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33b9e3d2-3a47-4b61-94eb-4183629d7648 | 132 notifications were received of all forms of Tuberculosisβ pulmonary 107 and non-pulmonary 27 and there were 9 deaths of un-notified cases (4 pulmonary and 5 non-pulmonary), making a total of 141 new cases during the year. Information has been received of the removal into the district of 50 tuberculous persons, included in number of notifications received. This compares with 39 received during 1935 and 26 for 1934. 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. 97 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. |
565e67d9-ee9d-4943-ad1d-bbb4a53116f6 | 57 33 4 10 34 16 7 10 Forty-four deaths occurred from Tuberculosis (all forms) thirty-seven of these being pulmonary cases. The number of deaths in institutions was thirty-seven. The death rate for Tuberculosis (all forms) during 1936 was 0.58 per 1,000 population, compared with 0.62 for the previous year. The Public Health (Prevention of Tuberculosis) Regulations, 1925, give you power to deal with persons suffering from tuberculosis who are employed in the milk trade. There has been no need for any such action during the year under review. Section 62 of the same Act deals with the compulsory removal to hospital of persons suffering from tuberculosis. |
1d103819-c7b7-45d1-a9ab-ec62e399791c | Many years ago when the whole of the tuberculosis work in Barking was co-ordinated in my office, by virtue of the fact that in addition to being Medical Officer of Health I was District Tuberculosis Officer to the County, I found that discreet reference to the powers you had under this Act were useful in dealing with patients who might otherwise not have been so willing to enter institutions, where they would of course be segregated and harmless. With the tuberculosis work divided as it is, I am afraid this Section must largely be a dead letter. We did not avail ourselves of its powers at any time during the year. The treatment of tuberculosis requires that the Authority responsible for such treatment shall cover a very wide area. Most County Councils are too small. It is desirable to divide persons suffering from tuberculosis into surgical and medical. Then again it is desirable to divide them into children, adolescents and adults, and it is also desirable to divide them into males and females. |
797e6f12-5d1d-4723-8dd3-3e186935028d | Further, it is of advantage to be able to provide separate institutions for early, intermediate and advanced cases. 98 The desirability and necessity of these various things means that only an authority covering many millions of population could hope to provide adequate and suitable institutions. The detection of tuberculosis, however, in the Metropolitan Areas is very wisely left to the Local Authority who must have their fingers on its pulse if they are to fulfil their duty of preventing the spread of tuberculosis. I am of the opinion the time has come when representations might be made that the duties of detecting tuberculosis shall be delegated from County Councils to those Local Sanitary Authorities who are equipped to carry out this work. 27 |
9793fb9b-ef26-413f-bbfa-c15fd5d71f9e | Dr. Williams BOROUGH OF BARKING Rec'd 2 6 FEB 1945 Public Health Dept. BARK 31 BOROUGH OF BARKING REPORT OF THE Medical Officer of Health For the Year 1937 C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. # % # % f-5^ Β£/ vt 3 TABLE OF CONTENTS. Page STAFF 7-9 INTRODUCTION 11 SECTION A.βSTATISTICS AND SOCIAL CONDITIONS OF THE AREA. |
e3d7830e-a8f5-48d2-8f44-61cb6a13b062 | Age Mortality 15-16 Area 12 Births 12β14,21 Births, Notification of 21 Deaths 12β21 Deaths, Causes of (Tables) 15-18 General Statistics 12 Housing 23 Illegitimate Births12,21 Industries 22 Infant Mortality 12-14,18-19 Infant Mortality (Table) 18 Inhabited Houses 12 Inquests 17 Malnutrition 24 Mortality, Epidemics, etc. 20-21 Neo-Natal Mortality 18-19 Population. 12 Post Mortem Examinations 20 Rateable Value 12 Social Conditions 21-24 Still-births 12-14, 21 Travelling Facilities 23-24 Unemployment. 22-23 Vital Statistics 12-14 Zymotic Diseases, Deaths from 16 SECTION B.βGENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. Ambulance Facilities 26 Ante-Natal Clinics 33-34,38-39, |
c4e3e14e-deb3-4571-89c9-6709620a0568 | 55 Ante-Natal Supervision 38-39 Artificial Immunisation'35-36,48-49, 56 Artificial Sunlight Clinic 48, 58 Barking (Infectious Diseases) Hospital 26,29-32 Baths for Expectant and Nursing Mothers 55 Birth Control Service . 37,55 Children and Young Persons Act, 1932 49-50 Clinics and Treatment Centres 27-28, 33-37 Convalescent Treatment 47,55 Dental Clinics 35-36 Dental Surgeon, Report of 65 Dental Treatment 48, 55, 66 Difficult Labour, Consultations in 56 East Barking District Nursing Association 37 Eye Defects 47, 57, 59-60 Foot Clinic 37 Foster Children 49-50 Gynaecological Clinic 33-34, 44, 56 Health Visiting Staff 38 Home Helps 56 4 SECTION B.βContinued Page Home Nursing 37 Hospital Services 26-27, |
04c1cdb2-f469-4bcb-8925-3f61225fe315 | 29-32 Hospital Services, Tables of 29-32 Illegitimate Children 47 Infant Life Protection 49-50 Infant Welfare Clinics 33-34, 51-52, 56 Laboratory Facilities 25-26 Maternal Mortality 44-46 Maternity and Child Welfare Services 37-66 Maternity Homes 50,56 Medicines, Supply of 52, 57 Midwifery 40-43,56 Midwives Acts 40-43 Minor Ailments 35-36,49,57 Mothercraft Circles 54-55 Nursing Homes 50 Obstetrics and Gynaecology, Consultations in 56 Ophthalmia Neonatorum 46β47 Ophthalmic Servic 35-36,47,57, 59-60 Orthopaedic Clinics 35-36 Orthopaedic Clinic, Report of Work Done 57,61-64 Pathological Unit 25-26 Pathological Unit, |
e73dadd4-3dc0-4c9b-9033-a8a6d3b57a78 | Report of Scientist 67-70 Pemphigus Neonatorum 44 Plaistow Maternity Hospital and District Nurses Home 37,42,43 Post-Natal Care 44 Provision of Dinners 55 Provision of Dried Milk, etc. |
bfb065b7-3fd3-46bb-9c4b-a3a2985b2778 | 53-54,57 Provision of Fresh Mil 53,57 Provision of Spectacles 57 Public Hospital Services 26-27,29-32 Puerperal Fever and Puerperal Pyrexia, Consultations in 56 Salvation Army 42,43 Services Provided and Facilities for Treatment 55-58 Specialist-Consultant Ante-Natal Clinic 33-34,38,56 Specimens Submitted to Laboratory for Examination 25 Still-births 39-40 Supervision of Midwives 40-42 Tonsils and Adenoids 47, 57 Ultra Violet Light Clinic 48, 58 Upney (Maternity) Hospital 26β27,29β32,43β44,56 Visiting in the Home 53,58 Voluntary Hospital Services 26,27,29-32 X-ray Treatment for Ringworm 58 SECTION C.βSANITARY CIRCUMSTANCES OF THE AREA. Bed Bugs, |
bc7d3619-8a28-4f45-aec7-aecdbd5dcc2d | Eradication of 92 Cesspools 74 Closet Accommodation 74,78 Common Lodging Houses 83 Creeks mouth Generating Station 87-88 Dampness 78 Defects found under the Factory and Workshop Act, 1901 81 Disinfestation 92 Drainage and Sewerage 72,78 Dustbin Maintenance 79 Dwelling Houses, Inspection of 76 Earth Closets 74 Factories, Inspection of 77,80 Factory and Workshop Act, 1901 80-83 Hairdressers' and Barbers' Premises 87 Home Work 81 5 SECTION C.βContinued Page Houses Let in Lodgings 83 Infirm and Diseased Persons, |
0e51d6a7-e137-486c-9d4c-89454f3a8da0 | Removal of 85-86 Miscellaneous Sanitary Inspections 77-78 Miscellaneous Sanitary Work carried out 79 Notices Served 80 Offensive Trades 83-84 Out-workers 82-83 Parks and Open Spaces 90-91 Paving 79 Piggeries 84 Premises and Occupations controlled by Byelaws and Regulations 77, 83-84 Public Cleansing 74-75 Rag Flock Acts, 1911 and 1928 85 Rainfall 72 Rats and Mice Destruction Act, 1919 84-85 Refuse Disposal 75-76 Refuse Storage and Collection 74-75 Refuse Tips 75-76 Registered Workshops 82 Repairs, General 79 River Roding 72, 73-74 Rivers and Streams 73-74 Sanitary Inspection of the Area 76-86 Sanitary Work, Summary of 78-79 School Closure 91 Schools, Sanitary Inspection of 91 Shops Act, |
df1e1df6-3cfd-4648-a38d-ea86e1217255 | 1934 86-87 Sinks 78 Smoke Abatement, etc. 87-89 South Essex Waterworks Company Supplies 71-72 Stables 84 Street Cleansing 75 Swimming Baths and Pools 89-90 Tents, Vans and Sheds 83 Trade Refuse 75 Ultra Violet Light Radiation 91 Underground Sleeping-rooms 83 Water Sampling 71-72,73-74 Water Supply 71-72, 79 Wells 72 Workplaces, Inspection of 77,80 Workshops, Inspection of 77,80 SECTION D.βHOUSING. |
3047c4af-03f0-45fc-a66c-0402329c6dbd | Clearance Areas 96-101 Clearance Areas (Table) 99-100 Houses Built in the District, 1926-1937 94-95 Houses Erected during the Year 93 Housing Act, 1936 96-101 Housing Conditions 94-101 Housing Defects Remedied 93-94 Housing Inspections 93 Inhabited Houses, Number of 94 Overcrowding 96 Proceedings under Barking Corporation Act, Section 148 94 Proceedings under Public Health Acts 94 Proceedings under the Housing Act, 1930 94 Redevelopment 97-98 Rehousing 96 Small Dwellings Acquisition Act 95 Temporary Buildings 95 Unfit Dwelling Houses 93-94 fi SECTION E.βINSPECTION AND SUPERVISION OF FOOD. Adulteration of Food 108-109 Animals Slaughtered 104,105 Bacteriological Examination of Ice-Cream 104,100 Bacteriological Examination of Milk 103, 109 Bakehouses 106 Barking Corporation Act, |
8145a8bd-5924-40f1-81e8-46ddd1e06ba0 | 1933 104,100 Biological Examination of Milk 103,109 Bottling of Milk 104 Chemical and Bacteriological Examination of Food 103, 104, 109 Diseased Meat Condemned 105 Food and Drugs (Adulteration) Act, 1928 108-109 Food Byelaws 106-107 Food Poisoning 107-108 Food Preparing Premises, Supervision of 105-106 Graded Milk Licences Granted 104 lee-Cream 104 Meat and Other Foods 104-107 Milk (Special Designations) Order, 1936 104 Milk Supply 103-104 Nutrition 109 Prosecutions 106,107,108 Slaughter-houses 101-105 Unsound Food Destroyed 107 SECTION F.βPREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. Acute Anterior Poliomyelitis 112,113-114, |
f3619db9-7cec-46c1-98f2-3c351ec1dd53 | 117 Admissions to Barking (Isolation) Hospital (Table) 117 Artificial Immunisation 118 Barking (Isolation) Hospital 117 Cancer 118-120 Diphtheria 111, 112,113-114,115,117 Diphtheria Notifications (Monthly Summary Table) 115 Dysentery 111, 112,113-114 Enteric Fever 112,113-114,117 Erysipelas 112,113-114,117 Food Poisoning 112,113-114,117 Infectious Diseases (Tables) 112-115 Influenza 116 Malaria Fever 111,112,113-114 Measles 115,121 Measles and Pneumonia 112,113-114 Non-Notifiable Acute Infectious Diseases 115-116 Notifiable Infectious Diseases 111-115 Notifications classified according to Wards and Age Groups (Table) 113-114 Ophthalmia Neonatorum 112,113-114,117, |
74e42be7-8d59-4eb3-a008-0abe0c169d27 | 120-121 Pathological Laboratory 111 Pemphigus Neonatorum 112,113-114,117 Pneumonia 112,113-114,117 Prevention of Blindness 120-121 Puerperal Fever and Pyrexia 112,113-114,117 Rheumatic Fever 115-116 Scabies 116 Scarlet Fever 111,112,113-114,115,117 Scarlet Fever Notifications (Monthly Summary Table) 115 Smallpox 112,113-114 Summer DiarrhΕa 115 Tuberculosis 121-122 Tuberculosis, New Cases and Deaths (Table) 121 Unnotified Fatal Cases of Tuberculosis 122 Whooping Cough 115 SCHOOL MEDICAL SERVICE. Table of Contents will be found on Pages 126 and 127. 7 STAFF, 1937. |
b55c896f-8213-41cc-b7b8-3d7de1e6fed1 | 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.IIy., B.S., D.P.H. (Resigned 31st March, 1937.) J. MERVYN THOMAS, M.D., B.Sc., D.M.R.E., L.R.C.P., D.P.H. (Appointed 1st April, 1937.) Asst. Medical Officers of Health and Asst. School Medical Officers : WILLIAM HOGG, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Commenced 15th July, 1937.) |
d574d83e-55b9-40b5-8965-cfdbc3f697e2 | CATHERINE B. MeARTHUR, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Resigned 30th November, 1937.) MARGARET A. GLASS, B.Sc., M.B., Ch.B., D.P.H. (Commenced 23rd August, 1937.) Ophthalmic Surgeon : Orthopwdic Surgeon : WILLIAM ADAMSON GRAY, B. WHITCHURCH HOWELL, M.B., Ch.B., Ph.D., F.R.C.S. M.B., B.S., F.R.C.S. Specialist Consultant in Obstetrics and Gynaecology: Consultant Ear, Nose and Throat Surgeon : JAS. VINCENT O'SULLIVAN, M.D., F.R.C.S. CYRIL R." SANDIFORD, M.D., F.R.C.S. |
67421835-1e4a-436c-a087-f8b6ad858289 | Resident Medical OfficerβBarking Hospital: Resident Medical OfficerβUpney Hospital: ENID L. WEATHERHEAD, JANE L. McNEILL, M.D., B.Ch., B.A.O., L.M. M.B., B.S., M.Sc., D.C.H. (Commenced 7th January, 1937.) (Resigned 11th December, 1937.) (Resigned 1st June, 1937.) Consultant Pathologist: CALVIN 1'. BAMPFYLDE-WELLS, EDITH A. STRAKER, M.B., B.S., D.P.H. M.R.C.S L.R.C.P. (Resigned 31st July, 1937.) (Commenced 16th November, 1937.) Scientist : EVELYN M. HILL, Ph.D., (Lond.),'Dip. Bact. |
13a14531-f5ce-4689-b254-c0ad3af435c7 | Dental Surgeons : W. H. FOY, L.D.S., R.C.S. H. S. SARSON, H.D.D., L.D.S., D.P.D. (Resigned 31st October, 1937.) M. COHN, L.D.S., R.C.S. 8 Sanitary Inspectors : N. BASTABLE (Chief Sanitary Inspector) (b, c, d and /). H. CARR (ft, c, e and I). C. S. COOK (6 and c). E. G. TWEEDY (a and c). H. H. MADAMS (a and c). Matron, Barking and Upney HospitalsβInspector of Midwives : Miss M. W. HEDGCOCK (ft, i and j). Health Visitors : *Miss P. M. FAWCETT (Senior Health Visitor and School Nurse) (g, ft and i). |
ffd4e265-a0ed-4cc8-97c5-f4399e4513d9 | β¦Miss M. BAERLOCHER (a, ft and k). Miss P. M. BARNS (Masseuse) (n). (Commenced 1st May, 1937.) β¦Miss C. COURT (g, ft and i). Miss E. FISHER (g, h and i). (Commenced 6th September, 1937.) Miss G. GEDEN (Dental Nurse) (q). Miss S. GIBSON (j). Miss L. GOODACRE (g, ft and i). (Commenced 18th October, 1937.) β¦Miss G. JONES (g, h and i). Miss R. LLEWELYN (Dental Nurse) (ft and <). β¦Miss M. McALISTER (g, ft, i and j). (Commenced 7th June, 1937.) |
09fec9c5-10ca-419c-b0d2-f4783fc50111 | Miss M. R. MeCANDIE (g, ft and i). (Commenced 6th September, 1937.) β¦Miss J. McGILVRAY (g, ft and i). (Commenced 12th July, 1937.) β¦Miss W. PARKER (g, ft and i). (Resigned 19th June, 1937.) Miss E. PARRY (g, ft and i). (Commenced 6th September, 1937.) Miss A. K. ROE (Masseuse) (n). Mrs. G. STOKES (g and i). Miss L. F. SWAIN (ft and i). Mrs. W. WALTON (a, ft and fc). (Resigned 19th March, 1937.) β¦Miss M. F. WHALLEY (g, ft and i). |
639ac05a-6193-43d4-a61c-8391e36b1679 | (Resigned 6th April, 1937.) β¦Miss C. M. WILLIAMS (g, ft and i). (Commenced 7th June, 1937.) District Municipal Midwives : Mrs. L. BACK (ft and i). (Commenced 1st November, 1937.) Mrs. E. BISHOP (ft). (Commenced 1st December, 1937.) Miss K. C. HAND (ft and i). (Commenced 1st November, 1937.) Miss G. THOMAS (ft). (Commenced 18th November, 1937.) Miss G. M. VERNEY (A). (Commenced 1st November, 1937.) 9 Clerical Staff: Chief ClerkβF. READ. C. G. EAGLESFIELD (Senior Assistant) (r). H. C. DAVIS. |
c6191cb1-315a-49f0-8f6c-4f8de3741da4 | F. YATES (o). G. H. RUFF. K. F. CALWAY (p). (Commenced 1st July, 1937.) E. A. ELLIS (m). D. SCOTT. L. J. DEXTER. Miss H. NUNN. Miss H. KING. Miss A. LIGGINS. Miss D. FOULSHAM. Miss I. CAST. Miss G. COOPER. Miss I. MATHIESON. (Resigned 20th February, 1037.) Miss J. WILKINSON. (Commenced 8th March, 1937.) Miss G. MacLEAN. (Commenced 30th August, 1937.) Disinfector and Mortuary Attendant : H. LONG. |
3abb47ed-8a0d-44d0-97ea-51df86e56c2b | In addition to the foregoing, there are sisters and nurses and other staff at the Barking Hospital and at the Upney Maternity Pavilion. It is to be noted also that the Minor Ailments Clinics at Central Clinic and Woodward Clinic and Ante-Natal Clinics are staffed by the nurses of the Plaistow Maternity Hospital and District Nurses' Home. (Π°) Sanitary Inspector's Certificate of Sanitary Inspectors' Examination Board. (Π±) Sanitary Inspector's Certificate of Royal Sanitary Institute. (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. (f) Sanitary Science Certificate of Royal Sanitary Institute. (i) Health Visitor's Certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives Board. (i) General Hospital Training. (j) General Fever Training. |
2ceb7875-8507-4e58-bdc6-f999a58e5f4b | (k) Health Visitor's Diploma of Board of Education. (I) 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) Final Examination of the National Association of Local Government Officers. (p) Inter. Examination of the National Association of Local Government Officers. (q) Registered Sick Children's Nurse. (r) Inter. Examination of the Incorporated Secretaries Association. (*) Combined appointmentβHealth Visitor and School Nurse. 11 ANNUAL REPORT OF THE Medical Officer of Health for the Borough of Barking, in the County of Essex, for the Year ended 31st December, 1937. PUBLIC HEALTH OFFICES, BARKING, ESSEX. May, 1938. |
9b3499b1-849c-4c48-8d4c-5ba048cf8426 | 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, 1937. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, Medical Officer of Health. 12 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. |
72aa3fed-9829-420b-a21d-44f65e73a429 | Thames 240 300 Roding 58 Loxford Water 2 4,174 Population (1931 Census) 51,277 Population (June, 1937) (Registrar-General's Estimate) 76,470 Number of Inhabited Houses, March, 1938, according to Rate Books :β Houses 18,150 19,441 Shops 1,291 Total Population Density, i.e., No. of persons per acre 18.3 Rateable ValueβGeneral Β£676,1 95 0 0 Sum represented by a penny rate Β£2,7 39 0 0 Education rates :β Elementary Included in General Rate Figure 3 9 β¦Secondary 8Β½ General Rate 14 2 * Including County Precept. 2. Extracts from Vital Statistics for the Year. Live Births :β Total. Males. Females. Birth Rate. |
b355b77b-8042-4aed-ae58-f5fb6e0d42c0 | Legitimate 1,115 541 574 14.58 Illegitimate 18 8 10 0.24 Totals 1,133 549 584 14.82 Rate per 1,000 Still-births:β total births Legitimate 30 25 11 30.8 Illegitimate β β β Heaths 600 324 276 Death Rate 7.8. Percentage of total deaths occurring in public institutions, 52.3. Heaths from puerperal causes :β Heaths. Rate per 1,000 total (live and still) births. Puerperal sepsis 1 0.86 Other puerperal causes 4 3.42 Totals 5 4.28 Number of deaths of infants under one year of age :β Total Infantile Males. Females. Total. Heath Rate. Heath Rate. |
8433d75a-e37b-410c-8408-404589e747b6 | Legitimate 40 20 60 53.8 53.8 Illegitimate 1 β 1 55.5 Number of deaths from Cancer (all ages) 86 (87) β β Measles (all ages) β β β Whooping Cough (all ages) 1 β β DiarrhΕa (under 2 years of age) 9 (8) (N.B.β\\ here the Registrar-General s figures and rates (liner from those prepared locally, the former are shown separately in brackets.) 13β14 3. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1937. (England & Wales, London, 125 Great Towns, and 148 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. |
f2201615-4a57-4907-b01a-5b7c418c3611 | Still-births. All Causes. 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 14.9 0.60 12.4 0.00 0.00 0.02 0.01 0.04 0.07 0.45 0.54 5.8 58 125 County Boroughs and Great Towns, including London 14.9 0.67 12.5 0.01 0.00 0.03 0.01 0.04 0.08 0.39 0.45 7.9 62 148 Smaller Towns (Estimated resident populations, 25,000 to 50,000 at Census, |
8a021970-2468-4131-89a2-720fe522b0b4 | 1931) 15.3 0.64 11.9 0.00 0.00 0.02 0.01 0.03 0.05 0.42 0.42 3.2 55 London 13.3 0.54 12.3 0.00 0.00 0.01 0.01 0.06 0.05 0.38 0.51 12.0 60 BARKING 14.82 0.47 7.8 0.03 0.00 0.00 0.00 0.01 0.07 0.22 0.26 7.9 53.8 Puerperal Sepsis Others. Total. |
fa961880-f16e-4f85-b7b7-df096e23bea2 | The maternal mortality rates for England and Wales are as follows: per 1,000 Live Births 0.97 2.26 3.23 Total Births J 0.94 2.17 3.11 4. VITAL STATISTICS OF WHOLE DISTRICT FROM 1927 TO 1937. Year. 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 1927 39,900 710 17. |
a0612a74-d4c5-48e0-9b30-f68e468f9a08 | 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 60,330 1105 18.3 283 4.7 17 239 59 53.4 505 8.4 1933 68,840 1204 17. |
ba5547a3-1cbf-4067-a988-58dc0100d3d6 | 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 13 301 64 52.2 558 7.7 1936 76,000 1195 15.72 313 4.1 13 308 67 56.07 608 8.0 1937 76,470 1133 14.82 302 3.9 8 306 61 53.8 600 7.8 15 5. DEATHS. (a) General.βThere were 302 deaths registered in Barking in 1937. Of these 8 were deaths of non-residents. |
cb934559-593f-4eb1-a662-709c0639506a | Barking residents to the number of 306 died elsewhere during the year. Including the latter and excluding the deaths of visitors, the net number of deaths was as follows:β Males. Females. Total. 324 276 600 The death rate for 1937 was 7.8 per 1,000, compared with 8.0 in 1936, 12.4 for England and Wales, 12.5 for the hundred and twenty-five County Boroughs and Great Towns, including London, 11.9 for the one hundred and forty-eight Smaller Towns, and 12.3 for London. The above rate is commonly spoken of as "the crude death rate." It is of little use for comparative purposes. |
5f1881d4-80b1-45b1-8a9a-2205b7a3317c | Some towns inevitably have a high percentage of elderly people, and here of course the crude death rate is bound to be high, whilst in other towns there is a gradual exodus of people as they get towards middle age, and this factor tends to reduce the crude death rate. The Registrar-General gives us a factor whereby we can correct the crude death rate, and this corrected death rate for Barking is 9.75 per thousand population, which represents what the death rate in Barking would be if we had a standard population. This may be compared with the rate of 12.4 for England and Wales, but it should not be compared with the uncorrected rates for any particular section of the Country. It is, of course, to be noted that the relatively small population of Barking means that we are likely to have wider fluctuations in our death rate than in larger areas, but it is a matter of satisfaction that the death rate in Barking has been consistently low over a period of six years. |
c61df809-7fac-4e92-95ed-308ff719a607 | (b) Age Mortality.βThe deaths in various age groups, according to the figures obtained locally, were as follows:β Age Group. No. of Deaths. Under 1 year 61 1 to 2 years 3 2 to 5 years 8 5 to 15 years 24 15 to 25 years 19 25 to 35 years 37 35 to 45 years 40 45 to 55 years 69 55 to 65 years 83 65 to 75 years 126 Over 75 years 121 16 It is to be noted with satisfaction that over one-fifth of the deaths were in respect of persons of 75 years and over, and that the age group 65 to 75 years, likewise, accounts for over a fifth. (c) Causes of death in 1937.βThe table on the next page shows the Principal causes of death at various ages. |
b6d7ba1b-7b01-4dc7-a250-a1a4f5208c8e | 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. |
e4802a12-b0b1-4ca7-968f-4fff5c2068c6 | Cardio-vascular system 165 27.50 Cancer 86 14.33 Tuberculosis (all forms) 43 7.17 Pulmonary affections (exclusive of tuberculosis), viz., Bronchitis 25 4.17 Pneumonia (all forms) 31 5.17 Other respiratory diseases 10 1.66 Zymotic Diseases 17 2.83 (d) Deaths from Zymotic Diseases.βThese diseases caused 2.83 per cent, of the total deaths, such deaths being caused in the following numbers Enteric Fever 2 Measles β Whooping Cough 1 Scarlet Fever β Diphtheria 5 DiarrhΕa 9 Smallpox β I should like to comment upon the 5 deaths from diphtheria, because I do feel that, where we have such a readily available and an effective method of reducing the number of deaths, the public ought to take a greater interest than they do in diphtheria immunisation. |
0f432281-70d2-4fec-b507-d0e34d7c7499 | At the same time I want to make it quite clear that Barking does not stand in an unfavourable position. The death rate for diphtheria in Barking, per thousand population, is exactly the same as that for England and Wales as a whole, which having regard to the fact that Barking has a relatively large child population is a matter for satisfactory comment. The reason why it is so satisfactory is, I believe, because on the whole you get diphtheria admitted to your hospital, not of course so early as could be wished, but at least relatively early, when compared with other areas. However satisfactory this condition may be, I cannot help feeling that it is not really satisfactory, whilst any stone is left unturned which could reduce this death rate. 17 (e) Inquests.βCoroner's inquests were held on 33 deaths. (f) Causes of and ages of death during the year 1937. (Net Deaths). Causes of Death. |
6975f0cb-f8ba-45a1-bd64-e6983d02794b | Deaths at the subjoined ages of " Residents " whether occurring in or beyond the district. RegistrarGeneral'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 β β β β 2 β β 2 2 Measles β β β β β β β β β Scarlet Fever β β β β β β β β β Whooping Cough β 1 β β β β β 1 1 Diphtheria β 1 4 β β β β 5 5 Influenza 1 1 1 2 1 5 6 17 17 Encephalitis Lethargica β β β β β β β β β Cerebro-Spinal Fever β β β β β β β β β Pulmonary Tuberculosis β β β 7 22 7 1 37 |
f5336fd0-4f32-4026-8545-c89569030981 | 37 Non-Pulmonary Tuberculosis β 1 2 β 2 β 1 6 6 Syphilis 1 β β β β β β 1 1 General Paralysis of the Insane, etc. β β β β β β β β β Cancer β β 2 β 12 34 38 86 87 Diabetes β β β β 2 1 2 5 6 Cerebral HΓ¦morrhage β β β β β 4 25 29 28 Heart Disease β 1 1 3 10 45 81 141 141 Aneurysm β β β β β 1 β 1 1 Other Circulatory Diseases β β 1 β 2 4 16 23 20 Bronchitis 3 β β β β 8 14 25 26 Pneumonia (all forms) 11 1 3 β 1 4 11 31 32 Other Respiratory Diseases β β β β |
ac996e3e-7e52-4d18-bf70-23a3297e389e | 2 6 2 10 5 Peptic Ulcer β β β β 1 1 2 4 9 Diarrhoea (under 2 years) 9 β β β β β β 9 8 Appendicitis β β 1 β β 1 β 2 5 Cirrhosis of Liver β β β β β β β β 1 Other Diseases of Liver β β β .β 1 1 2 2 Other Digestive Diseases β β β β 3 1 3 7 7 Acute and Chronic Nephritis β β β β 2 8 6 16 11 Puerperal Sepsis β β β β 1 β β 1 1 Other Puerperal Causes β β β 1 3 β β 4 4 Congenital Debility, Premature Birth, etc. |
6c7fe0c1-e95c-4bfd-bf9d-0f02e6bc2942 | 32 β β β β β β 32 32 Senility β β β β β β 24 24 25 Suicide β β β 2 5 2 9 9 Other Violence 1 1 4 2 6 3 3 20 22 Other Defined Diseases 3 4 5 4 11 14 9 50 49 Causes ill-defined or unknown β β β β β β β β β Totals 61 11 24 19 80 152 247 600 600 18 (g) Infant Mortality during the year 1937. 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 1937 :β 0-1 month. 1-3 months. 3-6 months. 0-9 months. 9-12 months. Total under 1 year. Accident 1 1 Bronchitis 1 |
cce5df16-b481-4090-9949-3da1e152007b | 1 1 3 Cerebral Injury 3 β β β β 3 Congenital Deformities 1 β β β 1 Congenital Debility 3 β β β β 3 Congenital Heart Disease 3 β β β β 3 Congenital Lues β 1 β β β 1 Gastro-Enteritis β 3 4 1 1 9 Hydrocephalus β 1 β β β 1 Influenza β β 1 1 Marasmus 2 1 3 Myocardial Failure 1 β 1 β β 2 Pneumonia 1 8 1 β 1 11 Prematurity 14 2 β β β 16 Pyelonephritis β β β β 1 1 Respiratory Failure β β 1 β β 1 Toxaemia β β β β 1 1 Totals 30 15 9 2 4 61 Net Births in the year:β Net Deaths in the |
575c9e5e-b5d2-4d90-8b78-e316bdc125ed | year:β Legitimate 1,115 Legitimate 60 Illegitimate 18 Illegitimate 1 1,133 61 (h) Neo-Natal Mortality during the year 1937. Neo-Natal Mortality means deaths among the newly born. Causes of Neo-Natal deaths, year 1937:β Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total. |
11fd6981-fa8b-4699-ab8d-c5273b61e6e7 | Accident β β β 1 1 Bronchitis β β 1 β 1 Cerebral Injury β 3 β β 3 Congenital Deformities 1 β β β 1 Congenital Debility 3 β β β 3 Congenital Heart Disease 2 1 β β 3 Marasmus 2 β β β 2 Myocardial Failure 1 β β β 1 Pneumonia β β β 1 1 Prematurity 11 3 β β 14 Totals 20 7 1 2 30 19 It will be seen from the tables that of the sixty-one deaths under the age of one year, no less than thirty were four weeks of age or under, and prematurity is given as the cause of death in the cases of fourteen babies, who died within the first four weeks of life. |
95c7d9b3-b882-4d37-965b-fe279cb92d46 | The fact that thirty died within the first month, leaving only thirty-one deaths for the remaining eleven months of the first year of life, shows that our chief problem at the present time is still the mortality among the newly born. Out of the thirty babies who died under the age of one month, no less than twenty died within the first week. It is to be noted that although the comments in my 1936 Report still apply, I am glad to say there has been a significant drop from thirty-eight to thirty babies who died within the first month of life. This is a step in the right direction. The high percentage of the number of deaths during the first week of life continues, and I am persuaded that continued ante-natal care among the majority of mothers, together with more consultative work with your Consultant Gynaecologist and Obstetrician, in the more difficult cases, will lead to a decrease in this number, but this aim cannot be achieved when the actual cause of death is still ill defined in so many cases. |
57ee9275-10c3-406a-8ed2-5e9d58d67789 | When the time arrives that routine post mortem examination in all still-births is undertaken, then and then only will direct evidence be ascertainable upon the causes of infant mortality. The number of deaths from respiratory diseases, I am still pleased to say, has shown a slight decline. The following table shows the comparative figures of infant mortality and neo-natal mortality for the past ten years:β Year. |
375e46cd-7cec-446a-8b3f-7e23bb52ab9d | Infantile Mortality Infantile Mortality Rate Neo-Natal Mortality Neo-Natal Mortality Rate 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 1937 61 53.8 30 26.5 20 (i) Post Mortem Examinations.βToday there is a trend towards more post mortem examinations being carried out. |
fe3a5786-72f8-4902-b5f3-4bbe66038f59 | This is as it should be, because to my mind a post mortem examination ought to be carried out in the case of every death. I am sure that if post mortem examinations were carried out in the case of all infantile deaths, we should obtain much useful data whereby we could reduce the number of these unfortunate deaths. By the same token this would apply equally well to the deaths occurring in other age groups, and also to stillbirths. Another factor in support of this procedure is the ever increasing use of cremation. I confidently expect that in my next Annual Report it will be possible to advise you of the steps which have been taken towards securing some post mortem examinations amongst still-births and neo-natal deaths. (j) Mortality, Epidemics, etc.βDuring the first few months of 1937 there was an epidemic of paratyphoid fever in South-Eastern Essex, and Barking in common with its neighbours had cases occurring within its boundaries. |
610f9ec8-5749-41be-bf04-d6576bce9cee | In all, there were 17 cases notified in Barking. Most of these cases were admitted to your hospital, and in addition to these a number of patients were also admitted as suspected paratyphoid fever. At your Hospital a diagnosis of paratyphoid fever was confirmed in 14 cases, and it is to be mentioned here that in this connection your pathological laboratory was found to be of the greatest benefit in aiding and confirming diagnosis. Several cases were nursed in Hospitals outside the Borough. As each case or suspected case was brought to our notice, intensive enquiries were made as to the possible source of infection, but in all cases our efforts were unavailing and the source of infection was never found, so far as the cases in Barking were concerned. During the year five cases of acute anterior poliomyelitis were notified. Most of these were of a mild character. Two were admitted to the Barking Hospital, two to London hospitals and one was treated at home. |
7e5384f3-abd4-4a98-9d37-b451cb5ce9e1 | Three of the cases were placed under the care of Mr. B. Whitchurch Howell. At the end of the year, four cases had fully recovered and one was progressing favourably. Acute anterior poliomyelitis is the name given to a disease commonly known as infantile paralysis. 21 The fact that these cases can be dealt with at your own hospital ; can be dealt with as orthopaedic cases in your beds at the Brookfield Orthopaedic Hospital, and can later, if necessary, be dealt with at your Special School, means that you have continuity of supervision which is, in my opinion, the circumstance which is likely to diminish the residual disability of this distressing condition. There are few diseases in which treatment has made such progress during my lifetime, and it is a constant source of satisfaction to me to see children getting better, who in my student days could not possibly have had this chance of recovery which they have today. 6. BIRTHS. |
f24ce510-56ae-471f-bcd8-f59cd60967c1 | The net number of births registered in 1937 was 1,133, affording an annual birth rate of 14.82 per 1,000 population, compared with 15.72 in 1936, 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, 18 were illegitimate, giving a percentage of 1.59 of the total births. Notification of Births Acts, 1907-1915.βDuring 1937 there were 1,088 live births notified, excluding 13 cases transferred from the district. In addition, notifications of still-births belonging to the district totalled 40. |
f75540b9-00e8-4e51-b42f-6804a04db199 | Seventeen live births and 1 still-birth were not notified, and these cases are not included in the totals of notified births given above. 7. SOCIAL CONDITIONS. (a) General.βThe growth of population in Barking has been due essentially to the exodus of population from London. London for a number of years has had what may be termed a hospitalised population, i.e., a population which has been accustomed to have a hospital on its own doorstep, which has looked upon an attendance at an hospital, equally with attendance at the consulting rooms of a private doctor, as a means of obtaining necessary advice and treatment. This characteristic point of view of Londoners has been reflected in the very considerable number of attendances which have been made at your various outpatients' departments during the year. |
9683f686-ea45-46ab-9caa-559f5647b556 | In London the people are catered for dually by the London County Council and by Voluntary Hospitals, and where-ever you get such a dual service it is difficult to achieve the same uniformity as you find in Barking, where of necessity the services are unified under your single control. 22 (b) 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, concrete paving, collapsible tubes, tin foil and food products. The storage of petrol, oil, fuel and timber. Electrical welding, structural engineering and joinery works. |
d20245fd-eb02-4db3-a0cb-15065d8f0403 | The population of Barking is almost entirely industrial. Barking is a dormitory. (c) Unemployment.βThe following table is compiled from information kindly supplied by the Manager of the Ministry of Labour Employment Exchange, Barking :β Copy of comparative statement of local unemployed by industries, as at December, 1936 and December, 1937:β Dec. 1936. Dec. 1937. Men. Women. Men. Women. Food 5 1 12 5 Electrical and Wireless 7 β 26 46 Building Trade and Painters 117 β 178 β Works of Construction 19 β 141 β Engineering 8 1 23 3 Domestic 16 28 18 18 Rubber Workers 14 11 17 21 Commercial 10 6 3 β Road and Water Transport 56 β 21 1 Clothing 10 19 4 38 Distributive Trades 21 17 68 18 Government and Professional 1 β 13 2 |
b2f28975-7fa1-4bc8-b01a-39e0facc7d05 | Tin Box Manufacture 3 9 5 11 Matches 8 1 2 13 Chemicals 12 6 25 1 Printing 6 1 11 7 Asbestos 2 2 4 4 Woodworking and French Polishing 11 β 14 6 Agriculture 2 21 7 31 General Labourers and Factory Hands 769 107 762 110 Mineral Water Manufacture β 7 6 3 Leather Trades 3 1 4 2 Other Workers 47 18 54 18 Gas and Water β β 60 1* 1,147 256 1,478 359 * Gas and Water not previously shown separately. 23 I have no statistical evidence to offer in regard to the result of unemployment upon the health and physique of children and adults in Barking. |
6105fbed-bbaf-4412-873d-afb247ac3a79 | It is, however, a matter of concern that a number of Barking women still present themselves at the ante-natal clinics, in whose blood the amount of red colouring matter is significantly below normal. A scientific enquiry into this problem has been undertaken at your pathological laboratory, and you are referred to pages 67 to 70 which deal with the work of this laboratory. It would be rash at the present time to associate directly the incidence of this form of anaemia with unemployment, indeed, it should be stated quite clearly that the factors leading to this anæmia are still obscure, but I cannot help feeling that a more generous diet, even if we do not know the precise item it would supply, would be likely, materially, to alter the incidence of these cases of anaemia. |
76a5439f-8327-407d-a0d6-ad1e95344e53 | During the later months of pregnancy this falling off in the amount of haemoglobin, as the red colouring matter is named, is met with even in fine, upstanding and well fed athletic women, and of course where you have this abnormal drain upon the resources of the expectant mother it is not to be expected that some added nourishment during the later months of pregnancy is likely, at one and the same time, to arrest this added drain and augment significantly the amount of haemoglobin in the blood. (d) Housing.βIn continuing these remarks upon social conditions, I want to say how happy I am that the Council have stated that they are unprepared to look favourably upon any scheme or development, which would mean that more than sixty persons would be housed per acre. I am persuaded that the number of persons per acre, rather than an arbitrary number of houses is the right way in which we should assess density. |
277ff958-8da8-4d84-a8d7-b8752df0b989 | There can be no doubt, particularly with regard to "catching diseases" that the more densely people are herded together, the less opportunity will there be for limiting any minor outbreak of infection. I am the more persuaded in this opinion, owing to the fact that Barking is a dormitory town, where there is no present need that some people should of necessity live in Barking. (e) Travelling Facilities.βI look upon this problem as one to be linked up with housing, and to be considered parallel with it. Travelling facilities to and from Barking are generally bad. The trains at rush hours are overcrowded, sometimes the standard of cleanliness is less than one would desire and altogether I find it difficult to believe that any one factor, likely to spread diseases which are catching, in Barking, can compare to the circumstances under which so many travel to and from the City. |
d9558ef7-6f2d-46b9-9b54-84853a16ffed | 24 Tired after a day's work, strap hanging cheek by jowl with all and sundry, anybody is likely on the one hand to spread anything infectious and on the other hand to catch anything infectious, and, of course, a tiring journey at the end of a long day is in itself something which must be prejudicial to health. Historians of the future, who come to review the way in which we travel today, will I hope be shocked to find how we have too long complacently looked upon as inevitable the circumstances under which we travel. (f) Malnutrition.βI would refer you to the comments upon nutrition in my last Report, which in effect still remain the same. There can be no doubt that our rising population is inches taller and pounds heavier than the young population of the past generationβthis is one of the happy thoughts which must encourage you and all those who are interested in the promotion of the general health of the public. |
2c2dc894-9994-48dd-9a55-16f46d98d057 | Our statistics in regard to malnutrition only deal with school-children and are as follows:β Of 5,374 children examined by routine at school medical inspection, 4 were found to be suffering from malnutrition, 225 were found to have slightly sub-normal nutrition, 3,180 normal nutrition, and 1,965 with excellent nutrition. 25 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 :β Specimen. Number examined. |
d5d9303e-e299-4334-90f3-23bcba369305 | Diphtheria 1,309 Sputa 265 Typhoid 26 Milk 48 Water 11 General 49 Total 1,768 In addition to the above, 3 biological tests were carried out to test the virulence or otherwise of germs of the diphtheria group, and similarly 2 biological tests were carried out to test the presence or otherwise of tubercle bacilli. 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. The Pathological Unit at the Barking Hospital, inaugurated in the autumn of 1935, has met a very real need. In my previous Report I mentioned that this unit was in the charge of Dr. E. A. Straker, your Consulting Pathologist, and that in addition Dr. |
9e00dbff-242a-4c7d-ae8c-e3956a8a2711 | E. M. Hill had been appointed as a full-time Scientist. Dr. E. A. Straker resigned her appointment during the year to take up another elsewhere, and I am happy to say that Dr. Hill has ably carried on since. She has been in constant touch with the London School of Hygiene and Tropical Medicine, acting as a liaison between that body and ours. Since its inauguration the scope and work undertaken by this unit has increased, and new channels of co-operation have been opened. I am thus happy to say this unit has fulfilled the purpose for which it was started. 26 It is to be noted that a certain amount of research work is carried out in this department which would not otherwise be possible, e.g. work relative to such items as cross infections in wards, the degree and severity of any particular form of disease, etc. Finally, I would refer you to Dr. Hill's Report upon pages 67 to 70. |
4a977b17-08ff-4f29-b4fe-999ba2d459bc | (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 diseases ambulance which is kept for the conveyance of bedding, but which can in an emergency be used as a standby ambulance. In commenting upon ambulance facilities, it must be emphasised once again that one or two attendants accompany each ambulance as occasion requires, and that where requested a nurse from the Hospital may be employed. It is to be noted that a nurse always accompanies the infectious disease 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. |
6d206473-472d-45fa-8ccc-cd9d165fe8c8 | 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. 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 care is taken to see that patients so admitted are not themselves suffering from any of the communicable diseases. There are three sisters at the Pavilion, and, on an average, a similar number of midwives are in attendance. |
06b5ad0f-e3c6-4298-a031-2dca12fe2634 | As previously stated the professional nursing is entirely carried out by sisters and midwives, whilst probationers are allowed only to do minor duties, 27 There is a resident medical officer in attendance at the hospital, and under his supervision all forms of analgesia are administered in suitable cases. I am happy to say that full use has been made of this maternity hospital during the year, and the trouble would seem to be not how to obtain patients for admission but how to control their admission. It is possible that now the time has come for you to consider increasing the number of beds available at this hospital, and, of course, this would in effect mean the extension of the present premises. 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. |
4e35727e-2fe0-45fc-9534-52f77fb16e9c | 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 16 East Ham Memorial Hospital 36 King George Hospital 74 Princess Elizabeth of York Hospital for Children, Shadwell 26 Queen Mary's Hospital, Stratford 30 St. Mary's Hospital, Plaistow 13 Hospital for Sick Children, Great Ormond Street 5 Poplar Hospital 24 London Hospital 76 Total Β£300 The County Hospital is at Romford. Further County hospital accommodation is being provided. (d) Clinics and, Treatment Centres.βDuring 1937 the total attendances at Infant Welfare, Ante-Natal and Minor Ailments Clinics have increasedβsee tables on pages 38, 49 and 51. |
85683510-e3da-4cd0-a4f7-70319b3705c7 | The rate of increase in attendances was much greater in 1937 than in 1936, i.e., total infant welfare attendances have gone up by 4,619 in 1937, compared to a rise of 2,057 in 1936. These figures are very gratifying especially in a year when Public Health services have been getting so much publicity in the Press, 28 It is too early yet for results of the "Better Health Campaign" to show themselves in the statistics of clinic attendances, though possibly a slight proportion of the increase may have resulted from leaflets and posters displayed in the last two months of the year. Overcrowding at the Woodward Clinic was mentioned in last year's Report, and it has become progressively severe with the increase in numbers attending there for the minor ailments and infant welfare sessions. It is expected that something favourable may be said about this question of overcrowding at the Woodward Clinic in my next Report. |
dac32b7b-b922-4933-8b39-b4f0397dc285 | Since the end of last year a minor ailments clinic has been opened at the Porters Avenue Centre. Although it is too early to state precisely, it would appear that the numbers attending the Porters Avenue Centre will not mean a commensurate falling off in the number attending the Woodward Clinic. It would seem that the Porters Avenue Clinic is only in part relieving the Woodward Clinic, and is in part meeting a new demand of its own. The room at Faircross School in which orthopaedic treatment, massage, ultraviolet light, postural exercises, splinting are carried out is too small for the work which has to be done in it and for the numbers attending. Arrangements for increasing this accommodation have become urgent, and you are at the present time considering this question. Although it does not strictly come within the purview of this Annual Report, you, together with the Education Committee, have taken steps, temporarily, to deal with the situation, by opening up a similar centre at the Manor School. |
c78d84a8-d792-4515-8fe3-d9c0086f8249 | This lack of accommodation has meant that the numbers of children referred for ultra-violet light treatment have had to be limited to a certain extent, and as we had been getting very good results with artificial sunlight therapy this is to be deplored. It is still my submission that the solution of your various difficulties in overcrowding can best be met, when you receive the necessary sanctions, by the building of your proposed clinic in Porters Avenue and the Central Out-Patients' Department in Upney Lane. The centralisation of your special departments under one roof would do much to achieve co-ordination, and would enable fuller co-operation to exist between your specialist medical officers, 29β30 TABLE 1. 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. |
361f412a-1e6f-42cf-91e3-dbd7490bc91c | Men Women Children Controlled by the Council of the Borough of Barkingβ Upney (Maternity) Hospital Barking (Isolation) Hospital Upney Lane, Barking, Essex Upney Lane, Barking, Essex Maternity Isolation of general infectious diseases (excluding smallpox) β 23 β One Isolation Cubicle 24 Borough of Barking 108 108 Borough of Barking Not controlled by the Council of the Borough of Barlnngβ Brentwood Mental Hospital Brentwood, Essex Mental 823 1168 β 1991 Essex C.C. and Colchester B.C. Brookfield Orthopaedic Hospital Hale End, Woodford Green, Essex. Orthopaedic β β 30 30 Essex County Council City of London Maternity Hospital 102, City Road, E.C.1 Maternity β 79 β 79 Voluntary East. |
fdddb618-7c16-46ef-b04f-521217877e96 | 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. 253 303 58 77 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 241 115 at the Country Branch Hospital, Tadworth Court, for continuation of treatment and for convalescence. |
0faee118-182c-4ea5-874e-7118257ba890 | 356 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 Chest Hospital Victoria Park, E.2 Heart and Lung Diseases 90 92 8 190 Voluntary London Hospital Whitechapel Road, E.l General Medical and General Surgical 350 392 84 59 Beds (unassigned) 885 Voluntary London Lock Hospital and Home 283, Harrow Road, W.9 Venereal Diseases β 49 15 64 Voluntary London Skin Hospital 40, Fitzroy Square, W.l Skin. |
1e818ec1-550b-443e-9187-17c4ec2b64e0 | (No in-patients) β β β β Voluntary OIdchurch 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 26 6 Private Wards (unassigned) 122 Voluntary Princess Elizabeth of York Hospital for Children Glamis Road, Shadwell, E.l Children β β 135 30 at Convalescent Home, Bognor Regis, for continuation of treatment and for convalescence. |
8507bcbd-807e-450f-9b5c-71a9910e75a9 | 165 Voluntary Queen's Hospital for Children Hacknev Road, Bethnal Green, E.2 Children β 3 160 44 at Branch Hospital 207 Voluntary Queen Mary's Hospital for the East End Stratford, E.15 General Medical and Surgical, Children, Maternity 56 109 63 228 Voluntary Royal London Ophthalmic Hospital b (Moorfields Eye Hospital) City Road, E.C.1 Ophthalmic 99 80 21 200 Voluntary Royal National Orthopaedic Hospital Brockley Hill, Stanmore, Middlesex Orthopaedic 6 30 284 320 Voluntary Bartholomew's Hospital Smithfield, E.C.1 General Medical and Surgical, Children, Maternity, etc., Ophthalmic, Orthopaedic, Ear, Nose and Throat, and Septic, etc. 295 350 60 15 beds (unassigned). 720 Voluntary St. |
d24885c0-ee7e-4482-aa87-9ffe12b3ca00 | Mary's Hospital for Women and Children Upper Road, Plaistow, E.13 General Medical and General Surgical, Children, etc. β 34 37 71 Voluntary Severalls Mental Hospital Mile End, Colchester Mental 857 1309 β 2166 Essex C.C. and Colehester B.C Westminster Hospital Broad Sanctuary, Westminster, S.W.1 General Medical and General Surgical, Maternity, Ear, Nose and Throat, etc. 92 129 22 16 Single Rooms (unassigned) 259 Voluntary In addition to the above Institutions, there are a number of Sanatoria to which tuberculous persons resident in Barking are admitted at the instance of the Essex County Council, under their scheme for the treatment of tuberculosis. TABLE II. HOSPITAL SERVICES, showing the number of beds for each purpose, and other facilities available. Name of Hospital. |
74ebf1d7-91ce-4639-ae83-fe97bbcbd93b | Number of beds for the following purposes:β Total Other facilities available Arrangements for pathological work Accident Cardiac Chest (nontub.) & Heart Children Chronic Sick Dental Dermatological Ear, Nose & Throat General Medical General Surgical Genito-urinary Gynaecological Infectious Diseases Isolation & Observation Maternity Mental Neurological Ophthalmic Orthopaedic Plastic Psychological 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 β 1 23 β β β β β β β β β β β 24 Operative surgery. Dental, Nursing of Puerperal Fever and Pyrexia. Operative surgery, Dental, Ear, Nose and Throat, Orthopaedic, Maternity, Puerperal Fever and Pyrexia, Ophthalmia Neonatorum. |
bc1ed9c2-656a-4660-9d25-a4ac9df488d8 | Carried out at the Counties' Laboratory, Queen Victoria Street, E.C.4, and at own Laboratory. 2β Barking (Isolation) Hospital β β β β β β β β β β β β 108 β β β β β β β β β β β β β 108 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 β 1991 β β β β β β β β β β 1991 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 β 30 β β β β β β β 30 Operative Surgery, Ultra-violet light, Dental, Massage, X-rays, Ophthalmic. |
6ecd046e-abd8-44c5-a4f1-91f317f1854b | Carried out at the Counties' Laboratory, Queen Victoria 5 City of London Maternity Hospital β β β β β β β β β β β β β β 79 β β β β β β β β β β β 79 Operative Surgery, Dental, Nursing of Puerperal Fever and Pyrexia. Operative surgery, X-rays, Ultra-violet light, Dental, Electrical, Massage. Operative surgery, X-rays, Ultra-violet light, Dental, Ophthalmic, Radium. Street, E.C.4. Own Pathologist. 6 East Ham Memorial β β β 20 β β 2 4 28 28 β 8 β β β β β 4 2 β β β β β β 4 100 Own Laboratory. |
a56a674b-d8ed-4df1-926f-01252598d89b | 7 Golden Square Throat, Nose and Ear β β β β β β β 101 β β β β β β β β β β β β β β β β β β 101 Carried out by a Pathologist outside the Institution. 8 Guy's 40 β 18 β 4 9 33 170 140 14 18 9 5 50 β 9 24 19 β 5 10 22 β 9 83 691 All specialised treatment available. Own Laboratories. 9 Hospital for Sick Children β β β β β β β 18 84 119 β β β 13 β β β β β β β β β β 7 β 241 All specialised treatment available. Own Laboratory. |
b18ecdda-d091-49b7-b04c-c57778903c5a | 10 King George Hospital β β β 32 β β β β 54 88 β 12 β β β β β β β β β β β β β 21 207 Operative surgery, X-rays, Dental (as casualty), Ophthalmic, Massage, Ear, Nose and Throat, Gynaecological, Neurological, Dermatological. Own Laboratory. 11 London Chest Hospital β β 70 8 β β β β β β β β β β β β β β β β β β β 102 β 10 190 Operative surgery, X-rays, Ultra- violet light, Dental, Massage, Ear, Nose and Throat, Radium. Own Laboratory. 12 London Hospital β 15 β 75 β 15 30 239 301 β 33 β 10 31 β β 20 β β β β 23 β β 93 885 All specialised treatment available. Own Laboratories. |
57e01de7-799d-4433-9fbb-fdb45485081d | 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 β β β 64 β 64 Operative surgery, Ultra-violet light, Dental, Ophthalmic, Massage, Ophthalmia Neonatorum. Own Laboratory. 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 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 β 400 460 β β β 34 β β 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' Laboratory, E.C.4. |
d23821d4-9535-4711-9a06-449464021a74 | 16 Poplar Hospital for Accidents β β β β β β β β 34 73 β 6 β 1 β β β β β β β β β β β 8 122 Operative surgery, X-rays, Ultra-violet light, Dental, Massage, Radium by arrangement with the London Hospital. Own Laboratory. 17 Princess Elizabeth of York Hospital for Children β β β β β β β β 86 49 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 204 β β β β β β β β β β β β β β β β β β β β β 3 207 All specialised treatment available with the exception of Radium. Own Laboratory. |
26c7a7ad-fbb9-4ce2-89ff-e90dd87a652f | 19 Queen Mary's Hospital for the East End β β β β β β β β 69 91 3 4 β 3 47 β β 6 3 β β β β β β 2 228 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 β 200 β β β β β β β β 200 All specialised treatment available with the exception of Operative surgery, Massage and Radium. Own Laboratory. 21 Royal London Ophthalmic (Moorfield Eye Hospital) β β β β β β β β β β β β β β β β β β 320 β β β β β β β 320 Operative surgery, X-rays, Ultra-violet light, Massage. Carried out by a Pathologist outside the Institution. 22 St. |
b9617ca3-22f8-48e5-b5c9-b565dca4b357 | Bartholomew's Hospital β β β 18 β β 6 20 238 250 β 44 β 18 17 β 6 22 20 6 β 55 β 720 All specialised treatment available. Own Laboratory. 23 St. Mary's Hospital for Women & Children 5 β β β β β β β 10 26 β 8 β β β β β 4 β β β β β β β 12 71 Operative surgery, X-rays, Ultra-violet- light, Dental, Massage, Ear, Nose and Throat, Orthopaedic. in conjunction with other Hospitals. 24 Severalls Mental Hospital β β β β β β β β β β β β β β β 2166 β β β β β β β β β β 2166 Operative surgery, X-rays, Ultra-violet light, Dental, Ophthalmic. Own Laboratory. |
30e17fad-65ad-4090-b54d-b9afe0f859d2 | 25 Westminster Hospital 10 β β 13 β β 4 7 54 71 β 11 β 3 12 β β 6 10 β β 17 β β β 41 259 All specialised treatment available. Own Laboratories. In the case of Hospitals under the control of the Borough 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. Number and classification of Nursing Staff: In addition there is a Resident Medical Officer at each Hospital. Matron β l Sisters 3 7 Assistant Nurses β 4 Mid wives 4 β Probationer Nurses 5 14 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 in Barking are admitted at the instance of the Essex County Council, under their scheme for the treatment of tuberculosis. |
27b281fc-7fbe-498f-83e9-6992fa15731d | 33β34 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. Nature of Accommodation. By Whom Provided. . Maternity and Child Welfare. (a) Infant Welfare Centres:β Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Fridays, 2 p.m. 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, Accommodation for consultations, weighing of babies, waiting rooms, etc. do. Alexandra Centre, St. Paul's Road 2 p.m. do. do. do. Porters Avenue Centre, Porters Avenue (b) Ante-Natal Clinics:β Mondays, Wednesdays and Fridays, 2 p.m. do. do. |
3ef8670c-75cf-44c2-8ed0-0adf32af5548 | 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 Tuesdays and Wednesdays, 9.30 a.m. do. do. Porters Avenue Centre, Porters Avenue Thursdays, 9.30 a.m. Accommodation for consultations, etc. do. Humphrey Ward (near Maternity Pavilion), Upney Lane. Mondays, Tuesdays, Wednesdays, and Fridays, 10.30 a.m. do. do. Specialist-Consultant Clinic at Central Clinic, Vicarage Drive, Ripple Road. (c) Gynaecological Clinics:β Third Tuesday in each month 3.30 p.m., except August and December. Modern clinic premises with accommodation for consultations, etc. do. |
5a6e31db-feea-4add-84d1-0d13447945c3 | 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. 35β36 CLINIC AND TREATMENT CENTRES. Name and Situation. When Held. Nature of Accommodation. By Whom Provided. 2. 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. (b) Ophthalmic Clinic:β Central Clinic, Vicarage Drive, Ripple Road Tuesdays and Fridays, 10 a.m. do. do. Woodward Clinic, Woodward Road Thursdays, 2 p.m. do. do. |
a80a83fc-5dd6-4ccf-8b33-4ad5ba6294f8 | (c) Dental Clinics:β Central Clinic, Vicarage Drive, Ripple Road Daily, 9 a.m. and 2 p.m. do. do. Woodward Clinic, Woodward Road do. do. do. East Street Clinic do. Inspection, waiting and treatment rooms do. (d) Orthopaedic Clinic:β (i) Specialist's Clinic, Faircross School First Thursday in each month, 9 One room do. (ii) Remedial Exercises Clinic, Ultra Violet Light Therapy, etc., Faircross School a.m. Daily, 9 a.m. and 2 p.m. do. do. 3. Immunisation Clinic (Diphtheria, Scarlet Fever and Whooping Cough):β Central Clinic, Vicarage Drive, Ripple Road Mondays, 10.30 a.m. Modern clinic premises with inspection, waiting and treatment rooms. Local Authority. 4. Tuberculosis. |
7205f5c8-f2cf-4e99-9884-248952ad2a31 | 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. 5. Venereal Diseases. London hospitals, etc. β By arrangement with Essex County Council. * Since the end of 1937 an additional Out-Patients' Department for the inspection and treatment of Minor Ailments has been commenced at the Porters Avenue Centre, Porters Avenue, and clinics are held daily at 8.30 a.m. 37 During the year a special clinic for mothers was set up in the Humphrey Ward, a building adjoining the Upney Maternity Pavilion. |
222f1946-e299-4000-acdd-8192e238ce00 | The numbers here are steadily increasing and although the attendances from the area in which the clinic is situated were expected to be higher, it does fulfil a need, in as much as difficult cases about to enter the maternity hospital and cases after confinement at the hospital are seen at this clinic by the resident medical officer. Also, the clinic is used once a month as a birth control centre, a service you have set up this year. Foot Clinic.βDuring the year under review you have considered the question of setting up a Municipal Foot Clinic, and you have decided that such a clinic shall be set up. (e) Nursing in the Home.βDuring the year two full-time nurses were employed by the East Barking District Nursing Association, as against only one nurse in the year 1935, and these have now become permanentβthus the first objective of the Association has been attained. Another step which was made was the setting up of a home, fully equipped, for the use of these nurses. |
f91fb205-f441-4077-843d-02ac05180c95 | This I might say now forms a nucleus of a progressive service. The Council make an annual donation to this body and the Executive Committee of the Association very much appreciate this donation. I myself am of the opinion that for the district to be adequately served requires the appointment of four nurses. The Plaistow Maternity Hospital and District Nurses' Home still continue to undertake their work, as they have done in the past, in Barking. This Home is paid by you for various work which it undertakes on your behalf, but the Council does not make a contribution towards the general district work of these nurses. I do hope and trust that in this way or in that the district work undertaken by the Plaistow Nurses will be supported more generously than it has been in the past. 2. MATEBNITY AND CHILD WELFABE SEBVICES. |
99d3bc9a-90bb-4621-a0d2-824fa20f2cae | 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. Part I of the Children Act, 1908, as amended by Part V of the Children and Young Persons Act, 1932. Midwives Acts 1902-1936. Public Health Act, 1936. 38 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. Pursuant to Circular 1550, dated 29th May, 1936, from the Ministry of Health, you appointed four additional Health Visitors, in order that the recommendations of this Circular, regarding the supervision of children under school age, might be met. |
4407c688-b7de-403d-8e6a-2d54aa07644f | 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 four centresβthree sessions weekly at the Central Clinic, two sessions weekly at the Woodward Clinic, one session weekly at the Porters Avenue Clinic, and four sessions weekly at the Humphrey Clinic. The following tables shows the attendances 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. Reattend ances. Total attendances. 154 436 2373 2809 66 205 998 1203 Humphrey Clinic. Porters Avenue Clinic. No. of Sessions. First Attendances. ReAttend ances. Total Attendances. |
adaf3a35-3724-4930-a729-70da9c1cb528 | No. of Sessions. First Attendances. ReAttend ances. Total Attendances. 60 35 54 89 53 149 741 890 Total First Attendances 825 β Re-Attendances 4,166 β Attendances 4,991* β Sessions 333 * In addition there were 169 Post-Natal, and 173 Gynaecological Attendances. Mr. O'Sullivan, the Specialist Consultant, holds a special consultant ante-natal clinic monthly at the Central Clinic, and the following table shews the attendances made during the yea:β Number of sessions10 First attendances 67 Re-attendances 28 Total attendances 95 In addition there were 77 Post-Natal and Gynaecological Attendances. |
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