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67aa9381-3ea4-440d-8f81-45057e93f7af | Medical Room and Sick Bay - This is used by the consultant psychiatrist once a week for his conference with centre staff and mental welfare officers and for anyone who feels "seedy" but for much of the time this room provides a retreat for staff wishing to catch up with "paper work". Store Room - In the original lay-out of the building it was proposed that a créche should be included so as to make it easier for the married woman with a young child to accept a centre placement. This facility is still something for the future because from the moment the centre was opened storage space became a major problem and so temporarily the créhe has become a storeroom. However, within the next two years the Centre is due to inherit a large transportable pre-cast concrete annexe which at present is part of the junior training centre for the mentally sub-normal soon due for replacement. General - It was agreed that apart from initial colour washes the decor of the building should be left so that the talents of the centre-goers could be exploited. |
04b91e05-9c44-4707-9584-0f8816e51b08 | Lampshades, pictures and a large mural have already been added to give the premises 'character'. Aims and functions of the Day Centre These were defined briefly as follows:- 1. To enable in-patients at Warley Hospital, etc., to be discharged earlier than they would otherwise. 2. To prevent the mentally ill from becoming mental hospital in-patients. Admissions to the Day Centre It was decided that all requests for admission whether from a family doctor or hospital should be made in writing so that all admissions could be agreed upon by the Centre staff, the Principal Mental Welfare Officer and the Senior Medical Officer in charge of the Mental Health Service, who would also have access to the Borough's Consultant Psychiatrist, if need be. It was further decided that initially all centre-goers would be expected to make their own way to and from the centre but that bus and train fares would be paid in needy cases. |
03a8a6d5-23d3-4829-b84f-02a9cfcaaba6 | In practice it has been found that in special cases such as patients suffering from agoraphobia (fear of open spaces) it would be a distinct advantage to give door to door transport but this facility can only be arranged when more transport is available to the Department because existing minibuses are already fully committed. The Centre is at present open for full-time attendance by all cases from Monday to Friday from 9.30 a.m. to 4.30 p.m. throughout the year. Staff In view of the need to build up the Centre gradually it was decided that 31 32 an occupational therapist and an instructor should be appointed initially, and also for clerical help to be provided. This was achieved and, together with domestic staff, viz. a handyman,a cleaner, and a mid-day assistant for mealtimes, the Centre was ready to function in May, 1967. |
bfda2193-d900-47aa-b97a-597f06121402 | It was, of course, understood that mental welfare officers should have an interest in the Centre and should be available to assist when applicable in crises affecting centre-goers, etc. The First Year of the Centre Statistics etc. - Although the following statistics summarise the work of the Centre, they do not give any measure of the great success of the Centre in terms of human happiness and dignity - it is hoped to convey this in subsequent paragraphs:- Total number of referrals 59 Total number of individual cases who attended the Centre (either during part of whole of period) 54 No. of cases who failed to keep up attendances 12 No. of cases who gained employment 12 No. of cases re-admitted to hospital 8 Total attendances 5096 (half-day sessions) No. of cases attending regularly at end of period under review 27 (11 making good progress ) (12 making slow progress ) ( 4 no apparent improve- ) ( ment at present. ) |
ba67ac24-1ded-4582-8072-2b540897efd9 | Most of the referrals were made by the medical staff of Warley Hospital, with whom there is close contact, i.e. regular visits are paid to the hospital by both the senior medical officer responsible for the Mental Health Service and the mental welfare officers, who also maintain contact and liaise between patient and agencies concerned with health and welfare. It soon became obvious that the flow of referrals, if all were approved, would soon absorb the resources of the Centre and promptly the Health Committee agreed that a further instructor should be appointed so that in its second year the Centre would be able to increase its number of places from 20 to 30. As each new case was accepted the variety of differences between cases e.g. temperament, social background, educational attainment, degree and type of illness, made it obvious that within the centre streaming would have to be introduced for groups of people who would be compatible with each other so that their rehabilitation could have due regard to one or more of the following objectives:- 1. To restore or promote self confidence. |
45683ce7-6d6f-429e-805e-05306d021781 | 2. To promote and stabilize better social relationships. 3. To encourage work habit with a view to return to open employment. It has been found in practice that some people work better on their own, e.g. typewriting, painting, and other quiet pursuits (including a wide range of activities initiated by the Occupational Therapist); others work better in small groups; whilst others enjoy the more robust atmosphere of a large workroom, where a number of rewarding contracts have already been fulfilled. Staff always have to be ready to cope with behaviour problems e.g. impulsive or aggressive behaviour, fits of weeping. Overall it has become obvious that ultimately the Centre will require greater flexibility in its layout in order to give sufficient diversity of accommodation. It is anticipated that when the annexe is transferred from the Junior Training Centre (as mentioned in a previous paragraph) much more division will be possible. |
5d923708-19a8-4dc0-aff1-e52aa2a061f9 | Training of Staff - The staff so far appointed have worked exceedingly well as a team and in the future it is proposed that they should be supported in their work by arranging suitable training facilities for them. Transport - Regular transport is not necessary for most centre members, but from time to time a need for this arises. One of our members had been housebound for fifteen years, and needed help in this respect until she became confident enough to travel by bus. We also have agoraphobic patients, who at certain times are unable to travel, and who would benefit from attendance at the Centre during these difficult periods. Sometimes it is necessary too, to convey a person home if she or he becomes unwell while at the Centre. Social Activities - The West field Psychiatric Social- Club meets every Thursday evening at the Day Centre. Recreational facilities include a billiards/snooker table (given by the Dagenham Mental Health Association), darts, chess, table tennis, etc., and a record player for members' records. |
32fffe7b-a30c-49c6-be37-f8f7c4b1dbc6 | Periodically demonstrations of special and practical interest are given. The Gas Board sent a representative who introduced recipes and showed how to cook them on the latest type gas cooker. Techniques in flower arranging have also taken place, given by a specialist. A whole evening was given over to a visit by the Morris Dancers and the Club members joined in the programme. At any time during the Thursday evening club there are Mental Welfare Officers available for any counselling required, and a member of the Day Centre Staff is usually in attendance also. Members attending the Day Centre are offered the opportunity to go to a West End theatre about once or twice a month. The tickets are generously given by the Old Age Pensioners Club who meet every Wednesday afternoon at the Day Centre. These outings provide new experiences for many Centre members. Confidence is gained by travelling in a group and this in turn encourages good behaviour. Afternoon tea is usually taken in a tea shop adjacent to the particular theatre. All incidental expenses are met from the Centre's Amenity Fund. |
ee962e51-e418-420a-9ed3-e264b58ce196 | The Amenity Fund commenced with a Jumble Sale organised by the Dagenham Mental Health Association which then donated a further sum to give a total of £100. The Centre has since organised functions on its own account, the proceeds going to the Fund. The Fund is used generally for educational, social and recreational pursuits, e.g. it is used for theatre outings (including fares and admission charges), for chartering a sailing barge and supplying food for the day on board, and tea breaks, etc., on such journeys. At Christmas time the Amenity Fund meets the cost of much of the Centre's Christmas Party and for the provision of gifts to members. Individual Cases Synopses of a few selected cases are now given to show in some measure the true worth of the Centre A. A young man, 25 years of age with a good work record as a labourer. He had deteriorated mentally over a period of one year and had been admitted to hospital. |
3c14a69c-656f-4abc-a3d8-380f0a251a79 | On referral to the Day Centre he was found to be uncommunicative but interested in work. He soon settled down to a regular work habit and in the months that followed began to overcome his fear of persons working around him. Eventually he began to socialise in the Centre and found a girl 33 friend. The girl's father arranged an interview at his firm and this resulted in a member of the staff discussing suitable employment with the Personnel Officer of the organisation. The young man was selectively placed in the Stores Department and has maintained his position there. His length of stay at the Centre was one year. B. An elderly widow who lives alone in a poorly furnished Council house. During the last few years (since the death of her husband) she has had several hospital admissions for depression and drug addiction - and has on occasion taken overdoses of drugs. She is an extremely lonely and nervous person, who spent most of her evenings in bed, and most of the daytime wandering around the parks and streets. |
62d91621-a1a0-432d-9394-d6541a546e96 | She has now been attending the Centre regularly for a year. This has been helpful in providing her with simple occupation, a daily hot meal, and most important, companionship - and she has made friends whom she visits from time to time in their own homes. It also enables Centre staff to keep an eye on her general mental and physical condition and to encourage her to keep hospital and family doctor appointments. C. A man of 40 years of age who had spent his working life, from the age of 16, in various mental hospitals. On arrival at the Day Centre he was free from obvious symptoms but was very slow, somewhat apathetic and aimless. He soon settled down after stating that he did not want a woman for his •"boss". It was not long, however, before he fully accepted female members of the staff, and made friends within the Centre. |
f783d9e0-0239-45ef-8a03-737cfb1e38e6 | He now works well at his individual craft work and it may well be within the bounds of possibility that he will eventually obtain employment, but this is a long term view that will entail a problem regarding age. •Referring to the Occupational Therapist. D. Is a young schizophrenic girl who has been ill since the age of 14. She was extremely withdrawn, refused to leave the house, take her medication, or even to change her clothing when necessary. She was treated in Warley Hospital for five months and referred to the Day Centre in December, 1967. At first she was almost mute and had a fixed smile on her face. However, she gradually became more responsive and confident, until she was able to talk to the other Centre members, as well as to the staff. She eventually made a "special" friend of a young man, who has helped her a great deal she now takes an active interest in her appearance, work and social activities. |
9e6a6596-bdfd-4026-930f-53578b0922d6 | Because she missed several years of school, she is educationally backward, and she has been coached in a few practical aspects, such as telling the time - but it was felt that it was more important to concentrate at first on social rather than educational improvement. E. A young postman of 34, unmarried, who was referred to the Centre in January, 1968, after two months in Warley Hospital where his father had been for over 30 years. When this man came to the Centre most of his psychotic symptoms had disappeared, but he was withdrawn socially and lacking in confidence. He worked well and consistently, began to show overall improvement, and took an active interest in the tidiness and cleanliness of the Centre. He experienced a tragic set-back when he returned home one evening to find his mother dead on the kitchen floor. |
3a3be4a4-e230-4293-ae7f-d92efb312374 | During this difficult period he had a great deal of help from his mental welfare officer, and support from the Centre, but the staff were impressed by his efficient handling of the situation, and his ability to come to terms with the problem of living alone. (He took some cookery classes - and made friends in the Centre who were helpful to him). He obtained a job as porter/cleaner, and has held this now for several months. G. A woman of 54 years of age, widowed two years previously, with two grown up daughters in employment and living at home. She had suffered a stroke one year previously, had become depressed and disheartened, with a positive degree of fear to go about on her own and was referred to the Day Centre for support. For the first three months, during part time attendance, both resentment and aggression were shown to staff and members. This was followed by a response to occupational therapy with use of handicraft, and an interest in selling 34 the completed articles. |
59096beb-575f-4169-878f-47e3db18fccc | At the same time she became able to walk to the pillar-box, accompanied at first, finally on her own. Next a successful attempt was made to reach the centre by public transport instead of the hospital car service. She now attends daily on her own, can do craft and industrial contract work, and takes part in group activities such as cookery. The day centre has played a supportive role in this member's group therapy sessions at Ardleigh Green and Collier Lodge. Length of stay, so far, 9 months. H. A man aged 30 years with numerous hospital admissions during the last decade. He was one of the first referrals to the Day Centre. During the first few weeks he made a good effort to lead the social relationships between the various newcomers, and at the same time made spasmodic attempts to carry out different kinds of work. |
edb4a473-65f8-4dd7-b509-c9f5b5c9e507 | He succeeded in making simple frames for pictures, and painted a large wall mural but his work tolerance proved to be very low, and before long he was evading work as much as possible. This situation has continued. He still endeavours to make friends with new arrivals but fails to maintain any such relationship. He is always going to find employment "in a month from now". Will sometimes work in the centre for short periods but soon becomes anxious and agitated if encouraged to keep at it. His attendance is very regular and he states that coming to the Centre gives him a sense of security. I. Married with two school age children, was referred to the Centre because of her depressive episodes and her fear of travelling. She is a pleasant, extremely capable person, who was able to cope efficiently with any task given, and at times fulfilled the role of "relief member of staff" during staff absence. Was passionately fond of babies. |
58d717e7-3733-498c-846e-4662e5957c6c | She suffered bouts of extreme depression and anxiety, which often led to an inability to travel, and physical symptoms such as fainting attacks. She soon found that she was able to confide in, and talk freely to one of the Centre staff hitherto she had complained that she was unable to discuss her problems with anyone, including her psychiatrist. However, her neurosis was so severe and complex that the staff felt she needed much more specialised help, and so contact was made with her hospital doctor who arranged to see her fortnightly and subsequently admitted her to hospital. She has been in hospital for three months and will probably be returning to the Centre shortly. Two problems are emphasised by this case. |
6f2b117e-7349-4f3a-9802-3404884c42ca | One is transport - in that on occasions she was not able to reach the Centre because of her travelling phobia - although time permitting she was collected by staff - and secondly, that of the care of her children, particularly during school holidays, if these occurred at a period when she was not well enough to cope with them at home and needed Day Centre support. The Future It is evident even at this early stage that the Day Centre is successfully fulfilling a very real need. A pressure for admission to the Centre is already building up and the need for the extension of the service calls for careful thought and preparation. The Centre caters for many patients whose illnesses are chronic and recurring so that some will require to attend the Centre at times of mental crises which may arise periodically over the years. Experience in the past has always shown that the extent of need for a service only becomes known when such a service comes into being. |
72851f8a-b829-4e6c-abde-78f40a87ea6b | An extension of the service to the resocialisation and rehabilitation of the isolated and withdrawn elderly person would create a further challenge to the skill of all those concerned with the patients who attend the Day Centre. 35 Printed by the Town Clerk's Department London Borough of Barking |
25fd6d31-1626-4c50-9e22-02353fa1d0da | BARK 62 I LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1968 J. ADRIAN GILLET, m.b., ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, Essex Telephone: 01-592 4500 BARK 62 LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1968 J. ADRIAN GILLET, m.b., ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, |
f86cc232-6957-4205-83e2-966e848e1ab6 | Essex Telephone: 01-592 4500 Page Adult Training Centre 48 Adult Training Centre Plan 42 Ante-natal Clinics 24 Atmoepheric Pollution 70 Bentry School 60 Care of Mothers and Young Children 24 Causes of Infant Deaths 16 Child Guidance 56 Children's Department 31 Chiropody 37 Congenital Abnormalities, Incidence of 63 Convalescence 50 Co-ordination of Services 52 Council, Members of 3 Cytology Service 29 Day Nurseries 27 Deaths, Causes of 17 Dental Services 64 Diseases of Animals Act 1950 72 Education Committee 4 Education (Special Services) Sub-Committee 5 Enuresis Clinic 57 Factories Act 1961 72 Faircross School 60 Family Planning Service 35 First Aid Training of Staff 50 Food and Drugs, Sampling 77 Food Hawkers, Registration 75 Food, Inspection and Supervision 74 Food Poisoning 76 Food, |
f9f0ac81-cf85-4826-aa61-4612ddd5e554 | Unsound 75 Geriatric Clinic 41 Geriatric Liaison Officer 37 Handicapped Children 60 Health Committee 4 Health Education 21 Health Visiting 30 Home Help Service 49 Home Nursing Service 36 Hostel for the Mentally Subnormal 44 Housing 69 Houses in Multiple Occupation 69 Ice Cream 75 Immunisation 31 Improvement Grants 69 Infant Mortality 15 2 Page Infant Welfare Centres 25 Infectious Diseases 80 Junior Training Centre, Castle School 45 Kidney Machines 51 Kingsley Hall Day Centre 29 Laundry Service 70 Maternity Services 24 Medical Examination of Staff 40 Mental Health 43 Midwifery Service (domiciliary) 25 Minor Ailments Clinics 53 Milk 75 National Assistance Act 1948 37 Noise Abatement Act 1960 70 Offices, |
b7582e68-4c93-4664-95ea-9aa31e1fb8c1 | Shops and Railway Premises Act 1963 73 Orthopaedic Clinic 56 Pet Animals Act 1951 71 Play Therapy 27 Porters Avenue Day Centre 47 Prevention of Damage by Pests Act 1949 71 Public Swimming Baths 68 Qualifications 12 Rag Flock and Other Filling Materials Act 1951 71 Rehousing on Medical Grounds 40 Rent Act 1957 69 Riding Establishments Act 1939 72 Sanitary Inspection of District 67 School Health 53 School Medical Inspections 53 Sewerage and Sewage Disposal 68 Sheltered Workshop 47 Sickroom Equipment 36 Slum Clearance 69 Speech Therapy 58 Staff 6 Tents, Vans and Sheds 70 Tuberculosis 51 Unmarried Mother, Care of 25 Vaccination 31 Vital Statistics 15 Water 67 MEMBERS OF THE COUNCIL (as at 31st December, 1968) MAYOR Councillor H. J. HOWIE, J. |
8c5567a2-5211-4e56-941f-1fba3f89ca3d | P. 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 D. W. ATTRIDGE J. L. JONES, J.P. C. H. AYRES Mrs. E. J. KITCHEN C. E. AYRTON J. H. LAWRENCE Mrs. M. BALL, O.B.E., G.L.C. DANIEL LINHIAN D. W. BARNETT Mrs. P. G. MILLER G. J. G. BEANE, J.P. |
cb907e3b-7f50-42d0-b8ac-f0b55b44af0f | W. J. PADINGTON L. T. BLAKE C. A. POOL, J.P. G. A. BROOKER Mrs. V. H. POOL J. A. BUTLER, J.P. Mrs. M. S. PRESTON S. G. COLE L. G. RIMINGTON L. A. COLLINS A. C. V. RUSHA R. E. COSTER M. J. SPENCER J. T. DEAN F. C. SPRAGGINS D. A. L. G. DODD, J.P. J. S. THOMAS, J.P. A. E. EAST F. G. TIBBLE E. G. J. EDEN H. TINDELL Mrs. J. H. ENGWELL B. P. WALKER MiSs J. FACKERELL, J.P. S. J. WARR Mrs. |
db57af00-69bc-4cc4-8e51-31f43760749f | C. S. M. GODFREY, J.P. Mrs. M. A. WARREN D. 0. GRANDISON D. J. WATERS R. F. HAWKEN D. W. WEBB E. E. HENNEM J. G. F. WILLMOTT C. W. JILLINGS T. A. WOODCOCK Mrs. D. M. JONES E. J. WOODS F. C. JONES 3 HEALTH COMMITTEE (as at 31st December 1968) CHAIRMAN Councillor Mrs. M. Ball VICE-CHAIRMAN Councillor Mrs. D. M. Jones MEMBERS His Worship the Mayor Councillor J. H. LAWRENCE The Deputy Mayor Councillor Mrs. P. G. MILLER Alderman D. O'DWYER Councillor Mrs. V. H. POOL Alderman Mrs. |
d45a1dbe-9556-45bc-96c2-f78f9efbf360 | A. R. THOMAS Councillor F. C. SPRAGGINS Councillor D. W. BARNETT Councillor F. G. TIBBLE Councillor R. E. COSTER Councillor H. TINDELL Councillor Mrs. JULIA ENGWELI. Councillor S. J. WARR Councillor Mrs. C. S. M. GODFREY Councillor J. G. F. WILLMOTT CO-OPTED MEMBERS Councillor Mrs. M. BREDO Dr. M. LEWIS Mrs. D. L. BELCHAMBER MRS. |
88f8538d-5dcd-4459-8b3e-1e2d0ac8f4d8 | A. E. PRENDERGAST EDUCATION COMMITTEE (as at 31st December 1968) CHAIRMAN Councillor G. J. G. BEANE VICE-CHAIRMAN Councillor A. C. V. RUSHA REPRESENTATIVE MEMBERS His Worship the Mayor Councillor D. 0. GRANDISON The Deputy Mayor Councillor R. F. HAWKEN Alderman W. E. BELLAMY Councillor E. E. HENNEM Alderman Mrs. A. MARTIN Councillor C. W. JILLINGS Alderman D. O'DWYER Councillor Mrs. D. M. JONES Alderman J. R. SWEETLAND Councillor F. C. JONES Councillor Mrs. M. BALL Councillor Daniel LINEHAN Councillor L. T. BLAKE Councillor Mrs. |
ca668c55-fcc5-41d8-ae66-0471d26b9a76 | M. S. PRESTON Councillor J. A. BUTLER Councillor H. TINDELL Councillor S. G. COLE Councillor D. J. WATERS Councillor R. E. COSTER Councillor D. W. WEBB Councillor D. A. L. G. DODD Councillor J. G. F. WILLMOTT Councillor A. E. EAST Councillor T. A. WOODCOCK Councillor Miss D. FACKERELL Councillor E. J. WOODS Councillor Mrs. C. S. M. GODFREY CO-OPTED AND NOMINATED MEMBERS Mr. R. BLACKBURN Mr. W. E. JOUGHIN Mrs. I. M. BROCKELBANK Mr. F. H. KING Mr. J. H. COCKS Mr. |
3ff19f63-3e96-436f-99a9-a558f9f4bfa4 | A. L. RICHARDS Mr. P. GRIMES Mr. S. J. RUSSELL Miss M. C. GROBEL, M.A. The Rev. J. W. ROXBURGH The Rev. Louis HESTON 4 EDUCATION SPECIAL SERVICES SUB-COMMITTEE (as at 31st December 1968) (This Sub-Committee deals, inter alia, with the School Health Service) CHAIRMAN Councillor G. J. G. BEANE MEMBERS Alderman Mrs. A. MARTIN Councillor A. C. V. RUSIIA Councillor R. E. COSTER Councillor H. TINDELL Councillor A. E. EAST Councillor D. J. WATERS Councillor Miss J. FACKERELL Councillor E. J. WOODS Councillor Mrs. C. S. M. GODFREY Mrs. |
5c2f40ca-a265-4854-ac66-2313d5b39b15 | I. M. BROCKELBANK Councillor Mrs. M. S. PRESTON Mr. W. E. JOUGHIN 5 OFFICERS OF THE HEALTH SERVICE (as at 31st December 1968) 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. DEPUTY MEDICAL OFFICER OF HEALTH J. Slorae, 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. |
18d5a26a-2080-40fd-b358-970e2fc2391a | 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., B.Pharm. K. Fitzpatrick, M.B., Ch.B. G. Michael, M.R.C.S., L.R.C.P., B.A. In addition 10 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. |
5450770c-b7e0-4979-be86-7a4f63b7fc08 | N. J. Graham, L.D.S., R.C.S. C. Sumsawaste, L.D.S., R.C.S. SENIOR DENTAL SURGERY ASSISTANT Mrs. F. B. Sadler (23) DENTAL SURGERY ASSISTANTS Mrs. M. Brideson Mrs. V. Phillips Miss P. Bradley (35) Miss M. Sealey Mrs. G. Lynch Mrs. M. Sipos (part-time) Mrs. D. Murray (23) Mrs. M. Strachan (9) DENTAL AUXILIARIES Mrs. J. Nagel (2*0 Miss S. D. Ware (Zk) SENIOR DENTAL TECHNICIAN-IN-CHARGE Mr. J. Constable 6 CHIEF PUBLIC HEALTH INSPECTOR Mr. F. W. S. Fox, (1), (2), (3), CO. |
2ad88eff-d6a9-4298-9f04-cb51680452d7 | DEPUTY CHIEF PUBLIC HEALTH INSPECTOR Mr. M. R. Williams, (1), (2), CO. PUBLIC HEALTH INSPECTORS M-. J. Allam, (l), (2), CO. Mr. T. W. Glew, (l), (2). Mr. N. Burton, (1), (2). Mr. S. A. Lemmon, (l), (2), (4). Mr. J. Cook, (1), (2), (3) Mr. J. Powell, (l), (2), (4). Mr. E. Day, (l), (2), CO. Mr. B. Saunders, (l), (2), (4). Mr. F. Silverthorne, (l) (2). STUDENT PUBLIC HEALTH INSPECTOR Mr. |
5677f87c-18ec-42a6-bc7b-b45b6ed876eb | B. Orme SUPERINTENDENT OF NURSES' HOMES Miss M. Dobson, (5)i (6), (21). ASSISTANT SUPERINTENDENT OF NURSES' HOMES Miss E. S. Hart, (5), (6), (7), (12), (21). DISTRICT NURSES Mrs. S. L. Bradley, (5)i (6), (21), (32). Miss D. Meek, (5), (6), (21). Mrs. J. M. Cotterill, (5). Miss K. M. Mollerup-Peterson, (5), (21). Mrs. Y. A. Dignum, (5), (21). Miss N. Norris, (5)» (6), (21). Miss M. D. Ellis, (5) (20), (21) Mrs. |
4a8c4175-3597-463d-997b-625ffb20a3b2 | M. O'Riordan, (5), (8), (21). Mrs. J. M. Findlay, (5) Miss G. Parker, (5)t (8). Mrs. A. Hayden, (5), (21). Mrs. M. Pront, (5). Miss J. R. Heath, (5). Miss R. Richards, (5)t (6), (21). Mrs. A. L. Hillas, (5), (21). Mrs. A. M. Robins, (5) Mr. S. A. Hodges, (5), (10a), (21) Miss J. Smith, (5), (9), (21). Mrs. D. J. Kitchen, (5), (6), (21). Miss J. Smith, (5), (6), (21). Mr. |
7b426be8-b5c6-4fc7-a2cb-6ffb880e3c8b | R. D. Lintott, (5), (16), (21). Mrs. J. S. Stone, (5), (21). Mrs. E. M. E. McCallum, (5), (21). Mr. R. J. Turpin, (5), (21). Mrs. J. E. Walsh, (5). DISTRICT NURSES (part-time) Mrs. W. Bates, (5). Mrs. E. Colgate, (9). Mrs. J. E. Biggart, (5). Mrs. N. Flynn, (5), (8), (21). NON-MEDICAL SUPERVISOR OF MIDWIVES Miss M. Dobson, (5), (6), (21) ASSISTANT NON-MEDICAL SUPERVISOR OF MIDWIVES Miss M. Teather, (5)» (6). MIDWIVES Mrs. |
5b5bd798-d57a-479e-997f-a0187ef9c46b | I. M. Bronnlck, (5),(6). Miss H. V. Rungay, (5), (6). Miss C. B. Greenan, (5), (6). Miss P. R. Shackleton, (5), (6), (9). Miss M. Hall, (5), (6). Miss M. B. Spencer, (5), (6). Miss D. Hearsey, (5), (6). Mrs. P. Vanbrook, (5), (6). Miss M. Walker, (5), (6). 7 SUPERINTENDENT HEALTH VISITOR Miss B. M. Long, (5), (6), (7), (22), (21). DEPUTY SUPERINTENDENT HEALTH VISITOR vacant SENIOR HEALTH VISITORS Mrs. E. Lyon, (5), (6), (7), (21) Mrs. |
baa5066e-72d0-4cf7-b9fd-8c10b9fb4a5f | B. Ramsey, (6), (5), (7), (20). HEALTH VISITORS Miss J. D. Baldwin, (5), (6), (7), (21). Mrs. J. O'Brien, (5), (7). Miss A. E. Boorman, (5), (6), (7), (21). Miss 0. Ologunro, (5), (6), (7). Mrs. P. J. Broad, (5), (7), (8), (l1*). Miss E. G. Parry, (5), (6), (7). Mrs. L. Dunbar, (5), (6), (7)• Mrs. J. Reeves, (5), (7), (8). Mrs. H. J. Harris, (5), (7), (8). Miss D. B. Rudd, (5), (6), (7). |
60e009aa-5ccd-4f8b-9eed-fe638431f21c | Miss R. D. Hutchinson, (5)1 (6), (7), (21).Miss M. F. Savage, (5), (6), (7), (1*0. Mrs. A. Khan, (5), (6), (7), (21). Mrs. A. Ward, (5), (7), (31). Mrs. M. M. Miller, (5), (7), (8). Miss M. D. Wint, (5), (6), (7). HEALTH VISITOR (Part-time) Mrs. M. Nelson, (5), (6), (7). SPONSORED STUDENT HEALTH VISITOR Miss T. O'Kelly, (5), (8), (21). SCHOOL NURSES Mrs. J. I. Hogg, (5). Mrs. P. A. Picken, (5) Mrs. |
f28e6411-6d08-4f71-9dbd-aa7632fecf5e | E. M. McCheyne, (5) Mrs. M. C. Twomey, (5). CLINIC NURSES Mrs. S. M. C. Barber, (5) Mrs. A. Noden, (5), (1*0. Mtb. E. G. Frisby, (5) Miss E. T. O'Connor, (5)« (8). Mrs. M. A. Pearce, (5), (8). CLINIC NURSES (Part-time) Mrs. S. J. Browne, (9). Mrs. P. A. Hayes, (5). Mrs. R. K. D. Clark, (5), (8). Mrs. A. Lyons, (9). Mrs. I. M. Collingwood, (5). Mrs. A. M. Marsh, (5), (6). Mrs. |
b2d529d4-be86-47dd-b2ca-cd974dc9cea1 | B. Cullum, (5). Mrs. M. E. Montgomery, (5). Mrs. M. Halligan, (5), (6), (12). Mrs. G. Pratt, (5) Mrs. S. D. Harvey, (5). Mrs. A. Raven, (9). Mrs. A. E. Westwood, (20). GERIATRIC LIAISON OFFICER Mrs. J. Harrold, (5)t (12), (36). TUBERCULOSIS CLINIC NURSE Mrs. M. McGee (5) SPEECH THERAPISTS Miss C. J. Delaforce, (18). Miss M. A. Heath, (l8). Miss E. N. Symes, (l8), (19). PHYSIOTHERAPIST Mrs. A. Walker, (30). |
806fb77c-9337-47b3-8c2e-7d3577a257fd | PHYSIOTHERAPIST (Part-time) Mrs. A. Lawrence, (29). Mrs. J. M. Warwick, (29). 8 CHIEF CHIROPODIST Mr. H. Leavesley, (ll). SENIOR CHIROPODISTS Mr. D. Ditsell, (11). Mr. N. Freeman, (ll). Mr. E. Dransfield, (ll). Mrs. D. Mann, (ll). Mr. H. Stenson, (ll). DOMICILIARY CHIROPODIST Mrs. E. V. Morgan, (11). CHIROPODISTS (Part-time) Mr. R. H. Fenton, (ll). Mr. P. Freel, (11) TRAINING CENTRES AND DAY CENTRE Castle School and Training Centre, Supervisor: Mrs. |
b668125c-ff22-4fef-9e0b-16ecb73ae3ce | M. A. Washer (28), Ripple Road, Dagenham, Essex. (33), (34). Adult Training Centre, Manager: Mr. W. J. Matthews, (28). Gascoigne Road, Barking, Essex. Deputy Manager: Mr. C. E. Dodd Sheltered Workshop, Manager: Mr. C. W. Hare Osborne Square, Dagenham, Essex. Senior Instructor: Mr. J. W. Bass Porters Avenue Day Centre, Senior Occupational Porters Avenue, Dagenham. Therapist: Mrs. G. A. Hardman (27). Instructor: Mr. L. G. McCaul DAY NURSERIES, etc. Goresbrook Day Nursery, Matron: Mrs. E. Maddison (5), (12). Dagenham Ave., Dagenham. Deputy: Miss A. B. Cunningham, (14). |
07669103-a803-4d66-89c5-fed74d7578da | Annie Prendergast Day Nursery, Matron: Mrs. P. A. Ardley, (14). Ashton Gardens, Chadwell Heath. Deputy: Mrs. G. E. Ellis, (l4). Eastbury Day Nursery, Matron: Mrs. B. A. Bell, (5). Blake Avenue Barking. Deputy: Vacant. Kingsley Hall Day Centre for Sister-in- Handicapped Children, Charge: Mrs. K. I. Daly, (5), (6), (20). Hobart Road, Dagenham. PRINCIPAL MENTAL WELFARE OFFICER Mrs. J. W. W. Dixon, (26). SENIOR MENTAL WELFARE OFFICERS Mr. L. H. Balls, (26). Mr. D. G. Bishop, (10). |
0a7e54ed-54d5-49c9-b9ab-9a568aa2ddd6 | MENTAL WELFARE OFFICERS Mr. S. Ruchpaul, (5), (10).Mr. M. R. Wylde, (10). Mr. G. R. Welsh, (10). Mrs. V. Westrupp, (10). HEALTH EDUCATION OFFICER Mr. G. S. Self, (1), (2), (4). ASSISTANT HEALTH EDUCATION OFFICER Miss D. Milbank, (5), (6), (7), (20), (21), (25). 9 PROJECTIONIST/TECHNICIAN Mr. a. Phillips LAY ADMINISTRATIVE OFFICERS Mr. F. W. Knight (l), (2) Mr. G. H. Ruff SENIOR ADMINISTRATIVE ASSISTANTS Mr. F. H. Martin (15) Mr. B. S. Weaver Mr. |
d4359978-1ba3-46a6-afab-2799ebb7d9ba | 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. 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 Mxs. L. J. Bond Miss N. M. Toms Mrs. J. W. Morgan Miss B. Wells Mrs. J. Phillips Care and After Care Mrs. J. E. Barnes Staffing and Management Miss M. Middleton Mrs. I. M. H. Dupree Mrs. P. McMillan Mrs. |
ba48e64e-05d0-438a-9255-292d81ca18b7 | I. E. Smith Mr. A. R. Moss Miss L. White Miss J. A. Stroud Finance, Supplies, etc. Mrs. G. Anger Mrs. C. E. Smyth Miss V. E. Cheal Mr. D. E. Ward Maternal and Child Health Miss E. A. Adams Mrs. E. J. Neport Miss E. D. Brown Mrs. E. M. 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. M. Ellis Miss M. A. Watts Mrs. D. G. Green Mrs. |
f47872ef-e830-4dac-b1be-7ebbe535c307 | D. Wilkins Miss C. A. Lincoln 10 Part-time Mrs. K. Bird Mrs. S. Hopson Mrs. B. K. Copeland Mrs. M. Lodge Mrs. M. Edwards Mrs. J. E. Schofield Mrs. E. Harsent ADMINISTRATIVE TRAINEE Mr. R. G. James HOME HELP SERVICE Senior Organiser: Mrs. L. Everitt Organisers: Mrs. P. Archer Mrs. G. Sanger Assistant Organisers: Mrs. J. M. Johnson Mrs. P. M. Sinclair Clerical Assistaints: Mrs. A. McCarthy Mrs. J. F. Silvester REGIONAL HOSPITAL BOARD OFFICERS Attending Part-Time ORTHOPAEDIC SURGEON A. F. Bryson, M. A., M.B., B.CHIR., F.R.C.S. |
a8b872a0-196a-4519-b808-4cffb6d26df4 | 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. PART-TIME CONSULTANT PSYCHIATRISTS Dr. E. Danos, M.R.C.S., L.R.C.P., D.P.M., D.C.H. Dr. K. R. Massmi, M.R.C.S., L.R.C.P., D.P.M. EAR NOSE AND THROAT SURGEON Miss M. Mason, F.R.C.S. PHYSIOTHERAPIST Mrs. E. Ottley, M.C.S.P. PUBLIC ANALYST (Part-time) J. Hubert Hammence, Ph.D., M.Sc., F.R.I.C. 11 QUALIFICATIONS (1) Certificate of Royal Sanitary Institute (2) Meat Inspector's Certificate. |
ada191ea-60bb-4ce6-b50d-a3e6bd847e1f | (3) Sanitary Science as applied to Building & Public Works Certificate (k) 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. (10a) Registered Mental Nurse, Part 1. (11) State Registered Chiropodist. (12) State Registered Fever Nurse. (13) Tuberculosis Certificate. (14) Certificate of National Nursery Examination 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. (19) Diploma in Social Science. (20) Registered Sick Children's Nurse (21) District Nursing Certificate. |
99fc4ec6-7835-4b6f-91f6-a027357987fd | (22) Royal College of Nursing Certificate of Public Health Administration. (23) Certificate of Examining Board of Dental Surgery Assistants. (2*0 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 Otthopaedic Institute of Physiotherapy. (31) Obstetric Nurse Training Course. (32) State Enrolled Assistant Nurse Certificate (Tropical Nursing), Malaysia. (33) Margaret Morris Movement Diploma. (3*0 Montessori Method of Education Diploma. (35) Certificate of Royal Dental Hospital. (36) Institute of Home Help Organisers. 12 Health Department, Civic Centre, Dagenham. |
ed63061c-bbb6-4b8c-aa90-e7d18f6958b5 | To: THE MAYOR, ALDERMEN AND BURGESSES OF THE LONDON BOROUGH OF BARKING Once again I have to report a year of progress and activity in the Health Department. Unfortunately pressure of work has delayed by many months the publication of this report. During 1968 the major causes of death were diseases of the heart and circulatory system, cancer, pneumonia, bronchitis and other respiratory diseases. The deaths from cancer are particularly worthy of note as one of the increases noted over 1967 was deaths due to cancer of the lung, from 139 in 1967 to 156 in 1968. The increase was in females as well as males and should make us redouble our efforts to stop people smoking and so help to reduce the toll of this avoidable disease. As far as health education activities are concerned, it was still not possible to evaluate needs and results because of shortage of staff. |
04d3db14-8eb5-432c-9a9c-61327b7a6bb2 | However, some time was given to in-service training of teachers to enable them to take over much of the health education in the schools at present carried out by the Health Department. If we can achieve this we may be able to free some of the staff to concentrate on health education of youth and adults. Once again I would like to draw attention to the progress made in the mental health field, not least the opening of a new magnificent Adult Training Centre with 120 places for adult subnormals. With the closure of the heavily overcrowded adult centre at Osborne Square it was possible to convert the Osborne Square Centre into a Sheltered Workshop for high grade mentally subnormals. The main aim of the workshop is to give a more concentrated training to selected trainees and to encourage them to earn a higher wage than would be possible in an ordinary training centre. It is hoped that by giving them work experience they may be able to progress to open employment. |
fb28048d-e861-446a-93f4-8d54e781ac60 | During the year a start was made on the hostel for the mentally subnormal in the Gascoigne Development Area which will provide 25 badly needed places for the mentally subnormal. During the year also a new Child Guidance Clinic came into operation although unfortunately we were unable to secure the permanent services of a Psychiatrist and had to make use of locums. The Kingsley Hall Day Centre meet3 a need in the assessment of handicapped children under five but a new centre giving more space and accommodation is badly needed. The Cervical Cytology Clinics continue to function but there has been a fall in attendances which indicates the need for continued publicity. The Offices, Shops and Railway Premises Act places an increasing burden on the Public Health Inspectors and it was a great disappointment that it was not possible to go ahead with Smoke Control Areas owing to financial restrictions. |
874c8e4d-c178-4103-8be4-cad83f3ba753 | 13 Once again I must report the shortage of health visitors which indicates the need for us to step up our efforts to recruit students and to endeavour to use auxiliaries wherever possible so as to conserve the services of highly trained members of the Department. Much more was achieved than I have been able to indicate in this short introduction to the Annual Report for 1968, most of which will be found in the main body of the Report. In conclusion I must thank all the staff of the department for their help in 1968, the Health Committee and its Chairman, Vice Chairman and Members for their support and co-operation during the year. J. ADRIAN GILLET Medical Officer of Health. l4 VITAL STATISTICS 1968 Registrar General's estimate of resident population, raid-year 1968 169,520 Live Births: Legitimate (1,098 male, 1,050 female) 2,148 Illegitimate (91 male, 68 female) 159 Total (1, |
1525f773-5973-4d4d-bd53-4f9a1f7988bd | 189 male, 1,118 female) 2,307 Illegitimate live births per cent of total 6.89 Live birth rate per 1,000 population 13.61 Live birth rate adjusted by comparability factor of 1.04 14.15 Stillbirths: Legitimate (15 male, 15 female) 30 Illegitimate (2 male, - female) 2 Total( 17 male, 15 female) 32 Stillbirth rate per 1,000 live and stillbirths 13.68 Total live and stillbirths 2,339 Deaths: Infant deaths (under 1 year) (19 male, 22 female) 4l Infant death rate per 1,000 live births 17.77 Legitimate infant death rate per 1,000 legitimate live births (19 male, 21 female) 18.62 Illegitimate infant death rate per 1,000 illegitimate live births (- male, 1 female) 6. |
2e47dd38-9971-427c-b483-fbaadbb9fd1d | 29 Neo-natal mortality rate (deaths under b weeks (26) per 1,000 live births 11.27 Perinatal mortality rate (stillbirths (32) and deaths under one week (2^) per 1,000 live and stillbirths) 23.94 Early neo-natal mortality rate (deaths under 1 week per 1,000 live births) 10.40 Maternal mortality (deaths from pregnancy, childbirth, abortion) Nil Maternal mortality rate Nil General Mortality: Number of deaths (1,027 males, 83O females) 1,857 Death rate per 1,000 population - crude 10.95 Death rate adjusted by comparability factor of 1.32 14.46 The vital statistics for the borough remained substantially the same as in the previous year. The infant death rate dropped and was slightly below the national average of 18.3 and the stillbirth rate remained virtually the same as in 1967. |
24ee1013-eb2b-4c8c-8d79-91845ad6c02b | We had no maternal deaths associated with pregnancy and childbirth during the year. 15 CAUSES OF INFANT DEATHS Cause of Death Under 4 weeks 4 weeks to 1 year Total Enteritis and other diarrhoeal disease - 1 1 Meningococcal Infection - 1 1 Endocrine etc. diseases excluding avitaminoses etc. 1 1 2 Other forms of Heart Disease excluding ischaemlc heart disease - 1 1 Pneumonia 2 3 5 Bronchitis and Emphysema - 1 1 Other diseases of the Respiratory System - 2 2 Congenital Anomalies 5 2 7 Birth Injury, Difficult Labour, etc. |
0d2fd51d-a473-4c44-ad0a-f889b8205004 | 8 - 8 Other causes of Perinatal Mortality 10 1 11 Symptoms and ill-defined conditions - 1 1 Accidents - 1 1 Total all causes 26 15 41 16 17 CAUSES OF DEATH 1968 Cause of Death AGE AT DEATH Under 1 yr 1 and under 5 years 5 and under 15 years 15 and under 25yrs 25 and under 45yrs 45 and under 65yrs 65 and under 75yrs 75 and over Total M F M F M F M F M F M F M F M F M F 1. Cholera - - - - - - - - - - _ - - - - - - - 2. Typhoid Fever - - - - - - - - - - - - - - - - - - 3. |
ee41522c-0b66-4fa6-b414-83aa2b215447 | Bacillary Dysentery and Amoebiasis - - - - - - - - - - - - - - - - - - 4. Enteritis and other Diarrhoeal Diseases - 1 - - - - - - - - _ - - - - 1 5. Tuberculosis of Respiratory System - - - - - - - - 2 - 2 - 2 1 - - 6 1 6. Other Tuberculosis, incl. late effects - - - - - - - - - 1 - - - 1 - 2 - 7. Plague - - - - - - - - - - - - - - - - - - 8. Diphtheria - - - - - - - - - - - - - - - - - - 9. Whooping Cough - - - - - - - - - - - - - - - - - - 10. |
603b2696-7d44-4e85-ba4e-0a25b3f0508a | Streptococcal Sore Throat and Scarlet Fever - - - - - - - - - - - - - - - - - - l1. Meningococcal Infection 1 - - - - - - - - - - - 1 - - - 2 - 12. Acute Poliomyelitis - - - - - - - - - - - - - - - - - - 13. Smallpox - - - - - - - - - - - - - - - - - - 14. Measles - - - - - - - - - - - - - - - - - - 15. Typhus and other Rickettsioses - - - - - - - - - - - - - - - - - - 16. Malaria - - - - - - - - - - - - - - - - - - 17. |
669525d5-2c76-462d-8fa9-c8f95552f1a8 | Syphilis and its Sequelae - - - - - - - - - - - - - - - - - - 18. All other infective and Parasitic Diseases - - - - - 1 - - - - - - 1 - - - 1 1 19. Malignant Neoplasm - Stomach - - - - - - - - - - - 6 10 9 11 11 35 26 20. " " -Lung, Bronchus - - - - - - - - 2 - 39 l4 62 11 22 6 125 31 21. " " -Breast - - - - - - - - - 3 - 20 - 10 - 5 - 38 22. " " -Uterus - - - - - - - - - 1 - 10 - 1 - - - 12 23. |
a781fb0f-35cc-4710-9e76-02dd27641361 | Leukaemia - - - - - - 1 - - - 2 2 3 - - 1 6 3 24. Other Malignant Neoplasms, incl. Neoplasms of Lymphatic and Haematopoietic Tissue - - - 1 - - - - 10 5 45 36 43 49 26 24 124 115 25. Benign and Unspecified Neoplasms - - 1 - - 1 - - - - 2 2 1 1 1 1 5 5 26. Diabetes Mellitus - - - - - 1 - - - - 3 3 1 9 1 5 5 18 27. |
4716d4d3-c32e-440e-a1e3-3ddfaddbf5cf | Avitaminoses and other Nutritional Deficiency - - - - - - - - - - - - 1 - 1 - 2 - 18 CAUSES OF DEATH 1968 (contd.) Cause of Death AGE AT DEATH Under 1 yr. 1 and under 5 years 5 and under 15 years 15 and under 25yrs 25 and under 45Yrs 45 and under 65yrs 65 and under 75yrs 75 and over Total M F M F M F M F M F M F M F M F M F 28. Other Endocrine, Nutritional and Metabolic Diseases - 2 - - - - - - - - - 1 - 1 - 1 - 5 29. Anaemias - - - - 1 - - - - - 2 - - 1 2 2 5 3 30. |
a481773e-87ca-40ba-bfcc-90f73f1f8d0f | Other Diseases of Blood and Blood Forming Organs - - - - - - - - - - - - - - - - - - 31. Mental Disorders - - - - - - - - - - - - ~ - 4 4 4 4 32. Meningitis - - - - - 1 - - - - - - - - - - - 1 33. Other Diseases of Nervous System and sense organs - - - - - 1 - - 2 - 5 6 3 3 7 1 17 11 34. Active Rheumatic Fever - - - - - - - - - - - - - - - - - - 35. Chronic Rheumatic Heart Disease - - - - - - - - 1 3 9 8 3 6 3 4 16 21 36. |
084efd97-f8f4-4137-8c1b-c6226f0b469a | Hypertensive Disease - - - - - - - - - 3 8 - 7 11 10 14 25 28 37. Ischaemic Heart Disease - - - - - - - - 9 3 103 27 92 52 64 58 268 140 38. Other Forms of Heart Disease - 1 - 1 - - - - 1 - 3 2 9 4 14 24 27 32 39. Cerebrovascular Disease - - - - - - - - - 1 18 14 25 33 31 54 74 102 40. Other Diseases of the Circulatory System - - - - - - - - 1 - 8 4 5 11 11 18 25 33 41. |
1bd25fd9-a7c4-4e5e-b711-8be73ebc2a60 | Influenza - - - - - - - - - - 2 - 6 1 3 3 11 4 42. Pneumonia 3 2 - 2 - - 1 - 1 1 4 3 23 13 30 40 62 61 43. Bronchitis, Emphysema - 1 - - - - - - 1 - 18 3 29 12 30 21 78 37 44. Asthma - - - - - - - - - - - 1 - 1 - - - 2 45. Other Diseases of the Respiratory System - 2 - - - - - - 1 - 2 - - - 2 3 5 5 46. |
eca3e93e-bcb6-4226-a2b5-7c3d1031cd1d | Peptic Ulcer - - - - - - - - - 1 4 1 3 1 1 4 8 7 47. Appendicitis - - - - - - - - - - - - 1 - - - 1 - 48. Intestinal Obstruction and Hernia - - - - - - - - - - - 1 1 1 1 1 2 3 49. Cirrhosis of Liver - - - - - - - - - - 1 - 1 - - - 2 - 50. Other Diseases of the Digestive System - - - 1 - - - - - - 2 3 2 7 4 8 8 19 51. Nephritis and Nephrosis - - - - - - - - - 1 3 1 1 1 - - 4 3 52. |
91544615-e35e-4054-9d00-844cfd4cc7fd | Hyperplasia of Prostate - - - - - - - - - - - - - - 2 - 2 - 19 CAUSES OF DEATH 1968 Cause of Death AGE AT DEATH Under lyr 1 and under 5 years 5 and under 15 years 15 and under 25yrs 25 and under 45yrs 45 and under 65yrs 65 and under 75yrs 75 and over Total M F M F M F M F M F M F M F M F M F 53. Other Diseases of the GenitoUrinary System - - - - - - - - - - 2 - 2 1 5 8 9 9 54. Abortion - - - - - - - - - - - - - - - - - - 55. |
933b07df-7e8b-4706-8d1c-e07943fa3411 | Other Complications of Pregnancy Childbirth and Puerperium - - - - - - - - - - - - - - - - - - 56. Diseases of the Skin and Subcutaneous Tissue - - - - - - - - - - - - - 1 - - - 1 57. Diseases of the Musculo-Skeletal System and Connective Tissue - - - - - - - - 1 - 1 - 1 1 1 3 4 4 58. Congenital Anomalies 2 5 1 - 1 2 - - - - 2 1 - - - - 6 8 59. Birth Injury, Difficult Labour and other Anoxic and Hypoxic Conditions 5 3 - - - - - - - - - - - - - - 5 3 60. |
34cf234d-10f4-409e-91da-279e43aafb2f | Other Causes of Perinatal Mortality 7 4 - - - - - - - - - - - - - - 7 4 61. Symptoms and Ill-ddfined conditions - 1 - - - - - - - - - - - - 2 3 2 4 62. Motor Vehicle Accidents - - - - 1 - 7 1 4 1 3 3 2 1 - 1 17 7 63. All other Accidents 1 - 1 2 1 - - - 1 - 4 1 2 1 3 4 13 8 64. Suicide and Self-inflicted Injuries - - - - - - - - 4 4 2 2 1 1 - 1 7 8 65. |
e1348a94-4529-4709-b757-6d7e5b063e61 | All other External Causes - - • - - - ~ 1 — i - - - - - - - 2 TOTAL ALL CAUSES 19 22 3 7 4 7 9 2 41 28 314 175 344 256 293 333 1027 830 PRINCIPAL CAUSES OF DEATH (all ages) Diseases of Heart and Circulatory system 615 Cancer and Other Malignant Diseases 515 Pneumonia, Bronchitis and other Respiratory Diseases (excluding tuberculosis) 265 Diseases of the Brain and Nervous System 213 I give below for purpose of comparison the birth and death rates of Barking, Greater London and England iand Wales for 1968. |
f063b02a-9c4a-4747-94c6-2efbbfaf7c8a | Live Births (per 1,000 population) Barking 13.6 Greater London 16.4 England & Wales 16.9 Stillbirths (per 1,000 live and stillbirths) 13.7 13.5 l4.3 Infant Mortality (per 1,000 live births) 17-8 18.6 18.3 Deaths (per 1,000 population) 11.0 11.6 11.9 20 HEALTH EDUCATION During 1968 it was pleasing to note an increasing demand for health education in the Borough. Unfortunately owing to financial restrictions it was impossible to provide extra staff to meet this need and therefore, many worth-while projects had to be curtailed. This applied particularly to proposals to evaluate the work of the section and attempts to determine true health education needs rather than only the desires of those for whom a service is provided. |
d91f328e-0cdd-42bf-af9b-98f7c5052179 | Health Education in Schools Requests for assistance in health education programmes were received from many schools and it was possible to meet the requirements of nineteen of them. However, this could only be done by co-opting the help of a number of health visitors to whom we are most grateful for their assistance at a time when other demands on their services were particularly pressing. The schools themselves were also very accommodating, not only in the provision of members of staff to take over many of the topics previously dealt with by health education personnel, but also in allowing some flexibility in time-tabling to enable our staff to fit in other commitments. The child care courses for the National Association for Maternal and Child Welfare examination proved to be especially popular and a number of schools are now running these themselves with only minimal assistance from the health department. Many requests were received for a course for teachers in the content of this examination and although this was discussed with a representative of the Association it was not possible to organise it during 1968. |
5c7cbee0-19e4-4104-aeda-1681042814b1 | A certain amount of in-service training was carried out in the form of a course on visual aids for teachers and a series of lectures on health education to candidates for the Post Graduate Certificate of Education. During February 1968 a meeting was held between the head teachers of infant and primary schools and members of the health department. It was agreed that in general, very few teaching sessions would be required of the health department in these schools, but perhaps more visual aids and materials would be made available for the teachers' use. Talks were given in some schools to children taking Duke of Edinburgh Award courses, and examinations for the award were carried out with other groups. At the request of head teachers two talks were given to meetings of parent teachers' associations. In-Service Training In addition to the courses for teachers, in-service training was arranged for health visitors and medical staffs of our own and adjoining Boroughs. |
61686446-c0a1-4128-b7fb-75b7504a9dd3 | One course on paediatrics included as lecturers a number of well known consultants, who stimulated much discussion among the large number of staff who attended. Food Hygiene Education Another short course on food handling was given to canteen staffs in Messrs. Fords and subsequently requests were received for more detailed programmes to be arranged in conjunction with Rush Green College. It was 21 not practicable to implement the latter in 1968 as the routine certificate and diploma courses were continuing there, but arrangements were made for this to be done in early 1969. Home Safety It is felt that this is em integral part of health education and home safety teaching is included in all school health education programmes. In addition to this talks were given to the St. John Ambulance Association and to first aid students at the Regional College. The Borough was represented at the regular meetings of the Greater London Home Safety Council and participated in a home safety competition organised by that body. |
3123737e-6770-45c9-ab67-5d40992afc9c | Assistance was also given to the British Standards Institution Fireguards Committee in connection with their specification for nursery fireguards. Training of Students One student from the London University Institute of Education, Health Education Diploma Course attended for practical work at the beginning of the year. This procedure of seconding a student for two weeks continuous practical work has many advantages over the previous scheme of arranging for him to attend for one day per week throughout two terms. Other students attending for training in health education included 4 studying social science, 21 student health visitors, k student nurses. Visitors Visitors to the section included two World Health Organisation scholars one from Sweden and one from the Phillipines and a health visitor tutor from Scotland. Youth The demand for health education from youth clubs was somewhat disappointing during 1968 but the department participated in a discussion with youth leaders on alcoholism. Some help was given at the beginning of the year to the staff at Porters Avenue Clinic who were running an adolescent clinic. |
5e3a4a06-f31b-4cb5-b0bc-acb05c854f4d | Geriatric Groups Three geriatric courses were organised by the staff of Porters Avenue Clinic and talks on heating and health were given on each of them. Mental Health At the request of the staff of the Day Centre a series of ten talks on personal hygiene was arranged for the patients. The course was conducted by the Assistant Health Education Officer and although the project was extremely time consuming it was well worth while and much appreciated by both patients and staff. The Day Centre was also the principle venue of the Mental Health Week 22 exhibition. A secondary display was provided in two adjoining shop windows in Ripple Road, Barking. Clinics and Nurseries The year saw a considerable upsurge in the requests for assistance from clinics and nurseries. Many members of staff took the opportunity of learning how to use some of the equipment and requests for slides, filmstrips and film loops exceeded those of previous years. |
abeab3cb-1d18-4f5b-aaa3-89ce8e5ae040 | At the Annie Prendergast Day Nursery a very successful film show and talk was given on the care of childrens' feet. Displays. Exhibitions and Campaigns As a result of the introduction of measles vaccination a campaign on this subject was organised. The topic was also chosen as the theme for the annual Town Show. Very good weather encouraged a large attendance and some useful publicity was achieved, which was reflected in the requests for vaccination. An exhibition of a different type was organised at Barking Hospital where a display on public health nursing was erected in the Nurses Training School at a time when it was open to schoolchildren and the public in general. Films and Film Making With the co-operation of the Photographic Department of the Regional College a start was made on the production of a 16 mm film on the work of the dental auxiliary - a topic on which no professional film is available. |
ba3cce9e-3eb7-4488-9f65-2c2dba036fd2 | The script was prepared within the Health Department and some filming was carried out during 1968 by the college staff and students, using both their own and our equipment. Much work still remains to be done before the film is completed. Facilities were also made available at Annie Prendergast Nursery for Drs. Sheridan and Hodgson of the Department of Health and Social Security to produce a set of slides and tape recording entitled "Pre-school examination of the 4 year old". This was shown by Dr. Hodgson to the parents and staff of the nursery at an open evening before being distributed by the Medical Recording Service. During 1968 the demand for 16 mm film for schools and clinics was nearly double that of the previous year. In all 160 film shows were arranged, a high proportion of the films used being from our own departmental library. |
532b2edf-58af-4910-af80-f95a530008fd | 23 PERSONAL HEALTH SERVICES CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Care During the year 512 mothers attended our clinics for ante-natal care and 14 for post-natal examination. A total of 413 clinic sessions were held by domiciliary midwives and 75 by medical officers. The review of ante-natal clinic attendances commenced in 1967 continued during the year and sessions at which a doctor was present were discontinued at a number of clinics where attendances did not warrant them being held. The domiciliary midwives assumed responsibility for routine ante-natal care at clinic sessions, calling on the medical officer or general practitioner obstetrician when necessary. This arrangement enabled a further increase to be made in the time spent by medical staff in screening women for cancer (cervical cytology) and in screening infants and young children for the early detection of deviations from normal development. |
3fec4eb2-b232-4178-aac4-ac6cb99c0ff5 | Centres offering ante-natal care are as follows:- Centre Frequency of Session When held Annie Prendergast Clinic, Ashton Gardens, Chadwell Heath. weekly Tuesday p.m. The Clinic Becontree Avenue, Dagenham. weekly Tuesday p.m. Central Clinic, Vicarage Drive, Barking. weekly Wednesday p.m. The Clinic, Ford Road, Dagenham. weekly Wednesday p.m. Julia Engwell Clinic, Woodward Road, Dagenham. weekly Monday p.m. Marks Gate Clinic, Lawn Farm Grove, Chadwell Heath. The Clinic Oxlow Lane, Dagenham. weekly weekly Thursday p.m. Thursday a.m. The Clinic, Porters Avenue, Dagenham. Fortnightly Wednesday a.m. Thames View Clinic Bastable Avenue, Barking Fortnightly Monday p.m. |
2366fdae-9dc8-4387-978b-d0dc2ba4a705 | 24 Midwifery Service The midwifery service has continued to be handicapped by a shortage of Midwives during the year, although an increased number of patients have been dealt with. Although many more patients are being delivered in hospital these days, they still have to be cared for until their tenth day by the domiciliary midwife. There seems to be a sad lack of midwives wanting to make domiciliary midwifery their vocation in this modern age. We were fortunate to obtain the services of one Midwife particularly to care for early discharges from hospital. She commences duty in the New Year and will be of great value. The training of Part 2 Pupil Midwives continues in conjunction with Barking Hospital and the London Borough of Waltham Forest. Twenty eight pupils have spent part of their six months' training with our Teaching Midwives during the year. |
9558f44f-8a57-4e9d-8c40-9e289d396e88 | With the advent of the large new Maternity Wing at Rush Green Hospital next year, there will perhaps in future be more pupils training in the Borough. Deliveries attended by Domiciliary Midwives 1968 Doctor present at delivery Doctor not present at delivery Cases delivered in hospital and attended by Domiciliary Midwives on discharge before 10th day. 73 485 821 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 17 cases. In addition 46 cases who made their own arrangements for confinement were advised and assisted by the Association. Infant Welfare Centres During the year 6,414 children attended the following centres:- Centre Frequency of Sessions When Held Annie Prendergast Clinic, Ashton Gardens, Chadwell Heath. Weekly Wednesday and Thursday p.m. The Clinic, Becontree Avenue, Dagenham. Weekly Monday p.m. Wednesday a.m. |
189299a1-655e-4191-ac27-b224cbf57cb1 | Central Clinic, Vicarage Drive, Barking. Weekly Tuesday and Thursday p.m. 25 Centre Frequency of Session When held York House Nurses Home, Frizlands Lane, Dagenham. weekly Wednesday p.m. Centre Frequency of Sessions When held The Clinic, Ford Road, Dagenham. Weekly Tuesday a.m. Thursday p.m. Greatfields Clinic, Movers Lane, Barking. Weekly Tuesday p.m. Julia Engwell Clinic, Woodward Road, Dagenham Weekly Tuesday and Friday p.m. Leys Clinic, Ballards Road, Dagenham. Weekly Tuesday p.m. Thursday a.m. Marks Gate. Clinic, Lawn Farm Grove, Marks Gate Weekly Monday p.m. The Clinic, Oxlow Lane, Dagenham. Weekly Wednesday and Friday p.m. The Clinic, Porters Avenue, Dagenham. Weekly Monday and Friday p.m. |
8daceb5d-4a1b-42d8-ae3a-aaa1bf6534f4 | Rush Green Clinic, 179 Dagenham Road, Dagenham. Weekly Friday p.m. Thames View Clinic, Bastable Avenue, Barking. Weekly Wednesday and Friday p.m. The Clinic, Thompson Road, Dagenham. Weekly Tuesday p.m. Friday a.m. Upney Clinic, Upney Lane, Barking. Weekly Wednesday and Friday p.m. 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. During the year the following amounts of Welfare Foods were issued !- National Dried Milk 15,8l4 tins Cod Liver Oil 2,866 bottles Vitamin A and D Tablets 2,112 packets of 20. Orange Juice bottles PLAY THERAPY Over the past year a total of 86 children have been helped in all four play therapy groups. |
d8f25f86-a105-4f69-b22a-3751b6b59a79 | Thames View Clinic- 16 children have attended including 7 with a speech defect, 2 mentally backward and 1 autistic child. There were also 2 very shy children. Julia Engwell Clinic- 32 children attended including 1 child whose parents were deaf and dumb, b mentally backward and 2 from difficult homes. We had also 1 very nervous child and 10 with speech defects. Northbury - 21 children attended including 3 mentally backward and b emotionally disturbed. There were also 5 children with a speech defect. Oxlow Lane Clinic - 17 children have been helped, including b from very poor homes, 1 with muscular dystrophy. There were 5 children who would not mix and 4 with a speech defect. DAY NURSERY SERVICE The average daily attendances and numbers on registers are shown below for each month of 1968:- Month Goresbrook Annie Prendergast Eastbury Average Daily Attendance No. |
5b9d1959-4cca-475b-b138-e9b743bb9a13 | on Register Average Daily Attendance No. on Register Average Daily Attendance No. on Register January 27.9 37 27.0 35 32.5 42 February 30.8 39 31.4 36 35.0 42 March 35.1 40 33.7 39 34.3 42 April 33.7 42 32. |
1bcc56ee-332a-4547-b842-122d0f823f47 | '+ 39 30.0 37 May 33.3 39 32.8 40 35.0 41 June 31.4 40 31.2 41 32.2 42 July 32.1 42 30.0 39 35.9 42 August 27.3 43 28.2 41 27.8 41 September 28.5 42 39.1 46 25.6 39 October 31.6 38 41.0 45 35.2 43 November 33.6 46 36.9 44 36.9 45 December 32.6 44 33.0 45 33.5 43 All nurseries showed improved attendances during the year which reflects a slight easing of staffing difficulties consequent upon a reduction of nursery hours effected in 1967. |
55af7d57-6b17-4d33-807d-fbee986109ed | Annie Prendergast Day Nursery Matron reports as follows:- 1968 was another busy and interesting year, and continued in the pattern of the previous year. Our two students were successful in the N.N.E.B. examinations, one has gone to join the Metropolitan Police, another went to work as a private nanny. 27 The road through nursery work seems to lead to many paths: in fact as in previous years marriage, children and moving to other areas mainly appear to be the reasons for staff leaving. In the Autumn and Winter of 68/69 each of our students spent a month at the Thomas Arnold Infant School. Now that the N.N.E.B. Syllabus covers the age range of 0-7 years these arrangements were agreed at the Advisory Committee at Havering College, acting on the Society's recommendation that students in Day Nurseries shall obtain the added experience of the care and education of the 5-7 year olds. |
22896e44-3e25-4b47-a3bc-f5be75c75df6 | The students thoroughly enjoyed their time at the school, and were made very welcome by the Headmistress and Staff. Staff also took part in a Child Minders' Course, held at the Civic Centre, and we hope that the small contribution we were able to make, benefited those attending. Eastbury Day Nursery Matron reports as follows:- Matron F. B. Nason retired in September, 1968, after twenty-three years service in the Barking Nurseries. A farewell and presentation party was held in the Nursery for all her friends and colleagues. Deputy Matron Mrs. B. A. Bell was subsequently appointed Matron. Our three Student Nurses were successful in passing their N.N.E.B. examination and were promoted to Staff Nursery Nurse6. In September, our student intake was increased to four making a total of eight students. The Christmas party was by common consent a great success. |
9dbfa01b-e429-47d9-91a2-e7d0bbca193c | Miss Winter, our Nursery Warden, entertained the children and visitors with an excellent puppet show and Father Christmas exceeded popular expectation. At a later date the Nursery Staff had their Christmas treat, a special coach to a West End Show where a good time was had by all. Goresbrook Day Nursery Matron reports as follows:- During 1968 there were many changes of staff in the Nursery. Three students sat for their N.N.E.B. Certificate. All were successful. Two of the students moved on to different fields of work and the third remained in the employment of the Borough. The year ended with the usual preparations for Christmas festivities including a sale of work arranged by the staff. The nativity play was once again the highlight of the Christmas Party at which we were pleased to welcome parents and members of the Health Department Staff. 28 KINGSLEY HALL DAY CENTRE The extremely useful function of this nursery continues uninterrupted by serious financial cuts or staff problems. |
802685a0-539d-4e52-8cc3-b94d66fbe0c5 | I think that without undue boasting we can truthfully claim to have a unique service in the handling and help of handicapped children under the age of five years. Our visitors - many of whom are experts in the care and assessment of handicapped children are invariably impressed by the atmosphere of happiness and bustling activity which is always present in spite of the often very severe handicaps of the children, and needless to say there is a deep and lasting appreciation from all the parents and families of the children. In 1968 there was an average daily attendance of 12.5. There were fifteen new admissions and eight discharges. In addition there was one death (from carcinoma) and two removals from the Borough. The correct placing of the children at the age of five years is one of our chief concerns. The only trouble we encounter here is a time lag for those recommended for the Junior Training Centre and Special Care Unit. |
9b201aaf-4915-40a1-8bc1-781437388f4e | The former has been limited by staff shortages and the latter is at the moment being greatly enlarged and we hope by 1970 to have no more difficulties there. We continue to benefit greatly from our contact with Dr. Kenneth Holt from the Institute of Child Health. He visits us once every month and he sees that we have easy admission to his department with all its staff and facilities. This service is of inestimable value to us. Apart from this service, he encourages our staff to visit the assessment centre and see all the work that goes on, which is much appreciated by everybody. We also have great assistance from Mr. David Berman who is Reader in Child Dental Health at the London Hospital. He is very interested in the dental condition of handicapped children and is always very kind and obliging about appointments, and indeed he attends to the children personally. During 1968 we were fortunate to obtain an additional session with our physiotherapist Mrs. Warwick. |
e8b46857-50ba-46ff-9753-393b69781147 | This is very helpful especially as we are now allowed one weekly visit to the hydrotherapy pool at Faircross School with Mrs. Warwick and one other of our staff accompanying the children. Finally we would like to mention Mr. Lancer - the Ophthalmologist to Becontree Avenue Clinic. He is very patient and gives a lot of time to our children, and they are not easy customersl After a good start, which was primarily due to a very effective publicity campaign in the local press, attendances gradually fell towards the end of the year. The total number of smears taken was 1,486 in comparison with 1,346 in CYTOLOGY SERVICE 1968 1967. Reviewing the year, the significant data are as follows Total number of smears taken 1,486 No. found to be positive 7 No. |
e35ab790-1170-447e-9242-68c69d8ffc5f | of suspect smears to follow up 3 Referral for other conditions to Gynaecologist Fibroids 7 Polypus 65 Miscellaneous conditions 59 Trichomonas vaginalis infections detected 37 29 Breast Examination Referred to Surgeon 8 Found to require treatment advanced carcinoma 1 It seems that the clinics are fulfilling quite a significant part in the screening of diverse gynaecological disorders, apart from the essential role of detecting carcinoma and pre-cancerous lesions of the cervix uteri. Again I have to pay tribute to the Patnological Laboratory and to the Consultant Gynaecologists and Surgeons and also to the General Practitioners for their help and co-operation. |
5ee6de1e-aab7-4227-99e8-e98aba9cdc6d | HEALTH VISITING During 1968 Health Visitors and Clinic Nurses made the following home visits:- (a) to pre-school children 27,693 (b) to schoolchildren 2,763 (c) to adults 8,329 The number of cases referred directly to the health visiting service, (other than discharges of maternity patients) by hospitals and general practitioners, remains at a low figure, and referrals are mainly concerning the aged. Despite the service operating at 50½ below establishment, there has been a marked increase in health education commitments in schools. Early in the year a programme of in-service training was prepared and given to staff by the Deputy Superintendent Health Visitor. Help was given in planning the health education programme, and in the choosing of visual aids. |
5bf33993-1757-46ab-968d-0aa964fc51c5 | Health Visiting Statistics Cases visited by Health Visitors Number of Cases Children born in 1968 2,717 """ 1967 2,612 """ 1963-66 6,712 Persons aged 65 or over Mentally disordered persons 191 77 Persons discharged from hospitals (excluding maternity 5 Number of tuberculous households visited 4 Number of households visited on account of other infectious diseases 13 Homes visited by tuberculosis visitors 314 CHILDREN'S DEPARTMENT During the year, 84 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, 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. |
f1f97b0d-fbe5-448c-9882-670c9278c2cf | However, only if there is close liaison between departments at the field worker level will we work in harmony, and thus give children in need the benefit of our combined knowledge and experience. VACCINATION AND IMMUNISATION This year saw the publication of a revised memorandum on immunisation against infectious diseases by the Standing Medical Advisory Committee for the Central Health Services Council. The aim of the new schedule is to provide for a more uniform national pattern of immunisation and to enhance the degree of protection provided by immunisation against infectious disease. In the main the new schedule provides for starting immunisation at a later age with a longer interval between each dose. The possibility that this might reduce the number of children achieving a satisfactory immunity state has been a source of concern and this aspect is being kept under review. |
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