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6c26f354-06c1-4f70-ba55-44b0137e98f7 | Not only is it a means of making these meals better in themselves but as a means of educating children to like dairy produce, and to come to regard it as a part of their everyday life. So also with fruit and vegetables. Here, however, I come up against problems of transport and distribution of which I am not qualified to speak, but the 2Β½d. per day which is said to be the average amount spent on fruit in the poorer houses now should be materially increased. When I say materially increased I am not thinking in terms of merely doubling it. After the food has been purchased, and when it has been properly cooked, even after proper mastication there still remains the problem of digestion, and it is quite open to doubt as to if and whether we can expect the best when your school-children have to snatch a meal in between two strenuous courses of study during the day. |
b5df7dec-4164-4438-8e71-f990763e443a | (b) Uncleanliness.βSo far as uncleanliness is concerned it has, hitherto, been your policy that the right place for this to be treated is the home, and where it is found practicable uncleanliness is dealt with in this way. As I have pointed out in previous years, however, in obstinate and difficult cases the cleansing of heads is undertaken by School Nurses at your Clinics. It is also undertaken by them in cases where, owing to illness, the home circumstances make it impracticable for the parents to carry out the necessary cleansing. (c) Minor Ailments and Diseases of the Skin.βYour arrangements for the treatment of minor ailments and diseases of the skin remain essentially the same as last year. These cases are dealt with every morning at the Central Clinic but whereas they were also dealt with at the Greig Hall, Stamford Road, this latter work was transferred on the 12th October, 1935, to the new Woodward Clinic, Woodward Road. |
3eff8c26-6993-4314-9cf0-511f9dec72b6 | This new Clinic, together with a Branch Library, has been erected on a site of about a quarter of an acre at the corner of Stamford and Woodward Roads. The whole of the accommodation is provided on the ground floor. By the courtesy of the Architects, Messrs. H. H. Dawson and H. W. Allardyce, a sketch plan of the Clinic will be found on page 113. |
8cd6f38a-669e-4f43-82a9-dced109f9514 | BOROUGH OF BARKING REPORT OF THE Medical Officer of Health For the Year 1936 C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.G.P., D.P.H. 3 TABLE OF CONTENTS. Page STAFF 7, 8 INTRODUCTION 0 SECTION A.βSTATISTICS AND SOCIAL CONDITIONS OF THE AREA. Age Mortality 13 Area 10 Births 10-12, 18 Births, Notification of 18 Deaths 10-17 Deaths, Causes of (Table) 13-16 General Statistics 10 Housing 20 Illegitimate Births 10,18 Industries 18 Infant Mortality 10-12, 15-17 Infant Mortality (Table) 15 Inhabited Houses 10 Inquests 14 Malnutrition 21 Mortality, Epidemics, etc. |
781e17bf-26c5-4078-8028-cd1d8851ce07 | 17,18 Neo-Natal Mortality 15-17 Population 10 Rateable Value 10 Social Conditions 18-21 Still-births 10-12, 18 Travelling Facilities 20 Unemployment 19,20 Vital Statistics 10-12 Zymotic Diseases, Deaths from 13 SECTION B.- GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. Ambulance Facilities 24,25 Ante-Natal Clinics 31-32, 30, 37 Ante-Natal Supervision 30,37 Artificial Immunisation 33-34, 42, 43, 46 Artificial Sunlight Clinic 42,48 Burking (Infectious Diseases) Hospital 25, 27-30 Baths for Expectant and Nursing Mothers 40 Children and Young Persons Act, 1932 43 Clinics and Treatment Centres 26, 31-35 Convalescent Treatment 42,46 Dental Surgeon, Report of 55 Dental Treatment 42, 46, 56 Difficult Labour, |
b8bbf1a1-3229-4e44-9f3f-bac6da88186d | Consultations in 47 East Barking District Nursing Association 35 Eye Defects 42,47,49-50 Foster Children 43 GynΓ¦cological Clinic 31-32, 39, 46 Home Nursing 35 Hospital Services 25β26, 27-30 Hospital Services, Tables of 27-30 Illegitimate Children 41 Infant Life Protection 43 Infant Welfare Clinics 31,32,44,47 Laboratory Facilities 23-24 4 SECTION BβContinued Page Maternal Mortality 40β11 Maternity and Child Welfare Services 36-56 Maternity Homes 43,47 Midwifery 37-39 Midwives Acts 30-39 Minor Ailments 33-34, 43 Nursing Homes 43 Obstetrics and Gynaecology, Consultations in 40 Ophthalmia Neonatorum 41 Ophthalmic Service 42, 49-50 Orthopaedic Clinic, |
e2e8fd4f-f265-4527-aa71-3684253ae5d4 | Report of Work Done 51-54 Pathological Unit 23-24 Pemphigus Neonatorum 40 Plaistow Maternity Hospital and District Nurses' Home 35,39 Post-Natal Care 39 Provision of Dinners 40 Provision of Dried Milk, etc 45 Provision of Fresh Milk 45 Provision of Spectacles 47 Public Hospital Services 23-20, 27-30 Puerperal Fever and Puerperal Pyrexia, Consultations in 47 Services Provided and Facilities for Treatment 40-48 Specialist-Consultant Ante-Natal Clinic 31-32, 40 Specimens Submitted to Laboratory for Examination 23 Still-births 37 Supervision of Midwives 37-39 Tonsils and Adenoids 41, 48 Ultra Violet Light Clinic 42,48 Upney (Maternity) Hospital 25,39 Visiting in the Home 44-45 Voluntary Hospital Services 25-20, |
900dd1ee-a65e-4174-bf4b-ac173b97b779 | 27-30 X-ray Treatment for Ringworm 48 SECTION C.βSANITARY CIRCUMSTANCES OF THE AREA. Bed Bugs, Eradication of 73 Cesspools 59 Closet Accommodation 59,02 Common Lodging Houses 07 Creeksmouth Generating Station 70 Dampness 03 Defects found under the Factory and Workshop Act, 1901 05 Drainage and Sewerage 58,02 Dustbin Maintenance 33 Dwelling Houses, Inspection of 60, 601 Factories, Inspection of 61 Factory and Workshop Act, |
f03c7dac-e331-429c-b883-0f74c600ef43 | 1901 64-65 Home Work 65 Houses Let in Lodgings 67 Miscellaneous Sanitary Inspections 62 Miscellaneous Sanitary Work carried out 64 Noise Nuisances 71 Notices Served 61 Offensive Trades 67 Out-workers 66-61 Pail Closets Paving PiggeriesPort of London Authority Premises and Occupations controlled by Byelaws and Regulations 61 67-68 Public Cleansing 59 5 SECTION CβContinued Page Rag Flock Acts, 1911 and 1928 68 Rainfall 57 Refuse Disposal 60 Refuse Storage and Collection 59 Refuse Tips 60 Registered Workshops 66 Repairs, General 63 Rivers and Streams 58 Sanitary Inspection of the Area 60-67 Sanitary Work, Summary of 62-64 Schools 72 School Closure 72 Schools, Sanitary Inspection of 72 Shops Act, |
e481dde5-06e4-4c99-9786-562d7963a7c3 | 1934 68-69 Sinks 62 Smoke Abatement 69-70 Stables 68 Street Cleansing 59 Swimming Baths 71 Tents, Vans and Sheds 67 Trade Refuse 59 Ultra Violet Light Radiation 72 Underground Sleeping-rooms 67 Water Supply 57, 63 Workplaces, Inspection of 61,64 Workshops, Inspection of 61,64 SECTION D.βHOUSING. |
ef2c3ebb-49e6-47ae-9cc0-fceefc49aa84 | Clearance Areas 79 Houses Built in the District, 1926-1936 76,77 Houses Erected during the Year 75 Housing Act, 1935 78 Housing Conditions 76-79 Housing Defects Remedied 75-76 Housing Inspections 75 Inhabited Houses, Number of 70 Overcrowding 78 Proceedings under Public Health Acts 76 Proceedings under the Housing Act, 1930 78 Redevelopment 79 Rehousing 78 Small Dwellings Acquisition Act 77 Temporary Buildings 77 Unfit Dwelling Houses 75-76 SECTION E.βINSPECTION AND SUPERVISION OF FOOD. |
e6d93fb6-c391-4537-b0b8-7ab92d66dff2 | Adulteration of Food 84-85 Animals Slaughtered 82 Bacteriological Examination of Ice-Cream 82,85 Bactcriological Examination of Milk 81,85 Barking Corporation Act, 1933 82 Bottling of Milk 82 Chemical Examination of Food 85 Diseased Meat Destroyed 82-84 Food and Drugs (Adulteration) Act, 1928 84 Graded Milk Licences Granted 81-82 Ice-Cream 82 6 SECTION E.βContinued. page Meat and Other Foods 82-81 Milk and Dairies Order, 1926 82 Milk (Special Designations) Order, 1923 81-82 Milk Supply 81-82 Nutrition 85-86 Prosecutions 82,84, 85 Slaughter-houses 82 Unsound Food Destroyed 84 SECTION F.βPREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. |
2dc47deb-3604-45ac-b3b8-31027795907e | Acute Anterior Poliomyelitis 88-90,92 Admissions to Barking (Isolation) Hospital (Table) 92 Artificial Immunisation 93 Barking (Isolation) Hospital 92 Cancer 93-95 Cerebro-spinal Meningitis 88-90,92 Diphtheria 87-92 Diphtheria Notifications (Monthly Summary Table) 91 Enteric Fever 98-90,92 Erysipelas 88-90,92 Infectious Diseases (Tables) 88-91 Influenza 92 Measles 91 Measles and Pneumonia 88-90 Non-Notifiable Acute Infectious Diseases 91-92 Notifiable Infectious Diseases 87-91 Notifications classified according to Wards (Table) 89-90 Ophthalmia Neonatorum 88-90, 92, 95-90 Pemphigus Neonatorum 88-90 Pneumonia 87,88-90, |
fd6e5fd1-cdd3-428c-b1f0-2da46bbc39f3 | 92 Prevention of Blindness 95-96 Puerperal Fever and Pyrexia 87,88-90,92 Rheumatic Fever 91 Scabies 92 Scarlet Fever 87-92 Scarlet Fever Notifications (Monthly Summary Table) 91 Smallpox 88-90 Summer Diarrhoea 91 Tuberculosis 96-98 Tuberculosis, New Cases and Deaths (Table) 96 Unnotified Fatal Cases of Tuberculosis. 90 Whooping Cough 91 7 STAFF, 1936. Medical Officer of Health, School Medical Officer, Medical Superintendent, Barking and Upney Hospitals: C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. Deputy Medical Officer of Health and Deputy School Medical Officer : PATRICK J. O'CONNELL, M.D., B.Hy., B.S., D.P.H. Asst. Medical Officers of Health and Asst. |
7e96220c-5720-4cd7-a3b3-fad74249bf33 | School Medical Officers : R. H. CLAYTON, M.B., B.S., B.Hy., D.P.H. (Resigned 30th June, 1936.) J. MERVYN THOMAS, M.D., B.Sc., D.M.R.E., L.R.C.P., D.P.H. (Commenced 7th Sept., 1936.) CATHERINE B. McARTHUR, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. Ophthalmic Surgeon: WILLIAM ADAMSON GRAY, M.B., Ch.B., F.R.C.S., Ph.D.* Orthopedic Surgeon: B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. Specialist Consultant in Obstetrics and Gynecology: JAS. VINCENT O'SULLIVAN, M.D., F.R.C.S. |
396febf6-758c-4796-9b46-a12fd067b851 | Consultant Ear, Nose and Throat Surgeon: CYRIL R. SANDIFORD, M.D., F.R.C.S. Resident Medical Officer, Barking Hospital: Miss ENID L. WEATHERHEAD, M.B., B.S., M.Sc., D.C.H. Consultant Pathologist: Miss EDITH A. STRAKER, M.B., B.S., D.P.H. Dental Surgeons: W. H. FOY, L.D.S., R.C.S. H. S. SARSON, H.D.D., L.D.S., D.P.D. M. COHN, L.D.S., R.C.S. (Commenced 2nd November, 1936.) Scientist: Miss EVELYN M. HILL, Ph.D., Dip. Bact. Sanitary Inspectors: N. BASTABLE (Chief Sanitary Inspector) (b, c, d, amd /). |
2d4b0a77-f985-47f2-8cad-37083b3dc3f5 | H. CARR (b, c, e and I). C. S. COOK (b and c). E. G. TWEEDY (a and c). H. H. MADAMS (a and c). (Commenced 16th March, 1936.) Matron, Barking and Upney HospitalsβInspector of Midivives: Miss M. W. HEDGCOCK (h, i and j). 8 Health Visitors: Miss P. M. FAWCETT (Senior Health Visitor and School Nurse) (g, h and i). *Miss M. BAERLOCHER (g, h and i). *Miss C. COURT (g, h and i). Miss G. ELLIOTT (a, h and k). (Resigned 18th July, 1936.) Miss G. GEDEN (Dental Nurse) (q). |
0d8cd495-b443-42b8-85fb-c1de2058eec2 | Miss S. E. W. GIBSON (j). *Miss G. JONES (g, h and i). Miss R. LLEWELYN (Dental Nurse) (h and i). *Miss W. PARKER (g, h and i). Miss A. K. ROE (Masseuse) (n). Mrs. G. STOKES (g and i). Miss L. F. SWAIN (h and i). Mrs. W. WALTON (a, h andk). *Miss M. F. WHALLEY (g, h and i). (Commenced 28th September, 1936.) Clerical Staff: Chief ClerkβF. READ. C. G. EAGLESFIELD (Senior Assistant). Miss H. NUNN. H. C. DAVIS. Miss H. KING. A. J. STORER (m). |
d306520f-9638-4c8a-be94-358e112aa72b | (Resigned 4th April, 1936.) Miss A. LIGGINS. F. YATES (p). Miss D. FOULSIIAM. G. H. RUFF. Miss I. CAST. E. A. ELLIS. Miss G. COOPER. E. INGS (o). (Resigned 5th September, 1936.) Miss I. W. MATIIIESON. D. F. W. SCOTT. (Commenced 13th July, 1936.) (Commenced 13th July, 1936.) L. J. DEXTER. (Commenced 5th October, 1036.) Disinfector and Mortuary Attendant: H. LONG. (Π°) Sanitary Inspector's Certificate of Sanitary Inspectors' Examination Board. (b) Sanitary Inspector's Certificate of Royal Sanitary Institute. |
48d41ad2-2dc3-494d-bd3f-41f19488b5df | (c) Meat, etc., Inspector's Certificate of Royal Sanitary Institute. (d) Smoke Inspector's Certificate of Royal Sanitary Institute. (e) Building Inspector's Certificate of Worshipful Company of Carpenters. (/) Sanitary Science Certificate of Royal Sanitary Institute. (g) Health Visitor's Certificate of Royal Sanitary Institute. (h) Certificate of Central Midlives Board. (i) General Hospital Training. (j) General Fever Training. (k) Health Visitor's Diploma of Board of Education. (/) Smoke Inspector's Certificate of L.C.C. School of Engineering. (m) Sanitary Inspector's Certificate of Royal Sanitary Institute and Sanitary Inspectors' Examination Joint Board. (n) Certificate of Chartered Society of Massage and Medical Gymnastics, Medical Electricity, Light and Electro-Therapy. (o) Inter B.Sc., University of London. (p) Filial Examination of the National Association of Local Government Officers. (q) Registered Sick Children's Nurse. |
c667e12c-dab5-4232-b51c-142a5be54e5f | (r) Combined appointmentβHealth Visitor and School Nurse. 9 ANNUAL REPORT OF THE Medical Officer of Health for the Borough of Barking, in the County of Essex, for the Year ended 31st December, 1936. PUBLIC HEALTH OFFICES, BARKING, ESSEX. May, 1936. To the Mayor, Aldermen and Councillors of the Borough of Barking. Mr, Mayor, Ladies and Gentlemen, Herewith I beg to submit, for your favourable consideration, my Report as Medical Officer of Health for the year ended 31st December, 1936. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, Medical Officer of Health. 10 SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. 1. General Statistics. Area (acres) 4,174 Ward areas 3,874 Tidal Water H.W.M. |
ea1c798d-279f-4b70-8171-03363fdd91dd | Thames 240 Roding 58 Loxford Water 2 300 4,174 Population (1931 Census) 51,277 Population (June, 1936) (Registrar-General's Estimate) 7,000 Number of Inhabited Houses, March, 1937, according to Rate Books:β- Houses 17,892 Shops 1,288 Total 19,180 Population Density, i.e., No. of persons per acre 18.2 Rateable ValueβGeneral Β£667,741 0 0 Sum represented by a penny rate Β£2,642 10 3 Education rates:β Elementary *Secondary Included in General Rate Figure 3 71 81 General Rate 14 0 * Including County Precept. 2. Extracts from Vital Statistics for the Year. Live Births:β Total. Males. Females. Birth Rate. |
c285f6de-3988-4936-9f6d-65bc9080e02a | Legitimate 1,175 568 607 15.40 Illegitimate 20 11 9 0.26 Totals 1,195 579 616 15.72 Rate per 1,000 total births:β Still-births:β Legitimate 31 19 12 26.1 Illegitimate 1 β 1 Deaths 608 (60-1) 300 (299) 308 (305) Death Rate 8.0 (7.9) Percentage of total deaths occurring in public institutions, 54.3. Deaths. Rate per 1,000 total (live and still) births. Deaths from puerperal causes:β Puerperal sepsis 1 0.81 Other puerperal causes 2 1.63 Totals 3 2.44 Number of deaths of infants under one year of age:β Total Infantile Death Rate. Males. Females. Total. |
d479376e-a961-4b2d-b57a-5a3c7cf12eaa | Death Rate. Legitimate 31 34 65 55.3 56.07 Illegitimate 1 1 2 100.0 Number of deaths from Measles (all ages) 14 β β Whooping Cough (all ages) 7 (8) 8(6) ,, β Diarrhoea (under 2 years of age) (N.B.βWhere the Registrar-General's figures and rates differ from those prepared locally, * the former are shown separately in brackets.) 3. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1936. (England & Wales, London, 122 Great Towns, and 143 Smaller Towns and BARKING.) - Rate per 1,000 Total Population. Annual Death Rate per 1,000 Population. Rate per 1,000 Live Births. Live Births. Still-births. All Causes. |
add893c9-6894-465b-8ccc-322b5562fba0 | Enteric Fever. Small-pox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under two Years. Total Deaths under one year. England and Wales 14.8 0.01 12.1 0.01 0.00 0.07 0.01 0.05 0.07 0.14 0.52 5.9 59 122 County Boroughs and Great Towns, including London 14.9 0.07 12.3 0.01 0.00 0.09 0.01 0.06 0.08 0.14 0.45 8.2 63 143 Smaller Towns (Estimated resident populations, 25,000 to 50,000 at Census, 1931) 15.0 0. |
48e39df0-ae7e-4711-b696-a53d150b319a | 04 11.5 0.00 0.00 0.04 0.01 0.04 0.05 0.15 0.39 3.4 55 London 13.6 0.53 12.5 0.01 0.00 0.14 0.01 0.06 0.05 0.14 0.52 14.4 66 BARKING 15.72 0.42 8.0 0.03 0.00 0.18 0.01 0.09 0.04 0.09 0.22 6.7 56.07 Puerperal Sepsis. Others. Total. The maternal mortality rates for England and Wales are as follows : per 1,000 Live Births ,, β Total Births 1.40 1.34. |
41747ca4-e169-40f2-92d2-fbb2351e1653 | 2.41 2.31 3.81 3.65 4. VITAL STATISTICS OF WHOLE DISTRICT FROM 1926 TO 1936. Year. Β« Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths. Net Deaths belonging to the District. Nett. Of Nonresidents registered in the District. Of Residents registered out of the District. Under One year of age. At all Ages. Number. Rate. Number. Rate. Number. Rate per 1,000 Live Births. Number. rate. 1 2 3 4 5 6 7 8 9 10 11 12 1926 38,920 818 21.0 259 6.6 11 118 49 59.9 366 9.4 1927 39,900 710 17. |
34a10ecb-b4c8-4bce-a8b8-c5cc0ac0eb68 | 7 251 6.2 7 162 47 66.1 406 10.1 1928 40,870 805 19.7 276 6.7 6 144 51 63.3 414 10.1 1929 42,160 787 18.7 291 6.9 8 152 42 53.4 435 10.3 1930 45,000 799 17.7 256 5.7 7 186 49 61.3 435 9.7 1931 51,830 947 18.3 328 6.3 7 215 61 64.4 536 10.3 1932 50,330 1105 18.3 283 4.7 17 239 59 53.4 505 8.4 1933 68,840 1204 17. |
79d2cc42-5639-4eea-9bd1-3235886b38c5 | 4 290 4.2 13 247 67 55.6 524 7.6 1934 72.290 1252 17.4 311 4.3 9 288 71 56.7 590 8.2 1935 72,650 1226 16.9 270 3.7 13 801 64 52.2 558 7.7 1936 76,800 1 195 15.72 313 4.1 13 308 67 56.07 608 8.0 13 5. DEATHS. (a) General.βThere were 313 deaths registered in Barking in 1936. Of these 13 were deaths of non-residents. Barking residents to the number of 308 died elsewhere during the year. Including the latter and excluding the deaths of visitors, the net number of deaths was as follows:β Males. |
3edfad10-bdbb-4c86-a281-03ab0c3bba07 | Females. Total. 300 308 608 The death rate for 1936 was 8.0 per 1,000, compared with 7.7 in 1935, 12.1 for England and Wales, 12.3 for the hundred and twenty-two County Boroughs and Great Towns, including London, 11.5 for the one hundred and forty-three Smaller Towns, and 12.5 for London. (b) Age Mortality.βThe deaths in various age groups, according to the figures obtained locally, were as follows:β Age Group. No. of Deaths. |
993313e4-395e-4609-af0e-5fed1bc9b451 | Under 1 year 67 1 to 2 years 13 2 to 5 years 13 5 to 15 years 26 15 to 25 years 20 25 to 45 years 94 45 to 65 years 132 Over G5 years 243 (c) Causes of death in 1936.βThe table on the next page shows the principal causes of death at various ages. of death at various ages. Those diseases, etc., causing most deaths or important from a public health aspect were as follows:β Disease. No. of Deaths. Percentage of total net deaths registered. |
055ba3b8-36e8-4426-8128-f568aea80c8d | Cardio-vascular system 187 30.75 Cancer 74 12.17 Tuberculosis (all forms) 44 7.24 Pulmonary affections (exclusive of tuberculosis), viz., Bronchitis 27 4.44 Pneumonia (all forms) 33 5.43 Oilier respiratory diseases 0 1.48 Zymotic Diseases 35 5.75 (d) Deaths from Zymotic Diseases.βThese diseases caused 5.75 per cent. of the total deaths, such deaths being caused in the following proportions:β Enteric Fever 2 Measles 14 Whooping Cough 7 Scarlet Fever 1 Diphtheria 3 Diarrhoea 3 Smallpox β 14 (e) Inquests.βCoroner's inquests were held on 31 deaths. (f) Causes of and ages of death during the year 1936. (Net Deaths). Causes of Death. |
2fe87023-05c1-4926-a8df-0f6adfdb790f | Deaths at the subjoined ages of " Residents " whether occurring in or beyond the district. RegistrarGenaral's Figures. Under one year. 1 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards Total Typhoid and Paratyphoid Fevers 1 1 β β 2 2 Measles 3 8 3 β β β 14 14 Scarlet Fever β 1 1 1 Whooping Cough 4 3 7 8 Diphtheria β 1 2 β β β 3 3 Influenza β 1 β 2 1 3 7 7 Encephalitis Lethargica β β β β β β β β Cerebro-Spinal Fever β 1 β β 1 β 2 2 Tuberculosis of Respiratory System β 1 β 8 21 5 2 37 37 |
4eeb1c9f-9f7d-4dcf-a4c1-f59feebed25d | Other Tuberculous Diseases β 1 1 1 3 1 β 7 7 Syphilis β β 1 β β 2 β 3 2 General Paralysis of the Insane, etc β β β β β 1 1 2 2 Cancer β β 1 β 9 27 37 74 70 Diabetes β β β β 1 2 4 7 8 Cerebral HΓ¦morrhage 1 β β β 2 11 14 28 20 Heart Disease 2 β 2 2 15 31 111 163 153 Aneurysm β β β β 2 β β 2 7 Other Circulatory Diseases β β 1 β 3 5 13 22 19 Bronchitis 3 1 β β 1 5 17 27 20 Pneumonia 8 2 3 2 3 9 6 33 30 Other Respiratory Diseases |
f9c8c886-a2e6-4756-8a2f-169dc41389b2 | 1 β β β 3 3 2 9 4 Peptic Ulcer β 'β β β 1 6 1 8 0 Diarrhoea (under 2 years) 8 β β β β β β 8 0 Appendicitis β β 1 β 1 2 β 4 5 Cirrhosis of Liver β β β β β β β β 1 Other Diseases of Liver 1 β β β 1 β 1 3 5 Other Digestive Diseases β β β β 3 3 2 8 10 Acutcand Chronic Nephritis 1 β 1 β 3 5 8 18 1U Puerperal Sepsis β β β 1 β β β 1 1 Other Puerperal Causes β β β 1 2 β β 3 2 Congenital Debility, Premature Birth, etc. |
7385350e-3129-4e72-b491-ce2f3a375b0c | 31 β β β β β β 31 38 Senility β β β β β β 13 13 11 Suicide β β β 1 2 1 2 0 0 Other Violence β 3 3 β 7 1 3 17 20 Other Defined Diseases 4 3 7 3 8 10 3 38 40 Causes ill-defined or unknown β β β β β β β β - Totals 67 26 26 20 94 132 243 608 604 15 (g) Infant Mortality daring the year 1936. The following table gives the actual causes of death of children dying under one year of age. Causes of death under 1 year of age, year 1936:β 0-1 month. 1-3 months. 3-6 months. 6-9 months. 9-12 months. Total under 1 year. Abscess of Chest Wall β β 1 β |
030672d4-d442-4097-802e-384ca8198c1e | β 1 Anencephalus 1 β β β β 1 Bronchitis 2 1 β β β 3 Cerebral Degeneration β β β β 1 1 Congenital Debility 4 β β β β 4 Congenital Deformities 3 1 β β β 4 Congenital Heart Disease 2 β β β β 2 Convulsions and Asphyxia at Birth 2 β β β β 2 Deficient Inherent Vitality 1 β β β β 1 Diarrhoea and Vomiting β β β β 1 1 Gastro-Enteritis 1 3 2 1 β 7 Hiemolytic Jaundice 1 β β β β 1 Hemorrhagic Disease of the Newly Born β 1 β β β 1 Hydrocephalus and Spina Bifida 1 β β β β 1 Icterus Gravis β 1 β β β 1 Icterus Neonatorum 2 β |
26f77f1c-3792-4a9a-a734-033ec103f9c3 | β β β 2 Marasmus 2 1 β β β 3 Measles 1 1 1 3 Nco-Natal I'yΓ¦mia 1 β β β β 1 Nephritis β β 1 β β 1 Pneumonia 3 2 2 1 β 8 Prematurity 12 1 β β β 13 Spina Bifida β β 1 1 Whooping Cough β 1 1 β 2 4 Totals 38 12 8 3 6 67 Net Births in 'be year:β Legitimate 1,175 Illegitimate 20 1,195 Net Deaths in the year:β Legitimate 65 Illegitimate 2 67 16 (h) Xeo-Xaial Mortality during the year 1936. Causes of Neo-Natal deaths Under 1 week. 1β2 weeks. 2β3 weeks. 3β4 weeks. |
fd7e233f-33db-4552-b329-1e95c87f87ed | Total. Anencephalus 1 β β 1 Bronchitis 1 1 β β 2 Congenital Debility 4 β β β 4 Congenital Deformities 3 β β β 3 Congenital Heart Disease β β 2 β 2 Convulsions and Asphyxia at Birth 1 1 β β 2 Deficient Inherent Vitality 1 β β 1 Gastro Enteritis β β 1 1 HΓ¦molytic Jaundice 1 β β β 1 Hydrocephalus and Spina Bifida 1 β β β 1 Icterus Neonatorum β 1 1 β 2 Marasmus β 1 1 2 Neo-Natal Pyaemia β β 1 β 1 Pneumonia β 1 1 1 3 Prematurity 10 2 12 Totals 23 7 7 1 38 It will be seen from the tables that of the sixty-seven deaths under |
dc8f4055-3887-40ad-a42e-54baec14d474 | the age of one year, no less than thirty-eight were four weeks of age or under, and prematurity is given as the cause of death in the cases of twelve babies, who died within the first four weeks of life. The fact that thirty-eight died within the first month, leaving only twenty-nine deaths for the remaining eleven months of the first year of life, shows that our chief problem at the present time is the mortality among the newly born. Out of the thirty-eight babies who died under the age of one month, no less than twenty-three died within the first week. My comments on this table are word for word the same as my comments last year, save only that necessary alterations have been made in the numbers. Once more I want to emphasise that of the babies who died under the age o! one month, more than fifty per cent. died within the first week. |
96c7e3da-0d1d-47ec-acc3-ab0700611c13 | There is of coursc no opportunity in this one week to turn a weak and ailing baby into a strong and healthy one, and so the only way in which we can attack this problem is by still further activities in ante-natal work. We must have sufficient workers, not only to carry out routine work, but also to undertake research and in the forefront of research must come the problem of nutrition. It is gratifying to note that the number of deaths from respiratory diseases (bronchitis and pneumonia) is decreasing. 17 The following table shows the comparative figures of infant mortality and neo-natal mortality for the past ten years:β Infantile Infantile Mortality Neo-natal Neo-natal Mortality Year. |
867bca89-599b-4ec8-ac71-6da3b8a2e45c | Mortality Rate Mortality Rate 1927 47 66.1 18 12.8 1928 51 63 24 19.3 1929 42 53.4 28 18.9 1930 49 61 24 19.2 1931 61 64 31 29.4 1932 59 53 28 25 1933 67 55.6 29 24 1934 71 56.7 39 31.15 1935 64 52.2 35 28.5 1936 67 56.07 38 31.8 (i) Mortality, Epidemics, etc.βA minor epidemic of acute anterior-poliomyelitis, i.e., infantile paralysis, was one of the outstanding epidemiological features of the ' year. There were several cases which were mild, but as usual some of the cases were severe. |
db353a99-63d7-4a1e-aeac-a166b0454754 | The severe cases were those which are known as acute anterior-poliomyelitis of the ascending type and which are also known as cerebro-poliomyelitis. One curious thing emerged. In one family a patient was found to be suffering from acute anterior-poliomyelitis of the ascending type and a child from acute anterior-poliomyelitis of the ordinary type. The possibility of two infections being present in one house like this is so very remote that it would appear that the two manifestations are one and the same diseaseβvariation from person to person being due to something intrinsic in the person. There were six sporadic cases of typhoid fever, one of which was definitely known to have been contracted elsewhere. During 1936 there was unfortunately an epidemic of measles and no Jess than fourteen cases in Barking died from measles. It cannot be too well noted that you yourselves are willing to take into your Hospital complicated cases of measles. |
9ffb8407-e52b-48fb-a0f6-27ef4307e8fb | It is distressing to find how hard popular prejudice is dying, and the expression "it is only measles" is one of the tragedies of today. The trouble is that the child with measles wants the best nursing in order to prevent complications arising, because, for instance, when broncho-pneumonia supervening upon measles becomes serious, expert nursing is often too late. 18 It is undesirable that ordinary health visiting staff should go into homes to play any part in the personal nursing of cases of measles, but you might wish to explore-the possibility of domiciliary visits being paid by members of the staff of the Barking Hospital, whose visits would not only be for investigation and report, but would also include such nursing as could be undertaken on the district, having regard to all the circumstances of each particular case. 6. BIRTHS. |
064d6b90-435a-4836-8612-8c742ab85136 | The net number of births registered in 1936 was 1,195, affording an annual birth rate of 15.72 per 1,000 population, compared with 16.9 in 1935, 17.4 in 1934, 17.4 in 1933, 18.3 in 1932, 18.3 in 1931, 17.8 in 1930, 18.7 in 1929 and 19.7 in 1928. Of all births, 20 were illegitimate, giving a percentage of 1.67 of the total births. Notification of Births Acts, 1907-1915.βDuring 1936 there were 1,183 live births notified, excluding 2 cases transferred from the district. In addition, notifications of still-births belonging to the district totalled 32. |
9b1b16a4-e22c-467e-ba65-895cf6ee56aa | Seventeen live births and 2 still-births were not notified, and these cases are not included in the totals of notified births given above. 7. SOCIAL CONDITIONS. (a) Industries.βSome of the chief industries carried on in the area are as follows:β The production of electricity, gas, benzole, naphtha and zinc oxide. The manufacture of asbestos goods, joinery, ice-cream, letter files, mineral waters, marine lights, disinfectants, printing ink, sausage skins, cabinets and furniture, nautical instruments, paint, iron goods, tin boxes, lifebelts, * rubber goods, wireless equipment and batteries, matches, soap, chemical manure, wood-paving and concrete paving and food products. The storage of petrol, oil, fuel and timber. Electrical welding, structural engineering and joinery works. The population of Barking is almost entirely industrial. Barking is a dormitory. |
bac46225-3128-4e94-912b-6548799b01a5 | 19 (b) Unemployment.βThe following table is compiled from information kindly supplied by the Manager of the Ministry of Labour Employment Exchange, Barking Copy of comparative statement of local unemployed by industries, as at December, 1935 and December, 1936:β Dec. 1935. Dec. 1936. Men. Women. Men. Women. Food 11 β 5 1 Electrical and Wireless 10 β 7 β Building Trade and Painters 234 1 117 β Works of Construction 56 β 19 β Engineering 39 2 8 1 Domestic 16 36 16 28 Rubber Workers 25 17 14 11 Commercial 8 5 4 2 Road and Water Transport and Seagoing 77 β 56 β Clothing 14 22 10 19 Distributive Trades 32 17 21 17 Government and Professional 2 β 1 β Tin Box Manufacture 4 10 3 9 Matches 10 |
03092d79-af68-4574-9949-51bbaa0ebe46 | 4 8 1 Chemicals 15 7 12 6 Printing 7 2 6 1 Asbestos - 4 4 2 2 Woodworking and French Polishing 9 β 11 β Agriculture β β 2 21* General Labourers and Factory Hands 915 134 769 107 Mineral Water Manufacture β 8 β 7 Clerical 14 13 6 4 Leather Trades 5 2 3 1 Other Workers 59 17 47 18 1,566 301 1,147 256 * Agricultural workers were unregistered in 1935. Members of the Council have always been interested in any evidence, statistical or otherwise, that unemployment has exercised any significant influence on the health or physique of children and adults. There is no such statistical evidence available in Barking. |
e8215c81-2ebc-4141-9099-44096b12d7ea | I am of the opinion that nutrition in this Country is better now than it has been for centuries, but I am by no means satisfied with the level we have achieved. I am concerned with our ignorance of the whole problem of nutrition, and as I have said elsewhere the subject is so important that those who are doing routine work this connection must be reinforced by such numbers that some can undertake actual research work. A matter which is causing me a little anxiety is the number of cases of Barking women who come to my notice, in whose blood the amount of red colouring matter is significantly below what it ought to be. 20 Your officers who are interested in ante-natal work, and particularly your Pathologist, are giving attention to this matter, and I do hope that we shall be able to put certain suggestions before you, but work of this nature takes time. |
864a90b9-21bd-4433-b666-9a2fbddb2c9b | Administratively, I must still flog the obvious point which from year to year I put before you, which is that the nutrition of people who are unemployed, and their dependants, must be properly co-ordinated. At the present time we have in Barking the Public Assistance Committee, the Maternity and Child Welfare Committee, the Education Committee, the Tuberculosis After-Care Committee and several voluntary agencies who in their own way are doing something to improve the common standard of diet of people who are in this way, or in that, necessitous. Nutrition, it is my submission, is one of the most serious, if not the most serious of all problems. It is even more important than housing, and I do submit that it is so serious that it should be tackled by one body, and should not be a sideline of four or five separate bodies. (c) Housing.βElsewhere in this Report I am showing that during the year six Compulsory Purchase Orders were confirmed, involving 163 houses and 828 persons. |
43af51fb-2d4e-487c-abf6-e551d416a2cd | This means that we have completed our Housing Programme for the period 19331938, save only for a modest number of houses, i.e., under 50. In turn this means you have improved the whole standard of housing in Barking, and because you are allowed to take into account the general level of housing in the area, it must mean that in any of your schemes from 1938 onwards, you can have, and you will have a different sense of values than obtained in the past. Nevertheless, may I make it clear that, however good it is to pull down the old properties which have outlived their usefulness, it is a far better thing to plan a new town where people can live under conditions in which they can maintain their efficiency and their health. |
3a8eab3b-1031-45de-8dc7-35eb5103d595 | So far as housing is concerned, I know of no one factor which takes pride of place over the necessity of having a population properly spaced, and I am persuaded that 60 persons per acre is not the ideal at which we should aimβit is an obvious standard which we should always attain. (d) Travelling Facilities.βWhat I have said about housing refers, of course, very aptly to those houses on wheels which we call trains. I think we should look upon trains as houses upon wheels, because then overcrowding in trains would be recognised as the undoubted nuisance it is. It is intolerable that our standards in travelling facilities have lagged 100 years behind our standards in housing, in schools, in factories, in cinemas and other places where men and women are wont to congregate together. Those who are jointly responsible for the present conditions of passenger traffic serving Barking live in a bygone age. |
ebf0c430-e178-49ec-bc8d-472dd1aa6a2d | 21 (e) Malnutrition.βI have commented upon nutrition, and I would like here to deal with one or two subsidiary points in regard to malnutrition. Firstly, I would wish to point out that although lack of food may certainly be the chief cause in some cases, it is not the only cause from which malnutrition arises. An unbalanced diet is quite capable of bringing about malnutrition, and, of course, there are some people who by reason of some physical peculiarity are unable to assimilate all the constituents of a proper diet. Secondly, I would point out that lack of sleep is also a cause of malnutrition. It is during sleep that growth and repair take place, in contrast to the daytime when energy is being expended at the maximum rate. In this connection noise nuisances cannot be over-estimated. |
dcdbb0cf-3826-4858-aeb1-5c44dae1a379 | Wireless sets can cheat many children of their proper sleep, and the more children there are who are out of bed when they should be in bed and the more the streets are turned into playgrounds, so will the quality of the sleep of those who do go to bed early be impaired. Although you have done a considerable amount to promote the consumption of milk in Barking, I refer, of course, chiefly to the distribution of milk through your Maternity and Child Welfare Scheme and to the Education Committee who arrange for the distribution of milk in the schools, there is not nearly enough milk consumed in Barking. I would like to see the amount at least doubled. Fresh vegetables too should be more easily available and should be fresher than they are in Barking. It is surprising to find that peas which are picked just a few miles out of Barking are taken all the way to the London markets, and then brought all the way back to Barking, and no doubt this happens with other vegetables too. |
ae8de2c1-2540-4c82-a683-1849f94d9cf6 | Everybody knows that vegetables which have been recently picked and carefully handled are altogether different in taste from those which have undergone such a journey. It would be to the good if in this way or in that, probably by joint action with other authorities, a wholesale market for perishable commodities could be built somewhere near Barking. Our statistics in regard to malnutrition only deal with school-children and are as follows:β Of 6,242 children examined by routine at school medical inspection, 9 were found to be suffering from malnutrition, 164 were found to have slightly sub-normal nutrition, 4,087 normal nutrition, and 1,982 with excellent nutrition. 23 SECTION B. GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. 1. GENERAL HEALTH SERVICES. (a) Laboratory Facilities.βThe following table shows the routine work which has been carried out by arrangement with the Essex County Council at the Counties' Public Health Laboratories, situated in Queen Victoria Street, London, E.C.4:- ]Specimen. Number examined. |
c972618a-d33b-4d8d-b890-0739d670cc67 | Diphtheria 2,082 Sputa 230 Typhoid 29 Milk 78 Water 7 General 163 Total 2,589 In addition to the above, 11 biological tests were carried out to test the virulence or otherwise of germs of the diphtheria group. In another section of the Report mention is made of similar biological work carried out in respect of the presence of tubercle baccilli in milk. The laboratory facilities which have been available in previous years have been available throughout the year under review, and in some cases these have been extended by agreement between the County Council and those who undertake this work for the County Council. There has, however, been a very real need for several years past for a local pathological unit and in the autumn of 1935 a beginning was made towards this end. |
7907964c-5265-40c4-a8bc-43cbfb94b01a | There have been many local units set up in Public Health Departments which have never functioned efficiently, and so in order that we should start in the proper way, I steadfastly set my face against any unsatisfactory measures. 4 24 After consultations with colleagues, who are learned in this work, we made certain recommendations to you, as a result of which Dr. E. A. Straker, a research pathologist at the London School of Hygiene and Tropical Medicine, was appointed to a part-time post to look after this work and to co-ordinate it with the rest of the work of the Department. Dr. E. M. Hill, who obtained a degree in BioChemistry and who holds a Diploma in Bacteriology, was appointed by you as a Scientist in the laboratory. Dr. |
1fdff5d8-e111-4847-8d22-90d2dcd5ae2b | Hill obtained her training in bacteriology at the London School of Hygiene and Tropical Medicine, and in addition, you appointed a laboratory attendant, who again prior to coming to you had been on the staff at the London School of Hygiene and Tropical Medicine. I would like, personally, to thank Professor Topley, who outlined to me suggestions on which to found a pathological unit on a sound basis. I wish to thank him, not only for his helpful advice, but also for the ready way in which he put me in touch with people personally known to him, who could fill the various roles his own suggestions required. Although we have started a Pathological Unit in a very small way, it has been established with the traditions of a great School behind it. This means that we have, not only its traditions, but also its associations, and I hope our associations with the London School of Hygiene and Tropical Medicine will remain as they are today. |
3423cf22-b6a9-4c1b-aee1-691821282587 | The work which is undertaken at the laboratory is work which cannot be so efficiently and so expeditiously undertaken under the County's Scheme, but in addition to this the pathological unit is responsible for seeing that we use the County's Scheme to the greatest advantage. I look upon this development as one of the most important you have undertaken for many years. There is a tendency for much of the medical work undertaken in a medical department to become routine, and the establishment of such an essentially scientific section in the Department must keep myself and other members of the Staff much more in contact with the scientific side of medicine than we should otherwise be. (b) Ambulance Facilities.βThere are now no less than four ambulances in Barking. Two ambulances are for general and accident cases; another is used only for cases of infectious diseases and the fourth is the old infectious disease ambulance which is kept for the conveyance of bedding, but which can in an emergency be used as a standby ambulance. |
fe8deb8f-899b-4af1-854d-f059c017f2ff | 25 Arrangements are made for one or two attendants on each ambulance as occasion requires, and in other than ordinary cases, where a medical attendant so advises, nurses from the Hospital may be employed. Needless to say, it is the routine practice for a nurse or nurses to be employed on the infectious diseases ambulance. There are reciprocal agreements with adjoining Local Authorities, and the whole ambulance service has attained considerable efficiency. (c) Hospitals (Public and Voluntary).βThere are no voluntary hospitals in Barking. There are two public hospitals in Barkingβthe Barking Hospital and Upney Hospital. The Barking Hospital is reserved for the treatment of cases of infection and this term is generously interpreted. The Barking Hospital has 108 beds, of which 36 are in cubicle blocks and 2 are separate side wards. The Barking Hospital was first opened in 1933. |
306d87eb-82a7-4ea4-8a3a-5ab6e8e62e8c | There is now a Resident Medical Officer, who also does a certain amount of clinical work in your out-patient departments at your various clinics. . The Upney Maternity Pavilion has 24 beds of which 8 are cubicles. One of these cubicles is situated at the distant end of the reception wing and can be and is completely isolated. The Admission Wing has been kept away from the rest of the pavilion, and we can say that so far as is practicable every care is taken to see that people admitted to the nursing wards are not suffering from coughs, colds, influenza, etc., which they are likely to communicate to the other patients. Including the sister who is in charge of the Pavilion, there are three sisters. The number of midwives varies from time to time but on the average there are three on the staff. There art; also probationers, but the professional nursing work is carried out entirely by sisters and midwives, all of whom, of course, are qualified. |
8b0ff042-43a7-4ffd-b0e5-be6ac95d392e | At this Hospital too there is a Resident Medical Officer, under whose supervision gas can be administered in suitable cases. It is fortunate you have this Hospital, so wonderfully planned, so efficiently equipped and so adequately staffed. It will form a convenient nucleus in the future for midwifery in Barking. This is particularly important in view of recent legislation which is coming into operation in about the middle of 1937. 26 Although not situated in Barking, there are many voluntary hospitals catering for the needs of the people of Barking. A sum of money is set aside by you each year for distribution among these hospitals. |
c57214ea-300c-4193-8cc2-4c6861e8b282 | The following table shows the amount of money which has been contributed to each hospital, and represents roughly the use to which they are put by the people of Barking:β Β£ City of London Hospital for Diseases of the Heart and Lungs 12 East Ham Memorial Hospital 38 King George Hospital, Ilford 55 Princess Elizabeth of York Hospital for Children, Shadwell 8 Queen Mary's Hospital, Stratford 35 St. Mary's Hospital, Plaistow 11 Hospital for Sick Children, Great Ormond Street 3 Poplar Hospital 20 London Hospital 68 Total Β£250 The County Hospital is at Romford. Further County hospital accommodation is being provided. The Brookfield OrthopΓ¦dic Hospital, near Woodford, in which you have been personally interested and which has received the greater number of your orthopΓ¦dic cases requiring hospital treatment, has, during the year, been taken over by the Essex County Council. |
956ca69e-c6f8-4b18-ab4c-019512a4ea10 | The County Council are, I think, making alternative accommodation in the near future which will replace the old Brookfield Hospital. The Brookfield Hospital has served a wonderful purpose, and though the time may have come for it to be replaced, it does not in the least detract from its honourable history. (d) Clinics and Treatment Centres.βDuring the year the Central Clinic and the Woodward Clinic, whilst pre-eminently fulfilling the purpose for which they were erected, have been so overcrowded (and this relates especially to the Woodward Clinic) that you have been seriously considering the erection of a further clinic, following the general plan of those already in existence. If this clinic was erectcd in the Northern portion of the Becontree Estate in Barking, overcrowding at the Woodward Clinic would probably cease, and people living in this part of the Estate would be very much better served than heretofore. 27-2 8 TABLE 1. |
71fe1ebb-a2ea-4edd-a35b-6a97e4c502dd | HOSPITAL SERVICES, public or voluntary, within or without the District, which are used by the inhabitants of the Borough of Barking. Name of Hospital. Situation. Purpose. Number of beds available. Other beds available. Total. Management. Men Women Children Controlled by the Council of the Borough of Bar/ringβ Upney (Maternity) Hospital Upney Lane, Barking, Essex Maternity β 23 β One Isolation Cubicle 24 Borough of Barking Barking (Isolation) Hospital Upney Lane, Barking, Essex Isolation of general infectious diseases (excluding smallpox) β 108 β ... ... ... ... ... ... 108 Borough of Barking Not controlled by the Council of the Borough of Barkingβ Brentwood Mental Hospital Brentwood, Essex Mental 853 1155 β ... ... ... ... ... ... 2008 Essex C.C. and Colchester B.C. Brookfield Orthopaedic Hospital Hale End, Woodford Green, Essex. |
b4b26361-d561-4d7a-b664-4a49213a1730 | Orthopaedic β 30 ... ... ... ... ... ... 30 Essex County Council City of London Hospital for Diseases of Heart and Lungs (London Chest Hospital) Victoria Park, E.2 Heart and Lung Diseases 89 91 8 ... ... ... ... ... ... 188 Voluntary City of London Maternity Hospital 102, City Road, E.C.1 Maternity β 79 β ... ... ... ... ... ... 79 Voluntary East Ham Memorial Hospital Shrewsbury Road, E.7 General Medical and General Surgical 40 40 20 ... ... ... ... ... ... 100 Voluntary Golden Square Throat, Nose and Ear Hospital Golden Square, Piccadilly Circus, W.1 Ear, Nose and Throat 37 32 12 20 Single Rooms (unassigned) 101 Voluntary Guy's Hospital London Bridge, S.E.1 General Medical and General Surgical, etc. |
baa25128-a1d7-4426-b9c1-40286f1856b6 | 264 292 59 76 Private Beds (unassigned) 691 Voluntary Hospital for Sick Children Great Ormond Street, W.C.1 General Medical and General Surgical and Isolation (Children only) β β 257 115 at the Country Branch Hospital, Tadworth Court, for continuation of treatment and for convalescence. 372 Voluntary King George Hospital Eastern Avenue, Ilford, Essex General Medical and General Surgical 66 88 32 Private block of 21 beds (unassigned) 207 Voluntary London Hospital Whitechapel Road, E.1 General Medical and General Surgical 357 408 84 ... ... ... ... ... ... 849 Voluntary London Lock Hospital and Home 283, Harrow Road, W.9 Venereal Diseases 10 49 15 ... ... ... ... ... ... 74 Voluntary London Skin Hospital 40, Eitzroy Square, W.1 Skin. |
467ceb2f-4e81-45fd-bfac-2e84dc1d54ef | (No in-patients) β β ... ... ... ... ... ... β Voluntary Oldchurch Hospital Oldchurch Road, Romford, Essex General Medical, General Surgical, Children, Maternity, Tuberculosis, Chronic Sick, Mental and Orthopaedic 300 334 260 34 Isolation and Observation Beds (unassigned) 928 Essex County Council Poplar Hospital for Accidents East India Dock Road, E.14 General Medical and General Surgical 51 39 27 6 Private Wards (unassigned) 123 Voluntary Princess Elizabeth of York Hospital for Children Glamis Road, Shadwell, E.1 Children β β 135 ... ... ... ... ... ... 135 Voluntary Queen's Hospital for Children Hackney Road, Bethnal Green, E.2 Children β β 160 ... ... ... ... ... ... 160 Voluntary Queen Mary's Hospital for the East End Stratford, E. |
fa47cac2-741b-48d7-99ae-a980e3e6541f | 15 General Medical and Surgical, Children, Maternity 58 108 46 ... ... ... ... ... ... 212 Voluntary Royal London Ophthalmic Hospital (Moorfields Eye Hospital) City Road, E.C.1 Ophthalmic 84 65 21 30 Private Rooms (unassigned) 200 Voluntary Royal National Orthopaedic Hospital Brockley Hill, Stanmore, Middlesex Orthopaedic 10 23 284 ... ... ... ... ... ... 317 Voluntary St. Bartholomew's Hospital Smithfield, E.C.1 General Medical and Surgical, Children, Maternity, etc., Ophthalmic, Orthopaedic, Ear, Nose and Throat, and Septic, etc. 270 342 71 26 beds (unassigned) 709 Voluntary St. Mary's Hospital fur Women and Children Upper Road, Plaistow, E.13 General Medical and General Surgical, Children, etc. |
3439d40b-788c-49db-b2f1-f33e8b6809e2 | β 27 44 ... ... ... ... ... ... 71 Voluntary Severalls Mental Hospital Mile End, Colchester Mental 857 1309 β ... ... ... ... ... ... 2166 Essex C.C. and Colchester B C. Westminster Hospital Broad Sanctuary, Westminster. S.W.1 General Medical and General Surgical, Maternity, Ear, Nose and Throat, etc. 86 120 13 38 beds for observation and isolation, etc. (unassigned) 257 Voluntary In addition to the above institution, there are a number of sanatoria to which tuberculous persons resident in Barking are admitted at the instance of the Essex County Council, under their scheme for the treatment of tuberculous. 29β30 TABLE II. HOSPITAL SERVICES, showing the number of beds for each. purpose, and other facilities available. Name of Hospital. Number of beds for the following purposes Total Other facilities available Arrangements for pathological work Accident Chest (nontub.) |
daa2565b-31d0-48f7-a0d1-97c3f7f48032 | & Heart | Children Chronic Sick Dental Dermatological Ear, Nose & Throat General Medical General Surgical Grnito-urinnry Gynaecological Infectious Diseases Isolation & Observation Maternity Mental Neurological Ophthalmic Orthopaedic Radium Septic Tuberculosis Venereal Diseases Unassigned Controlled by the Council of the Borough of Barking. 1β Upney (Maternity) Hospital β β β β β β β β β β β β 1 23 β β β β β β β β β 24 Operative surgery, Dental, Nursing of Puerperal Fever and Pyrexia. Carried out at the Counties' Laboratory, Queen Victoria Street, E.C.4, and at own tory. 2β Barking (Isolation) Hospital β β β β β β β β β β β 108 β β β β β β β β β β β 108 Operative surgery, Dental. |
a55ff8df-2532-428f-b18b-f40c1c228b7d | Ear, Nose and Throat, Orthopaedic, nity, Puerperal Fever and Pyrexia, Ophthalmia Nconatorum. Not controlled by the Council of the Borough of Barking. 3 Brentwood Mental Hospital β β β β β β β β β β β β β β 2008 β β β β β β β β 2008 All specialised treatment available. Own Laboratory 4 Brookfield OrthopΓ¦dic β β β β β β β β β β β β β β β β β 30 β β β β β 30 Operative Surgery, Ultra-violet light, Dental, Massage, X-rays, Ophthalmic. Carried out at the Counties' tory, Queen Victoria Street, E.C.4. |
53d692e8-63d2-4f7c-91fc-6a7e814347e5 | 5 City of London Hospital for Diseases of Heart and Lungs (London Chest Hospital) β 82 β β β β β β β β β β β β β β β β β β 106 β β 188 Operative surgery, X-rays, Ultra-violet light, Denial, Massage, Ear, Nose and Throat, Radium. Own Laboratory. 6 City of London Maternity Hospital β β β β β β β β β β β β β 79 β β β β β β β β β 79 Operative Surgery, Dental, Nursing of Puerperal Fever and Pyrexia. Own Pathologist. 7 East Ham Memorial β β β β β 3 4 37 33 β 8 β β β β β 4 4 β β β β 4 100 Operative surgery, X-rays, Ultra-violet light, Dental, Electrical, Massage. Own Laboratory. |
f8bb67f4-0e6c-4c34-9f44-4c213cbb1c2e | 8 Golden Square Throat, Nose and Ear β β β β β β 101 β β β β β β β β β β β β β β β β 101 Operative surgery, X-rays, Ultra-violet light, Dental, Ophthalmic, Radium. Carried out by a logist outside the Institution. 9 Guy's 36 β 14 β 4 6 33 179 147 11 20 9 5 50 4 9 24 19 8 22 β 9 82 691 All specialised treatment available. Own Laboratory. 10 Hospital for Sick Children β β β β β β 18 101 119 β β β 12 β β β β β β β β 7 β 257 All specialised treatment available. Own Laboratory. |
cdd24c1f-4868-43f9-a11c-76cc049b5ad1 | 11 King George Hospital 6 β 32 β β β 6 54 72 β 13 β β β β β 3 β β β β β 21 207 Operative surgery, X-rays, Dental (as easualty), Ophthalmic, Massage, Ear, Nose and Throat, Gynaecological, Neurological, Dermatological. Own Laboratory. 12 London Hospital β 15 84 β β 13 26 234 301 β 33 37 7 31 β β 23 β β β β β 45 849 All specialised treatment available. Own Laboratory. 13 London Lock Hospital β β β β β β β β β β β β β β β β β β β β β 74 β 74 Operative surgery, Ultra-violet light, Dental, Ophthalmic, Massage, Ophthalmia Neonatorum. Own Laboratory. |
bf6125d0-5966-46e7-a253-15f3106280e9 | 14 London Skin Hospital β β β β β β β β β β β β β β β β β β β β β β β β Skin diseases only. (No in-patients.) Ultra-violet light, X-rays, etc. Own Laboratory. 15 Oldchurch Hospital β β β β β β β 400 460 β β β 34 β β β β β β β 34 β β 928 All specialised treatment available with the exception of Ophthalmic and Radium. Carried out at the Counties tory, E.C.4. 16 Poplar Hospital for Accidents β β β β β β β 34 73 β 5 β 1 β β β β β β β β β 10 123 Operative surgery, X-rays, Ultra-violet light, Dental, Massage, Radium by arrangement with the London Hospital. Own Laboratory. 17 Princess Elizabeth of York. |
fecf8518-5191-4eac-bdbe-9c9c59c58318 | Hospital for Children β β 135 β β β β β β β β β β β β β β β β β β β β 135 All specialised treatment available. Own Laboratory. 18 Queen's Hospital for Children β β β β β 6 14 92 24 β β β β β β β 6 18 β β β β β 160 All specialised treatment available with the exception of Radium. Own Laboratory. 19 Queen's Mary's Hospital for the East End β β β β β β 3 68 72 5 4 β β 50 β β 6 4 β β β β β 212 All specialised treatment available. Own Laboratory. 20 Royal London Ophthalmic (Moorfields Eye Hospital) β β β β β β β β β β β β β β β β 200 β β β β β β 200 All specialised treatment available with the exception of Operative surgery, Massage and Radium. Own Laboratory. |
4cc7a1a9-f3bc-417f-b4d2-cf76f2704c8f | 21 Royal National OrthopΓ¦dic β β β β β β β β β β β β β β β β β 317 β β β β β 317 Operative surgery, X-rays, Ultra-violet light, Massage. Carried out by a logist outside the Institution. 22 St. Bartholomew's Hospital β β β β β 6 20 264 250 β 44 β β 17 β β 22 20 β 55 β β 11 709 All specialised treatment available. Own Laboratory. 23 St. Mary's Hospital for Women & Children 5 β 16 β β β 2 13 23 β 8 β β β β β 4 β β β β β β 71 Operative surgery, X-rays, Ultra-violet light, Dental, Massage, Ear, Nose and Throat, Orthopaedic. Part-time Pathologist in conjunction with other Hospitals. |
e5c2cbe8-683f-4d14-9c6a-0a704107db1c | 24 Severalls Mental Hospital β β β β β β β β β β β β β β 2166 β β β β β β β β 2166 Operative surgery, X-rays, Ultra-violet light, Dental, Ophthalmic. Own Laboratory. 25 Westminster Hospital 10 β 13 β β 2 7 56 71 β 10 β 4 12 β β 6 10 22 β β β 34 257 All specialised treatment available. Own Laboratories. In the case of Hospitals under the control of the Borought of Barking:β Upney (Maternity) Hospital Barking (Isolation) Hospital Number and classification of Medical Staff The Medical Officer of Health is also the Medical Supt. In addition there is a Resident Medical Officer at each Hospital. |
cd3c2109-70fa-49e3-a5ff-384762a8438b | Number and classification of Nursing Staff: Matron β 1 Sisters 3 7 Assistant Nurses β 8 Midwives 3 β Probationer Nurses 4 17 Arrangements for the employment of consultants A Consultant Staff is available. In addition to the above Institutions, there are a number of Sanatoria to which tuberculous persons resident are admitted at the instance of the Essex County Council, under their scheme for the treatment of tuberculosis. 33β34 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. . Nature of Accommodation. By Whom Provided. School Medical Service. (a) Inspection Clinics and Treatment of Minor Ailments:β Central Clinic, Vicarage Drive, Ripple Road Daily, 8.30 a.m. Modern clinic premises with inspection, waiting and treatment rooms, etc. Local Authority. Woodward Clinic, Woodward Road do. do. do. |
f4e5dcc7-93fa-456b-aaf9-039042af9bf5 | (b) Ophthalmic Clinic:β Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Fridays, 10 a.m. Modern clinic premises do. Woodward Clinic, Woodward Road Thursdays, 2 p.m. do. do. (c) Dental Clinics:β Central Clinic, Vicarage Drive, Ripple Road Daily, 9 a.m. and 2 p.m. Modern clinic premises with waiting and treatment rooms, etc. do. Woodward Clinic, Woodward Road do. do. do. East Street Clinic do. Waiting and treatment rooms do. (d) Orthopedic Clinic:β (i) Specialist's Clinic, Faircross School First Thursday in each month, 9 a.m. One room do. (ii) Remedial Exercises Clinic, Ultra Violet Light Therapy, etc., Faircross School Daily, 9 a.m. and 2 p.m. do. do. 3. |
60279059-3387-46bf-b5b8-7f7b779edac0 | Immunisation Clinic (Diphtheria, Scarlet Fever and Whooping Cough):β Central Clinic, Vicarage Drive, Ripple Road Mondays, 10.30 a.m. Modern clinic premises with waiting and treatment rooms. Local Authority. Tuberculosis 37, Linton Road Mondays, 3-5 p.m. Tuesdays, 7-8 p.m. Thursdays, 10.30 a.m.-12.30 p.m. Three rooms Essex County Council. Venereal Diseases. London hospital, etc. β β' By arrangement with Essex County Council. 31β32 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. Nature of Accommodation. By Whom Provided. l, Maternity and Child Welfare. (a) Infant Welfare Centres:β Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Fridays, 2 p.m. |
0b1e3fc1-0d09-4d26-8270-f7e6c4d7db4a | Modern clinic premises with accommodation for consultations, weighing of babies, waiting rooms, etc. Local Authority. Woodward Clinic, Woodward Road Tuesdays, Thursdays and Fridays, 2 p.m. do. do. Greatfields Centre, Movers Lane Mondays and Thursdays, 2 p.m. Accommodation for consultations, weighing of babies, waiting rooms, etc. do. Alexandra Centre, St. Paul's Road do. do. do. * Porters Avenue Centre, Porters Avenue Mondays and Wednesdays, 2 p.m. do. do. (b) Ante-Natal Clinics:β Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Wednesdays, 2 p.m., and Fridays, 10 a.m. Modern clinic premises with accommodation for consultations, etc. do. Woodward Clinic, Woodward Road Wednesdays, 10 a.m. do. do. |
62d70e22-8756-4556-ad02-6c6666ae2ec7 | Porters Avenue Centre, Porters Avenue Thursdays, . 9.30 a.m. Accommodation for consultations, etc. do. Specialist-Consultant Clinic at Central Clinic, Vicarage Drive, Ripple Road. Third Tuesday in each month 3.30 p.m., except August and December. Modern clinic premises with accommodation for consultations, etc. do. (c) GynΓ¦cological Clinics:β Central Clinic, Vicarage Drive, Ripple Road As and when required. Modern clinic premises with accommodation for consultations, etc. do. Woodward Clinic, Woodward Road do. do. do. (d) School Nurseries:βNil Nil Nil Nil (e) Day Nurseries :βNil Nil Nil Nil * Since the end of 1936 additional Infant Welfare Clinic has been commenced at the Porters Avenue Centre and is held on Friday afternoons at 2 p.m. |
cf7c445c-359c-47f3-88a9-00d876953df6 | 35 The arrangements for treating orthopædic cases, whilst by no means unsatisfactory leave much to be desired, insofar that the classroom in which treatment is conducted is too small and has none of the amenities which are necessary for such work. The inauguration, too, of an Ear, Nose and Throat Clinic will mean the erection of suitable accommodation. It is my submission that these special services, together with Orthoptics, i.e., the correction of squint, all require the establishment of a central out-patient department where they can be carried on under satisfactory conditions. In writing on Clinics and Treatment Centres, I am asked to include clinics solely for diagnosis or consultation. The work in Barking is so intimately co-ordinated that it is difficult to say that any certain clinic is set aside for consultation or diagnosis, but, of course, the Maternity and Child Welfare Clinics are essentially for diagnosis, consultation and helpful advice, rather than for treatment. |
4b5ecfcc-762b-42b6-becf-bb7fab034180 | Other clinics also, it may be said, are held for diagnosis and consultation. Thus we have a Consultative Obstetrical and Gynaecological Clinic where Mr. J. V. O'Sullivan visits, and a Consultative Orthopaedic Clinic where Mr. B. Whitchurch Howell attends. (e) Nursing in the Howe.βNursing is still a pressing problem in Barking. The East Barking District Nursing Association has had an uphill fight, and I am happy to record that a further measure of success has been achieved. It is still difficult at times to obtain sufficient funds to carry on all the work the Association would like to undertake, but it is pleasing to record that the Association have succeeded in augmenting their nursing staff, so that two full-time nurses are now employed as against only one nurse in the year 1935. |
a27e5707-3b15-4164-8d84-90a397be14ce | During the year the Council decided to make a donation of Β£100 per annum to this body and the Executive committee of the Association have expressed their grateful thanks for the Council's decision. I myself am of the opinion that if the district is to be served adequately it would warrant the appointment of four nurses. The Plaistow Maternity Hospital and District Nurses' Home have still continued to undertake their work, as they have done in the past, in Barking. This work however is not self-supporting and I hope that notwithstanding this the work will be continued. 36 2. MATERNITY AND CHILD WELFARE SERVICES. The work in connection with Maternity and Child Welfare is carried on under powers given in the following Acts:β Notification of Births Act, 1907. Notification of Births (Extension) Act, 1915. Maternity and Child Welfare Act, 1918. |
ed97ba00-9788-4ccb-befd-6ea9408e5226 | Part I of the Children Act, 1908, as amended by Part V of the Children and Young Persons Act, 1932. Midwives Acts 1902β1936. Maternity and Child Welfare work has been carried on in Barking these many years. It began in quite a small way and it has grown to the proportions outlined in this Report. It is with regret that I have to record that Miss G. Elliott resigned her appointment during the year as Health Visitor, and Mrs. W. Walton has also decided to terminate her engagement in this capacity. Both these officers have given many years satisfactory service. The Maternity and Child Welfare Clinics are held at the Alexandra, Central, Greatfields, Porters Avenue (Methodist Church) and Woodward Centres. (a) Ante-Natal Supervision.βAnte Natal Clinics are held at three centresβ three sessions weekly at the Central Clinic, and one session weekly at the Woodward and Porters Avenue Clinics. |
4de0452e-ada7-42f3-b95d-fc9da7833b28 | The following table shows the work carried out at these clinics during the year:β Central Clinic. Woodward Clinic. No. of Sessions. First attendances. Reattend ances. Total attendances. No. of Sessions. First attendances. Re- attendances. Total attendances. 144 370 2022 2392 53 206 951 1157 Alexandra Clinic. Porters Avenue Clinic. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. 9 11 59 70 53 129 773 902 37 Total First Attendances 716 β Re-Attendances 3,805 β Attendances 4,521* β Sessions 259 * In addition there were 53 Post-Natal, and 101 GynΓ¦cological Attendances. |
d06e3390-883b-42ef-ad2f-33e9401fe552 | It is by no means unsatisfactory that out of about 1,200 births, somewhat over 700 women attended at your Ante-Natal centres, but in the absence of evidence that the remaining 500 cases were under adequate supervision, the figure of 716 first attendances must be regarded as one on which to improve. It is, however, satisfying to note that a large number of the women who avail themselves of the facilities offered at ante-natal clinics are approaching their first confinement, and that these women on the whole attend regularly. Details of the milk and meals supplied to expectant mothers are given on pages 45β47. |
afd35b28-addb-490b-b2cb-279c3bcdafe5 | (b) Still-births.βOn examining the records of cases of still-births occurring during the past year, an analysis of the causes to which the death of the baby is attributed by the mother or which have been found during the computation of records may be made as in the table given below:β Maternal toxaemia 3 Baby died before labour 4 Baby died during labour 3 (1 premature) Ante-partum hΓ¦morrhage 3 Shock and worry 1 Difficult labour 6 Cord round neck 1 B.B.A. 2 Unknown 9 Death of the baby before or during labour took place in just over one-quarter of the cases, when apparently there was no difficulty in the labour. The babies born to mothers suffering from toxaemia are usually weaker and less able to withstand the stress of labour than those whose mothers are in good health. Some of these toxΓ¦mic infants die in the womb before labour starts. |
ca04525a-ed92-4745-b754-fe860f1e585d | Ante-partum hΓ¦morrhage in some cases is also attributable to maternal toxaemia. Careful and frequent ante-natal supervision, with treatment where necessary, will enable the cases of still-birth due to toxaemia and difficult labour to be minimised, and it is noteworthy that many of the cases instanced in the table above had not received regular ante-natal supervision. (c) Midwifery.βThe Council became the Local Supervising Authority for Midwives as from the 1st April, 1935. |
add34573-03a9-41b8-9570-5c7fdc6a8203 | 38 Thirty-seven midwives notified the Local Supervising Authority of their intention to practise within the Borough during the period 1st January, 1036 to the 31st December, 1936, and the number who were engaged in practice in the Borough at the end of the year was as follows :β At Upney Hospital 6 At the District Nurses' Home of the Plaistow Maternity Hospital 2 In private practice 14 The number of visits of inspection paid by the Inspector of Midwives was 63. The following is a summary of notifications received from midwives :β Medical Help 277 Deaths of Mother or Child 8 Laying out the Dead 4 Still-births 15 Liability to be a source of Infection 13 Artificial Feeding 6 323* * Of these, 124 notifications were received from the Upney Maternity Hospital. |
06064b66-8706-49fc-b7f3-d1893792299e | The following is a summary of the 277 cases in which medical help was sought:β Mother :β AnΓ¦sthetic 25 HfemorrhageβAntepartum 10 Post-partum 2 Malpresentations 8 Miscarriage 3 Prolonged labour 36 Rise of temperature 9 Retained placenta 4 Ruptured perineum 77 Small pelvis 2 Uterine inertia 3 Miscellaneous causes 31 210 39 Child :β Bronchitis 2 Convulsions 1 Discharging eyes 32 Rash 1 Spina bifida 1 Unsatisfactory condition of infant 22 Miscellaneous causes 8 67 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 Β£300 in respect of 300 District Midwifery cases attended by their midwives, reckoned at the rate of Β£1 per case. |
0135f764-953c-4785-a771-d6e266ccef04 | The takings of the Hospital for 1936 in respect of 187 cases amounted to Β£237 4s. 6d., leaving a balance payable to the Hospital by the Council of Β£62 15s. 6d. During the year 1936 there were 1,092 maternity cases in the district. 145 of these were conducted by the Plaistow Maternity Charity, 362 of them were conducted by your own midwives at Upney Hospital, 175 were conducted by the midwives of the Salvation Army Organisation, leaving 410 which were dealt with by medical practitioners, private midwives or otherwise. (d) Upney Hospital.βThe admissions to the Maternity Home during 1936 numbered 397 of which 35 were admitted for ante-natal treatment. During the past year the daily average number of beds occupied was fourteen. The total number of bed-days was 5,211. |
a93a423f-9db3-4b5a-9525-79bb84458fa3 | (e) Post-Natal Care.βIn this connection I feel that more use should be made of the gynaecological clinics and that it should be a rule of all women to be examined say six weeks after their confinements. (f) GynΓ¦cological Clinics.βThe numbers attending these clinics show an increase, but the majority of the women who attend have been referred by a medical officer at an infant welfare clinic or have been urged to attend by a health visitor, as a result of her observations and enquiries during routine district visiting. 40 (g) Pemphigus Neonatorum.βPemphigus Neonatorum is in Barking an infectious disease within the meaning of the Infectious Disease (Notification) Act, 1889, and two such notifications were received during the year. |
2ca6b6d3-0e0a-4033-abfe-6f4335559082 | (h) Maternal Mortality.βAccording to the return of the Registrar-General there were during the year 1936, three deaths from puerperal causesβone death from puerperal sepsis and two deaths from other puerperal causes. This gives a rate of 2.44 per 1,000 total births. The following table gives you similar information for the last thirteen years :β Maternal MortalityβStatistics. Year. Barking. England and Wales Rate per 1,000 births. Deaths from Rate per 1,000 births. Puerperal Sepsis. Other Puerperal Causes. |
41256169-95bd-44a7-994a-01f68ff04da0 | 1924 1 2 3.66 *3.90 1925 β 1 1.21 *4.08 1926 β 1 1.22 *4.12 1927 2 1 4.23 *4.11 1928 β 2 2.48 4.25 1929 β 2 2.54 4.16 1930 β 3 3.72 4.22 1931 1 3 4.08 3.95 1932 β 1 0.88 4.06 1933 4 β 3.2 4.23 1934 1 4 3.82 4.41 1935 3 1 3.18 3.93 1936 1 2 2.44 3.65 Rate per thousand live birthsβfigure not available in respect of rate per thousand total births. |
22bc7267-d890-432a-8b13-f1ccbf6cc1c8 | Previously, I have pointed out how difficult it is to define the term "maternal death." The official definition is "a death due to or in consequence of childbirth," but in some cases, however, it is all but impossible to say whether the death does actually and definitely come within the terms of this definition. Because the term is so difficult to define in practice, it is impracticablc to compare the figures of today with the figures of 25 and 100 years ago, and it is equally difficult to compare the figures of one part of the Country with another part of the Country. The figures I have given are those of the Registrar-General. 41 You are making determined efforts to reduce maternal mortality in Barking, and I am happy to be able to tell you that of the total number of births last year, namely 1,227, a total of 716 mothers attended your ante-natal clinics during the year. This total represents roughly sixty per cent, of the total births. |
73860395-b405-4b5e-b3de-483515979d46 | We ourselves are looking to the problem of nutrition to explain some of the complications of pregnancy and childbirth. It seems positive that sepsis after childbirth is related amongst other things to some error in diet. Therefore, if only the diet is right the patient may in some cases reasonably resist, without hurt, the invasion of germs which takes place. Of course, nothing which I have said about nutrition is applicable where there is a massive invasion of germs which will overcome the resistance of anyone. All eases where any abnormality arises or is anticipated are referred to the Consultant Ante-Natal Clinic, where they are under the care of Mr. J. V. O'Sullivan. Mr. O'Sullivan also sees certain cases when complications arise during or after the confinement, and both his services and hospital beds are available for cases delivered at home, when such specialist treatment is required. (i) Ophthalmia Neonatorum.βDuring the year ten cases of Ophthalmia Neonatorum were notified. |
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