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9f5b1c36-132c-4f71-9915-3638d0a9aebe | 26 Westminster Hospital 10 13 5 2 7 64 85 10 8 12 6 4 16 — — — — Own Laboratories + In the case oj Hospitals under the control of the Borough of Barking :— Upney (Maternity) Barking (Isolation) Hosbital HospitaL Number and classification of Medical Staff The Medical Officer of Health is also the Medical Supt. and is assisted in this work by the Assistant M.O.'s H. Number and classification of Nursing Staff: Matron — 1 Sisters 1 4 Assistant Nurses — 4 Midwives 4 — Probationer Nurses 4 21 29 (a) Ante-Natal Supervision.—Ante-Natal Clinics are held at three centres—two sessions weekly at the Central Clinic, and one session weekly at the Alexandra and the Shaftesbury Clinics. the Shaftesbury Clinics. The following table shows the work carried out at these clinics during the year :— Central Clinic. |
ac334092-d7f0-45c8-afa3-af2ceea5ae8d | Alexandra Clinic. Shaftesbury Clinic. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. 102 425 1323 2248 51 99 657 756 51 197 721 918 Total rirst Attendances 721 „ Re-Attendances 3,201 ,, Attendances 3,922* ,, Sessions 204 * In addition there were 12 Post-Natal Attendances. A large number of the expectant mothers who attend your Ante-Natal Clinics are those who desire to be confined in Upney Hospital or those who have made arrangements for their forthcoming confinement with the Plaistow Maternity Hospital and District Nurses' Home. |
939d069a-fd28-42ec-988d-c527517d4dc4 | Certain cases who have engaged private midwives are also seen at your Ante-Natal Clinics. I hope that the midwives practising privately in Barking will more and more avail themselves of the facilities that are available in this direction. It is satisfying to note that a large proportion of the women who avail themselves of the services at your Ante-Natal Clinics are women approaching their first pregnancy, and attend regularly. The Ante-Natal Services carried out are based upon the suggestions which have been issued by the Ministry of Health, and the members of your staff who are engaged in this work consult Mr. Alan Brews at the Consultant Ante-Natal Clinic held monthly at the Alexandra Clinic, so that they may have the helpful advice of his large fund of information on this subject, in which he has specialised. |
36ca4020-0f38-4b32-bb10-39b688c80b77 | The whole of the work is carried out in a spirit calculated to impress pregnant women, especially those pregnant for the first time, that pregnancy is a normal and ordinary event and that provided due care and attention is given it may be approached without fear. Details of the milk and meals supplied to expectant mothers are given on pages 37-39. (b) Still-births.—During the year 1934, there were no less than 56 still-births ; that number is too high. Only in approximately one-fifth of the eases was any cause discovered which could be looked upon as reasonably covering the whole of the facts. In no less than 39 cases the cause of the still-birth was definitely stated to be unknown. Our chief difficulty, in my opinion, is that the controlling factors are so private and personal that the particulars we get are too scanty to give data on which to base any sound judgment. This matter is receiving our serious consideration and I hope to be able to report further next year. |
4f5d3281-4fce-4cb5-ab5e-26058fb46211 | 30 (c) Midwifery.-—The number of midwives who are engaged in practice in the Borough is as follows :— At Upney Hospital At the District Nurses' Home of the Plaistow Maternity 5 Hospital 2 In private practice 7 The Essex County Council is at present the Local Supervising Authority for Midwives, but these duties will be carried out by you from the 1st April, 1935. By agreement, dated 1st January, 1924, with the Plaistow Maternity Hospital and District Nurses' Home, the Council annually subsidise the Hospital on any deficit from £300 in respect of 300 District Midwifery cases attended by their midwives, reckoned at the rate of £1 per case. The takings of the Hospital for 1934 in respect of 185 cases amounted to £228 8s. Od. leaving a balance payable to the Hospital by the Council of £71 12s. Od. |
f2770fa5-2974-49ac-9ca6-b961064f6248 | During the year 1934 there were 1,227 maternity cases in the district. 163 of these were conducted by the Plaistow Maternity Charity, 317 of them were conducted by your own midwives at Upney Hospital, leaving 747 which were dealt with by medical practitioners, private midwives or otherwise. (d) Upney Hospital.—The admissions to the Maternity Home during 1934 numbered 334 of which 16 were admitted for ante-natal treatment. During the past year the average number of beds occupied was thirteen. The present hospital building is of a temporary nature, but in spite of this the results obtained testify to the efficiency and care of the nursing staff. This building is about to be replaced by a permanent building and it is hoped that 1935 will see the complete transfer of your Maternity Home to a modern and well-equipped building which I am persuaded will be one of the most wonderful in the country. |
8abd2026-3a36-4e6b-8d7d-cef3d2db781f | It is impossible to see this old building swept away without a pang of regret and whilst we look forward with pleasure to the new Maternity Home which is about to be built we remember with gratitude the men and women who had sufficient foresight to build the old hospital, which has served a wonderful purpose. It must be remembered that "stone walls do not a prison make " and bricks and mortar are only a very small part of a hospital, and we trust to carry forward in the new home the same spirit of service and devotion which has been the foundation of your maternity work in Barking. 31 (e) Post-Natal Care.—Following the birth of a child efforts are made to see that the mother is left with no residual disability which would affect her health or any subsequent confinement. (f) Gynaecological Clinic.—During 1934 facilities have been afforded for the gynaecological examination of women. Up to now, the existence of these facilities and the scope of their application have not been fully realised. |
c01d7ef6-b8bc-4580-a170-72910b92c56c | When more extensive use is made of this service it is suggested that a weekly session be held. The primary object of the clinic is to enable ordinary women who believe themselves to be in ordinary health to have a complete overhaul so that they may rest assured that there are no signs of commencement of any serious conditions from which women suffer. These conditions are often only apparent to the ordinary average person in the later stages but can be detected by a trained person in the early stages when they are usually easy to deal with. At this clinic we hope that many women who have been delivered of their babies will come some six or eight weeks after the baby has been born so that they too may have the assurance that their pregnancy and parturition have left no disability which might be aggravated as the years go by. |
59af7049-9878-4045-9172-6e6b2b9dac79 | (g) Pemphigus Neonatorum.—It was proposed on the 11th May, 1934, that you should make Pemphigus Neonatorum a notifiable infectious disease under the Infectious Disease (Notification) Act, 1889, and the Council on the 29th May, 1934, decided that this should be so, and the necessary steps were taken. We have received two notifications of Pemphigus Neonatorum, which have been dealt with ; both cases recovered. One other case which came to our notice prior to the date of compulsory notification unfortunately died. Pemphigus Neonatorum is a disease of the newly-born in which there is a characteristic eruption of the skin. (h) Maternal Mortality.—According to the return of the Registrar-General there were during the year 1934 five deaths from puerperal causes—one death from puerperal sepsis and four deaths from other puerperal causes. |
da78e7fd-feec-459a-8d16-171a647e9d15 | This gives a rate of 3.82 per 1,000 total births. 32 The following table gives you similar information for the last eleven years :— Maternal Mortality—Statistics. Year. Barking. England and Wales Rate per 1,000 births. Deaths from Rate per 1,000 births. Puerperal Sepsis. Other Puerperal Causes. |
3402e6ad-5ef9-4ac0-ba1a-0421052ea100 | 1924 1 2 3.66 *3.90 1925 — 1 1.21 *4.08 1926 — 1 1.22 *4.12 1927 2 1 4.23 *4.11 1928 — 2 2.48 4.25 1929 — 2 2.54 4.16 1930 — 3 3.72 4.22 1931 1 3 4.08 3.95 1932 — 1 0.88 4.06 1933 4 — 3.2 4.23 1934 1 4 3.82 4.41 *Rate per thousand live births—figure not available in respect of rate per thousand total births. |
d6800d85-06dd-4a5c-8e5f-fea86b2addd3 | Whenever there is a case of maternal mortality, and even in cases where the death is following abortion or where death is associated with pregnancy or childbirth but primarily due to intercurrent diseases such as nephritis, tuberculosis, heart disease, etc., full investigations are carried out and confidential reports communicated to the Ministry of Health. (i) Ophthalmia Neonatorum.—During the year twenty cases of Ophthalmia Neonatorum were notified. Nineteen of these cases recovered with unimpaired vision and in the remaining case we have no reason to believe that the vision would have been impaired had the child lived ; unfortunately it died from some intercurrent disease. (j) Illegitimate Children.—Special attention is paid by the Health Visitors to all illegitimate children. Twenty-six illegitimate children were born during the year, and six died. The illegitimate mortality rate is more than four times the mortality rate for legitimate children. |
50d242f3-4c37-44c0-afa6-e52398cd924c | 33 Although our figures in Barking are too small in themselves to warrant a considered opinion, the similar figures throughout the country tell the same story of this high mortality rate among illegitimate children. The whole question bristles with difficulties of which the purely medical ones are by no means the greatest. Those people who are interested in the social and other sides of the question must deal with it, for where we have such a high mortality rate it is only fair to assume that there is a generally lowered resistance of a large number of these children to the disabilities which are common to infants. (k) Tonsils and .Adenoids.—Children who are found to require surgical treatment for enlarged tonsils are in most eases sent to Queen Mary's Hospital, Stratford, with whom you have a scheme for treatment; they are sometimes sent to other hospitals. It is to be noted that these children are seen by a surgeon for his opinion as to whether surgical treatment is necessary, so that they are seen by at least two medical practitioners before the operation is performed. |
eb1fa1d7-d05b-43f8-a100-ec164a8e5ce8 | I have commented elsewhere upon the desirability of looking upon this treatment of tonsils and adenoids as more than a minor operation and I confidently believe that the practice will grow for these children to be retained in hospital after the operation, for at least two or three days, and I hope the custom will eventually be that they will be admitted to hospital a day before the operation so that they may settle down before going to the operating theatre. (1) Convalescent Treatment.—During 1934 a number of mothers and children were recommended for convalescent treatment, (m) Ophthalmic Clinic.—As with other disabilities, every effort is made to remedy ophthalmic defects as early as possible. The appointment of an Ophthalmic Surgeon has been found advisable, and those cases referred from Infant Welfare Centres to the Ophthalmic Clinic will in future be directly under his care. The following table shows the number of mothers and children who have been treated :— No. treated. |
cad977ff-312b-4d36-afd9-2952a89af3ed | Mothers 1 Mothers and toddlers 11 Toddlers (under 5 years of age) 14 34 The advantages of early correction of deformities is particularly noticeable in the case of squint in young children, where regular use of glasses can correct the deviation. The fetish of the squint " curing " itself is one of the most tragic in medicine and although there are exceptions to everything, even in medicine, it can be stated that the squint only " cures " itself at the expense of the loss of useful sight in the squinting eye. (n) Ultra-Violet Light Clinic.—This clinic has continued to serve its useful function in providing an antidote to the effects of our comparatively sunless winters. We find that ultra-violet light treatment is useful in summer time, for by using an appropriate lamp we can give gradual doses under expert supervision. One of the difficulties of exposing children to natural light for treatment is that it so often happens that they are given too much in the early stages. |
b2cf1577-7bff-4dbc-9df9-2d7c2b351886 | This is particularly seen when children go for a holiday by the sea, where without any previous exposure they are allowed to run about in the sunshine to which they are not accustomed. Children who might be expected to benefit from this form of therapy are referred by the Medical Officers, and during their course of treatment are kept under medical supervision. Rickets, malnutrition and chilblains are the conditions which derive the greatest benefit. (o) Dental Treatment.—The provision of dental facilities for children of pre-school age under the supervision of the Medical Officers in charge of the Welfare Centres is beginning to show very marked results on the growth and development of the infants' teeth. The value of persistent teaching of hygiene and dietetics by both departments and the early eradication and arrest of minor decay in the toddlers is being shown in the great improvement in the teeth of children seen on admission to the Infants' Departments of the Elementary Schools. |
ea40f766-b93a-4b58-9cfa-ff63a863e448 | Mothers throughout the Borough are showing themselves very appreciative of this service and with their continued co-operation we may look forward to a time when long lists of extractions for these toddlers will be a thing of the past. (p) Diphtheria Immunisation.—Facilities have been afforded during the year for the immunisation of children against diphtheria. Rapid and safely produced immunity can be induced by means of injections, and nineteen children were immunised during the year. 35 Whilst we have every reason to believe that this procedure will free the individuals so treated from the risk of contracting diphtheria, it is of course apparent that immunity produced in so small a number will not materially affect the attack rate, that is, the number of people who will contract diphtheria. |
e52a066c-15b9-4130-bb69-df3e34539883 | Thus, whilst having the satisfaction of knowing we have protected those who have availed themselves of this service, we deplore the fact that we cannot look for prevention in any material degree to the whole community, without first persuading a considerable percentage of the school population, and more especially of the toddlers or pre-school age children, to submit themselves to this treatment. (q) Minor Ailments.—Your Minor Ailments Clinics have been held at two centres and here babies and toddlers have been treated whenever necessary; so also have certain conditions in nursing mothers. The following table shows the work which has been carried out at your Minor Ailments Clinics :— Central Clinic. Shaftesbury Clinic. No. of cases seen by medical officers :— (a) New cases 233 495 (b) Old cases 670 1,346 No. |
f412d3cc-a827-4b84-bf8b-f465fb034683 | of attendances for treatment 1,114 1,550 (r) Infant Life Protection (under Part I of the Children Act, 1908, as amended by Part V of the Children and Young Persons Act, 1932).—Your Health Visitors and Chief Sanitary Inspector are all Infant Life Protection Visitors, and regular visits are paid to all children coming within the meaning of the Act. I am perturbed both at the number of irregularities among foster-mothers and at the small importance which is attached to such irregularities. It is the duty of every foster-parent to inform the Council in writing at least seven days before receiving a child, under the age of nine years, to keep for reward, and similar notice is required for each additional child kept for payment. Fosterparents are also obliged to give seven days' notice to the Authority of intention to change residence. |
2250b1a6-1dfe-4732-9f2e-fceaf2cc0647 | In the case of the removal of an infant, notice must be sent within twenty-four hours of the name and address of the person to whom the child is being sent. 36 These regulations we find are constantly being ignored and I myself would like to see the laws and regulations governing foster-mothers punctiliously obeyed and even extended to include women who receive children not to keep for personal gain. These latter should be obliged also to inform the Authority of the receipt of such children so that we may be able to trace all children within the Borough and keep a continuous record of all children passing to the care of any persons not their own parents. (s) Maternity and Nursing Homes.—During the year no less than 315 children were born in your Maternity Home and 14 births have been notified from one house in Barking which has been used as a nursing home. (t) Infant Welfare Clinics.—The following table shows the work carried out at your various Infant Welfare Clinics during the year :— Central. Greatfields. Alexandra. |
ef12aed0-f063-46e0-b57e-dacdf02ed062 | Shaftesbury. Totals. No. of sessions 102 102 102 102 408 No. of attendances of children under one year :— (a) new cases 222 148 172 429 971 (b) old cases 2,644 1,687 2,149 4,720 11,200 No. of attendances of children 1-5 years of age :— (a) new cases 65 32 70 326 493 (b) old cases 1,675 1,222 1,517 3,574 7,988 Average No. of attendances per session 45 30 38 87 50 No. of sessions attended by Medical Officers 102 102 102 102 408 No. |
d4e3e942-1e24-4ae5-be3c-266c01c70f3a | of children seen by Medical Officers other than at above sessions :— (a) new cases 235 — — 497 732 (b) old cases 670 — — 1,346 2,016 Average No. of children seen by Medical Officer per session 19 16 19 24 19 The total attendances during the year were 20,652 as compared with 17,554 in 1933. 37 The information which is brought out by this table is that there were 971 individual children (new cases), under the age of one year, who attended your clinics. You will remember that the total number of live births was 1,252 which means that approximately 77 per cent, of the children born in Barking attended at your centres. (u) Home Visiting.—The home visits carried out by your Health Visitors are shown in detail in the following table :— No. of half-days devoted to visiting 1,927 No. |
adc60b29-dbfd-4edc-8a70-49e29a2c2d75 | of ante-natal visits :— First visits 362 Subsequent visits 67 No. of first visits to children under one year 1,543 No. of subsequent visits to children under one year :— (a) attending a centre 608 (b) not attending a centre 5,812 No. of visits to children 1 to 5 years of age :— (a) No. of visits 9,347 (b) No. of children seen 12,773 No. |
f74207f9-e208-4376-a8d5-30f1a4a2667f | of special visits in connection with ophthalmia neonatorum 52 „ „ ,, deaths of children up to 3 years of age 82 „ ,, „ still-births 41 „ „ „ peuperal sepsis and puerperal pyrexia 3 Other visits (re infectious diseases) 368 Total home visits of all kinds 18,285 (v) Provision of Fresh Milk.—Particulars of the amounts of wet milk supplied free and at reduced rates to necessitous mothers and children are given in the following table :— No. of pints supplied at reduced price. No. of pints supplied free. Total. Total cost of milk supplied. Council's liability in respect of fresh milk supplied. £ s. d. £ s. d. |
1dd6b3e3-31e0-4bc9-9b4e-d4440adff9bf | 6,885 44,058½ 50,943½ 805 5 2½ 751 11 2 38 (w) Provision of Dried Milk, etc.—Particulars of the amounts of dried milks, etc., supplied free and at reduced rates are as follows :— Cost Price, (pkts.) Reduced, (pkts.) Free, (pkts.) Total, (pkts.) Ostermilk 1 935 283 425 1,643 Ostermilk 2 579 337 317 1,233 Cow and Gate 1,663 904 1,542 4,109 Cow and Gate (half cream) 121 65 30 216 Ambrosia 974 464 1,591 3, |
eee0b500-dfb0-462f-aed1-4757179cb638 | 029 Colact 10 1 6 17 Haemolac 69 9 58 136 Lactogal 530 9 71 610 Virol 874 54 390 1,318 Parrish's Food 247 15 140 402 Liquid Paraffin 149 2 9 160 Malt and Oil 372 44 420 836 Vitoleum Cream 22 — — 22 Pure Cod Liver Oil 163 —r 35 198 Cod Liver Oil Emulsion 2,489 7 640 3,136 Totals 9,197 2,194 5,674 17,065 (x) Services provided and Facilities for Treatment.—It is convenient to set these out in tabular form, although of course some of them are mentioned elsewhere in the Report. |
448ca66e-9e2f-4b5d-b8f4-54b6f8da1394 | Ante-Natal Clinics Ante-Natal Clinics are held each week at three different centres, and a Specialist-Consultant holds one session per month during ten months of the year. Baths ... ... ... ... In certain necessitous cases, free baths are provided for expectant and nursing mothers at the East Street Baths. During 1934 no baths were granted free of charge. Convalescent Treatment Convalescent treatment is provided for toddlers for mothers and babies, on the recommendation of Medical Officers at the Infant Welfare Clinics. Charges are made to the parents in accordance with the Council's scale. During 1934, 14 toddlers, one mother, and 11 mothers with babies received treatment under this scheme. 39 Dental Treatment Dental treatment for toddlers and expectant and nursing mothers is carried out at the Central Clinic and at the East Street Dental Clinic. Dinners Free dinners are supplied to necessitous nursing and expectant mothers and to toddlers, on the recommendation of Medical Officers at the Infant Welfare Clinics. |
70ffdc72-fbc8-4638-9567-d10d5df58c7f | During 1934, 927 dinners were supplied to mothers and 1,235 to children under this scheme. Diphtheria Immunisation A Diphtheria Immunisation Clinic is held every Monday morning at the Central Clinic. Gynaecological Clinic Gynaecological Clinics are held as and when required. Infant Welfare Clinics Infant Welfare Clinics are held twice weekly at four different Centres. These Clinics are available for all children under the age of five years. Maternity Services Maternity Home.—Upney Hospital is a maternity home run by the Corporation. Applications for admission are made at the Ante-Natal Clinics, and the charges are in accordance with the Council's scale. Consultations.—There is a Specialist-Consultant available for consultations in cases of puerperal fever and puerperal pyrexia and in cases of difficult labour. Milk Grade " A " (T.T.) |
dbede7ee-4d6e-4789-8909-19f6cda39c3e | milk is supplied free of charge and at half-price in certain necessitous cases of expectant and nursing mothers and babies, on the recommendation of the Medical Officers at the Clinics. Certain dried milks are similarly supplied free, at half-price and at cost price. Minor Ailments Treatment is given daily at the Central Clinic and the Shaftesbury Clinic to children under the age of five years. 40 Ophthalmic Service A Refraction Clinic for toddlers is held at the Central Clinic as and when required. The scheme includes the provision of spectacles at a very low charge, and in some cases, where the family income is below a certain scale, at no charge. During the year, six children under the age of five years were provided with spectacles under this scheme. Orthopaedic Service The Orthopaedic Service includes treatment at the Orthopaedic Clinic, the provision of splints, and treatment at hospital in the case of children under the age of five years. |
0444b2dc-9ad0-40be-b1aa-47d93543b535 | Tonsils and Adenoids Surgical treatment for tonsils and adenoids is carried out at two local hospitals under an agreement with the Council. A small charge is made to the parents, except in certain necessitous cases when no charge is made. During the year, 125 such operations were carried out in respect of children under the age of five years. Ultra-Violet Light Treatment Ultra-violet light treatment is given to children under the age of five years at the Orthopredie Clinic. During 1934, 50 children were treated, a total number of 335 treatments being given. Visiting in the Home Periodic visits are paid by the Health Visitors to all children under the age of five years and to all foster-children under the age of nine years. Visits are also paid in certain cases to expectant mothers. X-Ray Treatment for Ring- Where necessary, ringworm is treated by X-ray. worm No charge is made for this treatment. |
3be396e4-d277-4908-871a-f56824cc6d98 | No child under the age of five years was so treated during the year 1934. The way in which anyone can avail herself of any of these Services is to ask the Health Visitor for the district, or to attend at an Infant Welfare Centre, or, where this is not practicable or there is any emergency, to make an enquiry at the offices of the Public Health Department—Central Hall Chambers, East Street, Barking. 41 REPORT ON THE WORK OF THE ORTHOPAEDIC CLINIC Mr. B. Whitchurch Howell, Orthopaedic Surgeon, has taken this opportunity to pay Miss A. E. Findlay a well-deserved compliment for her expert service since the foundation of the Clinic in 1925. He would also like to add that her courtesy, tact and mature judgment, the result of years of administrative and orthopaedic experience elsewhere, made her one of the most valuable members of the orthopaedic team, not only in Barking, but in the County of Essex. |
bbebf09b-0a6a-4b96-8268-711e4ca9ad21 | On first attendance at an Infant Welfare Clinic, each child is carefully scrutinised for any deformities or disabilities which require the care of the Orthopaedic Snrgeon. Also cases showing developmental deformities during their attendance at the Centres are referred to his Clinic for advice and treatment at the earliest possible opportunity. Other cases are sent by the local medical practitioners. During the year sixteen children received orthopaedic treatment as in-patients in hospitals approved under the Council's Orthopaedic Scheme. The results show the value of early and thorough treatment, the less serious deformities being restored to perfect function and even more advanced crippling defects being materially assisted and improved. The following tables, which are prepared on lines similar to those previously used, show the work which has been carried out at the Orthopaedic Clinic amongst children under school age. No. of primary examinations by Orthopaedic Surgeon 84 No. |
aaf527c2-6c7a-4270-b158-dce3238725a8 | of re-examinations by Orthopaedic Surgeon 169 42 The cases dealt with for the first time during 1934 were referred for the following conditions, some children having more than one defect:— (a) Deformities—Bones and Joints. (1) Congenital: Asymmetry—skull 1 (2) Acquired: Genu valgum 30 Bowed tibiae ... 20 Bowed femora 1 Genu varum 1 53 (b) Muscular. (1) Congenital: ? Torticollis and Hsematoma sterno-mastoid 9 Talipes 3 (2) Acquired: Pes piano-valgus 40 Deformity of digits—foot 3 Contracture-—hand and digits (burn) 1 (c) Paralysis. |
e7af8204-d5e7-444f-9200-f45a81c11bd2 | JU Amyotonia—neck muscles 1 Anterior poliomyelitis 1 Also Spinal weakness with kypho-lordosis 1 3 Total defects found 112 During the year, five children under school age were admitted to hospital and the following operations were carried out in these cases :— Osteoclasis—right and left feet—with plaster 1 Manipulation—left foot—and plaster 1 Plastic operation—hand-—skin graft 1 Plaster bed and splintage 1 43—44 PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1934. No. of visits by Orthopaedic Surgeon No. 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 11 241 112 84 249 169 1,889 670 2,250 923 TREATMENTS. |
43971fc5-ef4d-4eb5-8d88-e7448004bc92 | Massage Electricity Remedial Exercises Ultra-Violet Therapy Radiant Heat Dressings and Splintage No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments School Children 15 240 2 31 76 1,415 15 317 64 239 Under School Age 13 42 — — 4 13 50 335 — — 58 324 Admissions to Hospitals On Waiting List for Admission 31 /12 /34 School Children Under School Age Total School Children Under School Age Total 11 (10 under Council's 5 16 2 1 3 45 REPORT OF THE DENTAL SURGEON June, 1935 To the Medical Officer of Health, Borough of Barking. |
56b7a7dc-950e-4fd8-89cf-ff0332552361 | Sir, I have the honour to present the report of the dental service under the Maternit; and Child Welfare Scheme for the year ended 31st December, 1934. It is encouraging to note that there is a general increase in figures except ii the case of treatments to toddlers. This latter is attributable to the lessening ii silver nitrate treatments and to children passing from the Maternity and Chi b Welfare Scheme to the School Dental Service. In silver nitrate treatments, si many mothers attend from the distant parts of the town that at present it is no reasonable to expect their interest in one or more deciduous teeth to survive th expense, both in time and money, of a series of visits. Apart from this the evidence of opinion is that the Council's Dental Service i beneficial and considerably in favour with the mothers to whom it is intended ti apply. I have the honour to be, Sir, Your obedient Servant, W. H. FOY, l.d.s., r.c.s. (eng. |
837dd9e9-1e16-4a6e-8464-5316e790d50a | ), Public Dental Officei 46 DENTAL CLINIC. Maternity and Under-Age Cases. Extractions 1465 Scalings 65 Dressings 28 Inspections 183 Fillings 72 Dentures supplied 149 Anaesthetics— General 416 Local 15 Patients— Old 1144 New 205 Number of Sessions held 118 " Under-age " children— Treatments 1090 47 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. 1. WATER. Water is supplied to the area by the South Essex Waterworks Company, and, generally speaking, is drawn from the River Stour. The water is of satisfactory purity. Two samples of water were taken during the year. 2. RAINFALL. The rainfall for the year ended 31st December, 1934 was 18.02 inches as compared with 17.23 inches for the previous year. Rain fell on 147 days in the year 1934. |
428a71df-137b-473d-b8d0-1a923cbe98c8 | 3. DRAINAGE AND SEWERAGE. The London County Council (Ilford and Barking Drainage) Act, 1928 of August of that year gave powers to the Boroughs of Ilford and Barking to discharge into the London Main Drainage sewage system. It also provided for conveyance to, and treatment and disposal at the outfall works of the London County Council, of the sewage from these districts. In October, 1929 an agreement was entered into for carrying out the scheme. The constructional work commenced in April, 1930. The works on completion will be sufficient for a future population of 270,000 for Ilford and 100,000 for Barking. It is expected that the new system will be in operation about the middle of 1935. In addition to the above work which has been proceeding on behalf of the Joint Authorities considerable reconstruction of the main sewers of the district has been carried out by the Barking Corporation. |
028e6384-7a0c-4216-9bf1-2eb2a6ce305a | 48 When the whole of these works are completed the disposal of the sewage of the district should be satisfactory for very many years. The Barking Sewage Disposal Works, situated at Gascoigne Road, continued in operation during the year. 4. RIVERS AND STREAMS. The rivers and streams running through the area are controlled by the River Roding 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. Within 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. On no account should anyone bathe in the River Roding. 5. CLOSET ACCOMMODATION. At the end of the year there remained a total of 14 premises unconnected with the sewer. Seven of these were factory premises. |
79db8498-72b3-4fea-b768-3b4b2a900942 | Of these 14 premises, 8 have cesspools and 6 have pail closets. Five premises were connected to the sewer during the year, without cost to the Corporation. The premises still unconnected are isolated properties. Cleansing is carried out by means of covered vehicles and suction pumps. 6. PUBLIC CLEANSING. (a) Storage, Collection and Disposal.—The collection and disposal of domestic refuse is controlled by the Borough Engineer and Surveyor. By the operation of the Barking Corporation Act, which came into force in July, 1933, a standard type of dustbin is being brought gradually into general use. 49 During the year, 9,263 loads of refuse were collected, with an average weight of 1 ton 14 cwts. This figure shows a yield of 11.2 cwts. per 1,000 of the population per day. |
f07c31ae-e6ba-4fb4-b4a1-4150e1a2641f | 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. The site of the Mayesbrook Tip is 1,000 feet distant from the nearest occupied house and was formerly a large ballast pit. It forms part of an area of land now being laid out as a park so that the filling of this land is work of a valuable character. Notwithstanding the distance from houses, complaints of fly infestation were received from householders. Barking is now regarded as a built-up area and the problem of refuse disposal will soon become acute unless the Corporation decide upon reclamation of marsh land, which is considerable in area but which is now set aside for industrial development. (b) Street Cleansing.—The streets of the town are kept in a satisfactory state. |
c3e6b5ff-886f-49b8-91f2-99c155884cfd | As you know, I hold the opinion that street gullies should be emptied and cleansed by mechanical means. 7. REFUSE DISPOSAL—PRIVATE TIPS. There are a number of small tips in the district where landowners are increasing the level of low-lying land. These tips are controlled by the provisions of the Essex County Council Act of 1933 which superseded the Corporation's byelaws, in operation since 1926. One hundred and forty visits were paid to such tips during the year, chiefly to offer advice as to the methods of disposal. At one tip an infestation of crickets was a source of trouble to neighbouring houses. The nuisance was dealt with by the use of hessian, creosote and an additional closely packed cover of earth. 50 8. SANITARY INSPECTION OF THE AREA, (a) Work of Sanitary Inspectors. (1) Inspection of Dwelling-Houses. |
8f902a98-a6d3-4df2-a527-e34585ca0043 | Total Houses Inspected under Public Health or Housing Acts ... 3,323 Total Number of Inspections made 11,351 Housing (Consolidated) Regulations 841 After Infectious Disease 1,768 Defects Found 8,942 Notices Served (Preliminary) 2,107 Re-inspections re Notices Served 4,363 Inspection of Works in Progress 953 (2) Premises Controlled by Byelaws and Regulations. Inspections. Contraventions. Notices served. Houses Let in Lodgings 2 — — Common Lodging Houses 80 4 1 Offensive Trades 162 35 17 Tents, Vans and Sheds 36 1 1 Dairies, Cowsheds and Milkshops 330 31 9 Slaughter-houses 236 4 2 (3) Factories, Workshops and Workplaces. tions. Defects. Notices. |
fa4cc17e-a952-40e3-ad03-b3c078f2ac13 | Factories 219 43 22 Laundries 3 1 1 Bakehouses 51 28 19 Domestic Workshops 16 — — Other Workshops 95 8 8 Other Workplaces 74 6 3 Outworkers' Rooms 113 1 1 Butchers' Premises 812 34 21 Fishmongers 36 3 2 Restaurants and Dining Rooms 176 18 14 Stables and Stable Yards 77 8 5 Piggeries 9 — — 51 (4) Miscellaneous. Inspections. Defects. Notices. |
75bbcf1c-2627-4908-b51d-ac73b7b83113 | Rats and Mice (Destruction) Act, 1919 180 6 6 Vacant Land and Refuse Dumps 140 7 1 Public Lavatories 83 8 3 Schools 43 5 2 Markets and General Shops 508 21 26 Ice-Cream Vendors 245 9 4 Petroleum and Celluloid Stores 115 8 1 Drainage Inspections 279 — — Milk Sampling 33 — — Rippleside Conversions 5 — — Other Miscellaneous 567 — — Visits to Smallpox contacts 20 Inspection of Meat from Outside District 256 3 — (b) Summary of Sanitary Work Carried Out. (1) Drainage. Choked drains, opened, repaired and cleansed 178 Drains reconstructed ... 65 New drains (conversions) 5 Ventilation shafts repaired or new fixed ... 24 New inspection covers 13 (2) Closet Accommodation. Roofs W.C. |
d7483923-c4e5-4b2b-a828-a4a96197fe66 | structures requried 3 Walls Floors Doors Seats fixed 103 W.C. pans fixed or cleansed ... 97 Flushing apparatuses repaired or renewed ... 221 (3) Sinks. New fixed 68 New sink and bath wastepipes 74 New gulley traps 18 (4) Dampness. Roofs and flashings 613 Eavesgutters 371 Rainwater pipes 140 (5) Water Supply. Drawtaps provided 5 Defective water fittings repaired and supply reinstated 44 (6) Yard Paving. Yard paving repaired or re-laid 198 Gulley dishing repaired or renewed 74 (7) Dustbins. New ones provided 602 (8) General Repairs. |
ce59d67a-2ff0-41f6-be09-e5ee924b74cf | External walls re-pointed 635 House floors repaired 234 Windows repaired or renewed 290 Window and door reveals repaired 150 Window sills repaired or renewed 270 Sashcords renewed 331 Washing coppers repaired or renewed 159 Stoves repaired or renewed 232 House doors and frames repaired or renewed 173 Stairs repaired 28 Handrails fixed Chimney pots renewed and stacks rebuilt 357 Dirty or defective rooms repaired, cleansed and redecorated 2,412 Damp walls remedied 137 Insufficient floor ventilation 132 External painting 249 Weatherboards fixed Door sills repaired or renewed 78 Defective brickwork repaired Window fasteners fixed 21 53 (9) Miscellaneous. Offensive accumulations removed 75 Animals so kept as to be a nuisance 17 Verminous rooms disinfested 112 Drains tested 606 Dangerous structures reported 19 Overcrowding 34 Shed erections 1 Other conditions 117 (c) Notices Served. |
338bec95-bf6d-48dc-be65-c1ac99f99546 | Informal Notices 2,107 Statutory Notices:— Section 23, Public Health Act, 1875 - 332 Section 36, Public Health Act, 1875 42 Section 41, Public Health Act, 1875 1 Section 94, Public Health Act, 1875 192 Section 17, Housing Act, 1930 97 (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. Intimations. Statutory. Factories 262 38 — — Workshops 122 12 — — W orkplaces 74 3 — — Totals 458 53 — — 54 (2) Defects Found. Particulars. Number of Defects. Number of Prosecutions. |
82f56273-8432-44af-b2f1-9f5fa8f79785 | Found Remedied Referred to H. M. Ins. * Nuisances under the Public Health Acts :— Want of cleanliness 33 33 — — Want of ventilation — — — — Overcrowding — — — — Want of drainage of floors — — — — Other nuisances 50 50 — — Sanitary accommodation:— Insufficient 3 3 — — Unsuitable or defective 18 18 — — 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 — — — — Totals 104 104 — — *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. |
087fefcc-7e96-4dd8-9fa4-60867b136a41 | Six notices were issued to the occupiers of premises in the district where outworkers are employed, who supplied lists twice during the year of 15 workpeople engaged on making wearing apparel, etc., in their homes. 55 (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 42 Total number of Workshops on Register 57 (5) Other Matters. Class, (1) Number. (2) Matters notified to H.M. Inspector of Factories :— Failure to affix Abstract of the Factory and Workshop Act (sec. 133) 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 1 Underground Bakehouses (sec. |
cd55b450-6f36-424b-8f82-131db7ae21f3 | 101):— Certificates granted during the year In use at the end of the year (6) Outworkers. The following list shows the nature of the homework carried out in this district by 53 outworkers :— Box makers 2 Flag maker 1 Life-belt covering 2 Tie making 1 Millinery 2 Wearing apparel (various) 43 Furrier 1 Umbrella covering 1 During the year, 34 lists of outworkers were received from other Authorities in respect of addresses in Barking. Six lists were received from employers within the district. 56 (e) Premises and Occupations which can be Controlled by Bye-laws or Regulations. (1) Houses Let in Lodgings.—The demolition of the tenement houses in Abbey Road means virtually the end of this type of dwelling in the district. The census of 1931 showed that 66 dwellings were occupied by three or more families. |
6e035fbf-f667-4137-885e-069f213f7303 | (2) Common Lodging Houses.—Eighty visits were paid to the two common lodging houses, four of the visits being made at night. Four defects were discovered and one notice served. One of the two common lodging houses was included in a clearance area in respect of which a confirming order has been made. In view of the amount of casual work which is carried out in the district by unskilled labour, I think the Council should consider the provision of a Municipal Hostel at an early date. In a report dated September, 1933, I directed attention to this need. (3) Tents, Vans and Sheds.—There are seven van dwellings situated in five yards in various parts of the district where water supply and sanitary accommodation are provided. Thirty-six visits were paid and one notice was served in respect of three defects discovered. The Barking Corporation Act provides that approval is now necessary before this type of dwelling can be established in the district. |
4868c68a-37e9-424c-86db-0360cdb3c6df | (4) Underground Sleeping Rooms.—There are no such occupied rooms in the district. (5) Offensive Trades.—The number of premises used for this purpose remains the same :— 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 fifty-two visits were paid to these 36 premises, and 35 contraventions of the byelaws were discovered and any necessary action taken. 57 The Corporation removed an old type of fish-frying premises from the register but a newly built shop was added. Similarly a new factory was erected for soap making at Rippleside whilst another old factory at North Street was closed down. Fat Melting.—Summonses were issued in respect of 3 contraventions of the byelaws and fines of £7 10s. Od. imposed. |
9978a57e-35a3-4aaa-bb01-c6d13f1b907a | (6) Piggeries.—'There are eight remaining piggeries in the district. (7) Stables.—These premises continue to be a source of trouble. The occupiers are invariably unable financially to carry out any improvements. 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. Seventy-seven 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 two premises where upholstery repairs are carried out and these premises are regularly inspected. We have not found rag flock in use at either of these establishments. 9. SMOKE ABATEMENT. Arising from 109 observations made, 11 offences were registered and necessary action taken. |
cc37331e-6bc2-4aea-b8e2-5aaf47e9d6cf | At one factory where a special type of furnace is used for manufacturing purposes it was necessary to build an additional chimney stack to remedy the smoke nuisance. When offences are discovered it is usually found on visiting the factory that there has been a mechanical breakdown, which accounts for the trouble. There has been no increase in the kilowatt capacity at the Creeksmouth Generating Station during the year. I am glad to be able to report that the reduction in the emission of residual dust has continued. We have not received any complaints of nuisance. 58 The Engineers at the Generating Station are unable at present, owing to the complexity of the problems, always to comply with the limit of 2 minutes black smoke in every 30 minutes duration. The Company arrange for a constant watch to be kept upon the chimneys and as soon as any excess smoke is observed the Boiler House Engineer is informed, and any necessary adjustments made. There are 13 chimneys of about 15 feet diameter connected with 34 furnaces. |
a848c218-2b2b-4009-9fa8-10f577a2bb47 | The station serves an area of 3,000 square miles. When seen from the River or when indeed seen from one of several vantage points in Barking the smoke issuing from these chimneys is enormous. The amount of smoke however must be considered in relation to the large amount of coal which is consumed and which is, we understand, approximately 500,000 tons per year. At the same time there is another aspect to this question and that is that unless these large concerns show that they can consume these large amounts of fuel without any undue smoke emission there is a case against them except when they are situated in remote districts. 10. ULTRA-VIOLET LIGHT RADIATION. Ultra-violet light radiation is measured in Barking at the Barking Hospital. The apparatus used is 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. |
b15910b4-3aa5-4b0b-a53c-b163788b0292 | The following table shows the comparative ultra-violet light readings for the years 1933 and 1934:— Month. Daily average for Barking 1933 1934 Units. Units. January 0.76 0.48 February 0.78 0.82 March 0.92 1.41 April 1.50 1.99 May 4.00 2.93 June (Reading not taken) 3.66 July 4.74 4.77 August 5.45 5.93 September 4.06 6.83 October 1.48 5.35 November 0.86 2.20 December 0.96 1.03 59 The figures for the two years under consideration show that there is a very considerable amount of sunshine in Barking and that this sunshine is biologically active. 11. SCHOOLS. There are fifteen elementary schools, in addition to the Park Modern School, and the Faircross Special School. |
6863fa12-b4f6-43b8-96e6-3060471f57c1 | 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. Eleven of the 15 elementary schools are of recent construction. Two of the remaining four schools compare very unfavourably with the general standard of accommodation in the district. It has not been found necessary to close any department of the schools as a result of infectious disease. 12. PARKS AND OPEN SPACES. The excellent summer weather experienced in 1934 allowed the residents of Barking to make full use of the parks and open spaces and the facilities provided for sport and recreation by the Council. The Mayesbrook Park tennis courts were opened to the public during the season. The work of laying out the remainder of the park continues. I am very much afraid that people will come forward with very specious arguments urging you to use your open spaces for purposes for which they were not intended, urging you to build this or that public building. |
e5ea7821-4da2-42d1-a557-c0bc1c372756 | There are not enough parks and open spaces in Harking at present and I do hope that under the present circumstances the Council will not curtail these very necessary places for out-of-door recreation. 61 SECTION D. HOUSING. 1. STATISTICS. (a) General. Number of new houses erected during the year :— (1) Total 730 (2) As part of a municipal housing scheme:— (а) Barking 96 (б) L.C.C 275 (3) Others (including private enterprise and subsidy houses) 359 (b) Unfit Dwelling-houses. 1. |
66ce6e00-a32d-4981-983c-8678c94f591f | Inspection of Dwelling-houses during the Year:— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 3,323 (b) Number of inspections made for the purpose 9,583 (2) (a) Number of dwelling-houses (included under sub-head (T) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 & 1932 841 (b) Number of inspections made for the purpose 2,304 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 79 (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 1,730 2. |
59ad96b7-5b8d-43b6-9fc1-dcc177cae322 | 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 1,392 62 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 134 (2) Number of dwelling-houses which were rendered fit after service of formal notices :— (a) By owners 109 (b) By local authority in default of owners Nil B.—Proceedings under Public Health Acts: (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 170 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 140 (b) By local authority in default of owners 1 C. |
11568d64-c588-4623-b208-5143dbb84014 | —Proceedings under sections 19 and 21 of the Housing Act, 1930 : (1) Number of dwelling-houses in respect of which Demolition Orders were made 3 (2) Number of dwelling-houses demolished in pursuance of Demolition Orders 6 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. HOUSING CONDITIONS. (a) General Observations.—The total number of inhabited houses in the district is 18,382 (including 1,250 shops), which, compared with the total of 10,965 at the census of 1931, gives an indication of the growth of the town. |
943c555d-8a46-4f11-8643-26dece471a64 | 63 Of the total of 17,132 dwelling-houses, 1,596 are owned by the Council and approximately 7,375 have been erected in the area by the London County Council since the year 1929. It is interesting to note that 1,887 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. During the year 1934, no less than 347 temporary buildings were approved for erection in the back gardens of dwelling-houses in the district. In connection with the Corporation estate at Movers Lane, the Council decided to erect a standard type of shed for each house. This conforms with the view I have expressed continuously since 1930. HOUSES BUILT IN DISTRICT. 1926—1934. Year. Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). |
1feb2891-a6c8-44f5-9a31-c543486cb4ee | 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 1934 730 (Barking) 96 359 (L.C.C.) 275 Totals 9,910 7,772 2,138 64 Of the 7,772 houses shown above as part of Municipal Housing Schemes, 767 were provided by the Borough of Barking and 7,005 by the London County Council. |
ed97401b-6c0e-4ab0-8c99-eb27e5fbf96b | (b) Sufficiency of Supply of Houses and Overcrowding.—The census of 1931 revealed that 349 families were living in one room and that of this number 232 families had more than 2 persons in family. Out of the total of 1,267 families living in two rooms 237 families had 2 or more persons per room. Between 1931 and 1934 the Council erected 185 houses to let to persons living in overcrowded circumstances and 219 houses to rehouse persons from clearance areas. In the absence of control over further sub-letting after a sub-tenant has been moved from an overcrowded house it is considered that the position shown to exist in 1931 has not been improved. The Housing Bill now before Parliament will become law during 1935 and it will then be necessary for the Council (1) to provide new accommodation for families living in overcrowded circumstances, (2) secure that no further overcrowding takes place. |
5d1c3e86-0dce-4f2e-b10b-7882c8146e43 | In determining the extent of overcrowding it is regretted the survey must regard the use of living rooms as bedrooms. It would appear that where rooms are not normally used in the locality as bedrooms or living rooms the Loral Authority need not include such rooms in assessing the accommodation in any house. In my last two reports I have directed attention to the fact that all available building land in the district will be taken up for rehousing persons from clearance areas. The passing of the Housing Act, 1935 will place a further obligation on the Council to rehouse persons living in overcrowded circumstances. It is estimated that the number of new houses required for this purpose will be at least 400. Hitherto the Council has confined its building operations to the provision of cottage dwellings as distinct from flat dwellings. 65 Whilst realising the difficulty of providing a sufficient number of new dwellings within the boundaries of the district I do hope that Barking will not depart from its present high standard of housing accommodation. |
df02a15e-c9f2-4d32-9c6d-47d7930e7e5b | (c) Housing Act, 1930—Part 1.—Further progress was made during the year in dealing with clearance areas. In July, 1934 a representation of the Medical Officer of Health was made in respect of North Street (No. 1) Clearance Area, consisting of 72 houses and housing 307 persons. A Public Enquiry took place and confirming orders have been made in respect of:— Abbey Road Nos. 1, 2, 3 and 4, Clearance Areas ; Park Terrace and Collier Row Clearance Area ; and North Street No. 1 Clearance Area. In these areas is a total of 167 houses, housing 753 persons. (d) Housing Act, 1930—Part 2.—Three demolition orders were made during the year. One house was demolished in anticipation of formal action. A total of 841 houses were inspected and particulars recorded. |
61d7ef5f-0d4e-48e3-a368-14ba0fc2a13f | Reference to the summary of the work carried out is shown on pages 61-62 and indicates the type of defects found and dealt with. The policy of the Council in administering the " Repair " section of the Housing Act, 1930 in conjunction with the provisions of the Barking Corporation Act, 1933 is reflected in the general well-kept appearance of the working-class property in the district. Steady improvement in this respect continues. (e) Disinfestation.—The rehousing of families from clearance areas has been proceeding during the year. Prior to taking over the tenancy of new accommodation the whole of the tenants' effects have been fumigated with hydro-cyanic acid gas. The contract was let in respect of a total of 265 families. 67 SECTION E. INSPECTION AND SUPERVISION OF FOOD. 1. MILK SUPPLY AND ICE-CREAM. |
35b41912-d33c-415d-aafb-d581866cd413 | (a) Milk Supply.—Registered with the Authority are 72 retail purveyors, of whom 16 occupy premises outside the district. There are no eowkeepcrs in the district. 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 32, three were found to be unsatisfactory :— Type of Sample. Satisfactory. Unsatisfactory. Totals. Grade" A "(T.T.)Milk — — — Grade " A " Milk — — — " Pasteurised "Milk 5 1 6 " Sterilized " Milk — — — Purified (Homogenised) Milk — — — Raw Milk 24 2 26 Totals 29 3 32 There were during the year 24 samples of milk submitted to biological examination for the presence of tubercle. Of this number, three samples were from supplies produced in the district. |
8879abc6-b456-4245-a215-fb1f878befd2 | Two of the 24 samples were found to be infected and the necessary action taken. 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 15 Grade " A " (T.T.) Milk 11 Grade " A" Milk, Pasteurised 1 68 A licence was granted to one local firm for the bottling of Grade " A " (T.T.) Milk, and one for the treatment and sale of milk as " pasteurised." In my report for 1933 I referred to the operations of the London & Suburban Dairies and their successors. Further changes of ownership continued and at the end of the year we were still dissatisfied with the sale of milk from this source. |
27be5ec6-c553-4e95-94b6-f0d66c1659bb | By co-operation with the Essex County Council a successful prosecution was instituted when the defendant was fined a total of £40 and £10 17s. Od. costs for fat deficiency. This conviction was later upheld on appeal to Quarter Sessions. Another defendant was fined a total of £12 2s. Od. for selling milk without being registered. (b) Ice-Cream—Barking Corporation Act, 1933—Section 160.—During the year 1934, 88 vendors were registered, in accordance with this Act, of which number 35 were manufacturers with premises in Barking. Nine vendors had premises outside the district. Twenty-one samples were submitted for bacteriological examination, 8 of which were unsatisfactory. These 8 samples were taken from 5 vendors, 4 of whom received warning cautions. The remaining unsatisfactory vendor was brought before the appropriate Committee to show cause why he should not be removed from the register. Four applicants were refused registration. |
ebd9597d-1659-4c27-8510-677ba93951dc | The administration of the appropriate sections of the Barking Corporation Act, 1933 which came into force in July, 1933, has already had a salutary effect upon the unsatisfactory vendor. 2. MEAT AND OTHER FOODS. (a) Meat.—There was a considerable increase during the year in the use of the one licensed slaughterhouse. This licence is renewable annually. The premises are situated in the centre of the town and in view of the changing circumstances and developments taking place it may be that the Council will be considering the continuance of slaughtering at these premises. The slaughterhouse was well conducted during the year. 69 The following table gives particulars of notifications received, and the animals slaughtered, during the seven years ended December 31st, 1934. |
b8fe122d-a1b0-48cd-97a6-cf5be187818c | Year 1928 1929 1930 1931 1932 1933 1934 Notifications Received 126 72 64 39 57 34 205 Cattle 40 64 80 12 10 41 350 P'gs 409 137 93 200 84 18 502 Sheep 815 426 332 173 270 241 1038 Calves 71 10 11 1 9 1 140 Totals 1335 637 516 386 373 301 2030 Diseased meat was destroyed as under :— Description. Disease. Weight. 262 beasts' lungs Tuberculosis 2620 lbs. |
97808e4d-15bd-489f-91c1-0bfcf6ae5e3d | 4 „ lungs Abscess 40 „ 4 „ lungs Distomatosis 40 „ 9 „ livers Tuberculosis 126 „ 31 „ livers Distomatosis 434 „ 14 „ livers Cirrhosis 196 „ 2 „ livers Cystic 28 „ 2 „ livers Angioma 28 „ 3 „ livers Fatty degeneratio 42 „ 8 „ livers Abscess 112 „ 34 , |
673f38e8-5931-4602-8dbf-1a035e69fe34 | heads Tuberculosis 952 „ 1 beast's tongue Actinomycosis 6 „ 49 beasts' mesenteries Tuberculosis 147 „ 1 beast's spleen Abscess 1 „ 4 beasts' carcases and offals and one part (round and flank) Tuberculosis 4026 „ 3| „ forequarters Tuberculosis 700 „ 42 sheeps' lungs Parasites 126 „ 12 „ livers Parasites 18 „ 2 pigs' heads Tuberculosis 28 „ 4 „ lungs Tuberculosis 14 „ 6 „ livers Cirrhosis 36 „ 2 „ livers Tuberculosis 10 „ 3 „ livers Necrosis 12 „ 20 „ mesenteries Tuberculosis 40 „ 4 calves' lungs Tuberculosis 16 „ 1 calf and offal Tuberculosis 210 „ Total—4 tons 9 cwts. 40 lbs. |
03892adb-15ab-487c-aaf1-1ebbf5c4d2ff | 70 (b) Unsound Food.—The following list gives particulars of unsound food destroyed during the year :— 32 lbs. oatmeal. 48 lbs. chilled beef. 3 stones herrings. 1 tin of biscuits. 53 cartons of table jellies. 3. 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. |
d420948c-379d-4a73-8895-db826f1a61a2 | The following samples were examined during the year :— Milk 48 Butter 35 Other 95 Total 178 Proceedings were instituted in relation to five samples during the period covered and fines and costs amounted to £52 17s. Od. 4. CHEMICAL AND BACTERIOLOGICAL EXAMINATION OF FOOD. 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. 71 5. NUTRITION. |
547d3d33-8d58-4ba6-a9c5-beb9d4ae3ac7 | Last year when dealing with this subject I introduced to your notice the discussion which was going on as to the amount of first-class proteins which is necessary for maintaining health and strength and what was more important, that I would like to see that people—anyhow those who cannot afford it—are not inveigled 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. 73 SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. 1. NOTIFIABLE INFECTIOUS DISEASES. During 1934 there has been a considerable amount of notifiable infectious disease in Barking. As I have pointed out previously this may be due to the fact that large rehousing schemes seem to bring about conditions favourable to the incidence of infectious disease. |
2b0b28ef-3725-4bfc-9a19-896e368c534d | It must be remembered that Barking today has a very high percentage of child population and it is of course amongst these children that infectious disease is most common. I cannot see any reason for suggesting that the percentage of children and young people will become smaller and I do believe that you will always have as one of your serious problems the prevention of diseases which come during childhood. Having this in your minds you have commenced the Second Portion of the Barking Hospital which will bring the total number of beds up to 96, and I hope that it will soon be possible to proceed with one further cubicle block of 12 beds. My experience during the last few years enables me to say that 108 beds are certainly required for the work you are called upon to carry out. Fortunately we have had no cases of smallpox and no cases of cerebro-spinal fever. Diphtheria anti-toxin is administered quite early in this disease. This is largely due to the very cordial relationship which exists between your Medical Officers and private practitioners. |
32b45675-b56b-496c-9b18-1304fb2b1df0 | Consultations are held constantly and admissions to your hospital are expedited in every way. In your Hospital when the second portion is fully completed, when you will have 108 beds, there will be no less than 36 beds in separate cubicles. This should enable the Hospital to be used to a much greater advantage and to cater for a larger number of infectious diseases than if you had large wards. It will allow you to treat dual diseases ; this is very necessary in cases of scarlet and rheumatic fever, a condition which is by no means as uncommon as we should wish it to be. It should be clearly stated for future reference that the second portion of the Barking Hospital is not an extension in the ordinary sense of the term but is a partial completion of the hospital according to plan. 74 During the year 1930 we had no less than three deaths from psittacosis ; there have been none since. |
cae3987f-e2bb-4e40-a47c-549eff8aab2c | This is a wonderful illustration of the fact that the health of the public is in the hands of the public ; it was only necessary for them to refrain from buying the imported birds and the epidemic died a natural death. By the same token when people, suffering from influenza and other infectious diseases, refrain from travelling in crowded trains the country will be healthier, to a degree. 2. NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1934 TABLE I. Disease. Males. Females. Total. Total eases removed to Hospital. Deaths. Smallpox — — — — — Scarlet Fever 242 283 525 487 5 Diphtheria 179 219 398 397 22 Enteric Fever (including Para-typhoid Fever) 1 3 4 4 — Puerperal Fever — 2 2 2 — Puerperal Pyrexia — 10 10 |
5b113ce8-9a92-4b02-87f1-b004724f3357 | 8 2 Pneumonia : Acute Influenzal 98 85 33 60 10 Acute Primary 88 10 Following Measles 62 L 5 Erysipelas 18 26 44 22 — Ophthalmia Neonatorum 11 9 20 3 1 Acute Anterior Poliomyelitis 1 1 2 2 — Encephalitis Lethargica 1 — 1 — — Chicken-pox 241 210 451 — — Food Poisoning 2 2 4 — — Acute Polio-Encephalitis 1 — 1 1 — Pemphigus Neonatorum 1 1 2 — — Totals 796 851 1647 986 56 75—76 TABLE II. Notifiable Disease No. |
0015cf8d-617b-4b34-8a40-b0b428b05041 | 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 j 20 to 35 years 35 to 45 years 45 to 65 years Over 65 years Totals Abbey Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes Smallpox — — — — — — — — — — — — — — — — — — — — — Scarlet Fever 3 19 39 42 50 247 83 15 19 7 1 — 525 47 131 87 70 23 84 29 54 Diphtheria . |
3ac72712-07a8-4d2d-b71c-cfa1ccdb08d5 | — 14 31 25 32 187 69 8 21 10 1 — 398 22 113 79 32 9 68 22 53 Enteric Fever — — — — — — 1 — — 2 — 1 4 1 — 2 1 — — — — Puerperal Fever — — — — — — — — 2 — — — 2 — — 1 — — — — 1 Puerperal Pyrexia — — — — — — — — 6 3 — — 9 1 5 — 1 — 1 — 1 Pneumonia (ac. primary, Ac. influenzal & following measles) 8 17 15 16 5 47 5 4 18 15 24 9 183 25 27 19 32 9 39 16 16 Erysipelas 2 1 — — — 2 3 |
24b62da0-0200-47f9-8ac4-127f1bef947e | 1 6 6 17 6 44 10 11 3 10 1 3 3 3 Ophthalmia Neonatorum 20 — — — — — — — — — — — 20 2 3 3 1 2 6 1 2 Acute Anterior Poliomyelitis — — 2 — — — — — — — — — 2 — — — — — — 2 Encephalitis Lethargica — — — — — — — 1 — — — — 1 — — 1 — — — — — Chicken Po 11 30 19 36 30 262 56 4 3 — — — 451 68 54 115 65 22 47 59 21 Food Poisoning — — — — — — — — 3 1 — — 4 — 2 — — — 1 — 1 Acute Polio Encephalitis — 1 — — — — — |
7fffb2bb-32bf-4a12-9463-35640c9486a7 | — — — — — 1 — — 1 — — — Pemphigus Neonatorum 2 — — — — — — — — — — — 2 — 1 1 — — — — — Totals 46 82 106 119 117 745 217 33 78 44 43 16 1646 176 347 312 212 66 249 130 154 77 TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1934:— Scarlet F ever. Diphtheria. Total. |
251a0b8e-0f68-44de-b866-5bc3d5c4e768 | January 51 25 76 February 34 24 58 March 26 36 62 April 36 33 69 May 59 22 81 June 44 35 79 July 39 28 67 August 33 26 59 September 51 30 81 October 49 41 90 November 47 38 85 December 56 60 116 Totals 525 398 923 3. 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:— Measles13 Whooping Cough - Summer Diarrhoea 6 (b) Rheumatic Fever.—Rheumatic fever, as I have said previously, is a serious problem in Barking. (c) Influenza.—There were 12 deaths from influenza during the year 1934. |
af6437c3-add0-4d1b-a0cb-698f519b6f81 | This contrasts favourably with 21 deaths in the year 1933. 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. (d) Scabies.—Twenty-two 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 six cases, where the parents declined the services offered. 78 (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. |
cb163d61-3f74-4d8f-9de8-606184bf3fc6 | BARKING HOSPITAL (a) Admissions.—The following is the table of admissions, etc., in respect of infectious diseases during 1934:— Disease. In Hospital January, 1st, 1934. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1934. |
89a04fb3-818d-409c-b96d-6e2ae9c9a47e | Scarlet Fever 58 479 5 463 69 Diphtheria (including Membranous Croup) 39 397 21 347 68 Enteric Fever — 2 — 2 — Puerperal Fever 1 1 — 2 — Puerperal Pyrexia — 4 2 2 — Pneumonia — 38 6 32 — Erysipelas 4 15 — 18 1 Measles and Mastoiditis — 1 1 — — Anterior Poliomyelitis 1 — — 1 — Others 27 4 22 (b) Number of Bed Days.—The total number of bed days in the infectious diseases hospital during 1934 was 39,976—that is to say, an average of 109 patients were in hospital throughout the 365 days in the year. 5. ARTIFICIAL IMMUNISATION. |
a4a465e2-3a6a-4a9d-a536-a938025ab5f6 | Our efforts to promote artificial immunisation against diphtheria may be said to have failed. I hold the opinion that unless very large numbers of people are immunised, immunisation has but little influence on the incidence and death rate from diphtheria, so that I look for no public benefit from the amount of diphtheria immunisation which has been carried out. 79 Wise parents who dread diphtheria, as they have every right to do, will take advantage of your offer and have their children immunised. Children who have been immunised have little risk of catching diphtheria and if they do catch it there is only a remote chance of it being serious. The following table shows what has been done under this scheme:— Total number of cases treated 19 Number of first attendances for treatment 17 ,, subsequent attendances for treatment 33 „ final " Schick " tests 12 6. CANCER. |
b15f788f-8c2e-4668-ac4d-443aef862540 | There have been 74 deaths from cancer, 41 below the age of 65 years and 33 above the age of 65. The following table shows the occupations of the 74 people who died from cancer during the year 1934:— male. Female. Bootmaker 1 Wives 27 Bottler 1 Spinster 1 Bricklayer 1 Widows 11 Carpenters 2 Civil Servant 1 Cleaner 1 Coppersmith 1 Cook 1 Enameller 1 Fishmonger 1 Flusher 1 Labourers 10 No occupation 2 Porter 1 Porter (house) 1 Postman 1 Printer 1 School Attendance Officer 1 Scaffolders 2 Travellers 2 Warehouseman 1 35 39 80 The following table shows the ages of the persons who died from cancer and the organs affected:— Organ. Under 1 year. 1-5 years. 5-15 years. 15-25 years. 25—45 years. |
04e59c4c-d447-400f-a1ec-1897a6268300 | 45-65 years. Over 65 years. Total. M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. Bladder - - - - - - - - - - - - 1 - 1 - Bowel - - - - - - - - - - - 1 - - - 1 Breast - - - - - - - - - - - '2 - 1 - 3 Caecum - - - - - - - - - - - - - 1 - 1 Cervix - - - - - - - - - 1 - - - 1 - 2 Colon - - - - - - - - - - 1 1 2 3 3 4 Femur - - - - - - - - - - - 1 - - - 1 Humerus - - - - - - 1 - 1 - - - - - 2 - |
4620d3b0-555d-4013-a1fa-e687300f4a82 | Kidney - - 1 - - - - - - - - - - - 1 - Larynx - - - - - - - - - - - - 1 - 1 - Liver - - - - - - - - - - - - 1 2 1 2 Lung - - - - - - - - - 2 3 - - - 3 2 Mediastinum - - - - - - - - - - - 1 - - - 1 Neck - - - - - - - - 1 _ - - 2 _ 3 _ Oesophagus - - - - - - - - - - 1 - 1 - 2 - Ovaries - - - - - - - - - 1 - 1 - - - 2 Pancreas - - - - - - - - - . |
70f3392a-fe5d-4bcb-a8a3-2fae7629732e | - - 1 - 1 - 2 Peritoneum - - - - - - - - - 1 - - - - - 1 Prostate - - - - - - - - - - 1 - 2 - 3 - Rectum - - - - - - - - 1 - 1 2 - 4 2 6 Sigmoid - - - - - - - - 1 - - 1 - - 1 1 Spleen - - - - - - - - - - 1 - - - 1 - Stomach - - - - - - - - - - 5 2 5 2 9 4 Tongue - - - - - - - - - - - - 1 - 1 - Tonsil - - - - - - - - - - 1 - - - 1 - Uterus - - - - - - - - - 1 - 2 - 2 - 5 Ventriculi . |
95ac54c4-7e80-43b1-87d8-8f5bc4c60f01 | 1 1 Totals - - 1 - - - 1 - 4 6 13 16 16 17 35 39 The various Government Publications dealing with cancer have been circularised amongst the local practitioners; this together with the liaison which exists between the local practitioners and the expert pathologists and surgeons of the large London Hospitals has made it unnecessary for any local activity on the part of the Council. 7. PREVENTION OF BLINDNESS. Blindness is being prevented in Barking; it is being prevented by the co-operation of the whole of the services. One of the chief causes of blindness is Ophthalmia Neonatorum, which is a purulent discharge from the eyes of an infant, commencing within twenty-one days of its birth. |
46b01b8c-b1c4-44c9-a047-e1a041e7d6fe | 81 Your Consultant Gynaecologist draws up approved hygiene for the eyes at birth, your Consultant Ophthalmic Surgeon draws up our approved treatment for Ophthalmia Neonatorum, and your Inspector of Midwives takes up each case as it should arise and your Health Visitors follow up each case and encourage parents to carry out any necessary treatment. It is years ago since we had a case where vision has been impaired by reason of Ophthalmia Neonatorum. The following table shows that the number of cases of Ophthalmia Neonatorum during 1934 was 20, compared with 14 in 1933. Seventeen 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 20 17 3 19 — — 1 8. |
c71335cc-ea77-4e53-9145-1c6fc9bc5289 | TUBERCULOSIS. Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1934 are given in this Report in the following form :— New Cases. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female. Under 1 year 1 to 5 years — — 2 — — — 1 — 5 to 15 years 4 4 8 6 2 — 1 — 15 to 25 years 14 16 4 1 5 3 — — 25 to 35 years 25 15 — 6 6 10 — 1 35 to 45 years 12 9 — —. |
27a7b8f6-2bbf-45ce-9326-fc8d79410653 | 6 5 — — 45 to 55 years 13 7 1 3 6 3 55 to 65 years 7 1 1 — 5 — 1 — 65 years and upwards 2 1 — — 1 — — — Totals 77 53 16 16 31 21 3 1 During the year, 162 notifications were received of all forms of Tuberculosis— pulmonary ] 30 and non-pulmonary 32 and there were 10 deaths of un-notified cases (6 pulmonary and 4 non-pulmonary), making a total of 162 new cases during the year. 82 Information has been received of the removal into the district of 26 tuberculous persons, included in number of notifications received. This compares with 58 received for the previous year. 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. |
d57b8148-dbc9-487c-9fc7-5e72eadd1f7a | 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. 43 40 9 6 32 30 12 9 Fifty-six deaths occurred from Tuberculosis (all forms) fifty-two of these being pulmonary cases. The number of deaths in institutions was thirty-two. The death rate for Tuberculosis (all forms) during 1934 was 0.77 per 1,000 population, compared with 0.72 for the previous year. I regret to inform you that ten of the cases which died from Tuberculosis had not previously been notified to me as suffering from that disease. The compulsory removal to hospital of persons suffering from Tuberculosis is practically a dead letter in Barking. |
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