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14bf884c-8668-4f37-ae63-d83dd8abdcd5 | - 10 - 1 Fruit, Fresh - 5 - - Fruit, Tinned - 4 - 1 Fruit Yoghurt 1 1 - 1 Gravy - 1 - - Ice Cream - 1 - - Jam - 3 - - Jelly - 1 - - Lemonade Powder - 2 - - Meat, Meat Pies, Pasties, etc. |
4b5ec328-d476-4937-867f-dd49ed4f0624 | - 18 - 2 Meat, tinned - 2 - - Medicinal Samples - 3 - 1 Milk - 15 - 6 Minuet Nut and Spice Thins - 1 - - Paste - 4 - - Paprika Salad - 1 - - Pastry - 1 - - Pickles - 2 - - Prawns - 1 - - Puddings - 2 - - Sandwiches - 1 - 1 Sauces - 2 - - Sausages 1 7 - 1 Soups - 3 - - Spices - 3 - - Sweets 1 15 - 2 Vegetables - 17 - 1 Wines and Spirits 6 2 1 1 77 Serial No. Article Formal or Informal Nature of Adulteration or Irregularity Observations 260A Lid and foreign matter from 5 gal. Churn of Milk. |
8275509e-c14b-4adb-acba-1ce388107c42 | Informal Contained particles of bread and meat Fined £10 and 5 gns. costs. 261A Chlorodyne B. B.P.C. Informal Contained 15.1% Morphine in excess of that permitted for Chlorodyne B.P.C. Bottle contained 2/3 of stated quantity. Retail sale of this was stopped. 263A Dessert Fruit and Nuts Informal Three quarters of a 2½ oz packet found to be affected with insect infestation. Legal proceedings absolute discharge 7 gns. costs. 276A Cream Soda Informal Contained crystals of an organic calcium salt No action. 277A Iced Bakewell Tart Informal Contained blackish foreign matter which consisted of highly burnt dough. No action. 280A Bread Informal Contained a cigarette end. Legal proceedings Fined £25. and £5 costs. |
1f05e3cc-e762-4dd1-9c8b-ee0f65f86ef8 | 28lA Salad Sandwich Informal Had an unpleasant "catty" smell. No action 286A Hamburgers Informal Meat ... 69 per cent. 8 per cent deficient in meat. Manufacture discontinued. 303A Milk Informal Contained particles consisting mainly of iron. Legal proceedings. Fined £20 and £5 costs. 314A Cyprus Sherry Informal Had a heavy crystalline sedmiment consisting essentially of potassium acid tartrate. No action 315A Chicken Fry Flavour Potato Crisps Informal In a mouldy condition. Warning letter. 320A Pasteurised Milk Informal Inside of milk churn contaminated with mould growth yeasts and bacteria. Dairy pleaded guilty. Conditional discharge for 12 months. 322A Scone Informal Contained a length of green thread. Fined £5 and £5 costs. 325A Milk Informal Contained a piece of tomato skin. Fined £20 and £5 costs. |
3529a1d6-1cc8-4ae3-ac4d-c911cec418cb | 78 Serial No. Article Formal or Informal Nature of Adulteration or Irregularity Observations 332A Orange Real Fruit Yoghurt Informal Fat....1.35 per cent. Should be described as "low fat" Yoghurt. Formal sample taken. This was satisfactory. 343A Cornish Pasties Informal In a mouldy condition. Legal proceedings Fined £25 and 10 gns costs. 344A Sliced Loaf Informal Contained a large beetle. Legal proceedings. Fined £40 and 5 gns. costs. 345A Saveloy Informal Contained a 'skin' of ground meat heavily contaminated with iron. Legal proceedings Fined £5 and £5 costs. 346A Milk Informal Foreign matter consisted of a mass of vegetable tissue and included pollen grains and some mould growth. Legal proceedings. Fined £10 and £10 costs. |
4ea9ce1c-1734-44e9-8360-8f8c7079c1e6 | 369A Sliced White Loaf Informal Contained flakes of iron rust. Legal proceedings Fined £25 and 5gns. costs. 379A Cooked Chipped Potatoes Informal Contained earthy matter impregnated with cooking oil. Legal proceedings. Fined £6 and £3 costs. 38OA Prunes Informal Had a slightly musty odour and flavour. No action. 381A Chocolate Wafer Informal In a stale condition. Legal proceedings. Fined £10 and 3gns. costs. 382A Milk Informal Contained mouldy milk solids. Legal proceedings Fined £10 and £10 costs. 386A Confectionery (Nougat) Informal Contained Blue VRS, a colour not permitted by the Colouring Matter in Food Regulations, 1966. 130 Whisky Formal Proof Spirit..57.5 per cent. Contained 17.9 per cent. |
0c6b5ad0-f90d-41d9-aae1-cf46ed9f1253 | extraneous water. Legal proceedings. Fined £25 and £5 costs. 79 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. |
a660bca8-b1d9-458f-bc05-ad832390ae23 | Total Scarlet Fever 1 4 7 7 13 35 7 2 2 78 Whooping Cough 8 5 9 9 8 14 - - - 53 Measles 5 27 24 16 27 67 5 4 - 175 Diphtheria - - - - - - - - - - Dysentery 1 1 - 1 1 2 1 - 4 11 Acute Poliomyelitis: Paralytic - - - - - - - - - - Non-paralytic - - - - - - - - - - Meningococcal infection - - - - - — 1 - - 1 Under 5 yrs. |
4db80d59-c32b-4fb5-b764-f68db2fa81ae | 5-14 15-44 45-64 65 and over Total Pneumonia: Acute Primary 5 2 2 2 5 16 Acute Influenzal - - 1 9 19 29 Encephalitis, Acute Infective - - - - - - Post Infectious - - - - - - Erysipelas - - - 2 2 4 Food Poisoning 5 - 3 1 - 9 Puerperal Pyrexia - - 2 - - 2 Ophthalmia Neonatorum - - - - - - Paratyphoid B - - - - - - Typhoid - - - - - - Smallpox - - - - - - Malaria - - 1 - - 1 Inlective Hepatitis - 12 13 3 1 29 Notified Admitted to Rush Green Hospital Admitted to other Isolation Hospitals. |
eb32be1c-ec94-4600-9f6b-66c56477ac6c | Admitted to other Hospitals Dysentery 11 - - 2 Encephalitis, Acute Infective - - - - Post Infectious - - - - Erysipelas 4 4 - - Food Poisoning 9 2 - 6 Measles 175 1 - - Meningococcal Infection 1 1 - - Paratyphoid Fever - - - - Puerperal Pyrexia 2 - - - Pneumonia: Acute Primary 16 2 - - Acute Influenzal 29 4 - - Acute Poliomyelitis: Paralytic - - - - Non-paralytic - - - - Scarlet Fever 78 - - - Typhoid - - - - Whooping Cough 53 1 - 1 Malaria 1 - - - Infective Hepatitis 29 6 - 4 80 Printed by the Town Clerk's Department London Borough of Barking |
5d75001a-89fc-4b3b-ab12-969375cbaff4 | sark u i ^y- LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and S PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1969 J. ADRIAN GILLET, m.b., ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, Essex Telephone: 01-592 4500 f 4J LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1969 J. ADRIAN GILLET, m.b., ch.b., d.p.h., f.r.s.h. Civic Centre, Dagenham, |
58420cb1-742e-458d-986f-7b4bf7b8c618 | Essex Telephone: 01-592 4500 Page Adult Training Centre 54 Ante-natal Clinics 27 Atmospheric Pollution 78 "At Risk" Register 33 Bentry School 68 Care of Mothers and Young Children 27 Causes of Deaths 18 Causes of Infant Deaths 17 Child Guidance 64 Child Health Centres 28 Children's Department 36 Chiropody 48 Congenital Abnormalities, Incidence of 71 Convalescence 47 Co-ordination of Services 26 Council, Members of Cytology Service 35 Day Nurseries Dental Services 72 Diseases of Animals Act 1950 82 Education Committee 4 Education (Special Services) Sub-Committee 5 Enuresis Clinic 63 Factories Act 1961 80 Faircross School 67 Family Planning Service 41 Food and Drugs, Sampling 84 Food Hawkers, Registration 83 Food, Inspection and Supervision 82 Food Poisoning 89 Food, |
36b3b82d-dd5c-4ab7-ab2f-f155926cfa93 | Unsound 83 Geriatric Clinic 43 Geriatric Liaison Officer 43 Guthrie Test 42 Handicapped Children 70 Health Committee 4 Health Education 23 Health Visiting 35 Holiday Play Centre 57 Home Help Service 45 Home Nursing Service42 Hostel for the Mentally Subnormal 57 „ „ „ „ „ plan 58 Housing 75 Houses in Multiple Occupation 77 Ice Cream 83 Immunisation 37 Improvement Grants 76 Infant Mortality 16 Infectious Diseases 88 Junior Training Centre, Castle School 56 Page Kidney Machines 47 Kingsley Hall Assessment Centre 33 Laundry Service 78 Mass Radiography 51 Maternity Services 28 Medical Examination of Staff46 Mental Health 53 Midwifery Service (domiciliary) 28 Milk 83 National Assistance Act 1948 44 Noise Abatement Act 1960 78 Offensive Fumes 79 Officers of the Health Service 6 Offices, |
6b0f2cb3-9ffe-44fd-ad22-08fe9dc018d1 | Shops and Railway Premises Act 1963 81 Orthopaedic Clinic 63 Osborne Workshop 53 Pet Animals Act 1951 80 Play Therapy 32 Porters Avenue Day Centre 55 Prevention of Damage by Pests Act 1949 80 qualifications 13 Rag Flock and Other Filling Materials Act 1951 79 Registration of Nurseries and Child Minders 32 Rehousing on Medical Grounds 46 Rent Act 1957 76 Residential Accommodation 55 Riding Establishments Act 1939 80 Sanitary Inspection of District 74 School Consultative Clinics 60 School Health 60 School Medical Inspections 60 Sewerage and Sewage Disposal 75 Sickroom Equipment 46 Slum Clearance 75 Speech Therapy 64 Swimming Baths 75 Tents, Vans and Sheds 77 Tuberculosis 50 Typhoid Fever 90 Unmarried Mother, Care of 28 Vaccination 37 Vital Statistics 16 Voluntary Associations 57 Water 74 Westfield Psychiatric Social Club . |
0236ed45-6aca-4943-96bb-0b2276f5f369 | 59 2 MEMBERS OF THE COUNCIL (as at 31st December, 1969) MAYOR Councillor A. C. V. RUSHA, J.P. DEPUTY MAYOR Councillor H. J. HOWIE ALDERMEN A. E. BALL, O.B.E., J.P. D. O' DWYER, K.S.G. W. E. BELLAMY, J.P. B. E. ROYCRAFT, O.B.E., J.P. G. H. A. CROUCH J. R. SWEETLAND Mrs. A. M. MARTIN Mrs. A. R. TOOMAS COUNCILLORS D. W. ATTRIDGE J. L. JONES, J.P. C. H. AYRES Mrs. E. J. KITCHEN Mrs. M. BALL, O.B.E. |
2879239d-2f9b-4643-b246-14411664179a | J. H. LAWRENCE D. W. BARNETT DANIEL LINEAN G. J. G. BEANE, J.P. Mrs. P. D. MILLER L. T. BLAKE W. J. PADINGTON G. A. BROOKER C. A. POOL, J.P. J. A. BUTLER, J.P. Mrs. V. H. POOL S. G. COLE Mrs. M. S. PRESTON L. A. COLLINS L. G. RIMINGTON 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. EDO) H. TINDELL Mrs. |
bb52cbda-0db9-4048-8c2e-5330699dd270 | J. H. EUGWELL B. P. WALKER Miss J. FACKERELL, J.P. S. J. WARR Mrs. C. S. M. GODFREY, J.P. Mrs. M. A. WARREN D. O 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 1969) CHAIRMAN Councillor Mrs. M. Ball VICE-CHAIRMAN Councillor Mrs. D. M. Jones MEMBERS His Worship the Mayor The Deputy Mayor Alderman D. O'DWYER Alderman Mrs. |
95bb04f9-5282-48d8-9d80-84262f2edc85 | A. R. THOMAS Councillor D. W. BARNETT Councillor R. E. COSTER Councillor Mrs. J. ENGWELL Councillor Mrs. C. S. M. GODFREY Councillor Mrs. E. J. KITCHEN Councillor Mrs. P. D. MILLER Councillor Mrs. V. H. POOL Councillor F. C. SPRAGGINS Councillor F. G. TIBBLE Councillor H. TINDELL Councillor S. J. WARR Councillor J. G. F. WILLMOTT CO-OPTED MEMBERS Mrs. D. L. BELCHAMBER Dr. A. F. MacDONALD Mrs. M. BREDO Mrs. A. E. PRENDERGAST Mr. |
2e303e84-6c11-48b0-89b8-5040c92a286e | K. H. ROSE EDUCATION COMMITTEE (as at 31st December 1969) CHAIRMAN Councillor G. J. G. BEANE VICE-CHAIRMAN THE MAYOR, Councillor A. C. V. RUSHA REPRESENTATIVE MEMBERS Alderman A. E. BALL Alderman W. E. BELLAMY Alderman Mrs. A. MARTIN Alderman D. O'DWYER Alderman J. R. SWEETLAND Councillor Mrs. M. BALL Councillor L. T. BLAKE Councillor J. A. BUTLER Councillor S. G. Cole Councillor R. E. Coster Councillor D. A. L. G. DODD Councillor A. E. EAST Councillor Miss J. FACKERELL Councillor Mrs. C. S. M. GODFREY Councillor D. 0. |
3a7874ca-50c2-4029-b703-9ba8aa3905fb | GRANDISON Councillor R. F. HAWKHI Councillor E. E. HENNEM Councillor C. W. JILLINGS Councillor Mrs. D. M. JONES Councillor F. C. JONES Councillor Daniel LINEHAN Councillor Mrs. M. S. PRESTON Councillor H. TINDELL Councillor D. J. WATERS Councillor D. W. WEBB Councillor J. G. F. WILLMOTT Councillor T. A. WOODCOCK Councillor E. J. WOODS CO-OPTED AND NOMINATED MEMBERS Mr. R. BLACKBURN Mr. W. E. JOUGHIN Mrs. I. M. BROCKELBANK Mr. F. H. KING Mr. P. GRIMES Mr. D. F. REED Miss M. C. GROBEL, M.A. |
96274a66-6845-4a53-8986-f0df626d49ae | Mr. A. RICHARDS The Rev. Louis HESTON The Rev. J. W. ROXBURGH Mr. S. J. RUSSELL 4 M.O.H I Baikmg Repuv 1969 Ms. Pwivos A110 EDUCATION SPECIAL SERVICES SUB-COMMITTEE (as at 31st December 1969) (This Sub-Committee deals inter alia, with the School Health Service) CHAIRMAN Councillor G. J. G. BEANE MEMBERS THE MAYOR Alderman Mrs. A. MARTIN Councillor R. E. COSTER Councillor A. E. EAST Councillor Miss J. FACKERELL Councillor Mrs. C. S. M. GODFREY Councillor Mrs. M. S. PRESTON Councillor H. TINDELL Councillor D. J. WATERS Councillor E. J. WOODS Mrs. |
b3f73d71-e4a8-40be-8d68-789dad0d4612 | I. M. BROCKELBANK Mr. W. E. JOUGHIN 5 OFFICERS OF THE HEALTH SERVICE (as at 31st December, 1969) MEDICAL OFFICER OF HEALTH AND PRINCIPAL SCHOOL MEDICAL OFFICER J. Adrian GILLET, M.B., Ch.B., D.P.H., F.R.S.H. DEPUTY MEDICAL OFFICER OF HEALTH R. BEAVER, M.B., B.S. (Rangoon) D.C.H., D.P.H. SENIOR MEDICAL OFFICER W. H. G. BATHAM, M.R.C.S., L.R.C.P., D.P.H. SENIOR ASSISTANT MEDICAL OFFICERS E. KLEIN, M.D. (Naples), M.D. (Budapest) L.R.C.P. & S. M. WEIZMANN, M.R.C.S., L.R.C.P. |
d589db66-437b-4f7b-98b6-03c4eba55673 | ASSISTANT MEDICAL OFFICERS D. BURGESS, M.D. (Malta). B.Pharm. K. FITZPATRICK, M.B., Ch.B. G. MICHAEL, M.R.C.S., L.R.C.P., B.A. (Cantab) In addition 11 Medical Officers are employed on a sessional basis PRINCIPAL DENTAL OFFICER J. K. WHITELAW, L.D.S., R.C.S., (Ireland) SENIOR DENTAL OFFICER P. K. CHAUDHURY, L.D.S., R.C.S.(Eng.) DENTAL OFFICERS V. H. FOY, L.D.S., R.C.S.(Eng.) N. J. GRAHAM, L.D.S., R.C.S.(Eng.) C. SUMSAWASTE, L.D.S., R.C.S.(Eng.) SENIOR DENTAL SURGERY ASSISTANT Mrs. |
65a73640-75c0-468f-bb08-c5be7d8b7490 | F. B. SADLER (23) DENTAL SURGERY ASSISTANTS Miss P. BRADLEY (35) Mrs. D. MURRAY (23) Mrs. M. BRIDESON Miss M. SEALEY Mrs. J. HUNTER Mrs. M. SIPOS (part-time) Miss L. KARMIOS (23) Mrs. M. STRACHAN (9) DENTAL AUXILIARY Mrs. G. CROUCHER (24) SENIOR DENTAL TECHNICIAN-IN-CHARGE Mr. J. CONSTABLE 6 CHIEF PUBLIC HEALTH INSPECTOR Mr. M. R. WILLIAMS, (l), (2),(4) DEPUTY CHIEF PUBLIC HEALTH INSPECTOR Mr. B. SAUNDERS, (l), (2), (4) PUBLIC HEALTH INSPECTORS Mr. J. ALLAM, (1), (2), (4). Mr. |
03ae4947-a5f5-4b03-9f55-d4fa9135a0e9 | T. W. GLEW, (l), (2) Mr. N. BURTON, (l), (2). Mr. S. A. LEMMON, (1), (2), (4). Mr. J. COOK, (1), (2), (3). Mr. J. POWELL, (1), (2), (4). Mr. E. DAY, (l), (2), (4). Mr. F. SILVERTHORNE, (l), (2) STUDENT PUBLIC HEALTH INSPECTORS Mr. R. KING 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). |
25ef7d67-024e-44e3-b548-e255941171fa | DISTRICT NURSES Mrs. S. L. BRADLEY, (5), (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). Mrs. Y. V. NICHOLLS, (5), (6), (21). Miss M. D. ELLIS, (5), (20), (21). Miss N. NORRTS, (5), (6), (21). Mrs. A. HAYDEN, (5), (21). Mrs. M. O'RIORDAN, (5), (8), (21). Miss J. R. HEATH, (5). Mrs. |
2b19c45a-f520-4bcc-aef7-e0330f129f31 | M. PRONT, (5). Mrs. V. E. HENNESSEY, (5), (21). Miss R. RICHARDS, (5), (6), (21). Mrs. A. L. HILLAS, (5), (21). Mrs. A. M. ROBINS, (5). Mr. S. A. HODGES, (5), (10a), (21). Miss J. M. SMITH, (5), (6), (21). Mr. C.O. E. KING, (5), (10). Mrs. E. A. STIMSON, (9). Mrs. D. J. KITCHEN, (5), (6), (21). Mrs. J. S. STONE, (5), (21). Mr. R. D. LINTOTT, (5), (l6), (21). Mr. |
ce1fc512-93d1-4f3f-956c-0a18a9ec3616 | R. J. TURPIN, (5), (21). Mr. D. J. MARTIN, (5). Mrs. M. E. M. WHATHAM, (5), (8), (12). Mrs. s. w. Mcquillan, (9), (21). DISTRICT NURSES (part-time) Mrs. J. E. BIGGART, (5). Mrs. N. FLYNN, (5), (8), (21). Mrs. E. COLGATE, (9). Mrs. E. M. E. McCALLUM, (5), (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. |
96c2a30b-4191-47dd-9b8a-6cb92a1c407a | N. M. ADAMS, (5), (6). Mrs. I. M. BRONNICK, (5), (6). Miss J. M. HALL, (5), (6). Miss D. HEARSEY, (5), (6). Mrs. M. E. HEW, (5), (6), (21). Miss H. V. RUNGAY, (5), (6) Miss P. R. SHACKLETON, (5), (6), (9) Miss M. WALKER, (5), (6). Mrs. C. B. WATSON, (5), (6) 7 PART-TIME MIDWIFE Mrs. M. E. R. WAINWRIGHT (5), (6). SUPERINTENDENT HEALTH VISITOR Miss B. M. LONG, (5), (6), (7), (21), (22). |
11ce979f-06f7-46e2-85a7-7e1f160a87cf | DEPUTY SUPERINTENDENT HEALTH VISITOR Mrs. C. C. LEDDEN, (5), (6), (7), (21). SENIOR HEALTH VISITOR Mrs. B. RAMSEY, (5), (6), (7), (20). HEALTH VISITORS Miss J. D. BALDWIN, (5), (6), (7), (21). Miss T. O'KELLY, (5), (8), (21) Miss A. E. BOORMAN, (5), (6), (7), (21). Miss O. OLOGUNRO, (5), (6), (7). Mrs. L. DUNBAR, (5), (6), (7). Miss E. G. PARRY, (5), (6), (7). Mrs. H. J. HARRIS, (5), (7), (8) Mrs. |
4c40c8f0-cf72-4ddb-a622-4105e7e6613b | J. REEVES, (5), (7), (8). Miss R. D. HUTCHINSON, (5), (6), (7), (21). Miss D. B. RUDD, (5), (6), (7). Mrs. A. KHAN, (5), (6), (7), (21). Miss M. F. SAVAGE, (5), (6), (7), (l4) Mrs. M. M. MILLER, (5), (7), (8). Mrs. A. WARD, (5), (7), (31). Mrs. J. O'BRIEN, (5), (7). Miss M.D. WINT, (5), (6), (7). HEALTH VISITOR (part-time) Mrs. M. NELSON, (5), (6), (7). |
7c24f4cf-8870-4dc1-8358-e04667ba4f93 | SPONSORED STUDENT HEALTH VISITORS Miss E. T. O'CONNOR, (5), (6). Miss A. E. B. TREACY, (5), (6). 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. A. NODEN, (5), (14). Mrs. M. A. FLEMING, (5). Mrs. M. A. PEARCE, (5), (8). CLINIC NURSES (part-time) Mrs. S. J. BROWNE, (9). Mrs. A. LYONS, (9). |
939047c5-c7e4-4ea0-9764-b6abb087ffae | Mrs. R. K. D. CLARK, (5), (8). Mrs. M. E. MONTGOMERY, (5). Mrs. I. M. COLLINGWOOD, (5). Mrs. G. PRATT, (5) Mrs. B. CULLUM, (5). Mrs. A. RAVEN, (9). Mrs. N. N. FARMER, (5). Mrs. R. J. SCAMELL, (5), (21). Mrs. M. HALLIGAN, (5), (6), (12). Mrs. P. A. WHITE, (5) Mrs. R. M. LEWIN, (5), (6). GERIATRIC LIAISON OFFICER Mrs. J. HARROLD, (5), (12), (36). |
b0823f41-347d-4bfd-b074-2eee651c138d | 8 SPEECH THERAPISTS Hiss C. J. DELAFORCE, (l8). Hiss E. N. SYMES, (18), (19). PHYSIOTHERAPIST Mrs. A. WALKER, (30). PHYSIOTHERAPISTS (Part-time) Mrs. A. LAWRENCE, (29). Mrs. J. M. WARWICK, (29). TRAINING CENTRES AND DAY CENTRE CASTLE SCHOOL & TRAINING CENTRE, Ripple Road, Supervisor: Mrs. M. A. WASHER, (28), (33), (34). Dagenham, Essex. ADULT TRAINING CENTRE, Manager: Hr. W. J. MATTHEWS, (28) Gascoigne Road, Barking, Essex. Deputy Manager: Mr. C. E. DODD OSBORNE WORKSHOP, Manager: Mr. |
fd24d6ba-eefd-4de5-ab06-cabe0bccae33 | C. W. HARE Osborne Square, Senior Dagenham, Essex. Instructor: Mr. J. W. BASS PORTERS AVENUE Senior DAY CENTRE, Occupational Mrs. E. A. HARDMAN, (27). Porters Avenue, Therapist: Dagenham, Essex. Instructor: Mr. L. G. McCAUL HOSTEL FOR THE MENTALLY HANDICAPPED LOUISE GRAHAM HOUSE, Resident Warden: Mr. G. BARTRIP Ripple Road, Resident Assistant Barking Essex. Warden: Mrs. J. BARTRIP CHIEF CHIROPODIST Mr. H. LEAVESLEY, (ll). SENIOR CHIROPODISTS Mr. D. DITSELL, (ll) Mrs. H. G. LEAGE, (11). Hrs. M. GOSS, (11). Mrs. D. MANN, (ll). Mr. |
0d6e45c1-e024-4538-9a26-554a4f25dbec | N. FREEMAN, (11). Mr. H. STENSON, (11). CHIROPODISTS (Part-time) Mr. J. BUNDER, (11). Mr. R. H. FENTON, (ll). Mr. P. FREEL, (11). 9 DAY NURSERIES, etc. Goresbrook Day Nursery, Matron: Mrs. H. M. SHEPHERD, (14) Dagenham Avenue, Dagenham. Deputy: Miss I. M. BRIGHTWELL, (l4). Annie Prendergast Day Nursery Ashton Gardens, Matron: Mrs. P. A. ARDLEY, (14). Chadwell Heath, Romford. Deputy: Mrs. G. E. ELLIS, (l4). Eastbury Day Nursery, Blake Avenue, Matron: Mrs. |
3ec6bed1-8eaa-4eeb-aed3-5863f03675f3 | B. A. BELL, (5) Barking. Deputy: Mrs. J. M. HOWELL, (37) Kingsley Hall Assessment Centre Hobart Road, Dagenham. Sister -inCharge: Mrs. K. I. DALY, (5), (6), (20). PRINCIPAL MENTAL WELFARE OFFICER Mrs. J. W. W. DIXON, (26). SENIOR MENTAL WELFARE OFFICER Mr. D. G. BISHOP, (10). MENTAL WELFARE OFFICERS Miss O. B. CLAYBUHN, (38). Mrs. V. WESTRUPP, (10). Mrs. M. V. HARRISON, (39). Mr. M. R. WYLDE, (10). Mr. G. R. WELSH, (10). Mr. |
3dbb9054-2678-4a3d-8a9d-854d82f5e0ee | S. L. WU, (40). HEALTH EDUCATION OFFICER Vacant ASSISTANT HEALTH EDUCATION OFFICER Miss D. MILBANK, (5), (6), (?), (20), (21), (25). PROJECTIONIST/TECHNICIAN Mr. A. PHILLIPS LAY ADMINISTRATIVE OFFICERS Mr. F. W. K. KNIGHT, (l), (2). Mr. G. H. RUFF SENIOR ADMINISTRATIVE ASSISTANTS Mr. F. H. MARTIN, (15). Mr. B. S. TYRRELL Mr. B. S. WEAVER 10 SECTION HEADS Mrs. P. H. FLOODGATE, Miss G. K. HARRIS, Mrs. H. JACKSON, Mrs. M. C. NEWMAN, Mr. H. J. PITT, Mrs. |
7d2cd6fd-a4f0-4bf6-a8c0-56db0098f5ef | J. B. SMITH, Vacant Vaccination and Immunisation. Environmental. Mental Health. Care and After Care. Staffing and Management. Finance, Supplies, etc. Maternal and Child Health. Miss E. A. ADAMS Miss E. D. BROWN Miss N. E. CLOKE Mrs. P. M. COLLINS Mrs. K. M. CONROY Miss A. C. DAVIES Mrs. D. M. ELLIS Mrs. D. G. GREEN Miss C. A. LINCOLN Mrs. E. J. NEPORT Mrs. K. BIRD Mrs. B. K. COPELANI Mrs. M. EDWARDS Miss B. M. SLATER Mrs. J. phillips Miss N. M. toms MEDICAL OFFICER OF HEALTH'S SECRETARY Mrs. J. M. de BRUIN SECTION CLERICAL STAFF Vaccination and Immunisation Mrs. |
28fd0151-6bd3-4cce-b765-398057a1ba6c | M. KING Environmental Miss J. HAMILTON Mrs. J. W. MORGAN Rodent Operative/Driver Mr. H. J. DUFF Care and After Care Mrs. J. E. BARNES Staffing and Management Miss V. e. cheal Miss J. A. gardiner Miss m. middleton Mrs. p. McMillan Finance. Supplies, etc. Mrs. G. ANGER Mrs. C. E. SMYTH Maternal and Child Health Mrs. I. M. H. DUPREE Mrs. I. E. SMITH Miss L. WHITE Mr. D. E. WARD Part-time Mrs. E. M. NOTTAGE Mrs. S. B. ORME Mrs. I. A. PAGE Mrs. V. N. F. PATIENCE Mrs. J. R. REDMAN Miss M. A. RHODES Miss K. RICHARDS Mrs. |
f2b05c0a-5733-44cf-8b7d-410e0f5b0c15 | G. K. SHANNON Miss D. TILSON Miss M. A. WATTS Mrs. D. WILKINS Mrs. E. harseut Mrs. s. hopson Mrs. a. McCarthy 11 HOME HELP SERVICE Senior Organiser: Mrs. L. EVERITT Organisers: Mrs. P. ARCHER Mrs. G. SANGER Assistant Organiser: Mrs. J. M. JOHNSON Clerical Assistants: Mrs. D. NEWMAN Mrs. M. G. WILLIAMSON REGIONAL HOSPITAL BOARD OFFICERS ATTENDING PART-TIME ORTHOPAEDIC SURGEON A. F. BRYSON, M.A., M.B., B.CHIR., F.R.C.S. OPHTHALMOLOGISTS Dr. R. F. JAMIESON, M.B., Ch.B., D.O.M.S. Mr. |
1e2464d4-c621-491d-a5bb-5a0db25c6a93 | P. LANCER, M.B., B.S., M.R.C.S., L.R.C.P., D.C.H., D.O.M.S. PART-TIME CONSULTANT PSYCHIATRIST Dr. S. I. FAHMY, M.B., Ch.B. 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. 12 QUALIFICATIONS (1) Certificate of Royal Sanitary Institute. (2) Meat Inspector's Certificate. (3) Sanitary Science as applied to Building & Public Works Certificate (4) Smoke Inspector's Certificate. (5) State Registered Nurse. (6) State Certified Midwife. (7) Health Visitor's Certificate. |
7fa14e16-4518-4f3c-815b-4069e3df67bb | (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. (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. |
5546cc02-c7c4-4a83-a16e-5e26ca32b56a | (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), (33) Margaret Morris Movement Diploma Malaysia. (34) Montessori Method of Education Diploma. (35) Certificate of Royal Dental Hospital. (36) Institute of Home Help Organisers. (37) Royal Sanitary Institute Examination for Nursery Nurses. (38) B.A. (Social Administration), University of Manchester. (39) Social Work Assistants Course, Havering Technical College. (40) B.Sc.(Sociology), London University. 13 Health Department, Civic Centre, Dagenham. |
3113c94b-87ac-4c84-a8aa-90dc87880eec | To: THE MAYOR, ALDERMEN AND BURGESSES OF THE LONDON BOROUGH OF BARKING. Once again as in the Report for 1968 I must point out that the lateness of the publication of this Report for the year 1969 is due to the pressure of work brought about by staff shortages and by constantly changing emphases resulting in new demands being made on the Department. The consequent difficulties militate against the careful thought needed to plan logical progress of work. This introduction is written at a time when changes brought about by the Social Services Act of 1970, and the threats of pending new legislation in 1974 overshadow so many other considerations. Late though it is, it is still worth considering the progress made during 1969 and some of the incidents which occurred. The retirement of Dr. Adamson, and the resignation of Dr. Slome and Mr. |
ca226d50-32e8-487a-8e61-8e2917380371 | Self during the year created gaps in the Department; the shortage of senior medical staff still persists and still creates difficulties. The production of the Seebohm Report which foreshadowed the setting up of Social Service Departments produced an unsettling influence on the staff when they were just beginning to settle down from the upheaval of 1965 caused by the reorganisation of London Government. During the year the establishment of the Health Education Section which was under heavy pressure was increased by one, although economies did not allow us to recruit an additional Assistant Health Education Officer. It was, however, possible during the year to secure the Gale Street Centre as the first Health Education Centre to be established in the Borough. During the year a film was proposed by the Barking College Photographic Department which was to depict the work of the Dental Auxiliary and to which the Health Department contributed. The commencement of a film strip depicting the Osborne Workshop was also a step forward in health education. |
d9fe02c1-514b-43cd-a7e5-cddaaa673082 | The Department was invited to contribute to a Refresher Course held by the Maternity and Child Health Group of the Society of Medical Officers of Health and Miss Milbank and I contributed a talk on the Role of Health Education in the Personal Relations of the Adolescent. The closure of York House and the further reduction in domiciliary confinements enabled the orientation of the midwifery services towards the hospital and family doctor to continue. Child Health Centres made progress in altering their function and reshaping the service. Health education and parent counselling, together with screening of babies and children for handicaps brought the service nearer to the Sheldon concept. The Child Minders Regulations introduced during the year imposed numerous extra burdens on an already depleted health visiting staff and 14 the functions of the new legislation had to be carried out without any increase of staff. This meant a reduction of service in other directions notably in home visiting. |
d6ba0259-7bb7-4d11-bd05-6dfd1fa20c15 | The Kingsley Hall Assessment Centre continued to make its contribution to a vital need in the sphere of handicapped children and both family planning and cervical cytology while making a little progress were affected by limitations of resources. The Guthrie Test for the detection of phenylketonuria was introduced during the year and should provide for the beginnings, of what may prove in future years, a comprehensive scheme for the detection of diseases caused by bio-chemical abnormalities, small in number though important in their effects. The medical examination of staff continued to take up medical resources and to reveal that there is a need to consider at some future date the possibility of setting up a staff health service. The loan of sick room equipment continued to be an important function of the Department. Almost 2,500 articles were lent during the year and over 3,000 were still out on loan at the end of the year. The use of incontinence pads continued to meet a need and almost 39,000 of these were supplied. |
a9887813-f972-468f-8088-7c3cd43b77dc | Various aspects of the mental health service continued to develop the Osborne Workshop, the Adult Training Centre, the Porters Avenue Day Centre and 4 more places were secured in maisonettes where patients could be resident under the supervision of the Mental Welfare Officers. Louise Graham House was completed and opened. The School Health Service continued to provide for the examination of children who were in need of it and the counselling of parents where necessary and the special schools provided a valuable service. The dental service made a worth while contribution to services in the Borough for the children under 5, school children and expectant and nursing mothers. I would like to draw attention to the Report of the Chief Public Health Inspector which shows considerable progress. One incident which merits particular mention is an account of a case of typhoid fever in a man whom it is believed contracted it on a holiday in Tangier. A more detailed account of the services is to be found in the main body of the Report than can be given in this short introduction. |
d83453a2-7a79-4893-8ac7-8abd2e3c2ea0 | Although as will be seen from the main body of the Report, 1969 was a year in which we fell far short of what we had hoped to achieve it will be seen that considerable progress was made during that year in spite of many difficulties. J. ADRIAN GILLET Medical Officer of Health. 15 VITAL STATISTICS 1969 Registrar General's estimate of residential population, mid-year 1969 167,960 Live Births: Legitimate (1,082 male, 988 female) 2,070 Illegitimate ( 83 male, 8l female) 164 Total (1,165 male, 1,069 female) 2,234 Illegitimate live births per cent of total 7.34 Live birth rate per 1,000 population 13.30 Live birth rate adjusted by comparability factor of 1.04 13.83 Stillbirths: Legitimate (16 male, 16 female) 32 Illegitimate (1 male, |
52ffa8b3-2909-45a7-b640-4e6bdbef2ac1 | 1 female) 2 Total (17 male, 17 female) 34 Stillbirth rate per 1,000 live and still births 14.99 Total live and still births 2,268 Deaths: Infant deaths (lander 1 year) (25 male, 14 female) 39 Infant death rate per 1,000 live births 17.46 Legitimate infant death rate per 1,000 legitimate live births (22 male, 11 female) 15.94 Illegitimate infant death rate per 1,000 illegitimate live births ( 3 male, 3 female) 36.59 Neo-natal mortality rate (deaths under 4 weeks (22) per 1,000 live births 9.85 Peri-natal mortality rate (stillbirths (34) and deaths under one week (15) per 1,000 live and still births) 21.60 Early neo-natal mortality rate (deaths under 1 week per 1,000 live births) 6. |
aed0992e-becd-4538-9b3b-ed944a2a7f99 | 71 Maternal mortality (deaths from pregnancy, childbirth, abortion) Nil General Mortality: Number of deaths (1,027 male, 875 female) 1,902 Death rate per 1,000 population - crude 11.32 Death rate adjusted by comparability factor of 1.30 14.72 Continuing the trend of recent years the Registrar General's estimate of population shows a slight fall from 170,100 in 1968 to 167,960 in 1969. Infant death, and associated mortality rates remained below the national average with the exception of the illegitimate infant death rate of 36.59 which was well above the rate of 25 per thousand illegitimate live births for England and Wales as a whole. The local statistics however are based on too few occurrences and tend to fluctuate too widely for this rise to be regarded as significant. |
b71a9344-3fc4-466e-a052-a7df31508d37 | This rate in previous years has varied as follows: 1965 - 23.8, 1966 - 12.35, 1967 25.0; 1968 - 6.29. I am happy to report that there were no deaths associated with childbirth, pregnancy or abortion during the year. 16 CAUSES OF INFANT DEATHS Cause of Death Age at Death Total under 4 wks. 4 wks. - 1 year Congenital Anomalies 7 7 14 Birth Injury, Difficult Labour etc. 10 – 10 Meningococcal Infection – 2 2 Pneumonia 1 4 5 Other respiratory diseases – 2 2 Diabetes Mellitus – 1 1 Intestinal Obstruction and hernia 1 – 1 Other Disease, |
f08b42ba-e687-4603-b51e-e11cab6a9bb9 | Genito-urinary system 1 – 1 Other causes - Perinatal Mortality 1 – 1 Other External Causes 1 1 2 22 17 39 I give below for purpose of comparison the birth and death rates of Barking, Greater London and England and Wales for 1969* Barking Greater London England and Wales Live births (per 1,000 population) 13.30 15.7 16.3 Stillbirths (per 1,000 live and still births) 14.99 12.7 13.0 Infant mortality (per 1,000 live births) 17.46 17.9 18.0 Deaths (per 1,000 population) 11.32 11.5 11. |
be31ea62-4fb3-4232-95c4-664aaed86b4f | 9 CAUSES OF DEATH In 1968 the World Health Organisation introduced the Eighth Revision of the International Classification of Diseases and consequently the Registrar General's short list of 36 causes of death used for analysis of mortality by Medical Officers of Health was revised to accord with the new classifications. The Registrar General's revised list contains 50 main causes of death with some further sub-divisions to improve comparability with the previous list. 17 18 CAUSES OF DEATH 1969 Cause of Death AGE AT DEATH Under 1 year 1 and under 5 years 5 and under 15 years 15 and under 25years 25 and under 45years 45 and under 65years 65 and under 75years 75 and over Total M F H F M F M F M F M F M F M F M F 1. Cholera – – _ _ _ _ _ – – – – – – – – – 2. |
8bcb654e-4d9f-4239-97d9-c9ea39d97115 | Typhoid Fever – – – – –– – – – – – – – – – – – – – 3. Bacillary dysentery and Amoebiasis – – – – – – – – – – – – – – – 4. Enteritis and other diarrhoeal diseases – – – – – – – – – – – 1 – – – 1 5. Tuberculosis of Respiratory System – – – – – – – – 2 – 2 1 – – 4 1 6. Other Tuberculosis, incl. late effects – – – – – – – – 1 1 – – – – 1 1 7. Plague – – –– – – – – – – – – – – – – – 8. Diphtheria – – – – – – – – – – – – – – – 9. |
20570bde-ca32-44db-89ba-ac6b536e1ac0 | Whooping Cough – – – – – – – – – – – – – – 10. Streptococcal sore throat and scarlet fever – – – – – – – – – – – – – 11. Meningococcal infection 2 – – – – – – – – – – – – 2 _ 12. Acute poliomyelitis – – – – – – – – – – – – – – 13. Smallpox – – – – – – – – – – – – – – – 14. Measles – – – – – – – – – – – – – – – 15. Typhus and other Rickettsioses – – – – – – – – – – – – – 16. Malaria – – – – – – – – – – – – – – 17. |
270c2f7a-6f3d-44ef-8ed2-0e60a23ba34a | Syphilis and its sequelae – – – – – – – – – – – – – – – 18. All other infective and parasitic diseases – – – – – – – – 1 1 – 1 – – 1 2 19. |
8af02316-78c6-4684-a744-76d6a5e9658d | Malignant Neoplasm - Stomach " " - lung, – – – – – – – – 13 5 12 6 9 6 34 17 bronchus – – – –– – – – 2 - 56 12 46 6 25 11 129 29 " " - Breast – – – – – – – 1 3 21 1 7 11 2 42 " " - Uterus – – – – – – – – – 2 – 12 – 2 _ 1 – 17 Leukaemia – – – – – – – – 1 – 2 – – – 2 4 5 4 Other Malignant Neoplasms, incl. Neoplasms of lymphatic and – – 1 – 2 1 – 1 3 3 37 42 28 23 24 3^ 95 104 Haematopoietic tissue. |
10cc8f83-e346-41cd-89fc-9488d7a88af0 | carried forward 2 – 1 – 2 1 – 1 7 8 112 94 89 47 60 67 273 218 19 CAUSES OF DEATH 1969 (contd.) Cause of Death AGE AT DEATH Inder 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 brought forward 2 – 1 – 2 1 – 1 7 8 112 94 89 47 60 67 273 218 20. Benign Neoplasms and Neoplasms of unspecified nature – – – – – – 1 – – – 4 1 1 1 – 2 6 21. |
f535d6f9-5b3f-49e3-9dd8-0a1b136afc93 | Diabetes Mellitus 1 – – – – – – – – – 2 3 2 6 – – 5 13 22. Avitarainoses and Other Nutritional deficiency _ _ _ _ _ – _ _ – – – – – – – – – 23a.Other endocrine, nutritional and metabolic diseases – – – – – – – – – – – – – 1 – 6 – 7 24. Anaemias – – – – – – – – – – – 1 3 1 1 4 4 6 23b.Other diseases of blood and blood forming organs _ _ _ _ _ _ _ – – 1 _ _ – – _ 1 – 2 23c.Mental disorders – – – – – – 1 – – – – – – 1 3 4 4 5 25. |
4f40b7fe-1691-48a4-9e72-9e1a9aae39cc | Meningitis – – – – – – – 1 – – – – 1 – – – 1 1 23d.Other diseases of nervous system and sense organs – – – – – – – – 1 2 3 6 1 _ 4 9 8 26. Active rheumatic fever – – – – – – – – – – – – – – – – – – 27. Chronic rheumatic heart disease – – – – – – – 1 i 8 9 3 9 1 6 13 25 28. Hypertensive disease – – – – – – – – – i 8 1 4 7 3 8 15 17 29. Ischaemic heart disease – – – – – – – – 5 i 95 27 109 49 58 84 267 161 30. |
91a019b3-e5ff-45f4-b1fb-ae21bfccb7b7 | Other forms of heart disease – – – – 1 – – – – 1 – 7 5 13 26 22 31 31. Cerebrovascular disease – – – – - – – – 1 i 9 13 32 35 44 77 86 126 23e.Other diseases of the circulatory system – – _ _ _ _ _ 1 1 3 6 10 13 11 20 25 40 32. Influenza – – – – – 1 1 – – 1 2 4 7 4 5 4 15 14 33. |
48b869ae-c042-4fa1-b3be-25c2a4c97c99 | Pneumonia 1 4 – – 1 – – – 2 - 10 4 18 13 26 36 58 57 carried forward 4 4 1 – 4 2 2 3 18 15 252 169 292 193 226 351 799 737 20 CAUSES OF DEATH 1969 (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 brought forward 4 4 1 - 4 2 2 3 18 15 252 169 292 193 226 351 799 737 34a. |
462c6105-bd91-4de1-affe-13a7c16951ed | Bronchitis emphysema - - - - - - - - 2 - 25 2 51 10 37 24 115 36 34b. Asthma - - - - - - - - - - 1 - - - - 1 1 3 25f. Other diseases of the respiratory system 1 1 - - - - - - - - 2 3 5 5 6 3 14 12 35. Peptic Ulcer - - - - - - - - 1 - 4 - 3 1 7 2 15 3 36. Appendicitis - - - - - - - - - - - - - 37. Intestinal obstruction and hernia - 1 - - - - - - 1 - 1 2 1 - 1 2 4 5 38. |
e69e16cf-337b-4d03-a67c-5db163d1ec8c | Cirrhosis of liver - - - - - - - - - - - - - 2 - 1 - 3 23g. Other diseases of the digestive system - - - - - - 1 - 1 - 2 3 3 5 - 3 7 11 39. Nephritis and nephrosis - - - - 1 - - 1 - - 2 1 1 1 1 3 1. 6 40. Hyperplasia of prostate - - - - - " ~ - ~ ~ 1 - c. 23h. Other diseases of the genitourinary system 1 _ 1 2 3 3 11 6 15 41. Abortion - - - - - - - - - - - - - - - - - - 42. |
f50e57db-4697-4874-a14e-9ab7b4cc593c | Other complications of pregnancy, childbirth and puerperium - - - - - - - - - - - - - - - - - - 231. Diseases of the skin and subcutaneous tissue - - - - - - - - - - - - - - - 1 - 1 23 j. Diseases of the musculoskeletal system and connective tissue - - -- - - - - - 2 - 1 2 1 2 1 4 5 43. Congenital anomalies 12 2 - 1 - - - - - - 1 " - - - - 13 3 44. |
b330ce6d-0c47-4778-988b-ab003d3b81d8 | Birth injury, difficult labour and other anoxic and hypoxic conditions 6 4 - - - - - - - - - - - - - - 6 4 carried forward 24 12 1 1 5 2 3 4 23 17 291 182 360 223 285 403 992 544 CAUSES OF DEATH 1969 (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 brought forward 24 12 1 1 5 2 3 4 23 17 291 182 360 223 285 403 992 844 45. |
abbe8db3-38b3-4cb6-b86c-f7719a343f65 | Other causes of perinatal mortality 1 – – – – – – – – – – – – – – 1 _ 46. Symptoms and ill-defined conditions _ _ _ _ _ _ _ _ _ _ _ _ 1 _ 2 8 3 8 47. Motor vehicle accidents - - - 1 2 1 - 1 1 - 2 - 1 - 2 2 8 5 48. All other accidents - - 2 1 - - 2 - 3 1 5 1 - 2 1 8 13 13 49. Suicide and self-inflicted injuries _ _ _ - _ 1 _ 1 _ 3 2 - - - 8 3 50. |
bac7cd77-93fc-4251-8759-60f8a6eee539 | All other external causes - 2 - - - - - - - - 2 – – – – – 2 2 TOTAL 25 14 3 3 7 3 6 5 28 13 304 186 364 225 290 421 1027 875 PRINCIPAL CAUSES OF PEATS (all ages) Diseases of Heart and Circulatory system 6l6 Cancer and Other Malignant Diseases 486 Pneumonia and other Respiratory Diseases (excluding tuberculosis) 325 Cerebrovascular Disease and other diseases of the Brain and Nervous System 210 22 HEALTH EDUCATION At the beginning of 1969 the establishment of the health education section was increased by one assistant health education officer and it was hoped that this would enable the section to cope with the growing demands of schools, hospitals, colleges and other bodies. Unfortunately financial restrictions prevented this post from being filled so once more it was necessary to curtail the service. |
93b9d68a-f017-47b3-a22c-503005a187c1 | The effect of this on schools was offset to some extent by the fact that the section was able to obtain the old Gale Street Day Nursery for use as a Health Education Centre to which classes could be sent instead of members of the health education staff attending schools. This Centre is proving extremely useful in many other waysas an equipment store, a workshop in which equipment maintenance can be carried out, a drawing office for the production of visual aids and as a lecture hall and cinema for in¬service training. The first of the in-service courses, for health visitors and school nurses,was opened by the Chairman of the Health Committee on l^th April, 1969* Health Education in Schools During the year eighteen schools asked for assistance with their health education programmes and another required help with the Duke of Edinburgh Award Scheme. The amount of assistance given varied considerably, some schools having only one or two specialist lectures, others a weekly programme, and certain selective schools two or three day 'crash' courses in the period immediately following G.C.E. |
552f87e8-d47d-4af6-9729-13a1e1ae62e2 | examinations. In most instances the school staffs were able to take over large parts of the programme using visual aids supplied by the Department to support their lectures. This is one of the benefits we have obtained from our previous in-service training courses for teachers and it is hoped that the current series will ultimately relieve the Department of the more routine teaching. On the other hand the introduction of comprehensive education in 1970 may well increase the demand for health topics to a level considerably higher than the current one and this is a situation which will have to be faced probably in 1971/72 The experiment commenced in the Summer Term of sending a group of children from a neighbouring school to the Centre for discussion sessions conducted mainly by the teachers who accompanied them, was felt by the headmaster concerned to be particularly valuable. In the Autumn term the same school sent three groups each week and other schools are showing interest in the idea. |
e821ca00-756d-4f2f-9d76-02f2a75b6800 | The child care courses for the National Association for Maternal and Child Welfare examinations again proved popular, no less than five separate examinations being held in the Borough. In-Service Training Three in¬service courses have been held since the Gale Street Centre was opened in April 1969. The first of six weeks duration was for health visitors and school nurses and was quite well attended. A series of seven talks for daily minders was not quite so well received but the last course, aimed at teachers training students for the child care certificate was a great success. 23 In addition to these full courses a half¬day seminar on dampness in buildings was held in July and although many staff were on leave forty representatives of the public health inspectors, engineers and housing departments were present. Food Hygiene Education The routine Certificate and Diploma Courses run in conjunction with Rush Green College were quite successful and an additional Certificate course was run at the College specifically for the canteen staffs of Messrs. Fords. |
f628affa-8575-480c-8760-be3346e042ea | In the Autumn term a course for the first and second year full time bakery students was inaugurated. Home Safety Continued support was given to the work of the Greater London Home Safety Council, a representative being present at each meeting and also at the National Home Safety Conference of the Royal Society for the Prevention of Accidents. Home safety talks were given to the first aid students at the Regional College and to the Area Conference of the St. John Ambulance Brigade held at Oldchurch Hospital. The topic is of course included in school health education programmes and in child care talks by health visitors. Youth A number of youth organisations operate the Duke of Edinburgh Award Scheme and the Health Education Section was involved in seven examinations at various levels. An examination in Child Care for the St. John Ambulance Brigade was also conducted. The General Studies Department of Rush Green College asked for help with their health education programme and a series of talks and film shows was arranged for two groups of engineering students and one group of electricians. |
38e410ff-cc17-410b-aa0d-3fd0b635a723 | Visitors Visitors to the section included a public health inspector from St. Vincent, a doctor from Lagos and a number of health education officers from other authorities. We were also pleased to welcome a representative of the National Association for Maternal and Child Welfare who visited our in-service training course. Geriatric Groups Three geriatric courses were organised by the staff of Porters Avenue Clinic and talks on heating and health were given on each. Displays, Exhibitions and Campaigns At the Town Show the Health Department display was devoted to two aspects of the work of the public health inspector - the prevention of condensation in buildings and the abatement of noise nuisances. Once again the weather was good and the exhibition was well attended. The staff of Rush Green Hospital invited the Department to provide a display in the foyer of the new Maternity Wing. The topic chosen was vaccination and immunisation and it was decided to attempt to assess the value of such a display by the use of questionnaires before and during the campaign. |
7b31edbc-174a-4a4e-b9a3-0e2da47d7cff | The hospital staff were most co¬operative in securing the completion of these forms but unfortunately an analysis of the results did not show any significant increase in knowledge attributable to the display. Preliminary arrangements were also commenced for a cervical cytology campaign, scheduled to begin in January, 1970. This is a major campaign which will take some years to complete. Films and Film Making Work on the production of the film on the dental auxiliary continued spasmodically throughout the year, the actual photography being carried out by the Photographic Department of the Regional College. Within the Health Department itself a filmstrip on the work of the Osborne Workshop was scripted and photographed. It is hoped that this will be of use to those who wish to talk on the subject of the training of handicapped people. The demand for films for use in schools, clinics, etc., remained at approximately the same level as in 1968 but the purchase of a number of new films at the end of 1969 well lead to an increased demand in future years. |
367dc9cb-32ae-4ab9-b552-d8aee7458015 | Talks to outside organisations Talks on a wide variety of subjects were given to equally diverse types of group. Speakers were provided for various women's organisations, for hospital staff, nursery trained staff and on two separate occasions talks on Weil's disease were provided for the staff of the Engineer's Department. Another interesting special talk was a joint paper given by the Medical Officer of Health and the Assistant Health Education Officer to a meeting of the Society of Medical Officers of Health held in London in November. The subject chosen was "The Role of Health Education in Personal Relationships of the Young Adolescent." 25 CO¬ORDINATION OF SERVICES. Co¬ordination and co¬operation of the Health Department services with family doctor and hospital services occurs at a number of levels. At Committee level there is cross-representation of members and officers. For example the Chairman of the Health Committee serves on the Regional Hospital Board. The Vice Chairman among others serves on the Executive Council and the Medical Officer of Health and members of the Health Committee serve on Hospital Management Committees. |
0755758e-06a4-43f0-97c6-314efd79060f | Hospital Management Committee members from two Management Committees are co-opted on to the Health Committee. The Medical Officer of Health attends the meetings of the Local Medical Committee and a family doctor is co¬opted on to the Health Committee. At officer level there are links through the Medical Officer of Health with the Hospital Medical Advisory and Staff Committees and the Medical Officer of Health serves on the area Committee of the Association of Hospital Management Committees. One Consultant from the hospital for mentally Subnormal, visits the Borough and sees subnormals at the request of the Health Department. One specialist visitor (Geriatric Liaison Officer) on the staff of the Medical Officer of Health is responsible for acting as liaison between the geriatric units - the family doctors and the Local Authority services. Health Visitors work in a health centre where a group of family doctors attend and carry on Infant Welfare Clinics there. |
8d00fd46-1d5a-46fe-9509-c8dcc1867463 | The services of Health Visitors, District Nurses and Midwives are placed at the disposal of the family doctors as requested, the contact being made either through the Senior Nursing Staff or directly with the nursing staff concerned. Meetings between Local Health Authority Medical Officers of Health and family doctors who carry out clinics in the area are held at which common problems and new projects are discussed. 26 PERSONAL HEALTH SERVICES CARE OF MOTHERS AND YOUNG CHILDREN Ante¬Natal Care - During the year 634 mothers attended our clinics for ante¬natal care compared with 512 in the previous year. The majority of these patients were cared for by domiciliary midwives in co¬operation with general practitioner obstetricians. The local authority medical staff generally have withdrawn from this work and are now able to devote more time to screening infants and young children for the early detection of deviations from normal development and to the screening of women for cancer (cervical cytology). |
5022a10a-f6ae-49a1-9685-6b9537bb1e63 | In addition 1,437 attendances were made at Mothercraft and Relaxation Classes compared with 99$ attendances in 1968. Centres offering ante-natal care are as follows:- Centre Frequency of Sessions 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. Marks Gate Clinic, Lawn Farm Grove, Marks Gate. Weekly Thursday, p.m. The Clinic, Oxlow Lane, Dagenham. Weekly Tuesday, p.m. The Clinic, Porters Avenue, Dagenham. Fortnightly Wednesday, a.m. Julia Engwell Clinic, Woodward Road, Dagenham. Weekly Wednesday, p.m. |
ae17cc93-8e95-4f77-94e6-32b23ced8cb4 | Thames View Clinic, Bastable Avenue, Barking. Fortnightly Monday, p.m. 27 Domiciliary Midwifery Service- The Midwifery Service has this year improved slightly with the appointment of a Maternity Nurse to care for early Hospital discharges in particular. Two vacancies on the Midwifery Staff were also filled. The number of patients being delivered in hospitals and being discharged before their tenth day continues to increase. The training of Pupil Midwives continues in conjunction with Barking Hospital. With the closure of York House as a Nurses Residence it was no longer possible to train Pupils from Waltham Forest Borough as accommodation could no longer be provided. Deliveries attended by Domiciliary Midwives - 1969 Doctor present at delivery Doctor not present at delivery Cases delivered in hospital and attended by Domiciliary Midwives on discharge before 10th day. |
842aff46-1446-4b16-a2a9-06c6abc01667 | 31 325 1,334 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 22 cases. In addition 42 cases who made their own arrangements for confinement were advised and assisted by the Association. Child Health Centres- The review of infant welfare services foreshadowed by the 'Sheldon Report' was undertaken during the year and a beginning was made in the re¬shaping of services to accord with changed needs and conditions. Emphasis was placed on the need for adequate facilities for undertaking a more detailed and intense supervision of children's development and for health education activities and parent counselling. Certain premises were considered to be sub¬standard for use as child health centres and sessions were discontinued at Rush Green and Thompson Road Clinics, and at Upney Clinic, where the Council's agreement with the Regional Hospital Board for the joint use of the premises was about to expire. |
88a6558d-deda-4af2-a511-9be73d1af6b4 | Patients attending these clinics were re-allocated to the purpose built centres at Oxlow Lane, Becontree Avenue and Central Barking. 28 At the end of the year, the following centres were operating:- 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. Central Clinic, Vicarage Drive, Barking. Weekly Tuesday and Thursday p.m. Wednesday a.m. 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. |
f7e3b285-7c08-422d-a209-1499b0aad0c5 | 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. Thames View Clinic, Bastable Avenue, Barking. Weekly Wednesday and Friday p.m. During the year 6,307 children under 5 years of age attended the above Centres. Welfare foods and nutrients are sold at these centres during infant welfare sessions and also at Central Clinic on Wednesday afternoons and Thursday mornings. 29 During the year, the following amounts of welfare foods were issued:- National Dried Milk 8,550 tins Cod Liver Oil 2,557 bottles Vitamin A and D Tablets 1,850 packets of 20 Orange Juice 38,571 bottles DAY NURSERY SERVICE The average daily attendances and numbers on registers are shown below for each month of 1969. |
007bf71b-e625-4dd6-b05a-905c689fa60f | Attendances have again improved in comparison with the previous year. Goresbrook Annie Prendergast Eastbury Month Average Daily Attendance No. on Register Average Daily Attendance No. on Register Average Daily Attendance No. on Register January 31.8 40 36.7 52 32.3 45 February 30.3 41 40.1 46 35.6 47 March 34.9 44 40.2 49 34.6 46 April 29.8 43 40.0 48 38.9 49 May 26.7 42 42.7 49 44.7 48 June 38.5 48 40.6 52 37.9 47 July 35.4 39 41.0 47 39.3 46 August 26.3 44 33.7 45 33.1 48 September 34.6 49 28. |
57d47dc8-4703-43b2-a4bc-c168d451f963 | 5 42 38.9 48 October 39.6 48 43.3 49 40.7 48 November 39.0 49 40.7 50 39.1 49 December 35.4 39 36.6 49 41.1 48 Annie Prendergast Day Nursery Matron reports as follows:- Things went smoothly and happily in 1969. Although we never really seem to have enough room to do all we want to the staff improved still further the standard of play for the children. 30 The holding of a "mini¬fete" with side shows etc., (which helped to swell the toy fund), the kind gift of a very large portable paddling pool from the parents of one of our children, enjoyed by children and staff alike, a sponsored trip to the London Zoo by a small group of children and staff, these are some of the things we particularly remember about 1969. |
fd4a26cb-11ca-4a54-9b74-dab44d11f997 | The end of 1969 marked the closing of a pretty memorable decade for those of us who were here when the old nursery closed down, and we were temporarily re-housed until our re-opening in 1966. All our four students were successful in the N.N.E.B. examination. Desirable qualities of candidates for training are that they should be well balanced, forward thinking, imaginative, good humoured, with a pleasing personality. A good standard of speech, and vocabulary is also desirable. It would be a tremendous step forward if nursery education were provided not only for the under¬privileged child, but for all pre¬school children, from the age of three. They would benefit in 60 many ways, by contact with adults apart from their own family, by pleasing associations with other children, and by the variety of play that can only be offered in places larger than the average home. |
dc2d56b6-b498-4ecd-87e3-1246ca919b5a | We know that "education" begins at the mother's knee and in a homely environment but with the pace of life to¬day many mothers have not the time to spend on their energetic and enquiring 3-5 year olds. If, as is suggested, at no other time in his life does a child reach this peak of desire to learn, than during the two years preceding entry into school, not to satisfy this need could delay educational progress. Eastbury Day Nursery Matron reports as follows:- Nursing staff shortages were our greatest difficulty, but we managed to care for our children and continue with the training of our students. Our five nursery students were successful in passing the N.N.E.B. examination. In April, together with three second year students and four children, I spent a most enjoyable day at Colchester Zoo. We were accompanied by Mrs. Isaacs and Mrs. Herd, Course Tutors from Havering College, and a party of students and children from Dr. |
4c0401b1-de93-4048-ae99-cefd1ce17aab | Barnardo's Home. Close liaison with Havering College has been ensured by frequent visits of the Course Tutors to the Nursery and my attendance at the Matrons' Advisory Committee Meetings at the College. The children's Christmas Party was the usual noisy but happy event, very much enjoyed by children, staff and parents. Goresbrook Day Nursery Matron reports as follows:- During 1969 there were many changes of staff. All four students were successful in passing the N.N.E.B. examination, and moved on to work in other 31 Day Nurseries and one to work as a private Nanny. In September Mrs, Cunningham left and her place as Deputy Matron was taken by Mrs. Shepherd. Mrs. Maddison retired in December 1969, after 24 years as Matron of Goresbrook Nursery. A farewell party was held for her in the Nursery at which many friends and colleagues attended. Mrs. Shepherd was subsequently appointed Matron. |
9621d27f-98c6-41ab-a62e-8e11ab75fcce | The year ended with the usual Christmas festivities - a Sale of Work, Nativity Play and Party for the children and parents. PLAY THERAPY Play therapy groups continued during the year at Julia Engwell, Oxlow Lane and Thames View Clinics, and at Northbury Infants' School. A total of 90 children attended the groups and benefited from playing and forming relationships with each other under the guidance of the play therapy staff. Attendance at the individual groups was as follows:- Julia Engwell Clinic - 26 children including 2 mentally backward, 2 with hearing difficulties and one child who would not mix with others. Oxlow Lane Clinic - 21 children, including 2 with speech defects and 3 mentally backward. Thames View Clinic - 20 children including 3 with speech defects, one very nervous child and one with a behaviour problem. Northbury School - 23 children including one from a poor home environment, 3 with speech defects and one with a hearing defect. |
36435deb-eef6-462d-b92e-8827afeeb4c0 | REGISTRATION OF NURSERIES AND CHILD-MINDERS The Health Services and Public Health Act, 1968 came into effect on 1st November, 1968. This Act strengthened the powers of local health authorities under the Nurseries and Child-Minders Regulation Act, 1948 to lay down conditions of registration and supervision of private nurseries and child-minders and substantially increased penalties for failure to comply with the Act. As the Council already had a well established "Daily Guardian" Scheme whereby child-minders caring for children of working mothers were encouraged to register with the local authority voluntarily for a small daily payment, there was no rush of applications for registration from "unknown" child-minders in order to comply with the Act. At the end of the year there were 12 premises registered for the sessional care of 376 children and 48 persons registered in their own homes for the day care of 96 children. 32 THE AT RISK REGISTER The "At Risk" Register continues to remain an item of work under constant scrutiny. |
593e30c4-a992-4232-ad0d-0add45e6f5c4 | It was found that where a large number of categories of "At Risk" factors are in use the number of children who are included in the "At Risk" Register becomes excessive and the object of the Register in focusing attention on children most likely to be suffering from an abnormality is lost. In an attempt to reduce it to manageable proportions an abbreviated list of categories has been brought into use and these are given below:- 1, Genetic (family history of deafness, blindness, etc.) 2, Virus infection of the mother before the sixteenth week of pregnancy. 3, Exchange transfusion or a serum bilirubin over 20 mg, per cent, 4, Hydramnios, 5, Evidence of foetal distress, post-partum distress or anoxia, including delay in the establishment of respiration of over three minutes from whatever cause, 6, Prematurity, if the birth weight is less than 31b,12oz. 7, Baby who is "small for dates". |
f7645131-a466-477d-83e1-f19188c44c55 | 8, Any congenital malformation. 9, Cyanotic attacks, 10, Any other cogent reason. It is obvious that the "At Risk" register is a poor substitute for the real task of providing for a comprehensive assessment system for all children at certain points in development which forms the basic recommendation of the Sheldon report. The provision of such a comprehensive system is something for which we must constantly strive, KINGSLEY HALL ASSESSMENT CENTRE 1969 I think it might be appropriate to preface this report by stating briefly the purposes for which the Kingsley Hall Assessment Centre is used. Owing to various improvements in ante-natal and post¬natal care, there is an increasing number of children with serious handicaps who survive the perinatal period and these children require every possible care and help in order that they should develop to their full potential. |
d3c459e5-71d0-475a-9372-92bd56f46d72 | We know that the earlier this problem is tackled, the better the results and the main purpose of Kingsley Hall is to take these children under the care and observation of trained staff for varying periods of time as soon as is practicable. Some very important objects can then be achieved. First and foremost is the assessment of the condition, and this is not a thing which can be done quickly or with any degree of certainty until the child has spent some time with us. Often the first time he is seen is the first time he has been out of his family circle, and his behaviour and reactions to testing are 33 completely different after spending some time with us. His integration into a group and the stimulation he gets from this and the staff, often increases considerably his innate abilities. A further very important part of our work is in parent counselling. The parents can visit us at any time and see our methods. |
c99abbd0-d9e6-4635-b248-76f9f52351dc | If the children require physiotherapy, we insist that the parents visit us at least once a week when the physiotherapist is present, and they learn how to help their brain-damaged children for whom physiotherapy is part of daily life. We are very fortunate to have for this work a physiotherapist as interested and skilled as Mrs. Warwick. She takes endless trouble with the children and with training the staff and the parents. Many of the children spend a few months with us for their first assessment and for help with their socialisation, and then leave the centre and visit us from time to time so that their progress can be reviewed. Then they come back for a few months before their final placement, so that they can be accustomed again to group activities. The children with gross brain damage who require constant physiotherapy stay the longest time with us, as we really cannot estimate their capabilities when they have had intensive treatment. |
3a88e732-fe9f-49fc-907b-b403f1a0c75e | In 1969 we admitted 16 new children and discharged 15 and we had an average daily attendance of 15. Apart from the children who spend some time in the centre we are often asked by the Medical Officers or Health Visitors to see handicapped children whose parents are prepared to look after them at home, but want help and advice and finally assessment for placement when they are old enough. In 1969 we dealt with 10 such cases at the centre. During the year we have been able to continue our close association with the Wolfson Centre in Great Ormond Street, and all our staff have spent at least one day there, watching their methods of management and assessment. This is a most advantageous association for us. We were visited during the year by Dr. Pamela Zinkin and Dr. Reynell from the Wolfson Centre, and they were as usual very helpful. Another stimulating visit we had was from Dr. Mary Sheridan and Dr. Hodgson. |
e429297a-3414-493d-9413-807f08d91433 | They came down to photograph their methods of testing vision in mentally handicapped children. This was a most instructive and enjoyable occasion for all of us. Dr. Berman, the Reader in Child Dental Health at the London Hospital continued to treat our children. He is, as usual, most helpful and shows great interest in us, and sees that we have no difficulty in getting appointments, and we are most grateful to him for this. We also thank Mr. Lancer for dealing with our ophthalmological problems. He is a great help, particularly with our little mongol children. Finally I would like to thank the Heads of the Special Schools and Centre where our children have been placed, for allowing, and indeed welcoming, a visit from Sister Daly and myself at least once during the year to see all the children. We have learnt a tremendous amount by seeing their progress when they grow up placed into the correct environment. Only by watching them do we know that our assessment and placing has been correct! |
cb167e77-32d7-4b30-a69b-0d04be41f3cb | 34 CYTOLOGY SERVICE 1969 The total number of patients seen was 944. The number of abnormal smears was 8. It is interesting to consider these in some detail. Only one proved to be negative after the repeat of three months and one was considered innocuous enough by the Pathologist to be left for repeat smear in one year. Three more smears graded Pap II were followed by cone biopsy one of which was proved to be positive and underwent surgery later on. One Pap III after repeat smear three months later was regraded as Pap IV and referred to the Gynaecologist. Two patients showed frank carcinoma and they were treated in Hospital: one underwent hysterectomy and the other had cone biopsy which showed invasive carcinoma and was referred for irradiation to London Hospital. |
9fd66bb1-02b7-40eb-87d8-8bb8d971d309 | Other abnormalities which were referred to the Hospital were: Fibroids or myomata 4 Ovarian Cysts 2 Polypus 17 Erosions 14 Abnormalities which were referred to the General Practioners were: Trichomonas vaginalis infection 21 Monilia infection 12 Breast examinations were also carried out at the Cytology Clinic. Referred to surgeon 4 HEALTH VISITING The serious shortage of health visiting staff continued during the year, the recruitment of two student health visitors being more than offset by the resignation of two experienced members of staff, Mrs. Broad and Mrs. Lyon, the former gaining preferment in a neighbouring Borough and the latter moving house to another district. In September 1969 we were pleased to welcome Mrs. C.C. Ledden back to the post of Deputy Superintendent Health Visitor which she vacated for personal reasons in 1968. |
8e166c31-f32e-4393-992b-bd78d0c98452 | Amendments to the Nurseries and Child-Minders Regulation Act, 1948, made by the Health Services and Public Health Act, 1968, came into effect in February, 1969* and enabled greater supervision and control to be exercised over child¬minders and play groups than had been possible previously Although the shortage of health visitors made it difficult to step¬up the amount of visiting done in this respect, the Deputy Superintendent Health Visitor commenced a survey of all registered premises and child¬minders which was continuing at the end of the year. 35 A course of instruction of 6 lectures was made available to daily minders and playgroup organisers during September/October, 1969. The Syllabus included talks on child development, story telling, nutrition and health, home safety and first aid and play¬group organisation. Arising out of the closure in May, of Rush Green, Thompson Road and Upney Clinics, patients' records were re¬allocated to their nearest Clinic and health visiting areas were amended accordingly. |
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