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MEDICAL INSPECTION OF PUPILS (a) PERIODIC Number of children examined at school:- (i) Entrants 890 (ii) Second age group 1,162 (iii) Third age group 1,532 (iv) Others 230 Total 3,814 Number of defects found requiring treatment 1,659 Number of defects found requiring observation 666 Number of individual pupils found to require treatment 1,331 42 Nutritional classification of pupils examined:- Total (All Schools) Entrants 2nd Age Group 3rd Age Group Others Satisfactory 881 1,162 1,532 230 3,805 Unsatisfactory 9 - - - 9 (b) SPECIAL Number of children specially examined (including medical examinations for School Camps, Boxing and Part-time employment) 5,497 Number of defects found requiring treatment 4,056 Number of defects found requiring observation 47 (c) RE-INSPECTION Number of children re-inspected 6,066 2.
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TREATMENT OF CHILDREN (a) Total attendances at Specialists' Clinics:- (i) Ear, Nose and Throat 462 (ii)Ophthalmic 2, 233 (iii) Orthopaedic 54 (iv) Paediatric 108 (v) Skin 1,000 (b) Total attendances at Treatment Clinics:- 15,565 (ii) Chiropody 438 (iii) Orthopaedic 709 (iv) Orthoptic 1,159 (v) Speech Therapy 2,038 (vi) Skin 2,825 (c) Number of children who received operative treatment for tonsils and adenoids 97 3. HOME VISITING Total number of visits made by School Nurses 1,547 4. HYGIENE INSPECTIONS (i) Number of examinations of pupils in school 11,634 (ii) Number of pupils found unclean 88 5.
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DENTAL INSPECTION AND TREATMENT (i) Number of pupils inspected in school 1,930 (ii) Number of pupils inspected at Clinics 785 Total 2,715 43 Total (All Schools) (iii) Number found to require treatment 2.091 (iv) Attendances for treatment 4,758 (v) Number of fillings: Permanent Teeth 1.503 Temporary Teeth 859 (vi) Number of teeth filled: Permanent Teeth 1,333 Temporary Teeth 813 (vii) Number of teeth extracted: Permanent Teeth 217 Temporary Teeth 669 (viii) Number of general anaesthetics administered for extractions 102 (ix) Other operations: Permanent Teeth 2,409 Temporary Teeth 1,
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082 (x) Number of treatments (included in (ix) above) carried out by Oral Hygienist - ANNUAL REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR FOR THE YEAR 1962 Section 1 - STAFF Section 2 - GENERAL ADMINISTRATION Section 3 - HOUSING Section 4 - FOOD SUPPLIES Section 5 - FACTORIES AND WORKPLACES Section 6 - ATMOSPHERIC POLLUTION Section 7 - PEST INFESTATION CONTROL Section 8 - MISCELLANEOUS Section 9 - STATISTICS 45 Section 1 STAFF Chief Public Health Inspector and Rehousing Officer N. BASTABLE, F.R.S.H. F.A.P.H.I. (until 31st August, 1962) E.G. TWEEDY, M.R.S.H., M.A.P.H.I. (from 1st September, 1962) Deputy Chief Public Health Inspector E.G.
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TWEEDY, M.R.S.H., M.A.P.H.I. (until 3lst August, 1962) E.A. ELLIS, M.A.P.H.L (from 1st September, 1962) Inspectorate Staff E.A. ELLIS, M.A.P.H.I. A.G. MERRIMAN, M.A.P.H.I. (until 31st August, 1962) (until 31st Jsnuary, 1962) M.R. WILLIAMS, M.A.P.H.L W.J. BATCHELER, M.A.P.R.I. T.W. GLEW, M.A.P.H.I. (from 9th May, 1962) N.J. BURTON, M.A.P.H.I. D. ROBERTS (Student) Chief Clerk H.J.W. GARROD (until 31st August, 1962) F.H.
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MORGAN (from 1st September, 1962) Clerical Staff MISS N.M. TOMS MRS. G.M. SANGER Rodent Operative W.J. TERRY Norman Bastable - Chief Public Health Inspector On the 31st August, 1962 Norman Bastable, Chief Public Health Inspector since September 1925 retired from local government service, thus terminating a career of over 50 years duration in the field of public health administration. During his service with Barking Council, Mr. Bastable was able to apply his diligence, perseverance and considerable ability in the performance of his duties to the betterment of the everyday affairs for many of the residents in the Borough. Mr.
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Bastable's capabilities as a Chief Public Health Inspector were recognised outside Barking by his election to many National Bodies associated with the promotion of health, hygiene and dealing with the problems of atmospheric pollution, where his contribution in the form of written technical papers, open discussion and on administrative committees has had a profound impact and effect on environmental problems generally. 46 Section 2 GENERAL ADMINISTRATION The work of administering the various Acts relating to environmental hygiene has been carried on throughout the year with routine visits being made by inspectors to all types of premises. The statistics relating to this work will be found in Tables 1, 2, 3 and 4. Houses are visited for a variety of reasons, the most common being a complaint form the occupier of some nuisance. One thousand, six hundred and seven such complaints were dealt with during the year. House to house Inspections are also carried out to discover any conditions which may require to be remedied.
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The local authority is empowered by legislation to deal with conditions affecting the health and comfort of people living or working in all types of premises. Contraventions of the law are brought to the notice of the persons responsible by means of a preliminary notice which can be served without reference to the Council. Two thousand, seven hundred and eighty five such notices were served during the year, the majority of which were complied with without further action being necessary. Cases where preliminary notices are not complied with are referred to the Council for authority to serve a formal notice requiring the contravention to be put right in a specified time. This happened in one hundred and twenty five cases. In no case was it necessary to institute legal proceedings for non-compliance with a statutory notice. Under the Housing Act 1957 the Local Authority is empowered to carry out work which is the subject of a formal notice if it is not carried out by the owner in the time specified by the notice. No action of this nature was necessary during the year.
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A similar provision is made in the case of works of repair required under Sections 39 and 45 of the Public Health Act 1936 and under these Sections the Council has carried out work in default of the owners in eight cases. Local Land Charges etc. Information as to statutory orders made in respect of dwelling houses and as to notices not complied with requiring works of repair was supplied in respect of five undred and seventy one properties upon request for official search of the Land Charges Register. In addition, particulars as to properties were supplied in forty two cases in which mortgages were being arranged under the Housing Act 1949 in respect of the Purchase of small dwelling. Improvement Grants All applicants for improvement grants are visited and their premises inspected to ensure that the houses are suitable for improvements and that after improvement a proper standard of amenity will exist. Details of this work are given in Table 5.
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47 Section 3 HOUSING The Council made Compulsory Purchase Orders in respect of the Gascoigne Road No.2 Clearance Area on the 15th October, 1962 and the St. Mary's Road No. 1 Clearance Area on the 7th August, 1962. These areas comprised two hundred and forty two houses regarded as unfit for human habitation and eight premises where it was necessary to acquire in order to facilitate the proper development of the site. A number of objections to the proposal were sent to the Minister of Housing and Local Government making it necessary for a public enquiry to be held. This had not taken place by the end of the year. Table 6 shows the action taken to deal with unfit houses since 1955. Complete statistics relating to the provision of housing accommodation will be found in Table 7. Rent Act 1957 Nineteen applications for Certificates of Disrepair were received during the year, but In only two cases were Certificates issued.
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This was because the owner concerned gave undertakings that the defects specified in the applications would dealt with. Public Health Inspectors gave assistance to si* occupiers who wished to ser on their landlords the statutory form giving details of defects existing in their accommodation. Details of the work done under the Rent Act 1957 are given in Table 8. 48 FOOD SUPPLIES Section 4 (a) Food Premises A total of seven hundred and eighty two premises in the Borough are used for the sale of food and the number of visits made to these premises during the year was one thousand, nine hundred and fifty-four. On many occasions verbal notices to remedy minor defects were given, but in eighty cases written notice was served on the occupiers giving details of the work required to be carried out. Details are given in Table 9. It It only by frequent visits that a proper standard of hygiene in food premises and In the habits of food handlers can be maintained.
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In many cases food handlers appear to be completely ignorant of the first principles of hygiene or too intent on their business to apply them. A peat deal in the way of education is done by the public health inspector on this routine visits and the wholesalers of food, particularly of cooked meats, in many cases give advice on the storage and handling of their products. Much more could be done by the discerning purchaser who buys food only from shops where the standard of hygiene is high. If retailers found that the public would not buy from displays of food so placed as to involve risk of contamination, they would rapidly adopt some other method of display. This principle also applies to other slovenly practices carried on when the public health inspector is not there to see, It is therefore vital that close liaison be maintained between the public health inspector and members of the general public. (b) Unfit and Unsound Food On fourteen occasions complaints were made by members of the public who were not satisfied with; articles of food purchased by them.
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When complaints of this nature are received the closest possible investigation is carried out. If the food is prepacked the packers are notified and invited to inspect the portion brought by the complainant and to submit their observations on the matter. The shop where the food was bought is inspected and any similar food in stock is examined. In cases of doubt the food may be submitted to the public analyst for examination wrappers of meat products are usually marked with a code indicating the date of manufacture and in view of the comparatively short time this type of product can be safely stored, it is essential that retailers should ensure proper rotation of their stocks. Unless care is taken, new deliveries may be placed on top of stock already in hand and sold first, with the danger that some articles may be held too long before sale and become unsound. A simple code devised by the retailer would avoid this. Table 10 indicates the complaints received and dealt with during the year. Shopkeepers who find they have food in stock which may be unsound invariably ask for an inspection to be made.
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Certificates are issued in respect of all food found to be unfit for consumption and such food is always voluntarily surrendered for destruction. A list of food dealt with in this manner appears in Table 11. 49 (c) Ice Cream There are two manufacturers and one hundred and eighty distributors of ice cream registered in the Borough, from whom one hundred and fifteen samples were taken during the year for bacteriological examination. Four samples were taken for chemical analysis to check the fat content of the ice cream. The results of these examinations are given in Tables 13 and 14. Tables 15 and 16 give the results of the examination of thirty-six samples of lollies taken during the year. (d) Milk Supplies A great deal of work has gone on in the field of dairy farming and the dairy industry generally to make milk bacteriologically safe. The work of building up disease free herds of dairy cattle is a task that has been going on for years and the results are now apparent.
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All milk sold in this area is either T.T., Sterilised or Pasteurised, i.e. subjected to heat treatment. Samples are taken regularly to ensure that pasteurisation i® properly carried out. This is done by submitting the samples to what is known as the "phosphatase test". Sterilised milk is checked by submitting it to a "turbidity test*. Samples are also submitted to a "methylene blue test" to check on the bacterial purity of the milk. Table 17 gives details of the samples of milk submitted to the bacteriological laboratory. (e) Food sampling Samples of all types of food are regularly obtained for two purposes. Firstly to ensure that it contains no harmful organisms and secondly to ensure that it is a genuine article with no adulteration or dangerous chemicals. Samples taken are listed in Table 18.
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Certain chemicals may be added in prescribed amounts to some foods to imp rove keeping quality, but where this is done a declaration must be made to this effect either on the wrapper containing the article, or conspicuously in the shop where it is sold. It will be seen in Table 19 that in two samples 3, preservative was found in excess of the legal limit and in three cases, no declaration was made although the amount was within the legal limit. In one sample of hamburger and one sample of pork sausage, the meat content was considered to be too low and in one sample of pork chipolata sausages, the meat content included an excessive amount of fat. No legal standard exists for the meat content of these foods, despite requests for one to be laid down. In the case of sausages, however, there is a generally accepted standard of 50% meat for beef sausages and 65% for pork sausages which has been recognised in the Courts.
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50 Section 5 FACTORIES AND WORKPLACES Routine inspections of factories and all premises where people are employed continue to be carried out with a view to ensuring that adequate sanitary accommodation is available and that working conditions are hygienic. Tablet 20, 21, & 22 give details of these inspections and include visits paid to outworkers' premises. 51 Section 6 ATMOSPHERIC POLLUTION CLEAN AIR ACT 1956 (a) Domestic Smoke Control In accordance with the Council's plan to control domestic smoke throughout the Borough by 1965, two further Smoke Control Orders were made during the year, The following table shows the situation at the end of 1962. Area No. Date of Operation No.
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of dwellings Dwellings converted for burning smokeless fue 1 1st January, 1962 4,558 2,650 2 1st November, 1962 1,864 1,315 3 1st November, 1962 2,365 1,100 4 1st November, 1963 1,728 Awaiting confirmation 5 1st November, 1963 2,949 Awaiting confirmation Co-operation by the public continues to be good, but in 39 cases it was necessary to remind people living in No.l Smoke Control Area that the emission of smoke from unauthorised fuels is an offence. (b) Industrial Smoke Two notifications of intention to install new furnaces were received during the year, both of which were to be oil fired. observations continue to be made on chimneys likely to emit smoke in excess of the legal limit.
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During the year, two hundred and six such observations were made and there were thirteen contraventions of the Dark Smoke (Permitted Periods) Regulations 1958. One contravention of the Clean Air Act 1956 was the subject of a prosecution. In this case the offence was against Section 16 of the Clean Air Act which relates to smoke, other than smoke emitted from a chimney, which Is deemed to be a nuisance to the inhabitants of the neighbourhood. The defendant was a scrap metal merchant who, in recovering metal from a large electrical transformer, set light to it, with the result that large volumes of dense black smoke covered the neighbourhood. The case was found to be proved and a fine of £25 was imposed together with costs of £15. (c) Measurement of Pollution The two volumetric filters have been working throughout the year, one at Eastbury House and one at Rosslyn Road School. The filters measure the smoke and sulphur dioxide in the atmosphere and the results are shown in Graphs Nos.
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1 & 2 The average concentration of smoke shows a twelve per cent reduction compared with the previous year, whilst the pollution from sulphur dioxide shows a seven per cent rise. 52 (d) Co-operation with other Authorities The Council are represented at the Standing Conference of Co-operating Bodies for atmospheric pollution which meets under the auspices of the Department of Scientific and Industrial Research. The Conference co-ordinates the activities of all authorities and organisations carrying out atmospheric pollution measurements. Council representatives continue to take part in discussions with neighbouring authorities in connection with the administration of the Clean Air Act. The discussions are mainly concerning Smoke Control Areas and the problems that arise in connection with them. Supplies of smokeless fuels and extensions of the grant scheme have been fully investigated and have been the subject of correspondence with the Ministry of Housing and Local Government The problem of diesel fumes from motor vehicles has also received attention.
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53 Section 7 PEST INFESTATION CONTROL (a) Rodent Control Four hundred and twenty sewer manholes in the Borough were baited with Sodium Fluoracetate, also known as 1080, in order to control the rat population in the sewers. It is difficult to assess accurately the result of this treatment although there can be no doubt that this activity, combined with regular surface baiting carried out by the Council's Rodent Operative, has effectively controlled the rat population. Table 23 is an extract from the Annual Report submitted to the Ministry of Agriculture, Fisheries and Food for the year 1962. (b) Disinfestation of Verminous Premises. During the year fourteen premises were found to be verminous, all of which were successfully treated with insecticidal spray, and there has been no recurrence or evidence of vermin since. (c) Insect Pests The mobile spraying unit was again used during the summer months to control insect life of all kinds.
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In recent years gnats and mosquitoes appear to have emerged as a greater nuisance than the house fly, although in this country the latter is far more likely to be a disease vector. To control gnats and mosquitoes more attention will need to be given to small pools of water and streams which are the breeding grounds. The elimination of pools and the clearing of weeds from ditches can be far more effective than spraying. 54 MISCELLANEOUS Section 8 (a) Supply of Dustbins (i) The number of premises where dustbins are supplied and maintained by the Corporation in accordance with Section 75(2) of the Public Health Act 1936 was at the end of the year six thousand, three hundred and twenty-three. The number of dustbins supplied by the Corporation under this arrangement during the year was three hundred and five. In accordance with a hire scheme complementary to the above-mentioned, ninety three properties were supplied with dustbins.
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In each of these cases the dustbins will be paid for by eight annual payments of five shillings. The total number of properties in the instalment scheme for the provision of dustbins is one thousand, two hundred and twenty-seven. Therefore the total number of privately owned premises in the Borough now supplied with standard type dustbins has reached seven thousand, five hundred and fifty. (ii) Refuse Disposal. - The Borough Engineer and Surveyor has supplied me with the following information. The quantity of domestic refuse collected and disposed of at the Renwick Road controlled tip throughout the year was 82.981 cubic yards, the average weight 4.7cwt. per cubic yard, and the total weight 19,850 tons. (b) Offensive Trades Throughout the year there have been eleven visits to the offensive trade premises in the Borough. Type of Trade No. of Premises No.
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of Visits Oil Boilers 1 3 Gut Scrapers and Fat Melters 1 8 Soap Boilers (not operating) 2 - (c)The Diseases of Animals (Waste Foods) Order 1957 Five licences authorising the operation of plant and equipment for the boiling of waste foods are held by pig breeders in the district. Thirty-four visits were made to the premises concerned, five contraventions being observed. These were rectified on service of a preliminary notice. (d) Pet Animals Act 1951 During the year fourteen inspections were made of the eight licensed premises in the Borough. All were found to be satisfactory.
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(e) Swimming Baths and Swimming Pool I am indebted to the Borough Engineer who has supplied me with the following comparative figures: 55 1959 1 960 1961 1962 East Street Baths Total bathers 87,152 113,277 146,121 121,621 Park Swimming Pool Total bathers 174,217 114,895 101,429 62,189 Slipper Baths Total bathers 35,678 32,466 32,282 31,172 Samples of swimming bath water taken during the year as follows:- East Street Bath 12 Park Swimming Pool 4 South East Essex Technical College 11 All samples were found to be of a high standard of bacterial purity. (f) Water Supply (i) Domestic Water Each month samples from the main supplies were obtained for bacteriological examination and twice during the year for chemical analysis. All were reported to be satisfactory. The mains water in the area is supplied by the South Essex Waterworks Company.
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(ii) Industrial Water There have been six samples of water obtained from deep wells in use at three factories and submitted to bacteriological examination. Samples of water from both mains supply and deep wells were found to be of a high standard of bacteriological purity. (g) Rainfall Rain fell during the year on 214 days and measured 18.72 inches compared with 21.68 inches for the previous year. Daily records show that 0.01 inches or more rain fell on 125 days and 0.04 inches or more rain was recorded on 89 days. Section 9 STATISTICS Table No. 1 SUMMARY Total Inspections 17,079 Complaints received and investigated 1,607 Preliminary notices served 2,387 Statutory notices served 125 Notices outstanding at December 31st 91 Table No.
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2 ANALYSIS OF INSPECTION WORK PERFORMED BY THE DISTRICT PUBLIC HEALTH INSPECTORS Housing 5,689 Houses in Multiple Occupation 33 Slum Clearance 146 Factories and Workplaces 792 Outworkers premises 330 Shops 517 Food premises 1,863 Street Traders 91 Rats, Mice and other pests 495 Drains 20 Smoke Control and Clean Air Act 6,742 Tents, Vans and Sheds 47 Schools 115 Piggeries 34 Stables 29 Public Conveniences 44 Petroleum Acts 53 Miscellaneous Visits 39 17,079 Table No.3 PREMISES AT WHICH REMEDIAL WORKS WERE EFFECTED Dwelling houses 1,700 Premises used for preparation and sale of food 27 Shops-not including food premises 17 Factories c nd Workplaces 43 57 Table No.
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4 DEFECTS FOUND AND DEALT WITH UNDER THE PUBLIC HEALTH ACT 1936 Roofs and flashings 195 Gutters 427 Rainwater pipes 38 Sinks 26 Baths and sink waste pipes 17 Choked drains 203 Defective drains 14 Inspection covers 8 Ventilation and soil pipes 1 Gully dishing 30 Gully traps 10 Flushing arrangements 105 W.C. Structures 1 W.C. Seats 15 W.C.
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Pans 36 Yard paving 24 Chimney pots and stacks 26 Damp walls 78 External walls 40 Underfloor ventilation 21 Window cills 48 Window and door reveals 42 Window frames 56 Sashcords 88 Stairtreads - Doors and frames 47 Door cills 11 Floors 53 Weatherboards - External painting - Stoves 17 Walls and ceilings 76 Water supplies 38 Dustbins and dust chutes 433 Verminous rooms 18 Accumulation of rubbish 108 Animals, birds and insects 70 2,420 Table No. 5 IMPROVEMENT GRANTS No. of Premises Grants Value Standard Grants 16 £1,621. 0. 0. Discretionary Grants 9 £2,236. 10. 6. 58 59 CLEARANCE AREAS SUMMARY OF POST-WAR ACTION UNDER SECTION 154 OF THE HOUSING ACT 1936 AND SECTION 157 OF THE HOUSING ACT 1957 Area Date of Repres.
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Act Sec. Type of Order No. of Houses Population Enquiry Date Confirmation Date Confirmed Houses No. of Houses Demolished Date of Demolition CREEKMOUTH AREA. Nos.2-50 5.10.55 1936 154 C.O. 46 157 - 25.2.56 - 46 Apr. 1956-Jul. 1957 WEST BANK, Nos. 1-5 consecutively 10.11.55 1936 154 C.O. 5 21 - - - 5 Nov. 1956-Sep. 1957 RODING VILLA, London Road 9.2.56 1936 154 C.O. 1 4 - - - 1 Nov. 1956 AXE STREET, No.71 6.7.56 1936 154 C.O.
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1 1 - - - 1 June 1956 HIGHBRIDGE ROAD, No.38 6.7.56 1936 154 C.O. 1 2 - - - 1 June 1956 THE COTTAGE, LONGBRIDGE ROAD 6.7.56 1936 154 C.O. 1 4 - - - 1 April 1957 HOCKLEY COTTAGES, Nos.1-8 cons. 2.11.56 1936 154 C.O. 8 33 - 16.11.57 - 8 July. 1957-Oct. 1957 OXFORD STREET. Nos.2-16, even 29.11.56 1936 154 C.P.O. 8 15 - 23.5.57 - 8 July 1957-Oct. 1957 CHURCH ROAD, No.3 9.1.57 1936 154 C.P.O.
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1 5 - 14.5.59 - 1 March 1957 COVERDALE ROAD, Area No.l Nos. 18-26, even 9.1.57 1936 154 C.P.O. 6 17 - - - 6 June 1957-Oct. 1957 ST. MARGARETS ROAD, No. 66 9.1.57 1936 154 - 1 2 - - - AXE STREET, Nos. 67, 69, 73 7.2.57 1936 154 Closed 3 14 - - - 3 May 1957 AXE STREET, No. 77 7.2.57 1936 154 Closed 1 4 - - - 1 July 1957 ABBEY ROAD, Area No. 6 Nos. 137-145, odd 7.3.57 1936 154 C.P.O.
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5 11 3.2.59 26.6.59 - 5 Nov. 1959-May 1960 BROADWAY, Area No.l - Nos.46-50, even 7.3.57 1936 154 C.P.O. 3 7 - 2.6.58 - 3 Sep. 1958-Dec. 1958 HART STREET, Nos. 38-56, even 7.3.57 1936 154 C.P.O. 10 33 - 2.6.58 - 10 Sep. 1958-Dec. 1958 WESTBURY ROAD. Area No.1 137/147 Ripple Road, odd 2, 4, 6 Westbury Road 7.3.57 1936 154 C.P.O. 10 27 - 26.3.58 - 10 Dec. 1957-Nov. 1958 CHURCH ROAD area: Nos.
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5-15 Church Road, 6-42 Church Road; 34-50 Tanner Street; 1/3 & 2-8 Wakering Place; 68-136 & 99-115 Wakering Road. 4.4.57 1936 154 C.P.O. 84 286 9.12.58 14.5.59 - 34 Oct. 1957-Oct. 1960 LINTON ROAD, Area No. 1: 1-25, 29-43, 2-22, 26-32 Kings Road 4-50 Queens Road, even 69-87 Liaton Road and 43-67; 2-34 William Street 45-61 and 34-56 Kings Road 66-1l6 Linton Road 1-4 Garden Place, consec. 4. 4.57 1936 154 C.P.O. 152 442 9.12.58 14.5.59 - 152 Oct.
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1957-May 1960 Area Date of Repres. Act sec. Type of Order No. of Houses Population Enquiry Date Confirmation Date Confirmed Houses No. of Houses Demolished Date of Demolition HIGHBRIDGE ROAD, Nos. 30, 32, 34, 36 & 40, even 8.7.57 1936 154 C.O. 5 16 - 20.8.57 - 5 Aug. 1957-Sept. 1957 NORTH STREET, Nos. 104-106, even 3.10.57 1936- 1937 157 C.O. 2 8 - - - 2 Nov. 1957 NORTH STREET, No. 7 Area, Nos. 112-140 even 31.10.57 1957 157 C.P.O. 15 85 - - - 15 Apr. 1959-Oct. 1959 NORTH STREET, Area No.
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8 28.11.57 1957 157 C.O. 3 10 - - - 3 Jan. 1958-Feb. 1958 LINSDELL ROAD, Area No. 1 28.11.57 1957 157 C.O. 4 17 - - - 4 Jan. 1958-May 1958 ST. PAUL'S, Area No. 3 28.11.57 1957 157 - 11 35 - - - 11 Feb. 1958-Oct. 1958 THAMES ROAD, Area No. 1 28.11.57 1957 157 - 75 306 - - - 75 Nov. 1957-Dec. 1959 THAMES ROAD, Area No. 2 28.11.57 1957 157 - 9 32 - - - 9 Nov. 1958-Sep.
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1959 ELDRED ROAD, Area No.3 7.2.58 1957 157 C.O. 4 21 - 28.10.58 - 4 Mar. 1958-Feb. 1959 GAS YARD, No. 2 5.12.58 1957 157 C.O. 1 2 - - - 1 Oct. 1958 ST. PAUL'S. Area No.4 5.12.58 1957 157 C.P.O. 15 65 30.7.59 16.11.59 - 15 Apr. 1959-Nov. 1960 GASCOIGNE, Area No. 1 6.2.59 1957 157 C.P.O. 222 624 6.2.59 10.3.61 176 Jan. 1962-Dec. 1962 NORTH STREET, Area No. 9 6.3.59 1957 157 C.P.O.
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14 53 26. 1.60 20.5.60 14 ELDRED ROAD, Area No. 4 12.10.59 1957 157 C.O. 7 14 20.7.60 7 April 1961 WAKERING ROAD, Area No. 1 9.11.59 1957 157 C.P.O. 25 55 7.12.61 20 March 1961-Dec. 1962 KING EDWARD ROAD, 1-21 odd 5.12.60 1957 157 C.P.O. 11 35 11.11.61 7 Feb. 1962-Dec.
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1962 CAMBRIDGE ROAD, 2.4,12 &14 3.2.61 1957 16 Unfit 4 15 4 March 1961-June 1962 CAMBRIDGE ROAD, 22 7.4.61 1957 16 Unfit 1 3 1 April 1962 ABBEY ROAD, Area No. 7 132-164 Abbey Road 6.11.61 1957 157 C.O. 18 51 7.6.62 ST. ANN'S ROAD. Nos.95-99 12.2.62 1957 157 C.O. 3 13 8.3.62 3 ST. MARY'S ROAD, Nos.95-101 9.4.62 1957 157 Unfit 4 12 REPPLESIDE, No. 1 9.4.62 1957 157 C.O.
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6 18 1, CREEKMOUTH 9.4.62 1957 16 Unfit 1 6 1 June 1962 GASCOIGNE ROAD, No. 2 9.4.62 1957 157 C.P.O. 238 668 CO.s Clearance Order CP.O.s Compulsory Purchase Order 60 Table No.
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7 PROVISION OF HOUSING ACCOMMODATION New Council Accommodation 1962 Dwellings provided Linton Road/Church Road 227 Meadow Road Development 97 Bevan Avenue (Aged Persona) 6 330 New Dwellings completed since end of 1945 Barking Council 3,943 Private Owners 80 London County Council 121 4,144 War Destroyed (Rebuilt) Barking Council 63 Private Owners (including London County Council) 331 394 Temporary Bungalows (still in occupation December 1962) Barking Council 109 London County Council 291 400 The clearance of the John Burns Drive temporary bungalows commenced in November 1962 and the occupants of sixteen of the 37 bungalows were rehoused by the end of 1962. Registered Housing Applicants January 1962-Waiting List 2,352 December 1962-Waiting List 1,918 Table No.
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8 RENT ACT 1957 The following gives details of action during the year:- Applications for Certificates of Disrepair 19 Undertaking received after a "Notice of Intention to serve a Certificate of Disrepair" 13 61 Certificates of Disrepair issued 2 Cancellation of Certificate of Disrepair (after work completed to the satisfaction of tenant) 2 Table No. 9 INSPECTION OF FOOD PREMISES During the year the following inspections were made and notices served:- Number of visits made to these premises 1,954 Number of defective or dirty walls, ceilings and floors 48 Number of notices to repair or provide hot water fittings 3 Number of notices to repair counters, tables and cupboards 5 Number of notices to repair drains and yard paving 10 Number of notices to provide sinks and wash hand basins 6 Number of notices to repair or renew defective sanitary fitments 6 Number of notices to provide soap, nail brushes and towels 2 Table No.
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10 FOOD PROSECUTIONS AND COMPLAINTS Nature of Complaint Action Taken Mouldy Bread Warning letter to manufacturer Sewing Needle in Cake Warning letter to manufacturer Material in Bread Warning letter to manufacturer Mouldy Cheese Warning letter to manufacturer Foreign matter in Cheese Cake Warning letter to manufacturer Bread Roll containing Nail Warning letter to manufacturer Foreign matter in Bread Warning letter to manufacturer Broken Needle in bag of flour Warning letter to manufacturer Glass in Jam Warning letter to manufacturer Mould growth in Sausage Rolls Legal proceedings against retailer. Fine £5.5.0. String in Bread Warning letter to manufacturer Insect in Bread Warning letter to manufacturer Sour Pork Sausages Legal proceedings against retailer. Fine £5 with £5.5.0. costs. Caterpillar in Tinned Tomatoes Warning letter to importer 62 Table No.11 CONDEMNED FOOD Baby Foods 4 tins Beans 32 tins Cheese 1 pkt. Coconut 7 lbs. Cream 11 tins Fish-fresh 106 lbs.
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Fish-tinned 12 tins Fruit-dried 10 lbs. Fruit Juice 4 tins Fruit 155 tins Ham 612 lbs. Jam 44 lbs. Macaroons 14 lbs. Meat-fresh 1,193 lbs. Meat 203 tins Milk 36 tins Peas 53 tins Peanut Butter 1 lb. Rice 22 tins Sausages 2 tins Soup 6 tins Spaghetti 8 tins Strawberry Puree 1,006 lbs. Suet 7 lbs. Tea 3 lbs. Tomatoes 61 tins Vegetables-fresh 300 lbs. Vegetables-tinned 17 tins Wine Gums 14 lbs. Frozen Foods Beans 37 pkts.
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Beefburgers 10 „ Broad Beans 11 „ Broccoli 2 „ Chicklets 4 „ Chicken Pie 2 „ Chips 13 „ Cod 2 „ Corn on Cob 2 „ Corn-Sweet 4 „ Doughnuts 1 „ Fish Cakes 7 „ Fish & Chips 1 „ Fish Fingers 61 „ Fish Portions 3 „ Haddock 7 „ Kipper Fillets 10 „ Peas 178 „ Plaice 7 „ Puff Pastry 7 „ Sausages 10 „ Sausage Meat 2 „ Spinach 3 „ Sprouts 24 „ 63 Table No. 11 (Contd.) CONDEMNED FOOD Steaklets 24 pkts. Steak & Kidney Pie 15 „ Vegetables Mixed 1 pkt. Whiting 1 pkt. Table No.
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12 REGISTRATION OF PREMISES USED FOR THE MANUFACTURE OF SAUSAGES, PRESERVATION OF FOOD, MANUFACTURE AND SALE OF ICE CREAM Trade Number of applications received during 1962 Number of applications refused during 1962 Total number of premises on Register 1962 Manufacturers of Ice Cream - - 2 Retailers of Ice Cream 13 - 180 Manufacturers of Sausages 3 - 36 Fish Frying and Preserving - - 21 Ham Boilers - - 11 Table No. 13 BACTERIOLOGICAL EXAMINATION OF ICE CREAM METHYLENE BLUE PROVISIONAL GRADINGS Total No. of Samples Grade 1 (Provisional) Grade 2 (Provisional) Grade 3 (Provisional) Grade 4 (Provisional) 115 72 17 13 13 Table No.
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14 CHEMICAL ANALYSIS FAT CONTENT Total No, of Samples 0%-5% 5%-10% 10%-15% 4 - 1 3 64 Table No.15 LOLLIES-LEAD CONTENT Total No. of Samples Satisfactory Unsatisfactory 5 5 - Table No. 16 LOLLIES-BACTERIOLOGICAL EXAMINATION Total No. of Samples Satisfactory Unsatisfactory 31 31 - Table No. 17 EXAMINATION OF MILK Designation of Milk Total Samples Submitted Methylene Blue Test Phosphatase Test Turbidity Test Passed Failed Passed Failed Passed Failed Pasteurised 43 42 1 43 - - - Tuberculin Tested teurised) 28 28 - 28 - - - Sterilised 9 - - - - 9 - Table No. 18 SAMPLES TAKEN Angelica 1 Apples (Raw) 2 Apricots 1 65 Table No. 18 (Contd.) SAMPLES
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TAKEN Apricot Jam 1 Beefburger 1 Bitter Lemon 1 Blackcurrant Drink 1 Blackcurrant Jam 1 Bread 6 Bronchial Balsaam 1 Bronchial Mixture 1 Butter 4 Butter Brazil Toffee 1 Buttered Chocolate 1 Caviar Lump Fish Roe 1 Cheese 2 Cheeselets 1 Cheese Cake 1 Cheese Sandwich Biscuits 1 Cherries-glace 1 Chicken Curry 1 Chicken Fillet 1 Chicken Luncheon Meat 1 Chicken Meat Paste 1 Chocolate Mallow 1 Chocolate Whisky Bottle 1 Christmas Pudding 1 Cider Vinegar 1 Coco Pops 1 Coconut 1 Coffee 2 Corned Beef 2 Corn Oil 1 Crab (tinned) 1 Cream (bottled) 1 Cream of Chicken Soup 1 Creamy Mints 1 Currants 2 Curry Powder 1 Curried Chicken & Mushroom 2 Custard Powder 1 Custard Tart 1 Demerara Sugar 3 Doughnut Split
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1 Dripping 1 Evaporated Milk 1 Faggott 1 Flour S.R. 1 Frankfurter 2 Fruit Pie 1 Fruit Pudding 1 Gelatine 1 Gin 2 Gin & Lime Sweets 1 Ginger 1 Ginger Beer 1 Glucose 1 Grape Fruit Squash 1 66 Table No. 18 (Contd.) SAMPLES TAKEN Ground Almonds 1 Haliborange Tablets 1 Hamburgers 3 Honey 1 Honeygar 1 Ice Cream 4 Jersey Toffee 1 Lemon Puff 1 Lemon Puff Biscuits 1 Lemon Squash 2 Loganberries 1 Lollies 7 Margarine 1 Marzipan 2 Menthol & Eucalyptus Sweets 1 Milk 6 Minced Turkey 1 Mincemeat 1 Minced Meat 2 Mint (dried) 1 Mixed Fruit 1 Murray Fruits 1 Nutmeg-Ground 1 Olive Oil 1 Onions 1 Onion Salt
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1 Orange Drink 3 Orange Jelly 1 Orange & Lemon Candy 1 Peers (raw) 1 Peel 1 Pineapple Juice 1 Plum Jam 1 Porkburgers 1 Pork Pie 1 Potato Mashed 2 Potato Puffs 1 Prunes 1 Red Cabbage 1 Rice Pudding 1 Rilchoc 1 Rolls-Starch Reduced 1 Rum 2 Salad Cream 1 Salami 1 Salmon & Shrimp Paste 1 Sausrlatas 1 Sausages-Beef 13 Sausages-Pork 21 Sausage-Leberwurst 1 Sausage-Liver 3 Sausage-Roll 2 Sausage-Schinken 1 Sausage-Vienna 1 Saveloys 5 Shrimps 1 67 Table No. 18 (Contd.)
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SAMPLES TAKEN Space Ship Quenchers 1 Steak & Kidney Pie 3 Steak & Kidney Pudding 1 Steam Mince 1 Stuffed Pork & Meat Roll 1 Suet 1 Sugar Tinted Crystals 1 Sultanas 2 Sunflower Seed Oil 1 Sweet Corn 1 Tea (packet) 4 Tomato Ketchup 1 Tomato Puree 1 Tomato Soup 1 Triple C Tonic 1 Vanilla Flavour 1 Westphalian Ring 1 Whisky 3 220 Table No. 19 FOOD SAMPLES REPORTED NOT TO BE GENUINE Sample No. Food Adulteration or Labelling Offence Action Taken 5235 Beef Sausage Contained 720 parts per million sulphur dioxide Manufacturer warned exercise greater care in mixing process. 5244 Beef Sausage Contained 520 parts per million sulphur dioxide Manufacturer warned exercise greater care in mixing process. 5305 Beef Sausage Contained 230 parts per million sulphur dioxide.
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No declaration of preservative at time of sale. Warning letter to retailer to exhibit notice re preservative. 5306 Pork Sausage Contained 240 parts per million sulphur dioxide. No declaration of preservative at time of sale. Warning letter to retailer to exhibit notice re preservative. 5338 Hamburger Low in meat content. Matter taken up with Food Standards Committee re official standard to be set. 68 FOOD SAMPLES REPORTED NOT TO BE GENUINE Sample No. Food Adulteration or Labelling Offence Action Taken 5360 Pork Sausage Contained 180 parts per million sulphur dioxide. No declaration of preservative at time of sale. Warning letter to retailer to exhibit notice re preservative. 5377 American Enriched Loaf Contained insufficient added fat and milk solids for a true American Enriched Loaf. Discussion with manufacturer re recipe used for this type of bread. Label subsequently amended.
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5411 Pork Chipolata Sausages Excessive fat content. Brought to attention of manufacturer. 5412 Pork Sausages Deficient in meat content. Brought to attention of manufacturer. Table No. 20 FACTORIES AND WORKPLACES Inspections for purposes of provisions as to health and cleanliness Premises Sections enforced by Local Authority Number on Register Number of Inspections Notices 1. Factories Sections 1-6 Factories Act 1937 26 25 1 2. Factories (not included in 1) Section 7, Factories Act 282 559 78 3. Other premises Section 7, Factories Act 9 28 5 4. Offices and Workplaces. Public Health Act 1936 72 60 1 Totals 389 672 85 N.B. Sections 1-6 of the Factories Act 1937 are administered by the Local Autority only in relation to factories in which mechanical power is not used.
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The Sections deal with cleanliness, overcrowding, temperature, ventilation, lighting and drainage of floors. Section 7 of the Factories Act 1937 relating to the provision of sanitary nodation is administered by the Local Authority in relation to all factories. 69 Table No. 21 Improvements effected at Factories Cases in which defects were found Particulars Found Remedied Want of cleanliness (S.1) 31 17 Overcrowding (S.2) - - Unreasonable temperature (S.3) - - Inadequate ventilation (S.4) 8 8 Drainage of floors (S.6) - - Sanitary conveniences (S.7) (a) Insufficient 20 11 (b) Unsuitable and defective 42 17 (c) Not separate for sexes - - Other offences against the Act (not outwork) 9 6 Total 110 59 Table No.
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22 OUTWORKERS Number of outworkers in list required by Section 110(c) 194 Nature of work carried out:- Making of wearing apparel 134 Boxes, etc. 6 Lamp Shades 2 Cosaques, Christmas Crackers and Stockings etc. 52 Number of visits to outworkers 330 Number of unwholesome premises - Number of notices served - Number of prosecutions - 70 GRAPH NO. 1 SMOKE POLLUTION 1962 Monthly average of daily readings from volumetric filter apparatus sited at Eastbury House and South-East Essex Technical School Rosslyn Road 71 GRAPH NO. 2 SULPHUR DIOXIDE POLLUTION 1962 Monthly average of daily readings from volumetric filter apparatus sited at Eastbury House and South-East Essex Technical School, Rosslyn Road 72 Table No. 23 RATS AND MICE TYPE OF PROPERTY (Non Agricultural) 1. Local Authority 2. Dwelling Houses (inc. Council Houses) 3. All other(inc.
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Business Premises) 4. Totals of Cols. 1, 2 and 3 1. Number of properties in Local Authority's District (Notes 1 & 2) 41 22,812 3,127 25,980 2. Number of properties inspected as a result of:- (a) Notification 41 319 33 393 (b) Survey under the Act - - - - (c) Otherwise (e.g. when visited for Borne other purpose) - - 259 259 3. Total inspections carried out including reinspections (to be completed only if figures are readily available) - - - - 4. Number of properties in Sec. 2 which were found to be infested by:- (a) Rats Major Minor 13 133 27 173 (b) Mice Major Minor 28 186 6 220 5. Number of infested Properties (in Sec.4) treated by the L.A.
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(figures should not exceed those in Sect. 4) 41 319 33 393 73 Printed in the Town Clerk's Department
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Ac 44 11 (1) BARK 57 THE HEALTH OF BARKING 1963 BARK 57 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR BARKING FOR THE YEAR 1963 Printed in the Town Clerk's Department Barking Borough Council CONTENTS Pages 1. MEMBERSHIP OF COMMITTEES 1-2 2. STAFF 3-5 3. PREFACE 6 4. GENERAL PUBLIC HEALTH 7-23 5. PERSONAL HEALTH SERVICES 24-36 6. SCHOOL HEALTH SERVICE 37-50 7. REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR 51-83 PUBLIC HEALTH COMMITTEE as at December 1963 Chairman-Alderman Mrs. JULIA H. ENGWELL Vice-Chairman-Councillor Mrs.J. CALLAN Alderman Mrs. A.M. MARTIN Councillor Mrs. D.M. JONES Mr.
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Alderman J.R. SWEETLAND, C.C. Mr. Councillor E.R. McKEE Councillor Mrs. M. BREDO, C.A. Mr. Councillor R.W. MUGE Mr. Councillor H.J. CLEAVER Mr. Councillor C.A. POOL Councillor Mrs. D.M. GLENNY, Councillor Mrs. M. PRESTON, C.C. M.B.E., C.C. Mr. Councillor S.C. SIVELL Councillor Mrs. C.S.M. GODFREY, J.P. Mr. Councillor LEONARD WRIGHT, J.P. Mr. Councillor H.E. HAMSHERE, J.P. BARKING COMMITTEE FOR EDUCATION as at 31st December, 1963 Chairman-Mr. Alderman G.J.G.
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BEANE, J.P. Vice-Chairman-Councillor Mrs. D.M. JONES Representaticve Members:- Mr. Alderman A.E. BALL, J.P. Councillor Mrs. C.S.M. GODFREY, J.P. Alderman Mrs. M. BALL, C.A. Mr. Councillor A. GRAY Alderman Mrs. J.H. ENGWELL Mr. Councillor I. GREENHOUSE, J.P. C.C. Alderman Mrs. A.M. MARTIN Mr. Alderman J.R SWEETLAND C.C. Mr. Councillor L..E. HENSTOCK, J.P. Mr. Alderman W.G. WERMERLING Mr. Councillor H.J. HILLS Councillor Mrs. M BREDO.C.A. Councillor Mrs.
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M. PRESTON, C.C. Mr. Councillor J.A. BUTLER J.P. Mr. Councillor S.C. SIVELL, J.P. Councillor Mrs. J. CALLAN Mr. Councillor J.WARD Councillor Mrs. D.M. GLENNY, M.B.E., C.C. Co-opted Members:- Rev. T. HALL Mr. A.E. GREEN Rev. L. HESTON Mr. P. GRIMES Rev. Prebenda.y J.D.WAKELING Mr. F.H. KING E. BATEMAN Mr. A. STONE 1 Nominated Members:- Mr. County Alderman K.E.B. GLENNY, Mrs. E G LAW O.B.E., J.P.
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BARKING HEALTH AREA SUB-COMMITTEE of the Essex County Health Committee as at December 1963 Chairman-Alderman Mrs. JULIA H. ENGWELL Vice-Chairman-Councillor Mrs. J. CALLAN Barking Borough Council Representatives:- Alderman Mrs. A.M. MARTIN Councillor Mrs. D.M. JONES Mr. Alderman J.R. SWEETLAND, C.C. Mr. Councillor E.R. McKEE Councillor Mrs. M. BREDO, C.A. Mr. Councillor R.W. Muge Mr. Councillor H.J. CLEAVER Mr. Councillor C.A. POOL Counciller Mrs. C.S.M. GODFREY, J.P. Councillor Mrs. M. PRESTON, C.C. Mr. Councillor H.E.
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HAMSHERE, J.P. Mr. Councillor S.C. SIVELL Mr. Councillor LEONARD WRIGHT, J.P. Essex County Council Representatives:Alderman Mrs. M. BALL, C.A. Mr. County Alderman K.E.B. GLENNY, O.B.E., J.P. Mr. County Councillor A.C. BERRY County Councillor Mrs. S.M. BOVILL County Councillor Mrs. D.M. GLEEN County Councillor Mrs. L. FALLAIZE M.B.E. County Councillor Mrs. M. SMITH The Executive Council for Essex Representative:- Mr. F.A. WORTLEY The Essex Local Medical Committee Representative:Dr. M. LEWIS The Hospital Management Committee Representative:Mrs. D.L. BELCHAMBER Voluntary Organisations' Representatives:- Mrs. M.E. DALLEY Mr.
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P. CLAYDON Mrs. G.M. GRAFFY Miss M. NOEL 2 STAFF 1963 Medical Officer of Health, Area Medical Officer and Divisional School Medical Officer MARGARET I. ADAMSON, M.B., B.Ch., D.P.H. Deputy Medical Officer of Health, School Medical Officer Assistant County Medical Officer J.J. SLOME, M.R.C.S., L.R.C.P., M.B., B.S., D.Obst., R.C.O.G., D.C.H., D.P.H., D.I.H. School Medical Officers and Assistant County Medical Officers:- Dr. VIOLET SPILLER, M.D., M.R.C.S., L.R.C.P., D.P.H. Dr. EILEEN E.V. MARTIN, M.B., B.Ch. Dr. E. KLEIN, L.R.C.P.& S. Dr. D. BURGESS, M.D.
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General Practitioner Medical Officers Dr. S.K. ROY Dr. M. LEVELLE Dr. M. LEWIS Dr. S. FRANKS Area Dental Officer:- Mr. J.K. WHITELAW (Commenced Duty 1.11.63) Dental Officers Mr. P. CHAUDHURY Mr. J. WHITELAW (To 31.10.63) Mrs. B. HINTON Mr. H. NYMAN (Sessional) (Sessional) Miss F. PLAWES (Sessional) Superintendent Health Visitor:Miss G.L. BENFIELD Health Visitors/School Nurses etc:- Miss. S. BERGSTROM Miss E.G. PARRY Miss C,M. BROWNING Mrs. R.L. ROBERTSON Miss A. CATTLE Mrs. A.M. SMALL (Part-time) (Resigned 13.10.63) Miss M.T. DOWD Miss E.M.
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SCHROPFER (Tuberculosis Visitor) Miss L.A. GOODACRE Miss D.G. GORDON-WILSON Mrs. L. CORRI (Part-time Tuberculosis Visitor) Mrs. M KALU 3 STAFF 1963-Continued Ante Natal Clinic Sister:Miss R. WILLIS Dental Surgery Assistants Miss P. HELLON Mrs. K.McKENZIE (Commenced Duty (Commenced Duty 12.8.63) 24,6,63) Mrs. I.A. ROURKE Miss P. CHANDLER (Resigned 17.7.63) In addition 16 part-time Nurses are employed for the staffing of the various Clinic services Chief Clerk:Mr. G.H. RUFF Senior Administrative Assistant:Mr. B.S. WEAVER Administrative Assistants:- Mrs. E.M.
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BARTHOLOMEW (School Health Service) Miss H. BEARTON (Handicapped Pupils and Special Children) Mr. S. Deeks (Supplies and Maintenance) Mr. A. LONGMUIR (Prevention of Illness: Care and After-Care) Non-Medical Supervisor of Midwives:Miss E. O'CONNOR District Midwives:Mrs. I.M. BRONNICK Miss A. CUNNINGHAM Matron of Day Nursery:- Miss F.B. NASON Senior Dental Technician:Mr. J. CONSTABLE Domestic Help Organiser:Mrs. L. EVERITT Speech Therapists:Miss J. KING (Commenced Duty 1.4.63) Mrs. S. GIRLING (Part-time)(Resigned 3.7.63) Chief Chiropodist:Mr. H. LEAVESLEY Driver/Handyman Mr.
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W. HARRIS (Commenced Duty 28.10.63) 4 STAFF 1963 - Continued Occupational Therapist:Miss Z. MERCER REGIONAL HOSPITAL BOARD STAFF Consultant Ophthalmologist Dr. R.F. JAMIESON Consultant Obstetricians:Mr. B.G. SPIERS, F.R.C.S. Miss J. LAMBERT, F.R.C.S. Consultant Paediatrician:Dr. T. SAVAGE Consultant Ear, Nose and Throat Surgeon:Miss M. MASON, F.R.C.S. Consultant Dermatologist:Dr. P.M. DEVILLE Consultant Orthopaedic Surgeon:Mr. B. WHITCHURCH-HOWELL, F.R.C.S. Superintendent Physiotherapist:' Mr. T. HYND Orthoptist:Miss M. LEWIS 5 TOWN HALL, BARKING, ESSEX. December 1964.
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To the Mayor, Aldermen and Councillors of the Borough of Barking. Mr. Mayor, Ladies and Gentlemen, In presenting my Annual Report for 1963 I wish to express my appreciation to the Members of the Council for their kindness and consideration throughout the year. In addition I should like to place on record my appreciation of the support given to me by my colleagues during the year under review. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, Medical Officer of Health 6 GENERAL PUBLIC HEALTH SHORTAGE OF HOSPITAL ACCOMMODATION The rebuilding and extension of Barking Hospital is now in progress, and the contractors started operations on the site on 19th November 1963. To commemorate the occasion, a "Turf-cutting ceremony" on November 22nd, attended by many representatives from Barking and the surrounding County of Essex, was performed by Sir.
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Graham Rowlandson who, to my mind, typified the function of a Hospital- "to help those handicapped in any way to regain their strength and learn to function as normally as possible". It was a very moving ceremony, the one thought in many minds at that moment being the wish to hasten on the day when the new Barking Hospital would open its doors and welcome the patients for whom it will be specially equipped. HEALTH EDUCATION Steady progress has been made in group talks in quite a variety of health topics. The demand for talks, however, is likely to exceed the supply, not of subject matter, but of personnel who are suitably qualified to give the talks. I reported last year the serious interest taken by the older girls of the Junior Training Centre in the talks/demonstrations given to them in "Nursing sick people in their own homes" and in 1963 this proved very successful.
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Their interest developed into retained knowledge with a good practical standard in carrying out the simple nursing procedures which were included in their training. The British Red Cross Society Junior Nursing Manual was used for this training and the good picture drawings which it contains helped the girls considerably. In June they took the British Red Cross Society Junior Nursing Part I Examination and six out of eight girls received certificates. They are now keenly practising these new skills with the great desire to obtain the Part 2 Certificate. I understand it is the first attempt in this kind of training for mentally handicapped girls in the whole of the County. A British Red Cross Society Link Group has been formed in the School and the girls who have been enrolled as members are busy making dresses for the deprived little children in the Aden Protectorate. The talks on Health subjects to classes of girls at Eastbury Secondary Modern School has now become a part of their curriculum. This school has also commenced "after school hours" training for the Duke of Edinburgh Award Scheme for interested boys and girls.
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Mothercraft and Good Grooming are now firm fixtures on Wednesday afternoons for two members of the health visiting staff. I think the success of this project has promoted bigger and better plans for next year. A Dental Health Exhibition was held at Eastbury Secondary Modern School for one week during the Autumn Term and proved a stimulating topic for discussion for the children and teaching staff. The two classes of girls who had received Health Talks assembled a Health Exhibition themselves with a little assistance from the County Health Education Officer. This was viewed by the whole school and has in no small measure promoted a greater interest in health matters among the boys and girls. Many requests have been received by clubs and organisations for talks. The Barking Women's Co-operative Guild asked for one talk on Home Nursing or First Aid and this extended to three afternoon sessions. This is a typical example of the interest in health matters which is growing in the town. Topics range from: 1.
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First Aid, Nursing and Mothercraft-these are firm favourites and a good introduction to talks on Home Safety which is now included as a matter of course. 2. The National Health Service and freguently requests are made for a health visitor to talk about her field of work. .3. Nutrition-may sound a dull title but always proves to be of great interest and in these modern days of "snack meals" a very necessaries topic particularly for young mothers. 4. Sex education-is now being requested with more frequency by adult groups which I think shows that parents are beginning to be actively concerned in this aspect of their children's well-being. 5. Mental Health-is another subject which is becoming increasing popular. I have mentioned only a few of the titles of talks requested and no doubt many more will be added to the list as the work progresses.
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This will mean an expansion of staff with a Health Education Organiser responsible for the overall planning and the training and assisting of staff in methods of teaching, plus a technician to assemble and prepare visual aids and equipment. In fact there should be a Health Education section of the Public Health Department, and this may materialise at a later date. The film "To Janet a Son" was shown in the Assembly Hall in the late Autumn. It proved to be an enormous attraction and some latecomers had to be turned away as the hall was packed. The discussion afterwards, when young "would be" mothers and fathers were invited to ask questions, supplied a fitting end to the evening. 8 HEALTH EDUCATION -Talks etc. given Type of Audience Subject No. of Talks given. In duty Hours After duty Hours Prospectlve Married Couples Preparation for Marriage 15 Junior Training Centre Home Nursing 28 Senior School Girls Health and Hygiene 29 „ „ „ Duke of Edinburgh Award 25 British Red Cross Nursing and Welfare 27 B.R.C.
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Cadets Nursing and Mothercraft 11 Church of England Ed. Group National Health Service 1 Cons. Women's Assoc. Prevention of Illness 1 Old Age Pensioners Club National Health Service 1 St. John's Ambulance Brigade National Health Service 1 Mayesbrook Womens Club Role of the Health Visitor 1 Girls Life Brigade Home Safety 1 Pupils Faircross Special School Mothercraft 13 Barking Wormen Co-op Guild First-aid Nursing 3 Central Hall Methosidt Womens Club Sex Education 1 Home Helps First aid and Nursing 3 Student Nurses Rush Green Hosp. Social aspects of disease 5 Junior Accident Prevention Council First-aid in the Home 1 Pupil District Nurses Social aspects of disease 3 Prospective Parents Childbirth Film Schoolchildren & Parents Dental Health Exhibition.
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„ „ „ Home Safety and Health „ Expectant Mothers Relaxation and Mothercraft 214 Young Mothers' Club Health and Child Care 4 During the year 1963, a Discussion Group for mothers was commenced at Thames View Clinic. The venture has proved interesting and worthwhile, and now an Eenthusiastic bunch of young mothers eagerly await the monthly meeting. Discussions have been held on matters of mental and physical health and topics are arranged to take in all aspects of family life. 9 The informal discussions give the mothers an opportunity to air their queries and problems, and go away with greater knowledge and confidence to cope with their children. HOME SAFETY One of the most difficult aspects in the field of Health Education is the promotion of Safety in the Home - it is not easy to persuade housewives and husbands that their homes may not be as safe as the think.
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Every year more people die as a result of accidents at home than on the road, and our hospitals are kept very busy dealing with both serious and minor injuries caused by falls, burns, cuts and accidental poisoning. It is deplorable that some people 'don't'or 'won't' understand the necessity of using fireguards, particularly where the safety of old people is concerned. Old folk 'feel the cold' more than when they were younger and often remove the fireguard to obtain more benefit from the heat of the fire and in this way danger of accidental burning is aggravated. With this in mind, the Health Visitors and the Home Safety Officer have taken every opportunity to talk to people at home and in organisations on the need for constant care at home, especially where there are elderly folk or young children, and a regular programme of press advertising has been carried out to supplement such talks.
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Groups of girls in senior schools and in local organisations are studying Home Safety as part of their efforts for the Duke of Edinburgh's awards, and the Council's domestic helps have made a special study of the problems, especially those concerning the elder and infirm. Competitions on Home Safety have been organised among senior schoolchildren, and booklets and other items have been distributed through all women's organisations throughout the Borough. Posters have been displayed at large factories and literature given out at various out-door events during the year. NATIONAL ASSISTANCE ACT, 1948 I am pleased to report that for the third consecutive year it not necessary to take formal action to secure the removal of any persons from their own homes because they could no longer care for themselves. WELFARE SERVICE I am indebted to the County Welfare Officer for the following information:- Residential accommodation for aged persons continues to be developed to meet the increasing demand and a newly purpose-built Home accommodating 61 persons is now fully occupied.
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10 Welfare services for blind and other cases of handicapped persons are available in many ways; these include home visitation by specialized field workers, tuition in handicrafts (and braille for the blind), recreational and holiday facilities and, especially for the handicapped person, the supply of home aids, gadgets and hoists. In addition the Welfare Committee gives financial assistance towards the cost of structural alterations designed to help the handicapped person in overcoming his disability. There is an occupational centre at Barking specially for specially for physically handicapped persons, and this is proving a great asset to those able to attend, of whom 47 live in the Borough. The table (on page 12) indicates the extent to which the various services provided by the County Council under the provisions of the National Assistance Act, 1948, have been afforded to persons having residence in the Borough of Barking during 1963. PUBLIC HEALTH ACT, 1961-SECTION 41 It was not necessary to take action under this Section of the Act during the year.
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The Section provides for compensatory payments to Persons excluded from work at the request of the Medical Officer of Health in the interests of public health. MATTERS OF LIFE AND DEATH Population The estimated population of Barking at each mid-year for the past decade, notified by the Registrar General is given below. 1954 76,580 1955 75,990 1956 75,560 1957 75,070 1958 74,850 1959 74,980 1960 74,920 196172,290 1962 72,440 1963 72,070 Births. During 1963 there were registered 1,028 live births showing a decrease of 9 from the live births in the previous year. With regard to the stillbirth figure of 24, this shows an increase over Previous year,s figure of 17.
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11 12 COUNTY COUNCIL OF ESSEX- WELFARE COMMITTEE RESIDENTIAL AND WELFARE SERVICES-1963 (National Assistance Act 1948) 1. Number of Barking residents in accommodation provided under Section 21 (1)(a) of National Assistance Act 1948. 2. Number admitted to residential accommodation during 1963. 3. Number admitted to temporary accommodation under Section (1)(a) of National Assistance Act 1948. 4. Blind Persons, etc. 5. Other classes of Handicapped Persons Registered.
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Registered Number employed in: Blind Partially Sighted Defective Sheltered Workshops Home Workers Scheme Open Industry Male Female Total Male Female Women Children 132 51 11 1 1 10 236 22 42 64 5 7 4 10 194 Live Births:- Males Females Total Legitimate 461 515 976 Illegitimate 32 20 52 Totals 493 535 1,028 Still-Births:- Legitimate 6 15 21 Illegitimate 1 2 3 Totals 7 17 24 Total live and still-births 500 552 1,052 Birth rate per 1,000 of Estimated Population-14.26 Birthrate adjusted by Comparability Factor of 1.05=14.97 Still-birth rate per 1,000 (live and still) births-22.81 I am glad to say that the proportion of illegitimate live births as decreased from 5.4% in 1962 to 5.
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06% this year. Though the number of illegitimate births for 1963 is less than during 1962, the problem of the care of the unmarried mother is one the greatest importance. The increasing evidence of earlier physical maturity, without the corresponding development of mental ability, is an established fact and there is no "cast-iron" method coping with the situation. The loosening of family ties and in some cases almost the olition the 'family unit' has also had a retrograde effect. Internal Mortality I am happy to report there is no record of a maternal death in Loss of Infant Life It is regrettable that during 1963 both our loss of life from infant deaths and also from stillbirths increased. This is particularly disappointing as last year our number of infant deaths was so low comtred the national average.
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13 1962 1963 Barking England & Wales Barking England & Wales Infant death rate 4.82 21.6 29.18 20.9 Stillbirth rate 16.13 18.1 22.81 17.3 During the first three months of 1963, we had the worst climatic conditions since the century began, and as a result, at both ends of the life span, deaths increased. The stock of coal was severely depleted in the area, and heating by electricity and gas was reduce owing to the phenomenal demands on the plants installed. Infants by their helplessness and rapid loss of heat, and the old folk by their comparative inactivity suffered most. It was an arctic winter that no one wishes to see repeated. The following table shows the loss of infant life during the last sixteen years. 14 15 Year No. of Live Births N o . of Still Births No.
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of Infant Deaths StillBirth Rate Infant Death Rate Deaths in firs t 7 Days of Life Peri-Natal Mortality Rate Quinquennial Infant Death Rate 1948 1461 29 30 19.46 20.53 13 28.18 30.2 (1944-48) 1949 1 328 24 33 17.75 24.8 17 30.32 29.5 ( 1945-49) 1950 1189 26 32 2 1.39 27.0 18 35.91 27.6 (1946-50) 1951 1162 20 18 16.9 15.49 10 25.38 24.4 (1947-51) 1952 1108 32 24 28.7 21.66 14 40.35 21.
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9 (1948-52) 1953 1090 33 27 29.39 24.77 20 47.19 22.8 (1949-53) 1954 998 29 20 28.24 20.04 16 43.8 1 21.8 (1950-54) 1955 980 30 24 29.7 24.49 19 48.51 21.2 (1951-55) 1956 919 23 18 24.42 19.59 12 37.15 22.2 (1952-56) 1957 916 18 17 19.27 18.55 14 33.19 21.6 (1953-57) 1958 9 17 23 17 24.47 18.54 10 28.72 20.
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3 (1954-58) 1959 969 15 28 15.24 28.95 22 37.6 22.1 (1955-59) 1960 996 20 18 19.68 18.07 9 28.54 20.8 (1956-60) 1961 925 26 16 27.34 17.3 13 41.01 20.3 (1957-61) 1962 1037 17 5 16.13 4.82 2 18.03 17.3 (1958-62) 1963 1028 24 30 22.81 29.18 15 37.07 19.7 (1959-63) The following tables show the causes of infant deaths:INFANTILE MORTALITY - 1963 Cause of Death Age at Death Under 1 mth. 1-3 mths.
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4-6 mths. 7-9 mths. 10-12 mths. Total under 1 yr. Pneumonia - 4 - 3 - 7 Prematurity 7 - - - - 7 Congenital Malformations 4 2 - - 1 7 Atelectasis (Deficient expansion of lungs) 3 - - - - 3 Bronchitis - 1 - - - 1 Vascular Lesion of Nervous System - 1 - - - 1 Heart Disease 1 - - - - 1 Enteritis - - 1 - - 1 Ruptured Colon 1 - - - - 1 Birth Injury 1 - - - - 1 Totals 17 8 1 3 1 30 Five infants died at home and twenty-five in hospital. Four of the home deaths and eight of the hospital deaths occurred during the very cold weather of early 1963.
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NEO-NATAL MORTALITY - 1963 (Deaths during the first 28 days of life) Cause of Death Age at Death 0-7 days 8-14 days 15-21 days 22-28 days Total Prematurlty 7 - - - 7 Congenital Malformations 4 - - - 4 A telecta sis (Deficient expansion of lungs) 3 - - - 3 Heart Disease - 1 - - 1 Birth Injury 1 - - - 1 Ruptured Colon - 1 - - 1 Totals 15 2 - - 17 The Neo-Natal death rate was 16.54 per 1,000 live births. 16 Other mortality rates which may be of interest are:- Perinatal Mortality Rate (Stillbirths plus deaths under 1 week) 37.07 per 1 ,000 live and still births Legitimate infant death rate 28.69 per 1,000 legitimate live births.
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Illegitimate infant death rate 38.46 per 1,000 illegitimate live births. CONGENITAL ABNORMALITIES The Ministry of Health is now paying much more attention to the occurrence of any congenital abnormalities, both in live children and those vho are stillborn. By means of post-mortem examinations, a surprising number of internal congenital abnormalities have been brought to light and a great stimulus has been given to research into this problem. It may e that post-mortem examinations will become a routine "ocedure in all cases of early infant deaths. DEATHS The causes of death in 1963 are as follows: Disease-s of the Heart and Circulatory System 248 Cancer end other Malignant Diseases 167 Pneumonia, Bronchitis and other Respiratory Diseases 109 (excluding T.B.)
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Diseas of the Brain and Nervous System 90 Other Causes 40 Accider , Poisonings, Violence 38 Infant deaths and congenital malformations 33 Diseases of the Stomach and Digestive System 12 Tuberculosis and other Infectious Diseases 7 Diabetes 6 Pregnancy, Childbirth and Abortion - Total 750 Crude death rate per 1,000 estimated population 10.41 Adjusted death rate (comparability factor 1.23) = 12.80 Of the 167 deaths froni malignant diseases, 54 were attributed to cancer of the lung and 48 of the 54 were men. 17 Cancer A more detailed analysis follows of the deaths from malignant diseases, which appears to suggest that men are much more vulnerable than women, particularly with regard to cancer of the lung. DEATHS FROM MALIGNANT DISEASES - 1963 MALE Site of Disease Age at Death Under 15 yrs. 15-24 yrs. 25-44 yrs.
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45-64 yrs. 65-74 yrs. 7 5 yrs. & over Totol Lung/Bronchus - - 3 27 15 3 48 Stornach - - - 3 7 3 13 Blood - 1 - - 1 - 2 Prostate - - - - 1 2 3 Breast - - - 1 - - 1 Other 1 1 1 10 15 7 35 Total 1 2 4 41 39 15 102 FEMALE Site of Disease Age at Death Under 15 yrs. 15-24 yrs. 25-44 yrs. 45-64 yrs. 65-74 yrs. 75 yrs. & over Total Breast - - 1 10 3 2 16 Lung/Bronchus - - 1 4 1 - 6 Stomach - - - 4 3 4 11 U teru s - - - 2 1 1
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4 Blood - - 1 1 - - 2 Other 1 - - 9 13 2 25 Total 1 - 3 30 21 9 64 18 INFECTIOUS DISEASES The following notifications were received during the year:- Measles 861 Tuberculosis: Respiratory 27) Non-Respiratory 4) 31 Whooping Cough 70 Scarlet Fever 45 Pneumonia 19 Puerperal Pyrexia 5 Food Poisoning - Dysentery 20 Meningoccal Infection - Scabies 1 Erysipelas 3 Ophthalmia Neonatorum 1 It is pleasing to note that not one single case of poliomyelitis was notified for the fourth consecutive year. 1963 proved to be c "Measles" year with a figure of 861 notifications compared with 135 the previous year. Fortunately, however, except in a 'ew isolated cases the disease was comparatively mild.
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CARE OF THE AGED The increasing proportion of the aged in Barking is becoming more and more of a problem. Hospital accommodation and accommodation with partial care is still hopelessly inadequate, and although in this area we are fortunate in having two all-day centres, plus a large number of clubs which are open at least two afternoons a week, there is a lot more Quiring to be done. Mayesbrook, the Home for 62 elderly persons, continues to cope odequately for its residents, by the provision of such is not the answer for everyone. We must endeavour to increase and supplement the do miciliary services and keep as many people in their own homes as we can - the extension of the Home Help Service, the introduction of the Good Neighbours service in the days of the future, even o'putting to bed1 service for the old folk, complete with a hot night drink if necessary. As always, it is the difficulty of recruitment of able folk to do it.
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Why not recruit a few men of moderate age to 3this for their own sex? There may be many men (65-70) who would "•happy to help their older brethren. 19 ESTABLISHMENTS FOR MASSAGE AND SPECIAL TREATMENT Licences were issued during the year in respect of four establishments which are governed by the Borough's bye-laws. In accordance with our requirements a hot water supply is available in each surgery. LAUNDRY SERVICE The laundry service of the chronic sick and elderly has continued to help 54 senior citizens, and in the service 13,135 articles have been collected, laundered and returned. During 1963 we were fortunate in acquiring a Minibus and driver who now does the laundry service transport, delivers and collects sick room equipment and medical supplies and has proved! an invaluable help in the smooth running of the Public Health Department. PATHOLOGICAL SERVICES Close co-operation continues with the Pathologic^!
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Department of the Barking Hospital, under the capable administrc on of I Dr. J.Caiman. I Blood-groups and Rhesus Type of all expectant jthers attenB ing Upn ey Clinic continued to be determined during 1963, and alsdB the haemoglobin content estimated as soon as the patient was accepted for a bed. Similar tests are carried out for all domiciliaryH confinement cases. At pre-determined intervals further haemoglobin estimations I were performed, thereby revealing at an early stage any patient in need of special treatment and advice for anaemia. Further investigations were performed on those of Rhesusnegative Type in order to detect the presence of Rhesus Antibodies and we have received valuable assistance from the Blood Transfusion Centre of the Regional Board in confirmation and more detailed examination of our findings.
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In earlier years it has been usual to perform a ingle Kahn Test on each patient, but in 1963 the Wassermann Test was substituted and the Kahn Test employed as a second test, thereby considerably improving the service offered. No material difference existed between the Laboratory service offered to the patient booked for hospital confinement and the mother who preferred to remain at home, except that in the latter 20 case all preliminary arrangements were made either by the patient's own doctor or the staff at Barking Public Health Department BARKING CHEST CLINIC During 1963, the work of Dr. J.T.Paterson and has staff has been considerably increased by the extra x-rays requiring to be taken in connection with the Ministry of Education Research project, and I do lank them most sincerely for their help Statistics relating to the notification of cases are given below:- Respiratory Meninges & C.N.S. Other Total Transfers into the area Total M. F. M. F. M. F.
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1955 37 25 1 - 2 3 68 30 98 1956 31 15 1 - 2 1 50 32 82 1957 22 6 - - 4 3 35 22 57 1958 20 14 - - 2 2 38 28 66 1959 20 17 - 1 1 2 41 38 79 1960 27 14 - - 1 2 44 29 73 1961 17 15 1 1 2 2 38 22 62 1962 24 7 1 - 1 4 37 22 59 1963 17 10 - - 4 - 31 31 62 notified cases moved to other districts during the year. Dr.
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T. Paterson, the Chest Physician, and his staff have helped is considerably with the diagnosis of chest complaints, and their infailing kindness and consideration to their patients has helped considerably when difficult decisions have had to be made. 21 Examination of Contacts Adults Children Totals New Old New Old 1955 278 417 203 683 1581 1956 215 527 185 814 1741 1957 200 690 114 922 1926 1958 101 691 95 807 1694 1959 228 705 82 798 1813 1960 79 672 99 810 1 660 1961 110 680 113 809 1712 1962 88 683 89 741 1601 1963 93 656 84 886 1719 At the end of 1963 there were 557 cases of tuberculosis on the register involving 483 households, which is a slight decrease on the previous year.
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The nursing attendance at the clinic sessions and the home visiting is done by two members of your nursing star. 2343 home visits were made during the year. MASS MINIATURE RADIOGRAPHY I A Mass Radiography Unit visited Barking in February/March 1963 and I give below statistics in relation thereto: LOCATION MALE FEMALE TOTAL Lawes Chemicals Ltd. 180 19 199 Impalco Foils Ltd. 386 114 500 The Volunteer 834 380 1,214 Faircross Bus Garage 287 235 522 South East Essex Technical College 479 151 630 East Street, Magistrates Court 1,344 1,457 2,801 Fanshawe Tavern 322 365 687 British Eastlight Ltd. 46 245 291 Thames View Estate 117 262 379 Thames Plywood Ltd. 207 102 309 Magnavox Electronics 293 433 726 Sherwoods Paints 102 62 164 Poultons Ltd.