ids stringlengths 36 36 | texts stringlengths 1 1.43k |
|---|---|
27f2ec4d-eb5a-4082-9fd8-fb1fa3a4a0e7 | total number of bathers was 70,054 or 12,000 more than in 1936. The number of bathers on the peak day of the season was 3,680. 90 The sun-bathing area continues to be one of the most popular amenities. Criticism is directed to the present condition of the pre-cleansing arrangements and this is receiving the consideration of the appropriate committee. Corporation Baths, East Street.—In my earlier Reports I have called attention to the age of these baths and their deficiencies when compared with modern standards. The total number of bathers was 66,669 with a peak day of 1,039 bathers or an increase in the total of 2,500. Projected Bath at Becontree.—The scheme consists of a large plunge bath with provision for water heating, a smaller bath for school children and a gymnasium. There is also to be a sun-bathing terrace on one side. |
dd758676-4204-4acc-81d4-96f70fc06ccc | Examination of Bath Water.—Four samples from each bathing establishment were submitted to chemical and bacteriological analysis. In one instance the sample was unsatisfactory bacteriologically, because of special circumstances. The information as to this unsatisfactory sample was communicated to the Borough Engineer and Surveyor and dealt with forthwith. 12. PARKS AND OPEN SPACES. In earlier Reports I have referred to the parks and open spaces which are under the control of the Corporation. I now want to refer to one which is not so controlled. We have along the Thames river frontage, extending from the Barking Generating Station to Dagenham Dock, a stretch of undeveloped land, low-lying but dry. It is in private ownership and is industrial land. At flood tide there is a wide stretch of water between the Essex and Kent shores, where there is also to be seen a passing pageant of ships to and from the London Docks. |
57205d73-92e8-458b-8a82-438d5b4da3a0 | Parallel to this frontage but at some distance of about one and a half miles is the large Becontree Estate of the London County Council. 91 It is with pleasure that I have noted how popular the stretch of open land is with the residents of that area, who in the summer spend most of the warm weekends sitting about or playing games there. The children too seem to enjoy the use of the land, by bringing with them small tents and preparing picnic meals. The owners of the land have at present made no attempt to prevent this trespass. It may be possible for part of the land to be acquired as an open space, and I commend any such proposal. 13. ULTRA-VIOLET LIGHT RADIATION. Ultra-violet light radiation is measured in Barking at the Barking Hospital. The apparatus used is that designed by Professor Leonard Hill, known as the "test by fading" instrument. |
a8ccf3f0-66a8-46fb-9943-4121b1783632 | The biologically active ultra-violet rays are measured by the fading of a standard solution of acetone and methylene blue. The figures which have been obtained show that there is a considerable amount of sunshine in Barking, and the sunshine is biologically active. 14. SCHOOLS. Thirteen of the seventeen elementary schools are of recent construction and two are out of date. It has not been found necessary to close any department of the schools as a result of infectious disease. In this connection I am at present reviewing the position with regard to the exclusion of contacts with the commoner infectious diseases. During the year forty-one visits were paid by the sanitary inspectors and four defects discovered in connection with sanitary conveniences. These defects were dealt with inter-departmentally. 92 15. ERADICATION OF BED BUGS. We have continued our practice of issuing free, small quantities of contact insecticides to householders with minor infestations. |
e989e9f1-4f6d-469a-b491-94acd2bff1a9 | In addition the following houses have been disinfested:— Barking Council Houses 15 London County Council Houses 5 Privately Owned Houses 27 Total 47 The Corporation call upon the owner of the house to disinfest the dwelling and where necessary the occupier to disinfest the furniture, the Corporation carrying out steam disinfestation of bedding free. In three instances we were notified by contractors carrying out fumigation with cyanide on the orders of private owners, and attended the premises whilst the work was in progress. Corporation workmen carry out the disinfestation of Corporation houses with contact insecticides. The practice of using sulphur products and contact insecticides has been continued where the houses are tenanted. The rather complicated method of using naphthalene has not become popular with contractors for private owners. Where removals to Corporation houses are from clearance areas the tenant's effects are fumigated by hydrogen cyanide, this process being carried out by contractors in the removal vans. |
50945b53-5161-429f-84e5-bcce64edfa0c | The bedding and soft goods from the houses are steam disinfested at the Barking Hospital. The Corporation has not so far appointed any officer specially to supervise or educate tenants in the prevention of infestation, but the sanitary inspectors do what is required in this respect whenever an infested house is discovered or whenever transfers are being made from clearance areas. Although there is not at present any routine following up of those once cleansed, the general sanitary supervision of the district is such that your officers would be readily aware of any re-infestation. 93 SECTION D. HOUSING. 1. STATISTICS. (a) General. Number of new houses erected during the year:— (1) Total 413 (2) As part of a municipal housing scheme (а) Barking 107 (б) L.C.C 79 (3) Others (including private enterprise and subsidy houses) 227 (b) Unfit Dwelling-Houses. 1. |
55d4cb04-7cea-47d7-aa42-fcd7fe957181 | Inspection of Dwelling-Houses during the Year:— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 3,695 (b) Number of inspections made for the purpose 10,644 (2) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 & 1932 981 (b) Number of inspections made for the purpose 2,177 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 60 (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 2,349 2. |
bcac3688-6e8c-42b0-8378-8db7c17886b2 | Remedy of Defects during the Year without Service of formal Notices:— Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 1,608 94 3. Action under Statutory Powers during the Year:— A.—Proceedings under sections 17, 18 and 23 of the Housing Act, 1930: (1) Number of dwelling-houses in respect of which notices were served requiring repairs 151 (2) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) By owners 156 (b) By local authority in default of owners 5 B.—Proceedings under Public Health Acts: (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 278 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 272 (b) By local authority in default of owners 9 C. |
038a72c3-c6a9-4289-865a-5cf0c8ba5e23 | —-Proceedings under sections 19 and 21 of the Housing Act, 1930: (1) Number of dwelling-houses in respect of which Demolition Orders were made Nil (2) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil D.—Proceedings under section 20 of the Housing Act, 1930: (1) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil (2) Number of separate tenements or underground rooms in respect of which Closing Orders were determined, the tenement or room having been rendered fit Nil E.—Proceedings under section 148, Barking Corporation Act, 1933: Number of dustbins supplied by local authority in default of owners 66 2. HOUSING CONDITIONS. |
a27cc2c9-526a-420b-ac0b-e7c89299ec09 | (a) General Observations.—The total number of inhabited houses in the district is 19,441 (including 1,291 shops), which, compared with the total of 10,965 at the census of 1931, gives an indication of the growth of the town. Of the total of 18,150 dwelling-houses, 1,826 are owned by the Council and over 7,000 have been erected in the area by the London County Council since the year 1929. 95 It is interesting to note that 2,199 houses have been purchased by occupiers with assistance under the Small Dwellings Acquisition Act. During the year 1937, no less than 323 temporary buildings were approved for erection in the back gardens of dwelling-houses in the district. I approve the shed now provided by the Corporation for their tenants, but would be glad to see more care exercised in its location at the rear of the houses. |
c068a8e0-85ae-4c27-aa9b-b8fbdc0ee60b | I would further prohibit the erection of any other shed on the premises, and would refuse permission to a tenant to erect any type of shed other than this. HOUSES BUILT IN THE DISTRICT. 1926—1937. Year. Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses). 1926 289 47 242 1927 358 30 328 1928 375 40 335 1929 700 (Barking) 206 237 (L.C.C.) 257 1930 1,064 (Barking) 59 35 (L.C.C.) 970 1931 2,557 (Barking) 26 121 (L.C.C.) 2,410 1932 1,993 (Barking) 109 177 (L.C.C.) 1,707 1933 1,844 (Barking) 154 304 (L.C.C.) |
cd0f93df-9d81-4672-9836-af7821cce090 | 1,386 1934 730 (Barking) 96 359 (L.C.C.) 275 1935 563 (Barking) 168 233 (L.C.C.) 162 1936 401 (Barking) Nil 269 (L.C.C.) 132 1937 413 (Barking) 107 227 (L.C.C.) 79 Totals 11,287 8,420 2,867 96 Of the 8,420 houses shown above as part of Municipal Housing Schemes, 1,042 were provided by the Borough of Barking and 7,378 by the London County Council. |
6b0e8a08-42d4-422c-9235-a5bbc74738a9 | (b) Housing Act, 1936.—Overcrowding:— (a).— (i) Number of dwellings overcrowded at the end of the year 190 (ii) Number of families dwelling therein 190 (iii) Number of persons dwelling therein 1,408 units (b).—Number of new cases of overcrowding reported during the year 49 (c).— (i) Number of cases of overcrowding relieved during the year 156 (ii) Number of persons concerned in such cases 1,014½ units (d).—Particulars of any cases in which dwelling-houses have again become overcrowded after the Local Authority have taken steps for the abatement of overcrowding Nil (e).—The known cases of overcrowding were reviewed at the end of the year when it was found that the total of 297 at the beginning of the year had been reduced to 141, to which number was added 49 new cases, making a total of 190 at the end of the year. |
3b3510ff-157f-402b-acfa-9f3699ef92ed | The delay occasioned in the acquisition of suitable building land has prevented the completion of the proposed houses at Scrattons Farm, but it is hoped that a number will be ready at the end of December, 1938. Changes in overcrowding in houses owned by Local Authorities:— London County Council. Barking Corporation. January, 1936 154 101 January, 1937 80 83 January, 1938 45 61 (c) Clearance Areas—Removal of Insanitary Properties. The opening of the London Road continuation marks, I think, a year of progress in the development of Barking, and the present Annual Report, therefore, presents an opportune time for you to reflect on the clearances which have been effected since the Housing Act, 1930, came into operation. 97 In order to get the proper perspective, however, it must be recalled that Barking was a progressive housing authority before the Act of 1930. |
933e6d7a-257e-42a8-a1c0-8ff26367b5c9 | So long ago as the year 1890, the Barking Council erected their first Municipal Estate. It will also be recalled that in 1926 they succeeded in clearing an unhealthy area known as Parsons Row, consisting of 52 dwellings, so that the standard of housing in the district has been one of increasing values for many years. The war created a definite boundary between past and future ideas of working class houses, and now the minimum standard house in rehousing schemes is one which is not only fit from the point of view of the structure, but provides:— (1) A bedroom for the parents and sufficient sleeping rooms to accommodate and separate the sexes of the children as they grow to maturity. (2) Bath accommodation for every family. In addition the house should contain such conveniences and amenities as will tend to promote to the full a healthy and contented home life. |
0c4f1f35-be95-446c-a3ea-a4bbf927952b | Throughout their activities your officers have had in mind the dictum that there is a minimum standard of health, decency and convenience which should be expected, before additions and conversions in existing houses can be considered worth while, and in this they know they have the support of the whole of the members of the Council. We are anxious to remove the drab streets of mean and inconvenient houses and much has already been accomplished. The most general improvement is to be noticed in the arrangement or lay-out of the new housing sites, the reduced density of the dwellings (with one notable exception), and the provision of open spaces in connection with them. In referring to these open spaces, I want to stress the fact that the abuse now given, and the destruction of the shrubs, is I feel sure just a passing phase, due to the lack of education of the people in the use of these amenities. I should be sorry to see the Council return to the asphalted and concreted common yards or forecourts reminiscent of earlier communal development. |
b7e00ddf-6503-4b92-b397-810511e1a524 | What I do say is that during this phase protect the amenities provided in such a way as to reduce the damage to the minimum and take steps to educate, if necessary by punishment of the offenders. 98 There is one criticism I would like to make, and this has particular relation to the Movers Lane Estate—it is that the backs of the houses are overlooked and lack that sense of privacy which has been achieved on other estates. The feeling of being overlooked results in the erection by the tenants of many unsightly screens and sheds, which not only prevent the free movement of air and reduce the available daylight, but spoil the whole appearance of the estates. The table on pages 99—100 shows that 604 houses, occupied by 2,962 persons, have been dealt with in seven years, notwithstanding the difficulty of finding suitable building land. |
0653a4f7-9e96-47f2-afa5-bddd289c740a | The removal of these houses from the oldest and most congested part of Barking provides what must be a welcome opportunity for rebuilding your town centre upon more attractive and imposing lines, with buildings in more pleasing relationship, orderly grouping and true variety. In this way, I feel sure the Corporation will merit the commendation of the burgesses. The pleasing treatment of the open spaces at the road junctions at North Street and Linton Road, etc., are indications in a small way of what can be achieved in streets previously drab and featureless. At the Public Health and Maternity Committee, held on the 14th May, 1937, I submitted the following report:— " HOUSING ACT 1936—SECTION 90—LOANS BY LOCAL AUTHORITIES FOR THE IMPROVEMENT OF HOUSING ACCOMMODATION. |
80bf67bf-f460-4a7b-8447-214a861a11f6 | A recent inspection has shown that, in connection with many non-parlour houses situated in the streets set out below, the tenants have added to their accommodation by the erection of badly constructed wooden outbuildings, which are obstructive to light and in other respects insanitary. In most cases the outbuildings are so bad as to warrant demolition, but this would entail hardship as the tenants have placed in such outbuildings a sink, washing-copper and gas-cooker, and in a few instances a bath. It is suggested therefore that the Corporation should offer the financial assistance, provided in the above section, and that your officers should be instructed to confer with owners with a view to the erection of properly constructed sculleries. 99—100 CLEARANCE AREAS. Area. |
0d76f598-d0fa-4294-843e-205c5b27b3df | Date of Representation Aereage Dwelling Houses Shops Total Premises Total Persons Date of Inquiry Date of Confirmation Premises Excluded Final Date for Vacation Date of Demolition Subsequent Use of Site North Street, Holly Square and Tanner Square 10/3/31 .549 25 — 25 146 15/12/32 22/3/33 6/5/33 9/33 Rehousing St. John's Retreat 2/32 .338 14 — 14 67 15/12/32 7/2/33 — 8/11/33 30/6/33 Vacant Bifron Square 10/2/31 .713 19 11 30 124 20/12/32 22/3/33 — C.P.O. 31/3/34 Rehousing Church Path, etc. |
006d2693-349a-46c6-ac78-b3a13737d459 | 13/9/32 .06 4 1 5 25 2/5/33 13/9/33 — C.P.O. between 30/6/35 and 26/7/35 Car Park Back Lane 13/9/32 .45 28 — 28 134 2/5/33 13/9/33 — C.P.O. between 6/35 and 11/35 Open space—additional to Parish Churchyard. Bridge Street 19/7/32 1.09 36 — 36 221 2/5/33 13/9/33 — 18/6/34 between 31/12/34 and 31/3/35 Industrial Abbey Road (No. 1) 13/11/33 .144 11 — 11 53 None held 12/4/34 — 12/7/34 31/3/35 Industrial Park Terrace, Collier Row, etc. |
655a5df8-fcc9-4eb4-ae30-346bd4faadf0 | 10/10/33 1.4 53 (including 1 shopdwelling and 1 beerhouse) 53 256 3/5/34 31/7/34 — C.P.O. 8/35 Rehousing Abbey Road (No. 2) 13/11/33 .18 18 — 18 83 24/9/34 4/1/35 — 8/4/35 7/8/35 Industrial Abbey Road (No. 3) 13/11/33 .061 4 — 4 22 24/9/31 4/1/35 — 8/4/35 12/35 Rehousing Abbey Road (No. 4) 13/11/33 .09 7 — 7 65 24/9/34 4/1/35 — 8/4/35 12/35 Industrial North Street (No. |
a520d355-7557-4287-a4fa-59a3a06bcc61 | 1) 4/7/34 2.05 56 (and 5 lock-up shops, 10 shop-dwellings and 1 common lodging-house) 72 307 24/9/34 1/1/35 14, North St. 25/8/35 between 12/35 and 3/36 London Road Extension and Commercial Development. Union Street 17/5/35 .82 41 3 44 191 31/12/35 7/3/36 — C.P.O. 9/37 Rehousing Roden Yard 18/1/35 .04 2 — 2 8 5/9/35 9/35 — C.P.O. 12/35 Industrial North Street (No. 2) 14/2/36 .357 7 (and 4 shop-dwellings) 11 60 23/9/36 25/3/37 — C.P.O. |
9e40a0a1-84be-4417-b62d-7826bb720edb | 3/38 London Road Extension and Commercial Development. Eldred Road (No. 1) 16/11/34 .04 3 — 3 8 31 /12/37 7/3/36 — 14/9/86 6/38 Ribbon Development Act. Heath Street (No. 1) 14/2/36 1.69 49 (including common lodging house and synagogue) 49 302 (including 39 inmates of common Lodging House) 23/9/36 25/3/37 Synagogue to be "grey" C.P.O. not yet demolished Rehousing St. Paul's Road (No. 1) 28/2/37 .49 18 — 18 155 23/9/36 25/3/37 — C.P.O. do. Rehousing St. Paul's Road (No. |
defe74aa-4002-446e-9adf-c3be6d9b0c69 | 2) 28/2/37 .143 6 — 6 23 23/9/36 25/3/37 — C.P.O. do. Rehousing Grove Place 17/4/36 .3 18 — 18 70 23/9/36 25/3/37 — C.P.O. do. Town Redevelopment. Broadway and Axe Street 17/4/36 2.09 40 21 (shopdwellings) 61 216 23/9/36 25/3/37 19 & 21, Axe St. 31, Broadway to be "grey," also various garages and outbuildings C.P.O. do. Town Redevelopment. St. John's Retreat (No. 2) 4/3/37 .16 9 — 9 42 — 15/11/37 — 4/38 do. Commercial Development Eldred Road (No. |
2cabdb9f-534b-4b8e-8163-67810e83f13b | 2) 4/3/37 .23 11 — 11 55 12/10/37 17/11/37 — 4/38 do. — Cowbridge Lane 8/12/37 .25 12 — 12 50 Action in respect of these areas not yet complete. North Street (No. 4) 8/12/37 .33 12 — 12 50 North Street (No. 5) 8/12/37 .16 6 — 6 22 Smiths Lane 15/6/37 .06 4 — 4 24 TOTALS 569 2,779 INDIVIDUAL UNFIT HOUSES 35 183 GRAND TOTALS 604 2,962 N.B.—The abbreviation C.P.O. stands for Compulsory Purchase Order. 101 The number of houses concerned in the present review is 187. |
6b9b2438-8084-4a37-87ed-a1bf3d812399 | It is estimated that the capital cost would be £9,500, and that the owners would increase rentals from 8s. l1d. to 10s. 6d. per week. There are 19 owner-occupiers. Street. Shaftesbury Road Clarkson Road Boundary Road Howard Road Eldred Road No. of Houses Concerned. 51 49 40 40 7 Number without Outbuildings. 5 7 9 10 5 187 36 This additional accommodation would increase the permitted number of each house from 5 to 7 persons." 103 SECTION E. INSPECTION AND SUPERVISION OF FOOD. 1. MILK SUPPLY AND ICE-CREAM. (a) Milk Supply.—There are no cowkeepers in the district, and the rationalisation of distribution has become so extensive that in Barking we have now only one dairy, where milk is handled or treated, that is, in the accepted sense. |
5462684c-a481-4d7d-b270-5936e54b2c60 | On our register there are 87 purveyors, 20 of whom occupy premises outside the district and the remainder retail pre-packed supplies. As I have foreshadowed elsewhere, the operation of the Milk and Dairies Orders has tended to eliminate the small dairyman. The following table sets out the results of the bacteriological examination of various samples, from which it will be seen that, out of a total of 47, one was found to be unsatisfactory:— Type of Sample. Satisfactory. Unsatisfactory. Totals. "Sterilised" Milk - "Pasteurised" Milk 24 - 24 Raw Milk 20 - 20 "Homogenised" Milk 2 1 3 Totals 46 1 47 There were during the year 42 samples of milk submitted to biological examination for the presence of tubercle. Two of the 42 samples were found to be infected and the necessary action was taken. |
62aed532-3a52-4f9f-92a4-9256db6bbe3f | The two samples of milk found to contain tubercular germs were taken from country farm supplies prior to pasteurisation. It is satisfactory to know that over 99 per cent. of the milk supplied in Barking is pasteurised. 104 The following table shows the number of licences granted during the year for the sale of graded milks under the Milk (Special Designations) Order, 1936:— Tuberculin Tested 11 Pasteurised 16 A licence was granted to one local firm for the bottling of Tuberculin Tested Milk, and one for the treatment and sale of milk as "pasteurised." (b) Ice-Cream—Barking Corporation Act, 1933—Section 160.—There are 114 vendors registered, in accordance with this Act, of which 35 are manufacturers with premises in Barking. Fourteen vendors had premises outside the district. |
5e01a517-64b5-49e1-a959-0b345ff89100 | There was an increase of 15 in the number of registered premises, but the increase was confined to shops from which ice-cream is sold but not manufactured. Many of the shops are supplied from one source with pre-packed containers and sampling is therefore directed to control the main supplies, rather than the individual vendors. The general standard of cleanliness has been good. Forty samples were submitted for bacteriological examination, five of which were unsatisfactory. 2. MEAT AND OTHER FOODS. (a) Meat.—There is one licensed slaughterhouse in the district. This licence is renewable annually. The premises are situated in the centre of the town and in view of the changing circumstances and developments taking place it may be that the Council will be considering the continuance of slaughtering at these premises. The slaughterhouse was well conducted during the year. The following table gives particulars of notifications received, and the animals slaughtered, during the ten years ended December 31st, 1937. |
08c190f5-df4f-4c8f-bf7d-301838633641 | Year 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 Notifications Received 126 72 64 39 57 34 205 236 195 179 Cattle 40 64 80 12 10 41 350 447 340 365 Pigs 409 137 93 200 84 18 502 1,131 474 457 Sheep 815 426 332 173 270 241 1,038 1,346 748* 500† Calves 71 10 11 1 9 1 140 157 77 38 Totals 1,335 637 516 386 373 301 2,030 3,081 1,639 1,360 * Includes 404 lambs. † Includes 199 lambs. |
4e5d1057-df78-40fe-8355-ebfeaefa140c | 105 The following additional table gives information as to carcases inspected and condemned during the year 1937:— Cattle excluding Cows Cows Calves Sheep and Lambs Pigs Number Killed 195 170 38 500 457 Number Inspected 195 170 38 500 457 All diseases except Tuberculosis:— Whole carcases condemned — — — — — Carcases of which some part or organ was condemned 1 40 — 17 3 Percentage of Number inspected affected with disease other than Tuberculosis .51 23.5 — 3.4 .65 Tuberculosis only:— Whole carcases condemned — — — — 1 Carcases of which some part or organ was condemned 7 123 — — 8 Percentage of the number inspected affected with Tuberculosis 3.0 72.3 — — 2 This table is given because it has been asked for in Section E (b) of Ministry of Health Circular 1650. |
630c19a2-c2c2-4e5a-b87b-b0d844ee7327 | I should like to add to this table by saying that none of this food was exposed for sale. It is necessary for the butchers to work in the closest co-operation with the Sanitary Inspectors, and this we find they readily do. (b) Supervision of Food Preparing Premises.—The number of premises in the district at the end of the year at which the following foods are prepared were:— Sausages 30 Potted Meat and Brawn 5 Roast and/or Boiled Ham 7 Pressed, Pickled, Cooked, etc., Beef and Tongue 43 Roast Pork 5 Bacon l Boiled Crabs and Lobsters 2 Pickled Fish 10 Pickled Onions l Smoked Fish 9 106 A difficulty in registration is encountered because Section 159 of the Barking Corporation Act, 1933, does not apply to any premises occupied as a factory or workshop. Most small shops come within this description and the restriction imposed is very wide in its effect. |
3ac0764a-6e75-4f66-9710-360b192b4241 | Many representations have been made to remove this bar and we are hopeful that the new Act relating to food will do so. The number of inspections made during the year was 581. It is found that where uncleanly conditions exist these are most often remedied after verbal caution, but in one instance a butcher was summoned on two charges, and fined the maximum penalty with costs. (c) Bakehouses.—The same process of rationalisation which has been taking place in the milk industry has been operating also in the bread industry. The large multiple bakeries are gradually eliminating the small baker. There remain eleven bakehouses in the district. One bakehouse was demolished as the result of action by the department, another was entirely remodelled and in respect of two others the occupiers have been warned that statutory action will take place unless some very necessary improvements are effected. It is unfortunate that the present law places the duty of making the bakehouses fit, upon the occupier. |
f31b730a-f017-47c1-bd86-5959dc852b58 | The small man usually lives a hand to mouth existence and cannot meet the cost of the structural and equipment alterations required. (d) Food Byelaws.—These byelaws were made under the Barking Corporation Act, 1933, and when drafted provided for most of our requirements. The advent of a new market ground has shown us the inadequacy of our byelaws in relation to:— (1) Ablution facilities. (2) Sanitary conveniences. (3) Refuse containers. (4) Paving and drainage of site. (5) Storage of food. If such markets are to become a feature of the district it is desirable that our existing byelaws should be amended to deal with the above-mentioned matters. 107 There was one prosecution under the existing byelaws. (e) Unsound Food.—The following list gives particulars of unsound food destroyed during the year:— 14 lbs. Sugar. 6 tins Damsons. 6 lbs. |
271772e5-b6fd-433a-8014-f8a457111dd7 | Corned beef. 178 pkts. Crystallised fruit. 17 Cabbages. 8§ lbs. Pressed beef and tongue. 6 lbs. (tins) Preserved ox tongue. 2 lbs. Pressed veal. ½ lb. tin Salmon. 1¼ lbs. Veal brawn. 41 jars Lemon curd (1 lb. each). 5 lbs. Raisins. 48 jars Orange curd (1 lb. each). 76 Eggs. 22 tins Peeled plum tomatoes (2½ lbs. each). 7 pkts. Biscuits. 83 tins Pineapple. 2 jars Bramble jam. 12 tins Tomatoes. 1 tin Pilchards. 2 tins Pears. 1 tin Mixed fruits. 17 tins Raspberries. 3 tins Pineapple chunks. 3 tins Skimmed milk. 11 tins Grapefruit. |
d47fd68a-1c77-4292-8fec-0e2b5ff8f4d6 | 2 tins Peas. 1 tin Condensed milk. 4 jars Raspberry jam (2 lb. each). 20 lbs. Eels. 6 jars Mixed pickles. 1 (tin) Ham (weight 13½ lbs.). 7 jars Gherkins. 1 carton Cream (4 ozs.). 5 jars Onions. 58 Rabbits. A retail butcher was summoned on two informations with respect to cleanliness of premises and prevention of contamination of meat. A fine of one pound and one guinea costs were imposed on each information. A retail grocer was cautioned with regard to the sale of unsound brawn. 3. FOOD POISONING. There were three cases of food poisoning notified. Only in one case was bacterial infection, viz., B. Aertryke, found. It would appear that there is still some difficulty in coming to a decision as to whether a certain clinical case is, or is not, food poisoning. |
95e0482c-ff6a-47ee-92c6-b51ec344af20 | Some people have what is termed an idiosyncrasy, by virtue of which certain foods, however pure and wholesome, disagree with them. In certain other cases, ordinary normal food disagrees with the individual not by reason of the food itself, but due to some disability in the individual. Neither of these cases constitute food poisoning. 108 In April there was a minor outbreak of illness among children taking meals at the Faircross Special School and at other school centres. The bacteriological examinations carried out failed to discover any organisms of pathogenic significance. The meal which was the cause of the illness had been prepared and cooked at the Municipal Kitchen. 4. ADULTERATION, ETC. The Food and Drugs (Adulteration) Act, 1928, and kindred Acts and Regulations are administered in this district by the Essex County Council. I am indebted to Mr. |
2a7e5ee5-4083-4688-a804-ba0167a35b62 | H. C. Card, Chief Food and Drugs Officer for the Metropolitan Area of the Essex County Council, for the particulars of samples purchased and submitted for analysis during the year. These samples are submitted for chemical examination to Dr. Rernard Dyer, the County Analyst, Great Tower Street, London. The following samples were examined during the year:— Milk 50 Rutter 26 Other 121 Total 197 In one case proceedings were instituted during the period covered. For your information I give particulars of samples taken by the Essex County Council in this district since 1931:— Year. 1931 1932 1933 1934 1935 1936 1937 Number of Samples. 204 223 180 178 157 135 197 No. of samples per 1,000 population. |
a8a9c5f1-b917-4e46-b4f7-f4be84287ef9 | 4.0 3.7 2.65 2.5 2.2 1.8 2.5 109 The yearly figure since 1932 has fallen to a lower standard than we regard as adequate. 5. CHEMICAL AND BACTERIOLOGICAL EXAMINATION OF FOOD. The bacteriological examination of all milk, ice-cream and water samples is carried out for this Authority by the Counties' Public Health Laboratories, of 91, Queen Victoria Street, London, whilst the examination of samples of milk for the presence of tubercle is carried out by Dr. S. R. Gloyne, of the Victoria Park Hospital, Hackney. 6. NUTRITION. |
b75d5010-5984-4757-82de-76d8e85d285f | No particular steps have been taken this year to increase the knowledge of the public, as such, on the subject of nutrition, but the domestic science courses that are undertaken by the schools in the town are a very happy feature of your educational system, and must bring forth full return in the near future, because, not only are the children themselves educated in these important matters, but they spread knowledge in their own homes. Without suggesting the work we have done in the pathological laboratory can in any way be called a special investigation, the work we have done on the iron content of the blood, particularly in pregnant women, supports the conclusion of other people, that in many instances there is considerable lack of iron. I am apprehensive that in most cases the diet is at fault, but I am persuaded that this is not the whole of the story, and that although I have no evidence on the point, there must be in some cases an unnecessary and excessive excretion of iron, thus draining the body of this necessary mineral. |
d7df31b8-5206-430b-b53f-630a38dd2519 | I am anxious that more fresh vegetables and fresh fruit, particularly vegetables of the salad variety, are put on the market at prices which would tempt people to make them a regular and substantial part of their diet. The mere consumption of food, however, is not sufficient to achieve nutrition. An adequate amount of rest and sleep is necessary for these foods to be built up into the body proper. Anxiety, too, militates against proper nutrition, and in this connection it has been brought to my notice that irregular employment, and its consequent periods of unemployment, is not consistent with healthy nutrition. 111 SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. 1. NOTIFIABLE INFECTIOUS DISEASES. The statistical tables in regard to notifiable infectious diseases during the year will be found on pages 112 to 115. These tables show that there was still a considerable falling off in the number of cases of notifiable diseases in Barking. |
20b535f6-9a1a-40c7-adf0-bddf90e1eb68 | The cases of scarlet fever notified declined from 345 to 245 and the number of cases of diphtheria from 162 to 155. It is to be mentioned here that the type of diphtheria notified was not of the virulent form of diphtheria, known as the gravis type. There were five deaths from diphtheria during the year as against twenty-two for 1934. Although, of course, I am very glad to be able to say there have been fewer cases of scarlet fever and diphtheria, I would like to say that in my opinion this is only the ebb and flow of disease. We do not look upon it as highly satisfactory, and we shall not look upon a reverse swing of the pendulum with too much concern. What we do hope is that these periods of remission when the incidence of infectious diseases is light will in time become lengthened, and the alternative periods when it is heavy will be decreased in length. |
3d2d2f47-fce7-499a-a2e0-a44176e2571c | During the year a certain amount of research work was carried out at the Pathological Laboratory in regard to streptococcal infections, and an account of this work is given in the Report of the Scientist upon pages 67 to 70. It is curious to note that during the year two cases of malaria fever were notified. In both cases, however, the fever was contracted abroad. During the year I have to report the commencement of a widespread epidemic of dysentery, but fortunately in Barking there were but two cases notified. 112 2. NOTIFICATION TABLES. The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1937 :— TABLE I. Disease. Males. Females. Total. Total cases removed to Hospital. Deaths. Smallpox — — — — — Scarlet Fever 124 121 245 230 — Diphtheria 69 86 155 155 5 Enteric Fever (including |
cd7bfd03-fd6b-4748-aa39-27572b4f3503 | Para-typhoid Fever) 8 9 17 17 2 Puerperal Fever — 2 2 2 — Puerperal Pyrexia — 10 10 6 — Pneumonia: Acute Influenzal 57 50 24 65 — Acute Primary 76 7 Following Measles 7 — Erysipelas 16 14 30 22 1 Ophthalmia Neonatorum 2 3 5 1 — Acute Anterior Poliomyelitis 1 4 5 4 — Pemphigus Neonatorum 2 — 2 1 — Malaria 2 — 2 — — Dysentery 2 — 2 2 — Food Poisoning 2 1 3 1 Totals 285 300 585 506 15 113—114 TABLE 11. Notifiable Disease No. of cases notified at age groups Cases classified according to Wards Under one |
7baaba44-920f-4110-9c3a-5de63a3c6d22 | year 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 10 years 10 to 15 years 15 to 20 years 20 to 35 years 35 to 45 years 45 to 65 years Over 65 years Totals Abbey Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes Smallpox — — — — — — — — — — — — — — — — — — — — — Scarlet Fever 3 7 22 21 18 122 37 5 6 4 — — 245 16 84 28 11 6 53 9 38 Diphtheria 4 6 5 4 11 78 35 3 8 — 1 — 155 8 27 22 14 4 47 3 30 Enteric Fever — — — — — 5 2 3 3 3 1 — 17 |
3053ff47-ebd6-4bf2-ab7b-66714570879c | 1 6 3 2 1 2 — 2 Puerperal Fever — — — — — — — — 2 — — — 2 — — — — — 2 — — Puerperal Pyrexia — — — — — — — — 8 2 — — 10 1 2 1 1 1 — 2 2 Pneumonia (ac. primary, ac. influenzal & following measles) 7 9 3 5 3 23 3 5 11 15 18 5 107 12 11 20 11 9 13 15 16 Erysipelas 1 1 — — — 2 1 2 2 7 8 6 30 2 8 6 2 1 3 6 2 Ophthalmia Neonatorum 5 — — — — — — — — — — — 5 — 2 1 |
b1628762-94ca-4367-b5b4-4c46daf98d4a | 1 — — — 1 Acute Anterior Poliomyelitis — — — — — 1 3 1 — — — — 5 1 2 2 — — — — — Pemphigus Neonatorum 2 — — — — — — — — — — — 2 — 1 — — — — — 1 Malaria — — — — — — — — 1 1 — — 2 — — 2 — — — — — Dysentery — — — — 2 — — — — — — — 2 — — 1 1 — — — — Food Poisoning — — — — 1 1 1 — — — — — 3 — 1 — — — 2 — — Totals 22 23 30 30 35 232 82 19 41 32 28 11 585 41 144 86 43 22 122 35 92 115 Monthly summary of notifications of Scarlet Fever |
fd8b1788-a929-4c8a-96d4-653d434781a7 | and Diphtheria received during 1937 :- Scarlet Fever. Diphtheria. Total. January 17 12 29 February 18 8 26 March 33 13 46 April 26 10 36 May 21 7 28 June 31 5 36 July 25 14 39 August 7 12 19 September 27 19 46 October 15 21 36 November 14 18 32 December 11 16 27 Totals 245 155 400 3. NON-NOTIFIABLE ACUTE INFECTIOUS DISEASES. (a) Measles, etc.—The most important of these are measles, whooping cough and summer diarrhoea. |
8264de52-9d42-45bf-bdaf-52dc09b963d6 | Deaths registered were as follows :— Measles — Whooping Cough 1 Summer Diarrhoea 9 Chicken-pox — There have been no new decisions as to the admission of such diseases as measles to the Barking Hospital, but it is to be noted that with the extensions to the Hospital during the past few years, it has been more possible to deal with these cases than heretofore. (b) Rheumatic Fever.—In the past I have advocated the setting up of a rheumatic clinic, and the possibility of a form of in-patient treatment for this condition. This I still hope will come to pass, because rheumatic fever, as I have stated previously, is more prevalent in Barking than it is in other parts of the Country, and this is true for all parts of the Thames Valley. 116 What I envision is that you will set up something to take the place of the rheumatic clinics held elsewhere. |
bcf633d0-14f9-41d5-8a5e-f61722fe83a6 | To my mind you could very well entertain the possibility of making suitable financial provision for the appointment of a specialist. It would appear to me that this specialist could very well be working in Barking for a minimum period of a year, studying the problems peculiar to the town by taking part in the ordinary activities of the Department, and in other ways informing himself of all the circumstances of the problem. It would only be at the end of this year that I should be prepared to come forward with proposals and recommendations, but I would like to say that if this service is initiated you may be facing the financial problem of providing hospital accommodation for these oases of rheumatism and sub-acute rheumatism in children, who do not do well at special schools and for whom there is not adequate hospital provision in the ordinary hospitals of the Country. (c) Influenza.—I regret to report that during 1937 there were 17 deaths from influenza. |
6b287a83-870c-4fed-915f-e79fa7259979 | This contrasts with 7 deaths in 1936, 9 deaths in 1935, 12 deaths in 1934, and 21 deaths in 1933. The time has not yet arrived when influenza can be treated specifically, and I must repeat, as before, that the general public regard the disease far too lightly, and that advice and treatment should be sought always at an early stage. (d) Scabies.—Fifty-five cases of scabies were brought to the notice of the department during the year. Disinfection of bedding and blankets was carried out where desired. (e) General.—Non-notifiable infectious diseases amongst school-children are much more easily traced than the diseases amongst adults. As you know, the School Attendance Officers of the Education Committee are General Inquiry Officers, and we have a lot of reliable information on which we can act so far as infectious diseases amongst school-children are concerned. 117 4. BARKING HOSPITAL. |
c5dbe657-e120-49d5-8aa2-8634be7dcb1a | (a) Admissions.—The following is the table of admissions, etc., in respect of infectious diseases during 1937:— Disease. In Hospital January 1st, " 1937. Admitted during the year. Died. Discharged. In Hospital Dee. 31st, 1937. |
f5c30eb4-70df-48f2-8710-6888d11f0ffb | Scarlet Fever 35 227 — 248 14 Diphtheria (including Membranous Croup) 23 147 5 140 25 Enteric Fever — 16 2 13 1 Puerperal Fever — 2 — 2 — Puerperal Pyrexia — 4 — 4 — Pneumonia 4 32 4 25 7 Erysipelas 2 18 1 17 2 Ophthalmia Neonatorum 1 2 — 2 — Others 5 136 1 121 19 Acute Anterior Poliomyelitis 1 2 — 3 — Pemphigus Neonatorum — 1 — 1 — Food Poisoning — 1 — 1 — (b) Number of Bed Days.—The total number of bed days in the infectious diseases hospital during 1937 was 20,105—that is to say, |
db2d0eaf-b01b-40f4-a5a9-4407aa46e81f | an average of 55 patients were in hospital throughout the 365 days in the year. 118 5. ARTIFICIAL IMMUNISATION. Last year I mentioned that steps were being taken to provide facilities for immunisation against whooping cough, and during the year such facilities were offered to the public. This service, however, has met with little support from the public, and in all but twenty-four cases have been treated, and of these only eighteen completed the course of treatment. It will be seen, therefore, that the numbers treated are far too small for any considered opinion to be given upon the efficiency of this treatment. Efforts were also made, during the year, to commence a scheme whereby measles serum would be available to the public, especially for certain cases in your hospital. Unfortunately, last year was not a " measles year " and it was not found possible to obtain blood from convalescing cases for the necessary serum to be prepared. We are, however, making further endeavours in this direction. |
a2b9fd7b-4a99-42f8-a3b2-bee979021632 | The following table shows what has been done under the immunisation scheme Diphtheria Scarlet Fever. Whooping Cough. Total number of cases treated 152 44 24 Number of first attendances for treatment 88 34 24 „ subsequent attendances for treatment 283 161 41 ,, final " Schick " tests 114 — — „ final" Dick " tests — 29 — „ final attendances for treatment — — 18 6. CANCER. There have been 86 deaths from cancer, 48 below the age of 65 years and 38 above the age of 65, 119 The following table shows the occupations of the 86 people who died from cancer during the year 1937 *Male. Female. |
0e99d7e0-2a39-49fb-8682-34a6bc13f9f3 | Brewery Stoker 1 Wives 30 Cafe Proprietor 1 Spinsters 1 Car Examiner 1 Widows 8 Carpenter 1 Children 2 Chemical Workers 2 Fitters 3 Gas-work Workers 5 House Decorator 1 Labourers 10 Master Cooper 1 Night Watchman 1 Painter 1 Park-keeper 1 Plumber 1 Police Constables 2 Printer's Assistant 1 Private-hire Car Owner 1 Railway Inspector 1 Road Foreman 1 Rubber Worker 1 Schoolmasters 2 Stone Breaker 1 Stevedore 1 Tackleman 1 Telephone Operator 1 Tram Driver 1 Warehouseman 1 45 41 * Where the person had retired, his occupation prior to his retirement is given. 120 The following table shows the ages of the persons who died from cancer and the organs affected:— Organ. Under 1 year. 1-5 years. 5-15 years. 15-25 years. 25-45 years. |
61d0cbdc-5190-4b21-8049-1970c297ed12 | 45-65 years. Over 65 years. Total. M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F. Abdomen - - - - - - - - - 1 - - 1 1 1 2 Bile Duct - - - - - - - - 1 - - - - - 1 - Bladder - - - - - - - - - - - - 2 - 2 - Bowel - - - - - 1 - - - - - - - - - 1 Breast - - - - - - - - - 2 - 2 1 1 1 5 Bronchus - - - - - - - - 1 - 1 - 1 - 3 - Caecum - - - - - - - - - - - - - 2 - 2 Chest - - - - - 1 - - - - - - - |
aa5f3f5d-dee9-4e33-83ed-1031439dc94e | - - 1 Cervix - - - - - - - - - 1 - - - 1 - 2 Colon - - - - - - - - - - - 1 3 1 3 2 Disseminated - - - - - - - - 1 - - 2 - - 1 2 Kidney - - - - - - - - - - 1 - - - 1 - Liver - - - - - - - - - - 1 - 3 - 4 - Lungs - - - - - - - - 1 - 3 4 2 1 6 5 Oesophagus - - - - - - - - - - - 1 2 - 2 1 Ovary - - - - - - - - - - - 1 - - - 1 Pancreas - - - - - - - - - - 1 - 1 - 2 - Peritoneum - - - - - - - - - |
75f932b1-d713-4861-af10-e26c96a41e00 | 1 - 1 - 1 - 3 Pleura - - - - - - - - - - - 1 - - - 1 Prostate - - - - - - - - - - 1 - 5 - 6 - Rectum - - - - - - - - 1 - 2 1 3 1 6 2 Stomach - - - - - - - - 1 - 2 - 3 2 6 6 Thyroid Gland - - - - - - - - - - - 1 - - - 1 Uterus - — - - - - - - - 1 - 3 - - - 4 Totals - - - - - 2 - - 6 6 12 22 27 11 45 41 7. PREVENTION OF BLINDNESS. Blindness is being prevented in Barking; it is being prevented by the co-operation of the whole of the services. |
c1db893a-8228-4d0d-ba31-b6e8759b429d | During the year Circular 1621 was received from the Ministry of Health, dealing with the Prevention of Blindness. The recommendations and observations of this Circular were carefully considered by you, in conjunction with the new powers given to you by the Public Health Act, 1936—Scction 176, which gives added powers in connection with the arrangements for the prevention of blindness. One of the items dealt with by the Circular was the treatment of ophthalmia neonatorum, and in this connection all local general medical practitioners were reminded that you were willing to take babies who were suffering from ophthalmia neonatorum, together with their mothers, into the Barking Hospital, where they would be under the care of your Consultant Ophthalmic Surgeon. |
65f2061e-36c4-4b83-adc6-3350ba308478 | 121 It is to be mentioned too that your Consultant Gynaecologist draws up approved hygiene for the eyes at birth, your Consultant Ophthalmic Surgeon draws up our approved treatment for ophthalmia neonatorum, and your Inspector of Midwives takes up each case as it does arise while your Health Visitors follow up each case and encourage parents to carry out any necessary treatment. It is years ago since we had a case where vision has been impaired by reason of ophthalmia neonatorum. The Circular also points out the need for hospital treatment in cases where there is a possibility of serious eye trouble accompanying or resulting from certain infectious diseases, especially measles, and here again you re-affirmed your policy to the local medical practitioners by advising them that you were willing to take into your hospital eases of non-notifiable infectious diseases, where complications were present, especially complications involving the eyes. The following table shows that the number of cases of Ophthalmia Neonatorum during 1937 was 5, compared with 10 in 1936. |
5ab6a906-8145-4fc1-8bdb-a5c2e88b3ebd | Four cases were treated at home, and in no case was the vision impaired. Age Group. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths. Notified. Treated. At Home. At Hospital. Under 3 weeks 5 4 1 5 — — — 8. TUBERCULOSIS. Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1937 are given in this Report in the following form :— New Cases Notified. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
6ca39e87-be8c-4af5-b49b-cf5d023a7645 | Under 1 year — — — — — — — — 1 to 5 years — 2 2 — — — 1 — 5 to 15 years — 1 8 8 — — 1 1 15 to 25 years 12 18 1 3 5 2 — — 25 to 35 years 16 10 3 2 5 5 1 — 35 to 45 years 13 6 — 1 8 4 1 — 45 to 55 years 8 3 1 2 5 — — 55 to 65 years 4 2 — — 1 1 — — 65 years and upwards — — — — — 1 — 1 Totals 53 _ 42 15 11 24 13 4 2 122 During the year, |
b3daaec4-1394-4951-a1a6-63179a9f7753 | 121 notifications were received of all forms of Tuberculosis— pulmonary 95 and non-pulmonary 26 and there were 6 deaths of un-notified cases (3 pulmonary and 3 non-pulmonary), making a total of 127 new cases during the year. Information has been received of the removal into the district of 36 tuberculous persons, included in number of notifications received. This compares with 50 received during 1936 and 39 for 1935. Once again I want to call attention to the large number of inward transfers. This is due in large part to the expansion and development of the district. The following are particulars of cases notified on Forms I and II during the year :— Form I. Form II. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. Male. Female. Male. Female. Male. Female. Male. Female. |
d6c56e4e-af5b-42a0-a5cc-03c65de7f35c | 37 39 5 7 39 21 6 5 Forty-three deaths occurred from Tuberculosis (all forms) thirty-seven of these being pulmonary cases. The number of deaths in institutions was thirty. The death rate for Tuberculosis (all forms) during 1937 was 0.56 per 1,000 population, compared with 0.58 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. We did not avail ourselves of its powers at any time during the year. |
fb5b9c44-5dfb-4791-9dc2-bb187d036db3 | BOROUGH OF BARKING THE ANNUAL REPORT OF THE School Medical Officer For the Year 1937 C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. 126 TABLE OF CONTENTS. Pages. ADENOIDS 135,139,163 AUDIOMETER 135,158 BLIND CHILDREN 152-153 BROOKFIELD ORTHOPÆDIC HOSPITAL 152,164 CENTRAL CLINIC 137,138,139 CERTIFIED SCHOOLS 153 CLEANLINESS INSPECTIONS 133-134 CLEANSING 134,158 CLINICS AND ATTENDANCES AT 137,138,139,140 CLINIC SERVICES, LIST OF 159-162 COD LIVER OIL AND MALT, ETC 138,151,158 COMMUNICABLE DISEASES 141 CO-OPERATION OF PARENTS, TEACHERS, ETC. 131,151-152, |
24c86786-8f80-4013-af30-db8d8c3cbdcc | 170 CO-ORDINATION OF SERVICES 131,137,152, 155,171 DEAF CHILDREN 152-153 DENTAL INSPECTION AND TREATMENT 135,140,158,169-170 DENTAL OFFICER, SENIOR, REPORT OF 169-170 DRYING FACILITIES 131,148-149 EAR DISEASE 135,140 EAR, NOSE AND THROAT DEPARTMENT 140,141 EMPLOYMENT, JUVENILE 157 EMPLOYMENT OF SCHOOL-CHILDREN, PART-TIME 157 EPILEPTIC CHILDREN 152-153 ESSEX VOLUNTARY ASSOCIATION FOR MENTAL WELFARE 154,155 EXCLUSION FROM SCHOOL 141 EYE DISEASE 134,139,173 FAIRCROSS CLINIC 140 FAIRCROSS SPECIAL SCHOOL 153-154,156,163,171-172 FOLLOWING-UP WORK 136-137,138,140, |
64087f54-5f23-497f-ba16-701918fa7a78 | 150 HEALTH EDUCATION 156 HEARING 135,140,158 HEART DISEASE 136,140 HIGHER EDUCATION 155-156 IMMUNISATION AGAINST DIPHTHERIA, SCARLET FEVER AND WHOOPING COUGH 138,141,163 INFECTIOUS DISEASES 140,141 INTRODUCTION 129 IONISATION 140 MALNUTRITION 133,138 MEALS 138,142,148-150,158 MEDICAL INSPECTION, ACCOMMODATION FOR 132 MEDICAL INSPECTION AND FINDINGS OF 132-136,150,154,155-156,158 MENTALLY DEFECTIVE CHILDREN 152-154 MILK IN SCHOOL 138,150-151,158 MINOR AILMENTS 134,138-139,163 MYOPIA 172 -173 127 Pages. |
13bbb9f3-2c39-41ae-a035-8d80f2f7dae5 | NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN 152 NOSE AND THROAT DEFECTS 135,139 NURSERY CLASSES 155,156 NUTRITION AND NUTRITION SURVEYS 33,150 OCCUPATION CENTRE 154-155 OPEN-AIR EDUCATION 141-142 OPEN-AIR CLASSROOMS 141-142 OPEN-AIR SCHOOL 152-154 OPHTHALMIA NEONATORUM 171 OPHTHALMIC SERVICE 134,139,163,171-174 OPHTHALMIC SURGEON, REPORT OF 171-174 ORTHOPÆDIC AND POSTURAL DEFECTS 135-136,140 ORTHOPÆDIC CLINIC 138,140,163,165-166 ORTHOPÆDIC SURGEON, REPORT OF 164-168 ORTHOPTIC TREATMENT 163,173-174 PARENTS' PAYMENTS 156 PHYSICAL TRAINING, |
9fc3748b-936a-4e0f-91d2-c29ab95535de | AND REPORT OF ORGANISERS 142-147 PLAYGROUND CLASSES 141-142 PORTERS AVENUE CLINIC 138 POSTURAL DEFECTS 135-136,140 RESIDENTIAL SCHOOLS 140,153,155 RHEUMATISM 136 RINGWORM 134,139,163 SCHOOL BATHS 132 SCHOOL CAMPS 142,158 SCHOOL HYGIENE 131 SCHOOL JOURNEYS 142 SCHOOL LAVATORIES 131 SECONDARY SCHOOLS 155-156,169 SERVICES PROVIDED, LIST OF 158-163 SKIN DISEASES 134,138,139 SPECIAL INQUIRIES 156 SPECIAL SCHOOLS 152-155,163 SPECTACLES 139,163 SPEECH DEFECTS, AND TRAINING OF 140,155 SQUINT 163,173-174 STAFF 128,131 STATISTICAL TABLES, |
ce724f66-2b94-417b-99fa-5063bffb1626 | BOARD OF EDUCATION Public Elementary Schools 175-187 Secondary and Technical Schools 188-196 TEACHERS, MEDICAL EXAMINATIONS OF 157 THROAT DEFECTS 135,139,163 TONSILS AND ADENOIDS 135,139,163 TREATMENT, ARRANGEMENTS FOR 137-141 TREATMENT CENTRES, LIST OF 159-162 TUBERCULOSIS 136,140 ULTRA-VIOLET LIGHT TREATMENT 163,165-166 UNCLEANLINESS 133-134,138 VISUAL DEFECTS 134,139 VITAMIN DEFICIENCY DISEASE 171 WOODWARD CLINIC 137,138,139 128 STAFF, 1937. School Medical Officer: C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. |
80de03e0-6b63-4c0b-90f6-7b4d23885b41 | Deputy School Medical Officer : PATRICK J. O'CONNELL, M.D., B.Hy., 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.) Assistant School Medical Officers : WILLIAM HOGG, M.B., B.S., M.R.C.S., L.R.C.P., D.P.H. (Commenced 15th July, 1937.) CATHERINE B. McARTHUR, 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.) |
9062814e-958d-44dd-b480-d04020896929 | Ophthalmic Surgeon : WILLIAM ADAMSON GRAY, M.B., Ch.B., F.R.C.S., Ph.D. Orthopœdic Surgeon : B. WHITCHURCH HOWELL, M.B., B.S., F.R.C.S. 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. Nursing Staff: *Miss P. M. FAWCETT (Senior Nurse) (g, h and i). *Miss M. BAERLOCHER (a, h and k). Miss P. M. BARNS (Masseuse) (n). (Commenced 1st May, 1937.) *Miss C. COURT (g, h and i). |
73c76d06-1a92-4738-884e-386c36c25bf6 | Miss G. GEDEN (Dental Nurse) (q). 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). (Resigned 19th June, 1937.) *Miss M. McALISTER (g, h, i and j). (Commenced 7th June, 1937.) *Miss J. McGILVRAY (g, h and i). (Commenced 12th July, 1937.) Miss A. K. ROE (Masseuse) (n). Miss L. F. SWAIN (ft and i). *Miss M. F. WHALLEY (g, h and i). (Resigned 6th April, 1937.) |
4706c52d-3c4b-47a5-ba22-441be77db121 | *Miss C. M. WILLIAMS (g, ft and i). (Commenced 7th June, 1937.) Clerical Staff: Chief Clerk : F. READ. C. G. EAGLESFIELD (Senior Assistant) (r). Miss A. LIGGINS. H. C. DAVIS. Miss D. FOULSHAM. F. YATES (O). Miss I. CAST. G. H. RUFF. Miss G. COOPER. K. F. CALWAY (p). (Commenced 1st July, 1937.) Miss I. MATHIESON. E. A. ELLIS (m). (Resigned 20th February, 1937.) D. SCOTT. Miss J. WILKINSON. L. J. DEXTER. (Commenced 8th March, 1937.) |
daf66e16-0d9e-4dd5-be40-5a0225f34797 | Miss H. NUNN. Miss G. MacLEAN . Miss H. KING. (Commenced 30th August, 1937.) (a) Sanitary Inspector's Certificate of Sanitary Inspectors' Examination Board. (g) Health Visitor's Certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives Board. (i) General Hospital Training. (j) General Fever Training. (k) Health Visitor's Diploma of Board of Education. (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. |
8ec0584d-5720-4752-90b4-51a46c0a965f | (*) Combined appointment—Health Visitor and School Nurse. 129 Borough of Barkig PUBLIC HEALTH DEPARTMENT, BARKING, ESSEX. May, 1938. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Ladies and Gentlemen, Herewith I beg to submit my report for the year ended 31st December, 1937. This report has been drawn up to meet the requirements outlined in the circular of the Board of Education issued in January, 1934. I am, Mr. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 131 ANNUAL REPORT of the SCHOOL MEDICAL OFFICER For the Year 1937. (1) STAFF. Full particulars of the staff engaged in connection with your School Medical Service are given on page 128. There have been some changes in the staff during the year and the chief of these was the resignation of Dr. |
b24ae894-38ba-42a8-976c-57b4e141b0d1 | P. J. O'Connell, Deputy School Medical Officer. Dr. J. M. Thomas, who was previously an Assistant School Medical Officer, was appointed in Dr. O'Connell's place. (2) CO-ORDINATION. I am happy to say the same spirit of co-operation between the head teachers of your schools and your medical officers has been maintained throughout the year under review, and in this respect a similar technique to that of previous years has been carried out. (3) SCHOOL HYGIENE. The general sanitary conditions of the elementary schools in the area, such as sanitary arrangements, heating, lighting and ventilation, etc., remain as in previous years. The chief items to which I have drawn your attention are:— 1. That there should be adequate provision for drying wet clothes and boots ; 2. That in your older schools there should be adequate lavatory accommodation on each floor ; 132 3. |
09b94e2c-f427-4e6e-b1ae-989455eb0561 | That at all your schools there should be adequate provision for the children to have baths, and 4. That there should be adequate accommodation for medical inspection. These matters have been dealt with in several previous Reports, and in particular I call your attention to my Report of 1935. (4) MEDICAL INSPECTION. The age-groups inspected are those laid down by the Board of Education. All routine medical inspections are carried out at the schools, the parents of the children to be examined being notified beforehand and invited to be present. Children outside the routine age groups who are regarded by head teachers as requiring special attention are presented for inspection at the time routine inspections are taking place, although many of the special inspections are conducted at your school clinics. The following table shows the number of medical examinations conducted at school at routine and special inspections during 1937 classified according to the schools, the number of inspections held in each school, and the number of parents or guardians present:— School. No. of Inspection Sessions. |
40a086d3-3bd9-46d2-9af5-6233de7fad06 | Numbers Inspected. No. of Parents present (Routine and Special Exams.) Routines and Specials. Re-Exams. Bifrons 18 512 198 135 Cambell 56 986 747 494 Church of England 14 235 209 96 Dawson 34 564 428 378 Dorothy Barley 37 571 650 447 Eastbury 38 547 430 270 Erkenwald 26 595 420 230 Faircross Speech Classes 1 — 5 — Gascoigne 31 587 454 284 Manor 16 212 247 179 Monteagle 31 424 273 243 Northbury 26 398 371 213 Park Modern 10 210 93 96 Ripple 24 408 507 328 Roding 49 710 660 503 St. Ethelburga's 8 118 83 48 St. |
45a84e16-fcca-4eee-bfd6-fe42a0b04168 | Joseph's 9 88 129 81 Westbury 26 373 487 267 Totals 454 7,538 6,391 4,292 133 Of the 7,538 examinations at ordinary elementary schools, 4,812 were routine examinations of children in the specified age groups. In addition, there were 562 routine examinations of children of ages outside the three specified age groups, and 2,164 examinations of children specially referred to your Medical Officers. (5) FINDINGS OF MEDICAL INSPECTION. Table II (A) on pages 176 and 177gives in detail a return of defects found during the course of routine and special inspections at ordinary elementary schools and at the clinics. The following table is similar to Table I (C) of the Returns to the Board of Education (given on page 175 of this report), except that it shows the percentage of children found to require treatment:— Group. Number of Children. Percentage of children found to require Treatment. |
626756c1-856f-4edc-ab9b-424ddd69d890 | Inspected. Found to require Treatment. PRESCRIBED GROUPS : Entrants 1,751 293 16.7 Second age group 1,653 315 19.0 Third age group 1,408 195 18.8 Totals (prescribed groups) 4,812 803 16.6 OTHER ROUTINE INSPECTIONS 562 126 22.4 (a) Malnutrition.—The Board of Education's classification of nutrition into the groups " excellent," "normal," " slightly sub-normal " and " bad," introduced in 1935, has been continued. The personal factor amongst school medical officers must be allowed for in interpreting the table dealing with nutrition, but reference to the table which is on page 178 will show that malnutrition in its worst sense is infrequent amongst the children attending the elementary schools of your town. (b) Uncleanliness.—Systematic examination of children at routine cleanliness inspection was carried out by school nurses throughout the year. |
7ced186b-33b8-49e3-aaa9-a9f5b08f84a7 | 134 The following tabic shows the results of cleanliness inspections for the past two years:— 1936 1937 Number of examinations of children in the schools by School Nurses 39,645 39,978 Number of individual children found unclean 1,174 1,327 Number of uncleanliness findings 2,173 2,289 During the year, 10 children were cleansed by the Local Authority, and in eight cases legal proceedings were taken under the Education Act, 1921. (c) Minor Ailments and Diseases of the Skin.—Children suffering from minor ailments are referred by school medical officers, school nurses, teachers and in some cases by private medical practitioners to the minor ailments clinics. |
045084b9-c43c-4c48-878d-316f935b208a | The following is the number of cases of skin diseases referred for treatment during the year:— Ringworm (Scalp) 21 Ringworm (Body) 26 Scabies 126 Impetigo 309 Other Skin Diseases: Non-tuberculous 475 Tuberculous 1 Total 958 (d) Visual Defects and External Eye Disease.—Details of the findings at routine and special inspections will be found on pages 176 and 189 of this Report, and on pages 171 to 174,184 and 193 will also be found a record of the work carried out by the Consulting Ophthalmic Surgeon. Readers of this Report will have noted that there were 5,374 children examined by routine inspection. Of these 4,852 were found to have normal vision and 384 were referred for treatment for defective vision. |
e7e5e9c6-ed70-4212-be1c-c608bb837f74 | Of the total number of children examined by routine inspection 98.7 per cent, were free from any external eye disease and in the remaining 1.3 per cent, the majority were minor and incidental inflammations, not likely to lead to any residual disability. 135 (e) Nose and Throat Defects.—The number of nose and throat defects referred for treatment at medical inspection at schools and clinics shows a small increase over the figures for 1936. The figures for 1937 are as follows:— Chronic Tonsillitis only 527 Adenoids only 11 Chronic Tonsillitis and Adenoids 68 Other Nose and Throat conditions 319 Total 925 (f) Ear Disease and Defective Hearing.—Ear diseases of both minor and major types still give rise to a certain amount of concern to your medical officers who are engaged upon school medical work. 434 cases of ear disease were referred for treatment during 1937, compared with 315 cases during 1936. |
18977bf0-c673-449c-9959-91b86071fbbd | With regard to defective hearing, of the children examined at routine medical inspection 98.2 per cent. were found to have normal hearing and to be free from any ear defects. In future it will be possible to state accurately the degree of defective hearing in all your school children. This will be possible by means of an Audiometer which is being introduced. An Audiometer is an electrical instrument for ascertaining the exact pitch and intensity of sound that a person can hear. By such means the alleviation of deafness can be more accurately attained and the possible elimination of some causes of retarded mentality separated from definite mental defectiveness. (g) Dental Defects.—Details of the findings of school dental inspections and the work of the dental clinics will be found on pages 186 to 187 and 195 to 196, and the report of your Senior Dental Officer, Mr. W. H. Foy, will be found on pages 169 and 170. |
3ef1f648-5e7a-4192-9336-370a45b5adae | (h) Orthopædic and Postural Defects.—Of all the children examined at routine medical inspection 96.7 per cent. were found to be free from orthopædic and postural defects, and the 175 children who were found to be not quite normal were suffering for the most part from postural defects. Of this group of 175 children, 78 only required to be kept under observation. 136 Details of the work carried out at your Orthopaedic Clinic will be found on pages 165 and 166, and on pages 164, 167 and 168 will be found the report of the Consulting Orthopaedic Surgeon, Mr. B. Whitchurch Howell. (i) Heart Disease and Rheumatism.—Out of 5,374 children examined at routine medical inspection, 183 were found to be suffering from some defect associated with these diseases. (j) Tuberculosis.—Nine cases of Tuberculosis amongst children of school-age were notified to the Medical Officer of Health during the year. |
311b3b30-47e3-4569-b3d0-cad6113c204e | Of these, one was pulmonary, and eight were non-pulmonary. In addition, one notified case of Tuberculosis amongst school-children was transferred to this area. This case was non-pulmonary. The following table shows the position with regard to the notification of tuberculosis amongst school-children during 1937, and also the number removed from the "register" during this period:— Notified during 1937 (including transfers) Pulmonary 1 Non-Pulmonary 9 Total 10 Removed from Register during 1937 Pulmonary 5 Non-Pulmonary 14 Total 19 (k) Other Defects and Diseases.—A few cases of other defects and diseases, not included in the above, were also seen at school medical inspection. (6) FOLLOWING-UP. |
8e61e98b-16d2-44eb-b298-37616e314783 | A summary of the following-up work by your School Nurses is given herewith:— Number of visits to schools re medical inspection 586 Total number of visits to schools 806 Number of home visits in connection with:— 1933 1934 1935 1936 1937 (a) Routine medical inspections 6,610 6,786 5,605 3,731 2,951 137 (b) Cleanliness inspections 284 827 454 326 315 (c) Infectious disease 230 1,022 475 955 644 (d) Non-attendance for treatment at Minor Ailments Clinics, etc. |
82fe9c6f-493f-4d95-995f-76f879f8741b | 35 51 33 10 42 (e) Miscellaneous 126 418 216 125 396 (f) After operations for removal of enlarged tonsils and/or adenoids — — — 292 298 The above summary is an imperfect picture of the whole of your work in Barking, because as I have outlined in my previous Reports all your other medical services, including even your hospitals, are linked up in the important work of following-up. (7) ARRANGEMENTS FOR TREATMENT. Many of the conditions found at school medical inspection are able to be treated in Barking. Certain conditions of necessity still require hospital treatment. A summary of the work of the Clinics is included in the following table :— All Clinics. Clinic. No. of first attendances of school children. Total No. of attendances of school children. |
0f6ebd80-c51f-4325-ad1b-52372af43c28 | 1936 1937 1936 1937 Minor Ailments:— (a) Central 2,589 2,927 14,635 14,485 (b) Woodward 4,640 5,283 22,154 26,726 Ophthalmic 792 1,044 2,485 05 Dental 5,100 3,586 10,608 10,683 Orthopædic for examination 123 146 350 409 for treatment 416 531 4,408 8,084 Immunisation:— Diphtheria 69 53 277 305 Scarlet Fever 19 22 95 150 Whooping Cough — — — — 138 Apart from the increased numbers at the Woodward Clinic and at the Orthopaedic Clinic, I wish to call your attention to the fact that immunisation treatment now includes whooping cough. |
4ac3cc84-f83a-4b94-9667-4b0b45d26692 | On pages 171 to 174 will be found a report by the Council's Consulting Ophthalmic Surgeon, Mr. W. A. Gray, upon the work carried out during the year at the ophthalmic clinics. Details of the work carried out at the dental clinics during the year will be found in the report of the Senior Dental Officer, Mr. WT. H. Foy, on pages 169 and 170. (a) Malnutrition.—Cases of malnutrition are found at routine examinations and are referred for special inspection at the school clinics or followed up by school nurses, and parents are advised as to the suitable methods of treatment. Free meals and milk are provided in necessitous cases and cod-liver oil and malt, etc., are also provided free in necessitous cases and are sold at the clinics at cost price. (b) Uncleanliness.—Special attention is given by the school nurses to cases of uncleanliness. |
50282838-4dd8-428c-b7ee-cf3704b53645 | Full printed instructions are sent to parents as to the method of destroying vermin and nits, and special nit combs are available at the clinics on deposit of a small charge, which is returnable. I have already said in past Reports that the condition is preventable and would again emphasise that other than trivial absence from school for such a condition is quite unnecessary with the facilities you provide. (c) Minor Ailments and Diseases of the Skin.—The treatment of minor ailments and diseases of the skin is undertaken at the school clinics. Details of the treatment carried out during the year 1937 are given in the statistical tables on pages 183 and 192. Last year I drew your attention to the overcrowding at the Woodward Clinic. This year I do so again and emphasise the fact that whereas 4,640 children were treated in 1936, 5,283 were treated in 1937, whilst the number at the Central Clinic has but slightly changed. |
fd0e8bfb-59d9-4d06-b962-4a92cc640f8a | In all there were over forty-one thousand attendances at the minor ailments clinics during the year. Some of this congestion may be relieved by your policy to maintain a temporary minor ailments clinic at the Porters Avenue (Methodist Chapel) Centre, which in effect may later become a permanent clinic. 139 A summary of the work of the Minor Ailments Clinics is included in the following table:— Minor Ailments Clinics. Central Clinic. Woodward Clinic. 1936 1937 1936 1937 No. of days clinic was open 308 306 308 306 Total No. of attendances 14,635 14,485 22,154 26,726 Daily average attendance 47.5 47.3 71.9 87.3 No. of cases dealt with 2,589 2,927 4,640 5,283 Children still continue to attend the Clinics, suffering from skin diseases of both acute and chronic types. |
87726d43-57d0-428a-928d-eeeaeb1a4b9e | The results of treatment have been satisfactory, but it is still the practice to send the more chronic cases to the Skin Department of the London Hospital with whom we co-operate, and we have reason to be satisfied with these results. The treatment of Ringworm of the Scalp is still undertaken by Dr. W. J. O'Donovan at the London Hospital. Under this arrangement four school-children were treated during the year. (d) Visual Defects and External Eye Disease.—Visual defects and external eye diseases are treated at your school clinics, and in this connection Mr. W. A. Gray, F.R.C.S., continued as your consulting ophthalmic surgeon during the year. Spectacles are provided through the Department at contract prices and in necessitous cases are provided free of charge. Particulars of the treatment of visual defects will be found on pages 171 to 174 and on pages 184 and 193. |
f7348f8d-2afd-4911-a10a-3e250a3c3013 | This year it has been possible to see that every child referred for ophthalmic attention to your Consulting Ophthalmic Surgeon was again seen before the expiration of twelve months, and I hope that this close co-operation will continue, because I am persuaded that the development of the children from year to year takes place not only in relation to the general physique, but in such localised parts as the eye, etc., and consequently lenses may have to be changed frequently. (e) Nose and Throat Defects.—During the year 318 school-children received operative treatment for tonsils and/or adenoids, and of these 294 were carried out under the Authority's Scheme. 140 (f) Ear Disease and Defective Hearing.—The treatment of simple ear conditions is still undertaken at the clinics under the supervision of your medical officers, but the more difficult cases are still sent to Queen Mary's Hospital. |
865bfd78-40e5-4d13-8f8b-63cbfa56d52d | Many of these ear conditions are chronic, either as primary diseases in themselves or as the result of one of the infectious fevers, and the treatment must be frequent and carried over a period of perhaps weeks. Zinc ionisation is the accepted form of treatment for such cases and I trust that the inauguration of a full-time Ear, Nose and Throat Department, as one of your special services, will meet a need which has been felt by your medical officers for some time. (g) Dental Defects.—Dental inspection and treatment are carried out by three full-time dentists. Children are inspected periodically at school, and treatment is undertaken at the dental clinics. Details of the work carried out will be found on pages 186 to 187 and 195 to 196. (h) Orthopwdic and Postural Defects.—Where children are examined at school and clinics and are found to need treatment for orthopaedic and postural defects this treatment is undertaken by a special staff, under the guidance of Mr. |
0ae7e19d-209e-4c9d-b234-5b7cb936d5c1 | B. Whitchurch Howell, F.R.C.S., your specialist consultant in this work, at the Faircross Clinic. The arrangements at the Faircross Clinic, as I have stated previously, are inadequate for the ever-increasing amount of work. (i) Heart Disease and Rheumatism.—Cases of heart disease and rheumatism are not treated as separate entities under your present scheme, and the time is approaching when you may wish to consider the provision of suitable accommodation for the treatment of such cases, whereby prolonged rest and education can go hand in hand. (j) Tuberculosis.—Cases of tuberculosis or suspected tuberculosis are referred to the County Tuberculosis Dispensary, because the County is responsible for the treatment of tuberculosis in Barking. (k) Speech Training.—There is a special class for speech training attached to the Faircross School and children considered eligible for admission are examined for physical or organic defects by your medical officers prior to their admission. |
948ea56c-3091-4e4d-8dd7-f1332c729525 | (l) Other Defects and Diseases.—Many children suffering from minor defects and diseases, not already mentioned, are examined at the school clinics, where appropriate treatment is advised. Others, for the treatment of whom no special provision has been made, are followed up by school nurses, who urge upon the parents the importance of obtaining treatment. 141 Finally, as I have said earlier in this Report, it is hoped that by the time of the next Report an Ear, Nose and Throat Clinic will have been set up in your Town and that also at some not far distant date you may have one Central Out-Patients' Department, where all your special services, including orthoptics, i.e., the correction of squint, and audiometry, i.e., the estimation of hearing, may all be united in one main building. (8) INFECTIOUS DISEASES. The section of the Department concerned with the control of infectious or communicable diseases co-operates closely with the school medical service section. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.