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c711739c-54f5-4171-baa1-6728fb94b036 | marked with a red square (For Special Consideration):"D" - on account of Nits 94 (Of this number the majority were subsequently cleansed by School Nurses and were free from nits on departure, and some were cleansed at home) "E" - on account of Enuresis 87 "F" - on account of Infectious Disease contact None "G" - on account of other conditions 89 270 No. marked "Unfit for evacuation" at this stage 3 2,378 The Nutritional State of these children was as follows "A" - Excellent 9.0 % "B" - Good 73.7 % "C" - Slightly subnormal 16.1 % "D" - Bad 1.2 % (c) Subsequent Movements. From the time of the completion of Plan IV to the end of the year 1940, 853 medical examinations were conducted in connection with evacuation under subsequent Plans. |
3082e82f-5483-461b-b94d-3b541cf886b6 | -6- (d) Overseas Evacuation. 58 medical examinations were conducted in respect of children registered for overseas evacuation and special reports were completed for the Children's Overseas Reception Board. (a) Cleansing Facilities in connection with evacuation. As the Committee is aware, the re is no Public Cleansing Station in Barking but in order that, if possible, any dirty children should be cleansed before departure to the Reception Areas, you did contemplate making certain minor adaptations to existing lavatory suites at two schools- one at each end of the town. It was proposed that adequate supplies of hot water would be available, delivered through shampoo fittings of a simple nature, over existing lavatory basins. Electric hair dryers were also to be installed. Under this scheme children found to have nits or live vermin would have been referred to these places for a special shampoo. Parents would have been expected to give the 3hampoo, under trained supervision; special soap and nit combs would have been available . |
dfe857f5-1619-4e62-957f-f18482ab7c91 | However, the large movement under Plan IV took place before these adaptations were put in hand and we were fortunately able to deal with the dirty cases with the existing facilities; some children were also cleansed at home. (See page 6 of this Report). (3) HYGIENE. Nutrition and vitality are factors it is almost Impossible to standardise. It Is therefore obviously diffcult to say at this stage what, if anything, has been the effect of the War on the Health of the school population. It is further heartening to find that no significant variation from normal has been noted by your medical officers and this observation will, I feel sure, be accepted with satisfaction. (a) The food problem was only at its inception in 1940 and during that year there was little cause for any significant variation in nutrition. |
ca49bee0-e9e0-4b20-b59e-bc642b6ddf31 | Alternative foods, throughout 1940, wore comparatively casy to obtain and In some schools a substantial midday meal was served daily to which children could go either free or on payment of a small fee. (b) The comparatively poor hygienic conditions in shelters had, of course, little or no influence until August, 1940, and although it was anticipated there would have been some considerable spread of infectious diseases, it was found that apart from scabies (dealt with later) and the common cold, very little effect on the health of children was noted due to this particular factor. (c) So far as the possiblity of nervous strain due to constant day and night raids is concerned there is again little evidence. The lost hours of sleep were often made up by lato mornings in bed so that schooling was more likely to suffer than the child's health. The actual -7- element of fear appears to have been a minor one many children sleeping through the worst raids or regarding the whole as an exciting adventure. |
ab3e20b2-f8c3-4cbd-8079-f2c39b125e3f | The majority of the more nervous children were evacuated by their parents, thus leaving only a small number of nervous children who may have suffered but showed no obvious signs of deterioration in health by the end of 1940. (4) MEDICAL INSPECTION. In Barking it was found practicable to carry out quite frequent routine medical inspection, indeed an attempt was made to carry out full routine medical inspections on every child in your schools once a term and as a matter of fact this attempt proved successful. I am convinced that this took up no more time than normal medical inspections and carrying out flying nutritional surveys and so far as my information goes these frequent routine medical inspections not only achieve all that can be done by nutritional surveys but also help to expedite the treatment of outstanding disabilities. In making this statement I want to make it quite clear I express no adverse opinion whatsoever on the value of nutritional surveys under certain circumstances. |
46a26242-ad3f-4f82-996c-3714bc9e3b2f | It was your good fortune that you had already set up a service which could be intensified, in the way you determined and which it is my submission has proved highly successful. If the number of children inspected appears to be small it is to be remembered that a large number of children were evacuated and it is also to be noted that during 1940 the amount of time taken over these inspections is longer than it would have been during peace time because, of course, the air raids and threatened air raids interfered with the work of your officers by reason of the fact that the children were being, from time to time, shepherded in and out of shelters. |
e072c168-9137-466e-ac31-4bb0b45317ce | (a) Routine Medical Inspections: Number of Inspections in the prescribed Groups:- Entrants 1,120 Second Age Group 1,206 Third Age Group 945 Total 3,271 Number of other Routine Inspectionos 3,005 Grand Total 6,276 (b) Other Inspections: Number of Special Inspections and Re-Inspections 17,210 -8- (5) FOLLOWING - UP. This has been carried out successfully under particularly trying conditions, partly due to interruptions by frequent day raids, partly owing to the number of evacuating and returning families and partly owing to the number of damaged houses which people were obliged to evacuate and despite the considerable help we have had from the billeting authorities it has taken time to trace these people at their new addresses. In spite of these obstacles much valuable work has been done by your Health Visitors and School Nurses. (6) ARRANGEMENTS FOR TREATMENT. (a) Minor Ailments. |
1cb0d7e6-5008-4350-bd30-ef9b22b15d01 | These have befen carried on at Woodward and Central Clinics, both of them also being used simultaneously as First Aid Posts. It was not thought (during 1940) that the demand was sufficiently great to re-open your third Minor Ailments Clinic at Porters Avenue, and children who would otherwise have attended there were seen at Woodward Clinic. The full six sessions por week were held at both clinics. MINOR AILMENTS CLINICS, YEARS 1938, 1959 and 1940. The following Table summarises the work of the Minor Ailments Clinics in respect of public elementary school-children, and gives a comparison with the years 1938 and 1939i- Year. Clinic. No. of days Clinic was open. No.of Attendances. Daily Average Attendance . No.of cases dealt with. Total no. of Attendances. Total No. of cases dealt with. 1938 CENTRAL 307 14, |
badb3c11-3e4e-47f4-832b-7ea258dbd2be | 961 48.7 3,316 49,594 9,985 HUMPHREY - - - - WOODWARD 307 25,843 84.1 5,099 PORTERS 203 8,790 43.3 1,570 1939 CENTRAL 321 8,035 25.0 2,376 34,781 7,158 HUMPHREY 122 15 0,1 4 WOODWARD 307 16,033 52.2 3,182 PORTERS 206 10,698 51.9 1,596 1940 CENTRAL 321 4,863 15.1 1,380 14,827 2,930 HUMPHREY 365 331 0.9 100 WOODWARD 306 9,633 31.4 1, |
681cd3ed-03c4-4775-b245-f5938a2a9cc2 | 450 PORTERS - - - - Humphrey Clinic was opened for Minor Ailments purposes on 3.9.39. Porters Avenue Minor Ailments Clinic was closed on 2.9.39. -9- (b) Ophthalmic Service. This service has carried on throughout 1946, mostly with 2 or 3 sessions a week - some held at Woodward Clinic, and come at Central Clinic. Actually 82 sessions we re held in all during the year, and the following table gives a rough summary of work done. TREATMENT OF DEFECTIVE VISION AND SQUINT. (Excluding Minor Byo Defects treated as Minor Ailmonts)• Number of Defects dealt with Under the Authority' s Scheme. Otherwise. Totals 1938 1939 1940 1938 1939 1940 1938 1939 1940 Errors of refraction (including squint). |
3d44edb3-6525-4120-bc8d-2cd9f65897af | 1045 758 525 21 3 48 1066 761 573 Other Defects or Disease of the Eyes (excluding those recorded in Group I) - - - - - - - - TOTALS 1045 758 525 21 3 48 1066 761 573 Number of children for whom spectacles were:- (a) Prescribed 387 255 271 18 3 38 405 258 309 (b) Obtained 394 262 284 18 3 4 412 265 288 During 1940 we were still sending spectacles to the Reception areas in cases where the children had been refracted away from Barking and the parents wished to obtain spectacles from Barking at special contract prices or, in necessitous cases, free of charge. The total number of spectaclcs thus supplied was 49. Squint training has been resumed and 126 sessions were held during the year. |
7e7d249d-4996-4f4a-a10c-80850ed69d5e | A considerable amount of valuable work was done there as will be seen by the following table. -10- ORTHOPTIC CLINIC. 1940. No. children attended 44 No. new cases 16 No. old cases 28 No.attendances 532 No. discharged cured 2 No. evacuated 20 No. left school 2 No. discontinued 7 No. of sessions 126 The average attendance per session is very low on account of air raids. (c) Ear, Nose and Throat Service. Owing to the sad loss sustained by you in the death of Mr. C.R. Sandiford, there was an interval in the weekly Ear, Nose and Throat sessions held at Woodward Clinic between the 9th August and the 2nd December, 1940 when Mr. Courtenay Mason took over as our Consultant Specialist for diseases of the Ear, Nose and Throat. |
4cafa0fb-f61f-412a-9dd4-606de8508229 | Actually as a result of this only forty sessions were held during the year. Most of the cases which received operative treatment through the Corporation's scheme were dealt with at Queen Mary's Hospital. TREATMENT OP DEFECTS OP NOSE AND THROAT. Number of Defects. 1938. 1939. 1940. Received Operative Treatment:- (i) Under the Authority's Scheme in Clinic or Hospital 235 98 77 (ii) By Private Practitioner or Hospital, apart from the Authority's Scheme 32 21 3 Received other forms of Treatment 230 109 133 Total number treated 497 228 213 In December a consultation was held with Mr. Courtenay Mason so as to elaborate final arrangements for the admission of patients for tonsil operations at the Barking Hospital. |
91917d95-736f-45a0-ba5c-5ec4f3edf158 | In spite of the difficulties of war conditions and the shortage of nursing staff, the Authority's original scheme approved by the Board of Education was not amended and thus it was arranged that the tonsils patients be kept in Hospital from the afternoon of the day before that of operation up till the third day after operation. -11- (d) Dental Inspection and Treatment. Dental Clinics were held at Woodward Clinic and at East Street Clinic (instead of Central Clinic) during this year. As the children gradually flowed back from Reception Areas, the demand for this service became so great that a third clinic was opened on the 23rd July, in the Medical Inspection rooms at Manor School. At the same time dental inspections in schools were started again on the 10th February, and have been continued ever since. The following table gives an idea as to the amount of work carried out:- (1) Number of children inspected by the Dentist:- (a) Routine age-groups:- 1938 1939 1940 Age 5 |
f570a731-6fce-4623-9748-7a0eca3f5494 | (and 4) 515 267 174 6 627 500 296 7 606 469 322 8 564 426 433 9 657 299 456 10 599 326 627 11 621 339 342 12 885 426 443 13 550 440 250 14 (and 15) 151 100 157 TOTALS 5775 3592 3500 (b) Specials 1375 1116 716 (c) TOTAL (Routine and Specials) 7150 4708 4216 (2) Number found to require T/ment 5917 4052 3486 (3) Number actually treated 4666 3014 2096 (4) Attendances made by children for treatment 2647 8047 6251 (5) Half-days devoted to Inspection 27 33 28 Treatment 1123 914 735 Total 1150 947 |
10102769-d115-4f9b-9781-ee5405fad705 | 763 (6) Fillings - Permanent Teeth 6623 3772 3702 Temporary Teeth 91 131 213 Total 6714 3903 3915 (7) Extractions - Permanent Teeth 1559 966 823 Temporary Teeth 8443 4020 3073 Total 10002 4986 3896 (8) Administrations of general anaesthetics for extractions 3844 2323 2157 (9) Other operations Permanent Teeth) 4744 32 96 2670 Temporary Teeth ) -12- (e) Report on the Work of the Orthopaedic Clinic. 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, 1940, and Mr. A.M.A. |
04dce283-38e4-443c-a887-55507bfc13d7 | Moore has taken over his work for the duration of the war. 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 proportion of children seen per session has decreased considerably, contrasting thus very markedly with the attendances of "Toddlers" and Adults which have remained on a level with 1938 and 1939. 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. of Sessions held by Masseuses 1,353 School Children. |
c9c4a96f-1485-493c-916a-078d36ba0d50 | Toddlers & Adults ATTENDANCES Primary Examination by Surgeon 84 52 Re-examination by Surgeon 87 89 For treatment 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. |
d4fa8063-e56a-4666-8301-25e9a0c23b49 | Acquired 38 16 c.PARALYSIS 1 4 d. MISCELLANEOUS 7 8 -14- (f) X-Ray Treatment for Ringworm of Scalp. This service is still available, for appropriate cases, but none such have come to our notice during the year. (g) SpeechTraining. This service was not re-opened in 1940. Foot Clinic . The Municipal Foot Clinic was opened on 11.7.38, its services having been available to school-children throughout 1940, and during that year the poor attendance is presumably due to evacuation. Attendances of O.E.S, scholars. 1938 1939 1940 49 284 19 (7) INFECTIOUS DISEASES. It can be stated at the outset that the amount of notifiable infectious disease in 1940 was negligible, certainly very much less than in 1939 or 1938. |
7dd76e9b-1872-4824-91b8-d4186b0d73e6 | There were none of the usual epidemics of measles or whooping cough and none of the schools or school departments were obliged to close on account of infectious diseases. There was very little demand for Immunisation Clinics and only 20 patients were completely inoculated against diphtheria during 1940. At the end. of the year, however, numbers were already rising and it can be stated here that the figures for 1941 will be more satisfactory. Immunisation against Scarlet Fever and Whooping cough was also carried out on a small scale. (8) SKIN DISEASES. There is no doubt at all that Impetigo, ringworm and skin diseases in general have all decreased, probably in proportion to the number of scholars evacuated. |
db941fe5-c43d-4b27-957d-9e5cdcd0f7ac | By contrast, Scabies has very markedly Increased and the spread of this troublesome complaint has been particuifarly difficult to control, mainly for two reasons - (a) the disease is not notifiable and (b) more than one member of the family is usually infected and there are no facilities in the area for treatment of other than school children and children under five. Even when the children are cleared by the treatment which is provided for them at your clinics, there remain a number of untreated and possibly undiagnosed cases which are a constant source of fresh outbreaks. The crowded, shelter problem was particularly propitious to the spread of scabies from one person to another and from one family to another; soldiers coming home on leave often either brought scabies with them or took it back when they returned. In this way the complaint has become widespread, throughout the country. -15- The following shows the number of defects treated, or under treatment, in respect of elementary scholars:- 1938. 1939. 1940. |
84034ea4-3d6a-453a-ab9f-66069843830e | Ringworm (Scalp) 5 3 1 Ringworm (Body) 36 10 11 Scabies 132 83 135 Impetigo 390 244 100 Other Skin Diseases 415 389 155 Totals 978 729 402 (9) NUTRITION. The method of assessment of nutrition in school children has been set out in Administrative Memorandum 124 - December 31st 1934 - of the Board of Education. In this medical officers are asked to classify the nutrition of children under - "A" Excellent. "B" Normal "C" Slightly subnormal "D" Bad taking into account not only their weight and height but also their general appearance, their posture, their colour, etc. This must of necessity lead to considerable variations in opinions and standards between different examining officers and in interpreting the results in the following table some allowance must be made for personal variations. |
e06b486d-cc94-4fc6-b9e1-8a811fec6a5a | Even so, judging by these figures it appears, as I have hinted elsewhere, there are grounds for satisfaction in the nutrition of our school population. One may discount comparison with 1939 as the number of children examined during that year was much smaller than in 1938 and 1940; but the numbers examined in 1940 are comparatively high and in all groups they seem to indicate a diminution in the cases of poor nutrition and an increase in those of excellent nutrition. To what extent this is due to the possibility that the healthier members of the school population remained in Barking whilst their less healthy brothers and sisters were evacuated is difficult to assess. It is also possible that the housewives, having had their attention constantly drawn to the importance of certain foods and the different food values of proteins, fats, carbohydrates, vitamins, etc., may have made a special effort to see that their children went short of nothing, and indeed probably fed them better in the light of the advice given. |
5837bf93-99dd-40cb-895d-88ec3e9f45a3 | -16- Table showing the number of children inspected in the Routine Age-Groups during the years 1938, 1939 and 1940, and the Classification of the Nutrition of such children. Entrants Second Age-Group Third Age-Group Other Routine Inspections. Totals 1938 1939 1940 1938 1939 1940 1938 1939 1940 1938 1939 1940 1938 1939 1940 1938 1940 (inc) No. of children inspected. 1639 677 1120 1419 818 1206 1249 595 945 409 - 3005 4716 2090 6276 13,082 No. of children with Nutrition:- (A) Excellent 400 202 430 413 186 472 261 133 416 107 - 1126 1181 521 2444 4, |
75e6d524-44ea-4076-8f18-86d6615e5383 | 146 Percentage 24.40 29.8 38.4 29.11 22.7 39.1 21.0 22.3 44.0 26.16 - 37.5 25.04 24.9 38.9 31.69 (B) Normal 1122 440 626 897 587 676 949 448 509 275 - 1786 3243 1475 3597 8,315 Percentage 68.46 65.0 55.9 63.21 71.8 56.0 75.9 75.3 53.9 67.24 - 59.4 60.76 70.6 57.3 63.56 (C) Slightly 115 34 64 106 45 58 39 14 20 27 - 90 287 93 232 612 sub-normal Percentage 7.02 5. |
0fca0654-d08a-4247-95a8-53cbf6022694 | 0 5.7 7.47 5.5 4.9 3.1 2.4 2 .1 6.60 - 3.0 6.09 4.45 3.7 4.68 (D) Bad 2 1 - 3 - - - - - 1 - 3 5 1 3 9 Percentage 0.12 0.2 - 0.21 - - - - - - - 0.09 0.11 0.05 0.05 0.07 -17- (10) PROVISION OP SCHOOL MEDICAL SERVICES FOR SECONDARY AND TECHNICAL SCHOLARS IN THE AREA. |
7741ec43-c213-43f2-8e19-fbd077f064c7 | The scheme whereby you carry out medical examinations for the Essex County Council in connection with the South East Essex Technical College (the Barking Abbey School having been evacuated since the beginning of hostilities) is still in force, and below are figures for the inspection and treatment of puoils in this category The service is the same as that carried out at your elementary schools and includes the specialist treatment services - orthopaedic, ophthalmic, dental, ear, nose and throat etc. Medical Inspection. Routine examinations 209 Re-inspections 71 Special evacuation examinations 430 Ophthalmic Clinics. Number of attendances 42 Number of attendances for squint training 22 Number of pairs of spectacles prescribed 11 issued 5 collected after repair or alteration 9 Ear, Nose and Throat. Attendances for examination by specialist-consultant 2 Ultra-violet light treatment No. of children treated 8 No. of treatments given 28 Orthopaedic Treatment. No. |
122bdb0d-a8b4-4b6b-9124-e395f4f94b89 | of children seen by Orthopaedic Surgeon 9 No. of treatments given by Masseuses 41 Minor Ailments Clinics. No. of attendances 21 Dental Inspection and Treatment. No. of children inspected 107 Percentage of children found with defective teeth 68.2% Total number of treatments given 254 Unit figure 25.9 -18- (11) SPECIAL SCHOOLS. Paircross School, which had been closed since September, 1939, was re-opened on 22.4.40., owing to the gradual return of many of the evacuated children. 33 Physically Defective children were admitted at this time and 21 Mentally Defective, and by the end of the year these numbers had increased respectively to 47 and 22. School Medical Inspections were started on 30.4.40., and 14 sessions were held during the year. (12) UNCLEANLINESS. |
dc23b376-af34-4107-b880-5a74aacb72df | Systematic examination of children at routine cleanliness inspections has been carried out by the school nurses throughout 1940. The following table records the results of cleanliness inspections for the past three years 1938. 1939. 1940. Number of examinations of children in the schools by School Nurses. 39,521 22,539 13,657 Number of individual children found unclean. 1,008 777 413 Number of uncleanliness findings. 2,044 1,038 632 Number of individual children cleansed under Section 87(2) and (3) of the Education Act, 1921. 4 7 83 Percentage of uncleanliness findings. 5.1% 4.6% 4.7% There is no evidence that the percentage of uncleanliness is increasing to any extent. |
e673c26c-0630-4cde-a4af-9ac50694137d | (13) OPEN-AIR EDUCATION, No week-end school camps or Holiday Camps were held during 1940, but on 15th June, 181 children were evacuated to Hydon Heath Camp School near Godalming, which had been allocated to Barking by the National Camps Corporation. The children sent were mostly between the ages of 10 - 13 years. In December, 1940, there were still 184 children on the roll. |
22f94486-9c16-4667-b6da-293b55be874c | -19- (14) CO-OPERATION, Co-operation and assistance from many quarters has been afforded us throughout the year, this being especially evident in the arrangements for the evacuation of a very large number of children which took place in June, and I desire to place on record my thanks to the members of the Council, the staff of my department, the Head Teachers and School Attendance Officers, the staff of other departments, also to private medical practitioners, voluntary bodies and pa rents for the continuation of their co-operation which has helped us in no small measure in carrying out our work in connection with the various services provided by the Authority. -20- |
7aed5205-346f-453e-9060-e2d150ddfe0d | BARK 35 BOROUGH OP BARKING. THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH. FOR THE YEAR 1941 (War Edition) C. LEONARD WILLIAMS, B • Sc., M. R. C. S., L.R.C.P., D. P. H. BOROUGH OF 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, 1941. (War Edition). Public Health Department, Barking, Essex. September, 1942. 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, 1941. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, Medical Officer of Health. |
9666c524-ef46-4c9b-9e43-6159c1a4bf59 | -2- ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH for the YEAR 19U1 (War Edition). STAFF. The following indicates the changes that have taken place in the staff of the Public Health Department during the year 1941:- Assistant Medical Officers. / L.M.M. Beadnell, M.R.C.S., L.R.C.P., (Commenced 10.3.U1). T.A. Cockburn, M.D. , D.P.H. , (Resigned 10.2.41). M. Lewis, M.R.C.S., L.R.C.P. , (Commenced 17.3.4l). Health Visitors, etc. + Miss J. Egan (Temporary) (g, h and i). (Commenced 27.10.4l Terminated 15.12.41. ) Miss K.C. Hand (h and i) (District Midwife). |
9a38efde-047c-4d74-9deb-ac768964f17d | (Terminated 31.7.4l). Miss P. Nicholls - Assistant- to Camp Matron at Hydon Heath. (Commenced 10.3.41. - Resigned since the close of year). + Miss M. Simpson (Temporary) (g, h and i). (Comnenced 27.10.4l. - Terminated 19.12.41. ). + Miss A. Thomas (Temporary) (g, h and i). (Commenced 29.94l. Terminated 19.12.4l). Miss K.B. Walker (Chiropodist) - Temporary part-time. (Commenced 9.5.41. - Resigned 26. 9.4l). Mrs. Race Wardell (Chiropodist) - Temporary part-time. (Comnenced U. 9.41. - Resigned since the close of year). |
a00d57a7-dc26-498d-8589-9988995ebc71 | Clerical Staff. C.G. Eaglesfield (Senior Assistant) (r) - transferred to Education Department 6.12.4l). Mrs. D. Benbow (Temporary) (Commenced 23.10.4l). Miss E. Clark (Resigned 2.7.41). Miss A.R. Holmwood (Temporary) (Commenced 3.3.41). Mr. W. Norris (Temporary) (Commenced 15.U.41). Mr. P.J. Olver (Service in H.M. Forces from 12.9.41). Mrs. G. Pratt (Temporary) (Resigned l4.10.4l). Mrs. M. Price (Temporary) (Commenced l4. 7.41). Miss G. Sida (Temporary) (Commenced 10.3.41). |
81ef6fe3-f438-4cd7-aa61-eb3fd430061d | -3- (g) Health Visitor's Certificate of the Royal Sanitary Institute. (h) Certificate of the Central Midwives Board. (i) General Hospital Training. (r) Intermediate Examination of the Incorporated Secretaries Association. + Combined appointment - Health Visitor and School Nurse. 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. The arrangements made in the year 1940 for staffing the Battlers Green Emergency Maternity Home at Radlett were continued until the 12th June, 1941. Miss Hand's and Mrs. Bronnick's appointments as Municipal District Midwives terminated on the 31st July, 1941. Mrs. |
5ac80c4e-094e-4955-bc68-c7283b5b5aa3 | Bronnick re-appointed as from 1.8.41 as Municipal Midwife to serve at such places as required by the Corporation - has been at the Battlers Green Emergency Maternity Home since the 4th August, 1941. Mrs. Bishop, Municipal District Midwife, has been at Radlett continuously since the 12th June, 1941. -4- SECTION A STATISTICS AND SOCIAL CONDITIONS OF THE AREA. (1) BIRTHS. The total number of live births during the year was 1017, as compared with 1104 in the year 1940. There were 30 still births, the number for the previous year being 35. (2) DEATHS. (a) General. There were 362 deaths registered in Barking during 1941. Of these 25 were deaths of non-residents. Barking residents to the number of 326 died elsewhere during the year. |
82bd0a53-6b24-4871-82e6-a80493416fca | Including the latter and excluding the deaths of visitors, the net number of deaths was as follows:- Males Females Total 365 298 663 The following table shows the principal causes of death during 1941:- (net Deaths). |
4a18f60f-3be0-4ac7-8f61-641baeeecc6c | Causes of Death Total Cerebro Spinal Fever 2 Whooping Cough 3 Diphtheria - Pulmonary Tuberculosis 47 Non-Pulmonary Tuberculosis 6 Syphilitic diseases 5 Influenza 3 Acute Inf.Encephalitis 1 Cancer (all form) 97 Diabetes 7 Intra-cranial vascular lesions 35 Heart Disease 134 Other diseases of circulatory system 17 Bronchitis 33 Pneumonia 46 Other respiratory diseases 8 Ulcer of stomach or duodenum 5 Diarrhoea (under 2 years) 1 Appendicitis 3 Other digestive diseases 15 Nephritis 9 Other maternal causes 2 Premature Birth 9 Congenital Malformations, birth injury infantile diseases 10 Suicide 8 Road traffic accidents 11 Other violent causes All other causes Totals 663 -5- (b) Infant Mortality. |
c1d5f131-f2de-4378-847c-cede16dde219 | There were 34 deaths of children under one year of age, the figure for the year,1940 being 35. The following table gives the actual causes of death of the 34 children who died under one year of age:- 0-1 mth 1-3 mths 3-6 mths 6-9 mths 9-12 mths Total under 1 year Acute Streptococcal Pneumonia 1 1 Acute suppurative broncho pneumonia 1 1 Asphyxia (natural) 1 1 Asphyxia (natural) due to haemorrhage into the lungs due to iclus neonatorum gravis 1 1 Asphyxia (natural) due to inhalation of birth fluids 2 2 Broncho-Pneumonia 3 3 1 7 Broncho-Pneumonia-Acute Intussusception 1 1 turity. |
d48372da-f9e5-463b-b05e-f4be30e8761b | 1 1 Broncho-Pneumonia & Whooping Cough 1 1 2 Cardiac Failure & BronchoPneumonia 1 1 Cerebro Spinal Meningitis 1 1 Convulsions, Infantile Diarrhoea 1 1 Intra-cranial haemorrhage, birth injury 1 1 Myocardial Degeneration, Broncho Pneumonia 1 1 Prematurity 9 9 Prematurity, Atelectasis 1 1 Prematurity, Convulsions 1 1 Spina Bifida, Meningomyelococle 1 1 Totals 20 5 5 4 - 34 (c) Maternal Mortality. There were two deaths of Barking women due to or in consequence of pregnancy or childbirth, and in the year 1940 there were 4 such deaths. -6- (3) SOCIAL CONDITIONS., (a) General. |
5ec17254-80fd-4f0b-b594-7c2f5dddc1a6 | After many years in the Public Service I am coming to the conclusion that, where the infant mortality in any area can be looked upon as "not too bad", the general social conditions are not open to much adverse comment. For the past five years you have in Barking an infant mortality of 40 per thousand births, which compares more than favourably with tho rest of the country, and is I believe an index that social conditions are not too bad. This rule is not an invariable one but I have no reason to believe that Barking is an exception and think that you can take your relatively satisfactory position with regard to infant mortality as indicating that general social conditions are not unsatisfactory. 00 Schemes of Relief. My opinions on this matter have been expressed in previous reports, viz., that it is desirable to unify these schemes. I am pleased to report that during the year 1941 the Committee have revised their scales in respect of Maternity and Child Welfare services. (C) Unemployment. |
54063631-e3f8-4a6a-ad7e-5cfcbb959920 | The Ministry of Labour and National Service inform me that for the year ended the 31st December, 19U1, the local unemployed in this area was practically "Nil". Even persons with poor industrial records due to some physical reasons are finding work, who in former days were considered as practically unemployable. The demand for "Male" labour has far exceeded the supply available, consequently substitution of "Female" labour was introduced, with the result that several local firms for the first time accepted female labour. The shortage of labour has brought on to the registers offers of part time employment, particularly women, and whilst this scheme is more or less on trial in this area, the demand for this type of labour is increasing. (d) Travelling facilities. Certain improvements in the travelling facilities to and from Barking were, I believe, effected during the year 1940. It appears to me however, that the conditions today are far from satisfactory and I can only continue to deplore the general inadequacy of the travelling conditions. |
937902c4-eedf-4d0f-a193-0d07b4ff67f0 | -7- SECTION B GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA (1) GENERAL HEALTH SERVICES. (a) Ambulance Facilities. This service continues to "be a part of the Civil Defence Organisation and our reciprocal arrangements with adjoining areas have been maintained. (b) Hospital Facilities. As in 1940, the Barking Hospital continues to be within the framework of the Emergency Medical Service. Voluntary hospitals catering for the residents of the Borough were again given financial assistance, and the sum of £300 was allocated by you for distribution to these hospitals. (c) Clinics and Treatment Centres. The demand for our normal clinic services has not lessened and the attendances at the Out-Patient departments were very high during the year 1941. The Central Clinic was used as a First Aid Post until 6th March, 194l. when it was transferred to the new Broadway First Aid Post. |
ffb1a6dc-6e1a-4ee1-9912-203032497467 | As mentioned in my previous year's Report, we discontinued the use of tho Woodward Clinic in January 1941, because of serious damage by enemy action, and we have continued to use the Greig Hall adjoining as a Clinic, and Out-Patient department. (d) Nursing in tho Home. The Plaistow Maternity Hospital and District Nurses Home and the East Barking District Nursing Association. continue to be responsible for nursing in the home and the services provided are satisfactory. The amount of nursing in the home has increased since the outbreak of war. Both these organisations receive substantial financial aid from the Barking Corporation. (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 of ante-natal cases at your clinics amounted to 8,299, an increase of over 900 on the figure for the previous year. |
f1ee71ed-5a30-46d0-ae57-5b2149fd6ae8 | A weekly clinic session for post-natal and gynaecological cases only was commenced at the Humphrey Clinic on the 1st April, 1941, and considerable effort has been made to persuade our mothers to use this facility. As a result it can be recorded that the number of post-natal attendances (508) and of gynaecological attendances (359) each showed an increase of about 100 over the previous year. -8- This post-natal figure is still much lower than I could wish; at the same time, it shows a definite step in the right direction, and I look forward with hopefulness to still further increase next year. (b) Midwifery. (i ) Supervision. There were 11 midwives practising in the Borough at the end of the year, 6 of which were employed at the Upney Maternity Pavilion. During the year 1941, midwives sought medical assistance in 207 cases; 27 of these were on behalf of babies. |
2ffffc52-b8d3-477c-bb72-3d5f74ddc1bc | (ii) Midwives Act, 1956, 307 mothers were delivered in Barking under your district midwifery scheme during the year 1941. In addition 24 mothers wore delivered by doctors with district midwives acting as maternity nurses. (c) Upney Maternity Pavilion (and Barking Emergency Hospital-), At the Upney Maternity Pavilion during 1941, 4l8 patients were confined, 63 patients were admitted for ante-natal treatment, 1 for post-natal treatment and there were 5 miscarriages. At the Barking Emergency Hospital 215 expectant mothers spent a total of l660 bed days, which I think is a matter for both note and congratulation; it certainly shows that there is a real demand for this means of hospitalisation, which no doubt you will wish to consider as one of your post-War developments when the Barking Hospital will no longer be available for this purpose. |
8ef744b4-bd2a-4200-adc5-0ec62791eb10 | In addition, the Barking Hospital has been used in other ways also; there were 6 miscarriage cases, 6 gynaecological, 3 abortions, 3 post-mis carriage and 18 postconfinement cases, a total of 36 who spent 286 bed days, (d) Evacuation. Evacuation of expectant mothers in the last month of pregnancy proceeded in 1941 as in the previous year. 167 were sent to Radlett, and owing to the limited accomodation there 13 were sent to other places in Hertfordshire. (e) Infant Welfare Centres. The total number of attendances at the Infant Welfare Centres during 1941 was 27,028, compared with 29,347 in 1940. This decrease can be accounted for by the fact that by the early months of 1941 considerable areas of the Town had become uninhabitable by reason of enemy action and many of our mothers and children were staying elsewhere temporarily. |
f454dbfe-7e7e-4152-96ee-9b9152e95466 | Another factor which would contribute to this is that three of our Clinics during the first months of the "blitz" were used as First Aid Posts and it had been our habit during day-time alerts to defer the Clinics, sending the mothers and children to shelters; on account of this, the numbers had tended to decline and the mothers had rather got out of the habit of attending the Clinics,. -9- (f) Home Visiting. It is, gratifying to note that your Health Visitors were able to give more the to this part of their work during 1941, the total number of visits being 18,514 as compared with 114,301 during 1940. This v/as made possible by the fact that daylight raids were much fewer and less time was required on examinations in connection with school evacuation. (g) Circumcision Clinic. In July, 1941, circumcision sessions were commenced at Central Clinic and continued thereafter at regular intervals of approximately two weeks or a month, according to the demand. |
d13b8baa-7449-4761-b7e2-1bf458032338 | In this v/ay 27 operations (including 4 stretchings and 1 nail and 1 mole removed under anaesthetic) were performed without incident and a really urgent local need has been met. (h) Birth Control. From its inception in November, 1937, to the end of 19*40, 19 cases had attended the Birth Control Clinic, making a total of 24 attendances. During the year 1941, 1 hew case attended, on two occasions, and 1 old case, on one occasion. (i) War Time Nurseries. Proposals to establish War-Time Day Nurseries to receive children under 5 years of age of mothers in work, were considered by you in June 1941, and subsequently approval v/as received from the Ministry of Health to convert the Eastbury Ilanor House and Lodge Farm House, Rugby Road, for the purpose. Accomodation at these two premises would be 80 and 43 children respectively. |
32a5604c-ec93-47c0-bca3-ca8f1de9694d | Neither Nursery v/as opened during the year 1941. This opportunity is taken to record our appreciation of the way in which the officers of the National Trust have co-operated in making available the historic Eastbury Ilanor House for this war-time measure. (j ) Supplementary Clothing Coupons for Expectant Mothers. The scheme for the issue of a special allowance of 50 clothing coupons to expectant mothers, on meclical certificate, was commenced on the 5th August, 1941, and from that date to the end of 194l, issues were made to 723 patients, 2 of which were in respect of twin pregnancies. - 10 - (k) Issue of Vitamins to Children under 5 years. The Government Scheme for the issue of cod liver oil to all children holding-a child's ration book and of fruit juices (blackcurrant syrup and blackcurrant puree) to all children under the age of 2 years came into operation on the 8th December, 194l. |
203952d9-60e9-4adc-9105-4aea7580eab2 | Arrangements were made, where desired, for the distribution of these vitamins at your Infant Welfare Clinics at the normal sessions, the actual distribution being in the hands of the Pood Executive Officer by arrangement with the Borough Treasurer. 69.45% of the children eligible received their supplies through your Clinics and 7.75%through the Pood Office; the parents of the remaining 22.8% did not avail themselves of the facilities offered under the scheme. (3) ORTHOPAEDIC SERVICES. On the whole the work in all branches in this department has increased quite appreciably during the last year. Prom June 1941, to September 1941, the Sunlight Clinic was temporarily interrupted except for very special cases, as it was thought that natural sunlight and fresh air would be of greater benefit than artificial light. As the schools closed at 3.30 p.m. (actually 1.30 p.m. ) |
56434d24-afae-4c29-ba72-f33fd145807f | it will be appreciated that school children had every opportunity of enjoying out-door recreation and sunlight. Much work was done by your masseuses during this time on massage, exercises, electrical treatment, etc. It was unfortunately necessary to immobilise the High Frequency Inductotherm Apparatus early in March 1941, following a Government Circular which pointed out that under the Defence Regulations 1939, such electrical apparatus could not be used unless an earth-screened room v/as provided. It was put into commission again in September 1941 when arrangements had been made to screen off the apparatus. - 11 - PARTICULARS OP THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1941. No. of Sessions held by Orthopaedic Surgeon: 11 No. of Sessions held by Masseuses: 1,052 Toddlers & Adults. School Children ATTENDANCES. |
86ddcb97-ff42-42d8-a6d7-fb1e4a23624d | Primary Examination by Surgeon 66 73 Re-examination by Surgeon 105 101 For treatment 5,986 4,751 TOTALS 6,157 4,925 TREATMENTS. • Number of Children 880 724 Number of Treatments 8,903 5,514 TOTALS 9,765 6,238 HOSPITAL TREATMENT. Admissions to Hospitals - - On Waiting List for admission - - TOTALS - - Cases dealt with for the first time during 19U1 - by the Orthopaedic Surgeon - were referred for the following defects:- (a) DEFORMITIES OF BONES & JOINTS: 1. Congenital 2 - 2, Acquired 58 4l ("b) MUSCULAR: 1. Congenital - 1 2. Acquired. |
c1f27420-bcdc-4d7d-bcda-a2e554613511 | - 40 (c) PARALYSIS 1 5 (d) MISCELLANEOUS 10 - - 12 - (4) EAR, NOSE AND THROAT SERVICE. Sixty-one sessions v/ere held during the year by your Specialist Consultant, Mr. F. Courtenay Mason. Twenty-eight of these were operative sessions at the Barking Hospital and 33 v/ere out-patient sessions held at Central Clinic. Final arrangements were completed for the admission of patients to Barking Hospital for tonsil operations. Members of the Civil Defence and Emergency Medical Service's nursing and medical staff were allowed to give all co-operation in this work to members of the Public Health staff, and I would like here to record my appreciation for their help, without which the scheme could never have been put into action. |
9490896a-966b-4c36-a810-eca4dc8dc2c3 | The first session arranged for 24th March 1941, had to be cancelled owing to enemy action, but on 6th April 1941, the first operative session was held at Barking Hospital and thereafter the scheme proceeded without incident until the end of the year. Children were admitted the day before operation and discharged two days after operation. In May 1941, this scheme was extended to cover all operative procedures of the ear, nose and throat. Actually 256 children v/ere operated on at the Barking Hospital during 1941. The total number of cases who received operative treatment during the year was as follows:- Toddlers 86; School children 277; Total 363. In October 1941, arrangements were completed whereby the facilities available at this Clinic could be afforded to members of the adult population. Since the inception of this scheme, and up to December 1941, two patients have availed themselves of consultations with the Ear, Nose and Throat Consultant. |
b85658be-9120-4e47-9133-7a23cc403896 | (5) OPHTHALMIC SERVICES. The services provided by you for the examination and treatment of the eyes have been carried on entirely at the Central Clinic during 1941, owing to the damage done to the ophthalmic equipment at the Woodward premises in the early part of the year. At first only two sessions per week were held but it was found possible as time v/ent by to increase this number to three sessions per week, and a total of 104 sessions were held during the year compared with 82 sessions in 1940. Treatment of Defective Vision and Squint - Table of Statistics. Mothers & Toddlers. Public Ophth. Scheme. School children. Total. Errors of Refraction requiring treatment. |
e09f7851-640b-430e-8e38-3b04cea940fa | 198 85 551 834 No.for whom spectacles were: - (a) Prescribed 59 59 , 270 388 (b) Obtained 48 36 294 378 TOTALS 305 180 1,115 1,600 - 13 - Squint Training. Squint training was resumed during the year 1941 and 93 sessions were held for this purpose, a considerable amount of valuable work being accomplished as will be seen by tho following table:- Toddlers. School Children Total No.of children attended 1 28 29 No.of new cases 1 11 12 No.of old cases - 17 17 No.of attendances 18 511 529 No.discharged cured - 4 4 No. evacuated - l 1 No. left school - 1 1 No. discontinued 1 3 4 (6) DENTAL SERVICES. |
93ba1d66-e2ea-4c59-a7fb-ebd9f7004c69 | Mr.Foy, Senior Dental Surgeon, has submitted to me the following report:- During the year ending December 31st, 1941, some handicap to the Dental Scheme has existed, owing to the loss of the Woodward Clinic due to enemy action, and to the use of the dental premises of the Central Clinic by the Civil Defence as a Gas Cleansing Station, The value of this could be regarded as equal to the loss of ,75 of the services of one Dental Surgeon on Education conservative treatment, but the loss was not absolute, as the Dental Staff, by acting as Dental Anaesthetist to each other, instead of calling on the medical staff, were able to utilize sessions to advantage. Evacuated children who returned to Barking, presented individual oral conditions far less satisfactory than one might reasonably expect had they received routine examination and treatment in Barking, and considerably more time per child was spent in restoring such mouths to a state of dental fitness than under normal circumstances. |
1765a3c1-889f-49d3-9a59-6ec17a77b7c6 | No blame or reproach may be made against Reception Authorities, who must have been sorely taxed by the responsibility of examination and treatment of a number of children far in excess of their peace-time anticipations, and often working with a depleted staff. It is ironical that those children v/hose parents were unwilling to consent to a National Request to evacuate children, should remain favourably placed for health services, but should he mostly those whose past nistory had been one of indifference to those services. The constant refusals remained at home, and the constant acceptances intelligently departed. - 14 - Mr.nor Clinic fulfils a useful purpose and geographically is well placed for a few schools, but the need is for the re-opening of the Central Clinic Dental premises in order to relieve the pressure on the East Street Clinic. MATERNITY & CHILD WELFARE DENTAL SERVICE. |
b16bb47c-0c20-492b-aecd-b868f2497067 | The evacuation of mothers did not materially affect the Dental Service, since those mothers who elected to receive treatment did so "before departing to the Maternity Centres or on their return. The Service, however, was handicapped "by lack of premises in the same manner as the Education Dental Service. PUBLIC DENTAL SCHEME. This proved a most popular service, and may he regarded as an undertaking which is available for the potential dental needs of the total population, and obviously this is more than can be completely undertaken by a Dental Staff. whose strength was assessed on the dental requirements of the school population and expectant and nursing, mothers. Nor should the Service be regarded as one which will disappear after hostilities, and an increase in staff and premises as and when required should be seriously considered. Already, large waiting lists exist, and the only apparent solution is to undertake the provision of extra sessions preferably in the evening so as not to trespass on the time allocated for the existing Service. |
eab8cfad-f017-4c59-bd63-2148bf19c8bb | * I have the honour to be, Sir, Your obedient Servant, (sgd) W.H.Foy, L.D.S., R.C.S. (ENG.) Senior Dental Officer. 15 SUCTION c. SANITARY CIRCUMSTANCES OF F?£ AREA. (1) RAINFALL. The rainfall for the year ended 3lst December 1941 was 21.7 inches, as compared with 18.45 for the previous year Rain fell on 258 days in the year 19U1. (2) "7ATER S TP PLY. There has "been no extension of mains, nor any important developments. (3) DRAINAGE AND SEV/ERAGE. Drainage arrangements continue as heretofore. (U) RIVERS AFP STREA :S. The rivers and streams running through the area are tidal in character and are not controlled "by the Corporation. |
f09a7b36-ebad-4e71-b298-a5203f53740d | Attention is directed to the continued unsatisfactory condition obtaining in the River Roding. (5) CLOSET ACCCMMQDATION. At the end of the year there remained a total of 16 premises unconnected With the sewer, nine of which were factory premises. (6) PUBLIC CLEANSING. During the year 3,496 loads of refuse were collected with an average weight of 2,17 tons. (7) REFUSE DISPOSAL. The refuse of the Borough by arrangement with the County Borough of East Ham, was taken to the destructor works of that Authority. (8) SANITARY INSPECTION OF THE AREA. Emergency and war conditions have interfered seriously with the routine work of the Department. (a) 70RF, OF SANITARY INSPECTORS. (i) Inspection of Dwelling Houses. |
ca397d05-f65c-4045-9bce-25a86c46bd88 | Total Houses inspected under Public Health or Housing Acts 2,162 Total Number of Inspections made 4,570 Housing (Consolidated) Regulations 155 After Infectious Disease 375 Overcrowded Premises 32 Defects Pound 3,582 Notices Served (Preliminary) 1,560 Re-inspections re Notices Served 2,408 'Inspection of Works in Progress 516 16 (ii) Promises Controlled "by Bye laws and Regulations. Inspecti ons. Contraventions. Notices served. Houses Let in Lodgings — — — Common Lodging Houses 3 — — Offensive Trades 34 14 10 Tents, Vans and Sheds — — — Dairies, Cowsheds and Milkshops 38 u 4 Slaughter Houses — — — Hairdressers £ Barbers Premises 27 3 1 Smoke Observations 46 4 4 (iii) Factories, Workshops and Workplaces. Inspections. |
6a0a23c1-b372-41ff-b8b6-c9573cf8881d | Defect s. Notices. Factories 78 8 3 Bakehouses 11 — — Workplaces 15 — — Outworkers Rooms 20 — — Butchers premises 128 31 15 Fishmongers 15 5 3 Restaurants and Dining Rooms, and Canteens 96 32 16 Stables and Stable Yards 4 6 2 Piggeries 7 1 1 (iv) Miscellaneous. Inspections. Defects. Notices. |
201eb460-1a66-4654-ba01-0f3360237293 | Rats & Mice (Destruction) Act I9I9 112 42 26 Vacant Land and Refuse Dumps 104 19 10 Public Lavatories 31 4 2 Schools 26 5 — Markets and General Shops 297 64 42 Ice Cream Vendors 16 1 — Drainage Inspections 295 — — Milk Sampling 19 — — Other Miscellaneous 160 — — Shops Act, 193U 329 16 4 Water Sampling 12 — — Food Manufacturers 36 — — Street Traders — — — Food Byelaws 59 — — Watercourses 7 — — Air Raid Shelters 118 — — (b) NOTICES SERVED. |
4939cdb4-8af7-4b9b-938c-0d747eca2c69 | Informal Noticos 1,560 Statutory Notices:- Public Health Act, 1936:- Section 39 2 Sectxon 45 22 Section 83 1 Section 9.3 123 Housing Act, 1936;- Sections 9 and 10 17 Secti on 24 — S e ct i on 32 — Barking Corporation Act Section 148 147 312 17 (c) Premises and Occupations which are controlled by Byelaws or Peculations. The following is a list of the above type of prerases: - (1) Houses let in lodgings. (2) Comon Lodging Houses. (3) Tents, Vans and Sheds. (M Underground sleeping roons. (5) Offensive Trades. (6) Piggeries. (7) Stables. (d) Rats and Mice Destruction Act, 1919. |
79848dbc-4642-467c-a948-846eeb01dfcc | There were 112 visits nade to premises under this Act, and any necessary work arising has been carried out. (9) ERADICATION OF BED BUGS. The following houses have been disinf ested:- Barking Council Houses 12 Privately owned houses T" _ ~l - J /N • *1 * T _ 6 London County Council Houses — Total 18 18 SECTION D. HOUSING. (1) STATISTICS. (a) General. Nuriber of new houses completed during the early part of 19U1 (1) Total 14 (2) As part of a municipal housing scheme;- (a) Barking — (^) L.C.C. 12 Others 2 ("b ) Uni'it Dwel1ing-Houses. 1. |
602e39a2-e8b9-45d2-9dff-1fecdb21fb8b | Inspection of dwelling-houses during the year:- (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 2,162 ("b) Number of inspections made for the purpose 4,570 (2) (a) Number of dwelling-houses (included under sub-head No.1 ab ove) whi ch were inspected and recorded under the Housing Consolidated Regulations 155 (b) Number of inspections made for the purpose 296 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation — (U) 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 1,560 2. Remedy of Defects during the Year without Scrvice of formal Notices:- Number.of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their Officers 949 3. |
07caffeb-345c-4fca-8067-43983d8a5dcf | Action under Statutory Powers during the Year: - A3. - Proceedings under sections 9> 10 and 16 of the Housing Act, 1936:- (1) Number of dwelling-honges in respect of which noting were served rqquir(???) repairs 7 19 (2) Nuriber of dwelling-houses which were rendered fit after service of formal notices:- (a) By owners 36 (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 148 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:- (a} By owners 70 (b) By local authority in default of owners 5 C. |
045b44e4-4fee-4a1f-95d7-b8f8aee0add3 | - 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 245 20 S E C T I ON E. 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. |
2a1639be-427a-4b7a-b6ac-6212a1c103e4 | The remaining 77 premises on the register retail pre-packed supplies. In addition there are 10 milk purveyors who occupy premises in other districts, hut retail in Barking. The following table sets out the results of the bacteriological examination of various samples. Type of sample. Satisfact ory. Unsatisfactory Totals "Sterilised" Milk — — — "Pasteurised" Milk 11 — 11 Raw Milk 2 — 2 "Homogenised" Milk — — — Tuberculin Tested Milk — — — Totals 13 — 13 There were during the year, 6 samples of milk submitted to "biological examination for the presence of tubercle, none of which were found to "be infected. |
072070da-820a-432a-95c3-b706376a276f | The following table shows the number of licences granted during the year for the sale of graded mi lies under the Milk (Special Designations) Order, 1936:- Tuberculin Tested 6 Pasteurised 10 (b) Ice Cream - Barking Corporation Act, 1953 - Section 160. There are 03 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. 21 (2) MEAT AND OTHER FOODS. (a) Heat. 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. |
f36ce085-1093-4fc4-bddb-350607173dfb | The number of premises in the district at the end of the year at which the following foods are prepared were:- Sausages 22 Potted Heat and Brawn 4 Roast and/'or Boiled Ham 4 Pressed, Pickled, Cooked, etc., Beef and Tongue 34 R oa st P ork — 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:- Bacon 2 cwts. Chi ckens 11 Jam, Fruit, Vegetables, Soups, Fish, Pickles, etc., in Tins and Jars 2280 Sweets 14½ lbs. Fish 90 sts. Jellies 16 Sugar 178 lbs. Suet 5 lbs. Margarine, Butter, Cooking Fats 54½ lbs. |
e429f666-b0e6-42ef-a5ff-53343a33166c | Flour, Rice, Custard Powder, Cornflour, Cake Flour, pudding Mixture, etc. 105 lbs and 102 pkts. Biscuits, Rusks, etc. 8 pkts. Shredded Wheat, Cornflakes, Porridge Oats, Breakfast Cereals, etc. 57 pkts. Cocoa 2 lbs. Coffee 4 lb. Tea lbs. Split Peas, Lentils, Haricot Beans 18¾ lbs. Cakes 13 lbs. 11 Swiss Rolls. Meat 57½ lbs. Meat Roll 8 tins. Meat Pies 34 Rabbits 7½ cwts. Pressed Beef 570 lbs. Brawn 1193 lbs. Fish Roll 6482 tins. Cheese 104½ lbs. Eggs 73. " (frozen) 30lbs. Sausages 33¼ lbs. |
50dc1f28-37ea-4dad-b05a-b2c9e52961ae | Crumpets 15 doz. Sliced Bread 1 loaf. Gherkins 8 tons. Carrots 2 casks. Beetroots 1 cask. - 22 - (3) FOOD POISONING. There wore no eases of food poisoning notified during the year. (U) FOO'O DRUGS ACT, 1938, SAMPLING. During the year your authorised officers have submitted a total of 160 sample Si, divided as follows:- Milk 15 Butter & Margarine 4 Others 141 160 The reports of the Borough Analysts, Dr.B.Dyer and Dr. J.H.Hanence, Great Tower Street, London, E.C. show that of this total, 24 were found not genuine. In connection with these unsatisfactory samples, proceedings v/ere instituted and a sun of £128. 0. 0. paid in fines. |
f37c4643-4c5e-421f-a195-c6d5f620cdf7 | (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 Gidea Park College, Essex, whilst the examination of samples of milk for the presence of tubercle is carried out "by Dr.A.L.Sheather, of Chorley Wood, Herts. 23 SECTIO N F PRLVAIENCE OF, AND CONTROL OV1R INFECTIOUS AND OTHER DISEASES. 1. Notification. The following table shows the number of notifications of infectious diseases (other than tuberculosis) received during 19U1:- DISEASE Total Total cases removed to Hospital Deaths. |
9a4907bc-e070-42a3-9b51-539002281a2f | Acute Anterior Poliomyelitis 2 2 _ Scarlet Fever 93 85 _ Diphtheria 31 31 _ Enteric Fever (including Para-Typhoid Fever) 1 1 - Puerperal Pyrexia 8 8 - Pneumonia Acute Influenzal) (11) (3) (- Acute Primary ) (62) (22) (2 Following lieasles ) (12) ( 5) (- Erysipelas 15 8 - Ophthalmia Neonatorum 5 3 - 'Measles 1305 29 - 'Whooping Cough 658 15 3 Cerebro Spinal Fever 22 22 1 Others 9 9 - TOTALS 2234 243 6 2. Hospitali sation. During the year 1941, cases of infectious disease requiring hospitalisation were admitted to the Ilford Isolation Hospital. |
14649ed7-c469-4c8b-98fa-58fdc800a942 | - 24 - The following table shows the Barking cases dealt with during the year at this Hospital. Disease In Hospitali 31st Dec. 19U0. Admitted during year. Died. Discharged In hospital Dec. 31st 1941. |
34b269c9-1a09-43b8-9593-08c041b2d3de | Acute Anteø rior Poliomyelitis - 2 - 1 l Scarlet Fever 6 85 — 81 10 3 Diphtheria , (including Membranous Group) 7 31 35 Cerebro Spinal Fever 2 19 1 19 1 Pneumonia 1 9 1 9 — Puerperal Pyrexia — 4 — 2 2 Erysipelas 1 8 — 9 — Whooping Cough — 13 3 8 2 Measles — 27 — 27 — Others 2 9 — 11 — ø One of these cases subsequently proved not 'to be Acute Anterior Poliomyelitis 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 seven years;- Year No. of cases notified. Admitted to Hospital. |
14973447-ce88-4163-a3eb-c72b26460855 | 1935 5 5 1 1936 6 6 1937 17 17 1938 8 81 1939 2 2 1940 22 22 1941 1 1 25 4. Tuberculosis. Particulars of new crses of tuberculosis and of deaths from the disease in the area during 1941 are given below:- New Cases Notified Deaths. Pulmonary Non Pulmonary ' Pulmonary Non I pulmonary M F M P M F H P Under 1 year _ _ _ _ _ _ _ _ 1 to 5 years _ 1 1 1 _ _ 1 _ 5 to 15 years _ — 2 3 _ _ 1 _ 15 to 25 years 18 13 5 6 2 8 2 _ 25 to 35 years 13 16 1 6 5 5 2 _ 35 to 45 years 12 13 2 1 |
7e676e10-e995-41bb-8a03-24650b0dfd64 | 8 4 1 _ 45 to 55 years 11 4 _ _ 2 2 _ 1 55 to 65 years 9 2 _ _ 9 1 _ _ 65 years and upwards 1 _ _ _ _ 2 _ _ 64 49 11 17 26 22 7 1 Daring the year 14I notifications were received of all forms of tuberculosis - pulmonary 113 and nonpulmonary 28, and there were 10 deaths of un-notified eases, making a total of 151 new cases during the year. Information has been received of the removal into the district of 37 tuberculous persons, included in the number of notifications received - 12 of these are old cases returned to Barking. This compares with 48 received during 1940 and 22 for 1939. 5. Artificia1 Immunisation. |
d357ad9b-ba0e-44d8-b4f5-c1283aba7911 | In Hay 194l, the Government- sent out circulars stressing the dangers of diphtheria and pressing Local Authorities to carry out diphtheria immunisation in an extensive manner. As a result of this, numbers attending Immunisation Clinics rose, and the number of sessions per week increased from one to nine. The total number of children inoculated against diphtheria during the year was 2,047 as compared with 5U in 1940. Immunisation against whooping cough and scarlet fever was carried cut simultaneously, the total number of children inoculated against these two complaints being respectively 423 and 569. Table of Statistics - Year 1941. Toddlers School children Total, Inoculations against Diphtheria 677 1,370 2,047 Scarlet Fever 230 339 569. " " Whooping Cough 288 135 423. 26 RESUME. |
bacfa36c-3780-4bff-8011-864f40231da5 | Insofar as this Report is of necessity scrappyit nay "be of some snail value if I rehearse a few of the nore inportant it-ens of information. Clinical attention provided "by your Services has maintained the inportant role it has played for the past few years. All your Services, including the School Service, my he looked upon as one large Out-patient department. Your out-patient attendances were over 120,000, which represents the out-patient attendances of a large hospital. The tuberculosis figure of 151 compares unfavourably with 138 of the previous year. This nust be weighed in the balance against the favourable remarks I have made of the advantageous position you hold with regard to infant mortality. |
05a9004c-298e-4aea-9111-4982aca6a7b5 | The incidence of tuberculosis is a very sensitive indicator of our state of health, and, although the increase is not alarming, it is sufficiently definite to show the need there is for increased vigilance in matters of health, and here I may say I look upon food as the fundamental factor, v/ith housing not quite but almost bracketed with it in importance. The statistics with regard to inoculation against diphtheria are unsatisfactory. Diphtheria is one of the small number of diseases which can be conquered, but in general it appears the public run after all sorts of quack nostrums, both in the way of medicines and ideas, and seem determined to avoid such a well-tried and well-founded method of prevention as inoculation against diphtheria. Advertising methods of the more flashy variety dealing with immunisation do seem to achieve a momentary success, but there is no sound public opinion on this matter. |
2d72ce3d-6dc4-4089-a9b7-83737582653b | If I may be permitted to audit what after all is my account, I do believe that you are doing quite well, and I do believe that the children of to-day, v/ho will be the men and women of tomorrow, will say that, in spite of the very difficult time of the world war, you have done well. Medical Officer of Health. 27 |
013665e9-9ef5-442c-af55-3af259783b96 | BARK 76 BOROUGH OF BARKING. THE ANNUAL REPORT of the SCHOOL MEDICAL OFFICER. FOR THE YEAR 1941 (War Edition) C. LEONARD WILLIAMS. B .Sc. , M.R.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, 1941. (War Edition). Public Health Department, Barking, Essex. August, 1942. 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, 1941. I am, Mr. Chairman, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, School Medical Officer. |
dd1c1b6c-d5bd-4b3b-8cc1-4e4e7c32e1eb | -2- ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER. for the YEAR 1941. (War Edition). (1) STAFF. The following indicates the changes that have taken place in the Staff during the year 1941. Assistant Medical Officers. L.M.M. Beadnell, M.R.C.S., L.R.C.P. (Commenced 10.3.41). T.A. Cockburn, M.D. , D.P.H. (Resigned 10.2.41). M. Lewis, M.R.C.S., L.R.C.P. (Commenced 17.3.41). + Miss J. Egan (Temporary). (g, h and i). (Commenced 27.10.41 - Terminated 15.12.41). Miss P. Nichols - Assistant to Camp Matron at Hydon Heath. |
3b59812a-b9c6-4f3b-89c1-53974e1213fd | (Commenced 10.4.41 - Resigned since close of year). + Miss M. Simpson (Temporary). (g, h and i) (Commenced 29.9.41 - Terminated 19.12.41). Miss K.B.Walker (Chiropodist) - Temporary part-time. (Commenced 9.5.41 - Resigned 26.9.41). Mrs. I.V. Race-Wardell (Chiropodist) - Temporary part-time. (Commenced 4.9.41 - resigned since close of year). (g) Health Visitor's Certificate of the Royal Sanitary Institute. (h) Certificate of the Central Midwives Board. (i) General Hospital Training. + Combined Appointment - Health Visitor and School Nurse. 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. |
b18c0b22-ca37-483b-a0f7-dd4af4e2a591 | -3- (2) EVACUATION -GOVERNMENT. (a) Medical Arrangements. Due, no doubt to the immunity from air attacks which was experienced for the greater part of the year, the number of children evacuated in 1941 diminished considerably from those sent to Reception Areas in 1940. In 1940 out of a total of 2,378 examined 87.6 per cent (2,083) were found to be without defect, the remainder requiring treatment before being sent to the Reception Areas. During the year ended 31st December, 1941, the number examined fell to 370, 80 per cent of which number were passed as fit and without defect, as shown in the following tablet- Number examined and passed fit without defect. 296 Number requiring special consideration and treatment before evacuation. 58 Number declared unfit - for various reasons. 16 370 (b) School Medical Inspection. |
0858450a-2dab-4397-a7a0-233736c25647 | The question arose early in 1941 respecting the seconding of School Medical Inspectors for duty in the Reception Area; the Evacuating Authority becoming liable for salary whilst the Receiving Authority bore the expenses of travel. The matter was settled, however, in April 1941, by the appointment of additional Medical Officers in the Reception Area, whose salaries and expenses are to be apportioned according to the Davidson Report. (3) HYGIENE. It is again satisfactory to record that in spite of rationing, the increased cost of living and the growing difficulty in obtaining certain vital food stuffs, the general health of our Barking school-children does not appear to have deteriorated during the year 1941. A hot mid-day meal has been served in all the schools at a very moderate price and in certain cases free, since February 1941. This has, no doubt, assisted considerably with the problem of nutrition. |
bde1bb29-7682-414b-8327-086edc4fa640 | The shelter problem still existed although in a gradually relaxing manner, until May, but again scabies was and still remains the only major difficulty to which this problem has contributed. In spite of the early persistent raids there was no undue sign of nervous strain in the school population as will be seen from the following. In January 1941 the Government brought in a Compulsory Evacuation Scheme under which children who were suffering (a) in mind or body as a result of hostile attacks, or (b) in such a state of health as to be likely to suffer if they remained in the area, should be examined and if necessary, evacuated for the benefit of their health. These children were to be brought forward from school medical inspections, teachers, school nurses and others. Three school-children were examined under this Scheme but none were found suffering in health to such an extent that they were compulsorily evacuated. -4- (4) MEDICAL INSPECTION. |
04465b99-b245-4eef-b506-4e3cb661215e | Routine medical inspections have been carried out at frequent intervals during 1941 and I am pleased to report that the total number of such inspections increased considerably on the figures of the previous year. I would like to stress here once again that I am convinced that these frequent medical inspections are the most practical method of detecting medical defects at an early stage and ensuring that the appropriate treatment be expeditiously carried out. (a) Routine Medical Inspections. Number of Inspections in the prescribed Groups Entrants 1,2 85 Second Age-Group 927 Third Age-Group 1,041 Total 3,253 Number of other Routine Inspections 5,016 Grand Total 8,269 (b) Other Inspections. Number of Special Inspections and Re-inspection3 17,766 (c) Control Series of Heights & Weights of Children Living in Marking. |
38e59046-e2a4-4047-bebd-72335d840a4f | A request was received in June from the Chief Medical Officer of the Board of Education acting in conjunction with the Ministry of Health, for a return of heights and weights of those children remaining behind in Barking during the "blitz" periods and included in Routine Medical Inspection. The particulars were required in connection with anthropometric investigation regarding the rate of growth of such children. A comprehensive statement was therefore prepared showing the heights and weights of a number of children ranging from 8 to 13 years of age, who had all been subjected to medical inspection during the summer term of 1940 and 1941. AVERAGE HEIGHT & WEIGHT. Boys. Girls . Number Examined. 1940. 1941. 1940. 1941. Boys . Girls. H. W. H. W. H. W. H. W. 8 & 8+ 96 74 49½" 56½lb. |
694520f6-0d36-462a-a503-9bb7dbaa5b5f | 52" 61lb 49½" 55½lb 51½" 6¼lb 9 & 9+ 38 39 5l¾ 62¼ 53¾ 67 52 60½ 53½ 65½ 12 & 12+ 49 43 58 79 60 89½ 59 83½ 61 97 13 & 13+ 7 11 58½ 88 61 100¼ 61 92 621/3 100½ This summarised table shows the average progress made between the years 1940 and 1941 and is a fair indication of the increase in both height and weight of the children included in the survey. -5- (5) FOLLOWING UP. This was made particularly difficult during the early months of the year by heavy raids. Many were the non-access visits and attempts to locate the whereabouts of bombed-out families. |
c056c85f-4bd3-4c34-bdf1-9e34db44430d | Towards the close of the year fortunately, living conditions became more normal and much valuable work has been done by your Health Visitors and School Nurses in this direction. (6) ARRANGEMENTS FOR TREATMENT. (a) Minor Ailments. On January 11th, 1941, Woodward Clinic had to be closed owing to enemy action and your Services there wore almost immediately transferred to Porters Avenue Clinic which carried on full Minor Ailment Sessions in its place from January 13th until February 3rd, 1941. On this latter date Greig Hall, situated within a few yards of Woodward Clinic, was opened in order to take over the Services originally carried on at Woodward Clinic. It has remained open for this purpose ever since. |
ba2250b3-e950-418c-bbcc-01087d86b32d | Meanwhile during the three weeks that Porters Avenue Clinic was open as a Minor Ailment Clinic it was found that there was an influx of minor ailment cases from the Porters Avenue Area which had not attended at the original Woodward Clinic, and as a trial Porters Avenue Minor Ailment Clinic was kept open for one further month. The attendances there increased to such an extent that it was deemed wise to keep this clinic open for the benefit of school-children attending the three nearby schools. The figures further on show how much this service was needed. It should be added that the First-Aid Post from Woodward was transferred to Porters Avenue at the same time as the Minor Ailment Clinic. The First-Aid Post at Central Clinic was transferred to Broadway First-Aid Post on 6.3.41. -6- MINOR AILMENT CLINICS, YEARS 1959, 1940 & 1941. |
22c3dedf-9d4b-4794-8d61-f7984adc75ab | The following table summarises the work of the Minor Ailment Clinics in respect of public elementary school-children, and gives a comparison with the years 1939 and 1940:- Year. Clinic. No. of days Clinic was open. No. of attendances. Daily Aver- age Attendance. No. of cases dealt with. Total No. of Attendances. Total No. of cases dealt with. 1939 CENTRAL 321 8,035 25.0 2,376 34,781 7,158 HUMPHREY 122 15 0.1 4 WOODWARD 307 16,033 52.2 3,182 PORTERS 206 10,698 51.9 1,596 1940 CENTRAL 321 4,863 15.1 1,380 14,827 2,930 HUMPHREY 365 331 0. |
64ff14fd-5516-4006-81bb-45d7c40b6f88 | 9 100 WOODWARD 306 9,633 31.4 1,450 PORTERS - - - - 1941 CENTRAL 307 6,033 19.6 1,468 20,057 4,475 GREIG HALL 278 7,137 25.6 1,488 HUMPHREY 13 3 0.3 2 WOODWARD 10 150 15.0 33 PORTERS 297 6,734 22.7 1,484 Humphrey Clinic was closed for Minor Ailment purposes on 15.1.41. -7- (b) Ophthalmic Service. This service has been carried out entirely at Central Clinic during 1941, owing to the damage done to ophthalmic equipment at Woodward Clinic. At first only 2 sessions per week were held, but later this number was increased to 3 sessions per week. |
9c9d0542-c8fc-4fc9-9d4f-a963c6ccc595 | During the year 104 sessions were held at the Central Clinic as compared with 82 in 1940, TREATMENT OF DEFECTIVE VISION AND SQUINT. (Excluding Minor Eye Defects treated as Minor Ailments). Number of Defects dealt with. Under the Authority's Scheme. 0therwise. Totals. 1939 1940 1941 1939 1940 1941 1939 1940 1941 Errors of refraction (including squint). 758 525 551 3 48 51 761 573 602 Dther Defects Dr disease of the Eyes. |
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