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f528d3b4-69dd-4d04-9493-9c926855b117
The occurrence of an epidemic depends, so far as we know, solely upon a sufficient accumulation of susceptible children under conditions allowing the introduction of infection and free personal communication. The long incubation period, the insidious approach of the invasion period, the late appearance of the rash are ...
984298ed-75b2-4de8-a5f0-e889abfa538e
It was there shown that epidemics of Measles occurred every second year with almost automatic regularity and that the district was visited by a major epidemic at intervals of 4, 3, 4 and 6 years respectively.
69b2231b-7604-413e-8a9a-e9ef9b93d39f
The following table gives the annual number of deaths in Acton per 100,000 inhabitants for the 30 years 1882-1911 1882-1886 1887-1891 1892-1896 1897-1901 1902-1906 1907-1911 32.6 66.6 50.2 13.6 29 50 17 During the past six years the death-rate per 100,000 inhabitants has been as follows 1906 54 1907 38 1908 65 1909 71 ...
06371949-5f5a-4c59-8769-d1f5a2b8e1b3
The mortality from Measles is confined almost entirely to the first five years of life, and as the birth-rate has continuously declined since 1894, the population of children under five is smaller now than it was twenty years ago. If the mortality from Measles was stated in terms of the population under five years of a...
678e4286-c3de-4540-b20d-2d03d2f8b452
The truth is, that after a certain period, the older the child, the less susceptible he is to the disease, and even if they contract the disease, children over five years of age rarely 18 succumb. The age at which relatively the greatest number of children die of Measles is the second year of life; while after the thir...
502dad7b-84f3-4cda-a9b3-176e67a7d618
The major epidemic years were as follows:β€” 1885 with a death-rate of 120 per 100,000 inhabitants 1889 β€ž β€ž β€ž β€ž β€ž 115 β€ž ,, ,, 1892 ,, ,, ,, ,, ,, 98 β€ž ,, ,, 1896 β€ž ,, ,, ,, ,, 80 β€ž ,, ,, 1902 ,, ,, ,, ,, ,, 78 ,, ,, ,, 1906 β€ž β€ž β€ž β€ž β€ž 54 β€ž β€ž β€ž 1911 ,, ,, ,, ,, ,, 75 ,, ,, β€ž But whereas the peak observed in epidemic years ...
1e585c03-318c-46e0-996f-270edc7b45d1
The following table is taken from Dr. Theodores Thompson's report to the Local Government Board on the control of Measles, and shows that the incidence of attack is different from that of death. 19 Under lyr. 1.2. 2.3. 3.4. 4.5. 5.10 Over 10 Total number of persons living 1155 974 1028 1000 951 4530 25968 Number attack...
8aa79caa-15b2-469f-a0b5-a0034e5e8ed8
0 Measles fatality-rate per 1000 attacked 96 197 102 49 15 11 0 The above table refers to a particular Urban District where the number of persons attacked by Measles at each of the several age periods was known, and shows that while the main incidence of death is on the second year, the incidence of attack is chiefly o...
c4414e70-2099-4e1a-9099-4838fd8b1e9a
The above figures, of course, do not represent the relative number of cases at different ages which occurred last year. The majority of cases which come to the knowledge of the Sanitary Department would be children of school age, and Measles occurring among young children would remain unreported. The figures though are...
0b4495ed-4adb-4039-9ad3-45d94550fd1e
The other measures would be directed towards restraining the spread of Measles in invaded households. The isolation of every case of Measles from the first onset to the end of the third week would undoutedly enable an outbreak to be brought abrubptly to a close, as no second crop of cases would occur. It would also lim...
a8d22c95-714f-4957-962f-713cb661c1b6
There is no greater or more pernicious superstition than that which is so widely held, namely, that a child must have Measles. No condemnation can be too strong for the practice of wilfully exposing other members of the family to this infection. The difficulty experienced in the prevention of the spread of Measles in s...
827d1644-0be1-41b4-b036-6bcc6553323c
When the cases occurred amongst school children during these two months, the symptoms in all instances made their appearance towards the week end, and the children had not attended school subsequently to the appearance of the initial symptoms of Measles. In December a case occurred in the Priory School. This child atte...
e0467233-4cf6-4b0b-a873-4e47ffd79ffd
It was hoped that by the adoption of these methods an epidemic would have been delayed, at any rate, for some months, and the postponement of an epidemic from the winter to the summer would have justified almost any steps, however drastic. In industrial districts a Measles epidemic is in many ways a less formidable occ...
74ea0215-56a1-4221-ba0d-91dba6cb09fd
Although closure was successful as far as the Priory School was concerned, cases occurred in January and February in some of the other schools. In the Southfield Road Infants Department, one child was excluded from Class II on January 27th. On February 6th, nine cases were reported from Class V. It was decided to close...
2e25dceb-6d81-402f-b2dd-78c5b73aa9ac
Before Easter the outbreak was confined to the northern part of the district, but on the reopening of the schools after the Easter holidays cases occurred in the Rothschild Road, 23 South Acton, Beaumont Park and Priory Schools. It was in South Acton that the majority of the deaths occurred. It is usually found that Me...
fd7eac87-3b1e-4e47-b0bc-a6a96a064141
The total number of cases notified from the School was 1496, distributed as follows:β€” Turnham Green 11 East Acton 38 Acton 59 Acton Wells 129 Priory 133 Rothschild Raad 184 Southfield Road 187 Central 188 South Acton 266 Beaumont Park 301 The spread of Measles in the district followed closely on that of its spread in t...
f2b62133-80ef-4b7c-b247-b9045a5ca774
24 The general lines of action in regard to school closure and exclusion recommended by the Medical Officers of the Local Government Board and of the Board of Education are set out in the "Memorandum on closure of and exclusion from school" issued in 1909. In that memorandum it is recommended "that children attacked by...
5ab37886-9e11-4178-acf4-1da0159fd29d
It is a compromise which is obviously not a counsel of perfection, and may need future modification. Even under present conditions the procedure may need to be modified in accordance with the special circumstances of a particular district, with special reference to its past history as to Measles. The schedules for the ...
222a3703-b3f7-4f39-82c5-c2fc5fd225ae
School closure has probably more frequently taken place on account of epidemics of Measles than for any other disease, 25 but as the closure has been commonly deferred until a large proportion of the children are already absent, it has proved useless, in populous districts at least, for the purpose of preventing the sp...
4e31a3fc-e577-4da6-a218-96656c97b29b
After this period, only those who have sickened need be excluded, along with those in the same households who have not had Measles or who attend the infant school. Under different conditions, all these procedures were adopted in this district, but their success was only partial. In a majority of instances, in practical...
d698554e-ccc3-4d2e-8689-32eed7bb133c
26 It is doubtful if mere exclusion from school of children under five can be regarded as a real solution of the problem. It would possibly effect an improvement in the immediate mortality from measles, but in many instances the homes are so unsatisfactory that the children are better off in school, in spite of the ris...
efa20f82-c237-48ce-bcbb-8ac3f9596dbf
Bollo Lane 3 β€ž Seymour Road 3 β€ž Colville Road 3 β€ž Stanley Road 3 β€ž All Saints Road 2 β€ž Berry mead Gardens 2 β€ž Park Road North 2 β€ž Packington Road 2 β€ž Bollo Bridge Road 2 β€ž Kingswood Road 2 β€ž Holland Terrace 2 β€ž Summerlands Avenue 1 death. Leamington Park Villas 1 β€ž York Road 1 β€ž Grove Road 1 β€ž Avenue Road 1 β€ž Kent Road...
49c911f5-d4b5-4d18-a88a-2fd9fd98a06d
Other measures, such as hospital treatment of selected cases, would no doubt be instrumental in saving many lives. All these measures, which are now being utilised in directly combating Measles, will result in a fall of the death-rate for Measles, but possibly more good will result from indirect measures. Improved hous...
b778f480-4eda-4913-9463-3f86e2bb1f07
In 1911, 64 out of a total of 115 occurred amongst school children; in 1910, it was 66 out of 118, and in 1909, 62 out of 104 cases. 28 The incidence of the disease was highest in the Central School with 9 cases, Beaumont Park 9 cases and Southfield Road with 25. It will be noticed that it was the same schools that suf...
74461630-4717-477c-bc84-c063affa29b4
Children with enlarged tonsils furnish a fruitful soil for the implantation and growth of the Diphtheria bacillus, and these children are more liable to contract the disease when they come in contact with a "carrier" case. In two houses three cases occurred in each of them, and in four houses two cases occurred in each...
b5e8acc1-3970-4baf-a56d-7bd4f9895d9f
She was taken ill in the second week in October, and notified on October 19th. It is now generally held that the consumption of shell fish derived from polluted sources plays an important part in the causation of Enteric Fever. In the light of evidence already available there is reason for believing that much Enteric F...
4d94a36c-7f4e-42a7-bf0d-cd8ae635a6a5
In last year's report details were given of cases in which the possible source of infection was plaice, and Dr. Hamer's. report to the London County Council on the subject was quoted. Dr. Hamer analysed the facts as to certain localised prevalences of Enteric Fever in London in 1910, and arrived at the conclusion that ...
c8c90a92-d09b-4507-97f6-5e2998bbf57e
The report is important as drawing attention to an additional source of typhoid infection, and as indicating the need for further supervision over the source and the gutting and over the details of preparation of fried fish, for food. 30 Several of the cases had eaten the kind of plaice which is under suspicion. They a...
7414ff3c-a41b-43a5-9b5a-bbaf057b0d21
There is an increase in the number of notifications of Scarlet Fever received, as compared with 1910, when 109 notifications were received, The number received each month during the year was as 'ollows:β€” January 8 July 17 February 10 August 10 March 8 September 15 April 35 October 43 May 12 November 35 June 3 December ...
6e9e6b9d-a28c-4903-ab8e-0a7c65c59258
This dairy was situated outside the district, and on inquiry on April 24th 31 it was found that cases had also occurred in Chiswick amongst customers of the same dairy. I accompanied the Sanitary Inspector of Chiswick to the dairy for the purpose of making inquiries. It was found that, though a case of Scarlet Fever ha...
df6be318-6fc0-41f2-88f0-38c1f9720b2e
Under Section 15 of the Acton Improvement Act, if the Medical Officer of Health shall have reasonable cause to believe that any person in the district is suffering from infectious disease attributable to milk supplied within the district, he may, by notice in writing, require every person supplying milk to the person s...
3e4e0fe9-7d16-4c3b-bf6b-e76f9cbd393e
Only two primary cases were notified amongst customers of this particular dairy after April 25th, and one of these had sickened on April 22nd. Briefly, these were the circumstances in which the outbreak occurred, and the action that was taken, and in the following report the connection between the cases and the milk su...
71843a01-ecfa-4b42-822a-e676b7fd43ba
Between April 22nd and April 28th, 25 cases were notified the notifications being as follows:β€” April 22nd 8 cases β€ž 24th 7 β€ž β€ž 25th 6 β€ž β€ž 27th 1 case β€ž 28th 4 cases With two exceptions, all these cases occurred in houses supplied with milk from the same dairy. Subsequently to April 28th, no primary cases occurred among...
1f46ee7c-ae68-4d3a-9939-e40a50d5ae8e
The primaty case had been ill since April 22nd. The other probable secondary case was notified on April 24th, and had sickened on April 23rd. His two brothers had been removed to the hospital on April 22nd, and had sickened on April 21st, and his sister had been notified on April 22nd, and had sickened on April 20th. 3...
a9d3215a-2fa9-4501-aaa0-bf7773024ab5
In one house six cases occurred. The type of the disease was mild, but the age distribution of the disease was unusual. The proportion of adults was high, and this circumstance in itself might have affected the type of the disease. The 20 cases occurred in 18 houses, three of the cases having occurred in one house. The...
2179ec8b-aa9b-4d36-8d70-6f87ca3e572a
In one of the houses, the maid was the only person attacked. In the other house, the maid was the primary case, but subsequently five other cases occurred in the house. In one instance, the person attacked and a sister were the only ones in the house who drank unboiled milk. The sister 34 subsequently developed Scarlet...
f12cd937-1da1-4b53-a253-270dbfe99ead
2 7 5 3 3 The dates of notification have already been given, but of more importance is the date of the onset of symptoms. Of the 20 cases we find the date of sickening as follows:β€” Five cases sickened on April 20th, eleven cases on April 21st, three on April 22nd, and one on April 26th. The estimation of an incubation ...
c72b4ea1-0423-4cd8-b8d4-da0d768fc871
Among these it was Less than 24 hours 2 24-48 3 Between 2-3 days 1 3-4 β€ž 2 4-5 β€ž 3 5-6 β€ž 2 35 Cases have been reported in which the disease is supposed to have taken two to four weeks to devolop, but most authorities refuse to accept these long incubation periods as authentic. We may take it that the incubation period ...
efdaa91c-713f-42d0-9f30-9151178d0126
On the other hand, if the infection had been a continuous or an intermittent, and not a transient one, the contamination may have occurred on any dates between April 13th and April 26th. Apart from the dates on which these cases had occurred, an incident had occurred at the dairy which would have made it highly improba...
2895e15e-3a85-4dee-8ea7-3be22af0c58b
There was no evidence by which the infection of the milk could be traced to the child of the foreman. It may be stated, though, that the Scarlet Fever patient, even [in the beginning 36 of the attack, is capable of transmitting the infection. Vogl goes much further, and closes the description of his experience in a Mun...
24218f28-c7ca-4e1d-9a50-536d149f5bb7
The foreman had hardly been in contact with the child, and there was no evidence that he had personally handled all the milk. He supervised the distribution of the milk amongst the various employees. The cases which were notified on Saturday, April 22nd, occurred on five different rounds. 9 Inquiries were then made at ...
fde0579f-ebf8-4ada-aa9f-2feb2457f508
comprises an area of about 350 acres of pasture land, and on it, in addition to other stock, are kept 55 milch cows. The whole of the milk was sent under contract to the above-mentioned firm. The milk was detrained at Ealing, and delivered direct to the branch depot. Connected with the farm are three cottages, in which...
d5c15dd0-f33f-4d32-86c4-c99b86782d10
's house at W. H., but D. F. himself did not suffer from Scarlet Fever. Last December Scarlet Fever again made its appearance in W. H., but not in D. F.'s house. On March 25th, 1911, D. F. met with an accident, and was sent away from work until April 15th. On April 16th, 17th, and morning of the 18th he milked the cows...
e7cb4b45-76ca-4939-850e-b4e6178d74ea
All the employees were examined on April 25th, and on that date the groom G. R. was and had been for some days suffering from Scarlet Fever. His throat and tongue were typical of Scarlet Fever, and desquamation of the skin was commencing. His family resided at a village some distance away. 38 He had visited his family ...
0e912daa-efd7-46a4-884d-c2bc75bebfe7
's smock and milked the cows on Tuesday, Wednesday and Thursday. On Wednesday afternoon G. R. undoubtedly was suffering from Scarlet Fever, the words he used himself being "that his throat was very bad." He continued at his work, though, until Friday, when he told his employer that he could go on no longer. He remained...
a53e3b1c-003f-4ce5-a3f4-3c434ea69408
Assuming that G. R. was not in an infectious state until April 19th, the only two days upon which he could infect the milk would be April 19th and 20th. The milk handled by G. R. on April 19th and April 20th would not in the ordinary course of events be delivered to the customers until the early morning of April 20th a...
dc1f8946-4d1b-4ff7-b05a-4f44ddd564fe
There was one other mode by which this milk supply might have been infected. It is possible for the Scarlet Fever germs to be implanted upon the udder and teats of the cows, if there be present an ulceration of the teats or an inflammation of the udder. The cow may thus be the source of Scarlet Fever in man, not becaus...
44706c01-4817-46d9-93a0-f2bfdc320542
The possibility that D. F. had implanted the infective germs upon the teats of the cows was borne in mind, but all the evidence pointed against this indirect manner of infection. The cows were examined by a veterinary surgeon, who reported that there was no evidence of recent mastitis or ulceration of the teats. Moreov...
a3e64037-96a8-4f2c-b58f-449c119fa799
The outbreak appeared suddenly, and the subsidence was equally prompt. 2. The cases were almost entirely limited to those families who used the milk of a certain dairy. 3. Those members of the family who drank uncooked milk were mostly infected. 4. The houses invaded were quite distant from each other, and not restrict...
a33e525d-d1b2-4a92-868d-da6ca29f0ff7
The period during which it could remain infected was also limited. The milk was pasteurized on April 21st; G. R. had been examined by Dr. Taylor, and the milk had been refused by the firm on April 25th, before G. R. had resumed milking. These circumstances would tend to limit the extent of the outbreak. 41 From the adm...
645c75a4-3c9f-4bb5-b080-f2b564031486
His system of recording the incidence of the Infectious Disease in the County enabled him to localise the mischief immediately. If I record the steps taken, the value of his services can be partly gauged. On Saturday, April 22nd, eight cases of Scarlet Fever were notified. As a result of inquiries, a milk supply was su...
d307dd33-3d26-44d6-8c1c-7be0305d0288
A large number of the children attacked were in attendance in the South Acton School, and, as is usual in these circumstances, some "missed" cases were found. The age distribution of the cases notified, together with the number removed to hospital, will be found on Table II 42 INFANTILE MORTALITY. 176 deaths under one ...
7f1bf215-85f8-45d0-a72a-605b2d6c757e
The deaths were distributed as follows:β€” North-East Ward 32 North-West Ward 25 South-East Ward 47 South-West Ward 101 The infantile mortality in each ward was :β€” North-East Ward 108 per 1,000 births. North-West Ward 119 β€ž β€ž South-East Ward 126 β€ž β€ž South-West Ward 173 β€ž β€ž The infantile mortality was 36 per 1,000' births...
cbff8a29-bdcf-44fe-b4d8-ed4a2f65b8cc
A few 43 years ago it was frequently stated and believed that the industrial employment of married women was one of the most important direct factors in the causation of infantile mortality in large towns Owing to investigations carried out in certain large towns, it is now possible to approach this portion of the subj...
5856c165-977c-4fcd-b951-35d22738aa2d
In 1907 the Home Secretary addressed a letter to certain Medical Officers of Health, asking for certain information, as he was considering the question of the further regulation of the industrial employment of women before and after child-birth. Some of the results of these inquiries have now been published, and so far...
49e5195b-70f0-4d4b-b3ca-bcf9e6850c40
44 If, however, the same children be divided into those whose fathers earned less than Β£1 per week and those whose fathers earned Β£1 per week or more, then a very material difference was apparent. It was seen that in the homes where acute poverty exists there is a marked falling off in the average weight of the baby, w...
8b6d405c-16fa-4afd-877c-228dc2e99086
This is slightly higher than that of the other wards, but nearly 50 per cent, of the deaths of infants under 12 months occurred in this ward. Until the results of the Census are known it is difficult to estimate what percentage of the married women in the SouthWest Ward are employed in duties other than domestic work. ...
d6c1853e-b687-4390-b27d-29a78105e694
45 It has been explained that the "outside" deaths were not included prior to 1905, but, excluding outside deaths, on two occasions only before 1903 did the infantile mortality fall below 150 per 1,000 births. In 1891 it was 146, and in 1887 it was 147 per 1,000 births. (Last year the deaths of infants registered in th...
5a3bd2e5-48c5-4736-86f9-3c509c363f0e
But the experiences of a few years agoβ€ž when in dry, hot years about 200 or more children died during the first year of life for every 1,000 children born, will probably not be repeated. The educational measures, together with the improved steps in sanitary administration which have been adopted and carried out, are pr...
af8d7026-4355-49d7-ab82-e876af9cc552
It is rather difficult to institute a comparison between this year's figures and those of earlier years, as considerable alterations have been made in the Tables issued by the Local Government Board. Up to the end of 1910 the 46 Diarrhceal diseases were included in three separate columnsβ€” Epidemic Diarrhoea, Enteritis ...
0cb80ce9-0646-4aa4-a28b-3e0731dbfd3d
Throughout the kingdom it is necessary to go back to 1899 to find a year with a higher total number of deaths from Diarrhoea and Enteritis, but in Acton 80 deaths of infants under one year occurred in 1906 from Diarrhceal diseases. Last year, out of the total number of deaths from Diarrhoea and Enteritis, 68 were of ch...
30a899f9-7fd6-4f7e-a644-8bbfed8d2d6f
Whether summer Diarrhoea is produced by one definite micro-organism, or is an illness conditioned by several allied bacilli is doubtful; if the latter theory be true, then all these organisms are capable of exciting acute Diarrhoea in infants and of causing a disease which pursues a very definite cause. A few years ago...
ebfff8de-c2f0-401e-a4e2-0de7c43308b8
The development and multiplication of the micro-organism depended on a high temperature, not in the air itself, but in the superficial layers of the soil. The rise in the Diarrhoea death rate does not begin until the average weekly temperature of the thermometer (suspended in an iron tube 4ft. deep in the earth) has re...
3693a82b-e973-4969-9c11-ea823dc9a698
Deaths of Deaths Week Mean reading Rain- infants under from Diarrhoea ended, of Thermometer, fall. 1 year in London. in Acton. July β€ž β€ž β€ž β€ž Aug β€ž 1st 8th 15th 22nd 29th 5th 12th 57.5Β°F. (-4) 65.6Β°F. (x3.5Β°) 65.2Β°F. (2-3Β°) 69.5Β°F. (x6.2Β°) 71Β°F (x8.4Β°.) 68Β°F. (x5Β°) 72.5Β°F. (10.1Β°) .50in. nil nil nil .26in. .06in. nil 149...
9a237c52-1410-43f6-963a-8b99db316f80
Deaths of infants under 1 year in London. Deaths from Diarrhoea in Acton. Aug. 19th β€ž 26th Sept. 2nd β€ž 9th β€ž 16th β€ž 23rd 69.4Β°F. (x7.2Β°) 63.9Β°F ( ) 65.3Β°F. (x5.2Β°) 66.9Β°F. (x7.7Β°) 60 3Β°F. (x2.4) 54.3Β°F. (_1.9Β°) .58in. 636 .29in. 705 .41in. 712 .0lin. 622 .41in. 555 .48in. 442 14 14 11 10 6 2 With regard to the mean tem...
d7d60495-2033-471c-9e76-266a1fc9484d
Although it is generally accepted that summer Diarrhoea is in the large majority of cases due to bacterial infection, there is no certainty as to the sources of infection. The most important vehicle of infection undoubtedly is milk. Infants artificially fed are much more exposed to infection than breast-fed infants, pa...
5b91dca7-58f8-4656-a8c2-ef135c2b43e4
The source of the milk supply in the South West Ward is not very different to that in the other wards, but out of the .68 deaths from Diarrhoea and Enteritis 33 were in the South-West Ward, 13 in the North-East, 12 in the South-East and 10 in the North-West Ward. 49 Dr. Newsholme, on the other hand, from the observed f...
d83bc080-abf0-4a13-8c16-ef91314bba32
Of the 64 artificially-fed infants who died in Acton last year, 27 had cows' milk, 23 had condensed milk, 4 had patent foods, and 10 had cows' and condensed milk. In connection with domestic infection, a good deal of attention has recently been paid to the possibility of conveyance of infection by the common housefly. ...
895a6e4c-cb2c-45ec-92ee-14b834955f5a
One thousand four hundred and sixty nine births and 28 still births were notified during the year 515 were notified by doctors, 782 by midwives and 200 by one of the parents. 50 In 30 instances a birth was notified by both the doctor and the father, and in 25 instances by the doctor and the midwife. 74 births were regi...
89bc41be-1eda-423b-8c11-db9f7a99f929
46 of the patients who died of Phthisis were over 15 years of age, and prior to their attack of illness were employed as follows:β€” Males. General Labourer Laundryman Carpenter Furniture Remover Clockmaker Draper's Porter Quartermaster Merchant Service Bricklayer Clerk Females. 3 Household 16 3 No occupation 3 1 Cookery...
1bc930c0-e3c0-4bd6-a26d-d3e061692bc0
An important step has been taken in this direction by the adoption of compulsory notification of all cases of Pulmonary Tuberculosis. In 1908 the Local Government Board issued regulations for the notification of cases of Pulmonary Tuberculosis occurring amongst the inmates of Poor Law institutions or amongst persons un...
f148ee8a-fa07-4c20-96a3-fd346bf8817e
A system of voluntary notification has been in force in the district since 1904, and 8 cases were notified last year by doctors under this system; 35 cases were notified under the Tuberculosis Regulations, 1908, and 41 under the Tuberculosis Regulations of March, 1911. 52 52 Seven persons were treated in the Council's ...
c765b494-5789-493e-9574-58eb0d0b4f63
This is exactly the same number as occurred in the years 1910 and 1909. The ward distribution of the disease was as follows :β€” North-East Ward 14 North-West Ward 16 South-East Ward 10 South-West Ward 12 INQUESTS. 40 Inquests were held, the causes of death being:β€” Heart Disease 7 Cerebral Haemorrhage β€” 4 Pneumonia 5 Con...
1e4c0598-6282-42e1-9671-6132c7d87d8f
31 post-mortem examinations were made. OFFENSIVE TRADE. There is only one offensive trade carried on in the district, viz., fat extraction. SLAUGHTER HOUSES. There are two licensed and one registered slaughter houses in the district. In the latter, slaughtering is very rarely carried on. In one of the slaughter houses,...
7b6fe2dd-7275-4e37-b811-3ec2111e2fc0
In addition to the meat surrendered in the slaughter houses, the following articles were also destroyed as unfit for human consumption:β€” 54 1 boar's head 1 case of fresh herrings 1 bushel of pears 1 bag of winkles 10 boxes of kippers 9 bags of walnuts 3 pigs' heads 1 pig's pluck and spleen 1 pork pie DAIRIES AND COWSHE...
dbb01bd3-a66e-463f-b7dd-80be27915c57
On January 1st, 1911, there were 21 patients under treatment, and on January 1st, 1912, 54. Two of the nurses contracted Scarlet Fever, and one Diphtheria. Diphtheria. 86 cases of Diphtheria were admitted, and there were 9 deaths. 55 Scarlet Feveb. 185 cases of Scarlet Fever were admitted, and there were 5 deaths. Ente...
10c5bcf9-49ff-4dd3-a54d-e2577377d217
The average number of beds in occupation throughout the year was 33-6, but it varied from 14 in June to 72 in November. It is usual to find the number of fever cases increasing in the autumn. In September the average number of beds occupied was 30, in October it rose to 47, in November to 72 and in December the average...
d5447eaa-d00d-4cb7-b8b8-76836b34ca50
Leading out of each ward in the centre of the building is a bathroom, and at the extreme end of each ward are the annexes containing the water-closets, sinks, &c. Between the two wards and overlooking them and the separation ward is the nurse's kitchen, 56 The walls of the building are formed with 4in. clinker concrete...
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In each ward there are also Shorlands ward-ventilating stoves, but these are only used when it is inconvenient to heat with steam. The cost of the heating apparatus was Β£668. COMMON LODGING HOUSE. There is only one common lodging house in the district. REFUSE COLLECTION AND DISPOSAL. The whole of the refuse of the dist...
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Applications were received under the Customs Inland Revenue Acts in respect of 77 houses. Certificates of exemption were signed for 53 houses and refused for 24. HOUSING. Under Section 17 of the Housing, Town Planning, &c., Act, 1909, it is the duty of every Local Authority within the meaning of Part II of the Housing ...
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The Local Government Board have issued an Order making Regulations with respect to the manner in which this section shall be carried out, and with respect to the records to be kept of such inspection,' During the year the Sanitary Staff has made a big effort to cope with the Housing Regulations of 1910, and 800 houseto...
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Antrobus Road Acton Lane (Basement Houses only) Burlington Mews Berrymede Road (Basement Houses only) 1 Beaconsfield Road isoiio nriage Koad (East End) Cheltenham Place (West Side^ Cunnington Street Clovelly Road (South Side) Chiswick Road Friars Place Lane Gloucester Road Gladstone Road Horn Lane Junction Road Ley the...
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of Tenements 11 8 12 13 56 54 9 49 32 31 6 44 48 22 73 46 40 24 Cases of Overcrowding β€” β€” β€” β€” β€” β€” β€” 1 4 β€” β€” β€” β€” β€” 7 β€” β€” 6 Defects of Drainage System 12 4 3 3 39 28 3 19 13 7 13 8 37 36 1 20 19 12 Defective or want of Yard Paving 6 4 β€” 2 32 12 9 18 14 15 3 14 18 2 4 3 7 16 Defective w.c.'s (including appliances) 2 2 6 5...
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Pipes 6 1 β€” β€” β€” 6 β€” β€” β€” 5 2 β€” β€” 4 β€” 11 β€” Dampness β€” 4 8 3 16 β€” 9 y 2 1 β€” 14 7 3 β€” 2 16 10 Dirty Walls and Ceilings of Rooms 3 6 26 11 29 6 7 9 51 13 β€” 24 15 9 11 8 20 29 Defects of Drinking Water Storage β€” 2 5 4 β€” 9 2 4 4 β€” 2 2 2 13 1 13 6 β€” Defective Sinks and Waste Pipes 6 2 2 3 21 5 8 29 3 24 8 22 14 30 8 19 8 26 Mi...
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Pipes, Gutter, &c. 5 6 11 14 13 4 13 22 48 14 5 11 16 20 4 13 16 34 59 HOUSE-TO-HOUSE INSPECTION, 1911β€”continutd. Nature of Sanitary Defect. N'emoure Road (North Side). Old Oak Lane Petersfield Road (East Side) Priory Road (Basement Houses only) Park Road North Richards Cottages Stanley Gardens Steyne Road Saville Road...
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of Houses Inspected 10 14 46 7 36 25 61 10 5 33 4 6 60 16 27 18 5 800 No. of Tenements 11 14 47 21 46 25 83 18 11 33 4 18 84 48 27 31 6 1104 Cases of Overcrowding β€” β€” 5 β€” β€” 1 9 2 2 β€” 1 2 β€” β€” β€” β€” β€” 40 Defects of Drainage System 22 10 43 1 28 1 31 10 β€” 2 β€” 3 27 11 4 2 13 485 Defective or want of Yard Paving 6 0 27 6 IS 5...
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's (including appliances) 12 s 23 7 6 12 47 3 β€” 5 β€” 4 14 10 1 β€” 1 255 Untrapped R.W.
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Pipes 3 β€” β€” 1 6 β€” β€” β€” β€” 1 2 β€” 7 β€” β€” β€” 1 56 Dampness 7 3 7 3 β€” 13 30 4 3 β€” 4 6 9 7 β€” β€” β€” 200 Dirty Walls and Ceilings of Rooms 8 6 122 48 6 17 102 6 2 β€” 4 16 34 23 β€” 6 β€” 675 Defects of Drinking Water Storage 4 1 3 3 9 3 39 1 β€” 4 4 2 10 12 5 4 β€” 173 Defective Sinks and Waste Pipes 16 9 47 16 5 32 32 8 1 1 4 3 33 13 3 1 7...
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&c. 13 17 79 37 4 39 78 21 5 1 25 31 22 9 2 6 9 667 60 The following houses were represented as unfit for human habitation during the year:β€” Nos. 71, 72, 73 and 74, South Parade. These houses consisted of two rooms and a scullery each. The houses were old and in a generally dilapidated condition. The houses were closed...
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This house was not originally intended for a dwelling house but a portion of some outhouses had been converted. The house was closed by the owner. Nos. 17 and 19, Gunnersbury Lane. These two houses were old and showed signs of decay. Structural work is being carried out by the owner, so as to render the houses fit for ...
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Sanitary condition, including (a) cleanliness, (b) air space, (c) ventilation, (d) drainage of floors and (e) sanitary accommodation. 2. Provision of means of escape from fire in workshops. 3. Special sanitary regulations of bakehouses. 4. Home work. The provision of means of escape in case of fire is dealt with by the...
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592 inspections were made during the year, and 352 notices were served. In conclusion I have to thank the Staff of the Health Department for their co-operation during the year, and for their assistance in the compilation of the different Tables. As in former years, the County Council Tables have been compiled entirely ...
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of Non - residents registered in the District. of Residents not registered in the District. Number. Kate per 1.000 Nett Births. Number, Rate. Number. Rate. 1 2 3 4 5 6 7 8 9 10 11 12 13 1906 52,000 1,533 . 29.4 597 11.5 7 97 201 131 687 13.2 1907 53,000 1.535 . 29 605 11.4 8 140 200 130 737 13.9 1908 55,000 1,568 . 28....
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6 1910 57,000 1,475 . 25 9 509 8.8 2 116 151 102 623 10.9 1911 58,048 1,458 1,486 25 6 602 10.3 3 178 205 138 777 13 3 Area of District in Acres (exclusive of area covered by water), 2,304. Total population at all ages, 57.523: 64 TABLE 2. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1911. Notifiable Disease Ca...
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5 to 15 15 to 25 25 to 45 45 to 65 65 & upwards Small-pox . . . . . . . . . . . . . Cholera . . . . . . . . . . . . . Diphtheria (including Membranous croup) 115 3 30 67 6 8 1 . 20 25 38 32 85 Erysipelas 37 2 1 3 2 10 13 . 8 6 9 14 Scarlet Fever 234 2 61 131 24 15 1 . 38 27 66 103 183 Typhus Fever . . . . . . 2 . . . ....
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. . . . . . . Puerperal Fever 3 . . . . 3 . . 1 . . 2 . Plague . . . . . . . . . . . . . Phthisis Under Tuberculosis ReguI lations, 1908 35 1 . 3 1 17 13 . 6 3 6 20 20 Under 1 uberculosisRegulations, 1911 41 . . 3 11 23 4 . 7 6 15 13 19 OTHERS 8 . . 1 2 5 . . 2 2 4 5 Totals 490 8 92 218 48 84 34 6 82 72 134 202 321 Iso...
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CAUSES OF. AND AGES AT. DEATH DURING YEAR, 1911. Causes of Deaths Nett Deaths at the subjoined ages of " Residents," whether occurring within or without the District. Total Deaths whether of "Residents" or " NonResi dents" in Institutions in the District. All Ages. Under 1 year. 1 and under 2. 2 and under 5 5 and under...
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6 3 β€” β€” β€” β€” 9 Influenza 5 β€” β€” β€” 1 β€” 1 2 1 β€” Erysipelas 2 β€” β€” β€” β€” β€” β€” I 1 β€” Cerebro-Spinal Fever β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Phthisis (Pulmonary Tuberculosis) 51 2 β€” 1 2 12 21 12 1 β€” Tuberculous Meningitis 6 1 9 2 1 β€” β€” β€” β€” 1 Other Tuberculous diseases 7 4 1 β€” β€” β€” β€” β€” β€” β€” Rheumatic Fever 5 β€” β€” β€” 1 1 2 1 β€” β€” Cancer, maglignant d...
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1 Pneumonia (all other forms) 31 6 4 2 3 β€” 3 10 3 1 Other diseases of Respiratory Organs 6 β€” 2 1 β€” β€” 2 1 β€” β€” Diarrhoea and Enteritis 98 68 21 4 β€” β€” β€” 1 4 β€” Appendicitis and Typhlitis 5 1 β€” β€” 2 1 1 β€” β€” β€” Alcoholism β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Cirrhosis of Liver 8 β€” β€” β€” 1 7 β€” β€” Nephritis and Bright's Disease 15 β€” β€” 1 1 1 2 5 5 1...
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including Premature birth 62 60 2 β€” β€” β€” β€” β€” β€” β€” Violent Deaths, excluding Suicide 22 5 1 4 3 2 3 2 2 4 Suicides 3 β€” 2 1 β€” β€” Other defined diseases 236 19 9 2 8 9 29 60 100 7 Diseases, ill-defined or unknown 1 1 β€” β€” β€” β€” β€” β€” β€” β€” All causes 777 205 67 49 34 28 81 143 170 33 66 TABLE 4. INFANTILE MORTALITY DURING THE YEAR,...