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337e56bd-bc0a-48fe-bae0-a8593ff681cb | Section G—MISCELLANEOUS Supply of Dustbins The number of premises where dustbins are supplied and maintained by the Corporation in accordance with Section 75 (3) of the Public Health Act, 1936, was at the end of the year 4837 The number supplied by the Corporation under this arrangement during the year was 543 whilst 135 dustbins were supplied on payment by eight annual instalments at the rate of five shillings Page 66 Public Cleansing and Refuse Disposal The Borough Engineer has supplied me with the following information:— The quantity of refuse collected and disposed of throughout the year was 56,794 cubic yards. The average weight, 6.34 per cubic yard and the total weight 17,365 tons. In addition, 55,608 tons of refuse were received from other Boroughs. The refuse was disposed of by tipping at Renwick Road in accordance with the provisions of the Essex County Council Act, 1933 (Third Schedule). |
baef3deb-ca36-4232-a42a-04bec430aa1d | Pet Animals Jet, 1951 Licences vere issued in respect of eight premises within the Borough to v ich 16 visits of inspection were made. Page 67 |
decd6d78-69d8-42c1-a464-946f4ebc51f7 | 411(1) BARK 51 1 5B 2 Library ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR BARKING FOR THE YEAR 1957 B BARK 51 CONTENTS Pages 1. Membership of Committees 3-4 2. Staff 5-6 3. Preface 7 4. General Public Health 8-21 5. Personal Health Services 22-31 6. School Health Service 32-51 7. Report of the Chief Public Health Inspector 54-90 PUBLIC HEALTH COMMITTEE as at December, 1957 Chairman—Alderman Mrs. JULIA H. ENGWELL Vice-Chairman—Mr. Councillor LESLIE C. JONES The Mayor—Mr. Councillor W. H. ROYCRAFT Mr. Alderman G. H. COLLINS Mr. Councillor A. T. FRENCH Alderman Mrs. |
580feae1-cbd7-4783-a70f-d6ee0d8478f0 | A. M. MARTIN Councillor Mrs. D. M. GLENNY Mr. Alderman J. R. SWEETLAND Councillor Mrs. D. M. JONES Councillor Mrs. M. BREDO, C.C. Councillor Mrs. E. G. LAW Councillor Mrs. J. CALLAN Councillor Mrs. M. PRESTON Mr. Councillor S. C. SIVELL Mr. Councillor LEONARD WRIGHT BRKING COMMITTEE FOR EDUCATION as at December, 1957 Chairman—Councillor Mrs. E. G. LAW Vice Chairman—Mr. Alderman G. H. COLLINS Representative Members:— Mr. Alderman A 3ALL, J.P. Mr. Councillor L. F. HENSTOCK Alderman Mrs. M 3ALL, C.A. Mr. |
adf98324-a3cc-463c-802f-68233046e641 | Councillor H. J. HILLS, C.C. Alderman Mrs. J H. ENGWELL Mr. Councillor LESLIE C. JONES Alderman Mrs. A.M. MARTIN Mr. Cllr. R. W. G. KALBRAIER Mr. Alderman J.R.WEETLAND Councillor Mrs. M. PRESTON Mr Aid. W. G. WERMERLING Mr. Councillor S. R. ROWE Mr. Councillor G. G. BEANE Mr. Councillor W. H. ROYCRAFT Councillor Mrs. M.BREDO, C.C. Mr. Councillor S. C. SIVELL Councillor Mrs. D.M. GLENNY Mr. Councillor LEONARD WRIGHT Co-opted Members:— The Rev. |
f055b6b6-0b73-4ce1-8b5f-9b47519fc8d3 | Conon W. F. P. CHADWICK Mrs. L. F. M. DAVIS The Very Rey Canon J. A. DACEY Mr. A. E. GREEN The Rev. N. POVEY Mr. A. STONE Mr. J. ANDREWS Mr. J. WARD Nominated Members :— Mr. County Alderman K. E. B. GLENNY, J.P. Mr. County Councillor G. H. SHALDERS Page 3 BARKING HEALTH AREA SUB COMMITTEE of the Essex County Health Committee as at December, 1957 Chairman—Alderman Mrs. JULIA H. ENGWFI.L Vice-Chairman—Mr. Councillor LESLIE C. JONES Barking Borough Council Representatives Mr. Alderman G. H. COLLINS Councillor Mrs. D. M. JONES Alderman Mrs. |
95d82236-d2e5-4aa2-a9d6-27b555fc8de8 | A. M. MARTIN Councillor Mrs. E. ci. LAW Mr. Alderman J. R. SWEETLAND Councillor Mrs. M. PRESTON Councillor Mrs. M. BREDO, C.C. Mr. Councillor W. H. ROYCRAFT Councillor Mrs. J. CALLAN Mr. Councillor S. C. SIVELL Mr. Councillor A. T. FRENCH Mr. Councillor LEONARD WRIGHT Councillor Mrs. D. M. GLENNY Essex County Council Representatives :— Mr. County Alderman F. CULLEN Mr. County Alderman K. E. B. GLENNY, j.P. Mr. County Councillor A. C. BERRY County Councillor Mrs. S. M. BOVILL County Councillor Mrs. L. FALLAIZE Mr. |
7eda575d-5046-421f-a795-5df5c04ebef1 | County Councillor H. J. HILLS County Councillor Mrs. M. SMITH The Executive Council for Essex Representative:— Councillor Mrs. A. E. PRENDERGAST The Local Medical Committee Representative:— Dr. W. J. C. FENTON, J.P. The Hospital Management Committee Representative Mrs. D. L. BELCHAMBER Voluntary Organisations' Representatives:— Miss W. DAWSON Miss N. L. ODELL Mrs. G. M. GRAFFY Page 4 STAFF, 1957 Medical Officer of Health, Area Medical Officer, and Divisional School Medical Officer :— F. GROARKE, M B., L.M., D.C.H., D.P.H. Deputy Medical Officer of Health, School Medical Officer, Assistant County Medical Officer, and Medical Supervisor of Midwives :— MARGARET I. ADAMSON, M B., B.Ch., D.P.H. |
416493ff-9a6b-4355-bb1f-12f6a35ef06d | School Medical Officers and Assistant County Medical Officers'.— EILEEN E. V. MARTIN, M B., B.Ch. EUGENIA POPPER, M.D. ARTHUR E. SELIGMANN, M.D., D.T.M. & H. VIOLET SPILLER, M.D., M.R.C.S., L.R.C.P., D.P.H. MARY H WESTLAKE, M B., B.Ch., D.P.H. Dental Officers:— A. R LEVY, L.D.S. R.C.S. (Terminated 30.4.57) J. BUNTIN, L.D.S. R.F.P.S.G. Chief Public Health Inspector :— N. BASTABLE, F.R.S.H., F.A.P.H.I. Senior Public Health Inspector :— Mr. C. S. COOK (Retired 24.2.57) Mr. |
c16229a4-eca2-4d9d-91d4-b105c1e8d406 | E. G. TWEEDY (As from 25.2.57) Public Health Inspectors:— Mr. E. A. E LIS Mr. R. ROPER Mr. T. W. CLEW (Commenced 1.11.57) Mr. A. G. MERRIMAN Mr. M. R. WILLIAMS (As from 25.7.57) student Public Health Inspector :— Mr. B R. SAUNDERS Superintendent Health Visitor:— Miss P. M. FAWCETT Health Visitors/School Nurses, etc. Miss M. BAERLOCHER Mrs. M. J. P. WEBSTER (Termina i 1.12.57) Miss G. K. JEFFREYS Miss C. M. BROWNING Miss J. McGILVRAY Miss A. CATTLE Miss E. PARRY Miss N. A. FLUCK Mrs. |
91f4c7e9-0a52-4ad6-a5bd-576e751d75b3 | R. ROBERTSON Miss L.COODACRE Miss E. M. SCHROPFER Miss A. M. SMALL—Part-time (Tuberculosis Visitor) Page 5 STAFF, 1957 —cont. Dental Nurses, etc. Miss H. BUSH (Dental Attendant)Mrs. V. HARDING (Dental Nurse) (Terminated 11.5.57) Mrs. MOULE (Dental Nurse) In addition 18 part-time Nurses are employed for the staffing of the various Clinic services. Chief Clerk :— Mr. F. READ (Retired 3.4.57) Mr. G. H. RUFF (As from 4.4.57) Senior Administrative Assistant:— Mr. B. S. WEAVER (As from 4.4.57) Administrative and Senior Clerical Assistants:— Mrs. |
e3647983-a608-4533-b789-78299bc2581d | E. M. BARTHOLOMEW (School Health Service) Miss H. BEARTON (Handicapped Pupils and Special Children) Mr. S. DEEKS (Supplies and Maintenance) Mr. A. HOWLETT (Prevention of Illness; Care and After-Care) Mr. A. G. LONGMUIR (Staffing) Non-Medical Supervisor of Midwives :— Miss D. A. RISELEY District Midwives:— Miss E. V. ASHTON Mrs. I. M. BRONNICK Miss A. CUNNINGHAM Matron of Day Nursery :— Miss F. B. NASON Domestic Help Organiser :— Mrs. L. EVERITT Chief Chiropodist:— Senior Dental Technician:- Mr. H. LEAVESLEY Mr. J. CONSTABLE Speech Therapists :— Mrs. A. LING Mrs. |
f5f36b16-f865-49f4-bba6-f4278047e8af | M. WARD (Part-time) (Part-time) Oral Hygienist:— Occupational Therapist:- Miss J. THURSTON (Part-time) Miss D. M. COLDWELL REGIONAL HOSPITAL BOARD STAT17 Superintendent Physiotherapist:— Mr. T. HYND Remedial Gymnast:— Orthopist:- Mr. H. OGLE Miss M LEWIS Page 6 TOWN HALL, BARKING ESSEX December, 1958. Io the Mayor, Alderman and Councillors of the Borough of Barking. Mr. Mayor, Ladies and Gentlemen, In presenting this report, I should like to thank my colleagues and members of he Council for the help they gave me during the year under review. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, Medical Officer of Health. |
a9aa03e4-3f66-4ce6-ac41-16bdf8c9cc70 | Page 7 GENERAL PUBLIC HEALTH SHORTAGE OF HOSPITAL ACCOMMODATION During the year the Regional Hospital Board honoured their promise made to representatives of the Boroughs of Ilford, Dagenham and Barking in the summer of 1956 that they "would continue to give earnest consideration to the problem of the lack of hospital accommodation in the Ilford, Barking and Dagenham areas," and below is given a summary of the proposals made for the development of hospital facilities in Barking viz. at the Barking Hospital: Short term development 1. Improvements to existing theatre suite. 2. Improved X-ray facilities. 3. Adaptation of West Wing of Ross Ward to provide 16 acute beds (at present used for recreation). 4. Change function of Jenner Ward from 'chronic sick to ' general medicine.' 5. Bring Paget Ward into use for acute work (at present houses clinics). 6. Provide new physiotherapy department (to release East Wing of Ross Ward). |
95834439-3c83-4832-ba95-31dbaf05b00e | 7. Adapt East Wing of Ross Ward to provide 12 acute beds (see 6). 8. Improve Upney Clinic building to provide temporary consultative out-patient facilities. 9. Extend pathological laboratory—in particular to provide waiting facilities for patients. Long term development 1. Extend to provide 300 bedded general hospital (including any additional maternity beds required). 2. Provide major out-patient department, casualty and ancillary departments and services." HEALTH EDUCATION During the year every effort was made to give publicity to such matters as prevention of lung cancer and the need for safety in the home. It is unfortunately true, however, that at the present time Page 8 health education can only command a small part of our resources because of more pressing and more tangible commitments. |
0f0ad8bb-451e-4697-a3e2-f3f94c8b3bc9 | We have a long way to catch up with the publicity campaigns of commercial firms but there is a growing awareness that the preventive health services must advertise much more and 1 hope that the next few years will show a marked advance in this respect. MASS RADIOGRAPHY After a period of three years, the Mass Radiography Unit 6a, based on the C'onnaught Hospital, Walthamstow, E.17, again paid a welcome visit to the Town in January, 1957. |
4754c230-ff8e-4405-83d1-f3c413c54c38 | Below is given a summary of the survey conducted by the unit: — Male Female Total Number X -ayed 4,233 5,148 9,381 Number ecalled for further examination 103 90 193 Number v o did not attend for furthe examination 2 3 5 Tuberculosis: (a) Requi lg medical treatment 3 3 6 (b) Requi g supervision 9 12 21 Other abnormalities (i) Cancer of lung 7 3 10 (ii) Heart Disease 5 10 15 (iii) Other including pneumonia, emphy na, sarcoidosis, etc.) 28 12 40 It was significant that in a letter addressed to all family doctors in the area, the Director of the Unit made the following statement:— Our experiance in a neighbouring borough earlier this year shows that the expected yield of tuberculous cases requiring immediate treatment is increased nearly four-fold if we concentrate on Doctor's cases. |
481841cd-9c65-4bc1-bc7d-30b409637d46 | By this we mean persons attending surgeries, not necessarily with overt respiratory symptoms but with vague symptoms of any kind. It is also our experience that a large number is found among young women under 30, men over 40 and those who have never been X-rayed before. are also finding increasing numbers of middle-aged men with carcinoma of the lung." Page 9 NATIONAL ASSISTANCE ACT, 1948 Section 47—During the year we unfortunately had to invoke the provision of this Act and remove an old man aged 83 years He was found in a weak and debilitated condition and living on his own. He refused to enter hospital despite the appeals of his doctor and relatives. He died three days after admission to hospital. |
02260eca-3775-4b6f-a2a2-345228b0e3e9 | County Welfare Services:—The County Welfare Officer has kmdly supplied the following information: — "The statistics set out below show the extent to which the main services provided by the County Welfare Committee under the National Assistance Act, 1948, have Seen afforded to persons residing within the Borough of Barking during the year 1957:— (1) Residential and Temporary Accommodation (a) Admitted to hostels and other residential establishments: Men, 7; Women, 5. The number of persons emanating from the Borough in residential accommodation provided by or on behalf of the County Council as at 1st December, 1957, was as follows: Men, 18; Women, 29. (b) Admitted to temporary accommodation for homeless families: Men, —; Women, 2; Children, 5. |
50f8cb76-3ba6-4dca-86d9-b804648d959e | (2) Blind Persons The number of registered blind, partially sighted and defective sighted persons resident in the Borough on the 31st December, 1957, was as follows:— (i) Registered as blind 89 (ii) Partially sighted 24 (iii) Defective sighted all of whom came under the supervision of the County Council's Home Teachers. There was one blind resident in the Home Workers Scheme operated through agency of the Royal Society for the Blind and two were employed in special workshops for the blind. Additionally, eight blind and four partially sighted persons were employed in open industry and one blind resident from the Borough was admitted to a Home for the Blind. Occupational and recreationa ,facilities are also Page 10 available to the blind and many are taught braille and handicraft. |
367e0d9a-37cc-4f11-9822-c916a08bb5cd | (3) Deaf or Dumb and other Handicapped Classes The Welfare Committee have continued to develop their activities in respect of welfare services for permanently and substantially handicapped persons (other than blind, as mentioned above) as provided for under Section 29 of the National Assistance Act, 1948, and in addition to direct provision such as special equipment on loan, grants towards the cost of structural adaptations to meet special needs, etc., the fullest co-operation has been maintained with specialised organisations in this field of welfare services, many of these bodies acting as the Council's agents in this connection." WELFARF. OF THE PHYSICALLY HANDICAPPED For record purposes 1 reprint the annual report for the year 1956-7 upon th work of the Barking Association for the Welfare of the Physically Handicapped. It will be remembered the formation of this association was sponsored by you in 1951. |
7791c898-380e-4edb-83a5-043534c41e7e | ANNUAL REPORT UPON THE WORK OF THE BARKING ASSOCIATION FOR THE WELFARE OF THE PHYSICALLY HANDICAPPED FOR THE YEAR 1956/57 The year has been a very successful one and for future reference and consideration brief summaries of some of the activities of the Association are given in alphabetical order. Clubs These continue to flourish and are held as under:— "Happy Wanderers" at Greig Hall, Stamford Road, Dagenham (near Woodward Library, Woodward Road—No. 62 bus stop) on Tuesday evenings from 7 p.m. "Golden Sliper" at Greatfields Hall, King Edward Road, Barking each alternate Tuesday evening. Employment Generally speaking handicapped people in this area who require employment and are mobile do find work, either through their own efforts or with the help of the Employment Exchange. There remain, however, number of homebound people who badly need something to occupy their time during the daytime and only an Occupational Centre can meet this need. |
eb52c565-a959-4f7e-8e0d-061fdcd7d968 | Page 11 A number of cases continue to be employed at Remploy factories but there does appear to be a long waiting time before suitable applicants are finally given the chance to work in these establishments. Finance It is still not possible to budget properly because the grant receivable from the Essex County Council is not paid promptly at the beginning of the financial year, and continues to be paid in instalments one of which is near the end of the financial year. Footway Crossings The Barking Borough Council is very helpful when such crossings are required and when need be the Welfare Department of the Essex County Council meets the cost for the necessary works to be carried out. To anyone who has to push a handicapped per on in a wheel chair on a pavement, the lowering of kerbs at street intersections would be a boon. It is very tiring even for a strong person to negotiate a number of kerbs with a physically handicapped person (however light in weight) in a wheel chair. |
d5847e53-3591-4e8a-8646-916195efdde7 | Handicraft Classes These are a very popular feature and are held as under:— Central Clinic, Vicarage Drive, Ripple Road, Barking (Blakes Corner), on Wednesday evenings from 6 p.m. Porters Avenue Clinic, Porters Avenue, Dagenham, on Monday evenings from 6 p.m. Health Visitors It is very fortunate that in Barking health visi;ors are allowed to have physically handicapped people on their visaing lists. This does give added advantages to handicapped peopi who may require a domestic help, a district nurse, sick room equipment, chiropody, dental, ophthalmic, etc., treatment, laundry service, etc. Hoists The heavy helpless handicapped patient is a great problem when he or she has to be shifted about the home, it is hoped that soon the provision of hoists will be started by the County Counil in suitable cases. The initial cost of providing these hoists is however, comparatively high and can therefore only be recommended for carefully selected cases. |
489b9716-466d-40c2-9188-3d86a237b0da | Page 12 Holidays There still remains much to be done to ensure that the more physically handicapped people can get holidays. Apart from the difficulty of raising sufficient money to pay for accommodation there is the main difficulty of finding the accommodation itself which will meet the special needs of the very handicapped. Only when accommodation is freely available will we be able to assure hard pressed relatives that we can relieve them of looking after a handicapped member of the family whilst they have a well earned holiday themselves. Although the Association is only concerned with the arrangements for a small number of holidays each year, the work involved is complicated and protracted. Hospital Treatment Over the past five years many of the Almoners of the larger London Hospitas have become accustomed to rely upon the Association for dealing with social problems relating to physically handicapped attending for hospital treatment. The Association has helped wherever possible and relationships with hospitals remain extremely cordial. |
4bf93bfd-31cc-44ca-96ee-920a9ab24ff9 | Housing Both the London County Council and the Barking Borough Council are very generous in arranging suitable transfers (particularly where ground floor accommodation is necessary) for tenants who are physically handicapped or who have a handicapped person in their household. A number of extremely happy transfers took place during the. year but unfortunately there still remain in private property a number of cases who have to put up with very limited facilities, some of which are now listed:— (1) Absence of bath (2) Absence of garden, hence no chair (3) Lavatory inconveniently placed (4) Lack of ramps, handrails, etc. (5) Gas and electric meters inaccessible. Occupational Centre It is several years since the Association first pressed for the setting up of such a centre in Barking for handicapped people and Page 13 at the present time the County Council is actively considering taking over part of Eastbury House for this purpose. |
b84e9351-974a-4cd1-938a-cc566b43e814 | Occupational Therapy Despite the handicraft classes run by the Association and even with a day time occupation centre there will remain a need for a domiciliary occupational therapy service for the truly home-bound or bedfast patient. The numbers to be catered for should not be too great provided transport is made available to the cases to and from the Occupation Centre. Register During the year several cases died and several moved out of the area but despite this the number of cases has increased from 120 to 160. Publicity Mention must be made of the generous help given by the local Press who have regularly reported upon the activities of the Association in their columns. Residential A ccommodation As reported before, there is still a great need for suitab'c accommodation where young adults can be sent when their parents can no longer cope with them, i.e., for both short and long term stays. Social Events Clubs and handicraft classes are social events in themselves but in addition they are the starting point for fur er outings, e.g. |
783e71ec-8d78-46c1-80ab-97709e459240 | to theatres, into the country, to London, etc. In addition, it has become the kind and thoughtful practice for a number of organisations in the area to invite groups of handicapped people to their social functions. These invitations are very much appreciated. Storage Sheds The provision of a storage shed can be a very frustrating business because often it comes after the whee chair has been delivered from the Ministry of Health. So very often too the handicapped person gets bogged down in the formalities of planning consent which have to be met before the shed can be erected and here the Association does everything it can to smooth out difficulties in this matter. Page 14 The London County Council through its local Welfare Officer is extremely helpful to any of its tenants who require storage sheds. Transport The Bedford "Dormobile" has now been in service for nearly ! two years and plays an indispensable part in the activities of the Association. |
6f6bf415-ed58-459e-babb-e64605f7f902 | Besides undertaking routine journeys to clubs and handicraft dasses, many other commitments are undertaken, e.g., journeys to railway termini, holiday addresses if reasonably near, theatre and picnic trips, etc. Wheel Chairs To many handicapped people a wheel chair is the pivot of the whole of their existence. It can represent the chance to hold a job and earn money, the opportunity to enjoy human society and in many other ways to case the burdens placed on handicapped people. It is not surprising therefore that a great deal of administrative work accrues from the provision and maintenance of wheel chairs. Liaison is maintained constantly with the Ministry of Health, who even though they operate by "remote control" do their very best to meet th differing needs of individual cases. One problem which cannot be solved at the present is that pre- sented by the mother or wife who may be both frail and ageing but has to push her adult son/daughter or husband about because they are too helpless to manage a chair on their own. |
d1e697a5-7c2e-4fef-b16a-973db7533158 | Some sort c power-assisted chair would be a boon to many families known the Association, e.g., like the hand guided electric milk floats. Page 15 MATTERS OF LIFE AND DEATH Population The population of Barking at mid-1957, according to the Registrar General's estimate was 75,070. This shows a further decrease from the figure of 78,170 at the 1951 Census. Births 916 live births and 18 still-births were registered during 1957, as under: — Live Births: — Males Females Total Legitimate 504 375 879 Illegitimate 17 Totals 521 395 916 Still-Births: — Legitimate 11 7 18 Illegitimate Totals 11 7 Total Live and Still-Births 532 Birth Rate per 1,000 of Estimated Population 12.2 Birth Rate adjusted by Comparability Factor of 0.5 —11.47. |
ea5f79f1-ab44-4700-a540-c37fb3e3cc69 | Still-Birth Rate per 1,000 (Live and Still) Births 19 1. Maternal Mortality Regrettably, one maternal death occurred during the year despite every medical attention. This means that for 1957 a maternal mortality rate of 1.07 per 1,000 births must be recorded. Page 16 Loss of Infant Life The infant death rate in 1957 was 18.55 as compared with 19.59 for 1956. The following tables show the causes of infant deaths:— INFANTILE MORTALITY—1957 Cause of Death Age at Death 0-1 mth. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. |
2dadb370-6581-4cac-a0c9-9284a727c9bb | Total under 1 year Atelectasis 4 — — - - 4 Broncho-Pneumonia — 1 1 - - 2 Congenital Heart Disease — 1 - - - 1 Dural Tear 1 - - - - 1 Prematurity 8 - - - - 8 Toxaemia of Pregnancy 1 — — — — 1 Totals 14 2 1 — 17 NEO-NATAL MORTALITY—1957 Cause of Death Age at Death Under 1 wk. 1-2 wks. 2-3 wks. 3-4 wks. Total Atelectasis 4 - - - 4 Dural Tear 1 — — — 1 Prematurity 8 — - - 8 Toxaemia of Pregnancy 1 — - — 1 Totals 14 — - — 14 of the total of 17 deaths no less than 14 occurred within the first week of life. |
89d642d6-053e-4e20-9c6a-21d9f1c58cbd | Page 17 DEATHS Causes of Death in 1957 Total Tuberculosis and other Infectious Diseases 6 Cancer and other Malignant Diseases 189 Diseases of the Brain and Nervous System 57 Diseases of the Heart and Circulatory System 197 Pneumonia, Bronchitis and other Respiratory Diseases (excluding T.B.) 77 Diseases of the Stomach and Digestive System 19 Accidents, Poisonings and Violence 29 Infant Deaths and Congenital Malformations 20 Pregnancy, Childbirth and Abortion 1 Other causes 29 Total 624 Crude Death Rate per 1,000 Estimated Population 8.31. Adjusted Death Rate (Comparability Factor 1.41) 11.72. |
9c8812eb-aca9-4466-98b4-9c18324417cf | INFECTIOUS DISEASES The following notifications were received during the year:— Notifications Pneumonia 146 Tuberculosis: Respiratory 28 Non-Respiratory 7 35 Scarlet Fever 50 Dysentery 9 Puerperal Pyrexia 10 Measles 1,113 Whooping Cough 217 Food Poisoning 14 Erysipelas 4 Scabies 12 Meningococcal Infection 3 Poliomyelitis 5 Diphtheria Ophthalmia Neonatorum 2 Page 18 INFLUENZA In early June family doctors were alerted regarding the possible spread to Europe of the influenza epidemic, prevalent in Asia, and below is a copy of the information sent to them:— "Extensive outbreaks of influenza have occurred recently in several countries of the Far East. Brief reports of these have been published in the medical press. Cases were first observed, in mid April, at Hong Kong and at Singapore where large numbers of persons have been affected. |
c83c7388-2657-4983-93da-c963dca938ab | Towards the end of April an outbreak, began in Taiwan (Formosa) and it has been estimated that more than 100,000 cases occurred there in the course of two or three weeks. During the first half of May another large outbreak developed in Manila, in the Philippine Islands, and subsequent outbreaks have been reported from Japan, India, Sarawak, North Borneo, Vietnam, Cambodia and Indonesia. Outbreaks e been also reported among persons travelling by sea or air from the affected regions. Most of he cases have been described as clinically mild. A report from Singapore refers to severe headache, generalised pains and fever (101°—103° F.), lasting two or three days and followed by about four days disability. There have been a number of deaths but the fatality rate has been low. The outbreaks have been explosive in character, but the epidemic wave has passed quickly. |
cac88ab7-847a-4b3f-84dd-30e698f933bf | Virus strains from the Singapore outbreak have been received at the World Influenza Centre, London, where they are being intensively studied. Preliminary investigations have shown that they belong to the Influenza A group, but are markedly different from, trains isolated during past influenza outbreaks. The present strains are not neutralised by any antiserum prepared from previous strains and it is considered that the antigenic variation is the largest that has taken place since the appearance of the A-prime variant in 1946. It is unlikely that the vaccines, which have been prepared again past influenza strains, will protect against infection by the new variant and the possibilities of preparing a vaccine against the recently isolated strains are being actively explored. However favourably this work might proceed there would be an inevitable delay before such a vaccine could be produced in I quantity. |
6298e20a-6daa-4431-950e-291e2161c101 | Page 19 In the meanwhile it is of importance that any outbreaks of influenza which may occur in Great Britain should be speedily investigated, with particular reference to the identification of the causative agent, but having regard to the fact that the capacity of the Public Health Laboratory Service for this purpose is not unlimited, selection and control of the material sent for investigation may be necessary. You are asked to keep a close watch for the possible introduction of epidemic influenza amongst your patients, and to notify me at once of any unusual trend. When it is apparent that an outbreak of influenza-like disease is developing a decision will be made as to the investigations necessary in the light of the situation as a whole in this and surrounding areas. The early ascertainment, including laboratory investigation of such outbreaks, depends on the co-operation of all general medical practitioners in the matter of early notification." Plans were laid for the emergency measures which could be brought into effect if the outbreak reached this count and spread to this area. |
3431a1ea-cb01-4dc6-9c26-8eb54d687b19 | In the early Autumn the Ministry of Health nnounced that although no mass vaccination scheme was contemplated, vaccine would be available for " certain groups who are specially exposed to infection and on whom an epidemic places an exceptionally heavy burden, e.g., hospital staff, general practitioners, and local health authority staff who care for the sick in their own hones, for example nurses, midwives, home helps, ambulance staff, and any other staff who may be called upon to visit the sick at home." In mid-October a supply of vaccine was received so that family doctors, district nurses, midwives, domestic helps and other priority groups wishing to be protected could be vaccinated There was a significant rise in sickness, particularly amongst school children, from the middle of October onwarc but towards the end of November there was a distinct fall in the inc ence of influenzas such which, at no time, had been widespread enough to cause serious dislocation of life. |
6f5ca2fa-c211-45eb-b132-13b1fcf2914e | Children seemed to be the most affected and at one time one in four of the school population of 12,000 were absent on account of illness. It was a relief to know, however, that what could have been a serious epidemic did not materialise. Page 20 POLIOMYELITIS Of the five diagnosed cases of poliomyelitis, one only developed paralytic symptoms and was still under treatment at the end of the year. CARE OF THE AGED Throughout the year Health Visitors continued to visit the aged in their homes, and resulting therefrom action was taken in many instances to procure necessary treatment and help where needed. One of the most appreciated services which is given on the recommendation of the health visitor's visit is domiciliary chiropody. This is provided by he Barking Old People's Welfare Committee and at the end of the year 134 old people were receiving this service, an increase of nearly 50 over the previous year. |
00b8b3e1-56a2-4ffd-8a0b-9efdff70c9c6 | It is interesting to note that the average age of the people receiving this service was 79 years. During the year there has been constant and cordial contact with hospitals receiving the chronic sick and with the County Welfare Department. ESTABLISHMENTS FOR MASSAGE AND SPECIAL TREATMENT Licences we renewed during the year in respect of three establishments which are governed by the Borough's bye-laws. LAUNDRY SERVICE Once again the Borough Council's laundry service proved an invaluable adjun to the services provided in the home to care for the chronic sick During the year 32 cases were assisted. Page 21 PERSONAL HEALTH SERVICE This section deals with those services which come under the control of the Barking Health Area Sub-Committee of the Health Committee of the Essex County Council. CLINIC PREMISES Health Services Clinic—Thames View Estate. Restrictions on capital expenditure were not lifted during the year which meant that approval continued to be withheld for the erection of a Health Services Clinic. |
bd349155-b5c4-47a3-a38f-63b2f12430f7 | It was decided, therefore, to consider the opening of temporary clinic services in the surgery premises erected by the Barking Borough Council on behalf of family doctors serving the Estate. At the end of the year negotiations were in progress with the Thames View Group Practice for the use of their surgery on two afternoons per week, one for an Infant Welfare Clinic and the other for a Mid wives' Clinic. Central Clinic. During the year it became necessary to renew the central heating boiler which had been in continuous use since the clinic was opened in 1933, and the opportunity was taken to instal an oil fired system at a cost of just over £1,000. The utomatic firing of the new installation reduces the need for a boilerman to a minimum and moreover ensures a steadier and more ever heat which in turn means that less supplementary heating, viz. electric heaters, is required. These savings will more than offset the slightly increased expenditure on the purchase of fuel. Upney Clinic. |
e07a1df7-c4d9-44bd-b091-a9b1e93c9dcc | These premises were built originally as a Civil Defence First Aid Post and since the end of the War with very little refinement have been used for out-patients service of the Regional Hospital Board and the Essex County Council. By virtue of its near ness to the Barking Maternity Hospital, the clinic has been used increasingly during the past few years for ante natal and allied vices for patients booked for confinement in the hospital. The first-aid post lay-out of the clinic did not lend itself to the greatly increased number of clinical sessions and it was decided undertake alterations which would enable ante natal and/ or post natal sessions to be run concurrently with minor ailments, infant welfare or paediatric sessions, etc. These alterations were completed in the early autumn and are described as under:— "Additional partition walls have turned one large room Page 22 into two fair sized consulting rooms, with waiting space, and the removal of two partition walls has transformed a very small and inconvenient room into a consulting room and given an enlarged treatment room. |
190a6833-0e1b-4841-beaf-6add3629e1f9 | Where necessary, additional handbasins, strip lighting and electric points have also been installed." The cost of the necessary work was borne jointly by the County Council and the Hospital Management Committee. RE-ORGANISATION OF CLINIC SERVICES During the year a review was undertaken of the clinic services to ascertain:— (a) what economies in running expenses could be effected without detriment to the service and (b) what could be done to make better use of existing accommodation. A summar of the changes effected is given below. Paget War. Barking Hospital. The Regional Hospital Board estimated that running costs of this ward were something over £1,600 per annum and of this the County Council were liable to pay one half because of the following services installed there:— Birth Control Clinic, Speech Therapy Clinic, Workroom and Office for Occupational Therapist. |
4498fcc5-d319-485a-b6b6-c53e906a763f | It was decided to move the birth control clinic to Upney Clinic, to divide speech therapy sessions between Central and Woodward Clinics and to give the occupational therapist office facilities in the Fast Street office premises. In view of thefact that Paget Ward was scheduled to be used for in-patients once more in the redevelopment plan for the Barking Hospital, the Hospital Management Committee decided to move their out-Patient services held in this ward elsewhere also. The first step taken was to move the specialist skin clinic to Upney Clinic, leaving only the orthoptic clinic to be housed elsewhere. Chiropody St ice. At the time of the review there were four chiropodists open ng at Central Clinic and one each at Woodward and Porters Avenue Clinics. It was decided to transfer a chiropodist from Central Clinic to operate a chair at Greatfields Clinic and to transfer the three remaining chairs at Central Clinic from the tem- Page 23 porary building in the grounds of the main building. |
f58ce17c-3831-4664-9575-b11e7ed2955f | With the move of the chiropody service to the main building at Central Clinic, it was possible to transfer the receptionist duties to the existing clerical staff and thus dispense with the post of receptionist for the chiropody service. Dental Laboratory. This was held in a mainly wooden building at the rear of Central Clinic and it was decided to transfer the service to the more commodious and more permanent building vacated by the chiropody service. It was decided to use the former dental laboratory as a store for sick room equipment, etc. Medical Staff. It was decided that with the retirement of Dr. A. E. Seligmann in the early summer a replacement for his post would not be sought, thus reducing the number of A istant County Medical Officers from six to five. Infant Welfare Sessions. A survey was taken of infant welfare attendances, and it was found that the demand only justified two sessions per week instead of three at each clinic with the exception of Woodward Clinic. |
70e0e14b-2aaf-4afb-a41a-f8828da22302 | This reduction was introduced at Central, Porters Avenue, Upney and Greatfields Clinics. Sale of Welfare Foods, etc. Prior to the "appointed day" nutrients, etc., were sold at Infant Welfare sessonis by part-time assistants on the staff of the Borough Treasurer, and these arrangements were continuing on an agency basis with the County Council when the Ministry of Food passed over to local health 1 authorities the responsibility of selling National Dried Milk, etc. At the time of the review, part-time assistants 1 the staff of the Borough Council were selling nutrients, welfare foods, etc., at each infant welfare session plus Saturday mornings an each afternoon session at Central Clinic. It was decided to terminate the agency arrangements with the Borough Council and to arrange for existing clerical staff to sell foods throughout the day at Central, Woodward and Porters Avenue Clinics and at infant welfare sessions at Greatfields and Upney Clinics. East Street Clinic. With the resignation of Mr. |
4bc9b62a-e328-4388-bc62-97f6181323bc | A. R. Levy, Dental Officer, the only remaining full-time dental officer was Mr. J. Page 24 Buntin who ran his surgery in the wooden wing of the East Street premises. Mr. Buntin agreed to transfer to Central Clinic and East Street was closed for clinic purposes. CARE OF MOTHERS AND YOUNG CHILDREN MATERNITY SERVICE Ante-Natal Care. This was given as follows: — Clinics 666 Hospitals (excluding Barking Hospital) 160 General Practitioners 95 921 Confinements. During the year 922 mothers were confined, giving birth to 931 infants (including 12 pairs of twins). These were horn as follows:— Barking Hospital 501 Other Hospitals 162 At home 271 934 One confinement which occurred in the district related to a woman who had failed to seek ante-natal care and who only called her doctor after the onset of labour. The baby died before medical aid arrived. Post-Natal Care. |
6f75a0a7-e31d-4004-8961-8533820c376b | 339 Barking mothers attended the Post-Natal Clinic making a total of 363 attendances. In addition 226 mothers were under the care of their family doctors and 160 were under the care of hospitals outside the district. |
520e341b-09ed-44cf-a713-931854408158 | INFANT WELFARE ATTENDANCES AT INFANT WELEFARE CLINICS-1956&1957 1956 1957 Number of children born in year who attended 756 771 Total number of children who attended 2,533 2,413 Total attendances 25,157 23,409 Page 25 Distribution of Welfare Foods The following table shows the welfare foods distributed during 1956 and 1957:— 1956 1957 National Dried Milk 33,880 25,124 tins Cod Liver Oil 7,435 6,061 bottles Vitamin Tablets (A & D) 3,692 3,445 packets Orange Juice 63,258 62,398 bottles During the year the cost of a tin of National Dried Milk went up from 10½d. to 2/4d. DAY NURSERIES The table below shows the attendances at Gale Street Day Nursery during 1957:— No. |
38c5e73c-b1b1-41fd-8da9-ee6764a6f464 | on Register Average daily attendances January 47 34.1 February 45 37.6 March 45 37.6 April 44 37.2 May 47 32.3 June 48 38.5 July 52 38.8 August 54 35.0 September 51 39.9 October 49 34.9 November 48 39.0 December 49 37.7 Nursery and Child Minders' Regulation Act There are no registered child minders in the Borough. MIDWIFERY During 1957, we had five midwives practising in the district. including two under the auspices of the Queen's Nurses; 267 patients were delivered in their own homes, only some 29% of all patient confined. Supervision of Midwives Dr. M. I. Adamson continued as Medical Supervisor of Midwives and Miss D. Riseley, Matron of the Barking Hospital, continued to act as Non-medical Supervisor of Midwives. |
bb6143c0-5696-4877-8e70-fa329e84a15b | Page 26 HEALTH VISITING The following statistics relate to the work of health visitors:— HEALTH VISITING 1956 1957 No. of visits to Expectant Mothers 1,388 1,345 No. of visits to Children under five 11,258 10,184 No. of other visits 4,273 4,418 No. of Non-Access visits 2,129 2,487 HOME NURSING This service, together with approximately half of the domiciliary midwifery service, is still administered from the County Training Home at Leytonstone. VSCCINATION AND IMMUNISATION Smallpox Vaccination The number of primary vaccinations carried out in 1957 was 21 in infants under one year, 72 in those over one year. This means that just under 25% of infants are being vaccinated during the first year of life. |
bca98283-0d9f-491d-b7e9-6d46ace69cd4 | Pliomyelitis Vaccination During 1956 when vaccination was offered to children born in 1947 to 1954, inclusive, some 2,296 consents were received but at the beginning of 1957 over 2,000 children still remained to be vaccinated. The first delivery very of vaccine in 1957 was not received until March but it wa he largest consignment received since the scheme first began. It was, however, still only sufficient to vaccinate 173 children. Early in the summer, the Ministry of Health extended the scheme to include children born in 1955/56 and asked for a second oppor- tunity to be giver to those born in the original age groups. Arising from this, consents for a further 1,500 children were received. By the end of June a total of some 1,200 had been vaccinated with British type vaccine. |
9810a418-1783-41a7-b932-3ce5a26e5c7d | The Government, in order to speed up its vaccination programme and in view of the continued shortage of vaccine manu- factured in Britain, entered into negotiations with Canada and the United States for the purchase of vaccine manufactured in North America. In November, the Minister of Health announced that the scheme was to widened still further and would include all children aged from 6 months to 15 years and all expectant mothers. Page 27 It was estimated that the potential number of cases eligible for vaccination in Barking was 17,500. The scheme for poliomyelitis vaccination formulated by the Essex County Council provides for people to choose either their family doctor or a clinic doctor to undertake vaccination, and at the end of the year enquiries were still in progress with family doctors it the area as to whether or not they wished to participate in the scheme. |
e5df8747-b691-452a-a819-2fbb1b0324ef | Diphtheria and Whooping Cough Immunisation The number of children receiving primary courses of immunisation during the year was as follows: — DIPHTHERIA Family doctors Clinics Total Separate 70 440 510 Combined with whooping cough 201 - 201 Total diphtheria 271 440 711 WHOOPING COUGH Family doctors Clinics Total Separate 52 229 281 Combined with diphtheria 201 - 201 Total whooping cough 253 229 482 In the 1954 Annual Report, Dr. D. E. cu'lington gave an account of certain investigations on which the department was engaged in conjunction with the Wright Fleming Insitute, St. Mary' Hospital, Paddington, on the matter of immunization against diphtheria and whooping cough by use of a combined method. In September, 1955, our article summarising early results of this work was published in the " British Medical Journal." |
dc471151-4453-4a48-9b4d-9e5e2a2cdbd6 | and it seemed to arouse much interest since requests or reprints were Page 28 received from many parts of the world. The conclusion reached was that the combined method adopted by Barking gave better protection against diphtheria than the separate injections of A.P.T. then in common use, but was slightly less effective than separate injections of P.T.A.P., the diphtheria prophylactic used in our work, and for years previously used in our clinics. As our results were encouraging we continued to use P.T.A.P., and extended the scope of the research by the addition of Tetanus Toxoid to the diphtheria and whooping cough vaccine, this we called Triple Vaccine. As in the previous scheme the parents of babies aged between two and five months were offered the alternative of combined or triple vaccine, and the project was explained to them. |
31b735f1-fbd5-4136-a6b1-7824b22d2ff2 | About 400 babies were included in the scheme, and at fifteen months a small amount of blood was withdrawn from each, but by an improved niethod to that mentioned in the 1954 report. Parents were most co-operative, and results proved that the children in both groups were equally well imunised against diphtheria. An account of this aspect of the work compared with similar research on guinea pigs has been sent to the World Health Organisation, and will be published shortly. The childrer included in the first and subsequent schemes have been carefully followed up over the years, and blood tests are being repeated as they rach the age of 4½ years to ascertain the level of protection that remains from the injections received in infancy. The second aspect of the follow-up has consisted of a very careful check of those children who in spite of immunization have developed whooping cough. It seemed an almost endless task even finding many of them for almost a half of the original 714 in the scheme had moved, and left no forwarding address. |
82dcd743-7e8a-423b-96b5-1fd5cf4c0bf2 | However, in the end only one has remained entirely undetected, and after careful questioning of the others the final result was that 33 of these may have developed whooping cough. mostly of such a mild nature that the diagnosis was not at all certain (11 of these cases in fact are very doubtful). There were only 4 serious cases 2 of them in children who were long overdue for their whooping cough booster injections at 2½ years; the other 2 children had not been brought up at the correct dates for their injections and may have been inadequately immunised. In fact it, was clear that the rate of irregular attendance for injections was much higher among the group who contracted whooping cough than Page 29 among the group as a whole. No proof was found that children immunised by the "combined" method were more likely or less likely to develop whooping cough. An article on the above follow-up is now with the Editor of the "British Medical Journal" and, we hope, may be accepted. |
7af53311-294c-4fbf-8d9a-41af0eb9c045 | The Medical Research Council during 1956 reported that inoculation with certain of the prophylactics used against diphtheria or whooping cough involves some risk of provoking paralysis due to poliomyelitis and as a result official policy now propounds that only certain vaccines should be used against diphtheria and in order to minimise the risk of paralysis that vaccines should be used separately, despite the disadvantages and dangers of submitting children to an increased number of injections and the likely falling of in numbers seeking immunization. Because of the extreme rarity of the complications referred to in this report of the Medical Research Council, there remains amongst doctors and the public much support for the policy of using combined vaccines when inoculating children. It is felt by many that the need of fewer pricks and fewer trips to clinic or surgery would encourage a higher proportion of persons to be protected against more diseases thereby outweighing the hypothetical risk involved in the use of combined vaccines. |
1a80033a-3616-4cf1-a5ff-2e58a95d823e | For protection at present a baby must be give three injections at monthly intervals for whooping cough, two injections for diphtheria and three for Tetanus, totalling eight injections in all. The same degree of protection can be conferred from an early age, as Barking has confirmed, by three injections only, using a triple vaccine. Dr. Spiller was the instigator of this piece of research in 1953 and continues to be its mainstay. PREVENTION OF ILLESS, CARE AND AFTER-CARE Chiropody Service This remains a popular service and during the year attendances were made. Sick Room Equipment. This continues to be much in demand and helps greatly to assist the nursing of patients at home. At the end of the year just over 500 articles were out on loan. Page 30 DOMESTIC HELP SERVICE The following table shows the number of hours of service given during the past eight years, |
4a7d425d-9983-454f-bad7-c55023a1a2df | together with a detailed analysis of how the hours of service were deployed in 1957:— Year Number of Helps Employed Number of Cases Helped Total Hours Worked 1950 55 387 80,699 1951 49 327 70,611 1952 84 318 85,743 1953 89 384 105,121 1954 89 503 101,960 1955 90 556 105,104 1956 93 596 104,863 1957 93 581 97,536 DEPLOYMENT OF DOMESTIC HELPS IN 1957 Hours of Service Category Cases Helped Maternity 47 3,524 Acute Sick 25 1,833 Tuberculosis 22 4,009 Chronic Sick 106 20,769 Aged chronic sick 225 37,851 Aged 153 29,139 Others 3 411 Total 581 97, |
6074eb55-ab6b-4822-af20-4f57f1fc9de9 | 536 During the year a minimum charge of 5/- per wek was duced for each case receiving help. On application by the recipient of the service and in appropriate cases, the National Assistance Board met this charge. Page 31 SCHOOL HEALTH SERVICE JUBILEE OF THE SCHOOL HEALTH SERVICE, 1907—1957 The Chief Medical Officer of the Ministry of Health in his Annual Report for the years 1954/55 concluded as follows: — "EPILOGUE" "It was the Education (Administrative Provisions) Act of 1907 which first provided the statutory basis for our school health service. Before the next report in this series is issued, half a century will therefore have elapsed since the laying of the foundations of that service. It is right and proper that from time to time we should look back at what has been accomplished; so may we gain encouragement from past successes, so may we humbly remind ourselves of the problems to which we have not yet found the answer. |
a0558a7c-f917-46b6-9007-22de25003921 | The forthcoming Jubilee is one of those times when it is specially appropriate that we should look back and consider the conditions with which our predecessors had to deal. The reports which they submitted contain much which would be of interest to this generation and I hope that principal school medical officers will use this material for a picture in their annual reports of the conditions existing in those pioneering days. An understanding of the difficulties which then had to br overcome should serve as a stimulus to us in our task of building on the foundations which were then so well and truly laid." As an appendix to this report are given extracts of annual reports, in chronological order, written by Medical Officers at the turn of the last century. Since the time of these pioneers great strides have been made to improve the happiness and well-being of our people, particularly the young, but it could well be that Barking people of 2,000 A.D will find our times as equally backward as we find the early years of this twentieth century. |
07a0c230-37ce-4ecd-9b09-9200d424ef6f | Following the Appendix containing the extracts of annual reports will be found a table illustrating briefly the changing pattern of the standards of health of the people of Barking from 1900 to date. Page 32 MEDICAL INSPECTION AND TREATMENT The Statistical Return at the end of this report shows the classification of defects found and the treatment thereof. Minor Ailment Clinics Attendances at these clinics were well maintained during the year. CASES TREATED AT MINOR AILMENT CENTRES Eyes: (External and other—excluding errors of refraction and squint) 430 Ears, Nose and Throat Defects (other than operative) 626 Skin: Ringworm (body) 7 Scabies 2 Impetigo 81 Other 1,888 Other minor ailments (e.g. minor injuries, bruises, sores, chilblains, etc.) 2,929 Total attendances 23,593 Speech Therap During the year 158 cases made 2,240 attendances to the Speech Clinic. |
3ea3e1c7-b44b-4ddb-a456-524890e6c944 | Two part-time Speech Therapists were employed throughout the year giving a total of 13 treatment sessions per week. During term time 4 of the 13 sessions held are undertaken at Faircross School. DENTAL SERVICES Statistics relating to the dental inspection and treatment of school children will be found in the statistical return at the end of this report. Unfortunately, the number of full-time dentists was reduced from two to one through the resignation of Mr. A. R. Levy who obtained a post in a Health Centre of the London County Council. Although it was found impossible to recruit full-time staff, a number of parttime dentists were engaged but their services were not sufficient to give true continuity in treatment and inspection. This was particularly Page 33 felt in the case of orthodontics because over the years Mr. A. R. Levy had made a speciality of this branch of dentistry and he had built up a high standard of treatment and supervision. |
c4a931f6-357e-4768-a3d7-de9e919e2515 | During the year the oral hygienist employed in the Walthamstow area was seconded to us for two sessions per week. The Dental Laboratory continues to construct dentures and appliances not only for Barking but for many dental centres elsewhere in the County and during the year the following appliances and dentures were processed for school children:— DENTURES AND APPLIANCES CONSTRUCTED FOR SCHOOL CHILDREN AT THE DENTAL LABORATORY IN 1957 Description of Denture or Appliance Barking Other County Districts Full upper or lower dentures — 1 Partial Denture (5-9 teeth) 6 9 „ „ (1-4 teeth) 31 87 Repairs to Dentures 26 50 Fixed Splints — 18 Acrylic Crowns 8 4 Oral Shields — 32 Space Retainers — 6 Bars Stainless Steel — 2 Plates Stainless Steel — 1 Simple Orthodontic Appliances — 33 Complex Orthodontic Appliances 62 376 Andresson — 1 Study Models |
eed9fa4f-1961-422c-81dc-e3f78bd85972 | (Sets) 66 478 Special Trays (Acrylic) 2 2 Box Plate Trays — 15 Bands 13 2 Bridges — 1 Gold Plate — 1 Silver Splint — 2 Basket Crown — 1 Sued Plate — 1 Page 34 SPECIALIST SERVICES Eye Clinics Dr. R. F. Jamieson, M.B., Ch.B., D.O.M.S., continues to attend Central, Porters Avenue and Woodward Clinics. Cases dealt with were as follows:— External and other diseases excluding errors of refraction and squint 76 Errors of refraction (including squint) 1,326 Total 1,402 The number of pupils for whom spectacles were prescribed was 1,040. Miss Lewis, Orthoptist, treated 140 school children during 1957. Ear, Nose and Throat Clinics Miss M. Mason, F.R.C.S., continues as the Consultant Ear, Nose and Throat Specialist. |
8ffec52e-87ac-4570-bb17-530731481ea8 | Figures for treatment are:— Operative treatment (cases):— (a) For diseases of the ear 3 (b) For adenoids and chronic tonsillitis 177 (c) For other nose and throat conditions 11 Other forms of treatment (cases) 250 Orthopaedic Clinic Mr. L. Gil M.B.E., F.R.C.S., continues as the Consultant Orthopaedic Surg it and attends fortnightly. Cases treater were: — In hospital 8 In clinics, or out-patients departments 252 Skin Clinic Dr. P. M. Deville, M.R.C.P., M.R.C.S., Consultant Dermatologist, mow attends he Skin Clinic, Paget Ward, Barking Hospital, twice a month, and during the year 727 attendances were made to his clinic. Page 35 Child Guidance Figures for school children are as follows: — No. of cases referred 34 No. |
beaf6568-4405-439d-87a9-788177c28525 | who received treatment (plus 9 referred in 1956) 21 (Of this number, one was subsequently recommended for residential placement as a Maladjusted Child.) No. of cases closed—left district or appointments not kept _ No. of cases referred but still awaiting investigation at end of year 13 Participation in case conferences has continued to be of invaluable help and interest, and we are grateful to Dr. Davidson and her team at the llford Child Guidance Clinic for their ir enthusiastic support. Paediatric Clinic The Consultant Paediatrician of the Regional Hospital Board holds a session each fortnight at the Upney Clinic and during 1957 school children were seen as follows:— New cases 70 Re-examination Total attendances 342 Dr. S. B. Dimson who had been the Consultant Paediatrician for some time terminated his service in Barking on the 18th June and. pending the appointment of his successor. Dr. T. Savage undertook locum duties. |
1f3ede3b-50cb-419d-afe6-a829598f9071 | B.C.G. VACCINATION B.C.G. Vaccination is offered to all 13-year-oid children, and is normally carried out in the term preceding their fourteenth birthday. A Mantoux—as well as a Heaf Puncture—Test is undertaken in every case, and where there is a positive reaction the child is referred to the Barking Chest Clinic for X-ray. Page 36 Below arc given some statistics relating to this service: — Number to whom offered 1,275 Number tuberculin tested after parents' consent had been received 928 Heaf Mantoux Positive result 72 73 Negative result 856 855 Number who received B.C.G. 855 HANDICAPPED PUPILS A summary is given below of the ascertainment and placement of handicapped pupils during the year:— Category No. of pupils ascertained during 1957 No. of pupils admitted to Special School during year Total No. |
ac7f7da4-caa3-4feb-b87c-b0089f2eba83 | of pupils in Special Schools as at 31.12.57 Day Residential Day Residential Deaf 1 - 1 3 3 Partially deaf - - - 5 - Blind 1 - - - 3 Partially sighted - - - 2 2 Epileptic - - - - - Delicate 5 3 1 12 6 Physically Handicapped 4 4 - 19 2 Educationally Sub-Normal 13 7 1 42 - Maladjusted 6 - - - 7 Speech — — — — — Totals 30 14 3 83 23 Faircross School. At the end of the year there were 189 pupils at Faircross Special School distributed as follows:— Barking Other Districts E.S.N. Section 42 78 Open Air Section 29 40 ES.N. Section. During the year 10 children left the E.S.N. |
c3ae02de-1ae7-4a55-bf59-38dfcf41bb5d | Action on ceasing to be of compulsory school age (3 Barking and 7 out-of-district)—all were recommended for supervision by the Local Health Authority under Section 57(5) of the Education Act, 1944. Eight children (2 Barking and 6 out-of-district) were found to ineducable and recommended for action under Section 57(3) of the Education Act, 1944. Page 37 One child was no longer considered to require special educational treatment and returned to an ordinary school. Open Air Section. |
e1db69a8-1fe5-45e0-a7e1-1b5a1fa0d070 | The children in this section at the end of the year were suffering from the following conditions:— Barking Other Districts Cerebral Palsy (Spastics) 7 — Other diseases of nervous system 8 2 Diseases of Bones and Joints 2 5 Heart disease — 1 Asthma 3 13 Bronchiectasis and other lung conditions 4 10 Debility 4 6 Others 1 3 Total 29 40 During the year four children left Faircross School on reaching school-leaving age, 11 children (5 Barking and 6 out-of-district) were no longer considered to require special educational reatment—6 returned to ordinary schools and 5, aged 15, were allowed to leave school. In addition, two children transferred to the Educationally Sub-Normal Section. |
7358a230-f9df-4084-a5e7-81dacf1d6aa1 | Other Special Schools During the year forty-five Barking children attended other special schools or received home tuition as follows:— Category Day Residential Home Tuition Blind — 3 — Partially Sighted 2 2 — Deaf 4 3 - Partially Deaf 6 1 - Physically Handicapped — 2 - Delicate — 7 2 Diabetic — 3 - Epileptic — - 1 Educationally Sub-Normal — — - Maladjusted — 8 - Convalescence One hundred and thirteen children were sent away for periopds of convalescence of up to 8 weeks. Page 38 SCHOOL HEALTH STATISTICS FOR THE YEAR 1957 Total (All Schools) 1. MEDICAL INSPECTION OF PUPILS (a) PERIODIC Number of children examined at school:— (i) Entrants 968 (ii) Second age group 1,299 (iii) Third age group 1,016 (iv) Others 3,243 Total 6, |
ae828b5b-1df1-4356-9747-2b0f5087ca67 | 526 Number of defects found requiring treatment 844 Number of defects found requiring observation 460 Number of individual pupils found to require treatment 802 Nutritional classification of pupils examined:— Entrants 2nd Age Group 3re Age Group Other Satisfactory 965 1,299 1,014 3,242 6,520 Unsatisfactory 3 — 2 1 6 (b) SPECIAL Number children specially examined (including medical examinations for School Camps, Boxing and Part-time Employment) 10,415 Number of defects found requiring treatment 7,059 Number of defects found requiring observation 258 (c) RE-INSPECTION Number of children re-inspected 9,358 2 treatment of children (a) Total attendances at Specialists' Clinics:— (i) Ear, Nose and Throat 656 (ii) Ophthalmic 2, |
327d5fe7-40d2-484b-9337-d928da4b3dfe | 700 (iii) Orthopaedic 77 (iv) Paediatric 342 (v) Skin 727 (b) Total attendances at Treatment Clinics:— (i) Minor Ailment 23,593 (ii) Chiropody 802 (iii) Orthopaedic 4,241 (iv) Orthoptic 1,578 (v) Speech Therapy 2,240 (vi) Skin 3,901 (c) Number of children who received operative treatment for tonsils and adenoids 177 3. HOME VISITING Total number of visits made by School Nurses 2,426 Page 39 SCHOOL HEALTH STATISTICS FOR THE YEAR 1957-cont. Total (All Schools) 4. HYGIENE INSPECTIONS (i) Number of examinations of pupils in school 11,165 (ii) Number of pupils found unclean 119 5. |
54171af3-2888-4ca0-a623-11242a1922c9 | DENTAL INSPECTION AND TREATMENT (i) Number of pupils inspected in school 476 (ii) Number of pupils inspected at Clinics 2,625 Total 3,101 (iii) Number found to require treatment 2,889 (iv) Attendances for treatment 8,999 (v) Number of fillings: Permanent teeth 3,570 Temporary teeth 914 (vi) Number of teeth filled: Permanent teeth 2,970 Temporary teeth 799 (vii) Number of teeth extracted: Permanent teeth 1,081 Temporary teeth 3,342 (viii) Number of general anaesthetics administered for extractions 1,999 (ix) Other operations: Permanent teeth 2,851 Temporary teeth 1, |
a67bf41d-2ada-4bbb-b764-de6c903b7e04 | 458 (x) Number of treatments (included in (ix) above) carried out by Oral Hygienist 179 Page 40 APPENDIX JUBILEE OF THE SCHOOL HEALTH SERVICE EXTRACTS FROM MEDICAL OFFICERS' REPORTS 1900 " Further Sanitary Requirements of District Much still remains to be done in the relaying and ventilation of drains and sewers in many parts of the town, in rendering many houses more habitable by paving round them. I regret exceedingly that the draining of the old Workhouse property in North Street has not yet been dealt with." " Pauperism. During 1900 there were 461 persons chargeable to the Parish, or 20.4 per 1,000 of the estimated population. The amount expended in relief was £2,410 or about £5 per head of the population." |
7a40ba99-ab38-43ea-a83f-872eac6517c7 | 1902 Diphtheria ar, Membranous Croup Though the number of cases during the year was somewhat less than the year before, the death rate was nearly double Many of the cases were very severe and I fear that the increased death rate is largely due to the fact that hospital accommodation was not always available. The extraordinary efficacy of the anti-diphtheria serum was over and over again demonstrated and I have no doubt that if patients could be brought under treatment in the early stage diphtheria could be banished from our death returns.... The present system of allowing children who have been absent on account of contracting the disease to return to school without their throats being demonstrated clear by bacteriological methods should be abolished and only those allowed to return who can show a clear bacteriological certificate . . ." "Employment of Children The number of male children engaged in occupation, aged 10 and under 14, is 6 i or 5.6 per cent. engaged in occupation to total. |
242efb05-30e6-412d-8b43-4b088965c3c7 | The number of children of school age is nearly one-third of entire population, though the number at school age occupied in earning their living is not by any means high . . . ." Page 41 1903 " On the Prevalence of Diphtheria in Barking during 1903 31 out of the 44 school children attended North Street School .... With regard to prophylaxis by means of the Diphtheria Serum I have not used it for that purpose—patients have always objected before the advent of symptoms. Its efficiency as a prophylactic is exceedingly difficult to prove. (19 deaths occurred, i.e., 10.2 per cent. of notified cases.)" |
fc4f0060-49e5-4954-830f-35f0503fe8da | " Isolation Hospital .... In June a new building was erected in the Hospital Grounds; consists of two wards containing 4 beds each; with dis-1 charging blocks at either end of the building .... The Diphtheria Wards have been well filled all through the year .... All cases of infectious disease were reported to the School Attendance Officer and Pawnbrokers." 1905 " Council Schools I have inspected these at intervals and always investigated any outbreak of infectious disease " Pauperism There has been an abnormal amount of destitution ion during the year .... I have no doubt that the poverty and destitution which has taken place have added considerably to the Mortality and Sickness returns of the district." " Hospital accommodation 32 Adult beds (Scarlet Fever, 12; Diphtherial 12; Enteric Fever, 8). During the best part of the year the Enteric Wards have been utilised for Diphtheria . . . ." |
07c376d5-fabb-4a69-8392-d70981233864 | 1906 " Inspections at Schools In addition to inspections at the Council Schools with regard to Diphtheria and Scarlet Fever I have given considerable attention to the question of dirty and verminous children. Ringworm, Measles. Whooping Cough, Chicken Pox, Sores, etc., and I am exceedingly grateful for the very hearty assistance I have received from the teaching staff." Page 42 "Sanitary conditions in Schools The sanitary condition of the public elementary schools of tne district is briefly as follows: — As regards the sanitary conveniences at the schools I am of the opinion they are as satisfactory as can be expected where the trough system has been adopted. In the newer schools the latest form of the system has been adopted but I see nothing in it to recommend its use in the future. Separate pans and flushing cisterns should be used everywhere. The water supply in most of the schools is satisfactory though 1 am strongly of opinion that in some of them there should be more convenience for drinking purposes." |
5858fb53-2a8f-4738-be56-f9c3d9826551 | 1907 Total population = 29,500 Lady Health Visitor appointed: April, 1907. School population = 6,338 Also Probationer Health Visitor: October, 1907. Seven schools: North Street. Gascoigne Road. Westbury. Church of England. Roman Catholic. Creeksmouth. Castle. Infectious Diseases Percentage of school population Scarlet Fever 1.2% Diphtheria .4% This seems to me to be a most excellent record." Cleanliness of School Children ....A large number of dirty and verminous children have been visited and cleansed and rendered fit to attend school. I regret very much that in my opinion there is a great lack of cleanliness in our midst which is sadly apparent in the condition of the children and the home . In the work of examining and cleansing of the children the services of the Lady Health Visitor have been invaluable. |
d2ec6f2e-1bed-4188-a237-e8aef625ae62 | 'Notification of Births Act, 1907, came into force in the district Page 43 on 1st January, 1908.) (Horse drawn ambulance provided for cases of accident and acute disease. The payment for its use was assessed according to means with a maximum charge of £1.)" 1909 " Staff Dr. Fenton, owing to increased work due to recent legislative changes, gave up his appointment on 1st August, 1909. and was succeeded by Dr. Bygott, ' who does not engage in private practice.' The appointment of School Nurse was vacant during the yearduties of this office were discharged by Miss Webster (a certified Sanitary Inspector and Midwife) from the Isolation Hospital as a volunteer from 14th August to 1st December, when she received the usual salary." " School Medical Inspection 1,258 (entrants and leavers only) were examined. |
c99f08cb-6ce9-4e23-a8b3-c58343bb3790 | 1,197 defects required treatment: Nutrition accounted for 15.7%, Rickets 3% In addition—Defective clothing = 7% Verminous heads — 13% Dirty bodies = 5% 42% were found to have sound teeth. .... In many instances more than one defect was present in the same child. Weights, as a rule, seemed rather below the averages for the rest of the country." " Infectious Diseases The greater number of Scarlet Fever cases is unfortunate-it is probably accounted for by the mildness of the disease as in 6 cases the children were found in school who had evidently been mixing freely with others for two or three weeks whilst suffering from this disease.... Several of the diphtheria cases had no treatment in the early stages of the disease and were sent to the hospital in a dying condition .... Tracheotomy was performed in eight cases with a mortality of 4 ... . |
b20d5746-f764-40ee-b9cf-74282e9cc6d8 | It is to be regretted that such serious diseases as Measles and Whooping Cough should be, in most cases, treated entirely without Page 44 medical supervision .... A great many cases alleged to be suffering from Mumps are simply cases of enlarged glands and other minor ailments, but as most of these cases receive no medical assistance they are excluded from school for some weeks quite unnecessarily. Other possible methods of assisting persons suffering from tuberculosis: It does not appear that the cost would be prohibitive for those persons who attend as Hospital out-patients to receive their medicines from a small dispensary connected with the Department and affiliated to one of the larger charities, such as Brompton. In many cases these poor people have spent all they possess and the railway journey and long waits at the institutions is a drain on their purse and strength which seem to be unnecessary. Such cases do not seem to be a source of profit to the family practitioner." |
e1ee2321-29dd-4b9f-b268-64154a19cfe6 | 1910 "Staff Miss Maud Webster was appointed permanently in April as an Assistant Sanitary Inspector and School Nurse at a salary of £80 a year ..." " Schools The schools are 7 in number. Drinking water supplied from fountains or taps, iron drinking cups as a rule are provided. I have to draw attention to the existence of a fountain made by Messrs. Shanks and Co. in which a stream of water is directed into the child's mouth, thus obviating the use of what may be a source of infection. The school; were clean throughout .... The window lighting appears to be sufficient .... One towel i as a rule, supplied each week for use in the lavatories and soap is usually kept in the classrooms, and may be applied for by the children. Ambulance and First Aid Arrangements depend entirely on the teacher—I strongly recommend that for each block of schools appliances for first aid should be provided by the Authority, and that similar arrangements be made to those of the London C.C. |
1bedb562-83ff-4870-8f27-efa75a147835 | who pay a fee for one attendance only, to local practitioners, whose services are requisitioned by the teachers to treat accidents occurring on school premises . . . ." "School Medical Inspection Number of children seen at S.M.I. = 1,240. Page 45 All the ordinary inspections took place on the school premises and notice was sent to the parents as to when the inspection would take place, inviting them to be present. In most instances before commencing the inspection an address was delivered by the Medical Officer. The heights and weights were taken by the teachers, and a rough test for vision was also applied by them . . . ." Cases of defective sight: 6/18 and over = 110 6/12 = 88 Total - 198 Glasses obtained in 46 cases. These figures cannot be considered satisfactory. It is importanl to note that in many districts the certifying factory surgeons are preventing children who need them from engaging in factory work until they obtain spectacles. |
f67c9706-8d5d-422b-ba1c-13c74041118b | This should be an answe," to the plea that the wearing of spectacles diminishes a child's chance of employment. As an auxiliary to the regular Medical Inspection, children are relerred by teachers or attendance officers, or are brought by their friends to the Medical Officer at the Public Offices for examination by him, and during 1910, 771 cases were so dealt with, including:— Ringworm (suspected) 96 Diphtheria (suspected) 60 Spinal curvature 2 (actual) 6 Club foot 2 Sores 87 MEDICAL CARE " Treatment of Defects .... Is undertaken by Public Health Department in cases of ringworm, contagious skin disease, sores, etc., conditions which are likely to communicate disease to others .... we constantly find that sores that have been treated by friends for weeks and months can be cured in a fortnight or less by simple treatment applied by the nurse. |
d89e0ea4-77ec-440e-9a80-41de5308fca6 | The advice given in the reports of the Medical Officer.... has been followed, that authorities before taking upon themselves the treatment of ordinary defects should endeavour to use the existing arrangements available for this purpose, as there is a theory that adequate medical advice is available for everyone, either by payment from charities, or the Poor Law. With the existence of all these Page 46 arrangements it is remarkable that some of the highly infectious diseases should not have received medical treatment, and should remain to be discovered in my office. And a very pitiable feature of the work is the difficulty which average parents (earning under £1 10s. Od. a week) have to get constant and proper medical help for their children. Some of the parents have brought me budgets showing how their weekly money is spent, which arc worthy of the highest commendation and which leave no margin for the payment for medical assistance. Although there are cheap trains to London for 3d. return fare the unfortunate persons have to start before 7.30 a.m. |
5c4794dd-5548-401b-ba2f-c68109a000b5 | for the hospitals; many of which do not open until 1.30 p.m. Frequently young children have to be taken as well as the patient because the mother cannot afford to pay any one to take care of them at home, and the whole party wander about the streets for about four hours, until they are admitted. I have suggested to many of them the advisability of using the Br sh Museum or similar institutions as a waiting room. This method of obtaining medical assistance is quite commonly resorted to in cases of whooping cough and other infectious diseases. I have visited various out-patient departments in London and have noticed the want of continuity of treatment which takes place there. I certainly think that some method of dealing with such cases should be provided in the district. We are rightly proud of our great voluntary hospitals but we have long outgrown them as a means for the universal provision of medical assistance. |
8b5bd214-dec9-4730-9774-8e9fef002d11 | A very persistent attempt has been made to utilise the Poor Law Medical Service to the utmost, and I cannot speak too highly of the care and attention which has been displayed by the District Medical Officer in dealing with those cases which he has attended to. He very properly does not consider himself called upon to undertake operations or the provision of spectacles in connection with this work, at the same time there are an increasing number of cases which need the assistance of the Medical Specialist. In some cases parents cannot provide the few pence to enable them to take children to hospitals, especially for repeated attendances. The Clerk to the Guardians states his authority cannot legally pay their fares to and from hospitals—to meet two of these cases the Guardians admitted the children into the Workhouse for about a month, and sent them by train backwards and forwards to Moorfields Eye Hospital, and then provided the glasses—this was a very expensive arrangement, and interfered with the child's education. |
664cfefa-d232-4050-b773-0ff978c62a0c | Page 47 Parents in such cases are expected to meet the Guardians at Romford, a distance of six miles; this has naturally a very deterring effect on applicants for relief, especially as it is extremely difficult to persuade them that such assistance should be obtained as the children may not be obviously ill—the picture of one public authority urging treatment whilst another provides serious obstacles to their getting it, is a strange paradox. As the result of a considerable amount of pressure, and the expenditure of considerable trouble, and after, in some cases, paying the railway fares of parents to meet the Guardians, six pairs of spectacles were provided, and medical appliances and boots in two cases were obtained during the year. There is a very strong objection on the part of the more respectable parents to obtain such assistance from this source. I am therefore of opinion, after a very exhaustive trial, that this method of providing medical assistance for school children should be abandoned. |
b86736f6-c521-4381-b495-38bfeb5501fd | The loss in grants through absence from school from ringworm probably amounted to about £70 a year at the beginning of the year, besides the serious injury inflicted on the children's education. Arrangements could be made for the treatment of these cases with X-rays at a cost of about 5s. each, some of which money could probably be recovered from the parents. Undoubtedly in the future such cases will have to be dealt with by means of local arrangements, and experiments in this direction in other districts are being carefully watched." " School Feeding This is undertaken by a voluntary society twice a week during certain months of the year; breakfasts are supplied at a centre in the basement at the North Street School. During the year 19,7" breakfasts were given at a cost of l 1/16d. each inclusive, the total cost being £90 8s. 8d. The breakfast consists of ½ lb. |
330d752a-007e-40ff-bf26-7a789e0e893f | bread with jam, and £ pint of cocoa made with a dried milk and sugar." 1911 " School Medical Inspections. Number of school medical inspections = 1,732 (Three age groups—5 years, 8 years, 13 years.) Nutrition 2 = 21% Nutrition 3 = 1.3% (Nutrition 1 is not mentioned—presumably normal and not requiring treatment.) 22% were found to have nasal obstruction. Page 48 16% were found to have neck glands. 12% were found to have defective vision. Six weeks after an inspection a form is sent to the head teacher asking for a report as to whether treatment has been obtained for the children found defective; in the cases in which no treatment has been obtained the school nurse visits the home to induce the parent to obtain it. Owing to the prevalence of various epidemic diseases it was not possible during the year to devote so much attention to the searching out of special cases. |
a89ff0c5-2b6d-4a2c-a293-d5f316b70d17 | No prosecutions took place as the result of medical inspections." " Boots it is not uncommon to find a hole as big as a two shilling piece right through the centre of the sole, and the child walking on the bare foot The cry able remarks respecting malnutrition found in the Report of the Medical Officer to the Board of Education, 1910, apply with great force to Barking . . . Adenoids and enlarged glands account for some of these cases and a short lecture before commencing inspection, and showing parents specimens of Adenoids 1 spirit is doing a great deal to break down the prejudice against operation in these cases." "Defective Teeth I am formed there is no qualified dentist resident in either Barking c Hast Ham some of the temporary teeth are in a shocking condition because they have not been extracted when they ought they have caused serious ulceration of the cheeks and gums; their removal at the out-patients' hospital has been a great boon in several instances. |
008af67b-11e0-4daa-9326-2a32494223e7 | The early decay of the permanent teeth is a very serious matter This serious improvidence with reference to teeth cannot continue if we are to remain healthy nation." "Physical Culture More provision for boys' and girls' games is desirable." Provision of Meals Is undertaken by a voluntary society ; provision of breakfasts in crypt at North Street Schools has been discontinued some children were provided with meals at eating houses in the town 14,466 free meals were provided in 1911." Page 49 Treatment of Defects Last year's report dealt with attempts to treat diseased conditions found on medical inspection by the Poor Law Medical Service—the result, after giving the system a thorough trial, was that this service is not suited for the purpose and likely to cause needless irritation to parents and to the Guardians and their Officers. |
f47c4c17-ed2b-4105-bc67-b39540651ede | During the past year except for simple cases requiring either 1000d, drug or home treatment, no persons have been referred to the Relieving Officer The lines upon which treatment has been provided has been a combination of service rendered by the Local Authority and by means of Voluntary Charity. The provision of medical treatment is totally inadequate for the needs of the district. The London, and the Accident Hospital at Poplar cater for most of this work in Barking . the return railway fare is 10d. by ordinary train, and 3d. before 7.30 a.m. To meet some of these needs the Plaistow District Nursing Society allowed two of their nurses to attend at the Old Town Hall to dress wounds and sores ; they did a very valuable workunfortunately the absence of medical direction necessitated ven narrow limits to the cases they could deal with. |
919ca1fe-b3a3-4220-8432-ea25f43df814 | When the Education Authority commenced to undertake medical supervision of school children and given powers to provide medical treatment it was apparent that needs of the district would not be met by simply providing for school children and neglecting to provide for other persons as well—e.g. in a family of five children, two under school age, if one of these two and a school child suffered from a contagious skin or eye disease the public would not be protected by curing the school child and neglecting the other who would probably promptly re-infect it; moreover many of the eye, ear, nose and throat conditions prevailing in children under five, if not treated at once, results in an incurable deformity by the time they go to school It was therefore decided to provide an Out-Patients' Hospital under Section 130 of the Public Health Act, 1875 the scope of this work being limited as a rule to cases not requiring the internal administration of drugs, home visits by a medical man, or in-patient treatment. |
3a67649e-b841-4e0e-ad4c-c4614f36a668 | These limitations were introduced to keep the work within reasonable limits and not Page 50 interfere more than could be avoided with the interests of medical men practising in the area ; as an additional safeguard the local doctors kindly examine, as confidential scrutineers, the lists of patients treated by the Council. In addition a very complete working relationship has been established with the East London Hospital for Children; the London Hospital; the Throat Department at Middlesex Hospital, and various other Institutions to which the Medical Officer refers suitable cases for consultation or treatment. For several months during 1911 the Medical Officer saw surgical out-patients and eye cases at the East London Hospital for Children, and undertook or supervised treatment of a large number of Barking patients in addition to getting the cases treated it has afforded valuable experience as to value of this method of treatment Now. |
1c85d2b0-33f1-4db8-9ef6-5a27ff99c7c7 | in suitable cases, the Medical Officer tests the vision, instils the drug, takes the child up to hospital as one of a partv and glassc are provided by a local optician, very often through the Hospital Sunday Fund ; (thus reducing cost and travelling time for parents and children) Scheme only a temporary one until vision is made for treating eye defects in Barking itself Bad cases of eye inflammation are taken up to hospital for consultation whilst the skilled daily treatment is carried out by the doctor or nurses in Barking. A simillar arrangement prevailed in 1911 with throat cases, but a re-arrangement of the work at this hospital and further calls on the Medical Officer's time prevents his taking these patients to the hospital himself; those not requiring anaesthesia are dealt with in Barking—others are sent to the Middlesen Hospital Travelling with parents on these journeys has afforded very valuable experience and some very distressing things have been seen in which mothers have considerable difficulty with children suffering from shock, etc. after anaesthesia, or a big, |
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