by medical practitioners. Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital. |
84a00468-2b43-46df-9dd7-74b252a28221 | Under 3 weeks 13 12 1 13 — — — In no case has the vision been impaired. 77 64. WORK OF THE HEALTH VISITORS AND THE INFANT CLINICS. An analysis of the attendance at the Infant Welfare Centres is given in the following table:— Infant Welfare Centres. Clinic Premises. Alex. Centre. Movers Lane. St. Alban's. Totals. No. of sessions 103 99 99 104 405 No. of attendances of children under one year (a) New cases 252 141 154 380 927 (b) old cases 2362 2195 1942 2493 8992 No. |
2978a2f7-c37a-406b-b9ff-2da219d99df9 | of attendances of children 1 to 5 years of age:— (a) new cases 89 37 41 252 419 lb) old cases 1568 1456 929 1905 5858 Average number of attendances per session 41 39 31 48 40 No. of sessions attended by medical officers 103 97 96 104 400 No. of children seen by medical officers:— (a) Under one year 1262 1113 1058 1149 4582 (6) Over one year 955 642 630 956 3183 Average number of children seen by medical officer per session 21 18 18 20 19 The total attendances during the year were 16,196, as compared with 14,664 in 1931. Particulars of the home visits paid by the health visitors are given in the following table:— No. of half-days devoted to visiting 1,275 No. |
3dde815f-1eed-4e43-828a-37d096091537 | of ante-natal visits:— First visits 280 Subsequent visits 91 No. of first visits to children under one year 1,323 No. of subsequent visits to children under one year:— (a) Attending a Centre 295 (b) Not attending a Centre 3,296 No. of visits to children 1 to 5 years of age:— (a) No. of visits 5,304 (b) No. of children seen 8,782 No. |
21535653-3971-4386-a088-79c2111c05be | of special visits in connection with Ophthalmia Neonatorum 10 Ditto Deaths of children up to 3 years of age 75 Ditto Still-births 27 Ditto Puerperal Sepsis and Puerperal Pyrexia 11 Other visits (re infectious diseases) 300 Total home visits of all kinds 11,012 78 Reference to the second table on page 77 will show that nearly five thousand visits were paid to children under the age of one year and nearly eight thousand eight hundred to children between the ages of one and five years. This shows that there is in Barking a very real amount of work done in connection with the visitation of toddlers and children up to the age of five years. It is obvious from these comparative figures that more visitaticn is carried out in the case of children under the age of one year than over the age of one year, and this is rightly so, because it is during the first year that the foundations of health are being laid. |
e4917c70-45c5-4d11-b493-b3ae8900ef0b | I feel, however, that we should have an economic return if—not only in Barking, but throughout the country—we had an extension of staff to pay more attention to children between the ages of one and five years. 65. FOSTER CHILDREN. The following is an abstract of a table compiled and returned to the Ministry of Health by the 30th January, 1933, relating to the administration of Part 1 of the Children Act, 1908, during the year 1932:— 1. Notification:— (i) Number of foster parents on the Register:— (a) at the beginning of the year 41 (b) at the end of the year 46 (ii) Number of children on the Register:— (a) at the beginning of the year 52 (b) at the end of the year 54 (c) who died during the year Nil (d) on whom inquests were held during the year Nil 2. |
e68a2080-3e56-45a0-9c7c-313460afe421 | Visiting:— (i) Number of Visitors holding appointments under section 2 (2) at the end of the year:— (a) Health Visitors 5 (b) Female, other than Health Visitors — (c) Male 1 Arrangements are made for notification to the Medical Officer by the fosterparents, and for visiting by the Health Visitors. 79 66. ILLEGITIMACY. Twenty illegitimate children were born during the year, and in the same period six deaths of illegitimate infants occurred ; the infantile mortality rate among these children was therefore 300.0, while that for legitimate infants was 48.8. Previously I have written upon the question of illegitimacy, and again I must ask you to contrast the very high infantile death rate among illegitimate children with the relatively favourable rate among legitimate children. You will note that this rate is over six times as high as that among legitimate children. |
48117015-7b29-42d4-9cc7-6c880d4621f1 | To deal with this problem requires co-operation amongst all the organisations that are interested in moral and social welfare. As I have said, the twenty births of illegitimate children showed six deaths ; twenty corresponding legitimate children showed an average of only one death. 67. DENTAL CLINIC. A general increase in this branch of the work has been taking place, and during 1932 the attendances of expectant and nursing mothers and of children referred from the Maternity and Child Welfare Clinics were as follows:— (a) Number of treatments of children 785 (b) Number of mothers treated:— New cases 148 Old cases 702 (c) Number of dentures supplied 149 (d) Sessions held 96 68. RTHOPÆDIC CLINIC. Seventy-five children under school age were referred from the Infant Welfare clinics or by the local medical practitioners for examination by the Orthopaedic Surgeon during the course of the year, and. |
387451fe-699c-42bf-9286-ba1f974fc995 | in addition, 118 cases attended for re-examination. There of the children received in-patient treatment at Orthopaedic Hospitals. 80 The cases dealt with for the first time during 1932 were referred for the following conditions, some children having more than one defect:— (a) Deformities—Bones and Joints— (1) Congenital: Asymmetry—skull 2 Prominent Ziphoid Sternum 1 Bowed Tibia; |
7bd588df-74a4-4dd2-a7e9-2469244e0535 | 1 Abnormality—Digit II—hand 1 (2) Acquired: Genu Valgum 21 Genu Varum 2 Bowed Tibiae 27 Bowed Femora 1 Fracture—Clavicle 1 57 (b) Muscular Deformities— (1) Congenital: Talipes 4 Torticollis and Hematoma 12 Webbed Digits—feet 2 (2) Acquired: Pes Plano-valgus 35 Weakness—back and neck muscles 1 (c) Paralysis— 54 (1) Acquired: Anterior poliomyelitis 1 1 Total defects found 112 The prevention of crippling is a matter to which Barking has given serious attention. Arrangements are sometimes made for children, so soon as they are born, to see the Orthopaedic Surgeon. This is not a mere figure of speech—it is actually true. |
822f6ad2-3c86-404c-8a56-9ab695017fb7 | In Barking, where a very large percentage indeed of the children are known to your staff, it is, I am happy to say, only exceptional that a child grows up with any serious deformity. 81 I was very happy the other day, when called upon to show our cripples to the efficer of an organisation interested in these children, to find myself asked at the end of the inspection, " But where are your real cripples ? " It nevertheless docs obtain that in a very small minority of cases, owing to prejudice, we are not able to obtain the results we quite reasonably expect. I am verv "lad indeed to be able to tell you that these cases form a very small minority. 69. ARTIFICIAL SUNLIGHT CLINIC. The treatment of infants and children under five years of age at the Artificial Sunlight Clinic was continued during 1932. |
db256bf7-4937-4c08-a1f3-f0c20d201316 | Cases are referred by the medical officers in charge of the Infant Welfare Clinics, and the children attending are kept under constant medical supervision during their course of treatment. The majority of the children referred for treatment were suffering from early rickets and malnutrition. In addition, cases were referred for the following conditions—chilblains, prematurity, general debility and anaemia. In all, 108 children received treatment during 1932. One session per week was devoted to these cases, and 1,016 treatments were given. 70. BATHS FOR EXPECTANT MOTHERS. During the year, free baths at the Public Baths have been continued for expectant mothers who have no facilities for bathing at home, and who cannot afford to pay the usual charge for the use of the Public Baths. There were eight baths granted free of charge during 1932. 71. MEALS TO EXPECTANT AND NURSING MOTHERS. |
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