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b5fdeb3c-e805-4983-bf80-1dc1d978aa8d | 271 270 381 38 51 - 309 321 381 (b) Obtained. 284 294 363 4 2 - 288 296 363 ORTHOPTIC CLINIC. Squint training has been carried out at Central Clinic daring the year where a considerable amount of valuable work was done as will be seen by the following table:- 1941. 1942. Number of Children attended. 28 38 Number of New Cases. 11 20 Number of Old Cases. 17 18 Number of Attendances. 511 686 Number Discharged cured. 4 1 Number Evacuated. 1 2 Number left School. 1 2 Number Discontinued. 3 4 Number of Sessions. 93 110 - 9 - (c) Ear, Hose and Throat Service. Mr. F. Courtenay Mason, your Consultant Specialist held 28 sessions at the Central Clinic. |
1b5bf559-3a34-415e-9407-7251a328395d | No operative sessions were held at Barking Hospital, the treatment of such cases being carried out at Queen Mary's Hospital, King George Hospital and St. Mary's Hospital. There was a slight decrease during the year in the number of children treated for defects of the Nose and Throat. TREATMENT OF DEFECTS OF NOSE AND THROAT. Number of Defects. Received Operative Treatment:- 1940 1941 1942 (1) Under the Authority's Scheme in Clinic or Hospital. 77 277 171 (3) By Private Practitioner or Hospital, apart from the Authority's Scheme 3 2 1 Received other forms of Treatnent. 133 114 198 Total number treated 213 393 370 (d) Dental Inspection and Treatment. The work of this service was considerably interrupted owing largely to the fact that Mr. Angelinan was called to serve with H.M. |
8ca6fa07-f629-4d80-946c-f3855f1c2b40 | Forces and later owing to the regrettable death of Mr, Foy, your Senior Dental Officer, whose work was so much appreciated. We were fortunate, however, in being able to obtain the services of other Dental Surgeons especially so in the ease of Captain Angus Smith, who now operates at the Central Clinic. It will be seen that although the dental inspections at school decreased, the actual amount of treatment work carried out at the various clinics compares not unfavourably with previous years. In this connection it night- be added that during the greater part of the year under review, your dental work was carried out at Bifrons Dental Clinic, Manor Dental Clinic and East Street Dental Clinic, but that in October it was found possible to re-open the Central Dental Clinic in Vicarage Drive, Ripple Road, and transfer the work originally carried out at the East Street Clinic to these premises. |
c64fd4fd-671b-433f-b63d-ddaa0173396f | - 10 - The following table gives a summary of the work done for the twelve months ended 31st December, 1942, together with a comparative table for the years 1940 and 194I. (1) Number of children inspected by the Dentist:- (a) Routine age-groups 1940 1941 1942 Age 5 ( and 4) 174 431 174 6 296 470 130 7 322 677 244 8 433 646 279 9 456 784 296 10 627 747 299 11 342 400 451 12 443 604 516 13 250 541 358 14 (and 15) 157 119 138 TOTALS 3,500 5,419 2,885 (b) Specials 716 607 875 (c) TOTAL (Routine & Specials). |
a4032525-3d2c-40db-b4ed-30cc98be58ed | 4,2l6 6,026 3,760 (2) Number found to require Treatment. 3,486 5,001 3,229 (3) Number actually treated. 2,096 1,911 1,821 (U) Attendances made by children for treatment. 6,251 6,114 7,069 (5) Half-days devoted to:- Inspection 28 44 18 Treatment 735 690 797 TOTAL 763 734 815 (6) Fillings- Permanent Teeth. 3,702 3,l4l0 3,8147 Temporary Teeth. 213 137 227 TOTAL. 3,915 3,547 4,074 (7) Extractions- Permanent Teeth. 823 1,021 1,306 Temporary Teeth. 3,073 3,099 2,962 3,896 4,120 4,268 (8) Administrations of general anaesthetics for extractions. |
e3967f8e-bb5c-4744-a4e0-0418f07932cb | 2,157 1,767 1,892 (9) Other operations- Permanent Teeth. 2,670 3,189 4,470 Temporary Teeth. - 11 - (e) Report on the work of the Orthopaedic Clinic. Mr. A.M. A. Koore continued to be your Consultant Orthopaedic Surgeon during 1942, and the work in this department was carried out normally, your Masseuses undertaking considerable treatment, such as Artificial Sunlight, Massage, Exercises and Electrical Treatment. PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1942. Number of Sessions held by Orthopaedic Surgeon. 12 Number of Sessions held by Masseuses. 1,031 School Children. ATTENDANCE S . Primary Examination by Surgeon. 104 Re-examination by Surgeon. 150 Por treatment. 5,856 TOTAL 6,110 TREATMENTS. Number of Children. |
56122932-f8fb-4301-a66a-6597efc50058 | 800 Number of Treatments. 7,668 TOTAL 8,468 HOSPITAL TREATMENT. Admissions to Hospitals. - On Waiting list for admission. 2 TOTAL 2 Cases dealt with for the first time during 1942 - by the Orthopaedic Surgeon - were referred for the following defects:- a. DEPORflTIES OP BONES & JOINTS. 1. Congenital. 4 2. Acquired. 83 b. MUSCULAR. 1. Congenital. 1 2. Acquired. 10 c. PARALYSIS. 4 d. MISCELLANEOUS. 7 - 12 - (f) X-ray Treatment for Ringworm of Scalp. This service is still available for appropriate cases, but only one case was treated during the year. |
a8eb36a3-f513-4067-b7f1-24157a0d391d | It is a matter for rejoicing that only one case of ringworm had to be treated throughout the whole year, but instead of moaning that we can relax our vigilanoe, it means that we must actually increase our watchfulness because ringworm when it gets a grip on a school population increases with compound interest. Incidentally it is pleasing to note that it has decreased in the same way. (g) Speech Training. This service was not available Six 1942. (h) Foot Clinic. The Municipal Foot Clinic was held at Central Clinic until October 1942 when it was transferred to East Street. This coincided with the re-opening of the Central Clinic, Ripple Road, for use as a dental clinic. The Foot Clinic was transferred to East Street after being temporarily housed for one week in the Broadway First-Aid Post. A comparative table showing the attend emcee of scholars at the clinic during the past three years is given below. |
e502c9d1-ab91-4b27-a5c3-10b28ce19fe8 | It will be noticed that there is a great increase compared with previous years in the number of school-children treated. 1940. 1941. 1942. Attendance of O.E. S. Scholars. 19 277 436 8. INFECTIOUS DISEASES. (a) Scarlet Faver. During the year 211 school-children were notified as suffering from scarlet fever. The majority of these cases occurred between September and December and during the months of October and November the weekly total averaged 14 cases. During October a slight outbreak occurred and investigations were duly carried out. No school had to be closed for this or any other type of infectious disease. The cases as in the previous year were of a mild type. During the months of October and November, hospital accommodation was taxed to its utmost and great difficulty was experienced in getting children admitted to hospital and it was even necessary to send ease's as far distant as Billericay and Enfield. |
f1ea141c-badb-4cdd-a014-6ede3f3cdcbb | In November the Ministry of Health agreed to your Council providing a temporary supply of medicine and medical assistance as well as nurses, for the poor inhabitants of the district in cases where hospitalisation could not be provided. - 13 - (b) Whooping Cough. One hundred and four cases of whooping cough in school-children were notified during the year. These cases were spread evenly over the course of the 12 months, and no epidemic was recorded. Whooping Cough can he a disease very difficult to diagnose. Children can have this complaint without "whooping" even once^ and not all cases who "whoop" are definitely suffering from whooping cough. Figures, therefore, must always he looked upon with reserve. (c) Measles. Cases of this disease were notified during the whole year, 661 of which were school-children. This number was spread evenly over the year. The highest incidence of this disease occurred during the months of May and June. (d) Diphtheria. |
031c837f-de82-476d-9bd4-2a85fa966a1a | Twenty two cases were notified during the year. With the increased number's of children now being immunised the danger of "this disease amongst school-children will no doubt be diminished. In November a cfenpaign against diphtheria amongst school-children Was started, an& after talks in each school parents were circularised and given an Opportunity to have their children immunised against diphtheria. Up to Dccember 31st, 635 children had been completely immunised and mainly as a result of the campaign 5>069 children had received their first injections. All the children at Hydon Heath Camp have been protected against diphtheria and the final figures proved most satisfactory. Immunisations against scarlet fever and whooping cough as well as diphtheria were carried out regularly at your various clinics. 9» SKIN DISEASES. Scabies. The incidence of scabies showed an increase and in March special arrangements were made for out-patient treatment of this complaint. |
6ea7f99b-5fcf-411d-9717-52c3b53fbad3 | Up to December 31st, 144 children received treatment. Skin Clinic. On Tuesday, 8th December, 1942, a Skin Clinic was opened at the Barking Hospital for thetxeatment of skin cases with one of the Hospital Medical Officers in charge. Owing to the short period of time between the opening of the Clinic and my Report nothing of real value can be recorded except that I fully anticipate the success of the venture. The following shows the number of skin defects treated or under treatment, in respect of elementary scholars:- 1940. 1941. 1942. Ringworm (Scalp). 1 4 6 Ringworm (Body). 11 17 13 Scabies. 135 403 659 Impetigo. 100 191 301 Other Skin Diseases. 155 397 1060 TOTALS. 432 1,012 2,039 - 14 - 10. NUTRITION. |
258d9bba-fa53-4054-bca2-f4af9210fae1 | For the year ended 31st December, 1942, it may be estimated that there were approximately 10,600 children in your schools, Of these just over 9,000 individual children were examined at school by routine. Your Medical Staff had some 18,000 other.consultations in respect.of schoolchildren. This feature is important for two, reasons:- (a) It shows the completeness of your Service. (b) Arising from this it would appear that you are justified in not holding Special Nutritional Surveys, because not only do your routine examinations cover a very large number of your children, but your special examinations more than likely cover most, if not indeed, all cases which are likely to require investigation from the standpoint of nutrition Talking about nutrition leads me to the results of the ciassification of the 9,000 odd pases which We have specially investigated from this standpoint. |
42e141ba-56ed-4e3f-b973-469d8b9a16ac | Our difficulty is of course, that there are no satisfactory standards of nutrition and only people of long experience have the necessary background to Undertake this work - of course owing to the war much of this work has had to be undertaken by people who have not had .this necessary background. Whilst therefore, it might bp a .matter. for supreme congratulation that none of your children are found to be "bad" so far as nutrition is concerned, I do not think that we should stress this point very much, nor do I stress particularly the fact that no less than 99% of your-children were classified as either "excellent" or "normal". I cannpt help thinking as I did before the war, that the. general standard of development of nutrition in Barking is better than it is in many other places, and that the doctors who have ccme to us from these other places have been guided by their previous experience in nutritional development and have accordingly placed some of the children in a higher category than those of us might who have had. |
360842ed-6738-421d-b84e-476af3735bb8 | more experience of your.standards in Baricing - 15 - - 16 - Table showing the number of children inspected in the Routine Age-Groups during the years 1940, 1941 and 1942, and the Classification of the Nutrition of such Children. Entrants. Second Age-Group. Third Age-Group. Other Routine Inspections. Totals. 1940 1941 1942 1940 1941 1942 1940 1941 1942 1940 1941 1942 1940 1941 1942 1940-1942 (inclusive) Number of children inspected. |
4de070ae-55bb-49e6-964e-59804bd0054a | 1120 1285 1888 1206 927 1790 945 1041 1330 3005 5016 4175 6276 8269 9183 23,728 Number of children with Nutrition:- (A) Excellent 430 609 846 472 383 761 416 485 683 1126 2266 2091 2444 3743 4381 10,568 Percentage. |
52e80a35-e274-4185-8ae2-f1845237d0ef | 38.4 47.4 44.8 39.1 41.3 42.5 44.0 46.6 51.3 37.5 45.1 50.1 38.9 45.26 47.7 44.5 (B) Normal 626 638 1028 676 512 1015 509 516 644 1786 2566 2064 3597 4232 4751 12,580 Percentage 55.9 49.7 54.4 55.0 55.2 56.7 53. |
cd6965bd-bbda-4336-aad2-ae5e3138b3a5 | 9 49.5 48.4 59.4 51.1 49.4 57.3 51.17 51.72 53.0 (C) Slightly sab-normal 64 38 14 58 32 14 20 39 3 90 182 20 232 2.91 51 574 Percentage. 5.7 3.0 0.74 4.9 3.4 0.8 2.1 3.7 0.22 3.0 3.6 0.47 3.7 3.52 0.56 2.4 (D) Bad - - - - - - - 1 - 3 2 1 3 3 - 6 Percentage. — — - - - - - 0.09 - 0.09 .04 - 0.05 0.036 - 0.02 11. |
17e79627-d26c-4cc5-9235-18bb4938da0e | PROVISION OF SCHOOL MEDICAL SERVICES FOR SECONDARY AND TECHNICAL SCHOLARS II' THE AREA. The Scheme whereby you carry out medical examinations for the Essex County Council in connection with the South East Essex Technical College and the Barlcing Abbey School (which has returned to Barking Area) Is still in force, .and below are the figures for the past two years for the inspection and treatment of pupils 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. The increase in the figures over 19l4l is due to the return of Barking Abbey School. Medical Inspection- 194l. 1942. Routine examinations. 256 556 Re-inspections. 118 118 Special evacuation examinations. 10 Ophthalmic Clinics. Number of attendances. 112 93 Number of attendances for squint training. |
7a6bdae8-9776-48eb-8c1b-005e8b031812 | 1 Number of pairs of spectacles;- prescribed. 21 63 issued. 1]1 52 collected after repair or alteration. 17 23 Ear, Nose and Throat. Attendances for examination by Specialist Consultant. 17 20 Operative treatment in hospital. - 3 Ultra-violet Light treatment. Number of children treated. 9 9 Number of treatments given. 25 58 Orthopaedic Treatment. Number of children seen by Orthopaedic Surgeon. 9 28 Number of treatments given by Masseuses. 30 172 Minor Ailment Clinics. Number of attendances. l4l 214 Dental Inspection and Treatment. Total number of children inspected. 232 722 Percentage of children found with defective teeth. 90.95 81.5 Total number of treatments given. 126 1178 Unit figure. 27.5 28.8 Foot Clinic. Number of attendances for treatment. 94 116 - 17 - 12. |
74e88e32-c3fe-40ee-9dfd-66152cb1a0bf | SPECIAL SCHOOLS. Faireross School remained open throughout the year 1942, the number of physically defective children on the roll being sixty-two and mentally defective thirtythree. Thirteen sessions of school medical inspection were carried out. 13. UNCLEANLINESS. Systematic examination of children at routine cleanliness inspections has been carried out "by the school nurses throughout the year 1942. The following table records the results of cleanliness inspections for the past three year:- 1940. 1941. 1942. Number of examinations of children in the schools by School Nurses. 13,657 15,342 21,311 Number of individual children found unclean. 413 538 746 Number of individual children cleansed under Section 87(2) and (3) of the Education Act, 1921. 83 22 7 Number of uncleanliness findings. 632 782 1,023 Percentage of uncleanliness findings. |
6d766bd6-eefe-45a9-b135-5d6750cb8cf4 | 4.7% 5.l% 4.8% 14. OPEN-AIR EDUCATION. (a) No week-end school camps or holiday camps were held during the year 19*4 2. (b) No.5 National School Camp, H.ydon Heath. Hydon Heath Camp School continued to function. The number of children on the school roll at 31st December, 194l, was 158, but many children returned to Barking during the year 1942 and on 31st December, the number fell to 125. The children who remained in this camp kept in good health and no epidemics or undue ill health was reported. The medical arrangements at the camp continued as during the year 194l. - 18 - The following table shows the amount of work done as compared with the previous year, and additional information as to Dental and Orthopaedic services ia also included:- INSPECTION BY MEDICAL OFFICERS. Number of Attendances. |
e694dc23-52b5-451c-84b2-eee23ab924cf | 1st Inspection. Re-Inspection. Total number of Treatments. 1941 1942 1941 1942 1941 1942. 1941 1942. 8931 8940 202 358 214 424 12722 11127 Number of defects treated:- 1941. 1942. Scabies. 12 8 Impetigo. 6 1 Plantar Warts. 15 18 Errors of Refraction and Squint. 24 15 Nose & Throat cases. 13 14 Miscellaneous. 4725 3974 (Including Minor Ailments). Dental Treatment. (a) Number of Children Inspected. 154 (b) " " " referred for treatment. 64 (c) " " " treated. 51 Orthopaedic Treatment. (a) Number of cases referred. 12 (b) " " " treated:- Hospital 8 Camp 3 Hospitalisation. |
21856a09-2512-48db-9510-2998e89eff84 | The number of children who received treatment under our arrangement with the St, Thomas's Hospital is as follows:- Godalming 30 London 1 Until September, 1942, parents were allowed to visit their children at the Camp at week-ends, being conveyed by coach from Barking. This arrangement was cancelled owing to the Minister of War Transport issuing an instruction that all excursions by road would be discontinued, To replace such excursions by road a new scries of combined rail-road excursions were installed. The first was arranged for the 1st October, 1942, and thereafter at monthly intervals, giving parents and others who wished to visit the Camp, an opportunity to do so. - 19 - 15. CO-OPERATION. |
d7ed8c29-5f5f-4641-b728-9b640fa11cf9 | It has been a source of satisfaction to myself and the members of my staff5 that the help and co-operation which has again been afforded has greatly assisted us in carrying out the work connected with the various services undertaken by the Council for improving the general health and physical fitness of children attending schools in the Barking Area. The additional work which has been carried out was considerably aided by the ready assistance afforded my Department by many of the members of the Council, the Head Teachers, and other officers of the Council to all of whom I proffer iny sincere thanks. - 20 - |
2485cbf6-edda-4caa-ac62-f383dd85dacc | AC 4411 (1) BARKING BOROUGH OF BARKING THE Annual Report OF THE Medical Officer of Health FOR THE YEAR 1943 (War Edition) C. LEONARD WILLIAMS B.Sc.. M.R.C.S., L.R.C.P., D.P.H. ADELPHI PRESS LTD., BARKING. 75152 BARK 37 BOROUGH OF BARKING THE Annual Report OF THE Medical Officer of Health FOR THE YEAR 1943 (War Edition) C. LEONARD WILLIAMS B.Sc., M.R.C.S., L.R.C.P., D.P.H. 3 TABLE OF CONTENTS Page Introduction Staff 8, 9 Section A.—Statistics and Social Conditions of the Area. |
aecb0b7a-5bd4-4cc6-944a-b5a3d377c5a7 | Births 11 Deaths 11—14 Deaths, Causes of (Tables) 12, 13 Housing 16, 17 Infant Mortality 13, 14 Infant Mortality (Table) 13 Maternal Mortality 14 Population 16, 17 Post-War Re-development 16 Scales of Assessment 14 Social Conditions 14-17 Still-births 11 Travelling Facilities 15, 16 Unemployment 15 Section B.—General Provision of Health Services for the Area. Adoption of Children (Regulation) Act, 1939 28 Ambulance Facilities 19, 20 Analagesia in Domiciliary Midwifery 25 Ante-Natal Supervision 24, 25 Barking Hospital 20, 23-26, 31 Castle Green Nursery 29 Circumcision Clinic 27 Clinics and Treatment Centres 21 Clothing Coupons for Expectant Mothers 27 Dental Inspection and Treatment 33 District Nursing 23 Ear, |
dbd9540b-ce9a-4fd7-a9eb-829af99c8956 | Nose and Throat Services 31 East Barking District Nursing Association 23 Eastbury House Nursery 29 Emergency Medical Services 20 Evacuation 26 Eye Defects 31-33 Foot Clinic 21, 22 Home Helps 26 Home Visiting 27 Hospital Facilities 20 Infant Welfare Clinics 21, 27 Infestation by Head Lice 28, 29 4 Section B.—Continued Page Lodge Farm Nursery 29 Maternity and Child Welfare Services 20, 24-29 Midwifery 25 Midwives Act, 1936 25 Ophthalmic Nurse 32 Ophthalmic Services and Clinics 31-33 Orthopaedic Clinic 29, 30 Plaistow Maternity Hospital and District Nurses Home 23 Post-Natal Supervision 24 Post-War Re-development 24 Public Hospital Services 20, 31 Scabies 23 Skin Clinics 22 Specialist Consultant in Skin Diseases 22 Spectacles, |
e52602d8-60be-4272-a8d3-d19c097b7525 | Provision of 32 Squint Training 33 Upney Maternity Pavilion.21, 25 Vitamins for Expectant Mothers and Children under 5 years 27, 28 Voluntary Hospital Services 20 War-time Nurseries 29 Section C.—Sanitary Circumstances of the Area. |
1a297cc1-1f90-4879-90d9-babe9485c669 | Bed Bugs, Eradication of 41 Closet Accommodation 36 Drainage and Sewerage 35 Dwelling Houses, Inspection of 38 Factories, Inspection of 39 Housing 38 Miscellaneous Sanitary Inspections 39 Notices Served 40 Premises and Occupations controlled by Bye-laws or Regulations 38, 40 Public Cleansing 36, 37 Rainfall 35 Rats and Mice Destruction Act 1919 41 Refuse Disposal 37 Rivers and Streams 36 Sanitary Inspection of the Area 37-41 Sanitary Work, Summary of 38-41 Water Sampling 35 Water Supply 35 Workplaces, Inspection of 39 Workshops, Inspection of 39 Section D.—Housing. |
d87924a0-7802-4312-b799-7227c8262e72 | Dustbins Supplied 46 Houses Erected during the Year 43 Housing Defects Remedied 44 5 Section D.—Continued Page Housing Inspections43, 44 Proceedings under Housing Act, 1936 45, 46 Proceedings under Public Health Acts 45 Unfit Dwelling Houses 43 Section E.—Inspection and Supervision of Food. |
5ab091be-69db-4faf-9d68-f26605404546 | Bacteriological Examination of Milk 47 Biological Examination of Milk 48 Chemical and Bacteriological Examination of Food 51 Food and Drugs Act, 1938 50, 51 Food Poisoning 50 Food Preparing Premises, Supervision of 49 Food Sampling 50 Graded Milk Licences Granted 49 Meat and other Foods 49 Milk Sampling 47, 48 Milk (Special Designations) Order, 1936 and 1938 49 Milk Supply 47—49 Prosecutions 51 Slaughtering 49 Unsound Food Surrendered 50 Section F.—Prevalence of, and Control over, Infectious and Other Diseases. Artificial Immunization 60-61 Cerebro-Spinal Meningitis 53-55 Diphtheria 53, 54, 60 Dysentery 53, 54 Erysipelas 53, |
146eaaee-8dcc-43d7-9ce8-5df12096f179 | 54 Food Poisoning 53 Hospital Admissions 54 Infectious Diseases Notified 53 Infectious Diseases (Tables) 53, 54 Measles 53, 54, 59 Ophthalmia Neonatorum 53, 54 Paratyphoid 53-55 Pneumonia 53-55 Puerperal Pyrexia 53, 54 Scarlet Fever 53, 54, 57, 58 Staphlococcal Meningitis 53, 54 Tuberculosis 56, 57 Tuberculosis, New Cases and Deaths (Table) 56 Tuberculosis Statistics, Years 1939 to 1943 (Table) 57 Unnotified Fatal Cases of Tuberculosis 56 Venereal Diseases 61 Whooping Cough 53, 54, 58, 59 7 ANNUAL REPORT of the Medical Officer of Health for the Borough of Barking, in the County of Essex, for the Year ended 31st December, |
2fa6a053-72a3-4a99-96fa-27c5680700b0 | 1943 (War Edition). Public Health Department, Barking, Essex. September, 1944 To the Mayor, Aldermen and Councillors of the Borough of Barking. Mr. Major, Ladies and Gentlemen, I have pleasure in submitting my report for the year ended 31st December, 1943. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, C. LEONARD WILLIAMS, Medical Officer of Health. 8 STAFF, 1943 The following indicates the changes that have taken place in the staff of the Public Health Department during the year 1943:— Medical Staff: Dr. C. J. de VERE SHORTT, Deputy Medical Officer of Health (temporary).—Resigned 30th September, 1943. Dr. S. O. EDWARDS, Temporary Assistant Medical Officer of Health.— Resigned 3rd November, 1943. Dr. |
cb5b42f8-5334-4860-8bab-a5da5963017e | M. LEWIS, Assistant Medical Officer of Health.—Service in His Majesty's Forces as from 4th February, 1943. Dr. E. POPPER, Temporary Assistant Medical Officer of Health.— Appointed 16th March, 1943. Consultant in Skin Diseases: Dr. ARTHUR BURROWS.—Commenced 16th February, 1943. Dental Staff: O. R. VIGNALE, Temporary Assistant Dental Surgeon.—Commenced 1st March, 1943, resigned 30th November, 1943. Health Visitors, etc.: Miss M. Bennett, Temporary Health Visitor.—Resigned 4th June, 1943. Miss E. McSweeney, Temporary Health Visitor.—Commenced 11th August, 1943. Mrs. P. M. Rodwell, Temporary Health Visitor.—Resigned 16th September 1943. |
f2bcf8f0-d69b-42f5-8eb6-075125e79943 | Miss E. Bobby, Masseuse.—Commenced 11th October, 1943. Miss M. Ryan, Temporary Chiropodist.—Commenced 17th June, 1943. Matrons—War-time Nurseries: Mrs. M. Cooke.—Commenced 19th July, 1943. Miss F. B. Nason.—Commenced 14th May, 1943. Miss D. Mills.—Resigned 29th April, 1943. 9 Clerical Staff: Miss E. Brown.—Service in the Women's Auxiliary Air Force as from 28th January, 1943. Miss E. Ford, Temporary.—Resigned 21st July, 1943. Mrs. A. S. Holmwood, Temporary.—Resigned 15th May, 1943. Mrs. |
3db59067-ccf4-4514-bba4-bd03a7906c48 | M. Hool, Temporary.—Commenced 29th March, 1943, resigned 5th April, 1943. R. Perry, Temporary.—Commenced 5th July, 1943. Miss V. Ralphs, Temporary.—Commenced 26th July, 1943. F. G. Reed, Temporary.—Commenced 19th April, 1943. Mrs. F. L. Roberts, Temporary.—Commenced 16th December, 1943. Mrs. A. Shepherd, Temporary.—Commenced 9th July, 1943, resigned 15th December, 1943. Mrs. I. V. A. Smith, Temporary.—Commenced 1st February, 1943. Miss P. I. Wragg.—Scrvice in the Women's Royal Naval Service as from 7th July, 1943. |
35cc056b-40b9-4712-85a0-d26b30f933f0 | 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. Mrs. Bishop, Municipal Midwife, continued to serve at the Battlers Green Emergency Maternity Home, Radlett, throughout the year 1943, and Mrs. Bronnick. served at this Home until 4th December, 1943. 11 SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. 1. Births. The number of live births during the year 1943 shows an increase over the previous year. There were 1,236 live births compared with 1,205 in 1942. There were 36 still births,—the figure for the previous year being twenty-nine. 2. Deaths. (a) General. |
b94389b2-f274-4534-a958-ed1df7b33996 | Three hundred and sixteen deaths were registered in Barking and the number in the year 1942 was 263—of these deaths eight were of non-residents compared with seven in the year 1942 and Barking residents who died elsewhere numbered 325 (310 in 1942). Taking into account residents who died elsewhere and excluding the deaths of visitors we get a net figure of:— Males. 359 Females. 274 Total. 633 12 The principal causes of deaths are shown in the following tables, supplied by the Registrar General. (NET DEATHS) Causes of Death. Total. Typhoid and Paratyphoid Fevers 1 Cerebro Spinal Fever 1 Scarlet Fever 1 Whooping Cough 2 Diphtheria 1 Pulmonary Tuberculosis 42 Non-Pulmonary Tuberculosis 4 Syphilitic Diseases 5 Influenza 10 Acute Inf. |
b3a90c01-56db-405c-a6e9-d07783a840b9 | Encephalitis 2 Cancer (all forms) 110 Diabetes 5 Intra-cranial Vascular Lesions 43 Heart Disease 115 Other diseases of circulatory system 33 Bronchitis 37 Pneumonia 56 Other respiratory diseases 11 Ulcer of Stomach or Duodenum 10 Diarrhoea (under 2 years) 5 Appendicitis 5 Other digestive diseases 12 Nephritis 12 Other maternal causes 2 Premature Birth 14 Congenital Malformations, birth injury, infantile diseases 14 Suicide 7 Road traffic accidents 6 Other violent causes 22 All other causes 43 Totals 631* * Records prepared locally show a figure of 633 total deaths. 3 (b) Infant Mortality. Forty-six children under the age of one year died during the period under review, there being 43 such deaths in the year 1942. |
8c237794-5349-4592-96be-3be785d33454 | A table showing the actual causes of death of these children under one year of age is set out hereunder:— 0-1 mth. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. Total under 1 year Atelectasis Neonatorum,Prematurity 1 — — — 1 Broncho Pneumonia — 1 2 — 1 4 Broncho Pneumonia, Whooping Cough — — 1 — 1 2 Broncho Pneumonia, Congenital Lues — — 1 — — 1 Broncho Pneumonia, Submental Abscess 1 — — — — 1 Cardiac Failure, Excessive Vomiting Volvulus, Icterus Neonatorum. 1 — — — — 1 Cardiac Failure due to atelectasis of lungs 1 — — — — 1 Cardiac Failure, |
ef60d13b-e497-444a-b9d6-2357cbd1184b | Atelectasis Cardiac Failure due to Toxaemia due 2 — — — — 2 to Broncho Pneumonia — 1 — 1 — 2 Cardiac Failure, Prematuritv 6 — — — — 6 Cardiac Failure due to Atelectasis due to Prematurity 1 — — — — 1 Cardiac Failure due to Toxæmia due to Empvema — 1 — — — 1 Cardiac Failure, Malformation 1 — — — — 1 Cardiac Failure due to Broncho Pneumonia — — 1 — 2 3 Cardiac Failure due to Acute Influenzal Pneumonia — — 1 — — 1 Cardio-respiratory Failure, Prematurity 1 — — — — 1 Congenital Megacolon — — 1 — — 1 Congenital Heart Disease, |
9d70a707-55b9-4ceb-87a5-43556c94a0dd | Hydrocephalus 1 — — — — 1 Congenital Morbus Cordis — 1 — — — 1 Empyema, Lobar Pneumonia, Chicken Pox — — — 1 — 1 Gastro Enteritis — 1 1 — 2 Gastro Enteritis, Otitis Media — — — 1 — 1 Gastro Enteritis, Atelectasis — 1 — — — 1 Gastro Enteritis, operation for Intussussception — — 1 — — 1 Hernia Cerebri, Spina Bifida — — — 1 — 1 Intracranial Hæmorrhage due to birth tears of the Trauma 1 — — — — 1 Prematurity 5 — — — — 5 Volvulus Neonatorum — — 1 — — 1 Totals 22 5 10 5 4 46 14 (c) Maternal Mortality. |
0bf3c6e1-0874-4e06-8c36-7e8006f0f7c0 | Two Barking women died owing to or in consequence of pregnancy or childbirth during 1943. This is the same figure as for 1942. 3. Social Conditions. (a) General. It is not practicable to write in detail as to the social conditions in Barking without using statistics which we are precluded from using by reason of the fact they might be of help to the enemy, but generally I can say that the social conditions remain as heretofore, that your social services have been widely used by the people of Barking and that the standard of health remains high. Infant mortality for 1943 was 37.2, and for the last five years shows an average of 35.7. (b) Scales of Assessment. |
b8c843cf-626d-43a7-8f58-9b1f98f5c983 | During 1943 an arrangement was made with the Hertfordshire County Council for the payment to them of a flat rate for each case confined in that County under the official scheme for the evacuation of expectant mothers in the last month of pregnancy, assessment and collection of fees from the patient being dealt with by you under your own scales of charges. In December, 1943, following negotiations with the Hospital Saving Association and the Hospital Saturday Fund, arrangements were made for the acceptance of vouchers from those Associations in respect of maternity cases in full settlement of your charges. 15 (c) Unemployment. I have sought the help of the local branch of the Ministry of Labour and National Service who advise me that during the year 1943 unemployment in this area has been the lowest on record in both the men and women's sections. The demand for labour has considerably exceeded the supply, consequently large numbers of workmen have been brought into this district. |
ffc72f9b-0eba-40e2-89c3-e7f6499a9ea0 | That there has been unemployment is largely due to the fact that there must in every community, be some persons who because of physical disability or other reasons, are not able to work at all, or only able to work in specially selected appointments, and then perhaps only for short periods at intervals. With special reference to female labour the year 1943 has produced in large numbers, a class of labour not previously used to any extent; namely, part time employment of women. Reports received from the Employers show that women engaged on part time work have, on the whole, been very satisfactory and the demand is on the increase. The development of day nursery facilities to look after the children during the time the mothers are at work, has been of great benefit. (d) Travelling Facilities. The afternoon of September 24th was clear and sunny, not too hot and not too cold—a beautiful day even more wondrous than summer for those who could stand the little tinge of chill creeping into the autumn atmosphere. |
9dbcfd3e-2844-4844-8d5b-378bf1e9305d | It was a day to rejoice. 16 Fate sent me down the steps of the District Railway at Westminster and kept me in the sewer that runs on four wheels all the way to Barking. By the time I got to Barking I was tired, sweaty, had a terrible headache, felt sick, and although it was now about six o'clock and the time had come to think seriously of some food before an evening of Committee work, the very idea of food was nauseating. I do admit I am not a good traveller, but what happens to me is a measure of the harm which must be done to everybody, even those who are not conscious of it. Of this trouble I have written repeatedly before the war and I write once again in the hope that the task of putting right this glaring nuisance shall be regarded as one of the first things demanding postwar attention. (e) Population. |
94a1dcbb-f4a7-40af-a591-e134c17b00db | The population of Barking is a secret number which may not be published because it might help the enemy to assess movements of the population, but the number is known confidentially by Councillors individually. It is a matter of considerable interest in planning post-war re-development that we should have in mind the factors which are likely to vary the population of Barking. It is wise to know that on the front of everybody's rent book there is a number which represents the permitted number of people for that house without it being deemed to be overcrowded. In assessing this number we have regard to all the rooms in the house which are over fifty square feet, \ 17 notwithstanding they may be kitchens if normally used as a living room. |
9c1dea52-006d-4411-8fe8-37b50ced769e | At the time these assessments were made it was recognised that the method of assessment was bad and that the Committee thought it was too high, and indeed represented a degree of overcrowding, but it was felt, I believe wisely, that the whole idea, which was novel, was a very good one and that the method of assessment could be varied in the light of experience with substantial lessening of the permitted number for houses. It must be recognised that in the future these necessary and desirable variations will become operative, that the present unsatisfactory method of assessing the permitted number will be altered and that generally there will be a less population per house. It may not be practicable to leave out altogether the living rooms because otherwise people could claim that this room was a kitchen, this room was a dining room, this room was a sewing room, and so forth, with the result that relatively large houses could be deemed to be overcrowded with only a small number of people in them. |
22402975-c0e8-4477-aa13-b1cece6f2b1f | On the other hand, there should be in every house one reasonably large bedroom near the bathroom and with a fireplace, and notwithstanding its size should only be assessed for one person, so that for coughs and colds and influenzal chills it will be possible by arrangement of sleeping accommodation to make provision for the isolation of such a case. This object could also be achieved by discounting the first 60 sq. feet of floor area. c 19 SECTION B. GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. I. General Health Services. (a) Ambulance Facilities. The extent of the use of the normal Ambulance Service during the year 1943, is shown by the 4,273 patients conveyed by ambulance, and reciprocal arrangements with other Authorities are still in operation. Our experience in the war years has taught us that an ambulance service must be, and in fact in Barking is, an integral part of your health service. |
d41097cc-6091-488d-98d2-aaf9c9ea419a | During the first week of the War the peace-time ambulance service was taken over and operated by Civil Defence personnel under my direction, and has so remained. Barking Corporation was the first local authority to operate in this way. The fact that there has not been one serious complaint about the service given is a sufficient commentary upon the manner in which the personnel has discharged this important duty. With the transfer of the peace-time ambulance service, unified control of all forms of ambulance work—accidents, hospital removals, infectious patients and Civil Defence—was achieved. 20 During the present year a further stage in ambulance provision was completed by the introduction of the " no-charge " scheme as and from April ist. In the Government White Paper on a National Health Service the reference to ambulances appears to be incidental, describing such services as " usual ancillary hospital services." The White Paper, however, does postulate that in future ambulance provision will be a health function. With this view I am in full accord. |
fc182175-9e1d-490a-aa1a-1613e5b0cc4a | It is obvious that such service is more akin to the work of the Medical Officer of Health than that of a transport superintendent or other administrative officer. With a change in hospital service envisaged in the White Paper changes in the ambulance service must arise, but notwithstanding any alteration in the distribution of the vehicles I still feel that any ambulance service should remain under the control of the Medical Officer of Health. (b) Hospital Facilities. The Barking Hospital, the Corporation's infectious disease hospital pre-war, continued to be administered by the Corporation for the Ministry of Health as an emergency hospital under the Emergency Medical Services Scheme. By arrangement cases under your Maternity and Child Welfare and School Medical Service Schemes are admitted as well as those for which the Ministry of Health are responsible. As in previous years financial assistance has been afforded voluntary hospitals catering for residents in the borough. 21 (c) Clinics and Treatment Centres. |
d699fd2c-f2d7-4fba-9ea4-134e8cd0dfd0 | Your Clinics and Out-Patient Departments are always in great demand and the attendances in the year we are now dealing with totalled 126,500. This compares with 118,000 in the year 1942 and 90,000 in 1939. Public appreciation of these Examination and Treatment Centres is of the highest, caused largely, I think, by the comprehensive nature of your Schemes ; and the standard of achievement in their application. An additional Infant Welfare Clinic was established at the Upney First Aid Post premises in July, 1943, two sessions now being held there weekly. Since April, 1943, an evening Clinic has been held weekly at the Upney Maternity Hospital to cater for the ante-natal supervision of war workers. (d) Foot Clinic. This work has again increased and we have been fortunate (particularly in war-time) in obtaining additional qualified staff for this important Health Service. Statistics are given hereunder which shows how the activities of the Clinic have progressed. |
72b184d3-ba41-473d-841c-1df553941ee6 | Year 1941 Year 1942 Year 1943 Trcatment Sessions 535 903 1346 New Patients 627 964 1,269 Treatments given 3,358 5,475 8,568 During the year 1943, the individual patients totalled 1895, and it is a matter of special comment 22 that 255 treatments by Infra-red Ray were given to 44 patients. Your arrangements for evening sessions continue. (e) Skin Clinics. The appointment of Dr. Arthur Burrows, of the London Hospital, as your Specialist Consultant in Skin Diseases, has added greatly to the efficiency of your Health- Services. Dr. Burrows attends weekly at the Barking Hospital Clinic (first session on the 16th February, 1943), treatments being undertaken at two other sessions. |
edb25497-7d7d-4c19-87f4-1bd1d3cacc08 | Statistics in relation to the year ended 31st December, 1943, are as follows :— Consultations Treatments Sessions 38 79 Attendances:— Children under 5 years 163 255 Children 5-15 years 185 549 Ante Natal & Post Natal Cases 57 132 Other categories (including Public Adult Scheme) 100 149 Dr. Burrows advises me that the Clinic is very well attended, that many good results have been obtained, but that the treatment facilities would be greatly improved by the local provision of an X-ray therapy plant, although this apparatus could not be obtained at present. 23 (f) Scabies. During the year under review the provision of baths and out-patient treatment has continued. |
ef7b6add-3780-4779-b21f-fa2a8fe9f587 | The number of new cases has decreased when compared with the year 1942, and the following is a statement of cases reported and treated during 1943 :— New Cases Recurring Cases Total Total number of patients 735 109 844 Adults Children 194 541 8 101 202 642 Referred from :— Clinics 591 92 683 Other Soutces 146 15 161 Number of cases cleansed :— Adults 175 7 182 Children 463 97 560 Of the remaining 102 who were not cleansed at the Barking Hospital, 166 were treated at the clinics, and 36 were otherwise dealt with. In addition on request 66 contacts (45 adults, 21 children) were given baths at the Barking Hospital. (g) General District Nursing. Skilled nursing in the Home is available for all residents, it being undertaken by the Plaistow Maternity Hospital and District Nurses Home and the East Barking District Nursing Association. |
b9881fb5-5b8d-46eb-b20d-d3fe8134eeae | The number of visits during the year ended 31st December, 1943, was 18,838; and additional staff have been appointed to better provide for this work. The Council render generous financial assistance to the organisations mentioned. 24 (h) Post-War Re-development. The Post-War Re-development Committee have considered various schemes for housing and medical services after the war and have drawn up programmes, in order of priority, for the first, second and third years. Early in 1943, it had been agreed in principle that a main health centre should be established at the Barking Hospital with four subsidiary centres in different parts of the town, and this scheme, together with housing schemes and the extension of maternity hospital accommodation, was included in the programme for the first year. (2) MATERNITY AND CHILD WELFARE SERVICES. (a) Ante-Natal and Post-Natal Supervision. |
cf466de5-0542-4d64-b504-5bf489579e6f | Although in 1943 many expectant mothers evacuated, the number of attendances of ante-natal cases at your clinics amounted to 11,955, an increase of over 1,700 on the figure for the previous year. The number of post-natal attendances (85 5) showed an increase of over 150 and gynaecological attendances (1,242) an increase of nearly 500 over the previous year. It is gratifying to note that the Upney Post-Natal Clinic, with its special facilities, continued to be used by a very large majority of the patients requiring examination as post-natal or gynaecological cases, although, as in previous years, facilities were available at all the Clinics for such patients to be seen. 25 (b) Midwifery. (i) Supervision.—There were fourteen midwives practising in the Borough at the end of the year, eight of whom were employed at the Upney Maternity Pavilion. |
2b7279a7-e2a2-4d47-83fc-ad5e7dc30c64 | During the year 1943, midwives sought medical assistance in 157 cases; 36 of these were on behalf of babies. (ii) Midwives Act, 1936.—469 mothers were delivered in Barking under your district midwifery scheme during the year 1943. In addition 27 mothers were delivered by doctors with district midwives in attendance. (iii) Analgesia in Domiciliary Midwifery.-—Of the 6 domiciliary midwives practising in Barking at the end of the year, 3 were qualified to administer gas and air analgesia ; in addition 2 midwives who practised in Barking during 1943 but left before the end of the year were so qualified. In all, analgesia was administered in 54 domiciliary confinement cases. (c) Upney Maternity Pavilion {and Marking Emergency Hospital). |
0f3ae5ef-13a1-436d-b707-ccafb98448d4 | At the Upney Maternity Pavilion during 1943, 508 patients were confined, 62 patients were admitted for ante-natal treatment, 7 for post-natal treatment (including 2 post-miscarriage cases) and there were 10 miscarriages, 1 abortion and x hydatidifrom mole. 4 unaccompanied babies were also admitted. d 26 At the Barking Emergency Hospital 271 expectant mothers spent a total of 1,955 bed days. In addition, the Barking Hospital has been used in other ways ; there were 133 gynaecological, 3 miscarriage, 7 postmiscarriage, 5 abortion, 2 post-hydatidiform mole and 33 post-confinement cases, a total of 183 who spent 2,332 bed days. |
f70b2026-8f1b-42ef-ad70-5ad3f0fc4630 | 21 babies were admitted with their mothers, included in the post-confinement cases figure, and there were 5 unaccompanied babies, giving a total of 27 babies who spent 404 bed days in hospital. (d) Evacuation. Evacuation of expectant mothers in the last month of pregnancy proceeded in 1943 as in 1942. 172 were sent to Radlett, and, owing to the limited accommodation there, 5 were sent to other places in Hertfordshire and 16 to other reception areas in England. (e) Home Helps. 1943 saw the inception of a service for the provision of home helps employed by the Council as casual workers. |
249c2e76-fe9e-4481-bae6-fd087e24a91e | In the first place these home helps were made available only to women who were unable to make satisfactory arrangements of their own at the time of their confinement, but towards the end of the year the scheme was extended to cover households where such help was required owing to the illness of an expectant mother, a nursing mother or a child under the age of five years. At the end of the year there were three home helps on the Council's panel and a home help had been provided in 8 confinement cases. 27 (f) Infant Welfare Centres. The total number of attendances at the Infant Welfare centres during 1943 was 33,085, compared with 31,179 in 1942. (g) Home Visiting. The total number of visits paid during 1943 was 17,308, a decrease when compared with the figure of 17,950 for the year 1942. |
c269d8fe-7ea8-4c69-94ec-8f7aaf83622c | Home visiting is the basis of a maternity and child welfare scheme and I am sorry that there was a decrease in the number of such home visits. The circumstances are first that health visitors were used in our drive for diphtheria immunisation, and second that for a part of the year we were without our full complement of health visitors. (h) Circumcision Clinic. This clinic was carried on regularly during the year 1943, and 134 cases received treatment. (i) Supplementary Clothing Coupons for Expectant Mothers. From the 1st January to the 24th July, 1943, clothing coupons were issued by your officers to 773 patients, 5 of which were in respect of twin pregnancies. From the 25th July, 1943, onwards the Food Executive Officer became responsible for these issues. (j) Issue of Vitamins to Expectant Mothers and Children. |
0f0d0f24-4448-42d8-ba70-c999b5b78ec4 | The Government Scheme for the issue of cod liver oil and fruit juices to expectant mothers and to children under five years of age continued throughout 28 the year. In April, 1943, Vitamin A and D tablets were made available to expectant mothers, in the place of cod liver oil, where preferred. An increase was noted in the numbers taking advantage of the supplies of fruit juices but the numbers of both expectant mothers and children availing themselves of the facilities for obtaining cod liver oil or Vitamin A and D tablets continued to be comparatively low, i.e. about 30% of the number eligible—in spite of the efforts of your officers to increase the take-up of those products. (k) Adoption of Children. On the 1st June, 1943, the Adoption of Children (Regulation) Act, 1939, came into operation. |
12f0718c-4679-4fcc-bb7e-f25531462221 | Section 7 of this Act imposes the duty upon any person, other than the parent or guardian of a child or the person with whom a child has been placed, who participates in the arrangements for the placing of the child to notify in writing the Welfare Authority of the area in which the child is to be placed. No such notification was received during 1943, although according to information received by your officers in two cases a private individual was concerned in the arrangements. (1) Infestation by Head Lice. In July Circular 2831 was received from the Ministry dealing with the promotion of cleanliness and elimination of verminous conditions amongst mothers and children under the age of five years. In order to relieve the Health Visitors of some of their Clinic duties and to give them more time to concentrate on this work, it was decided to appoint 29 two additional part-time clinic nurses. |
0e1f6c9a-ccb3-404c-98c3-e9e140729d08 | One of these part time nurses started duty on 16th October, 1943, but we were unable to get another nurse until 10th January, 1944. Unfortunately owing to the resignation of two health visitors the staff was depleted for the remainder of the year. At this time, too, the immunisation campaign for children under five years was in full swing together with the winding up of the campaign for the school children. It is not possible, therefore, to show any concrete work done in regard to the cleanliness of children under five years of age but, I am satisfied that constant work is being done towards our final goal. (k) War-time Day Nurseries. During the year the two Nurseries at Eastbury House and Lodge Farm continued to function and a third Nursery, to be known as Castle Green Nursery, accommodating 50 children, was erected on a site at the junction of Goresbrook Road and Gale Street. |
7cdd100d-6df1-4430-94ac-d987acd1943b | This was completed and equipped and arrangements were made for it to be opened early in the New Year of 1944. The average daily attendances, excluding Saturdays, were 69 for Eastbury and 32 for Lodge Farm. (3) ORTHOPAEDIC SERVICES. Your Specialist Consultant, Mr. A. M. A. Moore, held twelve Consultation sessions during 1943, and an additional masseuse was engaged in the latter part of the year, because of the increase in the number of patients to be dealt with under your various treatment schemes. 30 PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1943. Number of Sessions held by the Orthopaedic Surgeon 12 Number of Sessions held by the Masseuses.. 1,137 Toddlers & Adults School Children Attendances. |
106f4ff3-fee1-4742-b857-6ec7fe039297 | Primary Examination bv Surgeon 117 81 Re-examination by Surgeon 100 130 For treatment 6,247 7,868 Totals 6,464 8,079 Treatments. Number of Cases 806 1,309 Number of Treatments 9,342 8,856 Hospital Treatment. Admissions to Hospitals 1 2 On waiting List for Admission — 2 Totals 1 4 Cases dealt with for the first time during 1943 —by the Orthopaedic Surgeon—were referred for the following defects :— Toddlers & Adults School Children (a) Deformities of Bones & Joints :— 1. Congenital 7 4 2. Acquired 94 68 (b) Muscular :— 1. Congenital 4 2 2. |
ef254b4c-11f8-4f55-97eb-3af73b2a86af | Acquired 3 2 (e) Paralysis 5 5 (d) Miscellaneous 15 8 31 (4) EAR, NOSE AND THROAT SERVICE. Our scheme for the operative treatment of ear, nose and throat defects at the Barking Hospital is, of course, still in abeyance and our arrangements with the Queen Mary's, King George and St. Mary's Hospitals continue. There have been additional consultations and treatments at your Specialist Consultant Clinic with a consequent increase in the number of sessions, the total number of such sessions being 44 compared with 28 in the previous year. |
9a4759b6-029b-414c-96e6-d5cf199426ca | Statistics in relation to the cases treated in the years 1942 and 1943 are as follows :— Mothers & Toddlers Adults—Public Scheme School Children Total 1942 1943 1942 1943 1942 1943 1942 1943 Number of attendances at the Ear, Nose and Throat Clinic 241 274 10 26 497 838 748 1,138 Number of cases which received operative treatment 77 97 - - 171 353 248 450 Number of cases which received other forms of treatment 42 51 5 11 198 561 245 623 (5) OPHTHALMIC SERVICES. There has been further development in your ophthalmic services, the numbers requiring examination and treatment under all your ophthalmic schemes 32 having increased and to cater therefor, additional sessions have been held by your Specialist Consultant. |
50268f9a-ce19-45cd-9706-640954e28627 | A statistical statement showing the cases dealt with in the years 1942 and 1943 is given below. Another important development is the Council's recent decision to appoint an Ophthalmic Nurse. Unfortunately owing to the general scarcity of trained nursing staff we have not as yet been successful in finding a suitable candidate. The Appointments Branch of the Ministry of Labour is the controlling body for the nomination and placing of candidates. Excellent co-operation exists between the officers of the Appointments Branch and the staff of my. Department and efforts to obtain suitable nominations are constantly being made through the recognised channels. (a) Treatment of Defective Vision and Squint— Table of Statistics. Mothers & Toddlers Adults— Public Scheme School Children Total 1942 1943 1942 1943 1942 1943 1942 1943 Errors of Refraction, etc. |
6b3a59da-7a6d-4922-b531-8814be8a7b2e | requiring treatment 248 246 182 281 686 900 1,116 1,427 Number for whom spectacles were :— 71 83 118 211 381 585 570 879 (b) Obtained 77 76 96 186 363 507 536 769 33 (b) Squint Training. I his service has been continued during 1943 and the regular attendance of the children has been well maintained. The following table shows the extent of the work done. 1942 1943 Number of Sessions 110 122 Number of Children Attended 38 40 Number of New Cases 20 8 Number of Old Cases 18 32 Number of Attendances 686 703 Number Discharged—Cured 1 2 Number Evacuated 2 Nil Number Left School 2 2 Number Discontinued 4 2 (6) DENTAL INSPECTION AND TREATMENT. |
d2953b8d-d4ed-49ab-95a6-d8d8dac6c9bc | The number of attendances under your public adult dental scheme was 8,019, compared with 3,730 in the year 1942 and your evening sessions provide in major degree for patients coming under this scheme. The question of man-power as it effects your dental service is a matter for concern but here again we are doing our utmost to obtain qualified dental surgeons to maintain your existing staff complement, although at the time of writing the post of fourth dental surgeon is still vacant. |
c07a1abc-5fee-47dc-a41b-a78fe2b87a1e | Information as to the cases dealt with in the year ended 31st December, 1943, and 1942 under your Public Adult and Maternity and Child Welfare Dental Schemes, are given below :— Scheme Year ended 31st Dec., 1942 Year ended 31st Dec., 1943 (a) Number of Visits of Patients to Clinics 6,039 10,266 (h) Number of Dentures Supplied 597 1,670 35 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. (1) RAINFALL. The rainfall for the year ended 31st December, 1943, was 19.50 inches, as compared with 21.64 f°r the previous year. Rain fell on 140 days in the year 1943. (2) WATER SUPPLY. There was no extension of mains during the year 1943. |
cee3f80d-eef5-4272-9093-b2493853b722 | Samples are drawn from the domestic supplies and submitted every quarter for chemical examination, and monthly for bacteriological examination. All samples were reported pure and wholesome and suitable for drinking and domestic purposes. (3) DRAINAGE AND SEWERAGE. Drainage arrangements continue as heretofore. 36 (4) RIVERS AND STREAMS. Owing to the continuation of the war, the area of drainage under the control of the Essex Rivers Catchment Board does not appear to have received the same attention as before, with the resulting deterioration in the condition of the main sewers and watercourses. From time to time attention has been directed to the potential mosquito menace in this part of the district, which will be increased by the return of 'discharged soldiers who may, in their service abroad, have contracted malaria. With this problem in mind, I regard as a matter of urgency the introduction of a scheme of improved drainage so soon as possible after peace is declared. |
dc58ccac-c8e7-490a-8ed5-3b9e078ecf43 | (5) CLOSET ACCOMMODATION. At the end of the year there remained a total of 15 premises unconnected with the sewer, 10 of which were factory premises. (6) PUBLIC CLEANSING. During the year 3,477 loads of refuse were collected with an average weight of 2.82 tons per load. 37 The practice of a daily collection of waste food and a fortnightly collection of other domestic refuse continued. (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. War conditions have limited housing repair work to the minimum, but there has been a steady improvement in conditions in general, associated with a serious effort to prevent any deterioration of the building structure. |
dd366128-15d8-4335-91a3-128773e63c71 | Notwithstanding this, however, it is obvious that a large amount of repair will be necessary in the immediate postwar years to obtain the high standard which existed before the war. Arising out of the many inspections made for the above purpose, it has been possible to build up a picture of the housing need in terms of dwellings which will be required. 38 (a) Work of Sanitary Inspectors. (i) Inspection of Dwelling Houses. Total Houses inspected under Public Health or Housing Acts 2,21& Total Number of Inspections made 5,503 Housing (Consolidated) Regulations 790 After Infectious Disease and Scabies 1,477 Overcrowded Premises 47 Defects Founds 3,020 Notices Served (Preliminary) 1,635 Re-inspections re Notices Served 3,147 Inspection of Works in Progress 224 (ii) Premises Controlled by Byelam and Regulations. Inspections. Contraventions. |
53f5d60c-fffb-4758-99dd-7f2857f803c7 | Notices served. Houses Let in Lodgings — — — Common Lodging Houses — — — Offensive Trades 20 32 11 Tents, Vans and Sheds — — — Dairies, Cowsheds and Milkshops 105 24 15 Slaughter Houses — — — Hairdressers' and Barbers Premises 16 17 5 Smoke Observations — 39 (iii) Factories, Workshops and Workplaces. Inspec. tions. Defects. Notices Factories 134 39 11 Bakehouses 18 10 5 Workplaces 56 9 6 Outworkers Rooms 62 — — Butchers Premises 130 98 37 Fishmongers 30 15 9 Restaurants and Dining Rooms and Canteens 12.1 140 48 Stables and Stable Yards 31 8 5 Piggeries 27 8 7 (iv) Miscellaneous. Inspections. |
e9b64e8d-5d59-45a3-b310-51f0d9ab56f0 | Defects. Notices. Rats and Mice (Destruction) Act, 1919 1,305 81 59 Vacant Land and Refuse Dumps 102 20 20 Public Lavatories 34 6 6 Schools 5 3 3 Shops Act, 1934, and Markets 434 86 39 Ice Cream Vendors — — — Drainage Inspections 380 — — Milk Sampling 158 — — Other Miscellaneous 130 1 1 Food and Drugs Act, 1938 1,005 178 93 Water Sampling 35 — — Street Traders — — — Food Byelaws — — — Watercourses 1 1 — 40 (b) Notices Served. |
5080c087-d55d-4c77-a05e-0a505281729f | Informal Notices 1,635 Statutory Notices :— Public Health Act, 1936 : Section 39 2 Section 45 43 Section 83 5 Section 93 314 Housing Act, 1936 : Sections 9 and 10 32 Section 24 — Section 32 — Dustbins : Barking Corporation Act, 1933, Section 148 254 (Jan. to Sept.) Public Health Act, 1936, Section 75 (3) .. 65 (Oct. to Dec.) 715 (c) 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. |
6f41d336-b00f-4fce-816c-c8c0845f0e55 | 41 (d) Rats and Mice Destruction Act, 1919. The year under review saw an increase in activities under this Act with the issue of the Infestation Order, 1943. As a result of a direction from the Ministry of Food Director of Infestation Control, particulars were supplied of 23 sites of major infestation, 20 of which have now been cleared. Two of your officers attended a short course of instruction in a new technique which was subsequently employed with success. Special publicity through the national and local press, together with the issue of special posters in the district, produced, during the period covered by this propaganda, 132 complaints. The total number of complaints received during the year were 304. Many related to minor infestations and were dealt with by the issue of suitable raticides. In other cases appropriate action was taken by your officers, using new methods. (9) ERADICATION OF BED BUGS. |
e1849ce0-036c-4a67-9ccb-01ce7e16d374 | The following houses have been disinfested :— Barking Council Houses 6 Privately owned Houses 14 London County Council Houses — 43 SECTION D. HOUSING. (1) STATISTICS. (a) General. Number of new houses completed during the early part of 1943. (1) Total Nil (2) As part of a municipal housing scheme :— (a) Barking Nil (b) L.C.C Nil (3) Others Nil (b) Unfit Dwelling-Houses. 1. Inspection of dwelling-houses during the year :— (1) (a) Total number of dwellinghouses inspected for housing defects (under Public Health or Housing Acts) 2,218 (b) Number of inspections made for the purpose 5,503 44 (2) (a) Number of dwelling-houses (included under sub-head No. |
b4bba50b-bc4c-4999-94dc-e00efb9d5bc6 | 1 above) which were inspected and recorded under the Housing Consolidated Regulations 790 (b) Number of inspections made for the purpose 1,083 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 1,635 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 701 45 3. Action Under Statutory Powers during the Year:— A.—Proceedings under Sections 9, 10 and 16 of the Housing Act, |
00729a3b-b834-4d8d-a2de-3649a7365b51 | 1936 :— (1) Number of dwelling-houses in respect of which notices were served requiring repairs 23 (2) Number of dwelling-houses which were rendered fit after service of formal notices :— (a) By owners 4 (b) By local authority in default of owners 15 B.—Proceedings under Public Health Acts:— (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 364 (2) Number of dwelling-houses in which defects were remedied after service of formal notices :— (a) By owners 90 (b) By local authority in default of owners 31 46 C.—Proceedings under Sections n 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. |
6f1becf8-9e02-442f-9b10-70e025e71fd5 | —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 323 47 SECTION E. INSPECTION AND SUPERVISION OF FOOD. (1) MILK SUPPLY. There are no cowkeepers in the district and we have only one dairy where milk is handled or treated. The remaining 48 premises on the register retail pre-packed supplies. In addition there are nine 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. |
0d10c38a-0ab7-4129-b59d-03e114f69a60 | Type of Sample Satisfactory Unsatisfactory Totals " Sterilised " Milk " Pasteurised " Milk 39 2 41 Raw Milk 10 19 29 " Homogenised " Milk 7 7 Tuberculin Tested Milk 18 3 21 Totals 74 24 98 In the table above it will be noted that 19 samples of raw milk were found to be unsatisfactory. This term " unsatisfactory," however, must be qualified. With the advent of the Milk Advisory officers employed by the Essex War Agricultural Committee and the use of the Reazurin Test, a change in the classification took place. The standard conditions in Barking had been set originally by use of the Methylene Blue Test of keeping quality and it was this test which 48 showed the 19 unsatisfactory results. The samples concerned were drawn from farm supplies at the place of delivery in Barking, where the milk was subsequently processed and treated by pasteurisation. |
3efb92ac-a4d7-4eca-9c5e-3bf9bac62bd5 | Your officers have co-operated with the officers of the Essex War Agricultural Committee with a view to securing the best conditions at the farms of the producers. It was anticipated that with the introduction of the Milk Scheme the Milk Advisory officers would be sampling the raw milk brought into Barking every fourteen days, but from our enquiries it does not seem that it has been found possible to make such frequent sampling. I realise the importance of securing the delivery of as much milk as possible to the public for liquid consumption. At the same time I deplore the lowering of the standard of cleanliness which has resulted from the inclusion of producers whose milk normally would have gone for manufacturing purposes. The present price structure of the Ministry of Food control, which provides for the payment of an extra sum of money for the production of clean milk is, in my opinion, bad. The remedy should be the application of a penalty to any unsatisfactory producer. |
6e0c555c-41f4-4a15-b37f-ca680756dc68 | There were, during the year, 72 samples of milk submitted to biological examination for the presence of tubercle. In eight cases the guinea pig died prematurely. In no case was there a positive result. I am glad to record that, apart from the Tuberculin Tested Milk retailed under that designation, the whole 49 of the supplies in Barking have been treated satisfactorily either by Pasteurisation or Sterilisation. The following table shows the number of licences granted during the year for the sale of graded milks under the Milk (Special Designations) Orders, 1936 and 1938 :— Tuberculin Tested 7 Pasteurised 15 {2) MEAT AND OTHER FOODS. (a) Meat. Since the outbreak of war slaughtering in Barking has been discontinued. (b) Supervision of Food Preparing Premises. |
41e87ac2-69f3-45ba-b75c-a01598f27827 | The number of premises in the district at the end of the year at which the following foods are prepared were :— Sausages 22 Potted Meat and Brawn 2 Roast and/or Boiled Ham 2 Pressed, Pickled, Cooked, etc., Beef and Tongue 36 Roast Pork — Bacon — Boiled Crabs and Lobsters 2 Pickled Fish 2 Pickled Onions, etc. 1 Smoked Fish 4 Bakehouses 10 50 (c) Unsound Food. The War-time control has resulted in an increase in the amount of food surrendered. The following list can be regarded as representing the whole of the food retailed in the district found unfit for consumption. Provisions 1,019 lbs. Sugar 46 lbs. Chocolate, Sweets, Cakes, etc. 21 lbs. Dried Fruit 30 lbs. Meat 4,332 lbs. Cereals 1,320 lbs. |
ab838318-edf2-4e91-91fb-139452f6d8c1 | Fish 28 stone Rabbits 5 cases Various Fillings 5,290 tins, jars, etc. Eggs 222 (3) FOOD POISONING. There was one case of food poisoning notified during the year. (4) FOOD AND DRUGS ACT, 1938, SAMPLING. During the year, your authorised officers have submitted a total of 201 samples, divided as follows :— Milk 29 Butter and Margarine 14 Others 158 201 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, thirteen were found not genuine. 51 A prosecution was instituted in relation to the sale of Rum, in which the defence satisfied the Bench that the wrong person had been summoned. The point at issue was whether the sale was made by the Licensee or the employing Company. |
1577afdf-53df-4b15-bb39-39e660026f46 | The Bench held that the employing Company was the offender. In the case of the sale of Lemon Squash which was deficient in the total of sugar to the extent of at least 17%, the Ministry of Food prosecuted and the defendant was fined £5 with £6 6s. od. costs. (5) CHEMICAL AND BACTERIOLOGICAL EXAMINATION OF FOOD. The bacteriological examination of all milk 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 Chorleywood, Herts. 53 SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. (1) NOTIFICATION. |
fe22f292-5188-4a82-bf00-1eb774a61784 | The following table shows the number of notifications of infectious diseases (other than tuberculosis) received during 1943 :— Disease Total Total Cases Removed to Hospital Deaths Sonne Dysentery 2 2 Paratyphoid 1 1 1 Food Poisoning 1 — — * Scarlet Fever 398 310 2 ‡Diphtheria 35 36 1 Puerperal Pyrexia 19 19 — †Pneumonia— Acute Influenzal 31 15 6 Acute Primary 75 26 5 Following Measles 7 3 — Erysipelas 41 17 1 Ophthalmia Neonatorum 9 9 — Measles 797 4 — Whooping Cough 277 14 2 § Cerebro-Spinal Meningitis 6 7 1 Others — 24 3 Totals 1,699 487 22 * 88 cases of Scarlet Fever were nursed at home. |
7efe3c26-0dfe-4785-8cd0-af512d789aea | One death, cause believed to be Scarlet Fever, subsequently proved not to be the case. ‡ One case was admitted to hospital before a definite diagnosis was made. This proved to be Diphtheria, and the patient subsequently died. †8 eases of Pneumonia died at home. § In two cases notified as Cerebro-Spinal Meningitis, the original diagnosis was not confirmed by the Hospital. One of these cases died. One case was subsequently diagnosed as " Staphlococcal Meningitis." One case which was admitted to hospital before a definite diagnosis was made, subsequently proved to be Cetebro-Spinal Meningitis. 54 (2) HOSPITALISATION. |
4377add4-2456-45f6-87de-3e433254f00f | During the year cases of Infectious Disease requiring admission were admitted to the Ilford Isolation Hospital, Plaistow Fever, Rush Green Isolation, Billericay, Grays, Waltham Cross, Dartford, and also Hospitals of the London County Council. The following table shows the cases dealt with at Hospitals :— In Hospital 31st Dec. 1942 Admitted during year Died Discharged In Hospital 31st Dec. |
d5407681-266e-4dc0-b571-c232df665959 | 1943 Sonne Dysentery – 2 2 – Paratyphoid — 1 1 — — *Scarlet Fever 41 310 2 325 24 Diphtheria (including Membraneous Croup) 6 36 1 36 5 ‡Cerebro-Spinal Meningitis 1 7 1 5 2 Pneumonia 2 44 11‡ 41 2 Puerperal Pyrexia 2 19 – 20 1 Erysipelas 1 17 1 16 1 whooping Cough — 14 2 11 1 Measles — 4 — 4 — Ophthalmia Neonatorum — 9 — 8 1 Others 2 24 3 22 1 † Eight cases of Pneumonia died at home. * Eighty-eight cases of Scarlet Fever were nursed at home. |
f353e116-7db6-472a-9b44-eacc02575e25 | One death, cause believed to be Scarlet Fever, subsequently proved not to be the case. $ In two cases notified as Cerebro-Spinal Meningitis, the original diagnosis was not confirmed by the Hospital. One of these died. One case was subsequently diagnosed as " Staphlococcal Meningitis." 55 (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 Number of Cases Notified Admitted to Hospital 1937 17 17 1938 8 8 1939 2 2 1940 22 22 1941 1 1 1942 1943 1 1 (4) ACUTE PRIMARY PNEUMONIA. |
0752fb09-f4f3-4bf9-b77d-478e689d5f9d | There was some increase in the incidence of " Acute Primary Pneumonia," the number of notifications received being 75, whereas in the previous year there were 45. Of the 75 cases notified 32 occurred in children under the age of 15 years. There is no evidence to show that this increase was due to war-time conditions. (5) CEREBRO SPINAL MENINGITIS. Six notifications were received and in two cases the diagnosis was not confirmed. This shows a decrease when compared with 1942, the total number of cases notified being 18, ten of which were confirmed by the Hospital authorities. 56 (6) TUBERCULOSIS. |
72d581ef-b3e0-4627-abe0-0f7288138553 | Particulars of new cases of tuberculosis in the area during 1943 are given below :— New Cases Notified Pulmonary Non-Pulmonary M. F. M. F. Under 1 year – – – – 1 to 5 years — — 1 1 5 to 15 years 4 1 1 6 15 to 25 years 14 18 1 5 25 to 35 years 16 10 1 1 35 to 45 years 11 10 3 1 45 to 55 years 10 2 — — 55 to 65 years 5 2 — – 65 years and upwards 1 2 — — 61 45 7 14 One hundred and twenty-seven notifications were received of all forms of tuberculosis—pulmonary 106 and non-pulmonary 21, and there were four deaths of un-notified cases, making a total of 131 new cases. |
7624c761-d6a1-4068-b70d-42ee81c5a8ef | Information has been received of the removal into the district of 19 tuberculous persons, included in the number of notifications received—two of these are old cases returned to Barking. This compares with 28 received during 1942, and 37 for 1941. |
5f539d61-7b09-40f0-a1b4-6781b32aff55 | 57 Statistics in relation to Tuberculosis for the years 1939 to 1943 are given below :— Year 1939 Year 1940 Year 1941 Year 1942 Year 1943 New Cases Notified— Pulmonary 76 117 113 107 106 Non-Pulmonary 18 15 28 30 21 Total of New Cases Notified 94 132 141 137 127 Deaths from Tuberculosis— Pulmonary 48 41 48 37 42 Non-Pulmonary 3 2 8 7 4 Total Deaths from Tuberculosis 51 43 56 44 46 The Tuberculosis Officer advises me that any increase in the incidence of tuberculosis in Barking during the year 1943 as compared with the preceding year does not appear to be significant. There was no increase in the availability of methods of diagnosis in the area but there appeared to be increased use by medical practitioners of the services available for diagnosis. |
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