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e23430de-df92-4861-bb9c-e90c2ea4b9c5 | Warning letter to Manufacturers. 1772A Cherries Informal Can had a hole approx. 2mm x 3 mm which had caused deterioration of the contents. Warning letter to Manufacturers. 1791A Salad Roll Informal Contained a dead earthworm. Legal proceedings. 1815A Corned Beef Informal Contained iron and calcium salts together with waxy matter. Referred to Wholesalers. 102 Pork Sausages Formal Meat 62$, therefore slightly deficient in respect of meat content. No action. 103 NRG Blackcurrant Health Drink Formal Misdescribed as "Pure Blackcurrant." Contained only 15$ of fruit juice, therefore claim that it contained more fruit juice than Ribena not justified. Warning letter to Retailer. 20 New Season's Walnuts Formal Some of the nuts in a mouldy condition. Referred to Importers and Country of origin. 105 Pork Sausages Formal Meat 57%. 12% deficient in meat. |
677ccf1c-1817-4eb8-bc26-3579499ff90b | Legal proceedings. Defendant given an absolute discharge. Costs refused. 76 PREVALENCE OF, AND CONTROL OVER INFECTIOUS AND OTHER DISEASES Notifiable Diseases (other than Tuberculosis) Under 1 yr. 1 - 2 - 3 - 4 - 5 - 10 - 15 - Over 25 yrs Total Scarlet Fever _ 3 1 4 18 38 11 4 - 79 Whooping Cough 8 13 19 12 11 31 4 - 1 99 Measles 33 102 137 131 143 417 61 11 4 1, |
1c1c99fd-5439-406d-a03d-cb32a3ab374a | 039 Diphtheria - - - - - - - - - - Dysentery - 1 1 - - 5 - - 3 10 Acute Poliomyelitis: Paralytic - - - - - - - - - - Non-paralytic - - - - - - - - - - Meningococcal infection 1 - 1 - - - - - - 2 Under 5 yrs 5-14 15 - 44 45 - 64 65 and over Total Pneumonia: Acute Primary - 1 1 - - 2 Acute Influenzal - - - 1 3 4 Encephalitis, |
1b9b1307-6e4c-4d43-b952-a2048367e41f | Acute: Infective - - - - - - Post Infectious - 1 - - - 1 Erysipelas - - - 5 1 6 Food Poisoning 1 - 1 1 - 3 Puerperal Pyrexia - - - - - - Ophthalmia Neonatorum - 2 - - - 2 Paratyphoid B - - 1 - - 1 Typhoid - - - - - - Smallpox - - - - - - Notified Admitted to Rush Green Hospital Admitted to other Isolation Hospitals Admitted to other Hospitals Dysentery 10 _ - - Encephalitis, Acute: Infective - - — _ Post Infectious 1 1 - - Erysipelas 6 - - — Food Poisoning 3 - - - Measles 1, |
2f410837-d2aa-4bad-a19c-d91aa3d71405 | 039 4 - 2 Meningococcal Infection 2 1 - - Paratyphoid Fever 1 - - 1 Puerperal Pyrexia - - - - Pneumonia: Acute Primary 2 - - - Acute Influenzal 4 - - - Acute Poliomyelitis: Paralytic - - - - Non-paralytic - - - - Scarlet Fever 71 - - - Typhoid - - _ _ Whooping Cough 99 2 - - 77 iw5- |
03585abe-75a8-4e53-83e9-ab8b3a649522 | I. BARK 61 LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1967 J. ADRIAN GILLET, m.b., ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, Essex Telephone: 01-592 4500 BARK 61 LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1967 J. ADRIAN GILLET, m.b., Ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, |
cdead45a-1f29-4fe3-a557-c48e28f1eddb | Essex Telephone: 01-592 4500 INDEX Page Adolescent Clinic 53 Adult Training Centre 45 Ante-natal Clinics 22 "At Risk" Register 31 Atmospheric Pollution 68 Barking Hospital 65 Bentry School 58 Care of Mothers and Young Children 22 Child Guidance 52 Children's Department 29 Chiropody 36 Civil Defence 46 Congenital Abnormalities, Incidence of 6l Convalescence 47 Council, Members of 3 Cytology Service 27 Day Centre for the Mentally ill 80 Day Nurseries 24 Deaths, Causes of 17 Dental Services 62 Diseases of Animals Act 1950 70 Domestic Help 46 Education Committee 4 Education (Special Services) Sub-Committee 5 Enuresis Clinic 54 Factories Act 1961 70 Faircross School 58 Food and Drugs, Sampling 75 Food Hawkers, Registration 74 Food, Inspection and Supervision 72 Food Poisoning 74 Food, |
36b5565d-bdc7-4c7a-a7e5-aacafd9c2bcb | Unsound 73 Geriatric Liaison Officer 33 Handicapped Children 58 Health Committee 4 Health Education 19 Health Visiting 8 Home Nursing Service 2 Housing 67 Houses in Multiple Occupation 68 Hypothermia, Accidental 34 Ice Cream 73 Immigrants 8 Immunisation 29 Improvement Grants 68 Infant Mortality 16 Infant Welfare Centres 23 Infectious Diseases 79 Page Junior Training Centre, Castle School 40 Kingsley Hall Day Centre 27 Laundry Service 68 Maternity Services 22 Medical Examination of Staff 39 Mental Health 40 Midwifery Service (domiciliary) 22 Minor Ailments Clinics 48 Milk 73 National Assistance Act 1948 35 Noise Abatement Act 1960 69 Offices, Shops and Railway Premises Act 1963 71 Orthopaedic Clinic 52 Over Sixties Clinic, |
eb74f6a3-168a-4d34-8cb6-a49e89dfb825 | Oxlow Lane 33 Pesticides in Food Survey 74 Pet Animals Act 1951 69 Play Therapy 26 Prevention of Damage by Pests Act 1949 69 Public Swimming Baths 67 Rag Flock and Other Filling Materials Act 1951 69 Rehousing on Medical Grounds 39 Rent Act 1957 68 Riding Establishments Act 1939 70 Sanitary Inspection of District 66 School Health 48 School Meals Service Staff, Medical Invigilation of 48 Selective School Medical Examinations 48 Sewerage and Sewage Disposal 67 Sickroom Equipment 33 Slum Clearance 67 Smoke Control Areas 68 Speech Therapy 55 Staff 6 Tents, Vans and Sheds 68 Tuberculosis 35 Unmarried Mother, Care of 23 Vaccination 29 Vital Statistics 16 Water 66 2 MEMBERS OF THE COUNCIL (as at 31st December, 1967) MAYOR Councillor W. G. NOYCE, J.P. |
3c9365d0-a375-4fdc-ae76-c2103219db23 | DEPUTY MAYOR Alderman A. E. BALL, O.B.E., J.P. ALDERMEN W. E. BELLAMY, J.P. B. E. ROYCRAFT, J.P., G.L.C. G. H. A. CROUCH J. R. SWEETLAND Mrs. A. M. MARTIN Mrs. A. R. THOMAS D. O'DWYER, K.S.G. COUNCILLORS C. H. AYRES J. H. LAWRENCA C. E. AYRTON DANIEL LINEHAN Mrs. M. BALL, O.B.E., G.L.C. DAVID LINEHAN G. J. G. BEANE, J.P. E. R. McKEE R. BLACKBURN, J.P. W. MILNE Mrs. M. BREDO J. P. MOORE J. A. BUTLER, J.P. |
6528b98f-7d77-42b1-9823-ada336fda653 | R. W. MUGE H. J. CLEAVER H. A. POWELL S. G. COLE Mrs. M. S. PRESTON L. A. COLLINS A. C. V. RUSHA D. A. L. G. DODD, J.P. L. SENIOR F. C. EDGECOMBE S. C. SIVELL, J.P. Mrs. C. S. M. GODFREY, J.P. M. J. SPENCER R. H. F. GODFREY F. C. SPRAGGINS D. 0. GRANDISON J. S. THOMAS, J.P. L. F. HENSTOCK, J.P. F. G. TIBBLE H. J. HOWIE L. W. TODD C. W. JILLINGS J. B. WARD, J.P. Mrs. |
d789c717-d6d8-4e02-9401-062272e452bb | D. M. JONES S. J. WARR F. C. JONES Mrs. M. A. WARREN H. R. JONES D. J. WATERS J. L. JONES, J.P. D. W. WEBB H. P. LARKING E. J. WOODS 3 HEALTH COMMITTEE (as at 31st December 1967) CHAIRMAN Councillor Mrs. M. Ball VICE-CHAIRMAN Councillor Mrs. D. M. Jones MEMBERS His Worship the Mayor Councillor E. R. McKEE The Deputy Mayor Councillor R. W. HUGE Alderman D. O'DWYER Councillor Mrs. M. PRESTON Alderman J. R. SWEETLAND Councillor F. C. SPRAGGINS Alderman Mrs. A. R. THOMAS Councillor F. G. TIBBLE Councillor Mrs. |
9910925a-85cf-475c-9329-d81d0f8d6025 | C. S. M. GODFREY Councillor S. J. WARR Councillor H. R. JONES Councillor D. J. WATERS CO-OPTED MEMBERS Councillor Mrs. M. BREDO Dr. M. LEWIS Mrs. D. M. GLENNY EDUCATION COMMITTEE (as at 31st December 1967) CHAIRMAN Councillor G. J. G. BEANE VICE-CHAIRMAN Councillor A. C. V. RUSHA REPRESENTATIVE MEMBERS His Worship the Mayor Councillor D. 0. GRANDISON Alderman A. E. BALL Councillor L. F. HENSTOCK Alderman W. E. BELLAMY Councillor C. W. JILLINGS Alderman Mrs. A. MARTIN Councillor Mrs. |
b4d32a4e-ba32-4c9b-ad98-818c7361d6bd | D. M. JONES Alderman D. O'DWYER Councillor F. C. JONES Alderman J. R. SWEETLAND Councillor Daniel LINEHAN Councillor Mrs. M. BALL Councillor David LINEHAN Councillor R. BLACKBURN Councillor Mrs. M. S. PRESTON Councillor Mrs. M. BREDO Councillor L. SENIOR Councillor J. A. BUTLER Councillor S. C. SIVELL Councillor S. G. COLE Councillor Mrs. M. A. WARREN Councillor L. A. COLLINS Councillor D. J. WATERS Councillor D. A. L. G. DODD Councillor D. W. WEBB Councillor Mrs. |
36a3994e-d170-4ca6-943e-6120b7886d16 | C. S. M. GODFREY Councillor E. J. WOODS Councillor R. H. F. GODFREY CO-OPTED AND NOMINATED MEMBERS Mrs. I. M. BROCKELBANK The Rev. Louis HESTON Mr. J. H. COCKS Mr. F. H. KING Mr. J. M. DAVIES Mr. A. RICHARDS Mr. P. GRIMES Mr. S. J. RUSSELL Miss M. C. GROBEL, M.A. The Rev. J. W. ROXBURGH Mr. E. E. HENNEM 4 EDUCATION SPECIAL SERVICES SUB-COMMITTEE (as at 31st December 1967) (This Sub-Committee deals, inter alia, with the School Health Service) CHAIRMAN Councillor G. J. G. BEANE MEMBERS Alderman Mrs. |
d1d6bc49-a099-415e-84ee-fe52b0ab8145 | A. MARTIN Councillor A. C. V. RUSHA Councillor Mrs. M. BREDO Councillor L. SENIOR Councillor L. A. COLLINS Councillor Mrs. M. A. WARREN Councillor Mrs. C. S. M. GODFREY Councillor D. J. WATERS Councillor D. 0. GRANDISON Mrs. I. M. BROCKELBANK Councillor Mrs. M. S. PRESTON Rev. Louis HESTON 5 OFFICERS OF THE HEALTH SERVICE (as at 31st December 1967) MEDICAL OFFICER OF HEALTH AND PRINCIPAL SCHOOL MEDICAL OFFICER J. Adrian Gillet, M.B., Ch.B., D.P.H., F.R.S.H. ASSOCIATE MEDICAL OFFICER OF HEALTH Margaret I. Adamson, M.B., Ch.B., D.P.H. |
de8e09fb-b7d1-4a64-b835-e49e410186a1 | DEPUTY MEDICAL OFFICER OF HEALTH 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. SENIOR MEDICAL OFFICERS W. H. G. Batham, M.R.C.S., L.R.C.P., D.P.H. R. Beaver, M.B., B.S., D.C.H., D.P.H. SENIOR ASSISTANT MEDICAL OFFICERS E. Klein, M.D., L.R.C.P. & S. M. Weizmann, M.R.C.S., L.R.C.P. ASSISTANT MEDICAL OFFICERS D. Burgess, M.D. S. N. Jazeel, M.B., B.S., D.C.H. K. Fitzpatrick, M.B., Ch.B. G. Michael, M. |
d1b671b5-3bdd-47ff-8d56-307f234d07d0 | R.C.S., L.R.C.P., B.J In addition 9 medical officers are employed on a sessional basis. PRINCIPAL DENTAL OFFICER J. K. Whitelaw, L.D.S., R.C.S. SENIOR DENTAL OFFICER P. K. Chaudhury, L.D.S., R.C.S. DENTAL OFFICERS V. H. Foy, L.D.S., R.C.S. C. Sumsawaste, L.D.S., R.C.S. N. J. Graham, L.D.S., R.C.S. In addition 2 dental officers are employed on a sessional basis. SENIOR DENTAL SURGERY ASSISTANT Mrs. F. B. Sadler (23) DENTAL SURGERY ASSISTANTS Mr8. M. Brideson Mrs. I. A. Rourke Mrs. G. Lynch Miss M. Sealey Mrs. |
e8f01a04-e2b6-49d4-92c4-0718758e1608 | K. E. McKenzie Mrs. M. Strachan (9) Mrs. D. Murray (23) Mrs. P. Strickland (part-time) DENTAL AUXILIARIES Mrs. J. Nagel (24) Miss S. D. Ware (24) SENIOR DENTAL TECHNICIAN-IN-CHARGE Mr. J. Constable 6 CHIEF PUBLIC HEALTH INSPECTOR Mr. F. W. S. Fox (1), (2), (3), (4) DEPUTY CHIEF PUBLIC HEALTH INSPECTOR Mr. M. R. Williams (1), (2), (4) PUBLIC HEALTH INSPECTORS Mr. J. Allam (1), (2), (4) Mr. S. A. Lemmon (1), (2), (4) Mr. N. Burton (1), (2) Mr. J. Powell (1), (2), (4) Mr. |
229681b5-7c52-47ee-aef7-d239dd179fe6 | J. Cook (1), (2), (3) Mr. B. Saunders (1), (2), (4) Mr. E. Day (1), (2), (4) Mr. F. Silverthorne (1), (2) Mr. T. W. Glew (1), (2) STUDENT PUBLIC HEALTH INSPECTORS Mr. K. Hunt Mr. B. Orme SUPERINTENDENT OF NURSES' HOMES Miss M. Dobson (5), (6), (21) ASSISTANT SUPERINTENDENT OF NURSES' HOMES Miss E. S. Hart (5), (6), (7), (12), (21) DISTRICT NURSES Mrs. S. L. Bradley (5), (6), (21), (32) Miss P. Lowery (5) Mrs. |
c8a0892c-622b-461e-b248-86d5686281a9 | P. M. Clancy (5), (21) Miss D. Meek (5), (6), (21) Mrs. J. M. Cotterill (5) Miss K. M. MoLL erup-Peterson (5), (21) Mrs. Y. A. Dignura (5), (21) Miss N. Norris (5), (6), (21) Miss M. D. Ellis (5), (20), (21) Miss T. O'Kelly (5) Mrs. J. M. Findlay (5) Mrs. M. O'Riordan (5), (8), (21) Mr. D. V. Goodman (5), (21) Mrs. M. Pront (5) Mrs. A. Hayden (5), (21) Miss R. Richards (5), (6), (21) Mrs. |
44cb8e14-2fab-440f-a70c-431dc1085af8 | G. A. Headley (5), (8), (21) Miss J. Smith (5), (6), (21) Miss J. R. Heath (5) Miss J. Smith (5), (9), (21) Mrs. A. L. Hillas (5), (21) Mr. R. J. Turpin (5), (21) Mrs. D. J. Kitchen (5), (6), (21) Mrs. J. E. Walsh (5) Mr. R. D. Lintott (5), (16), (21) DISTRICT NURSES (part-time) Mrs. W. Bates (5) Mrs. N. Flynn (5), (8), (21) Mrs. E. Colgate (9) Mrs. J. E. Thomas (5) STUDENT DISTRICT NURSE Mrs. |
b0f0a9b4-ee1d-4e71-803a-b3517cb5b533 | E. McCallum (5) NON-MEDICAL SUPERVISOR OF MIDWIVES Miss M. Dobson (5), (6), (21) ASSISTANT NON-MEDICAL SUPERVISOR OF MIDWIVES Miss M. Teather (5), (6) 7 MIDWIVES Mrs. I. M. Bronnick (5), (6) Miss C. Rafferty (5), (6) Mies A. Cunningham (6) Miss H. V. Rungay (5), (6) Miss S. W. Etherton (5), (6), (14) Miss P. R. Shackleton (5), (6), (9) Miss M. Hall (5), (6) Mrs. P. M. Shardlow (5), (6) Miss D. Hearsey (5), (6) Mrs. P. Vanbrook (5), (6) Mrs. |
ad36468b-7f67-4070-b1a1-9531a5c2bb72 | N. Lewis (5), (6), (10) Miss M. Walker (5), (6) SUPERINTENDENT HEALTH VISITOR Miss B. Long (5), (6), (7), (22) DEPUTY SUPERINTENDS HEALTH VISITOR Mrs. C. C. Ledden (5), (6), (7), (21) SENIOR HEALTH VISITORS Mrs. P. Broad (5), (7), (8), (14) Mrs. B. Ramsey (5), (6), (7), (20) HEALTH VISITORS Miss J. Baldwin (5). (6), (7) Mrs. J. O'Brien (5), (7) Mrs. M. F. Bass (5), (6), (7) Miss O. Ologunro (5), (6), (7) Miss A. E. Boorman (5), (6). |
ee75890e-ee39-46c8-8520-988ff1634271 | (7), (21) Miss E. G. Parry (5), (6), (7) Miss J. M. Cottle (5), (7), (8) Mrs. H. V. Reeder (5), (7) Mrs. L. Dunbar (5), (6), (7) Mrs. R. L. Robertson (5), (6), (7), (12) Miss R. Hutchinson (5), (6), (7), (21) Miss D. B. Rudd (5), (6), (7) Miss J. D. Jarvis (5), (6), (7) Miss M. F. Savage (5), (6), (7), (TO Miss P. I. Jefford (5), (6), (7) Mrs. F. M. Stuart (5), (6), (7) Mrs. E. P. Kenny (5), (6), (7), (13) Mrs. |
aad037c4-1893-44a8-8fc5-43cc01ff1c25 | A. Ward (5), (7), (31) Mrs. E. Lyon (5), (6), (7), (21) Miss M. D. Wint (5), (6), (7) HEALTH VISITOR (part-time) Mrs. M. Nelson (5), (6), (7) SPONSORED STUDENT HEALTH VISITORS Mrs. H. J. Harris (5), (8) Mrs. M. M. Miller (5), (8) SCHOOL NURSES Mrs. J. I. Hogg (5) Mrs. P. A. Picken (5) Mrs. E. M. McCheyne (5) Mrs. M. C. Twomey (5) CLINIC NURSES Mrs. S. M. C. Barber (5) Mrs. M. A. Pearce (5), (8) Mrs. E. G. Frisby (5) Mrs. |
91b8e346-ed82-4ab8-99ba-72c8816b16e3 | E. M. Robinson (5) Miss P. A. Hayes (5), (31) Mrs. M. Warner (20) Mrs. A. Noden (5), (14) CLINIC NURSES (part-time) Mrs. S. J. Browne (9) Mrs. S. Henderson (5), (12) Mrs. R. K. D. Clark (5), (8) Mrs. D. G. L. Jarvis (5) Mrs. I. M. Collingwood (5) Mrs. A. M. Marsh (5), (6) Mrs. B. Cullum (5) Mrs. M. E. Montgomery (5) Mrs. M. Halligan (5), (6), (12) Mrs. |
c038b029-9d79-4ef0-814b-153553f29e69 | G. Pratt (5) 8 SPEECH THERAPISTS Miss C. J. Delaforce (18) Miss E. N. Symes (18), (19) ASSISTANT SPEECH THERAPIST (part-time) Miss S. Marquand (18a) PHYSIOTHERAPIST Mrs. A. Walker (30) PHYSIOTHERAPIST (part-time) Mrs. J. M. Warwick (29) CHIEF CHIROPODIST Mr. H. Leavesley (11) SENIOR CHIROPODISTS Mr. D. Ditsell (11) Mrs. D. Mann (11) Mr. E. Dransfield (11) Mr. H. Stenson (11) Mr. N. Freeman (11) DOMICILIARY CHIROPODIST Mrs. E. V. Morgan (11) CHIROPODISTS (part-time) Mrs. E. A. Barber (11) Mr. |
c2db8acc-717c-4024-99b6-d53778a4e1a0 | P. Freel (11) Mr. R. H. Fenton (11) TRAINING CENTRES Castle School and Training Centre, Supervisor: Mrs. M. A. Washer (28), (33), Ripple Road, (34) Dagenham, Essex. Adult Training Centre, ) Manager: Mr. W. Matthews (28) Osborne Square, ) Dagenham, Essex. ) Senior Gale Street Annexe ) Instructor: Mr. C. Dodd DAY NURSERIES, etc. Goresbrook Day Nursery, Matron: Mrs. E. Maddison (5), (12) Dagenham Avenue, Dagenham, Essex. Deputy: Miss A. B. Cunningham (14) Annie Prendergast Day Nursery, Matron: Mrs. P. A. Ardley (14) Ashton Gardens, Chadwell Heath, Deputy: Mrs. G. M. Maddison (14), (17) Romford, Essex. |
3cca945a-2e54-4552-a295-2842591a44a7 | Eastbury Day Nursery, Matron: Miss F. B. Nason (5), (6), Blake Avenue, (12), (19), (35) Barking, Essex. Deputy: Mrs. B. A. Bell (5) Kingsley Hall Day Centre for Sister-in-Charge: Mrs. K.I.Daly (5), (6), (20) Handicapped Children, Hobart Road, Dagenham, Essex. 9 PRINCIPAL MENTAL WELFARE OFFICER Mrs. J. W. W. Dixon (26) SENIOR MENTAL WELFARE OFFICERS Mr. L. H. Balls (26) Mr. D. G. Bishop (10) MENTAL WELFARE OFFICERS Mr. J. Byrne (5), (10) Miss E. J. Sleigh (27) Mr. S. Ruchpaul (5), (10) Mr. |
e60a4255-317b-4d24-898c-326a57b8cc80 | G. R. Welsh (10) HEALTH EDUCATION OFFICER Mr. G. S. Self (1), (2),(4) ASSISTANT HEALTH EDUCATION OFFICER Miss n. Milbank (5), (6), (7), (20), (21), (25) PROJECTIONIST/TECHNICIAN Mr. A. Phillips LAY ADMINISTRATIVE OFFICERS Mr. F. W. Knight (1), (2) Mr. G. H. Ruff SENIOR ADMINISTRATIVE ASSISTANTS Mr. F. H. Martin (15) Mr. B. S. Weaver Mr. B. S. Tyrrell SECTION HEADS Mrs. P. H. Floodgate Vaccination and Immunisation Miss G. K. Harris Environmental Mrs. H. Jackson Mental Health Mrs. M. C. Newman Care and After Care Mr. H. J. Pitt Staffing and Management Mrs. J. B. Smith Finance, Supplies, etc. |
52f76746-b47a-4570-a6b7-b2095fd8f8ca | Mr. A. G. Stevenson Maternal and Child Health MEDICAL OFFICER OF HEALTH'S SECRETARY Miss E. S. Bell SECTION CLERICAL STAFF Vaccination and Immunisation Mrs. M. King Miss B. M. Slater Environmental Miss L. J. Ellis Miss N. M. Toms Mrs. J. W. Morgan Miss B. Wells Mrs. J. Phillips Care and After Care Mrs. J. E. Barnes 10 Staffing and Management Miss M. Middleton Mrs. I. M. h. Dupree Mrs. P. McMillan Miss K. M. Read Mr. A. R. Moss Mrs. I. E. Smith Miss J. A. Stroud Finance. Supplies, etc. Mrs. G. Anger Mrs. C. E. Smythe Miss V. E. Cheal Mr. D. E. Ward Maternal and Child Health Miss E. A. Adams Mrs. |
ac02e81f-9d94-4fda-9f29-b9a368000452 | E. J. Neport Miss E. D. Brown Mrs. E. Nottage Miss N. E. Cloke Mrs.S. B. Orme Mrs. P. M. Collins Mrs. I. A. Page Mrs. K. M. Conroy Miss M. A. Rhodes Miss V. N. Davies Miss K. Richards Miss A. C. Davies Mrs. G. K. Shannon Miss R. Drake Miss D. Tilson Mrs. D. Ellis Miss M. A. Watts Mrs. D. G. Green Mrs. D. Wilkins Miss C. A. Lincoln Part-time Mrs. K. Bird Mrs. S. Hopson Mrs. M. Edwards Mrs. M. Lodge Mrs. E. Harsent Mrs. J. E. Schofield ADMINISTRATIVE TRAINEE Mr. R. G. James DOMESTIC HELP SERVICE Senior Organiser: Mrs. |
c74d9b5a-4d8e-496e-94b2-8a332a0d0ad5 | L. Everitt Organisers: Miss J. M. Pemberton Mrs. G. Sanger Assistant Organisers: Mrs. p. M. Archer Mrs. P. M. Sinclair Clerical Assistant: Miss J. F. Baxter geriatric liaison officer Mrs. J. M. Harrold (5), (12). 11 REGIONAL HOSPITAL BOARD OFFICERS ORTHOPAEDIC SURGEON A. F. Bryson, M.A., M.B., B.CHIR., F.R.C.S. OPHTHALMOLOGISTS R. F. Jamieson, M.B., Ch.B., D.O.M.S. P. Lancer, M.B., B.S., M.R.C.S., L.R.C.P., D.C.H., D.O.M.S. CONSULTANT PSYCHIATRISTS E. Danos, M.R.C.S., L.R.C.P., D.P.M., D.C.H. |
bbfd873c-66f8-422d-8f87-898098b19ab1 | K. R. Masani, M.R.C.S., L.R.C.P., D.P.M. J. D. Waldman, M.B., B.Ch. EAR, NOSE AND THROAT SURGEON Miss M. Mason, F.R.C.S. PHYSIOTHERAPIST Mrs. E. Ottley, M.C.S.P. PUBLIC ANALYST J. Hubert Hammence, Ph.D., M.Sc., F.R.I. C. 12 QUALIFICATIONS (1) Certificate of Royal Sanitary Institute (2) Heat Inspector's Certificate (3) Sanitary Science as applied to Building and Public Works Certificate (4) Smoke Inspector's Certificate (5) State Registered Nurse (6) State Certified Midwife (7) Health Visitor's Certificate (8) State Certified Midwife, Part 1 (9) State Enrolled Nurse (10) Registered Mental Nurse (11) State Registered Chiropodist (12) State Registered Fever Nurse (13) Tuberculosis Certificate (14) Certificate of National Nursery Examination |
42fa14ca-fb7f-4cd9-8099-d38f8fc352cc | Board (15) Diploma in Public Administration (16) Certificate of National Society of Children's Nurses (17) Certificate of Child Care Reserve Course (18) Diploma of Licentiateship of College of Speech Therapists (18a) Temporary Licentiateship of College of Speech Therapists (19) Diploma in Social Science (20) Registered Sick Children's Nurse (21) Queen's Nurse (22) Royal College of Nursing Certificate of Public Health Administration (23) Certificate of Examining Board of Dental Surgery Assistants (24) Certificate of Proficiency as Dental Auxiliary (25) Diploma in Contents and Methods of Health Education (26) Certificate in Social Work (27) Member of Association of Occupational Therapists (28) Diploma of National Association of Mental Health (29) Member of Chartered Society of Physiotherapy (30) Member Oslo Orthopaedic Institute of Physiotherapy (31) Obstetric Nurse Training Course (32) State Enrolled Assistant Nurse Certificate (Tropical Nursing), |
1a3f1da6-dad0-4061-b3e1-1e074cd42442 | Malaysia (33) Margaret Morris Movement Diploma (33) Montessori Method of Education Diploma (35) Housekeeping Certificate 13 Health Department, Civic Centre, Dagenham. To: THE MAYOR, ALDERMEN AND BURGESSES OF THE LONDON BOROUGH OF BARKING. This report covers the second full year of the new London Borough of Barking. So many changes took place during the year and so much progress was made that I can only draw attention to some of the main features in this short introduction. Those interested in more detail will find it in the main body of the report. It is never very difficult to put forward innumerable projects which would make for progress in a service-especially if the service includes Preventive Medicine. Unfortunately, there must always be the limiting factors of finance and of manpower which must of necessity slow down progress in many directions desirable as it might appear to be. This means selecting priorities, never an easy matter. |
6c181d64-211d-4ed3-a4fc-c110f5985a47 | In 1965, the London Borough of Barking selected as one of its major priorities the development of its mental health services. During 1967, progress was made in planning and putting into operation some of the projects in mental health which the Health Committee felt were of major importance. During the year the Porters Avenue Day Centre was opened. This centre was acquired during 1966 and the end of 1967 seems an appropriate time to review the activities carried on there. This will be found in the mental health section of the report, but I would particularly like to draw attention to the transfer of the Westfield Psychiatric Social Club to the Porters Avenue Centre. This club provides a free and easy source of social contact and a link with voluntary activities in the field of mental illness. The maisonette reported on in 1966 proved its value during 1967 in helping towards the rehabilitation of patients. It is hoped to extend and develop this idea. |
fc5cd79d-2332-48db-8c86-7f76c109edde | It is particularly pleasing to record the acceptance of the patients by other tenants living in neighbouring flats. Developments in the field of subnormality also took place during the year. Unfortunately, Mrs. Early, Supervisor in charge of the Castle School and the Gale Street annexe for older girls, resigned to take up a teaching appointment at the Chiswick Polytechnic. We wish her well in her new appointment. Following Mrs. Early's resignation, it was decided to place the Gale Street annexe for older girls under the control of Mr. Matthews, Manager of the Adult Training Centre. The new centre scheduled for opening in 1968 was well under way at the end of 1967. Meanwhile, planning for further developments continues and will no doubt form part of the annual report in future years. Health Education must also be one of our major priorities, and here too progress was made during the year; progress, for instance, towards the giving of courses in health instead of sporadic talks on various subjects. |
44ef05f1-b843-4373-9b72-ee94fc53d401 | Although the Health Education Officer and his assistant are beginning to give their attention more to organisation than to conducting courses themselves, I look forward to the time when their function will be to use their expertise to organise courses carried out by others, to give in-service training to teachers, health visitors and others (teaching the teachers), to assess what needs to be taught to specific groups (by planned surveys into what people really need to learn) and to investigate the results of health education as they relate to both the acquisition of knowledge and to any change in attitude or behaviour resulting from what has been learnt. 14 The appointment of a Geriatric Liaison Officer, mentioned in 1966 as an innovation, has I think proved of value and has improved the already existing good relationship with geriatricians and family doctors. During the year the department took part in a pilot scheme of investigation into the incidence of accidental hypothermia in the elderly and its real significance. The results showed the need for further research. Shortages of staff, e.g. |
a8e7cda2-53c7-40f9-9148-45a39ec71faf | home helps and chiropodists, have unfortunately created problems, and the medico-social assessment centre for the over sixties at Oxlow Lane Clinic was unable to function satisfactorily because of shortage of appropriate medical staff. The school health service received attention during the year. One change was made to bring the service more into line with current practice. Selective medical examination of school leavers was further extended to replace the old routine school examination of every child, which is so uneconomical in terms of medical manpower. In this method of working, only those children are examined who as a result of a questionnaire to parents, or on request by teachers, are found by the school medical officer to need an examination. Linked with periodic screening for defects of hearing and vision, this can be relied on to uncover any important defects in these days when most children are seen much more frequently by their own doctor than used to be the case. |
3aa2d55d-3007-4673-bb87-5ca8ce3c896e | Though this new method has not been found to produce a saving in medical manpower, it is hoped to extend it to other age groups because of its effectiveness. The school dental service merits special mention. It too has made steady progress during 1967, and though I must refer to the main body of the report anyone interested in the detail, the use of dental auxiliaries merits special mention. I must finally draw attention to the shortage of health visitors as a serious long-term difficulty which merits a stepping-up of our efforts to recruit students for training and the use of ancilliaries to assist the health visitor in carrying out her functions. Many more developments were in process of planning or were beginning to take place than I have mentioned in this short introduction to the annual report for 1967, most of which will be contained in the main body of the report. |
92e19d49-a857-447d-959f-5ebbbf0a66d2 | I must in conclusion thank all the staff of the department - medical and lay - for their help during 1967, and the Health Committee its Chairman, Vice-Chairman and Members for their support and co-operation during the year. J. ADRIAN GILLET Medical Officer of Health 15 VITAL STATISTICS 1967 Registrar General's estimate of resident population, mid-year 1967 170,100 Live Births: Legitimate (1,114 male, 1,022 female) 2,136 Illegitimate (91 male, 69 female) 160 Total (1,205 male, 1,091 female) 2,296 Illegitimate live births per cent of total 6.97 Live birth rate per 1,000 population 13.50 Live birth rate adjusted by comparability factor of 1.04 14.04 Stillbirths: Legitimate ( 17 male, 14 female) 31 Illegitimate (-male, 1 female) 1 Total (17 male, |
342a50c9-e61b-4225-b296-04d756aa93b7 | 15 female) 32 Stillbirth rate per 1,000 live and stillbirths 13.69 Total live and stillbirths 2,328 Deaths: Infant deaths (under 1 year) (22 male, 23 female) 45 Infant death rate per 1,000 live births 19.6 Legitimate infant death rate per 1,000 legitimate live births (21 male, 20 female) 19.19 Illegitimate infant death rate per 1,000 illegitimate live births (1 male, 3 female) 25.00 Neo-natal mortality rate (deaths under 4 weeks (26) per 1,000 live births) 11.32 Perinatal mortality rate (stillbirths (32) and deaths under one week (25) per 1,000 live and stillbirths) 24.48 Early neo-natal mortality rate (deaths under 1 week per 1,000 live births) 10.89 Maternal mortality (deaths from pregnancy, |
0082b9d2-6277-4a97-a93f-eb70ffbb0bc8 | childbirth, abortion) 1 Maternal mortality rate per 1,000 total births 0.43 General mortality: Number of deaths (985 male, 730 female) 1,715 Death rate per 1,000 population-crude 10.08 Death rate adjusted by comparability factor of 1.33 13.31 The vital statistics for the borough remained substantially the same as in the previous year. The infant death rate was slightly above the national average of 18.3 which is the lowest national rate ever recorded, and the stillbirth rate again showed a welcome fall from 14.27 in 1966 to 13*69 in 1967. I regret to report that one, mother died from causes associated with pregnancy and childbirth during the year. Everything was done to preserve life, and subsequent investigations attributed this death to natural causes. 16 17 Causes of Death, 1967 Under 1 yr. 1 and under 5 yrs. 5 and under 15 yrs. |
bd4205d9-aee7-46ba-96e4-6ab906795732 | 15 and under 25 yrs. 25 and under 45 yrs. 45 and under 65 yrs. 65 and under 75 yrs. 75 and over Total M F M F M F M F M F M F M F M F M F 1. Tuberculosis, respiratory - - - - - - - - - - 1 - 4 - 1 - 6 - 2. Tuberculosis, other - - - 1 - - - - - - - - - - - 1 - 2 3. Syphilitic disease - - - - - - - - - - 1 - - - 2 - 3 - 4. Diphtheria - - - - - - - - - - - - - - - - - - 5. Whooping cough - - - - - - - - - - - - - - - - - - 6. |
fd0f31a1-1f75-4c30-80bf-a1c56ca7adff | Meningococcal infections - - - - - - - - - - - - - - - - - - 7. Acute poliomyelitis - - - - - - - - - - - - - - - - - - 8. Measles - - - 1 - - - - - - - - - - - - - 1 9. Other infective and parasitic diseases - - - - 1 - - - - - 2 - - 1 - - 3 1 10. Malignant neoplasm, stomach - - - - - - - - 1 - 7 10 18 7 6 7 32 24 11. Malignant neoplasm, lung, bronchus - - - - - - - - - - 62 10 38 9 17 3 117 22 12. |
d1928e06-0921-4078-bfc8-7a2fad7c05c2 | Malignant neoplasm, breast - - - - - - - - - - - 10 1 9 - 8 1 27 13. Malignant neoplasm, uterus - - - - - - - - - 2 - 6 - 3 - 4 - 15 14. Other malignant and lymphatic neoplasms - 1 1 1 - 1 - - 5 5 53 30 31 29 24 19 114 86 15. Leukaemia, aleukaemia - 1 - - - 1 - - 1 - 2 1 1 2 1 - 5 5 16. Diabetes - - - - - - - - - 1 - 5 2 6 5 6 7 18 17. |
32c18f07-4f8f-4e16-864b-1a6afd5a2d72 | Vascular lesions of nervous system - - - - - - - - 3 3 21 17 30 27 23 61 77 108 18. Coronary disease, angina - - - - - - - - 5 1 93 16 86 47 53 66 237 130 19. Hypertension with heart disease - - - - - - - - - - 2 1 3 2 2 8 7 11 20. Other heart disease - 1 - - - - 1 - - 1 15 10 19 12 15 31 50 55 21. Other circulatory disease - - - - - - 2 - 1 2 4 4 12 8 13 26 32 40 22. |
37568585-7d02-4ddd-a974-7ad1d7d0fb50 | Influenza - - - - - - - - - - - - 1 - - 1 1 1 23. Pneumonia 2 1 - - - - - - 1 1 5 2 10 7 26 18 44 29 24. Bronchitis 3 1 - - - - - - - 2 25 4 46 13 30 12 104 32 25. Other diseases of respiratory system 1 - - - - - - - - - 4 2 9 1 5 3 19 6 26. Ulcer of stomach and duodenum - - - - - - - - 1 - 3 - 4 1 2 3 10 4 27. |
97233265-7f19-4ec3-9971-9452571e74c7 | Gastritis, enteritis and diarrhoea - - - - - - - 1 - - 1 1 1 1 - 3 2 6 28. Nephritis and nephrosis - - - - 1 - - - - - - 2 1 - 1 2 3 4 29. Hyperplasia of prostate - - - - - - - - - - - - 3 - 4 - 7 - 30. Pregnancy, childbirth, abortion - - - - - - - - - 1 - - - - - - - 1 31. Congenital malformations 5 4 - - - - 1 - 2 - - 4 - - - - 8 8 32. Other defined and ill-defined diseases 11 14 - 1 1 - 1 - - 2 15 17 17 23 18 25 63 82 33. |
38af8473-dec5-4f90-a4a1-711bc7673724 | Motor vehicle accidents - - 1 - - - 6 - 4 - 1 - 2 - - - 14 - 34. All other accidents - - - - 1 - 3 - 1 - 5 1 - 2 3 5 13 8 35. Suicide - - - - - - 1 - - 1 3 1 1 2 1 - 6 4 36. |
249fe3c8-2b94-438f-bc61-a319c9209e1d | Homicide and operations of war - - - - - - - - - - - - - - - - - - Total 22 23 2 4 4 2 15 1 25 22 325 154 340 212 252 312 985 730 CAUSES OF INFANT DEATHS Cause of Death Under 4 weeks 4 weeks to 1 year Total Pneumonia 1 2 3 Bronchitis - 4 4 Other Respiratory Disease - 1 1 Malignant Neoplasm - 1 1 Leukaemia - 1 1 Heart Disease - 1 1 Congenital Malformations 5 4 9 Other causes (Prematurity etc.) 20 5 25 Totals 26 19 45 PRINCIPAL CAUSES OF DEATH (all ages) Diseases of heart and circulatory system 562 Cancer and other malignant diseases 448 Pneumonia, bronchitis and other respiratory diseases (excluding tuberculosis) |
ffd55f3a-32ef-49e5-8c9d-a35a6589e0dd | 236 Diseases of the brain and nervous system 185 DEATHS FROM MALIGNANT DISEASES 1967 Site of Disease Age at Death Under 15 years 15-24 years 25-44 years 45-64 years 65-74 years 75 years + Total M F M F M F M F M F M F M F Lung/Bronchus - - - - - - 62 10 38 9 17 3 117 22 Stomach - - - - 1 - 7 10 18 7 6 7 32 24 Breast - - - - - - - 10 1 9 - 8 1 27 Uterus - - - - - 2 - 6 - 3 - 4 - 15 Blood - 2 - - 1 - 2 1 1 2 1 - 5 5 Other 1 3 - - 5 5 53 30 31 29 24 |
bc42cbb9-8932-41ce-a1d5-3acae889558b | 19 114 86 Totals 1 5 - - 7 7 124 67 89 59 48 41 269 179 18 HEALTH EDUCATION The two notable features of 1967 from a health education point of view were an increase in the number of visitors and students, especially from overseas, and a closer liaison with the Education Department in general and the teaching staffs in particular. Although a full establishment of staff was maintained for the whole year (apart from a very short period between the departure of Mr. Cross the Technician/Driver and the arrival of his replacement Mr. Phillips) it was not possible to meet all requests for assistance. As a result, some schools had to be cut down from a weekly programme to a fortnightly one and some cut out altogether. The one item which expanded was in-service training and this was done in the hope that in future years teachers would be able to undertake some of the talks at present dealt with by health staffs. |
f8fa75b0-e828-45a2-a19c-600402a22a6c | Health Education in Schools Full programmes were provided in ten schools, and short programmes of three or four talks in a further six. In almost every case the talks given by our staff were part of a complete health education programme agreed with the head teacher and integrated into the general curriculum. By this means the teaching staff were able to "follow-up" the health talks and to bring to our notice points which required further elaboration. In many schools considerable flexibility was achieved in health education programmes, topics which the pupils themselves felt to be important being discussed when appropriate. A new child care course for senior girls of lesser academic ability, leading to a basic examination arranged by the National Association for Maternal & Child Welfare was carried out in one school. This was so successful that it is now included in their regular health education programme. Arrangements were made with the head teachers of two other schools for the television programme "Understanding" to be used as the basis of a series of discussions on human relationships. |
0fdd60cd-b923-4e32-b7ff-af1d460e5f8f | This was a very interesting experiment from the point of view of both pupils and staff. A meeting between head teachers of secondary schools and representatives of the Health and Education Departments was held in October and proved to be very useful. The desire of teachers for more information on the content of modern health education was apparent, and it is hoped in the future to produce some literature on the subject as well as to provide further in-service training. At the request of a school Parent Teacher Association a talk and film show were given on drug dependence. In-Service Training Four courses were arranged during the year, two being on psychology and health education for teachers taking the Post-Graduate Certificate of Education. Another was designed for domestic science and other teachers training students for the G.C.E. '0' level examination in human biology which includes a certain number of health topics. |
72718360-78b7-471c-b955-52e89341a939 | A seminar on drug addiction was held in the Assembly Hall, Barking, where some 200 people including members of the Council, magistrates, probation officers, doctors, teachers, mental welfare officers, health visitors, public health inspectors and some visiting students, listened to a talk by a consultant psychiatrist. 19 Food Hygiene Education Rush Green College was again the main centre of activity in this field, courses for both the Certificate and the Diploma in General Food Hygiene being organised in conjunction with the College staff. These were quite well attended and very satisfactory results were obtained in the examinations. At the request of the Medical Department of Messrs. Fords, three short courses on food handling were given to the canteen staffs in the Engines Division. This was the first occasion on which we have been able to co-operate in this field, and we hope that it will be the fore-runner of other courses in the future. One talk for trainee manageresses in a large multiple bakers and another for school meals supervisors were also arranged. |
b618de8d-bd55-4009-833d-758915734737 | Home Safety The quarterly home safety bulletins inaugurated in 1966 were continued and some requests were received for additional copies. We were representated at the regular meetings of the London Home Safety Council, but pressure of other duties precluded attendance at the annual RoSPA National Home Safety Conference. The majority of the home safety training is done in schools where every programme contains this topic, but a considerable amount of home safety teaching is carried out in the clinics by health visitors in the course of their day-to-day work. Training of Students In January a chief public health inspector from the Sudan was attached to the section for two months' continuous practical training. He was followed in March by two Nigerian students attending the Health Education Diploma Course at London University. Another chief public health inspector from Barbados arrived in September for three weeks. It is always interesting to meet overseas students and to learn of their problems which, in spite of so many differences of climate and environment, are very often closely related to ours. |
29cc0e1f-d862-45d4-91d5-9f7771eb4607 | In addition to the visitors from overseas, talks were given to student nurses from Rush Green Hospital and student health visitors from the Barking Regional College. Visitors The health education section also attracts its share of visitors, 2k of whom called during the year. Their places of origin varied from Turkey to Kingston-on-Thames and included a group of six Rotarians from Le Havre who were attending a meeting of the Dagenham Rotary Club. Youth The adolescent clinic at Porters Avenue continued during 1967, the main health education activity being the production of a filmstrip and 16 mm film on teenage behaviour. Apart from this, films and other visual aids were provided for the clinic staff in their talks. Examinations in home safety for young people undertaking the Duke of Edinburgh Award Scheme were continued, a high standard of work generally being produced. 20 Only one talk was given to Youth Clubs during the year, but some help with films and other visual aids was offered to leaders who wished to carry out their own health education projects. |
cc278b07-a9b5-4d32-a799-a77af4f93209 | There is no doubt that this is an age group to which much health education effort should be directed, but it will be much more effective when the demand comes from the young people themselves rather than from their leaders. Displays and Exhibitions The twin themes for the Health Department stand in the Town Show were mental health and health education the world over. The stand was located in the Municipal Tent where the display shells were professionally constructed. Like last year, this arrangement was much more successful than the system of small individual tents which had been used prior to 1966. The weather was in our favour and a record crowd attended the show. The Municipal Tent with its cool floral display and many other attractions received a fair share of the visitors. At the request of the headmistress, a dental health exhibition was organised in an infants' school to coincide with an open day. Some of the children's work was included, and this added to the popularity of the display. |
98afbda5-89fd-4d41-8a13-e060c95d1898 | Other Activities In accordance with the previously declared policy of concentrating on courses, only nine individual talks were given to various groups in 1967. These included one on health education to the local branch of the Royal College of Nursing and two on home safety to old people's clubs. During the year, 88 film shows were arranged and presented. 21 PERSONAL HEALTH SERVICES CARE OF MOTHERS AND YOUNG CHILDREN Ante-natal and post-natal care is offered at the centres shown below. During the year, 606 mothers attended for ante-natal examination and 76 for post-natal care, compared with 449 and 60 respectively during the previous year. In addition, 1,682 attendances were made at mothercraft and relaxation classes compared with 2,057 in 1966. As foreshadowed in the 1966 report, a review of attendances at ante-natal sessions was undertaken during the year, and some clinic sessions were deleted from the programme. |
9d68e069-48ad-4c04-9250-007897fcf8e5 | This enabled medical officers to devote more time to the screening of women for cancer (cervical cytology) and to the early detection of deviations from the normal in infants and young children at child development sessions. Ante-natal and Post-natal Clinics Centre Frequency of Sessions When Held Annie Prendergast Clinic, 1st and 3rd in month Wednesday a.m. Ashton Gardens, Chadwell Heath. The Clinic, Weekly Tuesday and Becontree Avenue, Wednesday p.m. Dagenham. Central Clinic, Weekly Wednesday p.m. Vicarage Drive, Barking. The Clinic, Weekly Wednesday p.m. Ford Road, Dagenham. Marks Gate Clinic, 2nd' and 4th in month Wednesday a.m. Lawn Farm Grove, Marks Gate. The Clinic, Weekly Tuesday and Oxlow Lane, Thursday a.m. Dagenham. The Clinic, Weekly Wednesday a.m. Porters Avenue, Dagenham. |
0ac6bfec-9434-44f5-bce5-f82f03d39b78 | Julia Engwell Clinic, Weekly Wednesday a.m. Woodward Road, Dagenham. Midwifery Service Unfortunately, three midwives left the Borough during the year. One obtained a post elsewhere in this country, one went to Canada and one left to have her second child. Only one of these midwives was replaced, so leaving the service very depleted. It is hoped to replace the other two midwives in the future, but the main difficulty seems to lie in the fact that living accommodation for midwives is not always readily available. The number of midwives employed at the end of 1967 was 13 including one Non-Medical Supervisor of Midwives and one Assistant Non-Medical Supervisor. 22 Pupil midwives trained during the year numbered 19. Nine trained in the Barking area and were from Barking Hospital. Ten trained at York House and were from Waltham Forest. |
c15de030-f2ad-480a-a8e4-2e1d029ef819 | There was, again unfortunately, very little done by midwives in the way of health talks and ante-natal preparation classes as such. Each midwife talks about health to each individual patient under her care, but it is difficult to establish classes when midwives are in short supply. Only at one midwives clinic were such classes run with the co-operation of the health visitor. Other patients were directed to the ante-natal preparation classes held by health visitors at the various clinics. During the year, midwives attended 532 domiciliary confinements of which 500 had booked their family doctor or G.P. obstetrician. In addition, 841 cases of early discharge from hospital received nursing care from the domiciliary midwives. Care of the Unmarried Mother The Chelmsford Diocesan Moral Welfare Association, acting on behalf of the Council, arranged for the comprehensive care and confinement of 32 cases. |
b6361959-6784-455b-b221-cb30738011e6 | Infant Welfare Centres During the year, 6,1^9 children attended the following centres:- Centre Frequency of Sessions When Held Annie Prendergast Clinic, Weekly Wednesday and Ashton Gardens, Thursday p.m. Chadwell Heath. The Clinic, Weekly Monday p.m. Becontree Avenue, Wednesday a.m. Dagenham. Central Clinic, Weekly Tuesday and Vicarage Drive, Thursday p.m. Barking. The Clinic, Weekly Tuesday a.m. Ford Road, Thursday p.m. Dagenham. Greatfields Clinic, Weekly Tuesday p.m. Movers Lane, Barking. Julia Engwell Clinic, Weekly Tuesday and Woodward Road, Friday p.m. Dagenham. Leys Clinic, Weekly Tuesday p.m. Ballards Road, Thursday a.m. Dagenham. Marks Gate Clinic, Weekly Monday p.m. Lawn Farm Grove, Marks Gate. The Clinic, Weekly Wednesday and Oxlow Lane, Friday p.m. |
0d814c5f-7dd2-4ffd-a7f6-88d3a02a45f3 | Dagenham. The Clinic, Weekly Monday and Porters Avenue, Friday p.m. Dagenham. 23 Infant Welfare Centres (continued) Centre Frequency of Sessions When Held Rush Green Clinic, Weekly Friday p.m. 179 Dagenham Road, Dagenham. Thames View Clinic, Weekly Wednesday and Bastable Avenue, Friday p.m. Barking. The Clinic, Weekly Tuesday p.m. Thompson Road, Friday a.m. Dagenham. Upney Clinic, Weekly Wednesday and Upney Lane, Friday p.m. Barking. Welfare foods and nutrients are sold at these centres during infant welfare sessions and also at Central Clinic on Wednesday afternoons and Thursday mornings, and at the Thompson Road Clinic on Monday mornings and Thursday afternoons. |
99fcafac-f407-498c-a525-c3c0c76de786 | During the year, the following amounts of welfare foods were issued:- National Dried Milk 24,883 tins Cod Liver Oil 3,169 bottles Vitamin A and D Tablets 2,070 packets of 20 Orange Juice 38,696 bottles DAY NURSERY SERVICE The average daily attendances and numbers on registers are shown below for each month of 1967:- Month Goresbrook Annie Prendergast Eastbury Average Daily Attendance No. on Register Average Daily Attendance No. on Register Average Daily Attendance No. on Register January 27.5 42 24.9 34 20.2 45 February 26.6 36 25.1 31 34.1 45 March 30.7 33 27.7 31 32.2 39 April 29.05 33 28.1 33 32.9 38 May 28.7 32 26.6 34 31.6 36 June 26. |
9c158610-fbff-4865-89f9-78eabcdc0f67 | 8 33 29.9 33 26.1 36 July 25.5 36 25.5 36 29.9 36 August 22.0 35 22.3 32 20.1 34 September 29.1 34 26.2 33 30.9 38 October 32.2 38 31.9 39 34.7 44 November 28.7 39 33.7 38 34.3 45 December 26.0 36 29.2 34 36.3 43 24 All three nurseries had waiting lists throughout the year, but admissions were limited by reason of staff shortages. To ease staffing problems a shorter working day was instituted for a trial period of three months-the nurseries opening 45 minutes later in the morning at 8 a.m. and closing at 5.15 p.m. instead of at 6 to 6.30 p.m. |
52b4700e-9cbd-499d-aec4-0d3f9fe125e1 | Mothers and employers co-operated in the revised arrangements, and the shorter hours were subsequently adopted as a permanent arrangement. Goresbrook Day Nursery Matron reports as follows:- "It is now a year since the new nursery hours were introduced-8 a.m. instead of 7.15 a.m. and closing at 5.15 p.m. instead of 6.30 p.m. I thought this would cause a lot of trouble and complaints, but it is amazing how the mothers have co-operated and adjusted themselves to the new hours. The shorter nursery day means the children have more time in the evening at home with their own family before bed-time. "As usual we have been busy with lots of very young babies which we are delighted to have for the students' training. "All the students were successful in passing the N.N.E.B. examination. Two are continuing in nursery work, and another has gone for teacher training." |
d232ded1-88ce-4689-9586-061c180fb6eb | Annie Prendergast Day Nursery Matron reports as follows:- "The year of 1967 was the first complete one in our new nursery, so in the summer months we were able to enjoy the freedom our larger garden gave us. "The number of visitors we received when the nursery first opened gradually dwindled and the staff and children were able to settle down to an established routine. The visitors who did come, however, were very welcome; they seemed to enjoy their visit and, I hope, felt at home with us. "Our intake of students increased, bringing the total number to seven. The two students who took their examination were successful, and now hold the National Nursery Examination Board Certificate. Havering Technical College held its first refresher course for senior nursery staff in the autumn, which lasted for seven days. The course came about as a result of the meetings between the Nursery Nursing Advisory Committee and the College, who felt that such a course was needed. Authorities from Southend and the neighbouring London Boroughs and Dr. |
9b724a73-f140-49d8-99f3-79c6807c0459 | Barnardos sent members of their staff, who enjoyed the course tremendously. It was, in fact, so successful that the College envisages this becoming an annual event. "The mixed age range grouping of the children which was started two years ago is still "workable". There are a few difficulties, but being aware of them is, it seems, half the battle. For instance, with a group of 2-5 year olds there is a tendency to "play down" story telling to capture the interest of the younger listeners, which we found was not really fair to the older children whose vocabulary and intellectual powers were greater. So there are times when the age groups are separated to enable the children to follow pursuits most fitted to their age and capabilities. We even have a sewing circle with some pretty good wielders of real neediest "The two open evenings held during the year were again pleasant and, thanks to the health education section, instructive. |
a00bb0ba-c241-4a44-9071-cc9e2b7aa882 | Attendance was not 100% but the 25 parents who did support us were extremely helpful and enthusiastic. "The children's Christmas party, as always, was a noisy but very happy occasion. "1967 ended for the staff on a sociable note with our first "Dinner and Dance" which sounds a little pretentious, but which in fact was delightful. A three-course meal prepared and served by "shifts" of staff and the dancing that followed was acclaimed by staff and their escorts as a great success. "For my part it was gratifying to know that staff who work and co-operate so well in the running of the nursery, can also when the occasion demands make such an evening so pleasant. In all I think we feel that this year of 1967 has laid down a pattern for us which we would do well not only to follow, but I hope improve upon in the future." |
1a804428-8b51-4e51-921a-2621ec335218 | Eastbury Day Nursery Matron reports as follows:- "The year 1967 was one of routine work with our children and nursery students. "Trained nursing staff shortages were our greatest difficulty, but we managed to care for our children and continue with the training of our students. Three nursery students gained the Certificate of the National Nursery Examination Board in July 1967. "It appears that the alteration in the nursery hours has not created any great inconvenience to our mothers. I would say that this plan of a shorter nursery day has worked very well." PLAY THERAPY In February this year we opened our fourth child development group at Oxlow Lane Clinic. On the first day we had six children and very quickly our numbers increased and now, like all the other groups, we have a waiting list. Oxlow Lane-25 children have been helped, including one physically handicapped child, two very aggressive children, four from unhappy homes, and seven with speech difficulty. |
e3cfd636-c999-4b11-b0dc-d4940d23990a | Thames View-24 children have been helped, including three mentally backward children, one partially deaf child, two from unhappy homes, one very timid and lonely child and nine having difficulty with speech. Julia Engwell-23 children have been helped, including one deaf child, two partially deaf, three mentally backward children, one spastic child, two who would not mix and eight who have speech difficulty. Northbury-22 children have been helped, including two mentally backward, one autistic child, one partially deaf, three very aggressive children, two very timid children who would not mix, and six with speech difficulty. In all groups, 94 children have been helped this year. 26 KINGSLEY HALL DAY CENTRS The Centre continued running smoothly throughout 1967. The average daily attendance was 13.5 and there were 11 new admissions and 11 discharges. |
03586a6a-9d37-4bab-9acb-5ea359a773a2 | There was one death and two removals from the district, and the rest were suitably placed either in special school or the Castle School when they reached the age of five years. The Centre staff were greatly helped this year by frequent visits from Dr. Kenneth Holt and some of his assistants from the Institute of Child Health, Great Ormond Street. He is extremely interested in the progress of handicapped children in a nursery situation, and he discusses with the staff many details of their management. The interest he showed and the trouble he took was very much appreciated. During the year, many former children were seen by the staff either by visiting them at their various schools or having them visit the Centre. This is important as it gives a clearer idea of the value of the early work done for these children. Their introduction to school life is certainly effected with much less trauma than the children who were not fortunate enough to have this nursery experience. |
f8b0c8d2-3daf-4865-804e-de027663a2d3 | CYTOLOGY SERVICE The estimated female population between 35/54 years of age at present resident in the London Borough of Barking is 22,500. The number of women screened in our local authority clinics was 1,186 in 1966 and 1,346 in 1967. The number of women screened by general practitioners from 1.4.67 to 31.3.68 was 202. Altogether 12% of the female population in question have been screened. This is a very rough estimate as we have no knowledge, of course, of the women who have been screened in various hospitals. Our present policy is to accept anyone who wishes to have a test regardless of age or parity, but we give priority to the 35/50 age group. The screening of cervical smears began in Dagenham in 1964/65. A more intensive programme started in 1966 after the creation of the new London Borough. |
e7825cf9-bb1f-452d-a1d3-f19320b39aa6 | The screening programme throughout the country is still in rather a fluid state, there being no firm policy as yet. The Ministry of Health published a circular in 1966 giving the outlines of the service when the age limit was given as 35 and upwards. Another circular in 1967 dealt with the record forms to be used by all taking part in cytology services: one copy of the uniform record was to be sent to the General Register Office. The main purpose of this was to set up a national recall system for women who had negative smears and also to provide information for statistical analysis in the study of the natural history of the disease. There has been much controversy about the appropriate priorities and the value of cervical cytology. The Ministry of Health has a number of pilot schemes and it is hoped that as a result of these some guidance will be given about the priority groups and the system of recall. We have been running five clinics in the area. |
f646aa89-5632-474d-bc70-9940f0c88a1b | Of the 1,346 patients seen in 1967, 17 were found to require recall for further investigation. 27 HEALTH VISITING In view of the increasing overlap of counselling services it seems necessary to define the function of the health visitor. The following definition is that given by the National Body in agreement with the World Health Organisation. "Health Visiting is a specialised field of nursing and exists for the promotion of health, the improvement of conditions in the social and physical environment, rehabilitation, and the prevention of illness and disability." The health visitor provides a continuing service, having the following aspects: - 1. The prevention of mental, physical and emotional ill health and its consequences. 2. Early detection of ill health and the surveillance of high risk groups. 3. Recognition and identification of need and mobilisation of appropriate resources to meet it where necessary. 4. Health teaching. 5. |
1b9b4c24-7b54-4329-a103-22e80179f3a0 | Provision of care; this includes support during periods of stress, advice and guidance in cases of illness, and in the care and management of children. The health visitor should not, however, be actively engaged in technical nursing procedures. To prepare for this work the state registered nurse must have completed a recognised course in obstetric nursing or midwifery, followed by a course in health visiting which now lasts one calendar year. Practical tuition, interposed during academic training, is given by a trained fieldwork instructor. The health visitor student then undergoes a three-month period of supervised practice before qualification. Unfortunately, there is a shortage of trained nursing staff with the appropriate academic standard who offer themselves for this field of service. Due to several staff leaving the Borough on retirement or for pastures new, it has been necessary to take the regrettable step of changing the existing visiting areas in order to provide as comprehensive a service as possible during the period of shortage and when recruitment is difficult. |
6deab5fe-31db-4e14-bc36-c61cb3f79a8d | Ancillary staff have been appointed, but there is further scope for the use of less qualified staff in supportive roles. There has been some improvement in liaison with the general practitioners in the Borough chiefly through health visitors' referrals to the family doctor and discussions with other medico-social workers in the hospital field. There is still too little co-ordination with regard to the social problems of school children, but it is hoped that as the health visitor becomes better known in the school health service, discussions with head teachers will help to close this gap. |
24d0ecc9-86c1-4bf5-bf20-56b57c326ef5 | 28 Health Visiting Statistics Cases visited by Health Visitors Number of Cases Children born in 1967 2,891 " " " 1966 2,323 " " " 1962-65 7.007 12,221 Persons aged 65 or over 507 Mentally disordered persons 56 Persons discharged from hospitals (excluding maternity patients) 27 Number of tuberculous households visited 19 Number of households visited on account of other infectious diseases 9 Homes visited by tuberculosis visitors 309 CHILDREN'S DEPARTMENT During the year, 103 medical examination forms completed by local general practitioners have been perused by the Deputy Medical Officer of Health. In this way, important medical aspects are brought to the notice of the Children's Officer. These children were boarded out into foster homes. Each of the Children's Homes have been visited by my Deputy, and were found to be in good order. Liaison with the Children's Department is ensured by the attendance of my Deputy at Children's Committee meetings. |
4b9dffb2-b7b1-4a07-92c0-f8d4b90148bb | Only if there is close liaison between departments at the field worker level will we work satisfactorily together, and thus give children in need the benefit of our combined knowledge and experience. VACCINATION AND IMMUNISATION The number of vaccinations against smallpox performed during 1967 were slightly lees than during the previous year. 2,046 persons were vaccinated or re-vaccinated compared to 2,196 in 1966 Vaccination against Smallpox Age at date of vaccination or re-vaccination Vaccinated Re-vaccinated Under 1 year 40 - 1 year 1,389 - 2-4 year 405 4 5-15 years 106 102 Total all ages 1,940 106 29 Whooping Cough Immunisation Year of Birth Primary Immunisation Children who received a booster dose 1967 807 - 1966 1,211 482 1965 100 1, |
4b8c0521-043f-4278-843c-33b1e1f199de | 032 1964 38 178 1960-63 57 357 Others under age 16 5 60 Total all ages 2,218 2,109 Diphtheria Immunisation Year of Birth Primary Immunisation Children who received a booster dose 1967 809 - 1966 1,214 483 1965 104 1,052 1964 51 205 1960-63 254 2,115 Others under age 16 76 783 Total all ages 2,508 4,638 Tetanus Immunisation Year of Birth Primary Immunisation Children who received a booster dose 1967 816 - 1966 1,215 484 1965 111 1,056 1964 57 208 1960-63 448 2,182 Others under age 16 526 1,058 Total all ages 3,173 4, |
3fb7c68a-479f-4f88-a0ce-24e72b2cefcb | 988 30 Poliomyelitis Vaccination Year of Birth Primary Immunisation Children who received a booster dose 1967 769 - 1966 1,187 438 1965 121 624 1964 70 111 1960-63 270 1,835 Others under age 16 132 356 Total all ages 2,549 3,364 "AT RISK" RE3ISTER The "At Risk" Register, or as it is now known "Observation Register", was commenced in May, 1966. A selection was made, compiled from hospital maternity reports and other sources such as reports from domiciliary midwives, of those children who may require a little more detailed supervision and care than the average child during their first year of life. During this, the most important phase of their physical, emotional and mental development, an assessment of progress is made at periodic intervals while the health visitor on her home visits supports the mother in every possible way. |
bc3e5f78-f9ff-4004-9db9-34da911f2f0e | The list of "at risk" children may be augmented by health visitors, clinic doctors or general practitioners in appropriate cases. Children are fairly tough, and though perhaps environmental and obstetrical factors may be against them at birth, at the end of the first year we find that approximately 75% of this selected group will no longer be considered "at risk" but will have adapted themselves to a normal, steady and stable developments The 25% remaining in this group at the end of the first year now remain on the "Observation Register" for a more continuous period of special care and observation. Those children with a definite handicap such as deafness, blindness or other measurable defect, have now been transferred to our "Handicapped Register." Many authorities who have been carrying out this procedure for a much longer period than ourselves have become rather critical of the system and its value. Perhaps in two or three years' time we will be able to give a more accurate assessment of its value. |
894ed4f1-8ffa-4493-b075-8aa5926a5c69 | We are now becoming more and more interested in the mental deviations which may be present, but it is extremely difficult to detect these. In this work of observation regarding the "At Risk" Register, the health visitor and the clinic doctor form a team, and with the help of the central office staff who send out the reminder letters, we hope to ensure that each child with a potential handicap within the Borough will be discovered as early as possible so that it gets every opportunity of having the effect of its handicap minimised. 31 PREVENTION OF ILLNESS. CARE AND AFTER-CARE HOME NURSING SERVICE There was no marked increase in the proportion of elderly sick, 65 years and over, nursed during the year. The total of 713 new patients for the year is not in excess of other years. Similarly, there was no increase in the young chronic sick, 5-65 years. There were six new patients with disseminated sclerosis. |
fda4560c-7aa9-4d9d-9754-9339dea4ddc2 | The number of patients discharged from hospital for further care at home was 306. The actual figures of patients discharged from hospital are probably higher than shown, because requests for treatment are sent by hospitals to the doctor and passed on by him to the district nursing service. A total of 11,850 blanket baths were given during the year. This is approximately 20% of the total number of visits paid to all patients (61,171). The number of patients requiring blanket baths varies from month to month, but on average there are 270 patients having weekly baths, plus a few daily according to their,condition; e.g. incontinent patients. An analysis of the time spent by the home nurse shows the following:- Injections, all types, quarter-hour each patient, new patients half-hour. Dressings, all types, half-hour, new patients one hour. General care or blanket bath half-hour, new patients one hour. |
2b9b2aa4-8816-4dda-860a-1004ec2d36aa | Bowel washouts, enemas, bladder washouts, and attention to colostomies, half-hour each patient. More time is allowed if needed, according to each individual patient's requirements. The extra time allowed where new patients are concerned, is taken in giving advice and instruction to relatives or friends who may be caring for the patient, or to the patient him/herself. It also falls to the nurse on occasions, particularly in winter months, to light fires, make tea, and obtain prescriptions from doctors' surgeries and take them to the chemist, in order to carry out necessary treatment. This happens in many cases where a patient lives alone and has no home help or relatives visiting. Time is also spent in rehabilitation of patients, teaching diabetics to give their own injections where possible, and teaching patients who have had strokes exercises in walking and in the use of their hands again where possible. There are six hydraulic hoists in use in the Borough, and one electric hoist which is on loan from Barking Hospital. |
d4d03c30-84b7-4b0d-ad4f-f292d51b8535 | Other nursing aids in use are four "Easinurse" mattresses, four "Easinurse" cushions, one "Easinurse" bedstead, eight "Northbed" pads (artificial sheep-skin pads). Of great help in nursing are incontinence pads which are issued in a similar manner as other sick-room equipment; i.e. bed-pans, urinals, back-rests, draw sheets, air rings and foam rubber rings, waterproof sheeting, bed-cradles and feeding cups. Students taking their district training numbered four, and these were all successful in their examinations. They also obtained posts in the Borough on qualification. There were 29 State Registered Nurses (26 full-time and three part-time) and one part-time State Enrolled Nurse employed against the authorised 32 establishment of 36 nurses. The establishment also provides for a Superintendent and two Assistant Superintendents, but one of the latter poets has not been occupied. |
f80e4564-36c7-4793-9393-7fcf91e3a236 | Footnote-From the above report it will be seen that a great deal of time is spent by professional staff doing work, e.g. bed baths, which could quite adequately be done by less highly qualified staff. Statistics Total number of persons nursed during the year 1,868 Number of persons who were aged under 5 at first visit 28 Number of persons who were aged 65 or over at first visit 713 LOAN OF SICK-ROOM EQUIPMENT Patients being nursed at home may, on medical recommendation, be loaned a wide variety of equipment to assist in their care. Bulky items are delivered to patients' homes, smaller articles are collected from the health department by relatives. 2,024 articles were loaned during the year and 3,858 items were out on loan at the end of the year. In addition, 26,500 disposable pads for incontinent patients were issued. |
08eb7e2f-3feb-4e07-bd8d-853a406245c9 | The disposal of these pads has not given rise to any major difficulty up to the present, although their increasing use may call for epecial arrangements in the future, particularly in smokeless zones and in centrally heated blocks of flats. Where patients have not been able to dispose of the pads, this has been arranged at the destructor plant. Following advice from the Ministry of Health in August 1966, the sick-room equipment loan scheme was extended to include the provision of waterproof pants and knickers with disposable linings for incontinent people. During the year, 19 patients were issued with these garments. OVER SIXTIES CLINIC, OXLOW LANE The medico-social assessment of the elderly continued through the year, although there was a period when its activities were suspended due to a severe shortage of doctors. The centre has proved over the past nine years that it has a useful contribution to make towards the preventive care of the elderly. |
8088b6d7-18db-48d3-86e2-9f4ff39f1042 | Active preparation is taking place for the provision of an additional centre at the Porters Avenue Clinic in 1968. Further expansion of this service is hampered by chronic shortage of medical staff which exists not only in this Borough but throughout the nation. GERIATRIC LIAISON OFFICER An important function of the Geriatric Liaison Officer is to provide a link between the geriatrician, the family doctor, and those departments of the Borough Council and voluntary organisations concerned with the support of the elderly. She also contributes to the task of promoting greater understanding of the problems and needs of the elderly amongst their relatives and the public at large. During the year, close liaison with family doctors and geriatricians was maintained. In addition, a good working relationship with other departments has been strengthened and contacts formed with voluntary agencies concerned with the care of the elderly. 33 Home assessment visits to advise on the social care of the elderly and visits to patients discharged from hospital continued to form a major part of the work of the Geriatric Liaison Officer. |
ad0ea9c2-1391-4b6a-86cf-e8e51f400bc0 | At the request of the geriatrician assessment visits were made to the homes of old people prior to admission to hospital, and in many cases patients were admitted without a further visit by him. A welcomed development during the year was home visiting by the occupational therapist when it was felt that the patient required further help following discharge from hospital. Much time is also taken up in finding suitable placement for the elderly who require more care than can be provided in the home. Source of Referral No. of Cases Consultant Geriatricians 220 Consultant Physicians 92 General Practitoners 20 Health Visitors 9 Mental Welfare Officers 5 Home Help Organisers 16 District Nurses 9 Old People's Welfare 5 Miscellaneous 111 Total 487 ACCIDENTAL HYPOTHERMIA In December 1965, following research reports indicating that elderly people may suffer from hypothermia without this being realised, health visitors and district nurses were issued with low reading thermometers in an endeavour to detect the condition in its early stages. |
1feae856-e4f7-420e-88f1-aca078826b4c | The winder of 1965/6 was comparatively mild, however, and two cases only came to notice, in each of which the low temperature was transitory, and was attributed to age and inactivity. Preparations were made for a more detailed study of the problem during the following winter in conjunction with the London Borough of Redbridge, each authority to carry out a pilot survey during January, February and March, 1967, of 20 old people each month. In Barking, a pool of equipment, available night and day, was set up in the Nurses' Training Home, consisting of blankets, safety oil stoves, one gallon oil cans, hot water bottles and sleeping bags-which could be used also as quilts - so that any serious case discovered could be rapidly assisted even if gas and/or electricity or solid fuel were not available. The cases were selected on a different basis in each Borough because available sources of information differed. |
a8e16eef-a21a-401e-bdd0-a739fb4c1534 | The cases in Barking were chosen at random from elderly persons in receipt of home nursing services, and in Redbridge they were selected from a source provided by the Local Executive Council. The survey was carried out by home nurses who were equipped with Max/Minimum Thermometers and who visited each patient daily to record body temperature with a low reading thermometer, minimum temperature of the bedroom 34 and the living room, and current air temperature. A social questionnaire was also completed by the home nurse. Each patient's general practitioner was advised of the survey and of any hypothermia revealed. Of the 60 patients selected in Barking, two were admitted to hospital and two died before completing the survey period, but in none of these instances was illness attributed to hypothermia. It has not been possible to recover the survey form appertaining to one of the cases who died, so this case has been ignored for statistical purposes. A total of 1,633 body temperatures were recorded, 61 of which were 95°F. |
86ae2703-3d01-4625-8337-2b96b7718749 | or below and 85-98.1 °F. or over. The 61 low temperatures related to 21 patients, six of whom showed a low temperature on one occasion only. Temperatures of 98-1 F. or over related to 22 patients. No excessively low room temperatures were recorded for any continuous period, and the weather throughout the survey was comparatively mild. The survey has provided valuable experience in the problems to be met in mounting a full-scale enquiry and in respect of the type of information likely to prove most useful. The number of cases chosen, though small, involved a large number of observations and a mass of statistics for further study. |
b341ec14-57ff-44e9-9fa3-d446a9567afb | It is too early to comment on the actual results, as their numbers were not very great, and the mildness of the winter also made it difficult to draw conclusions, but the overall impression would seem to support the observation that environment has an effect on body temperature, and that hypothermia as such may exist without any obvious ill effect, unless there exists some definite cause. The difference between the two groups under survey may provide some interesting comparisons in that while one group is selected from patients receiving home nursing services, the other group is to some extent selfselected. NATIONAL ASSISTANCE ACT. 1948 Section 47 During the year, it was not found necessary to remove any person from their home as being unable to care for themselves and not receiving adequate care and attention from others. This may be due in some measure to improved co-ordination in the care of the elderly resulting from the appointment of the Geriatric Liaison Officer. |
9c0cfd9a-fec8-4880-84e4-8697020ea5c1 | TUBERCULOSIS Arising out of the opening of the new Barking Hospital in 1967 the Chest Clinic Services based on the hospital were reorganised to concentrate the home visiting and follow-up of chest cases at the Chest Clinic at Five Elms, Dagenham, which now caters for the whole of the Borough. We were again indebted to Dr. J. T. Paterson and his staff for their help and co-operation during the year. |
346ebdf2-1c84-46b6-969e-d5364697bc47 | 35 Notifications and Deaths New Cases Deaths Pulmonary Meninges and CNS Other Total Pulmonary NonPulmonary M F M F M F M F M F Under 5 years 2 1 - - - - 3 - - - - 5 - 1 - - - - - 1 - - - - 15 - 11 11 - - 1 4 27 - - - - 45 - 7 4 - - 1 - 12 2 3 - - 65 and upwards 4 1 - - - - 5 12 2 - - Totals 25 17 - - 2 4 48 14 5 - - Transferred Cases Into Borough Out of Borough Nett increase 31 29 2 Tuberculosis Visiting No. of Cases on Register No. of Households N Involved No. of Home Visits Made 800 667 666 Chest Clinic Child Contacts No. given B.C.G. No. |
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