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5249bdb7-01bc-4002-9422-370c243e064a | of children seen 9,565 44 No. of special visits in connection with ophthalmia neonatorum 21 β β β deaths of children up to 3 years of age.. 48 β ,, β stillbirths 28 β β β puerperal sepsis and puerperal pyrexia 4 Other visits (re infectious diseases) 251 No. of visits to foster children 193 Total home visits of all kinds 15,619 (v) Provision of Fresh Milk.βParticulars ot the amounts of wet milk supplied free and at reduced rates to necessitous mothers and children are given in the following table :β 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. Β£ s. d. Β£ s. d. |
11a1c02e-1fc6-46e4-bde1-908c224e83dc | 16,770 74,434Β½ 91,2041 1,457 13 1Β½ 1,323 4 7 (w) Provision of Dried Milk, etc.βParticulars of the amounts of dried milks, etc., supplied free and at reduced rates are as follows :β Cost Price. (pkts.) Reduced. (pkts.) Free. (pkts.) Total. (pkts.) Ostermilk 1 733 341 498 1,572 Ostermilk 2 743 469 642 1,854 Cow and Gate 1,944 1,164 1,924 5,032 Cow and Gate (half cream) 216 100 83 399 Ambrosia 668 327 1,356 2, |
502665ef-82c5-4286-9c14-163fb93f38c5 | 351 Colact 15 3 2 20 HΓ¦molac 358 100 355 813 Lactogal 414 21 107 542 Virol 827 92 921 1,840 Parrish's Food 190 41 341 572 Liquid Paraffin 144 10 69 223 Malt and Oil 261 109 627 997 Vitoleum Cream 1 β β 1 Pure Cod Liver Oil 224 15 96 335 Cod Liver Oil Emulsion 3,283 135 1,365 4,783 Totals 10,021 2,927 8,386 21,334 45 (x) Services provided and Facilities for Treatment.βIt is convenient to set these out in tabular form, although of course some of them are mentioned elsewhere in the Report. |
e6a7c9ef-df40-4fbb-a036-bd4b32d47177 | Ante-Natal Clinics Ante-Natal Clinics are held each week at four different centres, and a Specialist-Consultant holds one session per month during ten months of the year. During 1935. 76 cases attended the clinics held by the Specialist-Consultant. In addition there were 8 post-natal attendances. Baths In certain necessitous cases, free baths are provided for expectant and nursing mothers at the East Street Baths. During 1935, 146 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 1935, 3 toddlers, and 10 mothers with babies received treatment under this scheme. Dental Treatment Dental treatment for toddlers and expectant and nursing mothers is carried out at the Central Clinic and at the Woodward Clinic. |
ed02a6e0-9596-43b2-a8d5-42a38b4f2623 | 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. During 1935, 1,764 dinners were supplied to mothers and 2,488 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. 46 Home Helps Although home helps as such are not provided by you under any particular scheme, you do make financial provision in cases of maternity which are aided by you, because your scale of charges in all such cases is drawn up so as to leave an amount of money in the family exchequer sufficient for this purpose. Infant Welfare Clinics Infant Welfare Clinics are held each week at five different Centres. These Clinics are available for all children under the age of five years. |
d4372b6b-a271-44d9-a9d8-d8c67d7b8cba | Maternity Services Maternity Home.βUpney 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.βThere 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.) milk is supplied free of charge and at half-price in certain necessitous cases of β’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 Woodward Clinic to children under the age of five years. Ophthalmic Service Ophthalmic Clinics for expectant and nursing mothers and toddlers are held at the Central Clinic and Woodward Clinic. |
b2cad056-cdfb-4465-9ab3-702d49287f16 | 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 four mothers and sixteen children under the age of five years were provided with spectacles under this scheme. 47 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. 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, 107 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 Orthopaedic Clinic. |
a804bfe1-7bbc-4c54-8099-74e4065e0186 | During 1935, 81 children were treated, a total number of 747 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. Three children under the age of five years were so treated during the year 1935. 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 DepartmentβCentral Hall Chambers, East Street, Barking. 48 REPORT ON THE WORK OF THE OPHTHALMIC CLINICS. The Clinics held by Mr. |
38fb735e-493c-442c-8be2-8dafa1b8bceb | W. A. Gray, F.R.C.S., began on the 14th May, 1935. The following is a summary of the work carried out during the year in respect of toddlers and nursing and expectant mothers :β Toddlers. Tests under atropine 22 Other attendances 37 Spectacles prescribed 16 Spectacles supplied 16 External Diseases of the Eye treated at the Clinics. Conjunctivitis 5 Photophobia 2 Cataract (right) 1 Glioma (bilateral) (subsequently admitted to Moorfields Eye Hospital) 1 Dacrocystitis 2 Blepharitis 2 Ophthalmia Neonatorum (admitted to Queen Mary's Hospital, Stratford, E.15) 1 Cases listed for squint training 4 Expectant and Nursing Mothers. |
f07613bd-6c9c-40fd-94ca-91d226448ab7 | Tests 15 Other attendances (corneal nebulae) 1 Spectacles prescribed 10 Spectacles supplied 4 49 No record of the Ophthalmic Clinic would be complete without some reference to children under 5 years of age. In them, squint and congenital disabilities are chiefly found. It is especially desirable that these defects should be treated as soon as they have become apparent. In cases of squint, the provision of glasses prevents the development of a " lazy " eye. The youngest to be given spectacles was eight months old. Congenital malformations often mimic inflammatory diseases, such as incomplete development of the tear passages. In new-born babies an acute ophthalmia is especially dangerous to sight, but if this disease is treated early, complete recovery can be hoped for in every case. Expectant mothers form a special series of cases. During pregnancy, headaches are sometimes frequent. These may be due to simple eyestrain or they may herald the onset of a toxaemia of pregnancy. |
a8995400-85a3-4cea-8266-9cb9e84ba789 | It need hardly be pointed out how necessary it is to differentiate between these two conditions, one mild and of no great consequence, while the other is fraught with danger to life. The more severe cases of toxaemia sometimes show the first signs of their gravity by affecting the interior of the eyes. Hence in Barking, every expectant mother who complains of headaches is sent to the Eye Clinic. 50 REPORT ON THE WORK OF THE ORTHOPΓDIC CLINIC In submitting his statistical report, Mr. B. Whitchurch Howell, Orthopaedic Surgeon, has taken the opportunity of drawing attention to the fact that the work at the Orthopaedic Clinic is more efficiently carried out owing to the appointment of a whole-time masseuse. As the Committee know, Miss A. K. Roe was appointed to this post in May, 1935. It is of course impossible to present a statistical report in popular language. I am, however, happy to be able to assure you that it does show a relatively favourable state of affairs. |
478b951d-28f1-470a-ad58-230d7193483b | The welcome advice and helpful treatment of the Orthopaedic Surgeon in the earlier years of life does, we can say from experience, mean that minor disabilities are dealt with in a way which prevents major disabilities arising. It is only persons of my years, who like myself have had a long experience on which to draw, who can appreciate the enormous advancements which have been made in preventing deformities. 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 toddlers. No. of primary examinations by Orthopaedic Surgeon 97 No. of re-examinations by Orthopaedic Surgeon 170 The cases dealt with for the first time during 1935 were referred for the following conditions:β 51 PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPΓDIC CLINIC DURING 1935. No. of visits by Orthopaedic Surgeon No. of visits by Masseuse ATTENDANCES. |
59318cc7-d1c8-4884-b5a9-10054a34c0dd | Primary Examination Re-examination For Treatment Total School Children Toddlers School Children Toddlers School Children Toddlers School Children Toddlers 11 430 118 97 359 170 2,004 1,635 2,481 1,902 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. |
817079b1-fa9b-44e1-907f-5926029c9350 | of Treatments School Children 7 187 2 56 118 1,256 53 523 8 86 53 364 Toddlers 35 479 2 6 10 37 81 747 β β 54 384 Admissions to Hospitals On Waiting List for Admission 31/12/35 School Children Toddlers Total School Children Toddlers Total 6 (Under Council's Orthopaedic Scheme) 7 13 2 3 5 53 (a) Deformities of Bones and Joints. |
70941cd7-13fe-465b-90a4-494fe1a8dd8f | (1) Congenital: Deformed digit 5βhand right and left 1 Deformed digit 4βfoot right and left 1 Deformed digit 5βfoot left 1 3 (2) Acquired : Injuryβold fracture Tibia 2 old fracture lower end Radius and Ulna 1 Genu Valgum 22 Genu Varum 5 Bowed Tibiae 7 Hammer Toe 1 Rickets 3 41 (b) Muscular. (1) Congenital: Torticollis 11 Talipes Calcaneo Valgus 7 Talipes Equino Varus 5 23 (2) Acquired: Pes Planus 23 (c) Paralysis. |
8e9d6d67-9342-43b6-a0fa-2992cb89114b | (1) Congenital: Spastic Tetraplegia 1 Hemiplegia 3 Monoplegia 1 5 Total defects found 95 During the year seven toddlers were admitted to hospital and the following operations were carried out in these cases:β Amputation digit varusβfoot left 1 Femoral Osteotomyβright and left 1 Tenotomy Tendo-Achilles 1 Splintage 2 Manipulation and plaster 2 Total 7 54 REPORT OF THE DENTAL SURGEON June, 1936. To the Medical Officer of Health, Borough of Barking. Sir, I have the honour to present the Annual Report of the Dental Services under the Maternity and Child Welfare Scheme for the year 1935. There has been a high increase in all branches of the work accomplished for the year under review and it is particularly gratifying that fillings have increased from 72 to 250. |
3220e724-fe07-4baf-80d7-b8fcf53df6ab | The supply of dentures has risen from 149 to 261 and there has been an increase from 205 new patients to 477. The number of visits made by old patients has increased from 1,144 to 1,643. Anaesthetics have increased from 416 to 672 and the number of teeth extracted from 1,465 to 2,783. The increase in the number of fillings is coincident with the attendance of a large number of patients who attend under the Maternity and Child Welfare Scheme at a much earlier age than in the past, and these patients are very desirous that their teeth should be saved. Fortunately the dental condition of these patients permits conservative work to be carried out. During the year, the Barking Abbey Secondary School-children received dental treatment from the Authorities of this Borough for the first time, by arrangement with the County. This proved to be an exceptionally heavy task for the staff concerned, presumably because the school have not received a visit from a Dental Surgeon for some considerable time. |
15a5d2a0-8369-4b82-927d-a4473fadca3a | Approximately 400 fillings, most of which were very extensive, were completed and it is worth noting that some patients required from ten to eighteen fillings before the mouth could be regarded as dentally satisfactory. It is to be hoped that on the next inspection the dental condition of the pupils of this school will minimize considerably the number of sessions that were occupied in their interest during the year under review. I have to thank all those engaged in the Maternity and Child Welfare Services for their support and also the Nurses and members of the Dental Staff for the efforts they have made to maintain the popularity of the Dental Clinics. I have the honour to be, Sir, Your obedient Servant, W. H. FOY, L.D.S., R.C.S. (ENG.), Public Denial Officer. 55 DENTAL CLINIC. Mothers and Toddlers. |
429a75fe-f5dd-4b39-ae87-077e804ce9d5 | Extractions 2,783 Scalings 127 Dressings 29 Inspections 225 Fillings 250 Dentures supplied 261 Anaestheticsβ General 672 Local 35 Patientsβ Old 1,643 New 477 Number of Sessions held 206 Toddlersβ Treatments 947 57 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. Samples are regularly examined by the Counties' Public Health Laboratories. In addition, one sample was submitted specially and found to be of satisfactory purity on examination. Two samples were also taken from the well supplies of a factory, and found to be in order. 2. RAINFALL. The rainfall for the year ended 31st December, 1935 was 20.26 inches as compared with 18.02 inches for the previous year. |
7a268cb2-4853-4c10-bea4-ee30db28f690 | Rain fell on 156 days in the year 1935. 3. DRAINAGE AND SEWERAGE. The joint drainage scheme for the Boroughs of Ilford and Barking, commenced in April, 1930, was completed during the year ; and now the whole of the sewage of the district is dealt with at the disposal works of the London County Council. An immediate result of this improvement was the removal of the very serious nuisance occasioned by the use of the old sewage disposal works of the two Boroughs. Residents in the neighbourhood of these works will have noted their dismantlement with the greatest relief. Users of the Longbridge Recreation Park can now enjoy this amenity free from the obnoxious effluvia formerly created by the Ilford sewage works. 4. RIVERS AND STREAMS. |
a809b216-75ba-4d38-a81c-3341f48813ad | 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. 58 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. During the past five years much work has been done to improve the ditches and streams in the district. The culverting of streams by the local authority, extended cleansing of water courses, carried out by the River Roding Catchment Board, and the reclamation of marsh land by private tippingβeach of these has contributed to a steady improvement. There is much low-lying land in Barking which is marshy in character, intersected by small ditches and which offers ample scope for very profitable reclamation. |
76e13be9-542d-4b82-a274-8c58e06db09e | This is of particular importance in view of land values in the district. I commend a scheme towards this end. Existing powers safeguard the district from the evils usually associated with crude tipping. Loxford Water Closing.βOf special note is the diversion of the arm of Loxford Water which during the year was diverted into a stream running into the River Roding at a point immediately north of the Metropolitan Water Board Pumping Station, the point of diversion being approximately 230 yards east from the junction of this stream with the River Roding. The closing of this watercourse has been advocated by my Department for a number of years and power was taken in the Barking Corporation Act, 1933 to enable this to be done. It is with the greatest pleasure that I record the scheme reaching fruition. It makes possible the reclamation of Berry's Marsh, removes a public nuisance and adds land and land values to various sites in its immediate neighbourhood. 5. CLOSET ACCOMMODATION. |
43cbd3a3-56a9-48b0-856e-271731964890 | At the end of the year there remained a total of 14 premises unconnected with the sewer. Seven of these were factory premises. Of these 14 premises, 8 have cesspools and 6 have pail closets. The premises still unconnected are isolated properties. Cleansing is carried out by means of covered vehicles and suction pumps. 59 6. PUBLIC CLEANSING. (a) Storage, Collection and Disposal.β-'The collection and disposal of domestic refuse is controlled by the Borough Engineer and Surveyor. During the year, 9,263 loads of refuse were collected, with an average weight of 1 ton 12 cwts. This figure shows a yield of 11.2 cwts per 1,000 of the population per day. 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. |
79a9bd92-e9cb-44a0-b96d-8f1c8c6d1cb7 | During the year the land available for tipping at Mayesbrook was used up ; this necessitated the disposal of the whole of the refuse at Jenkins Lane. At this site the land available is sufficient for 6 months only. In my Report for the year 1934, I referred to the reclamation of marsh land by tipping and earlier in this report I have commended such a scheme. Our dustless loading vehicles purchased in the early days of this type of collection are I am pleased to say shortly to be replaced with more up-to-date models. The present weekly collection of refuse will be more satisfactory when the Corporation's dustbin scheme inaugurated in 1934 becomes general throughout the district. (b) Street Cleansing.βIn my earlier reports I have ventured to protest against the disposal of waste paper and similar matter in the streets by the general public. I am pleased to report an improvement in this respect but regret that I must register my disappointment with the misuse of small vacant plots of land abutting upon streets. |
fbf4dc29-4658-488f-8205-24fac6e6f27b | The disposal of rubbish on such plots is a constant source of trouble to this Department and the owners. Fencing and prohibition notices fail to act as deterrents. I can only hope that better habits of life will prevail. The year 1935 saw the employment of the Council's first mechanical gully cleanser. I am hopeful that this will be followed by the employment of further mechanical cleansing machines for street-sweeping, etc. 60 7. REFUSE DISPOSALβPRIVATE TIPS. There continues in the district reclamation of low lying land by private owners, and during the year 216 visits were paid to tips to see that no nuisance was committed, and to give advice as to methods of disposal. When the potential rateable value of land so recovered is realised, I am sure that such schemes will be more welcome. 8. SANITARY INSPECTION OF THE AREA. |
5bc28380-1329-4681-a353-9a8c8d605dcb | The number of complaints received and recorded in the register of complaints was 855, as compared with 551 in 1934 and 927 in 1933. The premises were inspected forthwith and any necessary action taken. The total number of visits paid by sanitary inspectors to various premises for all purposes was 15,108 and are summarised below, together with the number of defects found arising from those visits. The housing defects dealt with numbered 9093. It will be remembered that for various reasons you were short of sanitary inspectors during the year. (a) Work of Sanitary Inspectors. (1) Inspection of Dwelling-Houses. |
76940678-0325-435c-afb0-914974e8638a | Total Houses Inspected under Public Health or Housing Acts 3,437 Total Number of Inspections made 10,398 Housing (Consolidated) Regulations 837 After Infectious Disease 1,668 Defects Found 9,093 Notices Served (Preliminary) 2,585 Re-inspections re Notices Served 4,570 Inspection of Works in Progress 723 (2) Premises Controlled by Byelaws and Regulations. Inspections. Contraventions. Notices served. Houses Let in Lodgings β β β Common Lodging Houses 79 2 2 Offensive Trades 77 15 7 Tents, Vans and Sheds 80 6 1 Dairies, Cowsheds and Milkshops 211 6 5 Slaughter-houses 288 4 4 61 (8) Factories, Workshops and Workplaces. Inspections. Defects. Notices. |
b0353688-44ce-4c5f-a2af-5e35c9c8ce2a | Factories 255 33 13 Laundries β β β Bakehouses 37 16 13 Domestic Workshops 15 β β Other Workshops 40 2 2 Other Workplaces 85 21 12 Outworkers' Rooms 110 β β Butchers' Premises 571 24 16 Fishmongers 64 2 β Restaurants and Dining Rooms 123 8 3 Stable and Stable Yards 73 2 1 Piggeries 26 β β (4) Miscellaneous. Inspections. Defects. es. |
895c8c14-1428-4046-bd8d-44a5dc3210d8 | Rats and Mice (Destruction) Act, 1919 64 2 2 Vacant Land and Refuse Dumps 214 24 19 Public Lavatories 44 4 3 Schools 21 4 1 Markets and General Shops 477 61 32 Ice-Cream Vendors 127 1 1 Petroleum and Celluloid Stores 102 β β Drainage Inspections 246 - β Milk Sampling 27 β β Other Miscellaneous 514 β β Inspection of Meat from Outside District 258 β β Shops Act, 1934 552 65 38 Water Sampling 10 β β 62 (b) Summary of Sanitary Work Carried Out. (1) Drainage. Choked drains, opened, repaired and cleansed 239 Drains reconstructed 22 Ventilation shafts repaired or new fixed 39 New inspection covers 10 (2) Closet Accommodation. Roofs W.C. structures repaired 11 Walls Floors Doors Seats fixed 108 W.C. |
8a7939e7-98e6-474a-a93f-e2e600e6fd40 | pans fixed or cleansed 109 Flushing apparatus repaired or renewed 248 (3) Sinks. New fixed 71 New sink and bath wastepipes 97 New gully traps 23 (4) Dampness. Roofs and flashings 819 Eavesgutters 381 Rainwater pipes 178 (5) Water Supply. Drawtaps provided 18 Defective water fittings repaired and supply reinstated 46 (6) Yard Paving. Yard paving repaired or relaid 180 Gully dishing repaired or renewed 114 (7) Dustbins. New ones provided 509 63 (8) General Repairs. |
e39a16a2-2a95-40f3-8f09-402cffe0dbf6 | External walls repointed 561 House floors repaired 226 Windows repaired or renewed 347 Window and door reveals repaired 136 Window sills repaired or renewed 283 Sasheords renewed 328 Washing coppers repaired or renewed 240 Stoves repaired or renewed 228 House doors and frames repaired or renewed 210 Stairs repaired 22 Handrails fixed 20 Chimney pots renewed and stacks rebuilt 315 Dirty or defective rooms repaired, cleansed and redecorated 2,331 Damp walls remedied 146 Insufficient floor ventilation 174 External painting 210 Weatherboards fixed 4 Door sills repaired or renewed 63 Defective brickwork repaired 3 Window fasteners fixed 20 (9) Miscellaneous. Offensive accumulations removed 30 Animals so kept as to be a nuisance 4 Verminous rooms disinfested 88 Drains tested 605 Dangerous structures reported 10 Overcrowding 29 Shed erections 2 Flooding 3 Other conditions 82 (c) Notices Served. |
0bc91271-b34e-4ea8-aecf-a7f963494280 | Informal Notices 2,585 Statutory Notices:β Section 23, Public Health Act, 1875 - 644 Section 36, Public Health Act, 1875 180 Section 41, Public Health Act, 1875 29 Section 94, Public Health Act, 1875 267 Section 17, Housing Act, 1930 168 64 (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 257 23 Workshops 87 14 β β Workplaces 78 11 β β Totals 422 48 β β (2) Defects Found. Particulars. Number of Defects. Number of Prosecutions. Found Remedied Referred to H. M. Ins. |
68fec2b2-559a-42c3-89d7-a0b7b8dbc29c | * Nuisances under the Public Health Acts:β Want of cleanliness 16 16 Want of ventilation 1 1 β β Overcrowding β β β β Want of drainage of floors 3 3 β β Other nuisances 30 30 β β Sanitary accommodation:β Insufficient 3 3 Unsuitable or defective 15 15 β β Not separate for sexes β β β β Unscreened for sexes β β β β Offences under the Factory and Workshop Acts:β Illegal occupation of underground bakehouse (s. 101) - - - - Breach of special sanitary requirements for bakehouses (ss. 97 to 100) - - - - Other offences 10 10 β β Totals 78 78 β *Including those specified in Sections 2, 3, 7 and 8, of the Factory and Workshop Act, 1901, as remediable under the Public Health Acts. 65 (3) Home Work. |
3070c268-7ea4-4516-b2e7-5c5b4d711bc0 | 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. (4) Registered Workshops. Workshops on the Register (sec. 131) at the end of the year. Number. (1) (2) Bakehouses (including nine factorv bakehouses) 15 Other Workshops 42 Total number of Workshops on Register 57 (5) Other Matters. Class. Number. (1) (2) Matters notified to H.M. Inspector of Factories:β 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) 1 Other β Underground Bakehouses (sec. |
86b0efe7-753c-4114-bffb-a1c8ad2b3991 | 101):β Certificates granted during the year In use at the end of the year β (6) Outworkers. The following list shows the nature of the homework carried out in this district by 49 outworkers:β Box makers 2 Machinery 1 Life-belt covering 2 Tie making 4 Millinery 3 Wearing apparel (various) 37 During the year, 42 lists of outworkers were received from other Authorities in respect of addresses in Barking. Six lists were received from employers within the district. 66 (e) Premises and Occupations which can be Controlled by Byelaws or Regulations. (1) Houses Let in Lodgings.βAction under the Housing Act, 1935 has revealed that accommodation over many of the larger shop premises in the district is becoming used for living purpose, and as the Council is aware we are seeking new byelaws for the control of such premises. |
7e38a50f-8812-40a6-bc75-70aeb28fd5b2 | (2) Common Lodging Houses.βThere remains one common lodging house in the district and this is included in a clearance area now awaiting confirmation. I have on other occasions and in other reports referred to the need for a municipal hostel for the use of the casual labourers in the district. (3) Tents, Vans and Sheds.βThere are nine van dwellings situated in five yards in various parts of the district where water supply and sanitary accommodation are provided. Eighty visits were paid and one notice was served in respect of six defects discovered. The Barking Corporation Act provides that approval is now necessary before this type of dwelling can be established in the district. (4) Underground Sleeping Rooms.βThere are no such occupied rooms in the district. |
20dae180-6bef-48ba-ad5b-8961adc23bd3 | (5) Offensive Trades.βThe number of premises used for this purpose are as follows:β Fish Fryers 19 Dealers in Rags and Bones 8 Gut Scraper 1 Fat Melters 2 Fish Skin Scraper 1 Oil Boiler 1 Soap Makers 3 Total 35 Seventy-seven visits were paid to these 35 premises, and 15 contraventions of the byelaws were discovered and any necessary action taken. (6) Piggeries.βThere are eight remaining piggeries in the district. 67 (7) Stables.βThese premises continue to be a source of trouble. The occupiers are invariably unable financially to carry out any improvements. The Council is proceeding to make byelaws for the control of these premises. Seventy-three visits were paid during the year to stable premises, and 2 notices were served in respect of unsatisfactory conditions. (f) Rag Flock Acts, 1911 and 1928. |
cbd1a837-b996-4748-bc76-686237791b6d | 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. SHOPS ACT, 1934. Inspections carried out for the purposes of Section 10 of this Act numbered 552. In 38 instances notices were served requiring additional sanitary accommodation, washing facilities or improved heating. One unfortunate aspect of the administration of this Section is in relation to the provision of suitable accommodation for taking meals. It will be remembered that it is obligatory for employers to provide such accommodation where their employees take meals on the premises. Our experience was in a number of instances that when the employer was called upon to provide such accommodation he promptly forbade his employees to take meals upon the premises. 10. SMOKE ABATEMENT. Arising from 191 observations made, 40 offences were registered and necessary action taken. Including the Creeksmouth Generating Station there are three factories which frequently emit large quantities of smoke. |
6b09f770-4b34-4be7-a22e-25938ffcf511 | The other two factories are one for the production of zinc oxide, where special type furnaces are employed and the other is a sawmill where joinery is produced on an extensive scale. Here again an unusual type of furnace has been installed for the purpose of consuming the wood refuse arising from the factory processes. In each of the three instances the operation of the furnaces gives rise to difficulties not only to the management but also to your officers. 68 The advent to the district, owing to the river facilities available for handling timber, of several large joinery and wood-block manufacturers adds to our smoke troubles. Manufacturers are unable to dispose of their wood waste commercially and have decided to incinerate it at their factories. The powers taken in the Barking Corporation Act relative to noise nuisances enabled us to deal successfully with the nuisance from a steam exhaust at a factory in Abbey Road. The consumption of coal at the Creeksmouth Generating Station for the year 1935 was over 900,000 tons. It may be safely assumed that ten per cent. |
1f81945c-6bc8-42fe-bc6b-a6efd2065bc5 | of this is ash, and perhaps we are not far wrong in saying that one-tenth of this ash may find its way out as smoke and grit at the top of the chimneys. This means that some 9,000 tons of grit came out of the chimneys of this generating station during the course of the year, or in other words 1 lb. per square yard for the whole of Barking. 11. SWIMMING BATHS. The present buildings in East Street were erected in 1898, when the population was approximately 19,000 : it is now 80,000. This is a covered single bath with a capacity of 90,000 gallons and is only open during the summer season. The demand for up-to-date municipal baths in every town has become very marked in recent years. The type of building and the facilities now provided bear very little likeness to buildings erected in 1898 under the same description. |
70270d2a-8214-497a-b2e3-47dae1a3e9dc | Today large tanks with facilities for mixed bathing, for spectators, for refreshment and for exercise are considered necessary. In a modern municipal bath the swimming tanks form by far the principal feature. The demand for slipper baths in Barking, contrary to what is experienced generally, continues to increase. There are at present no facilities for Russian, Turkish or foam baths. In the average town with reasonable transport facilities a central position for baths has many advantages. Swimming is one of the finest exercises, but owing to the climate in this country it is not possible to indulge in it in the open air except for a short period of the year, therefore it is necessary to provide a covered swimming bath for swimming for all the year round. 69 Longbridge Park Swimming Pool.βThis is an open air bath with a capacity of 500,000 gallons ; built in the year 1931. The improvements effected during the year included the construction of a sun-bathing area, with a children's paddling pool, a rest enclosure and beach rests. |
0cec5508-1604-4597-97a9-654798d08e77 | The pool itself was enclosed and trip-baths or wading pools were provided. This provision prevented the spectators from fouling the bathers' platform and ensured that the bathers' feet were reasonably clean when entering the water. Water Purification.βConsiderable attention has been directed to this matter and the standards of purification to be maintained in swimming baths has been laid down by the Ministry of Health. Your East Street bath is designed for a four-hourly turnover. On a peak day the bathers number 1,000. Its capacity is 90,000 gallons. The Longbridge Park Pool is designed for a six-hourly turnover with a capacity of 500,000 gallons. On the peak day in 1935 there were 4,390 bathers. In both instances filtration is effected by the use of rapid sand filters with a filtration rate of 200 gallons per square foot per hour. Unfortunately it was not possible in the absence of a flow meter to say whether this turnover period was being maintained. |
3bbcf97c-fa57-480e-a94b-a404b5fbada3 | Obviously, the degree of purity depends upon the bathing load during the turnover period. At the East Street bath the ordinary bathing load pollution is increased considerably by the out-of-date construction of the bath which permits bathers prior to bathing having access to the bath platform. Whilst samples of water submitted for examination were found to be of satisfactory condition, there were occasions when the clarity of the water owing to the lack of pre-cleansing facilities was not so good as can be readily obtained in a modern bath. At both baths chlorination is used for sterilization purposes, and samples of water submitted for examination were found bacterially pure. Modern practice is for the water in swimming baths to be changed every three hours and to provide ample facilities for bathers to carry out pre-cleansing. 12. ULTRA-VIOLET LIGHT RADIATION. Ultra-violet light radiation is measured in Barking at the Barking Hospital. The apparatus used in that designed by Professor Leonard Hill, known as the " test by fading" instrument. |
ce57c9f1-ede3-42af-9653-23021ed2e7b5 | The biologically active ultra-violet rays are measured by the fading of a standard solution of acetone and methylene blue. 70 The following table shows the comparative ultra-violet light readings for the years 1933, 1934 and 1935 Month. Daily average for Barking. 1933 Units. 1934 Units. 1935 Units. |
4b73401f-76a0-4673-b001-8291e031726c | January 0.76 0.48 0.13 February 0.78 0.82 0.75 March 0.92 1.41 1.68 April 1.50 1.99 2.40 May 4.00 2.93 3.42 June (Reading not taken) 3.66 4.93 July 4.74 4.77 8.16 August 5.45 5.93 7.97 September 4.06 6.83 7.60 October 1.48 5.35 5.48 November 0.86 2.20 1.70 December 0.96 1.03 0.65 The figures for the three years under consideration show that there is a very considerable amount of sunshine in Barking and that this sunshine is biologically active. 13. SCHOOLS. There are fifteen elementary schools, in addition to the Park Modern School, and the Faircross Special School. |
b3b76dba-da62-48da-886e-6960c465ff8e | 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. 14. PARKS AND OPEN SPACES. The improvement of your parks and open spaces continued throughout the the year, but the facilities avaliable for sport and recreation are still insufficient. There is an increasing demand by the general public for this comparatively new branch of social service. 71 SECTION D. HOUSING. 1. STATISTICS. (a) General. |
92ea535e-ac56-46d5-8a80-f93fbefaeec7 | Number of new houses erected during the year:β (1) Total 563 (2) As part of a municipal housing scheme:β (a) Barking 168 (b) L.C.C 162 (3) Others (including private enterprise and subsidy houses) 233 (b) Unfit Dwelling-Houses. 1. |
997c595b-90e8-43d0-806e-315e67e92898 | Inspection of Dwelling-Houses during the Year:β (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 3,437 (b) Number of inspections made for the purpose 8,730 (2) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 & 1932 ... 837 (b) Number of inspections made for the purpose 2,404 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 47 (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 2,191 2. |
3c30adb6-1e65-4946-ba5e-90309c39a6da | Remedy of Defects during the Year without Service of formal Notices:β Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 1,790 72 3. Action under Statutory Powers during the Year:β A.βProceedings 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 170 (2) Number of dwelling-houses which were rendered fit after service of formal notices:β (a) By owners 143 (b) By local authority in default of owners 2 B.βProceedings under Public Health Acts: (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 231 (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 21 C. |
a3717914-fa25-4034-b53a-1637d3bbdec4 | βProceedings under sections 19 and 21 of the Housing Act, 1930: (1) Number of dwelling-houses in respect of which Demolition Orders were made Nil (2) Number of dwelling-houses demolished in pursuance of Demolition Orders 3 D.βProceedings 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.βThe total number of inhabited houses in the district is 18,497 (including 1,262 shops), which, compared with the total of 10,965 at the census of 1931, gives an indication of the growth of the town. |
be88f752-6adf-4c9e-9da1-eeb322850126 | 73 Of the total of 17,235 dwelling-houses, 1,733 are owned by the Council and 7,520 have been erected in the area by the London County Council since the year 1929. It is interesting to note that 2,018 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. During the year 1935, no less than 292 temporary buildings were approved for erection in the back gardens of dwelling-houses in the district. The standard type of shed provided by the Corporation for their tenants has been in great demand and is a structure of which I approve. I would, however, reduce the height of the roof. HOUSES BUILT IN DISTRICT. 1926β1935. Year. Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). |
397c551d-c105-47da-8bbc-44d451877934 | 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 1935 563 (Barking) 168 233 (L.C.C.) |
6c7002b3-9bcd-428a-b350-5909be1f83b0 | 162 Totals 10,473 8,102 2,371 74 Of the 8,102 houses shown above as part of Municipal Housing Schemes, 935 were provided by the Borough of Barking and 7,167 by the London County Council. (b) Housing Act, 1935βOvercrowding.βA postal census was taken of 17,649 houses in the district. The method employed produced replies from over 90 per cent, of the occupiers without reminders. In only 60 instances was it necessary to visit for the purpose of the preliminary survey. The degree of intensity of the overcr6wding is shown in the following tables:β TABLE 1. No. of houses. No. of persons in excess. 157 Β½ person. |
ebeb444b-e562-4a11-a757-e6dbf84a828b | 129 1 β 48 1Β½ β 45 2 β 22 2Β½ 6 3 9 3Β½ β 4 4 β 1 4Β½ β Overcrowded 421 TABLE 2. WARD COMPARISONS. Ward. No. of houses and shops. Overcrowded. Houses Sublet. Occupied by families. Total. 2. 3. 4. |
1e6981ed-0fa9-4777-af09-84d15bf18e08 | Abbey 2,251 52 355 343 11 1 Cam bell 2,863 77 23 23 β β Eastbury 2,957 93 229 212 17 β Gascoigne 2,340 105 242 239 3 β Longbridge 1,324 4 153 145 8 β Manor 2,871 46 11 11 β β Park 1,676 11 340 329 11 β Parsloes 2,100 33 14 14 β β 18,382 421 1,367 1,316 50 1 75 TABLE 3. No. Percentage Overcrowded. Average No. of Occupiers per house. |
4bd259fa-3e0a-47aa-9ff4-73be826da64b | Houses in the district:β (a) Owned by the London County Council 7,520 2 4.17 (b) Owned by the Barking Borough Council 1,733 5.83 5.16 (c) Privately owned 8,546 1.9 3.98 TABLE 4. Barking. Total Population 80,000 Structually Separate Houses 18,982 In Survey 17,654 Families in Separate Houses 16,287 Number of Houses:β Overcrowded 421 Occupied fully 348 β within Β½ unit 418 ,, within 1 unit 788 β within lΒ½ units 997 β within 2 units 1,673 From these figures it will be seen that for an industrial town such as Barking, there is very little overcrowding on the standard in operation ; the percentage figure being 2.4. |
8d074a77-5980-4c80-9091-c0e3d48a3ee5 | New Houses Proposed:β 3-Bedroom Houses 60 Larger Type Houses (4 bedrooms β ) 154 (c) Housing Act, 1930βPaii 1.βThe programme of clearance was continued in accordance with schedule. Eldred Road and Union Street Areas were dealt with. An inquiry was held and the Orders later confirmed. Houses. Persons. Eldred Road Clearance Order 3 8 Union Street Compulsory Purchase Order 44 191 76 (i) Rehousing.βSince the Housing Act, 1930 came into force the Upney Estate No. 3 and the Movers Lane Estate have been completed, providing a total of 378 houses. From the clearance areas and individual unfit houses demolished a total of 1,678 persons have been displaced. (ii) Housing Act, 1935βRedevelopment.βThe removals referred to above have materially altered the appearance of the older part of Barking, which unquestionably needed reconstruction. |
436d85cb-6a61-471c-b97b-82136877119b | The old and historic parish church has been brought into view and with the removal of the "Workhouse" premises, as North Street No. 1 Clearance Area was known, there is now an opportunity for replanning on modern lines. I know the Council is anxious for this to be done and will make full use of the powers so recently granted. (d) Housing Act, 1930βPart 2.βYour officers have continued to actively administer the repair sections of the Act with considerable benefit to the town and the occupiers of the houses. 77 SECTION E. INSPECTION AND SUPERVISION OF FOOD. 1. MILK SUPPLY AND ICE-CREAM. (a) Milk Supply.βRegistered with the Authority are 76 retail purveyors, of whom 17 occupy premises outside the district. There are no cowkeepers in the district. |
c8f2f87b-d13a-4abd-8555-891cb8e80d96 | 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 63, nine were found to be unsatisfactory:β Type of Sample. Satisfactory. Unsatisfactory. Totals. Grade "A" (T.T.) Milk 2 β 2 "Pasteurised" Milk 34 6 40 Raw Milk 18 3 21 Totals 54 9 63 There were during the year 32 samples of milk submitted to biological examination for the presence of tubercle. Two of the 32 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:β "Certified" Milk 2 Grade "A" Milk 1 "Pasteurised" Milk 14 Grade "A" (T.T.) |
f01bd726-df38-4665-92c6-15928844c2fc | Milk 14 Grade "A" Milk, Pasteurised 1 78 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." (b) Ice-CreamβBarking Corporation Act, 1933βSection 160.βThere are 94 vendors registered, in accordance with this Act, of which 35 are manufacturers with premises in Barking. Twelve vendors had premises outside the district. Twenty-one samples were submitted for bacteriological examination, one of which was unsatisfactory. This one sample was taken from a vendor, whose premises are situated outside the district. 2. MEAT AND OTHER FOODS. (a) Meat.βThere was a considerable increase during the year in the use of the one licensed slaughterhouse. This licence is renewable annually. |
67b8dfa2-e156-4210-921a-2998078be334 | 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. The following table gives particulars of notifications received, and the animals slaughtered, during the eight years ended December 31st, 1935. Year 1928 1929 1930 1931 1932 1933 1934 1935 Notifications Received 126 72 . |
f900d338-b693-4f86-b380-41468e08b934 | 64 39 57 34 205 236 Cattle 40 04 80 12 10 41 350 447 Pigs 409 137 93 200 84 18 502 1131 Sheep 815 420 332 173 270 241 1038 1346 Calves 71 10 11 1 9 1 140 157 Totals 1335 637 516 386 373 301 2030 3081 Diseased meat was destroyed as under:β Description. Disease Weight. 255 beasts' lungs Tuberculosis 2550 lbs. 6 β lungs Echinococcus Vet. 60 β 2 β lungs Parasitic 20 β 8 β lungs Adhesions 80 β 2 β lungs Abscesses 20 β 2 β lungs Aspirated 20 β 2 β lungs Abscess & Cirrhosis 20 β 29 β livers Cirrhosis 406 β 79 Description. Disease. |
40eebdce-d13b-462a-b29a-bd12ac825900 | Weight. 26 beasts' livers Distoma Hepaticum 364 lbs. 13 β livers Abscess 182 β 16 β livers Tuberculosis 224 β 5 β livers Fatty Degeneration 70 β 1 beast's liver Peritonitis 14 β 1 β liver Tuberculosis & Cavernous Angioma 14 β 1 β head & tongue Tuberculosis 24 β 1 β liver Hepatitis 14 β 1 β diaphragm Abscess 5 β 1 β spleen Tuberculosis 1 β 1 β shin & shoulder Bruised 55 β 36 beasts' heads Tuberculosis 648 β 4 β livers Angiomatosis 56 β 38 β mesenteries Tuberculosis 114 β 7 , carcases & organs Tuberculosis 7650 β 11 β forequarters Tuberculosis 2110 β 1 portion of beast's hind-quarter Tuberculosis 150 β 2 pigs' plucks Tuberculosis 32 β 4 β plucks Parasitic 64 β |
9bea09f5-e29b-415a-b4e4-2c995a5e1432 | 7 β livers Necrosis 42 β 17 β livers Cirrhosis 102 β 2 β livers Fatty Degeneration 12 β 12 β heads Tuberculosis 168 β 31 β mesenteries Tuberculosis 62 β 8 β lungs Cirrhosis & Congestion 28 β 8 β lungs Congestion 28 β 2 β lungs Tuberculosis 7 β 16 β lungs Aspirated 56 β 3 β spleens Tuberculosis 4 β 2 β loins Tuberculosis 24 β 2 β legs Tuberculosis 22 β 21 sheep's livers Parasitic 32 β 2 β livers Cirrhosis 3 β 6 β livers Fatty Degeneration 9 β 1 β liver Abscess 2 β 24 β lungs Parasitic 72 β 9 β plucks Parasitic 63 β 1 β pluck Congestion & Abscess 7 β 2 calves' plucks Tuberculosis 20 β Total 7 tons 0 cwts. |
51a78c63-094e-4101-ae03-74429a41ae4a | 50 lbs. 80 (b) Unsound Food.βThe following list gives particulars of unsound food destroyed during the year :β 83 lbs. cherries. 74 lbs. of beef. 60 lbs. chilled beef. 420 bottles of sauce. 6 lbs. corned beef. 1 case of apples. 5 stones skate wings. 54 lbs. of tinned vegetables. 2 tins of meat and fish products. 10 bags of cabbages and spring greens (mixed). 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. 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. |
a0aaef5f-9c1f-4255-9076-18c94a14a3fa | Bernard Dyer, the County Analyst, Great Tower Street, London. The following samples were examined during the year :β Milk 9 Butter 24 Other 124 Total 157 No proceedings were instituted during the period covered. 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 Dr. S. R. Gloyne, of the Victoria Park Hospital, Hackney. 81 5. NUTRITION. Once again I would like to point out that I am not particularly interested in propaganda work as to the scientific values of foods, whether expressed as calorific values, as vitamin contents or other scientific data. |
02c54015-6342-444b-9bfa-e9c425bf5878 | It appears to me of primary importance that by legislation, direct and indirect, there shall be a sufficient amount of food, of sufficient variation, for all people with ordinary tastes to obtain by natural selection all that is necessary in a first-class diet. It will be remembered that the Corporation during the year gave over 110,000 meals to necessitous children, whilst at your Hospitals it is by no means uncommon to provide over 700 meals a day. All these meals provided can and should be of very considerable value in educating the public. 83 SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. 1. NOTIFIABLE INFECTIOUS DISEASES. The statistical tables for 1935 do show that there has been a considerable amount of notifiable infectious disease in Barking. |
e9b297f3-a7e7-4fd7-93ce-0c9faae5600d | Infectious diseases occur largely among young people, and because we have a young population, who form an unusually high percentage of the population in Barking, there will naturally be on the average more infectious disease than in a population where the age distributions can be looked upon as ordinary. It must also be remembered that there are large movements of population in London. These also tend to vary the amount of infectious disease. Fortunately we had no cases of smallpox and no cases of cercbro-spinal fever during the year. The control of infectious disease is a matter of team work between the general medical practitioners and your medical officers, who deal with the cases which are brought to their notice largely by the general medical practitioners. In this connection, I am happy to be able to state that during the year under review most cordial relationships have existed between the general practitioners on the one hand and your own medical officers on the other, and this, I say unhesitatingly, does materially influence not only the early treatment of individual cases but the actual control over infectious disease. |
33b4383c-a47e-4867-940e-4b8b90701c82 | As elsewhere, so here also, I would like to thank my colleagues in general practice for the very valuable assistance they have given me from time to time. In particular this co-operation is shown by the fact that up to the present we have always worked together and it has only been necessary for general practitioners to ring up the Hospital when cases have been admitted without loss of time. I look forward with confidence to the continuation of these happy relationships which have tended so much to help the smooth working of the Infectious Diseases Hospital. 84 2. NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1935 :β TABLE I. Disease. Males. Females. Total. Total eases removed to Hospital. Deaths. |
3001d7d4-f1a8-476e-81e2-55a1674af35f | Smallpox β β β β β Scarlet Fever 210 238 448 409 1 Diphtheria 138 140 278 276 14 Enteric Fever (including Para-typhoid Fever) 2 3 5 5 β Puerperal Pyrexia β 8 8 7 β Pneumonia: Acute Influenzal 44 49 21 24 4 Acute Primary 67 11 Following Measles 5 β Erysipelas 13 25 38 21 1 Ophthalmia Neonatorum 10 5 15 4 β Acute Anterior Poliomyelitis β 3 3 2 β Food Poisoning 2 1 3 β β Acute Polio-Encephalitis β β β β β Pemphigus Neonatorum 3 3 6 β β Totals 422 475 897 748 31 85-86 TABLE 11. Notifiable Disease No. |
526c16a1-99ce-4669-a575-0d3a6a98d08c | 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 Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes Smallpox β β β β β β β β β β β β β β β β β β β β β Scarlet Fever β 12 25 32 34 211 84 22 21 4 3 β 448 33 99 78 73 21 59 41 44 Diphtheria β 4 14 15 21 135 54 11 12 11 1 β 278 17 83 71 20 10 36 12 29 Enteric Fever β β β β β β β 1 4 |
767e227a-2641-4198-9b13-5fc7a763e037 | β β β 5 1 1 β 1 β β 2 β Puerperal Fever β β β β β β β β β β β β β β β β β β β β β Puerperal Pyrexia 8 β β β β β β β β β β β 8 β 1 1 1 1 1 β 3 Pneumonia (ac. primary, ac. influenzal & following measles) 5 6 3 4 1 17 5 4 11 13 13 11 93 17 16 16 18 2 11 4 9 Erysipelas β 1 1 β β β 5 2 2 8 13 6 38 9 6 9 7 1 1 3 2 Ophthalmia Neonatorum 15 β β β β β β β β β β β 15 2 1 5 1 1 4 β |
93d52eeb-64b1-4530-9337-cbce553c641f | 1 Acute Anterior Poliomyelitis β β β β β 2 1 β β β β β 3 1 β β β 1 β β 1 Encephalitis Lethargica β β β β β β β β β β β β β β β β β β β β β Food Poisoning β β β β β β β β β 1 2 β 3 β β 2 β β 1 β β Acute Polio Encephalitis β β β β β β β β β β β β β β β β β β β β β Pemphigus Neonatorum 6 β β β β β β β β β β β 6 2 2 β β β β 1 1 Totals 34 23 43 51 56 365 149 40 50 37 32 17 897 82 209 182 121 37 113 63 90 87 TABLE III. |
372d793a-c1fd-4bc8-af85-204ae61ef828 | Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1935:β Scarlet Fever. Diphtheria. Total. January 56 39 95 February 25 43 68 March 35 35 70 April 37 19 56 May 29 14 43 June 19 4 23 July 20 21 41 August 20 14 34 September 43 27 70 October 56 24 80 November 53 20 73 December 55 18 73 Totals 448 278 726 3. NON-NOTIFIABLE ACUTE INFECTIOUS DISEASES. (a) Measles, etc.βThe most important of these are measles, whooping cough and summer diarrhoea. |
5582dadf-41f4-4bcb-bc2e-5168f0547a5d | Deaths registered were as follows:β Measles 1 Whooping Cough 2 Summer DiarrhΕa 7 Chicken-pox β (b) Rheumatic Fever.βRheumatic fever, as I have said elsewhere, is a serious problem in Barking. (c) Influenza.βThere were 9 deaths from influenza during the year 1935. This contrasts favourably with 12 deaths in the year 1934, and 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 people when they are likely to spread disease. 88 (d) Scabies.βForty-eight cases of scabies were brought to the notice of the department during the year. Disinfection of bedding and blankets was carried out in all but six cases, where the parents declined the services offered. |
6aa069a5-730b-482b-a05a-9028313e41a1 | (e) General.βNon-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.βThe following is the table pf admissions, etc., in respect of infectious diseases during 1935:β Disease. In Hospital January, 1st, 1935. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1935. |
8072649f-4500-4d60-ad08-9701c8acc817 | Scarlet Fever 69 409 β 417 61 Diphtheria (including Membranous Croup) 68 273 14 294 33 Enteric Fever β 3 β 3 β Puerperal Pyrexia β 3 *1 2 β Pneumonia β 13 1 9 3 Erysipelas 1 16 1 15 1 Ophthalmia Neonatorum β 3 β 3 β Others β 34 2 25 7 * Cause of Death:βPuerperal Pyaemia. (b) Number of Bed Days.βThe total number of bed days in the infectious diseases hospital during 1935 was 32,550βthat is to say, an average of 89 patients were in hospital throughout the 365 days in the year. 5. ARTIFICIAL IMMUNISATION. I can only repeat what I said last year that our efforts to promote artificial immunisation against diphtheria may. be said to have failed. |
84bbd9b8-e9af-4714-b4a0-c37c8a400428 | 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. 89 Wise parents who dread diphtheria, as they have every right do 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 :β Total number of cases treated 192 Number of first attendances for treatment 157 β subsequent attendances for treatment 412 β final "Schick" tests 114 6. CANCER. There have been 71 deaths from cancer, 41 below the age of 65 years and 30 above the age of 65. |
9aa6f61c-e2e9-488e-8c51-a40b5c65e490 | The following table shows the occupations of the 71 people who died from cancer during the year 1935:β Male. Female. Blacksmiths 2 Wives 18 Bookbinder 1 Spinsters 2 Brewer's Drayman 1 Widows 13 Bricklayers 2 Carpenter 1 Chairmaker 1 Chemical Worker 1 Civil Servant 1 Clerks 2 Coffee House Keeper 1 Cooper 1 Draper 1 House Decorator 1 Labourers 12 Master Farrier 1 No occupation 4 Porter (fish) 1 School Teacher 1 Tinsmith 1 Vehicle Washer 1 Warehouseman 1 38 33 90 The following table shows the ages of the persons who died from cancer and the organs affected:β Organ. Under 1 year. 1-5 years. 5β15 years. 15β25 years. 25β45 years. 45β65 years. Over 05 years. Total. M. F. M. F. M. |
de35666b-222b-4d23-954a-dcd021f84b78 | F. M. F. M. F. M. F. M. F. M. F. Bladder β β β β β β β β β β 1 β β 1 1 1 Breast β β β β β β β β β 3 β 2 β 1 β 6 Cervix β β β β β β β β β 1 β 1 β 1 β 3 Colon β β β β β β β β β 2 1 1 2 2 3 5 Inguinal Gland β β β β β β β β β β β β 1 β 1 β Liver β β β β β β β β β β 1 β 3 1 4 1 Lung β β β β β β β β β β 6 1 β 1 6 2 Oesophagus β β β β β β β β β β 2 β β 1 2 1 Pancreas β β β β β β β β β 1 β β |
95302d08-0c00-4009-8fb9-9d74e07269a1 | 1 β 1 1 Peritoneum β β β β β β β β β 1 β β β β β 1 Prostate β β β β β β β β β β β β 1 β 1 β Rectum β β β β β β β β β β 1 1 2 2 3 3 Stomach β β β β β β β β 1 1 8 2 4 3 13 6 Tongue β β β β β β β β β β β β 1 β 1 β Thyroid Gland β β β β β β β β β β β 1 1 β 1 1 Uterus β β β β β β β β β 1 β 1 β β β 2 Ventriculi β β β β β β β β β β β β 1 β 1 β Totals β β β β β β β β 1 10 20 10 17 13 38 33 7. |
ce799642-9c28-40ee-9c44-d70e645c8b81 | 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. 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 Mid wives 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 1935 was 15, compared with 20 in 1934. Twelve cases were treated at home, and in no case was the vision impaired. |
992fef44-7c2c-42ed-a243-77ae07e15c29 | 91 Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital. Under 3 weeks 15 12 3 15 β β β 8. TUBERCULOSIS. Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1935 are given in this Report in the following form:β New Cases Notified. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
07f1c051-f497-49d2-ac24-48206364e9c6 | Under 1 year β β β β β β β β 1 to 5 years 1 β 3 2 β β β β 5 to 15 years 1 1 4 4 β β β β 15 to 25 years 10 10 4 5 1 4 1 1 25 to 35 years 10 9 3 5 4 5 1 β 35 to 45 years 17 9 2 2 8 7 β β 45 to 55 years 9 2 β β 0 1 β β 55 to 05 years 5 β β β 4 β 1 β 65 years and upwards 1 1 β β 1 β β β Totals 66 32 10 18 24 17 3 1 During the year, |
3ba9e0d8-67fb-4cc9-bfdc-df9e0c58ccd5 | 132 notifications were received of all forms of Tuberculosisβ pulmonary 98 and non-pulmonary 34 and there were 3 deaths of un-notified cases (pulmonary), making a total of 135 new cases during the year. Information has been received of the removal into the district of 39 tuberculous persons, included in number of notifications received. This compares with 26 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. 92 The following are particulars of cases notified on Forms I and II during the year :β Form I. Form II. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
5c62729c-c9f1-4140-9498-57223dddb54b | 59 23 5 7 37 30 9 9 Forty-five deaths occurred from Tuberculosis (all forms) forty-one of these being pulmonary cases. The number of deaths in institutions was twenty-six. The death rate for Tuberculosis (all forms) during 1935 was 0.62 per 1,000 population, compared with 0.77 for the previous year. The compulsory removal to hospital of persons suffering from Tuberculosis is practically a dead letter in Barking. BOROUGH OF BARKING THE ANNUAL REPORT OF THE School Medical Officer For the Year 1935 C. LEONARD WILLIAMS, B.Sc., M.R.C.S., D.P.H. 96 TABLE OF CONTENTS Pages ADENOIDS 107-108, 116 ARRANGEMENTS FOR TREATMENT 111-119 AURAL CLINIC 108, |
6d928979-6103-4654-bca3-d9b342c25bd5 | 116 BLIND CHILDREN 125-126 BOXING 121 BROOKFIELD ORTHOPAEDIC HOSPITAL 117 CLINIC ATTENDANCES 106, 114 CLINIC SERVICES 131-134 CO-OPERATION OF PARENTS, TEACHERS, ETC 124-125 CO-ORDINATION OF SERVICES 102,119,124 DEAF CHILDREN 125-126 DEFECTIVE HEARING 108,116 DENTAL DEFECTS 108, 116-117, 140-141 DIET 112 DIPHTHERIA IMMUNISATION 114 DRYING FACILITIES 102,122-123 EAR DISEASE 108,116 EMPLOYMENT OF SCHOOL CHILDREN 129 EPILEPTIC CHILDREN 125-126 EXCLUSION FROM SCHOOL119 EYE DISEASE 107,115-116,142-144 FAIRCROSS SPECIAL SCHOOL 125-126 FEEDING OF SCHOOL-CHILDREN 111-112, |
da51c4c2-d930-4de8-986c-37eb1265315d | 122-124 FOLLOWING-UP WORK 110 HEALTH EDUCATION 128 HEART DISEASE AND RHEUMATISM 109,117-118 HIGHER EDUCATION 127 INFECTIOUS DISEASES 119 INTRODUCTION 99 MALNUTRITION 104, 105, 111-112, 124 MEALS 120, 122-124 MEDICAL INSPECTION AND FINDINGS 103,104-110,126 MENTALLY DEFECTIVE CHILDREN 125-126 MILK 120,124 MINOR AILMENTS 106-107, 112-114 MYOPIC CHILDREN 115-116,143 NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN 125 NOSE AND THROAT DEFECTS 107-108,116 97 Pages NURSERY SCHOOLS 127 OPEN-AIR EDUCATION 120 OPEN-AIR CLASSROOMS 120 OPEN-AIR SCHOOLS 101, 125-126 OPHTHALMIC SERVICE 115, |
615cbe8d-9aa6-4fe5-8b77-5a29286fadc8 | 142-144 ORTHOPΓDIC AND POSTURAL DEFECTS 108, 117, 136-139 PARENTS' PAYMENTS 127 PHYSICAL TRAINING 120-121 PLAYGROUND CLASSES 120 PLAYING FIELDS AND GROUNDS 121 PROVISION OF MEALS AND MILK 123-124 REMEDIAL CLINIC 118 REPORT OF THE DENTAL SURGEON 140-141 REPORT ON THE WORK OF THE OPHTHALMIC CLINICS 142-144 REPORT ON THE WORK OF THE ORTHOPΓDIC CLINIC 136-139 RESEARCH 128 RHEUMATIC FEVER 117 RHEUMATISM 109, 117 RINGWORM 114 SCHOOL BATHS 102, 121 SCHOOL CAMPS 120 SCHOOL HYGIENE 102, 103 SCHOOL JOURNEYS 120 SCHOOL LAVATORIES 102 SECONDARY SCHOOLS 127 SERVICES PROVIDED, LIST OF 129-135 SKIN DISEASES 107, |
2744c37b-01d8-4802-abef-4261299a3c6d | 112 SPECIAL INQUIRIES 128 SPECIAL SCHOOLS 125-126 SQUINT 116, 142-143 STAFF 98, 101, 116 STATISTICAL TABLES 145-157 SWIMMING 121 TEACHERS, MEDICAL EXAMINATIONS OF 128-129 TONSILS AND ADENOIDS 107-108, 116 TUBERCULOSIS 109, 118 ULTRA-VIOLET LIGHT TREATMENT 118 UNCLEANLINESS 108, 112 VISUAL DEFECTS 107, 115-116, 142-144 WOODWARD CLINIC 112-113 98 STAFF, 1935 School Medical Officer : C. LEONARD WILLIAMS, B.Sc. M.R.C.S. L.R.C.P. D.P.H. Deputy School Medical Officer : PATRICK J. O'CONNELL, M.D., B.Hy., B.S., D.P.H. |
6b5d6e48-6a10-4cd8-be31-ca6f160e1d6c | Assistant School Medical Officers : R. H. CLAYTON, M.B., B.S., B.Hy., D.P.H. CATHERINE B. McARTHUR, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Commenced 2nd January, 1935.) Ophthalmic Surgeon: WILLIAM ADAMSON GRAY, M.B., Ch.B., F.R.C.S., Ph.D. (Commenced 14th May, 1935.) OrrhopΕdic Surgeon: B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. Dental Surgeons: W. H. FOY, L.D.S., R.C.S. R. N. HINES, L.D.S., R.C.S. (Resigned 9th February, 1935.) H. S. SARSON, L.D.S., R.C.S. |
46c9167b-cce5-41b6-8601-7b600d840b2e | (Commenced 20th May, 1935.) Nursing Staff: *Miss P. M. FAWCETT (Senior Nurse) (g, h and i). (Commenced 1st December, 1935.) *Miss M. BAERLOCHER (g, h and n). *Miss C. COURT (g, h and i). Miss G. GEDEN (Dental Nurse) (r). Miss S. E. W. GIBSON (j). *Miss G. JONES (g, h and i). (Commenced 12th August, 1935.) Miss R. LLEWELLYN (Dental Nurse) (h and i). *Miss W. PARKER (g, h and i). Miss A. K. ROE (Masseuse) (o). (Commenced 1st April, 1935.) |
8831ed2b-80a1-4c1c-91fb-e30fa6e6298a | *Miss F. G. ROXBURGH (g, h and i). (Resigned 10th August, 1935.) Miss L. F. SWAIN (h and i). Clerical Staff: Chief Clerk: F. READ. C. G. EAGLESFIELD (Senior Assistant). D. G. TONKIN (n). (Resigned 4th February, 1935.) H. C. DAVIS. (Commenced 1st May, 1935.) A. J. STORER (n). F. YATES (q). (Commenced 1st May, 1935.) E. A. ELLIS. G. H. RUFF. D. W. OSMOND. (Resigned 17th May, 1935.) E. INGS (p). (Commenced 12th August, 1935.) Miss H. NUNN. |
a36dd98a-63b8-49c2-b353-90fac06020f4 | Miss H. KING. Miss A. LIGGINS. Miss D. FOULSHAM. (Commenced 1st April, 1935.) Miss I. CAST. (Commenced 13th May, 1935.) Miss G. COOPER. (Commenced 4th December, 1935.) (g) Health Visitors' Certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives' Board. (i) General Hospital Training. (j) General Fever Training. (n) Sanitary Inspectors' Certificate of Royal Sanitary Institute and Sanitary Inspectors' Examination Joint Board. (o) Certificate of Chartered Society of Massage and Medical Gymnastics, Medical Electricity, Light and Electro-Therapy. (p) Inter. B.Sc., University of London. (q) Final Examination of the National Association of Local Government Officers. (r) Registered Sick Children's Nurse. * Combined AppointmentβHealth Visitor and School Nurse. |
93b253e8-2d92-46e8-a69c-799e3d108f74 | 99 Borough of Barking PUBLIC HEALTH DEPARTMENT, BARKING, ESSEX. June, 1936. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Mrs. Hobday and Gentlemen, Herewith I beg to submit my report for the year ended 31st December, 1935. 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, Mrs. Hobday and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 101 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER For the Year 1935. (1) STAFF. In the forefront of this Report will be found a list of your officers who, in this way or in that, carry out the work you have entrusted to their charge. There have, of course, been some changes in the staffβMr. |
98538577-e696-420c-9172-1593f4e1ebaf | R. N. Hines relinquished his appointment as Dental Surgeon, having accepted a post elsewhere, and Mr. H. F. Sarson took his place on the 20th May, 1935. So, similarly, did Miss G. F. Roxburgh, who was both Health Visitor and School Nurse, relinquish her appointment, and her place was taken by Miss G. Jones on the 12th August, 1935. Upon the resignation of Miss A. E. Findlay, part-time Masseuse, in December, 1934, it was decided that the post of Masseuse should be a whole-time one, and Miss A. K. Roe, who was appointed, commenced her duties on 1st April, 1935. The post of Senior Health Visitor and School Nurse was designated during the year, and Miss P. M. Fawcett, who was appointed to this post, took up her duties on 1st December, 1935. |
7f10f54d-6c05-4115-aa07-65ce5ad5658b | The chief alteration to which I wish to call your attention is the appointment of Mr. W. A. Gray, F.R.C.S., as Consulting Ophthalmic Surgeon. Mr. Gray took up his duties on 14th May, 1935, and with his appointment the ophthalmic work in the town has been placed on a more sure foundation. This appointment demonstrates the measure of co-ordination which is found throughout the whole of your medical services because Mr. Gray not only undertakes ophthalmic work for children of school-age but also deals with toddlers, and with their mothers when they come within the purview of the Maternity and Child Welfare Scheme. He also visits, as and when necessary, the Barking Hospitals, and his appointment has been of great value in reference to superannuation work. 102 This co-operation which is found throughout the service does away with much overlapping and ensures continuity of medical supervision. (2) CO-ORDINATION. |
f9289689-816f-4df7-aefe-df96fa27b957 | The very happy relationships I have the pleasure to enjoy with my colleagues, including the head-masters and head-mistresses of your various schools, enables us to co-ordinate your medical services with the other work which is carried on by you. Here we find the work of the Investigation Officers very helpful, particularly because they investigate matters which have to do not only with children of school-age but also with other children and persons who come within our purview, but who are not of school-age. (3) SCHOOL HYGIENE. The schools of Barking illustrate both ancient and modern architecture. The ancient schools are of the factory typeβgreat three-decker buildings, each floor built on the lines of an old Sunday school with a central hall and classrooms on three sides of it. The modern schools are well laid out, either in quadrangles or in sun-traps and are so built that they can be used virtually as open-air schools. I am naturally disappointed that the modern schools have not been built with baths. |
9990ddf6-d6b8-4da3-976e-ae0e1caa0b0b | Baths are necessary ; firstly, because physical exercises with the older children should, at times, be pushed to a point where by reason of perspiration and other conditions a bath is necessary, and secondly, because bathing is an acquired taste and if the baths supplied in your houses are to be used properly the habit of bathing must in certain cases be inculcated in the children. Again I find it necessary to discuss the arrangements for drying wet clothes and boots. As you know I want to see a rule enforced for the changing of wet foot-gear on arrival at school, and I hope that in the forthcoming year this difficult question will be solved. The provision of lavatories on each floor where the schools are of two or more storeys is a matter I have previously called to your attention. 103 The standard to which children become accustomed at school, is the standard by which they will judge their homes, their workplaces, and their transport, in their later lifeβschools therefore should be of a high order of sanitary attainment. |
a0a2b92b-6982-4b9d-b923-4bb153624dfe | The simple lesson of ordinary life in the school of some sanitation is a continuous influence, transcending even the wonderful lessons on hygiene which form part of the curricula of your schools. In this connection I would wish to call your particular attention to the conditions under which so many medical inspections are carried out. In your older schools we have nothing but admiration for the efforts which are made for medical inspection to be carried out under the best possible conditions, but the circumstances are such that what should be a lesson in hygiene and instruction in the art of sanitation is oftentimes only a tribute to those who are doing their best under most discouraging circumstances. The visiting doctor should be looked upon as a disciple of Hygeia, as an apostle of fresh air, sunlight and sanitation, instead of which some children are examined without proper accommodation and those parents who wish to be present in consultation with the doctor have no proper place to wait. |
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