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cf45505a-0f7a-459f-a363-ccfc341d2488 | 28 18 — Ophthalmia Neonatorum 3 3 — Acute Anterior litis 1 1 — Pemphigus Neonatorum 2 2 — Dysentry 2 1 — Food Poisoning 5 — — xMeasles 2 +5 — xWhooping Cough 4 +6 — Totals 419 337 7 X Notified during the period 29th October to 31 st December only, under the Measles and Whooping Cough (Provisional) Regulations, 1939. + Total for year. (2) HOSPITALISATION. On the 1st September the Barking infectious Diseases) Hospital was completely evacuated of all its cases, in order that it should fulfil its functions as a hospital under the Emergency Medical Service Scheme. |
7b60f49e-aa60-46fe-9147-214c03c89d83 | Cases which were in the Hospital on the 1st September and which were at that time still in need of hospitalisation were sent to the Isolation Hospital of the Waltham Joint Hospital Board, with whom arrangements had been made for the treatment of infectious cases during wartime. The following table shows the cases dealt with at the Barking (infectious Diseases) Hospital until the beginning of September Disease In Hospital December 31st, 1938. Admitted during the year. Died Discharged. In Hospital September 1st, 1939. |
29aaa027-9bea-47cd-bd2c-dee84f01cb7f | Scarlet Fever 32 158 — 174 16 Diphtheria (including Membranous Croup) 40 68 — 99 9 Puerperal Pyrexia 2 — — 2 — Pneumonia 4 24 1 27 — Erysipelas 2 15 — 17 — Ophthalmia Neonatorum — 2 — 2 — Others 10 82 1 90 1 Acute Anterior Poliomyelitis — 1 — 1 — Pemphigus Neonatorum — 2 —" 2 — Bed Days.- The number of bed days in respect of infectious disease cases, until the 1st September, 1939s was 12,197 - that is to say, an average of approximately 50 patients in hospital per day. |
7dbaaa38-a281-4442-8af3-3dc18d9a1f81 | The following table shows details of Barking cases admitted to the Waltham Cross Isolation Hospital during the period 1st September to the 31st December, 1939. The figures, given in the first column denote the number of cases which y/ere transferred direct from the Barking Hospital : - Disease in Hospital September 1st, 1939. Admitted Died Discharged. In Hospital December 31st, 1939. Scarlet Fever 10 11 — 18 3 Diphtheria (including Membranous Croup) 5 20 — 20 5 Enteric Fever — 1 — 1 — Cerebro-spinal Fever — 1 — 1 — Puerperal Pyrexia — 2 — 1 1 Erysipelas 3 — 3 — Others — 3 — 2 1 - 23 - (3) INFLUENZA. |
d96e7e53-ce44-45b0-8f3f-a2984a43edf7 | In November, 1939, Circular 1906 was received from the Ministry of Health, together with Memo. 2/Med, dealing with influenza. As a result of your considerations of this circular and memorandum, you approved a scheme for the domiciliary medical treatment of influenza, including the dispensing of doctors' prescriptions. This scheme, should the occasion arise, can be put into operation. (4) TUBERCULOSIS. Particulars of new cases of Tuberculosis and of deaths from the disease in the area during 1939, are given below :- New Cases Notified. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. M. F. M. F. M. F. M. F. |
2de49104-8472-4957-b105-2acc5a76d02f | Under 1 year 1 to 5 years — — 3 1 — — — — 5 to 15 years — 2 2 2 — — — — 15 to 25 years 7 17 1 2 2 6 — 2 25 to 35 years 7 15 2 3 7 6 — — 35 to 45 years 8 4 1 — 7 3 1 — 45 to 55 years 9 3 — — 7 2 — — 55 to 65 years 3 1 — 1 6 — — — 65 years and upwards — — — — 2 — — — Totals 34 42 9 9 31 17 1 2 During the year, 94 notifications were received of all forms of Tuberculosis - pulmonary 76, and non-pulmonary 18, and there were 2 deaths of un-notified cases, |
4696290e-f941-4c94-82e5-93b96e8a4d4f | making a total of 96 new cases during the year. Information has been received of the removal into the district of 22 tuberculous persons, included in number of notifications received. This compares with 44 received during 1938, and 36 for 1937. Many of the patients in sanatoria at the outbreak of war were discharged to their homes, in order that the beds in the sanatoria could be re-grouped to meet the national emergency. Towards the end of the year, however, most of these cases had been re-admitted. (3) CANCER. During the year 1939, the Cancer Act was passed; the purpose of this Act is to establish a cancer service, under which, in every part of the country, modern facilities for diagnosis and treatment will be available. So far as Barking is concerned, the Essex County Council is responsible for this service. - 24 - V . :■ -:-U (6) ARTIFICIAL IMMUNISATION. |
a80514bb-a0a5-423c-ace1-d2a89a900765 | Weekly immunisation clinics were held in Barking prior to the war; these were cancelled at the commencement of war, tut were recommenced in October. - 25 - SUPPLEMENTARY ADDENDUM to the Annual Report of the Medical officer of Health for the Borough of Barking, for the Year ended 31st December, 1939. oooOooo (Having particular relationship to Section 'A') (See Page 5) Based on Annual Returns and Statistics received from the Registrar-General after the Report had been completed. oooOooo 1. GENERAL STATISTICS, Resident Population:- (a) For calculation of Birth Rates - 77,500. (b) For calculation of Death Rates or the incidence of notifiable diseases 73,880. 2. VITAL STATISTICS. Deaths 562. Death Rate. 7.6l Live Births ( (B.R.) - for calculating Birth Rates) 1,141 Birth Rate. |
48edc7de-4d7f-43bd-ba7c-66fc137405c3 | 14.72 Still Births 40 Still Birth Rate per 1,000 total Births 33.87 Live Births ( (I.M. &c.) - for calculating Infant and Maternal mortalities) 1,091 Number of deaths of infants under one year of age 37 Infantile Death Rate 33.91 Number of maternal deaths 3 Maternal Mortality Rate 2.65 oooOooo - 26 - |
c1c4cab4-1b62-4a50-91a3-735804724176 | BARK 74 BOROUGH OF BARKING. THE ANNUAL REPORT of the SCHOOL MEDICAL OFFICER FOR THE YEAR 1939 (War Edition). C. LEONARD WILLIAMS, B.Sc., M.R.C.S., L.R.C.P., D.P.H. B0ROUGH of BARKING Public Health Department, Barking, Essex. August 1940. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Ladies and Gentlemen, I beg to submit my Report for the year ended 51st December 1939. At the special request of the Board of Education, this Report does not describe in detail, as in former years, the work of the Special Services of Barking, but I am to advise you that up to the Declaration of War your Special Services functioned normally and were as set forth in my Report for the year 1958. This particular Report deals with the changes in the Special Services brought about by the war. |
375bd632-5d44-4ead-b731-958b3292a3ba | I am, Mr. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. 2 ANNUAL REPORT of the SCHOOL MEDICAL OFFICER for the YEAR 1959 (War Edition). (1) STAFF of the SCHOOL MEDICAL SERVICE. There have been considerable changes during 1959 in the staff of the School Medical Service. These changes are set out below:- Deputy School Medical Officer. J. Mervyn Thomas, M.D., B.Sc., D.M.R.E., L.R.C.P., D.P.H. (Resigned 9th December, 1939) Assistant School Medical Officers. T.M. Clayton, M.B., B.S., B.Hy., D.P.H. (Resigned 25rd September, 1959). Margaret A. Glass, B.Sc., M.B., Ch.B., D.P.H. (Resigned 51st March, 1939). |
f0f1d0cf-d178-4c86-b828-b9017c9ca3bf | Muriel M. Osborn, M.R.C.S., L.R.C.P. (Resigned 28th August, 1959) T.A. Cockburn, M.D., D.P.H. (Commenced 15th March, 1939) Phoebe I. McKernan, L.R.C.P., L.R.C.S., L.L.M. (Commenced 28th August, 1939) Dental Surgeons. R.O. Borgars, L.D.S., R.C.S. (Resigned 31st January, 1959). Eileen F. Gawn, L.D.S., R.C.S. (Resigned 20th May, 1959). J. Angelman, L.D.S. (Commenced 1st July, 1939) J.R. Watson, L.D.S., R.C.S. (Commenced 10th July, 1959). Nursing Staff. |
0cc449a2-9689-4208-9fe4-91ebb45c7c16 | x Miss E. Fisher, (g, h and i). (Resigned 50th November, 1939) x Miss R. Hobbs, (g, h, i and i). (Resigned 2nd November, 1959) x Miss M. McAlister, (g, h, i and j). (Resigned 14th March, 1939). Miss S.E. Ware (chiropodist) (s) (Commenced 2nd January, 1959). (Resigned 15th November, 1959). (g) Health Visitor's Certificate of the Royal Sanitary Institute. (h) Certificate of the Central Midwives Board. (i) General Hospital Training. (J) General Fever Training. (s) Certificate of Chiropody of the Chelsea School of Chiropody. * Combined appointment - Health Visitor and School Nurse. |
11d88c78-b04e-4cc9-9464-c0bdd1265401 | 3 No medical, dental, nursing or clerical staff has been transferred to the Evacuation Reception Areas; no requests for such transfers were received from Reception Areas during 1939. During the latter part of the year, immediately subsequent to the Declaration of War, all the members of the staff were designated to posts in connection with Civil Defence, but math the consequent re-organisation of the School Medical Services the staff has been released from Civil Defence work. The majority, however, continue to take their parts in the Civil Defence Scheme, on a voluntary basis. (2) EVACUATION. At the outbreak of war 8,039 Barking schoolchildren were evacuated to areas of greater safety. The arrangements for the evacuation of these children were conducted by the Barking Education Authority as a unit of the London County Council's Scheme, and the staff of your School Medical Services accorded every possible co-operation. The children attending the Faircross Special School were dealt with separately - the mentally defectives and the physically defectives going to different centres. |
0f8e0793-2790-4a12-8e96-ba823782ec38 | These centres were adapted to meet the particular needs of these special children. The physically defective children were accompanied by your Senior Masseuse and the mentally defective children were accompanied by one of your School Nurses. These Officers only remained in the Reception Areas for a few days. Later on in the year, visits were paid by members of the Council and its Officers to the Reception Areas. These visits were much appreciated by the Reception Authorities, and although much could be written upon the observations made as a result of these visits, it is proposed merely to say that undoubtedly Reception Authorities were faced with far greater problems than were the Authorities in the Evacuation Areas, and that unquestionably these problems will be discussed in detail in the Annual Reports of the Medical Officers for the districts concerned, if indeed they are not discussed before, at special meetings called for the purpose of co-ordinating the various schemes. |
4b546016-1e7e-4fac-87d0-bef637d9dade | I should, however, like to mention the general tribute which has been paid by visitors to the Reception Areas to the admirable way in which these Areas have tackled the problems arising from the sudden influx of evacuated people thereto. The first Evacuation Plan made no provision for the special medical examination of children before departure to the Reception Areas, but in Barking arrangements were made for your Health Visitors & School Nurses to be present at entraining stations, for the purpose of giving treatments for minor injuries, cuts, sores and bruises etc. Subsequently, the closest co-operation has been established with the School Medical Authorities in the various Reception Areas, and some hundreds of school medical inspection records have been temporarily transferred. 4 J. J. 'W- The Essex County Council, who are responsible for the treatment of Tuberculosis in Barking, have made arrangements for their case records in respect of evacuated children to be sent to the Reception Areas and the names of these children are temporarily removed from your Register. |
90066b2b-dd34-44d8-b556-449ced587800 | At the end of the year, Barking in common with other Evacuation Areas found that children were drifting back from the Reception Areas, and that therefore Services which had been curtailed at the beginning of the war would have to be re-organised. (3) THE EXTENT TO WHICH THE SCHOOL MEDICAL SERVICES HAVE, FUNCTIONED DURING 1939 As I have said in my introductory letter, your School Medical Services functioned normally until the Declaration of War, when the Schools were closed and the first Evacuation Plan was operated. This, naturally, disrupted the whole of your Special Services, but the following pages will attempt to show the way in which these Services were affected and the way in which they were re-organised to deal with the special problems which have since arisen. (4) HYGIENE. |
cd1f24c4-ce2b-40f4-9097-98291da40480 | It must be assumed, on general principles, that the state of tension which has prevailed for the greater portion of 1939, the "black-out" and the abnormal movements of the population during the last four months, must have had a disturbing influence on children generally. On the other hand, the movement of a large number of children to country districts and the added freedom which the children have enjoyed on account of the closure of the schools - a matter which must be taken into account - makes me feel justified in saying that, generally speaking, the health of the child population did not suffer during the months of war in 1939. On the contrary, many of them benefitted by their "holiday" in the country. It may be possible in my next Annual Report to assess to some extent the effect of war conditions on the health of the children. |
75ee7891-e45d-4617-a4a4-40192a1f60e6 | As the war had been in progress for four months only during 1939 we have been unable to gather sufficient data for a considered opinion at this stage; neither were the Services sufficiently active to enable us to obtain the necessary data. (5) MEDICAL INSPECTION. School Medical inspection ceased on the closing of the schools for evacuation. Towards the end of the year, however, the Local Education Authority had under consideration a scheme for the re-opening of some of the schools in the Area, for short periods of education, and this scheme will provide for the medical inspection of all children whilst at school. During November and December 1939, 274 of the schoolchildren remaining in the Area were specially medically inspected in connection with "trickle evacuation" under the original Evacuation Plan. 5 : > : • ■-! |
a5045253-5303-48fc-bd29-b2412aeef093 | : ' ■ , ' (6) FOLLOWING-UP Following-up work by your Health Visitors & School Nurses was obviously interfered with by the events immediately prior to and subsequent to the outbreak of war, and by vacancies on your staff, recorded on this page. Nevertheless, considerable following-up has been accomplished and this accounts to some extent for the relatively high attendances at the Clinics. It cannot be said with too great an emphasis how the following-up visits of the Health Visitors & School Nurses materially help in maintaining, and indeed improving, the general level of health of your school-children. It is, therefore, essential that an adequate number of health visitors and school nurses should be available for this work. At the beginning of the year you had on your staff two school nurses and ten officers holding the joint appointment of health visitor & school nurse. At the end of 1939 these figures were respectively two and seven. I do urge that these vacant posts should be filled. (7) ARRANGEMENTS FOR TREATMENT. |
438214ad-4493-42a1-ad45-93c831f1b71b | (a) Minor Ailments. Normally there are three Minor Ailments Clinics in Barking, at each of which six sessions per week have been held until the commencement of hostilities i.e., Central Clinic, Woodward Clinic and the temporary Clinic in Porters Avenue. The Central and Woodward Clinics are now First Aid Posts in connection with the Civil Defence Scheme and both of these Clinics were closed for a few days in September 1939 They were both re-opened when the works of adaptation and protection had been completed and since then the full six sessions per week have been held at both Clinics. In December 1939 there were 539 attendances of school-children for treatment at the Central Clinic, compared with 1,110 in December 1939, and at the Woodward Clinic there were 8l7 compared with 1,589 in December 1938. In other words, the attendances at Central and Woodward Minor Ailments Clinics in December 1939 were approximately half those of a normal pre-war month. |
0a87f1b2-96df-423c-bdf0-9073b184bcdd | The temporary Minor Ailments Clinic in the Church Premises at Porters Avenue was discontinued in September 1939 and it has not been thought desirable to re-open this temporary Clinic. The children who normally attended at Porters Avenue Clinic now attend at Woodward Clinic. One of the reasons for discontinuing the Clinic in Porters Avenue was the lack of protected accommodation or shelter in the immediate vicinity. A small number of special cases are now attending at the Humphrey Centre (First Aid Post), in the grounds of the Barking Hospital, Upney Lane. (b) Ophthalmic Service. Prior to the war the Specialist Consultant (Mr. W.A. Gray, F.R.C.S.) attended for three sessions per week in Barking. On the outbreak of war this service was temporarily discontinued and did not recommence until the 31st October 1939, since when until the close of the year raider review some twenty-two sessions have been held. 6 - ' 'i• • .. . |
d741b23d-0b71-49c9-97d7-a732eff0266c | !■;;■ ;•■■■■ • ' • •' I'. • ' : y ■ ■ : ■. . . < I t - r- i . At the actual close of the year one session per week was being held, alternating between Central and Woodward Clinics, but it is anticipated that if the drift back of children from the Reception Areas continues it will be necessary to increase the number of sessions. This is almost certain to be the case as it is anticipated that some school medical inspection will be commenced early in 1940, with a corresponding increase in the number of cases referred for visual defects and external eye disease. Squint training - using a synoptophore - was temporarily discontinued until the 8th December 1939, since when five sessions have been held up to the end of 1939. |
f1f854c5-2931-4477-9355-9274930840ec | Contact has been established with the Reception Areas, with the result that children who are refracted in the Reception Areas can, if the parents so wish, obtain their glasses from Barking, at special contract prices or, in necessitous cases, free of charge. This is found to be a convenience to all concerned as most often, in rural areas, the provision of a pair of spectacles necessitates correspondence with a contractor in a relatively distant town or, in fact, a visit to the contractor's premises. On account of the need for economy, the usual Report of your Specialist Consultant has been omitted this yeari (c) Ear. Nose & Throat Service. Before the war the Council's Consultant Ear, Nose & Throat Surgeon (Mr.C. Ratcliffe Sandiford, F.R.C.S.) attended at the Woodward Clinic for two sessions per week. |
b4736a28-6471-4eb0-8518-56e486fd9952 | This service was temporarily discontinued until the 8th December 1939, when Ear, Nose & Throat Clinics were recommenced, one session per week being held until the close of the year. The arrangements for the admission of cases to the Queen Mary's Hospital, Stratford, and the St. Mary's Hospital, Plaistow, under the Authority's approved scheme, were naturally interrupted by the war, but were resumed in December 1939, when ten cases were operated upon at these Hospitals. With regard to the operative treatment of enlarged tonsils and adenoids, in April 1939 the Board of Education approved the Authority's scheme for operative treatment to be carried out at the Barking Hospital in Upney Lane. Under this scheme it was proposed to set aside a Ward at the Barking Hospital, during the summer months, and the operative treatment would have been undertaken by Mr. Sandiford, your Consultant Ear, Nose & Throat Surgeon. |
a3f969b2-ded5-4648-9ca0-05424a0736fa | The chief advantages of the scheme were that journeys by ambulance would be obviated and the children could be admitted to Hospital prior to the operation taking place, and so allow them to become settled down, and it would also be possible for them to be kept in the Hospital after the operation. Unfortunately, it was not possible to operate this scheme prior to the outbreak of the war and since then, of course, the Barking Hospital has become an important unit in the Ministry of Health's Emergency Hospital Scheme. I am still hopeful, however, that arrangements may shortly be made for this work to commence at the Barking Hospital, even if on a restricted basis, unless the exigencies of war make it absolutely impossible. 7 . ■ x ' -v , -K, . |
d968343f-5e3d-4a1a-a183-0f936ce17b92 | .... In this Abridged Report it is not possible to give the usual Reports of all your Consultants, but the following extracts from the Report for 1939 of your Consultant Ear, Nose & Throat Surgeon are given because of their particular interest :- "The most interesting feature noticed during this year's work in the Ear, Nose & Throat Clinic was the discovery, made on the resumption of work in December, after the temporary suspension caused by the course of events in September, of the very marked improvement in the state of health of the patients. This was particularly noticeable amongst the nasal cases, many of whom had been receiving treatment for such conditions as Infected Antra, Hypertrophic Turbinitis, Infected Tonsils and Adenoids, and it was found possible in December to discharge many of these cases as cured. |
22809a47-1b2f-48cc-a95e-27af8cc7ed3c | Searching around for the most likely explanation of this phenomenon, one has concluded that the improvement has been due to two factors :- (a) Lack of re-infection owing to non-attendance and herding together at school, and (b) An increased amount of sunshine and fresh air owing to the increased time spent in the streets and open spaces." In connection with evacuation, much has been done to continue your Ear, Nose & Throat work, in the Reception Areas. Many special medical records have been sent to the School Medical Officers in the Reception Areas and in a number of cases, arrangements have been made, with the parents' consent, for operative treatment to be carried out at Hospitals in the Reception Areas. (d) Dental Inspection and Treatment. With the exception of the first week in September 1939 dental treatment has been continued at two of the three Dental Clinics authorised by the Board. |
083bbe44-ab5a-4b60-ba55-fe438b6faddf | During the first week in September 1939 it was impossible to continue dental treatment, as works of adaptation and protection were being undertaken to render the Central Clinic and the Woodward Clinic suitable for First Aid Posts under the Civil Defence Scheme. It is still extremely difficult to carry out dental treatment at these two Clinics. So much so that the Central Dental Clinic has been temporarily closed and the Local Education Authority intend to submit to the Board of Education proposals for transferring the work of the Central and Woodward Dental Clinics to the medical inspection suites at two of the Schools of the Authority. With the closure of the schools for evacuation, it naturally followed that school dental inspection, as such, ceased, but now that the children will shortly be assembled at the schools, in small groups, for partial education, arrangements are being made for school dental inspection to be resumed. The following shows, briefly, the extent to which school-children are utilising the Dental Service, compared with a year ago Dec. 1938. Dec. 1939. |
0643266b-80fb-4bc7-9a9a-1fbaa46c945f | Total number of treatments given to school-children 802 437 8 / The prevention of Diphtheria, Scarlet Fever and Whooping Cough, by immunisation, is one of your normal services, but no Immunisation Clinics were held during September and October 1939 From the l8th November 1939 onwards, one Immunisation Clinic was held weekly at the Humphrey Centre (First Aid Post), in Upney Lane. Prior to the war, one session per week was held at both the Central and the Woodward Clinic. 9 (e) Orthopaedic Treatment. The usual monthly attendance of the Consultant Orthopaedic Surgeon (Mr. B. Whitchurch Howell, F.R.C.S.), discontinued on the outbreak of war, was resumed in December 1939, when 28 school-children were seen by him, as compared with an average monthly attendance of 36 school-children. |
505f2ef4-0719-4b15-88b1-716ca1469ef5 | With the exception of a few days early in September 1939 Remedial Exercises and other treatments have continued to the close of the year. (f) Ultra Violet Light Treatment. Ultra Violet Light Treatment has been continued, with the exception of a few days early in September 1939. (g) X-ray Treatment for Ringworm of the Scalp. There is little demand for this Service, but no child who required this form of treatment has been deprived of it on account of the war. t (h) Speech Training. With the closing of the schools at the outbreak of the war, the Speech Training Centre was closed and has not been re-opened up to the close of the year. (i) Foot Clinic. The services of the Municipal Foot Clinic, commenced in July 1938 for the treatment of minor foot troubles, were made available to school-children, but this Clinic ceased to function on the outbreak of war. |
c4cb3ae9-2233-4ebd-a676-4f9b2b5aa7aa | This service was recommenced on the 11th December 1939, when it was made available, once again, to school-children. 8. INFECTIOUS DISEASES. There was a decrease in the number of notifiable infectious diseases during the year, and in the latter part of the year there was a still further decrease. Towards the end of the year we should, in the normal way, have expected to receive information of the occurrence of a large number of cases of measles amongst the school population, but owing to the large exodus of children from London, it was the Reception Areas who reported many cases of measles occurring in their districts. It was found that as the children commenced to return home the number of cases of measles notified in this area increased. |
2c9ab8d8-3ba8-4339-8cae-64832d8168a2 | In October the Measles and Whooping Cough (Provisional) Regulation, 1939, was introduced, making these diseases notifiable, and although these Regulations are a great help in bringing to our notice cases occurring amongst toddlers and young adults, in normal times it is not anticipated the Regulations would help us so much where school-children are concerned. This is because we have always received up-to-date information from School Attendance Officers of cases of acute non-notifiable infectious diseases occurring in school-children. It was unnecessary during the year to close any School or School Department on account of infectious disease. 9. OPEN-AIR EDUCATION. The week-end School Camps, held at Hainault Forest, and which have been a permanent feature of the Committee's work for so many years, were held as usual until the Summer Recess, when they were discontinued on account of the national emergency. The Holiday Camps, each of a fortnight's duration, have not been held during 1939* 10. |
0cca5763-93f8-46c2-a511-fd3e6764e0dd | PHYSICAL TRAINING. I have received no report from the Organisers of Physical Training (Miss C.M. Hawkes and Mr. L.E. Last) but it is with pleasure I append the following extract from their Report to the Education Committee, as this extract has particular reference to physical education in Barking from September to December 1939:_ "The two new gymnasia at the Manor Central School were used from the beginning of December onwards as physical training centres to which 40 boys and 40 girls from each of the five areas in which the Barking schools were organised, were brought once a week by the Committee's omnibuses for an hour's physical training. In addition, those children who were within reasonable walking distance of the school attended for two additional periods per week. The enthusiasm and enjoyment shown by these children in the facilities afforded by well-equipped gymnasia and showers is an indication of the need for such conditions in every senior school. |
7cf931cc-e30e-4f72-b99e-4b7bfab20bac | Periods of physical training were also included in the time-table of all schools when these re-opened for an hour's daily instruction for older children in November. It was even more satisfactory to note that teachers expected the same effort and standard of work from the children as in normal times." 11. PROVISION OF MEALS. MILK AND COD LIVER OIL & MALT, etc. The provision of solid meals and milk ceased on the 1st September 1939. Meals were recommenced on the 6th November 1939, and milk on the l8th December 1939. The supply of Cod Liver Oil & Malt, and other special preparations were interrupted for a few days only, whilst the Clinics were closed for purposes of Civil Defence works. In view of the Committee's close interest in the question of malnutrition, I set out below figures extracted from Board of Education Statistical Return (Form 8 a.M.) |
a2043f0a-f0a5-42a7-9eba-961efbae72aa | :- Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups, up to 31st August 1939. AgeGroups. No. of children inspected. A (Excellent) . B (Normal). c (Slightly subnormal). D (Bad). No. % No. % No. % No. % Entrants 6 77 202 29.8 440 65.O 34 5.0 1 0.2 Second Age- Group 8l8 186 22.7 587 71.8 45 5.5 — - Third Age- 448 Group 595 133 22.3 75.3 14 2.4 — - Other Routine Inspections — - - - - - - - TOTALS 2,090 521 24.9 1,475 70.6 93, 4.45 1 0.05 10 12. |
8c5fcc30-93c3-4b7d-9c3a-37862a0d9354 | PROVISION OF SCHOOL MEDICAL SERVICES FOR SECONDARY and TECHNICAL SCHOLARS IN THE AREA. The scheme whereby you carry out the medical examinations for the Essex County Council in connection with the Barking Abbey School and the Day School of the South-East Essex Technical College, was discontinued at the outbreak of the war, as these Schools were evacuated. The school medical inspection records of these children have very largely been transferred to the Reception Areas. 13. SPECIAL SCHOOLS. On the 1st September, 1939, parties left Faircross School by buses for adapted holiday camps. Of the Physically Defective Children attending school in July, 1939, 49% were evacuated and of the Mentally Defective children 53% were evacuated. In November 1939 the Physically Defective Children were moved to an L.C.C. School Camp. The Faircross School was not re-opened for special children during the year. 14. UNCLEANLINESS. |
58c5bceb-c5cc-45ba-9d9f-c6d7be3287a0 | Routine cleanliness inspections were carried out by Health Visitors & School Nurses during the year, until the closing of the schools for evacuation. In spite of the efforts which have been made in regard to housing accommodation, invigilation and treatment there still remains approximately five per cent of the normal school population in Barking who are found unclean. Although no special complaints have been received in respect of Barking children, many Reception Areas have registered the fact that many children sent to their areas, under the Government Evacuation Scheme, were found to be unclean. We must, in these days of war, ensure that everything possible is done to ensure the maintenance of the good health of our children, and every effort will be made to see that the number of children found unclean is reduced. |
6aab36c0-0a3e-4840-97bb-29f68406552e | Although school cleanliness inspections must of necessity cease until the schools re-open, the Health Visitors & School Nurses are ever watchful for cases of uncleanliness, during their following-up work, and cases are being sent to the Clinics for appropriate treatment, where this cannot, or will not be, given by the parents themselves. 15. STATISTICS. The Statistical Tables required by the Board of Education have been completed and despatched. The Board have specially suggested that these Tables should not be reproduced in this Report, in view of the present urgent need for economy in the use of paper. For the same reason I have abstained from giving the usual mass of statistics on the work of the School Medical Services during 1939, but the bulk of these statistics are available in the office for any member of the Committee to study, should he or she wish to do so. In the interests of further economy, this Report appears in a new guise on this occasion. 11 |
62f62bd6-5ae0-4a70-810b-307a3336a7a6 | BARK 34 BOROUGH OF BARKING. THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH. FOR THE YEAR 1940 (War Edition) C. LEONARD WILLIAMS, B.Sc M.R.C.S., L.R.C.P., D.P.H. BOROUGH OP BARKING. ANNUAL REPORT of the Medical Officer of Health for the Borough of Barking, in the County of Essex, for the year ended 31st December, 1940. (War Edition). Public Health Department, Barking, Essex. December, 19U1. To the Mayor, Aldermen and Councillors of the Borough of Barking. Mr. Mayor, Ladies and Gentlemen, I have pleasure in submitting my report for the year ended 31st December, 1940. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS; Medical Officer of Health. |
ff882572-c470-4460-b50f-3be483163661 | 2 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH for the YEAR 1940 (War Edition). STAFF The following indicates the many changes that have taken place in the staff of the Public Health Department during the year 1940:- Deputy Medical Officer of Health and Deputy School Medical Officer. Violet Spiller, M.D., M.R.C.S, L.R.C.P., D.P.H. (Appointed 1st December, 1940. ) Consultant Orthopaedic Surgeon. B.Whitchurch Howell, F.R.C.S.(Service as Consultant Surgeon to the Ministry of Health as from July 1940) A.M.A.Moore, F.R.C.S. (Commenced 17th October, 1940) Consultant Ear, Nose and Throat Surgeon. Cyril R.Sandiford, F.R.C.S.(Deceased 22nd August,1940) F.Courtenay Mason, F.R.C.S. |
464e9a33-7e1e-4e0f-b62f-404e3beee3be | (Commenced 2nd December, 1940.) Resident Medical Officer,Upney Hospital. J.M.Brady, M.B., B.S(Commenced 1st April, 1940). Scientist. E.M.Hill, Ph.D.(Lond), Dip.Bact. (Resigned June,1940) . Health Visitors etc. +Miss M.G.Bennett (g.h and i). (Commenced 12th August., 1940. Temporary - transferred to Permanent Staff 1.11.40.) +Miss M.K.Crotty (g,h and i).(Commenced 12th August, 1940. Temporary - transferred to Permanent Staff 1.11.40.) +Miss C. Court(g,h and i). (Service in H.M.Forces as from 1st March, 1940). |
87cadfa2-5a51-46b4-a6d4-ce3de7688a28 | Miss L.B.S.Davies (Masseuse) - Temporary, (n) (Commenced 15th October, 1940). +Miss E.C.Everett (Temporary), (g and h) (Commenced 11th August, 1940). +Mrs. F.E.Fenna (Temporary), (g, h and i) (Commenced 15th •Ipril, 1940) . Miss J. Harris (Masseuse), (n) (Resigned 14th September, 1940). +Miss R. McCandie (g,h end i) (Resigned 13th August, 1940). Mrs. H. Sachs, M.B,A.Ch. (Chiropodist) - TearooFary part-time. (Commenoed 8th April, 1940). +Mrs.Sutherland (g,h and i) Temporary. (Commenced 10th June, 1940). |
36455610-7d96-418a-8c45-eaef961c3af3 | Miss L.F.Swain (School Nurse). (h and i) (Retired 30th September, 1940). Miss M. Thompson (Masseuse), (n) Resigned 5th October 1940. -3- District Municipal Midwives. Mrs. W. Wild (h and i). (Resigned 18th December, 1940). Clerical Staff. Miss E. Brown. (Commenced 30th September, 1940). Mr. K. Calway (p) (Service in H.M.Forces from 17th December, 1940) Miss L, Dyer. (Commenced 30th December, 1940). Miss M. Eastwick. (Commenced 30th September, 1940) Mr. H. Garrod (Service in H.M. Forces from 13th November, 1940). Miss R. Hallwood (Temporary). |
3aecc49a-0990-4c2b-abaa-6848e3493239 | (Commenced 30th September 1940). (Terminated 31st December 1940). Mr. S. Launchbury (Temporary). (Commenced 18th January, 1940). Transferred to Borough Engineer's Department, 14th December, 1940. Miss J. Maclean (Resigned 19th September, 1940). Miss G. Maclean (Resigned 10th September, 1940). Mr. F. Miller (Temporary). (Commenced 29th April,1940) . Mr. F. Phipps (Temporary). (Commenced 14th October,1940) Transferred to Borough Treasurer's Department since the close of the year. Mr. G. Ruff (Service in H.M.Forces from 2nd July, 1940). Mr. D.Scott (Service in H.M.Forces from 22nd July,1940). |
25464595-9047-415b-802b-44b1666869ce | Miss P. Sparkes (Resigned 3rd December, 1940). Miss J. Wilkinson (Resigned 9th September, 1940). Miss P. Wragg (Commenced 30th December, 1940). Mr. F. Yates (o). (Service in H.M.Forces from 24th August, 1940). (g) Health Visitor's Certificate of the Royal Sanitary Institute. (h) Certificate of the Central Midwives Board. (i) General Hospital Training. (n) Certificate of the 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) Intermediate Examination of the National Association of Local Government Officers. +Combined appointment - Health Visitor and School Nurse. 4 The year has seen many comings and goings. |
795796a5-79ff-4129-9fb5-774375ef05b6 | Some of my colleagues have been drafted into the Forces and other people have come to take their places and amongst those who have left us I would particularly wish to mention Mr. C. R. Sandiford, F.R.C.S. who passed away on the 22nd August, 1940. He laid the foundations of your Ear, Nose and Throat Out-Potient Department; was beloved by everybody, and those of us who were privileged to work together with him felt deeply the loss of such a sincere friend. Those for whom he worked and amongst whom he worked felt his loss no less. Towards the end of September 1940, the Battlers Green Emergency Maternity Home at Radlett was opened, and arrangements were made for certain of our midwifery staff to supplement the staff at this Home. This involved all four District Midwives taking duty at varying periods. |
49420c61-f9eb-4883-bac6-dbb683137829 | During the year members of the stiff have continued to participate in the Civil Defence Scheme, but for the most part they have been engaged upon their normal duties in connection with the Public Health and Medical Services. 5 SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. (1) GENERAL STATISTICS. Area (acres) 4,174 Population (1.931 Census) 51,277 Population (Year 1940) (Registrar- General's Estimate) 66,290 Number of Inhabited Houses, March, 1941, according to Rate Books:- Houses 18,765 Shops 1,029 Total 19,794 Rateable Value - General £749,503 0 0 Sura represented by a penny rate £3,049 0 0 General Rate l6s. 0d. (2) VITAL STATISTICS. (Based on Annual Returns and Statistics received from the Registrar General). Deaths 666 Death Rate 10.05 Live Births (•(B.R.) |
b4f5095e-16f6-43e6-a418-52d8a59635ba | - for calculating Birth 1,104 Rates). Birth Rate 16.65 Still Births 35 Still Birth Rate per 1,000 Total Births 30.73 Live Births ( (I.M. &c.) - for calculating Infant & Maternal Mortalities) 1,061 Number of Deaths of Infants under one year of age 35 Infantile Death Rate 32.98 Number of Maternal Deaths U Maternal Mortality Rate 3.65 6 (3) DEATHS. (a.) General. There were 390 deaths registered in Barking during 1940. Of these 24 were deaths of non-residents. Barking residents to the number of 300 died elsewhere during the year. |
bc3d6060-e207-421a-a553-d3f890891674 | Including the latter and excluding the deaths of visitors, the net number of deaths was as follows:- Males Females Total 376 290 666 The following table shows the principal causes of death during 1940:- ( Net Deaths ) Causes of Death Total Cerebro Spinal Fever 5 Diphtheria 1 Pulmonary Tuberculosis 41 Non-Pulmonary Tuberculosis 2 Syphilitic diseases 4 Influenza 6 Acute Inf. |
96fce29e-b823-49aa-bcf7-14a773ff0248 | Encephalitis 2 Cancer (all forms) 110 Diabetes 8 Intra-cranial vascular lesions 48 Heart Disease 122 Other diseases of circulatory system 27 Bronchitis 52 Pneumonia 42 Other respiratory diseases 15 Ulcer of stomach or duodenum 5 Diarrhoea (under 2 years) 2 Appendicitis 6 Other digestive diseases 18 Nephritis 11 Puerperal & post-abortive sepsis 1 Other maternal causes 3 Premature Birth 13 Congenital Malformations, birth injury infantile diseases 7 Suicide 5 Road traffic accidents 9 Other violent causes 61 All other causes 40 Total 666 (b) Infant Mortality. It is most gratifying to me to be able to report that this figure has once again surpassed all Barking records, the infant mortality rate for 1940 is 32.95 and is probably one of the lowest for the country. |
11489efa-5f6d-4886-b1f9-a0a9695414f4 | In these difficult times it must be all the more a subject of satisfaction for you and a credit to the work done by your services. 7 The following table gives the actual causes of death of the 35 children who died under one year of age : - 0-1 mth. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. |
8cb1edbe-2eeb-43e3-9917-95e4557ff87d | Total under 1 year Acute Broncho-Pneumonia 1 1 Acute Intussusception 1 1 Anencephalous 1 1 Asphyxia Pallida and Prematurity 1 1 Asphyxia due to subdural lacmatoma due to tentorial tear due to rapid moulding at birth I 1 1 Asphyxia (natural) due to acute suppurative bronchitis l 1 1 2 Atelectasis 1 i 1 Atelectasis and prematurity 1 1 Broncho-Pneumonia 1 1 Broncho-Pneumonia and Pink Disease 1 1 Broncho-Pneumonia and congenital heart disease . |
678b3626-cd61-4896-a5ce-8dd90d3337b3 | 1 1 Broncho-Pneumonia and Marasmus 1 1 Cardiac failure due to Streptococcal pneumonia 1 1 Cardiac failure due to premature birth with natural shock 1 1 Convulsions and Influenza 1 1 Due to War Operations 1 1 Gastro-enteritis 1 1 Heart failure and Acute miliary tuberculosis. Miliary tuberculosis of lungs and Meningis 1 1 Infantile diarrhoea 1 1 Meningitis. Pneumococcal Right Lobar Pneumonia 1 1 Meningococcal meningitis l 1 Pneumococcal meningitis and Pneumonia 1 1 Post operative collapse of lung. |
6032eb9a-7db9-41e3-a541-4c5d61930314 | Pyloric stenosis 1 1 Prematurity 9 9 Spina Bifida and Hydrocephalus 1 1 Toxemia, Chronic Impetigo, Infected scabies and Basal bronchitis 1 1 Totals 18 3 8 4 2 35 (c) Maternal Mortality, There were 4 deaths of Barking women due to or in consequence of pregnancy or childbirth. One of these women, however, died in November, 1939, but it is necessary to include this case in the figures for 1940 as the death was not registered until February, 1940. There were two cases where the terrqinal illness was associated with abortion, and in neither of these cases had the unfortunate woman come within the purview of your Antenatal Scheme. The third woman also had not been treated antenatally by your officers. |
45617b31-6f3c-4caa-907b-5b94662ec23f | 8 I am sorry to say that at the present time nothing is known which can prevent the one death which occurred among those women who had availed themselves of' your ante-natal service. Fortunately, deaths from this cause are relatively rare. One other woman who was pregnant died; in her case however, the death was due to tuberculosis and may not be deemed to be a maternal death. Sad as we are to report on so many deaths, it must nevertheless be a matter of gratification to you that whereas 1,114 women availed themselves of your services, one only died. (4) SOCIAL CONDITIONS. (a) General. Last year I brought to your serious consideration that the outbreak of war had resulted in the public being less and less interested in preventive medicine than it had been heretofore. |
10fe1f6e-cc31-4ef5-a628-666750aa87c4 | It is with pleasure I report as you yourself will see from the statistics that the work has returned very nearly to normal and I have pleasure in advising you that members of the public generally have resumed their previous determination to interest themselves in their own health and the health of the rising generation. (b) Schemes of Relief. In my previous reports I have written almost regularly on the need there is for unification and simplification of these Schemes and I do hope the time is opportune for these scales to be revised. (c) Unemployment. Barking is a dormitory town and employment has been changed considerably by the War. The Ministry of Labour and National Service is unable this year to give detailed classification of the unemployed as at December 1940, but the following shows the position in total Number unemployed at December 1940 in Barking. |
759a3311-9683-4517-9d4a-f801aa65b510 | Men Women Total 405 610 1015 The following is an extract of a communication 1 have received from the Local Branch of the Ministry of Labour and National Service "Practically all the men were of the general labouring, Dockers, and Road and Transport Classifications. "The women were mostly Factory Hands. "In comparison with the figures for the previous December, the reduction of unemployment in men is very noticeable and is entirely due to absorption into vital industries. "It mast be-appreciated that since the date of the statistics shewn above and the issue of this report, practically all local unemployed have been absorbed into vital industries, and it should further be appreciated that the demand far labour continues." 9 (d) Travelling Facilities. The standard of travelling conditions to and from Barking is a matter upon which I have always felt very strongly. I am informed that during the year 1940 some improvements have been effected and that there was a decrease in the total number of members of the public using the travelling facilities available. |
6ad97039-de43-42ce-8435-a0407ba6c4d8 | - 10 - SECTION B GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. (1) GENERAL HEALTH SERVICES. (a) Ambulance Facilities. On the outbreak of War your Ambulance service became virtually a part of the Air Raid Precautions Service, and has so continued. The reciprocal arrangements with adjoining areas have been maintained. (b)Hospital Facilities. The Barking Hospital continues to be included in the Emergency Medical Services Hospital Scheme, it's primary function being that of a casualty clearing station. The Ministry of Health have, however, agreed to the use of a limited number of beds for cases referred by your own medical officers and for which the Corporation have accepted financial responsibility. The Ministry still have first call upon all the beds available. The Barking Hospital x-ray apparatus is at the disposal of your officers for diagnostic purposes. |
93edd4d1-2ca9-4ee1-a20b-08a28c0c4217 | Again in 1940 a sum of £300 was allocated by you to those voluntary hospitals catering for the residents of the town, (c)Clinics and Treatment Centres, The Central and Woodward Clinics have been used as First Aid Posts during the year, but the Clinic sessions and attendances in connection with our normal services have continued at all Clinics and Out-Patients Departments. The services provided by the Corporation are used by the Public to a great extent. There are one or two matters which strictly belong to the year 1941, but I feel that mention should be made of them in this report. The Woodward Clinic was seriously damaged by Enemy Action in January 1941, which made it necessary to find other premises in order to maintain the services previously held at this Clinic. The Greig Hall adjoining was therefore opened as a Clinic and OutPatients Department. (d) Nursing in the Home. |
311ba511-fc0e-4326-81bf-d4e4cc0b4cd6 | Nursing in the home continues as heretofore and is undertaken by the Plaistow Maternity Hospital and District Nurses' Home and the East Barking District Nursing Association. 11 (2) MATERNITY AND CHILD WELFARE SERVICES. (a) Ante-Natal and post Natal Supervision. In spite of the evacuation of many expectant mothers the number of attendances at your clinics amounted to 7,391, an increase of over 600 on the figure for the previous year; the number of postnatal attendances (401) was much the same as for the previous year and the number of gynaecological attendances (26l) rather less. (b) Midwifery. (1) Supervision. There were 15 midwives practising in the Borough at the end of the year, six of which were employed at the Upney Maternity Pavilion. |
728728ce-abb5-4bcb-8fbb-57dba7e2c6c6 | During the year 1940, midwives sought medical assistance in 223 cases; 22 of these were on behalf of babies. (2) Midwives Act, 1936. Upwards of 411 mothers were delivered in Barking under your district midwifery scheme during the year 1940. In addition 62 mothers were delivered by doctors with district midwives acting as maternity nurses. (c) Upney Maternity Favilion. 454 patients were confined in Upney Maternity Pavilion and 71 patients were admitted for ante-natal treatment. In addition arrangements were made for a block of twelve cubicles at the Barking Emergency Hospital to be available for ante-natal treatment and 186 patients were admitted during the year to these beds, two of them being confined there as emergency cases. (d) Evacuation. |
60746065-fa41-4ab7-a137-d06f05f8dfe6 | It was impracticable to use the Twyford House Emergency Maternity Home, Bishops Stortford, when evacuation of expectant mothers started again in September 1940, as this building had been damaged; in consequence the Battlers Green Emergency Maternity Home at Radlett was opened ori the 24th September 1940. Up to the 31st December 1940, 45 mothers were evacuated there, 31 of whom were confined during 1940. The evacuation scheme provides for expectant mothers to be evacuated one month before the expected date of delivery, and at first the patients were placed in various billets in the Radlett area. This scheme did not prove very satisfactory however, and on the 27th December 1940 the "Brown Gables" Ante-Natal Hostel was opened and this is proving of much value and assistance in the evacuation scheme. - 12 - (e) Infant Welfare Centres. |
f1b160b4-3104-458f-8927-6b0ab30ff571 | The number of attendances at the Infant Welfare Centres decreased on account of evacuation and also owing to daylight air-raids. 29,347 attendances were made during 1940 compared with 32,163 during 1939* (f) Home Visiting. The constantly disturbed population, either evacuating or returning, or changing address because of bomb damage, made home visiting more difficult although increasingly important. Your Health Visitors were thus unable to make as many visits during 1940, the numbers being 14,301 as compared with 17,696 in 1939* (3) ORTHOPAEDIC SERVICES. Work in this department was carried on in a comparatively normal manner during 1940 as will be seen by the number of sessions held by the Orthopaedic Surgeon and by the Masseuses as compared with previous years. Mr. Whitchurch Howell left us in July and tor. A. M. A. Moore has taken over his work for the duration. |
437e2484-3427-4922-8b05-52de98536fb3 | The High Frequency Inductotherm Apparatus has been in use throughout the year and has proved invaluable in the treatment of many painful conditions; all other forms of work associated with electrical treatment, exercises, massage and appliances etc., have been carried on as usual. It will be noticed that the attendances per session have remained comparatively even during the course of the last three years, thus apparently unaffected by war conditions. The following tables show the work which has been carried out in the various branches of orthopaedic work. -13- PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1940. No. of Sessions held by Orthopaedic Surgeon 9 No. |
e2070c3a-1f85-452f-bc39-852b89388d7a | of Sessions held by Masseuses 1,353 School Children Toddlers & Adults ATTENDANCES Primary Examination by Surgeon Re-examination by Surgeon For treatment 84 52 87 89 2,505 5,816 TOTALS 2,676 5,957 TREATMENTS " Number of Children 377 1,023 Number of Treatments 3,145 8,248 TOTALS 3,522 9,271 HOSPITAL TREATMENT Admissions to Hospitals 2 3 On Waiting List for admission - - TOTALS 2 3 Cases dealt with for the first time during 1940 - by the Orthopaedic Surgeon- were referred for the following defects a. DEFORMITIES OF BONES & JOINTS 1. Congenital 5 15 2. Acquired 70 32 b. MUSCULAR 1. Congenital 1 7 2. |
bfd7a89f-0b76-4e4b-a25e-5843178f679a | Acquired 38 16 C .PARALYSIS 1 4 d. MISCELLANEOUS 7 8 -14- SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. (1) RAINFALL. The rainfall all for the year ended 31st December 1940 was 18.45 inches, as compared with 24.05 for the previous year. Rain fell on 157 days in the year 1940. (2) DRAINAGE AND SEWERAGE, . Drainage arrangements continue as heretofore. (3) RIVERS AND STREAMS. The rivers and streams running through the area are tidal in character and are not controlled by the Corporation. Attention is directed to the continued unsatisfactory condition obtaining in the River Roding. (4) CLOSET ACCOMMODATION At the end of the year there remained a total of l6 premises unconnected with the sewer, nine of which were factory premises. |
73dce796-c7c1-4871-a82d-f2b1b823dbe1 | (5) PUBLIC CLEANSING. During the year 5181 loads of refuse were collected with an average weight of 2 tons 5 cwts. (6) REFUSE DISPOSAL. The refuse of the Borough from the 1st January until 9th September was deposited at the Corporation tip situated near the North Bank of the Roding, and covered with earth or other suitable covering material. As from 9th September, by arrangement with the County Borough of East Ham, all refuse collected was taken to the destructor works of that Authority. (7) SANITARY INSPECTION OF THE AREA Emergency and war conditions have interfered seriously with the routine work of the Department. (a) WORK OF SANITARY INSPECTORS. -15- (1) Inspection of Dwelling Houses. |
eef53d27-e6a3-4174-88d7-fa6cf0e163e7 | Total Houses inspected under Public Health or Housing Acts 3,097 Total Number of Inspections made 3,823 Housing (Consolidated) Regulations 658 After Infectious Disease 196 Overcrowded Premises 34 Defects Found 4,683 Notices Served (Preliminary) 1,954 Re-inspections re Notices Served 2,903 Inspection of Works in Progress 252 (2) Premises Controlled by Byelaws and Regulations. Inspections . Contraventions Notices . served. Houses Let in Lodgings - - - Common Lodging Houses 10 — — Offensive Trades 36 14 10 Tents, Vans and Sheds 3 — — Dairies, Cowsheds and Milkshops 28 4 4 Slaughter Houses — - — Hairdressers & Barbers Premises 1 3 1 Smoke Observations 90 4 4 (3) Factories. Workshops and Workplaces. Inspections . |
cce4df70-d630-4c1e-9740-0ea5594ac116 | Defects. Notices. Factories 153 11 Bakehouses 18 16 5 Workplaces 44 8 o Outworkers Rooms 28 1 1 Butcners Premises 193 32 21 Fishmongers 27 9 5 Restaurants and Dining Rooms, and Canteens 83 11 Stables and Stable Yards 25 7 Piggeries 8 3 2 (4) Miscellaneous. Inspections . Defects. Notices. |
983d752e-6cb0-4768-9166-1509664b0cdd | Rats dc Mice (Destruction) Act 1919 £3 6 6 Vacant Land and Refuse Dumps 69 18 18 Public Lavatories 101 16 4 Schools 19 5 1 Markets and General Shops 189 28 27 Ice Cream Vendors 34 1 1 Drainage Inspections 189 - — Milk Sampling 60 - - Other Miscellaneous 142 — — Inspection of Meat from outside District 3 Shops Act, 1934 214 24 10 Water Sampling 21 - - Food Manufacturers -f - - Street Traders — — — Food Bye laws 27 3 3 Watercourses 48 9 5 Air Raid Shelters 56 - - (b) NOTICES SERVED. |
e0bbf8fa-9bd6-4b92-bb03-afc3d6740082 | Informal Notices 1,954 Statutory Notices Public Health Act, 193& Section 39 1 Section 45 24 Section 83 3 Section 93 259 Housing Act, 1936 Sections 9 and 10 58 Section 24 — Section 32 — 345 16 (c) FACTORIES ACT, 1937. (1) Inspections (including inspections made by Sanitary Inspectors) . Premises. Inspections. Number of Written Notices. j Prosecutions . Intimations. Statutory. Factories 155 - - - Workplaces 44 6 - - Totals 197 6 - - (2) Defects Found. Number of Defects. Number of Prosecutions . Particulars. Found Remedied Referred to H.M. Inspector. +Nuisances under the Public Health Acts:- Want of Cleanliness 21 21 — — Inadequate Ventilation . |
cbbdbc86-2711-42aa-b7b6-197687dd00d5 | 1 1 — — Overcrowding _ - - Want of drainage of - floors - - — Sanitary accommdation:Insufficient 6 6 Unsuitable or defectiv 14 14 — — Wot separate for sexes 2 2 — - Other offences 6 6 - Totals - ' 50 50 Including those specified in Sections of the Factories Act, 1937, as remediable under the Public Health Acts. (3) Homework. 10 notices were issued to the occupiers of premises in the district where outworkers are employed, who supplied lists twice during the year of 49 workpeople engaged on making wearing apparel, etc., in their homes. (4) Other Matters. Class Number. Matters notified to H.M. Inspector of Factories - Failure to affix Abstract of the Factory and Workshop Act Action taken in matters referred by H.M. |
eeb429bf-96bf-46b4-aef0-8f7249d07fa4 | Inspector as remediable under tne Public Health Acts, but not under the Factory and Workshop Act - Other Underground Bakehouses Ceitificates granted during the year In use at the end of the year -17- (5) Outworkers. The Register of outworkers coxitains the names and addresses of 75 persons carrying out work at their homes on behalf of other people. (d) PREMISES AND OCCUPATIONS WHICH ARE CONTROLLED BY BYELAWS OR REGULATIONS . The following is a list of the above type of premises :- (1) Houses let in lodgings. (2) Common Lodging Houses. (3) Tents, Vans and Sheds. (4) Underground sleeping rooms. (5) Offensive Trades. (6) Piggeries. (7) Stables. (e) RATS AND MICE DESTRUCTION ACT, 1919. There were 63 visits made to premises under this Act, and any necessary work arising has been carried out. |
de881af4-96e1-425b-97a9-f87c87a61591 | (8) ERADICATION OF BED BUGS. The following houses have been disinfested Barking Council Houses 14 Privately owned houses 1 London County Council Houses Total 15 (9) CIVIL DEFENCE SERVICES. To meet the needs of the general public, an appropriate number of trench and surface shelters was provided. As the result of enemy action, commencing in August, numbers of people took up nightly occupation. The problems associated in the matter of hygiene and sickness were dealt with in my special report to the Civil Defence Committee. 18 SECTION D. HOUSING. (1) STATISTICS. (a) General. Number of new houses completed during the early part of 1940 (1) Total 55 (2) As part of a municipal housing scheme (a) Barking 4 (b) L.C.C. 42 (3) Others (including private enterprise and subsidy houses) 9 (b) Unfit Dwelling-Houses. 1. |
6c551e22-db78-400b-a67d-cdbb254fc8cf | Inspection of dwelling-houses during the year :- (1) (a) Total number of dwelling-houses inspected for housing defects (underPublic Health or Housing Acts) 3,097 (b) Number of inspections made for the purpose 5,823 (2) (a) Number of dwelling-houses (included under sub-head No. 1. above) which were inspected and recorded under the Housing Consolidated Regulations 658 (b) Number of inspections made for the purpose 1,260 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation (4) Number of dwelling-houses (exclusive of those referred to under the preceding subhead) found not to be in all respects reasonably fit for human habitation 1,954 2. 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 1,218 3. |
b94cd0bc-1153-4a90-8db9-b5c37a3bfa3c | Action under Statutory Powers during the Year:- A. -Proceedings under sections 10 and 16 of the Housing Act, 1936 (1) Number of dwelling-houses in respect of which notices were served requiring repairs 58 19 (2) Number of dwelling-houses which were rendered fit after service of formal notices:- (a) By owners 51 (b) By local authority in default of owners - B. - Proceedings under Public Health Acts:- (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 287 (2) Number of dwelling-houses in which defects were remedied after service of formal notices (a) By owners 230 (b) By local authority in default of owners 25 C. |
840795cb-ab9f-4e77-9797-638011a2091c | - Proceedings under Sections 11 and 13 of the Housing Act, 1936:- (1) Number of dwelling-houses in respect of which Demolition Orders were made - (2) Number of dwelling-houses demolished in pursuance of Demolition Orders D. - Proceedings under section 12 of the Housing Act, 1936 (1) Number of separate tenements or underground rooms in respect of which closing orders were made (2) Number of separate tenements or underground rooms in respect of which closing orders were determined, the tenement or room having been rendered fit E. - Number of dustbins supplied by local authority in default of owners 240 20 section a. INSPECTION AND SUPERVISION OF FOOD. (1) MILK SUPPLY AND ICE CREAM. (a) Milk Supply. There are no cowkeepers in the district and we have only one dairy where milk is handled or treated. The remaining 77 premises on the register retail pre-packed supplies. |
9b7acfed-3179-454a-bb24-b8466350fc89 | In addition there are 15 milk purveyors who occupy premises in other districts, but retail in Barking. The following table sets out the results of the bacteriological examination of various samples, from which it will be seen that of the total of 37, only two were unsatisfactory. Type of sample. Satisfactory. Unsatisfactory. Totals. "Sterilised" Milk - — - "Pasteurised" Milk 17 2 19 Raw Milk 1 - 1 "Homogenised" Milk 3 - 3 Tuberculin Tested Milk 16 - 16 Totals! 37 2 39 There were during the year, 14 samples of milk submitted to biological examination for the presence of tubercle, none of which were found to be infected. |
a85ccd37-cfdd-4f5b-b706-339d652734a1 | 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 6 Pasteurised 11 (b) Ice Cream - Barking Corporation Act, 1933 Section l60. There are 116 manufacturers and vendors registered in accordance with this Act. This is an increase of three in the number of registered premises. 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. Ten samples were submitted for bacteriological examination, all of which were satisfactory. 21 (2) MEAT AND OTHER FOODS. (a) Meat. There is one licensed slaughterhouse in the district, the licence of which is renewable annually. Since the outbreak of war slaughtering in Barking has been discontinued. (b) Supervision of Food Preparing Premises. |
2c19844d-d640-4604-849a-45ce76824502 | The number of premises in the district at the end of the year at which the following foods are prepared were Sausages 25 Pot tea Meat and Brawn 4 Roast anchor Boiled Ham 4 Pressed, Pickled, Cooked, etc., Beef and Tongue34 Roast Pork Bacon Boiled Crabs and Lobsters 2 Pickled Fish 2 Pickled Onions 1 Smoked Fish 3 Bakehouses 10 (c) Unsound Food. The following list gives particulars of unsound food destroyed during the year :- 200 lbs. Beef. 40 lbs. Rabbits. 11 Chickens. 110 lbs. Bacon. 1,207 Eggs. 422 lbs. Fish. 15 lbs. Mutton Fat. 335 Tins Food (Various). (3) FOOD POISONING. There were no cases of food poisoning notified during the year. (4) FOOD & DRUGS ACT. 1938. |
1502b842-b58c-4700-9a3d-e94ddd8c43f3 | SAMPLING. During the year your authorised officers have submitted a total of 141 samples, divided as follows :- Milk 8 Butter 3 Others 130 Total 141 The reports of the Borough Analysts, Dr. B. Dyer and Dr. J.H. Hamence, Great Tower Street, London, E.C. show that of this total, four were found not genuine. In connection with these unsatisfactory samples, proceedings were instituted and a sum of £35.10. Od. paid in fines. -22- (5) chemical aND Bacteriological examination of food. The bacteriological examination of all milk, ice-cream and water samples is carried out for tnis 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. |
b212ca3b-8542-4d67-abf0-eeec2e2602a4 | -23- SECTION F. PREVALENCE OF, AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. 1.Notification. The following table shows the number of notifications of infectious diseases (other than Tuberculosis) received during 1940;- ]D I S E A S E Total Total cases removed to Hospital. |
6cf82c5e-5052-438f-b34a-c26e22e1087f | Deaths Scarlet fever 57 53 - Diphtheria 42 42 1 Enteric Fever (including Par a-Typhoid Fever) 22 22 - Puerperal Fyrexia 13 10 1 Pneumonia Acute Influenzal ) (12) (3) (- Acute primary ) 51 8 (3 Following Measles ) ( 1) (1) (- Erysipelas 21 9 — Ophthalmia Neonatorum 3 2 - Dysentry 1 1 - Measles 131 3 — Whooping Cough 13 - " Cerebro Spinal Fever 17 23 5 TOTALS 384 177 10 -24- 2. Hospitalisation. During the first half of the year 1940, cases of infectious disease reauiring Hospitalisation were sent to the Waltham Cross Isolation Hospital. |
96b45d2d-df3d-4e90-a63e-c5af6cca4364 | This arrangement was discontinued early in July 1940, and such cases were from that time admitted to the I^ford Isolation Hospital. The following tables show the Barking cases dealt with during the year at these two Hospitals. Waltham Cross Isolation Hospital during the period 1st January 1940 to 10th July, 1940. Disease. |
f3a401a7-ba0e-485e-a098-2e75a8b928a5 | In Hospital December 31st 1939 Admitted during the year Died Dis charged In Hospital July 10th 1940 Scarlet 3 21 - 20 4 Feve Diphtheria 5 23 1 23 4 (including Membranous Croup) Puerperal Pyrexia 1 1 - 0 Pneumonia - 2 — 2 — Myelitis - 1 - 1 - Erysipelas - 4 — 4 - Ophthalmia Neonatorum - 2 2 Cerebro Spinal - Fever - 16 3 13 - Others Enteric Fever (including Para 1 10 - 10 1 typhoid) * 18 — 3 15 Ilford Isolation Hospital during the period 10th July 1940 to the 31st December 1940:- Disease. Admitted from 10th July 1940 Diec Discharged In Hospital December 3lst 1940. |
bcc70269-06ef-49e0-84a2-8c8b009ab3f6 | Scarlet Fever 32 26 6 Diphtheria (including Membranous Croup) 19 12 7 Enteric Fever (including Paratyphoid) Cerebro Spinal 2 2 - Fever 4 - 2 2 Pneumonia 3 - 2 1 Puerperal Pyrexia 2 — 2 - Erysipelas 5 4 1 Others 3 — 1 2 -25- (3) PARATYPHOID FEVER. Below I give a table showing the number of cases of Paratyphoid Fever which have occurred in Barking over a period of six years Year No. of cases notified. Admitted to Hospital. 1935 5 5 1936 6 6 1937 17 17 1938 8 8 1939 2 2 1940 22 22 In common with adjoining districts there was a minor outbreak of Faratyphoid Fever. |
d92c616f-a8b6-43e7-9776-27f7ba12e296 | Investigations were directed to the consumption of bread and cakes which were drawn from a supply common to notified cases. It, was found that patients in other districts had also consumed food from the same source. No final decision however, was obtained as to the cause of the outbreak. (4} TUBERCULOSIS. Particulars of new cases of Tuberculosis and of deaths from the disease in the area during 1940 are given below New Cases Notified. Deaths. Pulmonary Non Pulmonary. |
f5877d9b-74b8-4e18-a3fa-6e7ea2662340 | Pulmonary Non Fulmonary M F M F M F M F Under 1 year - - - - - - - -_ 1 to 5 years - - 1 1 — 1 — - 5 to 15 „ 2 1 1 5 — 1 — — 15 to 25 „ 16 20 2 2 1 2 - 1 25 to 35 „ 18 21 - 1 5 4 — — 35 to 45 „ 14 6 — 1 7 2 — 1 45 to 55 „ 9 2 — 1 5 3 - — 55 to 65 „ 4 - - - 8 1 — 65 years and upwards 4 - - - 1 - - - 67 50 4 11 27 14 - 2 During the year 132 notifications were received of all forms of tuberculosis - Pulmonary 117 and non-pulmonary 15, |
d66667e0-4ffb-4366-91e5-9af8adc150a1 | and there were 6 deaths of un-notified cases, making a total of 138 new cases during the year. Information has been received of the removal into the district of 48 tuberculous persons, included in the number of notifications received - five of these are old cases returned to Barking. This compares with 22 received during 1939 and 44 for 1938. (5) ARTIFICIAL IMMUNISATION. Artificial Immunisation was carried out weekly at one of the Clinics, but the attendances on the whole were poor. Towards the end of the year however, figures have started rising and I hope I shall be able to report in 1941 extension and development of the scheme. -26- |
4f3fe8d7-ba5b-459d-baf3-da3f64da67fe | BARK 75 BOROUGH OF BARKING. THE ANNUAL REPORT of the SCHOOL MEDICAL OFFICER. FOR THE YEAR 1940 (War Edition) C. LEONARD WILLIAMS, B.Sc., M.B.C.S., L.R.C.P., D.P.H. BOROUGH OF BARKING. ANNUAL REPORT of the School Medical Officer for the Borough of Barking, in the County of Essex, for the year ended 31st December, 1940. (War Edition). Public Health Department, Barking, Essex. December, 1941. To the Chairman and Members of the Local Education Authority. Mr. Chairman, Ladies and Gentlemen, I have pleasure in submitting my report for the year ended 31st December, 1940. I am, Mr. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. |
2090bb8b-48e9-4ba2-95ae-cbea07e1e5db | -2- ANNUAL REPORT of the SCHOOL MEDICAL OFFICER. for the YEAR 1940 (War Edition). (1) STAFF of the SCHOOL MEDICAL SERVICE. The following indicates the many changes that have taken place in the staff of the School Medical Service. during the year 1940:- Deputy Medical Officer of Health and Deputy School Medical Officer. Violet Spiller, M.D., M.R.C.S., L.R.C.P., D.P.H. (Appointed 1st December, 1940.) Consultant Orthopaedic Surgeon. B. Whitchurch Howell, F.R. C. S. (Service as Consultant Surgeon to the Ministry of Health as from July, 1940) A.M.A.Moore, F.R.C.S. (Commenced 17th October, 1940) Consultant Ear, Nose and Throat Surgeon. Cyril R. Sandiford, F.R.C.S. |
7f24e36d-74c1-441d-a45c-62831fc97e7e | (Deceased 22nd August 1940) F. Courtenay Mason, F.R.C. S. (Commenced 2nd December, 1940). Health Visitors etc. +Miss M.G.Bennett (g.h and I).(Commenced 12th August, 1940. Temporary - transferred to Permanent Staff 1.11.40) +Miss U.K.Crotty (g,h and I). (Commenced 12th August, 1940. Temporary - transferred to Permanent Staff 1.11.40) +Miss C. Court (g.h and i). (Service in H.M.Forces as from 1st March, 1940). Miss L.B.S.Davies (Masseuse) - Temporary, (n) (Commenced 15th October, 1940 + Miss E.C.Everett (Temporary), (g and h) (Commenced 11th August, 1940). |
5ed5f781-9462-47c5-a939-3a642e591f2f | +Mrs. F.E.Fenna (Temporary). (g, h 1) (Commenced 15th April, 1940) Miss J. Harris (Masseuse), (n) (Resigned 14th September, 1940). +Miss R. McCandie (g.h and i) (Resigned 13th August, 1940). Mrs. H. Sachs, M.B.A.Ch. (Chiropodist) - Temporary part-time. (Commenced 8th April, 1940). +Mrs. Sutherland (g,h and i) Temporary. (Commenced 10th June, 1940). Miss L.F.Swain (School Nurse), (h and i) (Retired 30th September, 1940). Miss M. Thompson (Masseuse), (n) Resigned 5th October, 1940. |
feb29d69-7db0-4354-bec2-e1d6d80bd717 | (g) Health Visitor1 s Certificate of the Royal Sanitary Institute. fh) Certificate of the Central Midwives Board. fi) General Hospital Training. (n) Certificate of the Chartered Society of Massage and Medical Gymnastics, Medical Electricity, Light and Electro-Therapy +Combined appointment - Health Visitor and School Nurse. - 3- The year has seen many comings and goings. Some of my colleagues have been drafted into the Forces and. other people have come to take their places and amongst those who have left us I would particularly wish to mention Mr. C.R.Sandiford, F.R.C.S. who passed away on the 22nd August, 1940. He laid the foundations of your Ear, Nose and Throat Out-Patient Department; was beloved by everybody, and those of us who1 were privileged to work together with him felt deeply the loss of such a sincere friend. |
021b43bf-e22b-425f-80b0-e5b6d93b18b6 | Those for rhom he worked and amongst whom he worked felt his loss no less. During the year members of the staff have continued to participate in the Civil Defence Scheme, but for the most part they have been engaged upon their normal duties in connection with the Public Health and Medical Services. -4- (2) EVACUATION. (a) Madical arrangements. The Committee will recall that in my Annual Report for 1939 I commented on the fact that no provision was made in the first evacuation plan for the soecial medical examination of children before departure to the Reception Areas. Early in 1940 the Minister of Health issued to Evacuation Authorities some recommendations on this subject. The London County Council convened a conference of School Medical Officers of Authorities included in the Metropolitan Evacuation Scheme and, as your representative, I attended this conference on the 11th March 1940. |
c74a164c-8281-4ade-be29-0069d221e249 | Detailed arrangements were agreed upon for the medical examination of children registered for evacuation and I had the honour to be nominated to serve on a Sub-Committee appointed to discuss this aspect of evacuation with medical representatives of the Reception Authorities. This Sub-Committee met in London on the 23rd May, 1940, and coming away from the conference I was satisfied:- (i) That all possible steps had been taken in Barking; (ii) That direct contact should be maintained between the Evacuating and Reception Authorities, both by visits by His Worship the Mayor and representative Councillors and by Officers of the Authority. |
5b728242-dc22-456b-8b50-816a3df220a9 | In this connection I learnt from the Medical Officer representing Somerset that the visit of His Worship the Mayor was still remembered, by reason of the keen interest he took in the evacuees from Barking.- The Authority has continued this policy of visits of its members to the Reception Areas; (iii) That apart from medical inspection more care should be taken to see that all evacuees are properly clothed, and especially that not only do they have good footwear but footwear suitable for the country and (iv) That so far as be practicable children who have not been registered for evacuation should be kept under medical review in order to ensure their medical fitness for evacuation. (b) Plan IV Movement. |
613bf82b-76fb-42d4-ade6-8ed7fe1b8704 | Notwithstanding the comparatively large number of late registrations, all of the 2,352 children who left Barking during June 1940, under Plan IV, for Wiltshire, Oxfordshire, Gloucestershire, Somersetshire, Devonshire and South Wales, were medically inspected and every label aporopriately marked in accordance with the approved Code of symbols. The "initial" inspections were conducted by the Authority's medical staff but with regard to the "Pinal" inspections, sixteen general medical practitioners agreed to hold themselves in readiness to assist your medical staff, if -5- necessary, and a Memorandum on the examination and labelling of the children was drawn up and issued to these doctors. The final arrangements made it unnecessary for us to engage more than four general practitioners for a total of 19 hours, but I would like to take this opportunity of expressing my thanks to the general practitioners of the district for their keen co-operation. |
8d56790d-f476-450f-b695-0e86d176de86 | The following statistics show the number of inspections of various types carried out under Plan IV:- "initial" medical examinations 2,748 Re-Inspections by nurses 2,258 "Final" medical examinations 2,378 The results of the 2,378 "Final" medical examinations and the markings of the labels are set out below:- No. marked with a red cross (Passed "Fit - no defect") 2,083 No. marked with a red circle (for a hostel):"A" - on account of Impetigo 5 "B" - " " " Scabies 17 "C" - " " " Live Vermin None 22 No. |
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