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a21a3668-6717-4c0c-8a2f-70edcd62a79e | Factories 290 14 - - Workshops 109 — — — Workplaces 81 3 — — Totals 480 17 — - (2) Defects Found. Particulars. Number of Defects. Found Remedied Referred to H.M. Ins. Number of Prosecutions. *Nuisances under the Public Health Acts:— Want of cleanliness 8 8 — — Want of ventilation — — — — Overcrowding — — Want of drainage of floors 1 1 — — Other nuisances 14 14 — — Sanitary accommodation:— Insufficient 3 3 — — Unsuitable or defective 17 17 — — 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. |
8c4c0f38-defd-4145-8d01-e20e96fa5225 | 97 to 100) — — — — Other offences 1 1 - — Totals 44 44 - - * Including those specified in Sections 2, 3, 7 and 8, of the Factory and Workshop Act as remediable under the Public Health Acts. 45 (3) Home Work. Four 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. (4) Registered Workshops. Workshops on the Register (sec. 131) at the end of the year. (1) Number. (2) Bakehouses (including nine factory bakehouses) 15 Other Workshops 50 Total number of Workshops on Register 65 (5) Other Matters. Class. (1) Number. (2) Matters notified to H.M. |
e14b86e2-a9a6-4e0e-b4fc-8b8ada327134 | Inspector of Factories:— Failure to affix Abstract of the Factory and Workshop Act (sec. 133) 1 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. The following list shows the nature of the homework carried out in this district by 37 outworkers:— Box maker 1 Boot and shoe maker 1 Life-belt covering 1 Tie making 2 Millinery 2 Wearing apparel (various) 28 Furrier 1 Umbrella covering 1 During the year, 36 lists of out-workers were received from other Authorities in respect of addresses in Barking. Four lists were received from employers within the district. 40 (?) |
553dc4a8-4940-406b-8520-89387d29d45f | Premises and Occupations which can be Controlled by Bye-laws or Regulations. (1) Houses Let in Lodgings.—Supervision is exercised over the small number of tenements in the town. Those remaining are scheduled for demolition. (2) Common Lodging Houses.— One hundred and three visits were paid to the two common lodging houses, four of the visits being made at night. Two defects were discovered and two notices served. (3) Tents, Vans and Sheds.—There are 10 occupied van dwellings, which are located in yards where water supply and sanitary accommodation are provided. 78 visits were paid and 1 notice was served in respect of 8 defects discovered. (4) Underground Sleeping Rooms.—There are no such occupied rooms in the district. |
54b01ce6-def2-487f-b9e6-26bf1828020c | (5) Offensive Trades.—The following is a summary of the offensive trade premises registered:— Fish Fryers 19 Dealers in Rags and Bones 9 Gut Scraper 1 Fat Melters 2 Fish Skin Scraper 1 Oil Boiler 1 Soap Makers 3 Total 36 One hundred and thirty-nine visits were paid to these 36 premises, and 5 contraventions of the bye-laws were discovered and any necessary action taken. (6) Piggeries.—The eight remaining piggeries in the district are removed from occupied dwellings, but the premises are not entirely satisfactory because of the difficulties in drainage. (7) 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. |
a29b526b-e85e-468c-b69f-dc1f217ae1e3 | 47 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 seventy-two visits were paid during the year to stable premises, and 6 notices were served in respect of various unsatisfactory conditions. (/) 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 these establishments is to use fibre or wood wool for the purpose of repairs. On one occasion rag-flock was found in use, but this was discontinued after interview. 8. SMOKE ABATEMENT. During the year, 148 smoke observations were carried out on factory chimneys, and notices were served with respect to the 22 offences registered. |
64d21fe7-ca3f-431a-a7d0-177c1c98bdc0 | 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. In my report for the year 1933, I referred to the recommendation of the Electricity Commissioners with respect to the emission of soot, ash, grit and gritty particles from the chimneys of electric power stations, and said that, so far as the Generating Station at Creeksmouth was concerned, there would be considerable difficulty in incorporating the equipment recommended. Whilst it has been found impossible to provide electrostatic precipitators, I am glad to say that the residual dust emitted into the atmosphere has during the year been reduced considerably by improved operating conditions, but even in this respect finality has not so far been reached. |
7b39f3fa-9361-4946-b7ee-e2be827b22f6 | When originally opened in 1925, the capacity of this Generating Station was 100,000 kilowatts; in 1931 it was increased to 240,000 kilowatts; during the year 1933 the Station was further increased to 390,000 kilowatts, and became the largest generating station in Europe. The new stoker-fired furnaces brought into service are fitted with multiple cyclonic grit arresters, which have so far proved satisfactory. The total consumption of coal for the year was approximately 500,000 tons. 48 9. ULTRA-VIOLET LIGHT RADIATION. The following table shows comparatively the ultra-violet light readings for 1932 and 1933; for comparative purposes we have included corresponding figures for Southend for the year 1933:— Month Daily Average for Barking Daily Average for Southend 1932 1933 1933 Units Units Units January 1.00 0.76 0. |
2dc96a29-2886-4fec-abec-a43315fb886f | 68 February 0.60 0.78 0.82 March 0.84 0.92 1.74 April 1.50 1.50 2.20 May 0.70 4.00 2.74 June 1.12 (Reading not taken) 4.00 July 1.07 4.74 4.03 August 1.51 5.45 4.52 September 1.40 4.06 3.90 October 1.25 1.48 1.68 November 1.56 0.86 0.50 December 1.00 0.96 0.33 The apparatus we 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. 10. SCHOOLS. |
e65699f0-e96a-475f-91ee-665ab164bc9a | 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. It has not been found necessary to close any department of the schools as a result of infectious disease. 11. PARKS AND OPEN SPACES. Last year, with reference to the three hundred acres of parks and open spaces in Barking, I said I could 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. I am happy to be able to tell you that the public of Barking have very fully availed themselves of the facilities you have provided. |
ffcd1fd1-ac7d-49ac-a6b0-e27ae31947dd | 49 SECTION D. HOUSING. 1. STATISTICS. (a) General. Number of new houses erected during the year:— (1) Total 1,884 (2) As part of a municipal housing scheme:— (a) Barking 154 (b) L.C.C1,386 (3) Others (including private enterprise and subsidy houses) .. .. 304 (b) Unfit Dwelling-Houses. 1. |
8945c65b-05a5-4712-b3e3-70df70b5ce76 | Inspection of Dwelling-houses during the Year :— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 3,125 (b) Number of inspections made for the purpose 9,425 (2) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 & 1932 912 (b) Number of inspections made for the purpose 1,060 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 90 (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 1,943 2. |
eb95e665-11bc-4a38-81e8-9bc07dc39eee | 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 1,591 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 172 (2) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) By owners 162 (b) By local authority in default of owners Nil 50 B. |
e61afa53-c97a-4d8b-a7e6-36f186ce980a | —Proceedings under Public Health Acts: (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 208 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 175 (b) By local authority in default of owners 1 C.—Proceedings under sections 19 and 21 of the Housing Act, 1930: (1) Number of dwelling-houses in respect of which Demolition Orders were made 5 (2) Number of dwelling-houses demolished in pursuance of Demolition Orders 14 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 Nil (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 2. |
571333bd-d0c6-4361-84eb-a50ee5fdf864 | HOUSING CONDITIONS. (a) General Observations.—The total number of inhabited houses in the district is 16,695 (including 1,213 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 15,482 dwelling-houses, 1,446 are owned by the Council- and approximately 7,100 have been erected in the area by the London County Council since the year 1929. It is interesting to note that 1,816 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. During the year 1933, no less than 453 temporary buildings were approved for erection in the back gardens of dwelling-houses in the district. |
73882416-c413-486e-bdcf-8bc141e58f8e | May I repeat what I called to your notice last year—that in my Annual 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 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. 51 HOUSES BUILT IN DISTRICT. 1926—1933. Year Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). |
66e24cdd-f850-4ccc-8aa3-30c86f9e1390 | 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 1933 1,844 (Barking) 154 304 (L.C.C.) 1,386 Totals 9,180 7,401 1,779 Of the 7,401 houses shown above as part of Municipal Housing Scheme, 671 were provided by the Borough of Barking and 6,730 by the London County Council. |
50f367ed-2dc9-4ef3-8d5b-fa2dd1503802 | (b) Sufficiency of Supply of Houses and Overcrowding.—I know that the Council is fully aware that the land available for building purposes is likely to be taken up completely for rehousing subsequent to action under the Housing Act, 1930, but I must emphasise once more that this means there will not be available in the district the necessary houses for people living in overcrowded circumstances, etc. (c) Individual Unfit Houses.—During the year a total of five houses were represented as incapable of repair, and Demolition Orders were made. The premises in respect of which Demolition Orders were made are as follows :— "Lousehall," Gale Street; Nos. 2 and 4, Gas Yard; No. 50, Lindsell Road; No. |
896e47ae-db73-4bcf-9b68-937f03054730 | 34, Broadway; 52 (d) Clearance Areas.—In response to Circular 1331 of the Ministry of Health, the programme prepared showed that it was proposed to demolish during the period 1933—1938 a total of 430 houses, the estimated number of persons to be rehoused being 2,060. In May, 1933, a Public Inquiry was held with respect to the undermentioned (i) Bridge Street Clearance Order ; (ii) Back Lane (Nos. 6-31) Compulsory Purchase Order ; (iii) Church Path and Market House Buildings Compulsory Purchase Order. Confirming Orders have been made. During the year, representations were made to the Council, who duly resolved that the following areas should be cleared:— (1) Park Terrace, Collier Row, etc. (Compulsory Purchase Order); (2) Abbey Road No. 1 (Clearance Order); (3) Abbey Road No. |
f0182fdd-3032-4759-b5eb-b992f8583421 | 2 (Clearance Order); (4) Abbey Road No. 4 (Clearance Order). In these areas is a total of 93 premises, housing 478 persons in 108 families. These families are to be rehoused in the second portion of the Movers Lane Estate. It is interesting to note that under the Housing Act, 1930, the programme of the Council is larger than that of any other district in the administrative County of Essex. 53 SECTION E. INSPECTION AND SUPERVISION OF FOOD. 1. MILK SUPPLY AND ICE-CREAM. (a) Milk Supply.—Registered with the Authority are 70 retail purveyors, of whom 16 occupy premises outside the district. In addition there are two cow-keepers. |
9ac2b922-61dd-4652-9ec3-7291aa811d43 | 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 61, eleven were found to be unsatisfactory:— Type of Sample. Satisfactory. Unsatisfactory. Totals. Grade "A" (T.T.) Milk 2 1 3 Grade "A" Milk 1 — 1 "Pasteurised" Milk 21 3 24 "Sterilized" Milk 2 — 2 Purified (Homogenised) Milk 1 — 1 Raw Milk 23 7 30 Totals 50 11 61 Whilst 24 of the samples examined are described as pasteurised milk, the majority of these samples represent supplies which, although pasteurised, were not retailed as such. There were during the year 12 samples of milk submitted to biological examination for the presence of tubercle. |
5d3811b7-ce97-4490-af21-2b6d4b460d60 | Of this number, two samples were from supplies produced in the district. None of these samples was found to be infected. 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.) 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." 54 There are in the district 52 retailers and 12 whosesale distributors of sterilised milk. |
cce0628c-08f9-4992-9dc3-f3d0c05d3980 | During the year the Council and your officers have been occupied on many occasions in an attempt to carry out your statutory duties with respect to the quality, storage and distribution of milk supplies by the London and Suburban Dairies, Limited, and their successors. This work has largely been frustrated by the provisions of Section 2 of the Milk and Dairies (Amendment) Act, 1922, and by the formation of a chain of companies by the company in question. The penalties awarded in the Courts could not be collected, and for this reason prosecution proved abortive. The most recently formed company was continuing to sell milk in the district at the end of the year. Representations have been made to the departments of the Ministry of Health and the Public Prosecutor. 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. |
9ec44812-813b-4a1e-9413-7613361c6be4 | 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 four samples of icecream show that the product was not so clean in all cases as might reasonably be expected. Sample No. B. Count. B. Coli. 46 3,300 Absent in 1 c.c. 47 72,000 „ 1 c.c. 48 280,000 ,, 0.001 c.c. 49 250,000 ,, 1 c.c. The Barking Corporation Act, 1933, came into operation at the end of July, 1933. |
e5700e6c-b277-48f6-b4d8-1a625c23d7b4 | We were not able forthwith during the ice-cream season of 1933 to effect any radical changes, but I am to advise you that we are doing so for 1934 and that at the time of writing this Report the matter is well in hand. 2. 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. 55 The following table gives particulars of notifications received, and the animals slaughtered, during the six years ended December 31st, 1933. Year 1928 1929 1930 1931 1932 1933 Totals. |
a60ba168-c47c-4619-9269-e2d01dd3763b | Notifications Received 126 72 64 39 57 34 392 Cattle 40 64 80 12 10 41 247 Pigs 409 137 93 200 84 18 941 Sheep 815 426 332 173 270 241 2257 Calves 71 10 11 1 9 1 103 Totals 1335 637 516 386 373 301 3548 Diseased Meat was destroyed as under:— Description. Disease. Weight. 30 beasts' lungs Tuberculosis 300 lbs. 6 „ livers Cirrhosis 84 „ 12 „ livers Distomatosis 168 „ 6 , livers Tuberculosis 84 „ 4 , livers Angioma 56 „ 2 , |
7785ca19-eb54-4f80-8ed8-50236d2d1f4b | livers Fatty Infiltration 28 „ 1 beast's liver Fatty Degeneration 14 „ 1 „ liver Cystic 14 „ 13 beasts' heads Tuberculosis 364 „ 1 beast's tongue Actinomycosis 7 „ 4 beasts' mesenteries Tuberculosis 12 „ 1 brisket of Beef Tuberculosis 28 „ 1 beast's carcase Dropsical 378 „ 1 stirk carcase Dropsical 194 „ 24 sheeps' lungs Parasites 72 „ 10 pigs' lungs Tuberculosis 35 „ 4 „ lungs Pneumonia 16 „ 4 „ lungs Congestion and Pleurisy 16 „ 3 „ livers Tuberculosis 15 „ 7 , |
43e5952b-951a-4fa7-be4b-bb069da0d42f | livers Cirrhosis 42 „ 1 pig's liver Cystic 5 „ 16 pigs' heads Tuberculosis 224 „ 13 „ mesenteries Tuberculosis 26 „ 4 calves' lungs Tuberculosis 16 „ 1 calf's liver Tuberculosis 5 Total 19 cwts. 2 qr. 19 lbs. 56 (b) Unsound Food.—The following list gives particulars of the unsound food destroyed during the year:— Meat. Tinned Foodstuffs. 2 pigs' heads; 1 pig's spleen; 9 tins condensed milk; 84 lbs. beef ; 4 rabbits. 13 tins fruit products. Fish. Fruit. 2 bags winkles; 4 lbs. "Polish" nuts; 30 lbs. skate; 254 lbs. walnuts. 78 lbs. kippers. 3. ADULTERATION, ETC. |
8d7e685a-e95b-4c73-bae8-71e23f34b71a | 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. 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. Bernard Dyer, the County Analyst, Great Tower Street, London. A total of 180 samples were examined during the year 1933. Three proceedings were instituted in relation to these samples during the period covered. 4. CHEMICAL AND BACTERIOLOGICAL EXAMINATION OF FOOD. |
71d701a0-740b-49e0-8787-acd3878f7b58 | The bacteriological examination of all milk, ice-cream and water 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. 5. NUTRITION. As you know, I am never very willing to discuss nutrition in terms of "calories," a matter which has been much in evidence in the public eye quite recently. The significant thing is that twenty-five years ago Chittenden, in America, carried out an experiment on himself, his assistants, a number of students and a squad of soldiers. |
7618beae-7c67-4a36-a012-e3cc730dff8d | He reduced first-class proteins to forty-one grams, and, although many of the people who lived on this diet claimed that they felt the better for it, it is significant that, so far as was known in England, they all gave it up so soon as they were outside Chittenden's own personal influence. 57 More humorous stories are told of these backslidings, which all prove that, when left to themselves, ordinary people such as ourselves do need more than forty-one grams of first-class protein to maintain a sense of wellbeing. |
dbc3b52b-91cb-40d5-a52e-cdb240ba1457 | Personally, what I would like to see is legislation that would promote the sale in your markets of the widest variety of foods; I would like to see that people have proper cooking apparatus on which to prepare it; and I would like to see that people—anyhow, those who cannot afford it—are not enveigled by wonderful advertisements to buy at enhanced prices proprietary foods which only represent the same food value as ordinary foods which can be bought for a relatively small amount of money. One great difficulty I have found, particularly in my association with children, is that they are so impatient that they will not eat foods which require mastication, and turn with zest to sloppy foods. The time has come when we must call a halt in the rush and the hurly-burly of modern life, and sufficient time must be given to feeding to make it a social event in the day, with, if necessary, for those in advancing years, an opportunity for a quiet siesta afterwards. |
cb9641c4-37e8-43de-abec-978bb98e64ad | 59 SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. 1. NOTIFIABLE INFECTIOUS DISEASES. The prevalence of notifiable infectious diseases in Barking during the year has been due, to some extent, to the fact that there has been a large influx of a population new to the area. For reasons difficult to explain, large schemes of rehousing seem to bring about conditions favourable to the incidence of infectious disease. Amongst other causes I think should be mentioned that persons so rehoused travel very considerably between their old friends and associates in the area where they formerly lived and new friends in the new area; this means that the people, particularly the children, are exposed to an increased number of possible sources of infection. Towards the end of 1933 diphtheria increased in severity. In Barking you are very fortunate in having an Infectious Diseases Hospital of your own. |
ba89e40b-c771-4196-9db4-51027c2a4357 | It is possible to achieve much closer co-ordination between treatment and prevention where this is so. It is also possible to link up the hospital work with the other medical activities you carry on, such as the maternity and child welfare and the school medical services. My personal relationship, too, with the medical practitioners practising in the area means that oftentimes, by consultation, we are able to discharge persons who, although completely recovered from the infectious disease, as such, are nevertheless disabled by reason of the recurrence of some previous disability or by reason of some disabling complication. 60 2. NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1933:— TABLE I. Disease. Males. Females. Total. Total cases removed to Hospital. Deaths. Smallpox 1 1 2 2 Scarlet Fever 148 149 297 278 1 Diphtheria 64 |
beb49b2f-a99e-4428-8799-c2240d47c88a | 71 135 129 3 Enteric Fever (including Paratyphoid Fever) 3 3 3 Puerperal Fever — 3 3 2 1 Puerperal Pyrexia — 18 18 5 1 Pneumonia : Acute Influenzal 60 35 42 25 10 Acute Primary 52 4 Following Measles 1 - Erysipelas 19 19 38 15 1 Ophthalmia Neonatorum 7 7 14 — — Acute Anterior Poliomyelitis 1 2 3 3 — Cerebro-spinal Meningitis — — — — — Encephalitis Lethargica 1 1 1 1 Chicken-pox 287 292 579 — — Totals 590 598 1,188 463 22 61—62 TABLE 11. Notifiable Disease. No. |
87c7ce92-6966-4a91-b040-c2bf503932ca | 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. Gascoigne. Central. Ripple (West). Ripple (East— L.C.C. Est.) Westbury Longbridge (West). Longbridge (East—L.C C. Est. Smallpox — — 1 — — — 1 — — — — — 2 — 1 — — — — — l Scarlet Fever — 12 19 25 29 125 51 12 21 2 1 — 297 28 |
3b42cbc1-18fd-4dbb-87e5-f7bb9a20e737 | 22 10 30 88 24 19 76 Diphtheria 2 11 10 11 14 55 16 4 8 4 — — 135 7 14 6 8 48 11 8 33 Enteric Fever — — — — — 1 — 2 — — — — 3 — 1 — 1 — — 1 — Puerperal Fever — — — — — — — — 2 1 — — 3 — — 1 — 1 — 1 — Puerperal Pyrexia — — — — — — — 2 12 4 — — 18 2 1 1 2 5 1 2 4 Pneumonia (Ac. primary, Ac. influenzal and follow- ing maesles 5 11 2 4 2 16 5 2 18 15 11 |
487472f1-b334-4fe6-9c41-f40b92e2c427 | 4 95 14 14 7 5 12 9 12 22 Erysipelas 2 1 1 — 1 3 1 2 8 7 7 5 38 1 4 2 9 6 6 5 5 Ophthalmia 14 — — — — — — — — — — — 14 3 — 1 3 — 3 2 1 Acute Anterior — — — — 1 91 — — — — — — 3 — — — — 2 — — 1 Encephalitis Lethargica — — — — — — — — 1 — — — 1 — — — 1 — — — — Chicken Pox 18 36 31 37 46 335 65 8 2 1 — — 579 15 57 25 51 80 143 60 148 Totals 41 71 |
466801d1-8f17-4cf8-aecf-831c27713eb1 | 64 77 93 537 139 32 72 34 19 9 1188 70 114 53 110 242 197 110 292 63 TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1933:— Scarlet Fever. Diphtheria. Total. January 21 3 24 February 10 6 16 March 13 14 27 April 15 6 21 May 16 14 30 June 17 2 19 July 13 13 26 August 12 9 21 September 27 8 35 October 60 10 70 November 60 20 80 December 33 30 63 Totals 297 135 432 3. NON-NOTIFIABLE ACUTE INFECTIOUS DISEASES. |
188910d2-ab2d-460a-9a95-5853721379be | (a) Measles, etc.—The most important of these are measles, whooping cough and summer diarrhoea. Deaths registered were as follows :— Measles 1 Whooping Cough 2 Summer Diarrhoea17 (b) Rheumatic Fever.—Rheumatic fever, as I have said previously, is a serious problem in Barking. (c) Influenza.—There were 21 deaths from influenza during the year 1933. This contrasts unfavourably with 14 deaths in the year 1932. I feel I must repeat that the general public look upon influenza far too lightly. It is wrong for people to keep at work and otherwise to mix freely with other people when they are likely to spread disease. 64 (d) Scabics.—Forty-two cases of scabies were brought to the notice of the department during the year. |
f919769a-2144-491e-90b2-b71c3e5fd9cb | Disinfection of bedding and blankets was carried out in all but fourteen cases, where the parents declined the services offered. (e) General.—Non-notifiable infectious diseases amongst school-children are much more easily traced than the diseases amongst adults. 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. 4. BARKING HOSPITAL. (a) Admissions.—The following is the table of admissions, etc., in respect of infectious diseases during 1933 :— Disease. In Hospital January, 1st, 1933. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1933. |
481cceff-0d6f-4d57-8393-5095bc4a236e | Scarlet Fever 31 204 1 176 58 Diphtheria (including Membranous Croup) 11 107 2 77 39 Enteric Fever 3 3 — 6 — . Puerperal Fever — 1 — — 1 Puerperal Pyrexia — 2 — 2 — Pneumonia 1 22 2 21 — Erysipelas — 14 1 9 4 Measles and Mastoiditis — 1 — 1 — Anterior Poliomyelitis — 1 — — 1 Others 1 16 — 16 — (b) Number of Bed Days.—The total number of bed days in the infectious diseases hospital during 1933 was 18,641—that is to say, an average of 51 patients were in hospital throughout the 365 days in the year. 65 5. ARTIFICIAL IMMUNISATION. |
4d1c0c82-942b-4bef-a1f2-6f0c8a894674 | Artificial immunisation is carried on in Barking against diphtheria. A few people only are anxious to have this carried out. The following table shows what has been done under this scheme:— Total number of cases treated 8 Number of first attendances for treatment 6 „ second ,, ,, 14 „ final " Schick " tests 7 6. CANCER. There have been 67 deaths from cancer, 43 below the age of 65 years and 24 above the age of 65. The following table shows the occupations of the 67 persons who died from cancer during the year 1933. Male. Female. |
1baed714-4b9b-4470-a569-cb52f0f99480 | Caterer 1 Children's Nurse (Spinster) 1 Clerks 5 Spinster 1 Confectioner and Tobacconist 1 Widows 13 Driller, Ship Building 1 Wives 16 Factory Managers 2 Foreman, Wholesale Fruiterers 1 Ganger 1 Gas Workers 3 Hatter's Assistant 1 House Decorator 1 Labourers 7 Licensed Victualler 1 Locomotive Fireman 1 Retired (no occupation) 3 Scaffolder 1 Ship's Steward 1 Steel Fixer 1 Stoker Engineer 1 Wine Merchant's Cellarman 1 Waterman and Lighterman 1 Wood Turner 1 36 31 66 The following table shows the organs affected, according to the returns of certified causes of death. Organ. Male. Female. |
57dfe965-8dc1-414e-ad4e-72a00da363d5 | Abdomen — 1 Arm — 2 Axilla 1 — Bladder 2 — Bowel 2 — Brain 1 — Breast — 5 Cervical glands 1 — Cervix — 1 Colon 2 1 Heel 1 — Jaw and Tongue 1 — Kidney 1 — Larynx 1 — Liver 3 — Lung 5 2 Maxilla 1 — Mediastinum 2 1 Neck 1 1 Oesophagus 2 — Omentum — 1 Ovaries — 1 Peritoneum — 1 Prostate 1 — Pylorus 1 — Rectum 2 7 Sigmoid 1 — Stomach 3 4 Tongue 1 — Uterus — 3 36 31 These tables show the prevalence of cancer, the occupations and sex of the patients, and the organs affected. 67 7. PREVENTION OF BLINDNESS. |
fe2c63df-3b27-4281-8993-74a1aea2f364 | The prevention of blindness has become largely a measure of dealing with inflammation of the eyes soon after birth. We receive, of course, the ordinary notification in cases where the condition has developed to ophthalmia neonatorum, and, also, your nurses come across minor cases. The following table shows that the number of cases of ophthalmia neonatorum during 1933 was approximately the same as during 1932, being 14 compared with 13 in 1932. All of these 14 cases were treated at home, and in no case was the vision impaired. Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital. Under 3 weeks 14 14 — 14 — — — 8. TUBERCULOSIS. |
de39fd43-dd55-470c-821d-ca2e8cc9715a | Particulars of new cases of tuberculosis and of all deaths from the disease in the area during 1933 are given in this Report in the following form :— New Cases. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
88e21cbe-00ed-4940-ae61-3f5eb941cfc6 | Under 1 year 1 1 1 to 5 years 1 2 7 2 — — 1 2 5 to 15 years 7 1 8 5 — — 1 — 15 to 25 years 20 16 4 4 11 6 — — 25 to 35 years 14 25 1 2 4 3 1 — 35 to 45 years 22 9 3 1 4 4 — — 45 to 55 years 8 4 — — 8 1 — — 55 to 65 years 1 1 1 1 — 1 — — 65 years and upwarus 2 — — — 2 — — — Totals 75 58 25 15 29 15 4 2 During the year, |
0e4c55de-211e-4b64-83d2-ce2ea1f62c60 | 160 notifications were received of all forms of tuberculosis— pulmonary 122 and non-pulmonary 38 and there were 13 deaths of un-notified cases (11 pulmonary and 2 non-pulmonary), making a total of 173 new cases during the year. 68 Information was received of the removal into the district of 58 tuberculous persons, included in number of notifications received. 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 on Forms I and II during the year Form I. Form II. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
95fcb0de-6a20-45d8-9e3b-b291ab242e22 | 24 29 7 11 15 20 6 9 Fifty deaths occurred from tuberculosis (all forms) forty-four of these being pulmonary cases. The number of deaths in institutions was thirty-one. The death rate for tuberculosis (all forms) during 1933 was 0.72 per 1,000 population, compared with 0.91 for the previous year. I regret to inform you that thirteen of the cases which died from tuberculosis had not previously been notified to me as suffering from that disease. Last year I explained the circumstances under which so many cases were not notified, and the same conditions have been operating this year. |
c395e1c8-3e41-43a3-816f-2d4cab291ef4 | It was unnecessary during the year to take any action under the Public Health (Prevention of Tuberculosis) Regulations, 1925 (relating to persons suffering from pulmonary tuberculosis employed in the milk trade), nor was any action taken under Section 62 of the Public Health Act, 1925 (relating to the compulsory removal to a hospital of persons suffering from tuberculosis). BOROUGH OF BARKING THE ANNUAL REPORT OF THE School Medical Officer For the Year 1933 C. LEONARD WILLIAMS, B.Sc.,M.R.C.S.,D.P.H. 70 TABLE OF CONTENTS. |
a955b0e5-bacc-40e5-a25c-827450678edf | Pages ADENOIDS 79, 83, 94 ARRANGEMENTS FOR TREATMENT 81-84, 93-94 BLIND CHILDREN 91, 93 CLINIC ATTENDANCES 82, 85-86 CO-OPERATION OF PARENTS, TEACHERS, ETC 90 CO-ORDINATION OF SERVICES 75, 91 DEAF CHILDREN 91, 93 DEFECTIVE HEARING 79, 83 DELICATE CHILDREN 91-93 DENTAL DEFECTS 79. 83-84, 93-94, 100-102 DIPHTHERIA IMMUNISATION 82, 94 DRYING FACILITIES 76, 89 EAR DISEASE 79. 83 EMPLOYMENT OF SCHOOL CHILDREN 95 EPILEPTIC CHILDREN 91, 93 EXCLUSION FROM SCHOOL 87 EYE DISEASE 78, |
9a3f507e-5dd1-49bd-a45c-ee938c89f89a | 82-83 FAIRCROSS SPECIAL SCHOOL 91-93 FOLLOWING UP WORK 80 HEALTH EDUCATION 94 HEART DISEASE AND RHEUMATISM 79, 84 HOSPITAL SAVINGS ASSOCIATION 94 INFECTIOUS DISEASES 84, 87 INTRODUCTION 73 MALNUTRITION 78, 81 MEDICAL INSPECTION AND FINDINGS 76-80 MENTALLY DEFECTIVE CHILDREN 91-92 MINOR AILMENTS 78, 81, 82, 94 NATIONAL ASSOCIATION FOR PREVENTION OF CRUELTY TO CHILDREN 90 NATIONAL INSTITUTE OF INDUSTRIAL PSYCHOLOGY 95 NOSE AND THROAT DEFECTS 79, 83, |
33097173-a3db-4c58-b11d-98dbd3cc3a2a | 94 71 Fages NURSERY SCHOOLS 93 OPEN-AIR EDUCATION 87 OPEN-AIR CLASSROOMS 87 OPEN-AIR SCHOOLS 91-93 ORTHOPAEDIC AND POSTURAL DEFECTS 79, 81, 85-86, 94, 98-99 PARENTS' PAYMENTS 93-94 PHYSICAL TRAINING 88 PLAYGROUND CLASSES 87 PROVISION OF MEALS 78, 81, 88-90, 94-95 REPORT OF THE DENTAL SURGEON 100-102 REPORT OF THE ORTHOPAEDIC CLINIC 85-86, 98-99 RHEUMATISM 79, 84 RINGWORM 78, 81, 94 SCHOOL BATHS 76, 81 SCHOOL CAMPS 87 SCHOOL HYGIENE 76, |
62c50c31-da6f-4d60-98d2-b54ca7826d4d | 94 SCHOOL JOURNEYS 87 SCHOOL LAVATORIES 76 SCHOOL POPULATION 76 SECONDARY SCHOOLS 93 SERVICES PROVIDED, LIST OF 96-97 SKIN DISEASES 78, 81 SPECIAL ENQUIRIES 95 SPECIAL SCHOOLS 91-93 STAFF 72, 75, 76, 81, 95 STATISTICAL TABLES 103-116 TEACHERS, MEDICAL EXAMINATIONS OF 95 TONSILS AND ADENOIDS 79, 83, 94 TUBERCULOSIS 79, 80, 84 ULTRA-VIOLET LIGHT TREATMENT 84, 85-86, 94 UNCLEANLINESS 78, 81 VISUAL DEFECTS 78, 82-83, 94 72 STAFF, 1933. |
57e1f07b-2447-4e58-853f-bf0685aa5c28 | School Medical Officer: C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. Senior Assistant School Medical Officer: PATRICK J. O'CONNELL, M.D., B.Hy., B.S., D.P.H. (Commenced 11.9.33). Assistant School Medical Officers: HILDA C. DEAN, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Resigned 31.3.33) EDITH A. WHITNEY, M.B., Ch.B., D.P.H. Orthopadic Surgeon: B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. Radiologist: ANGUS E. KENNEDY, M.R.C.S., L.R.C.P., L.S.A. (Died 11.1.33). |
900906d8-6554-4b2c-884c-fa31fcf57528 | Dental Surgeons: W. H. FOY, L.D.S., R.C.S. R. N. HINES, L.D.S., R.C.S. Nurses: *Miss C. COURT (g), (h) & (i). *Miss W. PARKER (g), (h) & (i). Miss A. E. FINDLAY, (Masseuse) (k) & (o). *Miss F. G. ROXBURGH (g), (h) & (i) Miss G. GEDEN (Dental Nurse). (Commenced 25.10.33). Miss S. E. W. GIBSON (j). Miss L. F. SWAIN (h) & (i). Miss R. LLEWELYN (Dental Nurse) (h) & (i). Clerical Staff: Chief Clerk: F. READ. |
cf3969f7-10b8-4dbe-88ff-c130e389dbf7 | C. G. EAGLESFIELD Miss V. SHEAD H. R. CHANDLER (Resigned 2.9.33). (Commenced 13.3.33). Miss H. NUNN. D. G. TONKIN (n). Miss H. KING. A. J. STORER. Miss E. TASKER, E. A. ELLIS. (Commenced 1.8.33). G. H. RUFF, Miss A. LIGGINS, (Commenced 22.5.33). (Commenced 2.10.33). (g) Health Visitors' Certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives' Board. (i) General Hospital Training. (j) General Fever Training. (k) Certificate of Medical Electricity and Swedish Remedial Exercises. |
676e16e8-2453-4d79-bfdf-1ad6cc1a9b3c | (n) Sanitary Inspectors' Certificate of Royal Sanitary Institute and Sanitary Inspectors' Examination Joint Board. (0) Certificate of Chartered Society of Massage and Medical Gymnastics. •Combined Appointment—Health Visitor and School Nurse. 73 Borough of Barking. PUBLIC HEALTH DEPARTMENT, BARKING, ESSEX. June, 1934. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Ladies and Gentlemen, Herewith I beg to submit my report for the year ended 31st December, 1933. This report has been drawn up to meet the requirements outlined in the circular of the Board of Education issued in January, 1934. I am, Mr. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 75 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER For the Year 1933. |
fe59bb47-bc8e-40c3-9f57-a965ece52df6 | (1) STAFF. A list of the personnel of the "Service" is given on a separate page at the beginning of this report. (2) CO-ORDINATION. As the Medical Officer of Health is also School Medical Officer, the Health Services in Barking show a corporate entity and co-ordinated activity which is the ideal for the efficient conduct of such health schemes. Some Health Visitors are also School Nurses, and are already familiar with the parents and children and their home conditions through home visiting and conducting Maternity and Child Welfare Clinics, by the time the children reach school age. Your Medical Officers also conduct Maternity and Child Welfare Clinics in the areas where the schools are situated, and have a personal contact and interest in the children from before school age. They visit the children from time to time in the Barking Hospital, and follow throughout, the course of infectious disease and its possible interference through complications with the scholars' subsequent school curriculum. |
8aa39f4f-7e12-4845-b639-72fc0b1f43e5 | These contacts produce harmony in operation and unification of purpose in the Services. Even the Ante-Natal work in Barking is under the control of the same Medical Officers, and complications during pregnancy and parturition with their possible detrimental influence on the children's school development (both mental and physical) are observed from the beginning. 76 (3) SCHOOL HYGIENE. Among the new schools recently erected by the Corporation, the hygienic conditions are a matter for congratulation. In many ways, particularly in lighting and ventilation, a high ideal has been attained. The lavatories, cloakrooms and sanitary conveniences in these schools are better designed and easier to maintain in a condition of cleanliness than in older schools. One regrets that in so comprehensive a school building scheme baths were not included. If ordinary baths cannot be installed, could some Shower Baths be put in ? Bathing is highly desirable as an essentia! |
7dc23da8-6219-48bf-8c03-551e240c579c | part of education, but it is necessary in certain cases, particularly after the children have undertaken heavy exercises in the summer. The arrangements for drying wet clothes and boots (details on page 21 of this report) show room for improvement, and I would like to see a rule enforced for changing wet foot-gear on arrival at school. One disadvantage I would like to see remedied in schools of two or more storeys is the provision of children's lavatories on each floor for the use of delicate children, who, though not sufficiently debilitated to attend Faircross Special School, require little added amenities while attending ordinary elementary schools. (4) MEDICAL INSPECTION. The year under review has seen changes among the professional staff and I am happy to be able to say that during the time this report has been in course of preparation the Corporation have taken steps to increase the permanent medical staff. |
a0373b16-b4d1-4429-8742-df28743f0904 | The number of children on the school registers on the 31st December, 1933 was 14,773 compared with 13,112 on the 31st December, 1932. The following summary shows the growth in the school population during the past few years:— December 1927 7,001 December 1932 13,112 1930 7,906 „ 193 14,773 1931 10,905 The rapid growth in the school population between 1930 and 1931 was due to the increasing population in the Becontree area consequent on the completion of some Sections of the new Estate. The population continued to grow throughout 1932 and 1933, although not to the same extent. Stability has not yet been reached, and we may have to look forward to further growth in the school population. |
ebec6910-0395-490e-81c1-af56ad1253db | The following table shows the number of children examined at school at routine and special inspections during 1933, classified according to the schools attended, the number of inspections held in each school, and the number of parents or guardians present 77 School No. of Inspection Sessions Numbers Inspected No. of Parents present (Routine and Special Exams.) Routines and Specials Re-Exams. |
1cccb382-1b9a-414c-97b3-1f5416943d03 | Cambell 69 1,036 1,025 541 Church of England 16 313 193 116 Dawson 23 364 283 352 Dorothy Barley 17 360 160 323 Eastbury 39 701 593 378 Erkenwald 23 729 1,220 54 Gascoigne 33 398 506 227 Monteagle 21 408 320 325 Northbury 27 384 494 254 Park Modern 12 254 106 108 Ripple 34 473 685 343 Roding 53 716 981 526 St. Ethelburga's St. |
882378f6-5b07-4400-8964-c0ea1ae27ee1 | Joseph's 9 168 152 34 10 143 135 96 Westbury 28 404 469 455 Totals 414 6,851 7,322 4,132 Of the 6,851 examinations at ordinary elementary schools, 4,728 were routine examinations of children in the specified age groups, which figure may be compared with 5,051 for the previous year. In addition, there were 556 routine examinations of children of ages outside the three specified age groups, and 1,567 examinations of children specially referred to your Medical Officers. Re-Inspections in ordinary elementary schools numbered 7,322, an increase of 3,252 over the previous year. The percentage of the children examined in the ordinary elementary schools who were accompanied by their parents or guardians is shown by the following table:— Year Percentage of Children Examined who were Accompanied by Parents. |
43f48f86-7012-42bc-805d-247c54506d95 | Year Percentage of Children Examined who were Accompanied by Parents 1928 64.8 1931 67.3 1929 65.7 1932 68.1 1930 66.3 1933 61.8 During 1933, the parents were present at 4,132 routine and special medical examinations conducted at school out of a total of 6,851 such examinations. 78 (5) FINDINGS OF MEDICAL INSPECTION. Table II on pages 36-38, gives in detail a return of defects found during the course of routine and special inspection at ordinary elementary schools and at the Clinics. (a) Malnutrition.—Out of the total of 5,284 children examined at routine inspections, three suffered from malnutrition to such an extent as to require treatment. This figure is very important, and I know will be of interest to members of the Authority. |
f75a54e5-9db1-4617-9412-418bcc89a196 | Its significance is this;—the 5,284 children examined were chosen for examination solely by the reason of their age group, and not for any other reason whatsoever. These children, therefore, so far as is practical are representative children. There were, of course, many children under observation for malnutrition who were granted free milk or free meals by the Authority. (b) Uncleanliness.—The following table shows the results of cleanliness inspections compared with similar figures for 1932:— 1932 1933 Number of examinations of children in the schools by School Nurses 32,419 37,762 Number of individual children found unclean 1,210 1,571 Number of uncleanliness findings 1,862 2,184 During the year, 92 children were cleansed by the Local Authority, and in five cases legal proceedings were taken under Section 43 of the Education Act, 1921. |
31f48269-5887-4ee1-8c86-a64759b2a2e7 | (c) Minor Ailments and Diseases of the Skin.—Few cases of Minor Ailments present themselves at routine medical inspections. Such cases are usually discovered earlier by teachers and School Nurses, and are treated at the Minor Ailments Clinics. The Minor Ailments Clinics also deal effectively with cases of minor diseases of the skin such as impetigo, ringworm of the body, scabies, and any other skin disease which presents itself. (d) Visual Defects and External Eye Disease.—Defects of vision found in school children continue to increase. In 1933, we had an increase of 131 cases over the previous year. I drew your attention to this increase in visual defects last year, and also in 1931. The time has come for you to consider this matter of defective vision as one requiring further action both from the point of view of prevention, and treatment. I recommend the appointment of an Ophthalmic Surgeon. |
0cac57a2-3c80-4dd3-b577-c313dcf9caec | During the year, there was one operation for squint which was carried out by private arrangement at the Royal London Ophthalmic Hospital, Moorfields, E.C. Cases of external eye disease are to a large extent dealt with at the Minor Ailments Clinics. 187 such cases received treatment at the Clinics during the year. 79 (e) Nose and Throat Defects.—Cases of enlarged tonsils and adenoids continue to bulk largely in the School Medical Inspection returns. The Medical Officers however, do not refer these cases for operative treatment unless they are of the opinion that the child is suffering ill-health because of the throat condition. The Specialists at Queen Mary's Hospital and St. Mary's Hospital, to which most of your cases go, corroborate the opinion of your Medical Officers before an operation is performed. |
87967859-a93e-4d8f-b631-d7a74632cfa3 | (f) Ear Disease and Defective Hearing.—The number of cases of ear disease found at routine medical inspection does not show any significant variation from the figures for 1932. (g) Dental Defects.—Dental defects are noted by the School Medical Officers at routine medical inspection, the notice of the Dental Surgeons being drawn to urgent cases. Cases requiring the teeth made regular or straight or other special treatment are also referred to the School Dentist. The report of the School Dental Surgeon will be found on pages 32-34 of this report. (h) Orthopcedic and Postural Defects.—A number of children are seen at routine medical inspection who present varying degrees of Postural Defects such as round shoulders, crooked spine, and bad stance. The more serious of this group are sent to the Orthopasdic Surgeon under the Authority's scheme. |
82b5b6f3-8dba-463b-b843-96782c82459c | In addition to this group of cases, various Orthopaedic conditions are seen which have existed from birth, or have arisen following an illness such as Infantile Paralysis. All such cases are seen by the Orthopaedic Surgeon, and where necessary, attendance at the Faircross Special School is recommended. (i) Heart Disease and Rheumatism.—A number of cases of chronic heart disease attend the elementary schools, and are seen at re-inspections by your Medical Officers. Some of these are still suffering from rheumatic affection, and are attending at hospitals serving the area. Some of these cases are so bad as to require transference to the Faircross Special School, and can only be classified as cardiac cripples. Cases of acute Rheumatism are rarely seen at the inspection, these being treated by practitioners of the district, a number being sent as in-patients in the hospitals. We have no special Rheumatic Clinic. |
a2b10eb6-38ef-45c8-93ac-dbc449e9b9c5 | (j) Tuberculosis.—The number of cases found at routine medical inspections appears small, but is not a true figure of the amount of Tuberculosis in children of school age. These children are frequently absent from school for long periods, and are seldom present at school when routine medical inspections are being held. Nine cases of Tuberculosis amongst children of school age were notified to the Medical Officer of Health during the year. Of these, three were pulmonary, and six were non-pulmonary. In addition, eleven notified cases of Tuberculosis amongst school-children were transferred to this area. Of these, five were pulmonary, and six non-pulmonary. |
6505b87d-9e65-42cf-82e7-62de80fec061 | 80 The following table shows the position with regard to notification of Tuberculosis amongst children of school age during 1933:— Notified during 1933 (including transfers) Pulmonary 8 Non-Pulmonary 12 Total 20 De-notified (of the above) Pulmonary 3 (1 death) Non-pulmonary — Total 3 (k) Other Defects and Diseases.—A few cases of other defects and diseases, not included in the above, were also seen at school medical inspection, e.g., some children were found to be suffering from kidney trouble and one or two from deficiency in the activity of the glands of the body. (6) FOLLOWING UP. The School Nurse who attends the routine medical inspection also carries out the following up work arising from the inspection. |
89eb4396-f1a4-4258-9c4b-9653c4d9a7fa | The parents are visited in their homes, and the attention of the parents is drawn to the need for treatment, and parents who were not able to be present at the medical inspection are interviewed at home by the School Nurse, who emphasises the necessity for having treatment and advises them in what way the treatment may be obtained. A summary of the following up work undertaken by your School Nurses is given herewith:— Number of visits to schools re medical inspection 520 Total number of visits to schools 653 Number of home visits in connection with:— 1929 1930 1931 1932 1933 (a) Routine medical inspections 3,549 4,759 4,480 4,817 6,610 (b) Infectious disease 520 660 295 408 230 (c) Uncleanliness inspections 80 119 181 119 284 (d) Non-attendance for treatment (Minor Ailments, etc.) |
f24467e8-044d-4d1f-9591-6bf6a5ef71c9 | 124 406 86 82 35 (e) Dental inspections 460 406 477 1,082 — (f) Miscellaneous — — — — 126 81 (7) ARRANGEMENTS FOR TREATMENT. Many of the conditions found at school medical inspection are able to be treated in Barking. Some conditions, however, of necessity require hospital treatment. (a) Malnutrition.—Cases of malnutrition are given milk either free or on payment of one penny for one third of a pint of milk at school. More necessitous cases are given free meals at special feeding centres. The children are weighed and specially examined on the visit of the School Medical Officer to the School, and a review is made of the progress of under-nourished children. A special report is completed by the School Nurse in every case of malnutrition. This report discloses the home conditions, and arising out of the visit, advice is given where necessary for an improved diet. |
a8eb63b3-2a07-44ad-814c-00fe3c555e12 | (b) Uncleanliness.—Children found in school suffering from uncleanliness of the head or body are excluded by special form which is forwarded to the parents in a sealed envelope, particulars also being given of measures to cleanse the head. Cases of vermin and nits in the head are provided with special soap on attendance at the Clinics. Special nit combs are also kept at the Clinics, and are loaned on payment of a deposit, to parents who find difficulty in removing nits. In obstinate or difficult cases, the cleansing of a head is undertaken by a School Nurse at the Minor Ailments Clinic. Baths, if provided at Clinics and Schools, as I have already advised, would be of great assistance not only in preventing uncleanliness amongst school children, but also in treating children found to be dirty. (c) Minor Ailments and Diseases of the Skin.—For the treatment of minor ailments two Clinics are provided at present. |
b0e84b6d-c1be-47c0-a94d-c04e8367a67a | Both Clinics are equipped to treat successfully most cases of skin disease and other minor diseases and injuries which occur among school children. The School Nurses do not carry out the work of the Minor Ailments Clinics, however. These are conducted by arrangement by nurses of the Plaistow Nursing Charity. Since October, 1933, it has been found possible to provide more medical supervision at the Minor Ailments Clinics on the Becontree Estate. A Medical Officer now attends at 9 a.m. daily, six times a week. Until the death of Dr. Angus Kennedy, of Plaistow, on the 11th January, 1933, the treatment of Ringworm of the scalp by X-rays was undertaken by him on your behalf. An arrangement has since been made with the London Hospital whereby this treatment is undertaken by Dr. W. J. O'Donovan of that Hospital. |
48c99b9c-1947-4324-950f-09ad4fcd582a | During the year, six school-children were treated under this arrangement with the London Hospital. 82 A summary of the work of the Clinics is appended in the following tabies (a) Minor Ailments Clinics. Central Clinic St. Alban's Clinic 1931 1932 1933 1931 1932 1933 No. of days clinic was open 345 330 349 323 321 319 Total No. of attendances 10,529 14,785 13,379 8,319 13,472 12,671 39.7 Daily average attendance 30.5 44.8 38.3 25.7 41.9 No. of cases treated 2,074 2,166 2,315 1,129 1,966 1,649 (b) All Clinics. Clinic No. of first attendances of school children Total No. |
230cae9c-c3f0-4f3b-b9d6-85bbd62b5a74 | of attendances of school children 1932 1933 1932 1933 Minor Ailments:— (a) Central 2,166 2,315 14,785 13,379 (b) St. Alban's 1,966 1,649 13,472 12,671 Ophthalmic 234 493 1,077 1,627 Dental 2,970 3,134 7,601 8,337 Orthopaedic— FOR EXAMINATION 98 92 2,579 2,734 FOR TREATMENT 145 160 Diphtheria Immunisation - 1 1 — 2 (d) Visual Dejects and External Eye Disease.—Visual defects are treated by your Medical Officers at special Refraction Clinics. The routine procedure consists of the application of a mydriatic twice a day on the three days prior to an objective test. |
234dca48-171b-428d-83f0-fca82e210dfa | Three weeks later patients attend again for the subjective test carried out in the light of the findings of the objective test. A prescription for lenses is then given and the patient instructed to attend at the Optician approved by the Authority, who makes up the glasses in a frame selected by the parent, on an approved scale of charges. When the spectacles are complete the Optician forwards them to the Refraction Clinic, where the Medical Officer puts them on the patient and satisfies himself that the lenses are in accordance with the prescription and that the frame is suitable for the patient. 83 Severe cases of visual defect, or cases in which there is an element of doubt in prescribing suitable lenses are referred to the Royal London Ophthalmic Hospital. 455 cases of visual defect were dealt with under the Authority's Scheme. Of this number, 400 were provided with spectacles ; 93 cases obtained spectacles from other sources. |
cc33ab7b-72d5-45e4-9f6b-67ba02bbbfe1 | The Optician approved by the Authority carried out a number of minor repairs to spectacles which had already been provided. Cases of external eye disease, such as conjunctivitis and blepharitis, are treated at the Authority's Minor Ailments Clinics. 187 cases were thus treated during the year as compared with 207 during 1932. (e) Nose and Throat Defects.—An arrangement has been made between the Authority and two local Hospitals (Queen Mary's Hospital, Stratford, and St. Mary's Hospital, Plaistow), for the removal of tonsils and adenoids, this being by far the commonest surgical nose and throat condition found at school medical inspection. Specialists attend at these Hospitals twice weekly and see cases referred by your Medical Officers. If an operation is found necessary, the patient is given a form to present at the Public Health Department ; this form is exchanged for an operation voucher. |
1063b725-8b59-4a7f-94ed-88e27c4af993 | The scheme for payment is outlined on page 26 of this report. In ordinary cases the patients are brought home by the Barking Ambulance, the Public Health Department being notified by telephone of the operations performed. The School Nurses visit all cases the day of their return home, to see that the patient's condition is satisfactory and to give appropriate advice for the after-care. Special cases are retained in Hospital for as long as the Surgeon considers necessary, the expense being met by the Authority. On recovery, and before returning to School, the patients' throats are examined by one of your Medical Officers at the Minor Ailments Clinic. In Group III of Table IV on page 46, will be found a complete analysis of the ascertained results of the treatment of nose and throat defects. |
c7d928df-934b-4ba3-a2cb-5a3bfa245269 | (f) Ear Disease and Defective Hearing.—Barking is so near the large London hospitals, particularly the Queen Mary's Hospital, Stratford, that the treatment of ear disease at your Clinic has been restricted to just the ordinary medical treatment, to which a number of ears respond readily, the remainder being sent, where necessary, to the special ear department of these hospitals. (g) Dental Defects.—The treatment of dental defects is dealt with specially in a part of this report prepared by Mr. Foy, the Dental Surgeon. In reviewing the work of the Dental Clinic, I must again draw the attention of the Authority to the laxity shown by some parents in keeping Clinic appointments,—not only those appointments made during term, but particularly appointments given during periods of school closure. 84 Children seem to be under the impression that holiday from school absolves them from attendance at the special Clinics, with a great loss of time both to themselves and the dentists. |
4ec2df7e-f60b-4467-ba34-05f301e44b00 | Children who are not actually away from home should always keep Clinic appointments. (h) Orthopadic and Postural Defects.—The Authority's scheme for treating Orthopaedic cases continues to be a valuable service. Mr. Whitchurch Howell attends once a month at the Faircross Clinic, and the Masseuse attends three times a week to carry out treatment. A summary of the work done appears on pages 17-18 and 30-31 of this Report, an analysis being given under Group IV of Table IV on page 46. (i) Heart Disease and Rheumatism.—As mentioned previously under " Findings of Medical Inspection " (page 11), we have no Special Clinic for the examination and treatment of heart and rheumatic cases. In an area so near the large London hospitals, this is not a hardship on the children. (j) Tuberculosis.—The appropriate Authority for the treatment of Tuberculosis is the Essex County Council. |
c8ab7c8c-1abd-46eb-b22c-91a439429932 | Their Tuberculosis Officer attends at the Chest Clinic, Linton Road, Barking. (k) Other Defects and Diseases.—Children presenting conditions requiring treatment not mentioned under the previous special headings are, where necessary, referred to local practitioners or to hospitals serving the Area. Ultra Violet Light Treatment.—Ultra Violet Light Treatment has been carried out at the Faircross Clinic during the year, the total cases treated being twenty-five. The period of treatment of these cases varied from one month to twelve months and the total number of applications was 750. Children diagnosed as suffering from Tuberculous Glands, Alopaecia, Rheumatism, Anasmia, Debility and Cervical Adenitis are among those who have derived benefit from this treatment. (8) INFECTIOUS DISEASES. |
f530e3df-90fa-4efd-92f7-c5ee89e5648f | The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases:— 1929 1930 1931 1932 1933 Scarlet Fever 164 91 75 88 169 Diphtheria 44 202 128 43 71 Measles and German Measles 191 283 1 188 4 Chicken-pox 378 166 187 335 390 Whooping Cough 89 35 48 69 Mumps — — — 8 23 85—86 PARTICULARS OF WORK DONE IN CONNECTION WITH ORTHOPEDIC CLINIC. No. of visits by Orthopaedic Surgeon No. |
68b4bf4d-2022-463f-9c5d-230b6978a2d8 | of visits by Masseuse ATTENDANCES Primary Examination Re-Examination For Treatment Total School Children Under School Age School Children Under School Age School Children Under School Age School Children Under School Age 11 230 92 98 215 153 2,427 951 2,734 1,202 TREATMENTS. Massage Electricity Remedial Exercises Ultra Violet Therapy Radiant Heat Dressings and Splintage No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. |
b37f0eb0-887b-45a9-8e15-dfd20da212fe | of Treatment School Children 9 136 2 16 89 1,521 25 750 — — 35 120 Under School Age 13 139 — — 4 26 62 580 — — 70 289 Admission to Hospitals On waiting List for Admission 31/12/33 School Children Under School Age Total School Children Under School Age Total 10 (8 under Council's Orthopedic Scheme) 12 22 — — — 87 Barking has been no exception to the epidemics of the commoner infectious diseases which have prevailed in profusion in the London Area during the past year. The number of children suffering from such conditions as Scarlet Fever, Diphtheria, and Chicken Pox will be seen from the table to show a large increase over those for the previous year. Where the attendance of a school falls below 60 per cent. |
dc253a87-5b91-434b-8155-3b4a781b7d3f | and in the opinion of the Medical Officer this low attendance is directly due to the prevalence of infectious disease, the school sessions so affected are not counted in estimating the average attendance for the purpose of grant. During 1933, three such certificates were granted for this purpose. Arrangements are made for the ascertainment and exclusion from school of individual children whose exclusion is desirable in order to prevent the spread of disease, and for this purpose the Exclusion Periods contained in the Appendix to The Memorandum on Closure of and Exclusion from School, issued jointly by the Ministry of Health and the Board of Education in 1925 have been accepted. (9) OPEN-AIR EDUCATION. Open-Air Classrooms.—In those schools built since 1931, ample provision has been made for admitting open-air to the classrooms. A quadrangle arrangement has been adopted in these schools, and the windows on the outer and inner sides of all classrooms may be thrown open. |
f8b65c05-69bd-41c0-bf42-aca8cf0d90a2 | Playground Classes.—In the older schools however, conditions are not so favourable, and I must continue to strongly advocate holding open-air classes in suitable weather, whenever possible. School Journeys and Camps.—School Camps are run during the week-ends from Friday to Monday evening. The camp is of a permanent nature, and is situated at Hainault. Fifteen camps were held during the year, in which 708 scholars participated. During the summer holidays too, there are additional camps where children are taken for a fortnight at a time to the same huts at Hainault, 96 children taking part in the two such camps. These camps have been very much appreciated by the school population, and parents have been very pleased to have these opportunities for their children to have a holiday. |
8754bc7d-a327-4678-8c1f-00c42d0ae674 | In selecting children for these camps, a medical and cleanliness inspection is held, and for the summer camps those children are selected in whom a debilitated physical condition is found, or in whom straightened family circumstances make a holiday desirable. 88 (10) PHYSICAL TRAINING. The Local Education Authority have no Organiser of Physical Training in the schools in Barking. Liaison does, however, exist between the School Medical Service and the physical instructors appointed to the various schools. The School Medical Officer when visiting the ordinary elementary schools takes every opportunity of seeing both boys and girls taking part in physical instruction, comments upon the clothing worn during the exercises, and confers with the instructor upon any difficulty arising in the course of his duties. Children in whom physical training is unsuitable because of some physical defect or intercurrent invalidism are examined and debarred from taking part in the classes. |
d715f285-ddd6-48b5-b4f6-93af605683ed | The Secretary of the Barking Schools' Sports Association refers all boys who have been selected for bouts in the boxing tournaments for a medical inspection previous to the contests. If for any reason boys are unsuitable, they are warned not to box. I would like to again offer my congratulations to this very able Association for the successful organisation and conduct of the various tournaments, games and sports in Barking throughout the year. (11) PROVISION OF MEALS. Free meals are provided daily in necessitous cases. 135,726 such meals were provided during the year 1933, and the following table shows the numbers of free meals which have been provided during the past five years:— 1929 33,991 1930 31,556 1931 46,803 1932 74,531 1933 135,726 During 1933, the Authority extended the scope of its scheme for providing meals for necessitous school children. |
35e8fe96-15bd-4021-bfee-3a0ce985bc13 | One new centre was opened at an elementary school, and has been of great service. The Municipal Restaurant, St. Paul's Room, and the Baths Concert Hall have ceased to be used for the serving of free meals; the school children now attend at St. Margaret's Hall, Vicarage Drive, where the accommodation is more suitable. The following table summarises the arrangements which exist where mid-day meals are taken at schools. It will be noticed that meals can be heated at some of the schools, and the children are supervised during meal-times. The table also shows what arrangements there are for the drying of children's clothes and boots. Dietaries are submitted for approval to the School Medical Officer, and where meals are provided free of charge on the recommendation of one of your Medical Officers, children are re-inspected, and any increase in weight and improvement in general condition noted on subsequent visits to the school. 89 School No. |
5e690013-3fd4-4a52-ac5f-fdb0dbbd7ed0 | of children who remain at school for mid-day meal Whether facilities exist for heating of children's meals Whether facilities exist for the drying of children's clothes and boots Cambell— Senior Boys — No Cloakrooms heated (in winter only) Senior Girls — Yes, at domestic science centie , Junior Mixed — No , Infants — , , C. of E.— Boys — , School fires (in winter only) Girls — , „ Infants — , , Dawson— Junior Mixed 15 Yes, at Meals Centre Cloakrooms heated (in winter only) Infants — No „ Dorothy Barley— Junior Boys — , , Junior Girls — , , Infants — Yes, for small number , Eastbury—Senior Boys — No , Senior Girls — Yes, at domestic science centre Yes Infants — No Cloakrooms heated (in winter only) Erkenwald— Senior Boys — , Senior Girls — Yes, at domestic science centre , Faircross—Mixed All children stay at school for mid-day meal, |
732975f0-a97a-47cb-a0fc-a390f9919e40 | the food being supplied from Municipal Kitchen Yes Yes Gascoigne—Senior Boys 12 Yes, for small number School fires (in winter only) Junior Mixed — No , Infants — , , Monteagle—Junior Mixed — , Cloakrooms heated (in winter only) Infants — , , Northbury— Senior Girls — , School fires (in winter only) Junior Mixed — , , Infants — , , Park Modern—Senior Mixed 80 Yes Cloakrooms heated (in winter only) Ripple—Junior Boys — No , Junior Girls — . . Infants . , Roding—Junior Boys — . . Junior Girls — . . Infants . . St. Joseph's—Infants Junior Mixed 2 Yes School fires (in winter only) SS. |
0c6a028b-a492-4c3b-ad81-e528ad671873 | Mary & Ethelburga— Senior Mixed 15 No „ Westbury—Junior Boys — .. Cloakrooms heated (in winter only) Junior Girls — .. School fires (in winter only) Infants — .. .. 90 There are no schemes in Barking organised by voluntary agencies for the provision of milk or meals. The Authority have a scheme for the provision of milk and meais which has already been outlined. (12) CO-OPERATION OF PARENTS, TEACHERS, SCHOOL ATTENDANCE OFFICERS AND VOLUNTARY BODIES. During the year, parents have shown an ever increasing interest in the work done by the Medical Inspectors in the Schools. Parents attendances at the routine inspections are a matter for congratulation, and the spirit in which recommendations for treatment has been received has been good. |
fe031aeb-8ebe-4a7c-bae6-d14835d354d1 | Teachers in all departments have co-operated well with the School Nurses and Medical Inspectors, not only in the preparation of the available accommodation and the notification of parents of the examiner's visit, but also in maintaining a high standard of orderly behaviour among the children during the examination. The work of the Dentists has also been facilitated by the active co-operation of the teaching staff; and largely owing to the assiduity of the teachers' efforts in persuading children to keep appointments, good average attendances at the Dental Clinic have been maintained. The School Attendance Officers have assisted in seeing that children with minor ailments or uncleanliness attend the Clinics provided; and they have also helped in encouraging parents to obtain special treatments which have been recommended. I am informed that the National Society for the Prevention of Cruelty to Children have dealt with 33 cases. have dealt with 33 cases. |
89c4da03-dcc2-4c24-83bb-908a9f27a7e3 | The following table shows the way in which these cases have been dealt with:— Total number of cases investigated 33 (a) Prosecutions nil (b) Warnings 24 (c) Otherwise dealt with 9 Of the 33 cases inquired into, 25 have been closed as satisfactory, the remaining 8 still being under supervision. In addition to the above, the local inspector, so I am advised, has paid 133 supervisory visits. 91 (13) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. (a) You are naturally anxious to know if and whether all the defective children in your area are ascertained and brought to your notice. I think I can assure you that this is so. A unified health service means that all the health visitors, school nurses, sanitary inspectors and doctors work together, discuss their work together, and bring to one another's notice anything of such importance as a blind, deaf or otherwise defective child. |
e1ab666e-be30-4f87-b087-01a24d060f2d | So, also, the Infectious Diseases Hospital and the Maternity Hospital are constantly supplying information on this and allied questions. In addition, the head teachers of the schools and the investigation officers are in constant touch with us. I am also indebted to my colleagues in general practice and at the hospitals in London and nearby for the very helpful information and advice they have given me on numerous occasions. Your next concern is the method of dealing with these children when they are ascertained. ascertained. The following table shows the number of children who have attended at the Faircross Special School—in the Open-Air, Physically Defective and Mentally Defective Sections—and, in addition, in other parts of the Report will be found figures as to how many children have been admitted to the Brookfield Orthopaedic Hospital and elsewhere for orthopaedic conditions:— Open-Air Section Physically Defective Section Mentally Defective Section No. |
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