ids
stringlengths
36
36
texts
stringlengths
1
1.43k
34312180-7584-4f0e-acbd-92720c8d54dc
However, as the year progressed we had casualties. One full time dental officer became ill in July and was retired on medical grounds in December 1970. Another full time dental officer was incapacitated for three months due to a broken wrist and was also retired in December 1970. I would like to once again thank the dental staff for their hard work in 1970 with special mention of the increased number of school inspections. MATERNITY AND CHILD WELFARE DENTAL SERVICES Treatment was available at all dental clinics for expectant and nursing mothers and children under five years old. In the year 1970 the figures have been increased. During 1969 the number of pre-school children inspected was 417 and in 1970 it was 625. The number of courses of treatment completed in these years were 275 and 347 respectively. The number of fillings increased by 248 over the 1969 figure.
1c293c00-4413-458a-a0cc-beafcbf72c38
GENERAL COMMENTS The year 1970 was the most successful year we have had from a dental point of view. I wish to thank head-teachers, teachers in schools, medical and dental staff in clinics and the administrative staff in the School Health Section of the Civic Centre for their co-operation and help. 79 80 DENTAL SERVICE STATISTICS Sessions (Β½ days) worked 1. Sessions devoted to inspection 158 2. Sessions devoted to dental health education 74 3. Sessions devoted to treatment 2,082 4. Sessions devoted to treatment of mothers and young children 236 2,550 School Dental Inspection 5. Number of pupils first inspected at school 20,658 Number of pupils first inspected at clinic 2,137 Number of pupils found to require treatment 11,693 Number of pupils offered treatment 11,693 Number of pupils re-inspected at school or clinic 382 Number of pupils found to require treatment 239 Treatment 6. Number of pupils actually treated 4,721 7.
bd5d4b70-91e1-4c8b-8199-7487ddb354e8
Number of attendances made 11,638 8. Number of fillings in permanent teeth 6,429 9. Number of fillings in deciduous teeth 3,931 10. Permanent teeth extracted 599 11. Deciduous teeth extracted 2,767 12. General anasethetics given 1,352 13. Number of pupils x-rayed 207 14. Number of pupils suppiled with dentures 16 Orthodontics 15. New cases commenced 49 16. Cases remaining from previous year 141 17. Cases completed 34 18. Cases discontinued 13 19. Number of appliances fitted 60 20. Pupils referred to hospital consultant 8 MATERNITY AND CHILD WELFARE DENTAL TREATMENT Expectant and Children under Nursing Mothers 5 years Numbers of Cases 1. Number of persons examined 3 - 2. Number of persons treated 3 Treatment Provided 3.
a49a4d33-3986-4f6c-882c-b166fbc4e7d3
Scalings and other prophylaxis - 8 4. Fillings 5. Teeth otherwise conserved 6. Crowns and inlays - 7. Extractions 3 β€” 8. General anaesthetics 9. Dentures provided - 10. Patients x-rayed 81 REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR SANITARY INSPECTION OF THE DISTRICT (a) Nature and number of visits:- Rent Act ^1 Housing and Public Health Acts:- Dwelling houses 5,078 Other premises 1,252 Overcrowding and housing applications 30 Improvement Areas 326 Improvement Grants 791 Qualification Certificates 771 Multiple Occupation 107 Bakehouses.
05e68efc-5dc3-46a1-879a-92cecdd36a99
29 Milkshops and Dairies 95 Foodshops, markets, stalls and delivery vehicles 2,l86 Cafes and Canteens 444 School Kitchens and Feeding Centres 112 Infectious Disease enquiries 3,021 Child Minders Premises 86 Number of Complaints investigated 2,728 Noise Nuisance 162 Clean Air Act:- Survey 200 Other inspections 40 Factories 520 Offices, Shops and Railway Premises Act 1,446 Tents, vans and sheds 130 Pet shops 17 Hairdressers 184 Ice Cream Premises and Vehicles 257 Houses Disinfested 94 Rodent Control 863 Other Visits 3,026 (b) Notices served:- Complied with:- Statutory 98 58 Informal 1,674 1,561 WATER The water supply still continues to be satisfactory both in quality and quantity. During the year nine bacteriological and 10 chemical samples were taken from the Company's mains in the borough.
bd2d2845-2809-4128-b111-ff0c20d1c524
The water does not have any plumbo-solvent properties and no action was called for in respect of any form of contamination. There is a piped supply inside all houses. 82 During the year 1,560 yards of 4" diameter main and 732 yards of 6" diameter main were laid in the borough. The General Manager and Engineer-in-Chief of the Essex Water Company has furnished the following report:- "Bacteriological and chemical examinations are made of the raw water, of the water in its various stages of treatment, and the water going into supply. A total exceeding 10,000 chemical, bacteriological and biological examinations have been made and all water going into supply was wholesome. Analyses have also been made of samples obtained from consumers' taps in the various parts of the Company's district, including that of your Council and all proved to be satisfactory."
c4a562e6-ba05-4043-8e49-3e16a6788a03
SEWERAGE AND SEWAGE DISPOSAL I am indebted to the Borough Engineer and Surveyor who has supplied the following information:- "The drainage systems of the borough function adequately, although infiltration at times of high intensity storms causes difficulties in isolated instances. Improvements to the Dagenham trunk foul systems are at present under construction and progressive improvement can be expected as the work proceeds with completion of the contract anticipated in the autumn of this year. Allied with the recent completion of the Riverside Sewage Works the foul drainage system for the Eastern sector of the borough will cater for present flows and will contain some spare capacity for future requirements. Drainage improvements in the Western section of the borough are concentrated in the Barking Central Area. Work is progressing on the detailed design with implementation anticipated in 1972, giving relief to both surface water and soil systems and incorporating a new pumping station and outfall into the River Roding." SWIMMING BATOS There are three open air and one indoor public swimming pools in the borough.
c78a05c6-6cee-402f-b920-e680e8990382
In addition there is a pool at the North East London Polytechnic Barking Precinct and four of the schools are provided with small pools. All swimming pools take their water from the mains of the Essex Water Company. Regular samples have been taken during the year and all results were satisfactory with the exception of one taken from an open air pool. The organic quality of this sample was of high standard but the bacterial impurity included Bact. coli in appreciable numbers. Investigations were carried out and another sample taken; this proved to be satisfactory. There has been no further trouble in this respect. 83 HOUSING Slum Clearance During the year three Clearance Areas were the subject of Official Representation to the Council. The total number of houses included as unfit dwellings in the three areas was 82. This appears to illustrate a dramatic reduction in the drive to eliminate unfit housing in the Borough.
f7bab125-efe7-4190-9689-5887567f3f0a
But it should be emphasised that all the large areas of unfit dwellings have now been dealt with and the remaining small pockets will be eliminated during the next three years. Work of inspection for clearance purposes has been replaced by surveys of properties for the declaration of General Improvement Areas. Improvement and Conversion Grants During the year four conversions, 30 improvement grants and 8l standard grants were approved. General Improvement Areas During the period under review the Council received a joint report of its officers in respect of two areas recommended as suitable for improvement which were subsequently declared to be General Improvement Areas. The Harrow Road General Improvement Area comprising 240 dwellings is largely privately owned with a high proportion of owner/ occupiers. There has been an increasing tendency during the past two to three years for owners to repair and improve houses in the areas and when the detailed survey of houses was carried out residents were quibk to respond. The public meeting held in a convenient local hall evinced much useful information and provided a general insight into the people's wishes.
3832086a-d699-447d-bce6-020ccdf8e81e
It became clear that ambitious schemes for environmental improvement would be less likely to succeed, because of isolated pockets of objection, than simple alterations to provide parking bays. One surprising aspect was the general aversion to trees in the streets expressed by a majority of residents. The Eastbury Estate Area adjoins the area described above and is a Municipal Estate built in the 1920's. Included in the area is a small terrace of 12 privately owned houses. The dwellings in general are in good repair, and such disrepair as became evident during the surveys was listed and distributed to the officers involved to be included in the price for overall improvement up to the full standard. A public meeting was well attended and tenants showed an enthusiasm for the scheme as a whole and welcomed not only the proposals for house improvement but also the provision of rear access roads and garages. 84 Show Houses Prior to the declaration of the General Improvement Area the Council repaired and improved two houses in the area and opened them as show houses for four weeks.
2a4b643c-6c8f-445d-a636-d2baa70f9045
Co-operation by the Gas Board, Electricity Board and local Furnishers produced an impressive display, while the Borough Engineer exhibited outline proposals for environmental improvements in preparation for the public meetings. The public interest generated by the exhibition indicated that the venture was a valuable addition to other means of publicising grants. Qualification Certificates - Housing Act 1969 During the year the number of applications for Qualification Certificates imposed an additional heavy burden on the housing division. Applications are of two types, (a) where the dwelling ha6 had, since the commencement of the Act, all the standard amenities, (b) where the dwelling is to be provided with some or all of the amenities after the commencement of the Act. Cases arising in the first category present little difficulty. However, in the second case, unless landlords follow the procedures laid down, they run the risk of being disqualified until the law is amended.
7ae76a33-df60-4fc8-9d58-5d3f73757f51
This has been found to arise where a single amenity is missing and, in his enthusiasm, an owner has installed the fitting without obtaining a Certificate of Provisional approval, a Certificate of Fair Rent or his tenant's consent in writing. Statistics for the operation of this legislation are as follows:- (a) Standard Amenities already provided 1. Number of applications for qualification Certificates received under Section 44(1), i.e. Standard amenities already provided 414 2. Number of Qualification Certificates issued under Section 45 (2) 12 3. Number of Qualification Certificates refused 293 Number of applications pending, i.e. not yet finalised, (includes those where informal letters sent to Owner) 91 5. Number of cases where applications were unnecessary, i.e. premises decontrolled, etc 18 6. Number of cases where minor disrepair noted and informal letters sent to Owner 76 7.
e9007855-bed5-41ed-b69f-f2e23ce7aa60
Number of cases where Qualification Certificates issued following an informal letter 7 85 8. Number of cases still pending 69 9. Number of cases where premises found to be lacking in respect of standard amenities . 15 10. Number of cases where applications for Qualification Certificate received under Section 44(2), i.e. Improvement cases, as a result of a combined application form being sent by Town Clerk 2 (b) Standard Amenities not wholly provided 1. Number of applications for qualification Certificates received under Section 44(2), i.e. Improvement cases 13 2. Approvals issued 12 3. Number of qualification Certificates issued under Section 46(3) NIL 4. Number of applications refused NIL 5. Number of applications withdrawn 1 6. Number of applications pending, i.e. not yet finalised 12 In conclusion, it is necessary to comment that some applications appear to have been made quite irresponsibly.
e74c9e88-fadb-4aaf-b7da-55812cb8bbf3
The serious and extensive disrepair found in many houses indicates that owners and agents either have failed to understand the requirements for qualification or have made application without having looked at the property. Indeed, applications have been received in respect of houses where amenities are missing and even in cases where valid Certificates of Disrepair under the Rent Act, 1957 are still outstanding. This is most unsatisfactory since staffdiortages do not permit for a public health inspector's time to be wasted in this way. Housing Act. 1964 Section 19 of this Act enables a tenant to make representations to the local authority where a landlord has failed to respond to a request to provide missing amenities. This useful section has never received the publicity it deserves with the result that many tenants are not aware of the action a local authority may take on their behalf. During the year five tenants made representations to the Council and the persons having control of the houses were invited to appear to discuss the proposals. Undertakings to carry out the necessary works were given in all cases.
c44fc669-287d-4985-8717-fa18f4e7464f
86 Houses in Multiple Occupation 107 visits were paid to these properties during the year. There is relatively no multiple occupation problem within this district. The houses are mainly two storey dwellings and where multiple occupation exists it is well known to the department and rarely exceeds two families to a dwelling except in a small number of hostel-type lettings. Three houses were dealt with under Section 16 "Means of Escape in Case of Fire" and compliance was achieved by informal action in two cases. The third, a proposed Guest House, was not proceeded with. Rent Act. 1957 Four applications were received from tenants during the year. In no case did the Council refuse to issue a Certificate of Disrepair. Undertakings to do the work were given by landlords in respect of these four properties and four Certificates of Disrepair were issued. As in past years, advice was given to tenants and they were able to obtain the necessary forms at the Civic Centre. Tents.
6d37e6c5-7a11-4bd0-b0b1-905cca8e298f
Vans and Sheds 130 visits have been made by my staff during the year which indicates that the problem is still very much unresolved. Since the introduction of The Caravan Sites Act, 1968 (Part II) (Commencement) Order, 1970 this Council has considered the opening, of a temporary site for 15 caravan dwellers at The Chase, Dagenham, and arrangements are being made for the site to be opened early next year. A large number of caravan dwellers occupied land recently cleared of unfit dwellings and awaiting redevelopment. All informal means of effecting their removal having failed, an application was made in the High Court, Queens Bench Division, to secure the removal of all caravans. Writs were issued and at the subsequent Hearing an Injunction was obtained restraining the defendants from remaining on the Council's land. Summonses were issued requiring the removal of the caravans which was effected within two days.
ee520a17-f5e2-4eaf-9dcb-52e6a42e275e
Subsequently, caravans were seen to be occupying land owned by the Greater London Council who were requested to take action to secure their removal. LAUNDRY SERVICE The service continues with a once weekly collection. The helpful, co-operative attitude of the department's drivers and the laundry staff at the Goodmayes Hospital in carrying out what 87 is sometimes an unpleasant task, ensures a very satisfactory service. An average of 30 cases used the service at any one time, which shows a slight decrease on last year's figure. NOISE ABATEMENT ACT. 1960 During the year 162 visits were paid to premises as a result of complaints of noise, a reduction on last year's figure. The complaints received included noise from machinery in a Printing Press Factory, motor cycles and mopeds on vacant land, the building of a subway and from a wood cutting machine, the latter being a long standing complaint. The Public Health Inspector made a number of visits to the Printing Press Factory, many of which were made at night.
f634f27e-77d5-42c9-925f-7e96ee6db384
A statutory notice was served and this was complied with. The noise made by motor cycles and mopeds was referred to the Police and no further trouble was experienced. Noise from building operations at the pedestrian subway involved most of those encountered at large construction sites -compressors, drills, pile-drivers and the like. Numerous visits were paid at all times of day and night and the co-operation of the contractors was readily obtained. Compressors were fitted with additional silencers, sides were carefully fixed down,drills were fitted with suitable mufflers and acoustic screens erected near pile-drivers. As a result, nuisance was reduced to an acceptable level. The complaint of noise from the wood cutting machine still exists, although the noise level has been reduced by modifications being made at the factory. It is hoped this matter will, in the very near future, be resolved.
0f7e15b8-0f85-4471-9a38-47663f212cca
As in past years, it is the policy of the department to deal with complaints in a formal manner, although some complaints can be dealt with informally to the satisfaction of the complainant. ATMOSPHERIC POLLUTION No progress was made in respect of smoke control areas during the year. The Council once again felt that the extension of smoke control areas in the Borough must be deferred due to the continued financial crisis. The present position is as follows:- The present position is as follows:- 88 Dagenham Order No. No. of Houses Date of Operation 1 1,000 (Marks Gate) 1st September , 1959 2 3,722 (L.C.C.
181d774e-79b3-4cad-b2a5-ed767210a388
Estate) 1st November, 1961 3 3,230 (” ”) 1st November, 1962 4 4,56 2 ( " " ) 1st November, 1963 5 1,542 (Chadwell Heath) 1st August, 1964 6 3,046 (L.C.C. Estate) 1st November, 1964 7 2,690 (G.L.C. Estate) 1st July, 1966 Barking 1 4,558 (1,756 L.C.C.) 1st January, 1962 2 1,864 (L.C.C. Estate) 1st November, 1962 3 2,365 1st November, 1962 4 1,728 (L.C.C.
9a8ed379-1fed-439d-8cf1-42df59f244b8
Estate) 1st November, 1963 5 2,949 (Private) 1st November, 1963 6 1,421 (L.C.C. Estate) 1st November, 1964 7 1,569 1st November, 1964 8 2,446 1st November, 1964 9 589 1st July, 1966 10 1,337 (G.L.C. Estate) 1st July, 1966 11 1,976 1st November, 1966 In all 42,594 premises out of a total of 55,013 premises in the borough are now within smoke control areas. Industry still continues to play its part in the general improvement. 50 smoke observations were carried out during the year resulting in only one contravention. The Council take part in the National Survey on Air Pollution and continue to take readings at the eight stations in the borough.
e4703ee4-bffa-4227-8988-283da319397b
The readings are transferred to the Ministry for their use. HAIRDRESSERS AND BARBERS A special investigation was carried out of all the registered hairdressers in the borough when they were found to be generally satisfactory. Of 91 Hairdressing Establishments, 17 gave rise to complaint in respect of the hygiene standards of the Bye-laws, but most of these contraventions were of a minor nature. In 10 cases the Proprietor's attention was drawn to matters of cleanliness and methods of sterilisation. In Ladies Hairdressers it is general practice to use special towels when tinting hair and these become quickly stained but are kept specially for this purpose. However, the ordinary towels do get stained by the various processes and these can give the customer the erroneous impression that a dirty towel is being used.
21bbd950-2496-42f2-8a46-af8ba4581f82
I am, however, not satisfied that all the staff of these establishments are fully aware of the requirements of the Bye-laws 89 and Public Health Inspectors have pressed the Proprietors to give their staffs instruction on these matters. RAG FLOCK AND OTHER FILLING MATERIALS ACT, 1951 In previous years regular sampling has been carried out from premises where filling materials are made and used but this year it was discontinued. We were advised that no more testing would be carried out at the laboratories as the Department of Environment were considering the raising of the fees. As soon as we have been notified of the new fees the matter will again be dealt with. PET ANIMALS ACT, 1951 10 licences were issued during the year} the extent of the livestock in these premises is very small. During the year regular visits were paid to all premises to ensure no nuisances occurred or breaches of the licensing conditions. The premises are of a high standard and no statutory action was found to be necessary.
3ac5f50c-898d-4acd-9351-86e3317384c9
PREVENTION OF DAMAGE BY PESTS ACT. 1949 During the year 777 notifications of infestations were received of which 320 concerned rats. The remaining ^57 were in connection with mice. All cases were treated by the two Rodent Operatives with satisfactory results. PROTECTION OF BIRDS ACT. 19514 Pigeons Early in the year staff at the Town Hall objected to an infestation by pigeons emanating from derelict buildings adjacent to their office. This problem was resolved when demolition of the buildings took place. Towards the end of the year complaints were received regarding pigeons roosting on certain high rise blocks of flats in the Borough. Advice was sought of the Pests Division of the Ministry of Agriculture Fisheries and Food and arrangements made for steps to be taken to deal with the problem including narcotising schemes,when the weather permitted. As a further aid, an sir rifle was purchased by the Department and a number of the staff deputed to act as marksmen.
18b561d4-9bd1-4dc3-b0c3-f70f5b619cf4
Experience has Droved that there is no short cut to the elimination of this pest and 90 it appears that the best one can hope for is to keep the problem within reasonable bounds. This becomes all the more evident when one encounters the attitude of certain sections of the public who oppose the destruction of pigeons and moreover encourage infestations by their regular feeding. RIDING ESTABLISHMENTS ACTS. 1964 and 1970 The one riding establishment continued to operate and the staff of the Corporation of London who administer the Act on our behalf were satisfied with the manner in which it was run. No complaints from residents were received during the year. DISEASES OF ANIMALS ACT. 1950 The Corporation of London Officials deal with routine prevention on behalf of the borough and, during the year, there were no contraventions of the Act. CHRISTMAS CRACKERS A wholesaler in this Borough received a consignment of Christmas Crackers which contained 'indoor fireworks' in tablet form.
d9aa0791-2331-4c71-912e-eb181885de13
A complaint was made to this department that a child of 4 years who attended a party where the hosts provided these crackers, had eaten a tablet. Another child had put one in her mouth but spat it out. Both children were taken to hospital but after being examined they were allowed home and asked to return the following day when further examinations were carried out but the children had suffered no ill-effects. Investigations were carried out and the retailer and manufacturers informed us that no further boxes of crackers were in stock. The propriety of selling these fireworks was taken up with the Home Office and the Royal Society for the Prevention of Accidents were informed of the incident. DOMESTIC "FULLY-AUTOMATIC" WASHING MACHINE An accident involving a child of age 23 months occurred in the borough when the little girl opened the front loading door of the machine while it was operating and full of boiling water. The boiling water poured out causing second degree burns to the child's feet. She was admitted to hospital.
0d478122-e485-4ba4-b837-e2c0a57d4add
The machine, which was of foreign make, was examined and it was found that no safety device was fitted which would prevent the loading door from being opened during any part of the washing operation. It was found that the manufacturers had, at one time, fitted locks to the door handles but this practice had been discontinued. The facts were reported to the Home Office who took up investigations. It seems this was the second such accident reported to them. 91 FACTORIES ACT. 1961 Inspections Number on Register Number of Inspections Written Notices Occupiers Prosecuted Factories without mechanical power 68 55 9 - Factories with mechanical 480 431 57 - Other premises under the Act (including works of building and engineering construction but not including outworkers' premises 25 40 1 - TOTAL 573 526 67 - Defects Found Number of defects Number of Prosecutions Instituted Found Remedied Referred to H.M. Inspector Referred by H.M.
67cabfbb-bca4-442c-9caf-1fc706e2998f
Inspector Want of cleanliness 13 5 - - - Overcrowding - - - - - Unreasonable temperature 2 2 - - - Inadequate ventilation 2 2 - - - Ineffective drainage of floors 6 4 _ - - Sanitary Conveniences: Insufficient 10 4 - - - Unsuitable or defective 68 61 - - - Not separate for sexes 1 - - - - Other offences 2 - β€” β€” - TOTAL 104 78 - - - Outwork Number of outworkers in August list 160 Nature of work - Making, etc. wearing apparel and Christmas novelties and boxes. 92 OFFICES, SHOPS AND RAILWAY PREMISES ACT. 1963 The following statistics indicate the work done by the Public Health Inspectors:- No. of premises registered during the year Total No. of registered premises at end of year No.
6a74eb53-bee4-4351-8ca7-2b4a2bc7a893
of registered premises receiving a general inspection during the year Offices 16 262 41 Retail shops 15 926 164 Wholesale shops, 4 52 9 Catering establishments open to the public, 1 98 49 Fuel stronge depots - 4 ~ Inspections have been carried out throughout the year and all offices and shops in this district have now received at least one general inspection. Co-operation has been readily secured in compliance with the Act and the quality of working conditions within these premises has been raised considerably. However, the department has been concerned recently with the implementation of the provisions of the Act in Launderettes where difficulty has been experienced in establishing whether persons are employed for a sufficient number of hours to bring the premises within the scope of the Act. Inspection of such premises indicates a general lack of maintenance of the machinery and equipment and these combined facts render both the public and the staff liable to sustain injury without the local authority having any method of control.
56cacd05-aa8e-45bc-8a62-da200ad03e3c
Whilst informal action by Public Health Inspectors is often effective, I should welcome an amendment to Section 3 of the Act to bring within the scope of the Act, premises of a special nature where the aggregate hours of one or more persons does not exceed 21 hours per week but where the potential hazards to the staff and to the public are of a serious and/or dangerous nature. Some small difficulty has been experienced in assessing a standard for ventilation within the expression "effective and suitable". Cases are on record where workrooms have been found to contain no permanent form of ventilation but were we to have enforced the provision of ventilation it would have appeared harsh to the employer in cases where shop or office doors are alleged to be kept open. If the Minister were to make the Regulations to prescribe the standards then the enforcing authorities and employers would be able to agree within the limits laid down.
99efe2df-a516-4995-8904-2be6327476bd
93 Class of workplace Number of persons employed Offices 5,570 Retail shops 4,648 Wholesale departments, warehouses 499 Catering establishments open to the public, canteens 912 Fuel storage depots 16 TOTAL 9,645 TOTAL MALES 4,697 TOTAL FEMALES 4,948 During this period 55 notifications of minor accidents were received in respect of employees in registered premises. 94 INSPECTION ASP SUPERVISION OF FOOD The number and types of food premises in the borough are as follows 4 Bakehouses 47 Bakers 145 Confectioners 82 Butchers 98 Cafes and Canteens 44 Fishmongers 97 Fruiterers and Greengrocers 98 Grocers 78 Licensed and Off-licensed premises 29 Multiple Stores 14 Public Houses with Restaurants These premises were subject to frequent inspection during the year when 2,180 visits were made. In addition to verbal warnings and suggestions to managements and staff during the routine visits, 179 informal notices were served upon the owners and occupiers.
bdbb9d97-c2fc-42ce-87c0-63b1e4ac690d
280 inspections were carried out in connection with markets, stalls and delivery vehicles, and 26 informal notices were served. The position under the Food and Drugs Act, 1955. apart from registrations in respect of ice cream, is as follows:- 48 butchers' premises and 29 other food premises are registered for the preparation or manufacture of sausages or potted, pressed, pickled or preserved food. To these registered premises 249 visits were paid. 32 fish shops are registered for frying and were the subject of 124 visits. Milk All milk which is distributed in the area is produced and bottled outside the borough. The number of registered distributors is 72 operating from 107 premises. 95 visits were paid to dairies and distributors' premises. Ice Cream The total number of registered premises selling ice cream is 207. Of these one is registered for the manufacture of ice cream. 243 visits were paid to these premises. During the year 27 applications for the storage and sale of ice cream were granted.
5ba41be4-9278-4c2d-97bb-3000ddc8b681
14 inspections in connection with itinerant vendors were carried out. 95 During the year 134 samples of ice cream were submitted for bacteriological examination; they were graded as follows:- Grade I Grade II Grade III Grade IV TOTAL 64 44 19 7 134 In addition to ice cream, 16 lollies were submitted for examination. All were satisfactory. Unsound Food During the year the Committee considered 31 complaints concerning unsound food bought by residents and the following action was taken:- 13 cases - Prosecutions taken 13 " - Warning letters sent 4 " - No action possible 1 " - Absolute discharge Registration of Food Hawkers Under the provisions of the Essex County Council Act, 1952 Section 103, three persons were registered as food hawkers during the year. The vehicles used in connection with the businesses were inspected and action taken in appropriate cases. Imported Food Regulations. 1968 The volume of goods being sent to this district from the Ports for Health Inspection Clearance is growing rapidly.
b73ea74f-8b1f-42a7-bc14-403775d52104
This is mainly due to the development of containerisation particularly of food which can be carried vast distances from supply point to destination in insulated vehicles. The part of this district abutting the A.13, i.e. Ripple Road and contiguous areas, is particularly convenient for the setting up of Container Bases and Warehouses and a considerable change in ownership of premises along this stretch of road is taking place. The reason for this can most probably be found in the fact that the borough is practically equidistant from the London and Tilbury Docks, and accordingly, there is little doubt that in future years, if the present trends continue, a major increase in this aspect of the work is to be anticipated. Already the cold store is in the process of doubling its storage capacity to 3 million cubic feet. So far, it has concentrated mainly in serving the Australian and New Zealand Dairy Industry, but there are signs that Importers of Food from American and South American countries will make use of these excellent facilities.
430cbba1-dbac-4b77-9530-4c0016210465
96 An associated company dealing with tinned and dry goods has already doubled its area and is filled to capacity. Numbers of inspections have been made of tinned goods, including large quantities of corned beef, tinned tomatoes as well as flour. In addition we are being called upon to examine containerised foods arriving at yards in this locality which it has not been possible to deal with at the Port of Entry. In this connection a new feature at the cold store has been the arrival of quantities of cooked shellfish which necessitates the procuring of samples for the purpose of bacteriological examination at the Public Health Laboratories, Westminster. Arrangements have now been made for this to become a routine practice when cooked shellfish deliveries arrive. I understand from the Importers that this facet of trade will increase significantly when more space becomes available consequent upon the second phase of the cold store being completed. 97 Food and Drugs Act 1955-Sampling Article Number Examined Number Adulterated Formal Informal Formal Informal Almonds,
2251fe99-7062-4413-8752-54b6a25e87c6
Ground - 1 - - Beer 1 - - - Beverages - 5 - - Biscuits - 5 - - Bread - 12 - 9 Buns - 2 - 2 Buttered Roll - 1 - 1 Cakes - 6 - 4 Cake Mix - 1 - - Cherries, Glace - 1 - - Chicken in Jelly - 1 - - Coconut - 2 - - Condiments - 3 - - Cordials 3 8 1 2 Cream - 2 - - Cream of Tartar - 1 - - Curried Meat - 1 - - Curry Powder - 1 - - Custard Powder - 1 - - Dripping 2 1 - - Dust from Tea Sack - 1 - 1 Eggs - 1 - - Fats - 1 - - Fish, Tinned - 5 - - Flavourings and Essences - 4 - - Flour - 1 - - Freeze Drink - 1 - 1 Fruit,
030cc79b-ce4b-4b2c-9876-11190addd788
Dried - 1 - - Fruit, Tinned - 8 - - Gelatine - 1 - - Ginger, Ground - 1 - - Halibut Liver Oil Capsules - 1 - - Herbs - 1 - - Horseradish - 1 - - Ice Cream 1 - - - Jams - 6 - - Juices - 1 - - Meat, Luncheon - 4 - - Meat, Minced 4 1 - - Meat Patty - 1 - - Meat Pies 1 1 - - Meat, Tinned - 3 - - Milk 3 6 - 1 Milk, Evaporated - 5 - 1 Milk Powder - 1 - - Milk Top - 1 - - Nutmeg - 1 - - Pearl Barley - 3 - 1 Peel - 1 - - Pepper β€” 4 β€” 1 98 Article Number Examined Number Adulterated Formal Informal Formal Informal Pickles and Pastes - 5 - - Pies - 2
56c47322-c155-4bef-8f8f-79a2787773a5
- - Puddings - 2 - - Puree - 1 - - Raising Powder - 1 - - Ravioli - 1 - - Rice - 2 - - Sago - 1 - - Sauces - 2 - - Sausages 13 4 1 3 Sausage Rolls - 1 - 1 Semolina - 1 - - Soups - 2 - - Spices - 2 - - Spirits 4 - - - Spreads - 4 - - Suet - 1 β€’ Sweets - 4 - 1 Tapioca - 1 - _ Tarts _ - - Vegetables - 5 _ 1 Vending Machine-Filter - 1 β€” - Wrapper-Printing Ink - 1 _ - Water β€” 1 - - Sample No. Article Formal or Informal Nature of Adulteration or Irregularity Observations 600A Sausages Informal Contained two strips of ferrous metal. Legal proceedings Manufacturers fined Β£15.
d70c6dd9-ccd9-47fc-916b-95a52f54de4d
and Β£5. costs. 619A Small Uncut White Loaf Informal Contained fragments of discoloured dough contaminated with iron. Legal proceedings. Manufacturers fined Β£15. and Β£4.70 costs Plus Advocates fee. 620A Currant Bun Inf ormal Contained a small strip of ferrous metal. Legal proceedings. Fined Β£15. and Β£10. costs 622A Doughnut Informal Contained foreign material of the nature of minute flakes of paint. Warning letter. Insufficient evidence for legal proceedings 623A Buttered Roll Informal Contained foreign matter in the form of fragments of fruit tissue. Warning letter. 637A Lemon Hot Pickle Informal Contained lime pieces and therefore misdescribed as 'Lemon Hot Pickle'. Label to be amended. 639A Uncut Large White Loaf Informal Contained wheat tissue and charred dough. Warning letter.
9c337451-f85a-4e53-a945-c1a5c5d3384e
641A Pork Sausages Informal Meat 55 per cent. Sulphur Dioxide 100 parts per million. 15 per cent deficient in meat and no declaration of preservatives given. Formal sample taken this was genuine. 664A Sliced Wrapped Loaf Informal Contained discoloured dough with traces of iron. Warning letter. Insufficient evidence for legal proceedings 642A Large Cut Wrapped Loaf Informal Consisted of iron particles mixed with a small proportion of atmospheric dust and vegetable oil Legal proceedings. Manufacturers fined Β£40. and Β£10. costs. 644 Chocolate Covered Marshmallow Informal Contaminated with minute particles of ferrous metal. Legal proceedings. Manufacturers fined Β£25. and Β£5. costs. 99 100 Sample Formal or Nature of Adulteration Article Observations No. Informal or Irregularity 666A Medium Sliced Informal Contained discoloured dough Legal proceedings. Loaf contaminated with iron.
0d61f54f-ff7b-45b3-94b7-526782b7ecd2
Manufacturers fined Β£20. and Β£14.62Β£p.costs. 667A Lime Cordial Informal Cordial contained 0.18% of Matter investigated and empty copper. Heavy bluish green at source and container deposit of copper salts in necessary action empty container. taken to prevent recurrence. 668A Specimen of Lime Informal Copper 28 parts per million Cordial 676A Medium White Informal Contained discoloured dough Legal proceedings. Sliced Loaf contaminated with iron. Manufacturers fined Β£40. and Β£15. costs 684A Dust from Tea Informal Consisted of a mixture of Investigations Sacks magnesium sulphate, failed to shed magnesium carbonate, calcium light on mystery, carbonate and potassium sulphate. 699A Currant Bun Informal Contained a small stone No action taken. 700A Large Uncut Loaf Informal Contained discoloured dough Legal proceedings. with a large proportion of Manufacturers iron. fined Β£50. and Β£10.
0dc81d0c-cafc-4741-ab47-8fd9b0a54f69
costs. 701A Iced Sponge Cake Informal Contained patches of mould Legal proceedings. growth. Manufacturers fined Β£20. and Β£14.50 costs. 702A Fruit Cake Informal Contained a small glass Legal proceedings. fragment. Manufacturers fined Β£10. and Β£15. costs. 717A Beef Chipolata Informal Contained a steel fragment Legal proceedings. Manufacturers fined Β£30. and Β£14.50 costs. 718A Freeze Drink Informal In a mouldy condition Warning letter. Witness not willing to attend Court. 101 Sample Article Formal or Natur of Adulteration Observations No. Informal or Irregularity 728A Chocolate House Informal Contained pieces of cotton Warning letter. Cake thread. 729A Sausage Roll Informal Contained a piece of iron Warning letter. wire. 730A Glass from Informal The glass in peas was found Retailer fined Frozen Peas to be similar to a broken Β£10.
c0fab2b3-b031-43f0-b0f4-736152b22a1c
and Β£10. fluorescent tube. costs. 731A Medium Sliced Informal Contaminated with iron. Legal proceedings. Loaf of Bread Manufacturers fined Β£50. and Β£10. costs. 740A Blackcurrant Informal Contains only 18% of stated Warning letter. Health Drink amount of Vitamin C. Unable to obtain formal sample product taken off sale. 745A Milk Informal Contained blood. Warning letter. 750A Evaporated Informal Out of condition due to Warning letter. Milk overheating. 144 Pork Sausages Formal Meat 58 per cent. Warning letter. 10 per cent. deficient Further sample in meat. taken - this was satisfactory. 160 Lime Juice Formal Does not comply with the Legal proceedings. Cordial Soft Drinks Regulation in Absolute discharge. respect of its content of Costs Β£10.50 sugars and fruit juice. Contained 45% of added water compared with normal production.
9fbd38a6-ccfc-4ccc-b096-9b86bcaeef86
102 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES Notifiable Diseases (Other than Tuberculosis) Under 1 yr.
8122cc93-8780-4bb4-915a-bd3b281ff792
1- 2- 3- 4- 5- 10- 15 Over 25 yrs TOTAL Measles 9 36 28 39 34 162 10 4 2 324 Whooping Cough 6 11 11 12 9 36 6 3 1 95 Dysentery 4 5 7 8 6 12 5 8 11 66 Scarlet Fever - 3 4 8 5 36 13 8 2 79 Diphtheria - - - - - - - - - - Acute Meningitis - - - - - - - - - - Acute Poliomyelitis:- Paralytic - - - - - - - - - - Non-paralytic - - - - - - - - - - Under 5 yrs 5-14 15-44 45-64 65 and over TOTAL Encephalitis,
8c6ffb3f-7408-468c-9066-82baa86a74bb
Acute - - _ - _ _ Infective - - - - - - Post Infectious - - - - - - Paratyphoid (B) Fever - - - - - - Typhoid Fever - - - - - - Food Poisoning 8 1 6 2 2 19 Infective Hepatitis - 31 48 6 3 88 Smallpox - - - - - - Ophthalmia Neonatorum 4 - - - - 4 Malaria - - - - - - Notified Admitted to Rush Green Hospital Admitted to other Isolation Hospitals Admitted to Other Hospitals Dysentery 66 4 _ 1 Encephalitis,
030845c6-170c-416c-b426-25cf9511d4e6
Acute - - - - Infective - - - - Post Infectious - - - - Food Poisoning 19 5 - 1 Measles 324 2 - 1 Acute Meningitis 1 1 - - Paratyphoid Fever - - - - Acute Poliomyelitis - - - - Paralytic - - - - Non-Paralytic - - - - Scarlet Fever 79 - - - Typhoid - - - - Whooping Cough 95 5 - - Malaria - - - - Infective Hepatitis 88 3 - 1 Ophthalmia Neonatorum 4 - - - 103 Food Poisoning The following is a copy of the annual return submitted to the Department of Health and Social Security:- Incidents and Cases General Outbreaks Family Outbreaks Sporadic Cases No. of separate outbreaks No. of cases notified or ascertained No. of separate outbreaks No.
a0ba56ce-df9b-40b1-aa42-45de6ac5276a
of cases Notified or ascertained Notified or ascertained S.typhimurium - - - - 5 Other Salmonellae - - - 8 8 C1. welchii - - - - - Staph, aureus - - - - - Other causes - - - - - Cause unknown β€” - - - - TOTAL - - - 8 11 Details of Food Poisoning due to Salmonellae other than S. Typhimurium Type of Salmonellae Panama - 8 7 Isangi - - 1 During the year there was an outbreak of suspected food poisoning at the Maternity Unit, Rush Green Hospital. Investigations were carried out by the Medical Officer in Senior Post and the Public Health Inspector and at the Hospital Unit 12 of the 63 patients (mothers or expectant) became ill. Only one member of the staff (a student midwife) was ill. The maternity unit was closed temporarily to new admissions.
8d0e60fc-296e-40fa-b7e5-b212560a7540
The outbreak occurred in the early hours of the morning and comparatively few specimens of vomit could be obtained. The findings of staphylococcus Aureus in two vomit specimens could be significant but it was difficult to incriminate any particular food, although Clostridium welchii was found in raw beefburgers they were not isolated from a cooked beefburger. It was thought that the high number of patients who vomited is not suggestive of Clostridium welchii food poisoning. Although the results of these investigations were not included in the return, it does point to the revision of a privileged position with regard to hospital kitchens whereby they are exempted from the enforcement of the Food Hygiene Regulations and are not subject to inspection by local authorities officers.
08f8c7e5-3efc-4823-a3df-090e5bb6e89d
III BARK 65 LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1971 J. ADRIAN GILLET, m.b., Ch.b., d.p.h., f.f.c.m., f.r.s.h. Aldis House, 56A, Longbridge Road, Barking, Essex. Telephone: 01-594 5718 BARK 65 LONDON BOROUGH OF BARKING THE ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH and PRINCIPAL SCHOOL MEDICAL OFFICER for the year 1971 J. ADRIAN GILLET, M.B., Ch.B., D.P.H., F.F.C.M., F.R.S.H. Aldis House, 56A, Longbridge Road, Barking, Essex.
ea292e5c-711d-4242-90ec-59ac151a5ff1
Telephone: 01-594 5718 Page Ante-natal Clinics 25 Anti-Smoking Clinic 36 Atmospheric Pollution 61 Bees and Wasps 63 Bentry School 50 Care of Mothers and Young Children 25 Causes of Deaths 17 Causes of Infant Deaths 15 Child Guidance 47 Child Health Centres 25 Chiropody 40 Community Nursing Service 28 Congenital Abnormalities, Incidence of 52 Convalescence 42 Co-ordination of Services 21 Council, Members of 3 Cytology Service 36 Dental Services 53 Diseases of Animals Act 1950 64 Education Committee 4 Education (Schools Sub-Committee). 5 Factories Act 1961 64 Faircross School 48 Family Planning Service 32 Food and Drugs, Sampling 68 Food Hawkers, Registration 67 Food, Imported 67 Food, Inspection and Supervision 66 Food, Poisoning 75 Food,
871b87e2-2835-4a50-8b1c-ce20a105d3d7
Unsound 67 Free School Milk (Provision of) 42 Geriatric Clinic 34 Geriatric Liaison Officer 34 Gypsy Sites and Fairgrounds 59 Handicapped Children 51 Hairdressers and Barbers 62 Health Committee 4 Health Education 22 Health Visiting 29 Home Nursing Service Statistics 29 Housing 58 Houses in Multiple Occupation 59 Ice Cream 66 Immunisation 29 Page Improvement Grants 58 Infant Mortality 15 Infectious Diseases 73 Kidney Machines 35 Kingsley Hall Assessment Centre 27 Laundry Service 60 Medical Examination of Staff 35 Midwifery Service 28 Milk 66 National Assistance Act 1948 36 Noise Abatement Act 1960 60 Officers of the Health Service 6 Offices,
cd98e51e-4fd1-471c-8b14-abdbf46b4405
Shops and Railway Premises Act 1963 65 Pet Animals Act 1951 62 Play Therapy 27 Prevention of Damage by Pests Act 1949 62 Protection of Birds Act 1954 63 Qualifications 12 Rehousing on Medical Grounds 38 Riding Establishments Act 1939 63 Sanitary Inspection of District 56 School Consultative Clinics 43 School Health 42 School Medical Inspections 43 Sewerage and Sewage Disposal 57 Sickroom Equipment 37 Slum Clearance 58 Social Service Department 29 Speech Therapy 46 Swimming baths 58 Tuberculosis 38 Vaccination 29 Venereal Disease 38 Vital Statistics 14 Vital Statistics, Summary of 16 Water 57 Welfare Foods 26 2 MEMBERS OF THE COUNCIL (as at 31st December, 1971) MAYOR Councillor M. J. Spencer DEPUTY MAYOR Councillor Mrs.
7dcda343-bb09-4251-ac72-831cb2b7c26c
D. M. Jones ALDERMEN A. E. Ball, O.B.E., J.P. Mrs. J. H. Engwell W. E. Bellamy, J.P. Mrs. A. M. Martin, G. H. A. Crouch B. E. Roycraft, O.B.E., J.P. D. A. L. G. Dodd, J.P. Mrs. A. R. Thomas COUNCILLORS C. H. Ayres J. L. Jones, J.P. Mrs. M. Ball, O.B.E. Mrs. E. J. Kitchen D. W. Barnett J. H. Lawrence Mrs. J. Blake, J.P. D. Linehan L. T. Blake J. J. Longden Mrs. E. E. Bradley E. R. Mansell Mrs. M. Bredo Mrs.
0452f648-4d01-4e3c-821a-9c265e966f7e
P. D. Miller G. A. Brooker J. Morton L. J. Bryant M. A. Ness J. A. Butler, J.P. W. G. Noyce, J.P. S. G. Cole, J.P. M. J. O'Shea L. A. Collins W. J. Padington F. L. Coomber Mrs. M. S. Preston R. E. Coster A. C. V. Rusha J. Davis, J. S. Thomas, J.P. L. A. Thompson C. J. Fairbrass F. G. Tibbie Mrs. C. S. M. Godfrey, J.P. H. Tindell R. H. Godfrey E. A. Turner D. 0. Grandison J. Clinton Tweed Mrs.
28fb3d8c-ac5d-4deb-abaf-7c43d9260d8d
A. Howie B. P. Walker H. J. Howie S. J. Warr P. G. Jarvis D. J. Waters F. C. Jones D. W. Webb 3 HEALTH COMMITTEE (as at 31st December, 1971) CHAIRMAN Councillor Mrs. M. Ball VICE-CHAIRMAN Councillor R. E. Coster MEMBERS The Mayor The Deputy Mayor Alderman A. E. Ball Alderman Mrs. J. H. Engwell Alderman Mrs. A. R. Thomas Councillor Mrs. E. E. Bradley Councillor F. L. Coomber Councillor Mrs. A. Howie Councillor Mrs. P. D. Miller Councillor J. Morton Councillor M. J. O'Shea Councillor F. C. Tibbie Councillor J. Clinton Tweed Councillor S. J. Warr CO-OPTED MEMBERS Mrs.
632bef57-c361-4b7a-86a7-bd9e97990b0f
D. L. Belchamber Mrs. A. E. Prendergast Dr. A. F. MacDonald Mr. J. Smith EDUCATION COMMITTEE (as at 31st December, 1971) CHAIRMAN Councillor A. C. V. Rusha VICE-CHAIRMAN Councillor Mrs. D. M. Jones REPRESENTATIVE MEMBERS The Mayor Alderman A. E. Ball Alderman W. E. Bellamy Alderman D. A. L. G. Dodd Alderman Mrs. J. h. Engwell Councillor Mrs. M. Ball Councillor Mrs. J. Blake Councillor l. T. Blake Councillor Mrs. E. E. Bradley Councillor J. A. Butler Councillor S. G. Cole Councillor F. l. Coomber Councillor R. E. Coster Councillor J. Davis Councillor C. J. Fairbrass Councillor Mrs.
42345e9b-e62d-45d6-ae54-f754fe6c8f83
C. S. M. Godfrey Councillor D. 0. Grandison Councillor P. G. Jarvis Councillor F. C. Jones Councillor Daniel Linehan Councillor J. J. Longden Councillor J. Morton Councillor Mrs. M. S. Preston Councillor h. Tindell Councillor L. A. Thompson Councillor E. A. Turner Councillor D. W. Webb 4 CO-OPTED AND NOMINATED MEMBERS Mr.G.J.G. Beane, J.P. Mr. F. H. King Mr. P. Grimes Mr. D. F. Reed Miss M. C. Grobel, M.A. Mr. A. Richards The Rev. J. C. Hawes The Rev. J. W. Roxburgh Mr. W. E. Joughin Mrs. F. Rusha Mr.
47345114-9486-44e5-9652-dc07b7578468
S. J. Russell EDUCATION SCHOOLS SUB-COMMITTEE (as at 31st December 1971) (This Sub-Committee deals inter alia, with the School Health Service) CHAIRMAN The Deputy Mayor, Councillor Mrs. D. M. Jones VICE CHAIRMAN Councillor Mrs. C. S. M. Godfrey MEMBERS The Mayor Councillor Mrs. M. S. Preston Alderman W. E. Bellamy Councillor A. C. V. Rusha Councillor Mrs. M. Ball Councillor H. Tindell Councillor Mrs. J. Blake Mr. W. E. Joughin Councillor S. G. Cole Mr. F. H. King Councillor R. E. Coster Mr. A. Richards Councillor D. 0. Grandison The Rev.
5cb55046-e5fd-4020-b77b-179de823d79b
J. W. Roxburgh Councillor D. Linehan 5 OFFICERS OF T H E HEALTH SERVICE (as at 31st december 1971) 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. MEDICAL OFFICER IN SENIOR POST W. H. G. BATHAM, M.R.C.S., L.R.C.P., D.P.H. SENIOR MEDICAL OFFICERS IN DEPARTMENT E. KLEIN, M.D.(Naples), M.D. (Budapest) L.R.C.P. & S. M. WEIZMANN, M.R.C.S., L.R.C.P.
f7c1145a-b775-4ea0-8a1c-e96f8797e538
MEDICAL OFFICERS IN DEPARTMENT 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) V. PAIN, M.B., B.S., L.R.C.P., M.R.C.S., D.C.H. In addition 14 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 Mrs.
4272e64a-b8ce-47dd-8ae0-b9618728bdf0
L. BENJAMIN, B.D.S., (England) N. J. GRAHAM, L.D.S., R.C.S., (England) C. SUMSAWASTE, L.D.S., R.C.S., (England) SENIOR DENTAL SURGERY ASSISTANT Mrs. F. B. Sadler (20) DENTAL SURGERY ASSISTANTS Miss P. BRADLEY (27) Mrs. D. MURRAY (20) (Part-time) Mrs. J. R. GREGORY (20) Miss M. SEALEY Mrs. J. HUNTER Mrs. M. SIPOS (Part-time) Mrs. J. C. MITCHELL Mrs. M. STRACHAN (9) 6 DENTAL AUXILIARIES Mrs. L. KILLINGLEY (21) Miss E. MONTGOMERY (21) SENIOR DENTAL TECHNICIAN -IN- CHARGE Mr.
1e815eb4-be6c-4628-83b4-9730451e2597
J. CONSTABLE CHIEF PUBLIC HEALTH INSPECTOR Mr. M. R. WILLIAMS, (1), (2), (4) DEPUTY CHIEF PUBLIC HEALTH INSPECTOR Mr. B. SAUNDERS, (1), (2), (4) DIVISIONAL PUBLIC HEALTH INSPECTORS Mr. J. ALLAM, (1) (2) (4) Mr. S. A. LEMMON, (1) (2) (4) Mr. J. POWELL, (1) (2) (4) PUBLIC HEALTH INSPECTORS Mr. N. BURTON, (1) (2) Mr. C. NASH, (29) Mr. J. COOK, (1) (2) (3) Mr. B. ORME, (29) Mr. T. W. GLEW, (1) (2) Mr. B. PETERS, (29) Mr.
6d6884b8-d917-4cd2-ae8c-422e4b4e0551
F. SILVERTHORNE, (l) (2) STUDENT PUBLIC HEALTH INSPECTORS Mr. R. KING Mr. D. WOODS DIRECTOR OF NURSING SERVICES vacant AREA NURSING OFFICERS Mrs. C. LEDDEN, (5) (6) (7) (19) Miss M. DOBSON, (5) (6) (19) HEALTH VISITORS Miss J. D. BALDWIN, (5) (6) (7) (19) Miss A. E. BOORMAN, (5) (6) (7) (19) Miss R. D. HUTCHINSON, (5) (6) (7) (19) Mrs. A. KHAN, (5) (6) (7) (19) Miss E. G. LIVINGSTON, (5) (6) (7) Mrs.
6fbce717-cfc4-4477-89fa-233df2aec12b
M. M. MILLER, (5) (7) (8) Miss T. 0'KELLY (5) (7) (8) (19) Miss 0. OLOGUNRO, (5) (6) (7) 7 HEALTH VISITORS (contd.) Mrs. B. RABIN, (5) (7) (8) Mrs. B. RAMSEY, (5) (6) (7) (18) Mrs. J. REEVES, (5) (7) (8) Miss D. B. RUDD, (5) (6) (7) Miss M. F. SAVAGE, (5) (6) (7) (13) Mrs. E. T. TAYLOR, (5) (6) (7) Miss A. E. TREACY, (5) (6) (7) Mrs.
422275a3-1edb-4f87-af45-51f8602e318d
A. WARD, (5) (7) (25) Miss M. D. WINT, (5) (6) (7) HEALTH VISITOR (part-time) Mrs. J. O'BRIEN, (5) (7) SPONSORED STUDENT HEALTH VISITORS Mrs. N. M. NAGAR, (5) (23) (25) Mrs. 0. J. WILLIAMSON, (5) (6) (19) DISTRICT NURSES Mrs. J. E. BIGGART, (5) Mrs. J. M. COTTERILL, (5) (19) Mrs. Y. A. DIGNUM, (5) (19) Mrs. J. R. HARPER, (5) Mrs. A. HAYDEN, (5) (19) Mrs. a. l. hillas, (5) (19) Mr.
e38c13af-dea1-4cce-a559-24f03f9c287b
c. O. e. king, (5) (10) Mrs.D. J. kitchen (5) (6) (19) Mr. R. D. lintott, (5) (16) (19) Mrs. s. w. Mcquillan, (9) (19) Mrs. B. NOBLE, (5) (6) (19) Miss N. NORRIS, (5) (6) (19) Mrs. M. O'RIORDAN, (5) (8) (19) Mrs. M. FRONT, (5) Miss D. M. RENSHAW, (5)(6)(7)(12)(19) Miss R. RICHARDS, (5) (6) (19) Mrs. A. M. ROBINS, (5) Mrs. A. B. SARSFIELD, (5) Miss J. M. SMITH, (5) (6) (19) Mrs.
24899d76-4b0b-4c55-b85b-c5e6a0dc266b
E. A. STIMSON, (9) Miss K. M. MOLLERUP-PETERSON, (5) (19) Mr. R. J. TURPIN (5) (19) Mrs. Y. V. NICHOLLS, (5) (6) (19) Mrs. M. E. M. WHATHAM, (5) (8) (12) DISTRICT NURSES (part-time) Mrs. E. COLGATE, (9) Mrs. N. FLYNN, (5) (8) (19) Mrs. E. M. E. McCALLUM (5) (19) Mrs.
0d7f135a-3bd9-499a-8990-98c6ab1e17c4
M. Y.PARKER, (5) NON-MEDICAL SUPERVISOR OF MIDLIVES Miss M. DOBSON (5) (6) (19) ASSISTANT NON-MEDICAL SUPERVISOR OF MIDWIVES Miss M. TEATHER, (5) (6) 8 MIDWIVES Mrs. N. M. ADAMS, (5) (6) Miss J. M. HALL, (5) (6) Mrs. S. L. BRADLEY (5) (6) (19) (26) Miss D. HEARSEY, (5) (6) Mrs. I. M. BRONNICK, (5) (6) Mrs. S. M. READ, (5) (6) Mrs. H. V. GOOBY, (5) (6) Miss P. R. SHACKLETON (6) (5) (9) Mrs.
2426a21a-f708-4136-aaf3-2cc7222a1f45
A. GREEN (5) (6) (19) Miss M. WALKER, (5) (6) Mrs. C. B. WATSON, (5) (6) PART-TIME MIDWIFE Mrs. M. E. R. WAINWRIGHT, (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. M. A. FLEMING, (5) Mrs. C. V. DYNAN, (9) Mrs. J. J. GIANOTTI, (5) Mrs. M. P. RAMAGE, (9) CLINIC NURSES (part-time) Mrs.
3b90ef5c-fbaf-4e66-bee2-72ca933d893e
I. B. BLAND, (5) Mrs. R. M. LEWIN, (5) (6) Mrs. S. J. BROWNE, (9) Mrs. A. LYONS, (9) Mrs. I. M. COLLINGWOOD, (5) Miss I. C. McCARTHY (5) Mrs. B. CULLUM, (5) Mrs. M. E. MONTGOMERY, (5) Mrs. M. HALLIGAN, (5) (6) (12) Mrs. G. PRATT, (5) Mrs. E. M. HILL, (9) Mrs. R. J. SCAMELL, (5) (19) Mrs. D. L. HUNTLEY, (5) Mrs. P. A. White, (5) GERIATRIC LIAISON OFFICER Mrs.
a37a674b-dd3d-48f5-9ea6-3118dd64b78f
J. HARROLD, (5) (12) (28) SPEECH THERAPISTS Miss C. J. DELAFORCE, (16) Miss E. N. SYMES, (16) (17) PHYSIOTHERAPIST Mrs. A. WALKER, (24) PHYSIOTHERAPISTS (Part-time) Mrs. A. LAWRENCE, (23) Mrs. J. M. WARWICK (23) CHIEF CHIROPODIST Mr. C. E. FENN,(11) SENIOR CHIROPODISTS Mr. D. DITSELL, (11) Mrs. M. G. LEAGE, (11) Mrs. M. GOSS, (11) Mrs. D. MANN, (11) Mr. N. FREEMAN, (11) Mr.
564dff65-1478-4203-be30-91c617e3f10c
H. STENSON, (11) 9 ASSESSMENT CENTRE Kingsley Hall Day Centre for Handicapped Children, Sister-in-Charge Mrs. K. I. DALY, (5)(6)(18) Hobart Road, Dagenham. HEALTH EDUCATION OFFICER Miss D. MILBANK, (5) (6) (7) (18) (19) (22) ASSISTANT HEALTH EDUCATION OFFICER Mrs. P. M. I. KASIM, (30) (31) PROTECTIONIST/TECHNICIAN Mr. P. B. MOSS LAY ADMINISTRATIVE OFFICER Mr. F. W. KNIGHT, (l) (2) SENIOR ADMINISTRATIVE ASSISTANTS Mr. F. H. MARTIN, (14) Mr. B. S. WEAVER SECTION HEADS Mrs.
3324d224-59d3-4759-babb-71c38045dee3
P. H. FLOODGATE Vaccination and Immunisation Miss G. K. HARRIS Environmental Mrs. M. C. NEWMAN Care and After Care Mr. H. J. PITT Staffing Mrs. J. B. SMITH Finance and Supplies Mr. R. G. TRUCKEL (32) Maternal and Child Health MEDICAL OFFICER OF HEALTH'S SECRETARY Mrs. J. M. de BRUIN SECTION CLERICAL STAFF Vaccination and Immunisation Mrs. M. KING Mrs. M. R. BUSHELL Environmental Miss J. HAMILTON Mrs. J. W. MORGAN Miss A. M. LYONS Miss N. M. TOMS Rodent Operative/Driver Mr. H. J. DUFF Management. Finance and Supplies Miss V. E. CHEAL Mrs. I. M. H. DUPREE Mrs. P. McMILLAN Miss C. M. SACH Mrs.
ebf3eb8a-4bc3-4dc4-9854-cd5ec4537d65
C. E. SMYTH 10 Maternal and Child Health Miss E. a. ADAMS Miss E. D. BROWN Miss N. E. CLOKE Mrs. P. M. COLLINS Miss A. C. DAVIES Mrs. D. M. ELLIS Mrs. D. G. CREEN Miss C. A. LINCOLN Mrs. E. J. NEPORT Mrs. E. M. NOTTAGE Part-time Mrs. K. BIRD Mrs. E. HARSENT Mrs. K. F. HEXTER Mrs. I. A. PAGE Mrs. V. N. F. PATIENCE Mrs. J. R. REDMAN Miss M. A. RHODES Miss K. RICHARDS Mrs. G. K. SHANNON Mrs. G. B. STOKES Miss D. TILSON Miss M. A. WATTS Mrs. D. WILKINS Mrs.
0e62b7b8-a5c5-43c1-99af-8da3ffc200b3
s. hopson Mrs. a. McCarthy Mrs. O. E. nash 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. 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. Royal College of Psychiatrists British Psycho-Analytical Society EAR NOSE AND THROAT SURGEON Miss M. MASON, F.R.C.S. PHYSIOTHERAPIST Mrs. E. OTTLEY, M.C.S.P.
a2f225ca-670d-44ca-b3ec-728dbd408531
OTHER MEDICAL OFFICERS ATTENDING PART-TIME K. S. HOLT, M.B., Ch.B., M.R.C.P. (Adviser in Child Development, Kingsley Hall) PUBLIC ANALYST (Part-time) J. HUBERT HAMENCE, Ph.D., M.Sc., F.R.I.C. 11 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. (8) State Certified Midwife, Part 1. (9) State Enrolled Nurse. (10) Registered Mental Nurse. (11) State Registered Chiropodist. (12) State Registered Fever Nurse. (13) Certificate of National Nursery Examination Board. (14) Diploma in Public Administration.
00485fba-5b1a-4d70-bce8-cd41b1a8ef8d
(15) Certificate of National Society of Children's Nurses. (16) Diploma of Licentiateship of College of Speech Therapists. (17) Diploma in Social Science. (18) Registered Sick Children's Nurse. (19) District Nursing Certificate . (20) Certificate of Examining Board of Dental Surgery Assistants. (21) Certificate of Proficiency as Dental Auxiliary. (22) Diploma in contents and methods of Health Education. (23) Member of Chartered Society of Physiotherapy. (24) Member Oslo Orthopaedic Institute of Physiotherapy. (25) Obstetric Nurse Training Course. (26) State Enrolled Assistant Nurse Certificate (Tropical Nursing), Malaysia. (27) Certificate of Royal Dental Hospital . (28) Institute of Home Help Organisers. (29) Diploma of Public Health Inspectors Education Board. (30) University of Cambridge Teaching Certificate . (31) Ministry of Education Certificate in Physical Education.
486b2254-4471-485e-9da7-87b44bec3291
(32) Associate of the Chartered Institute of Secretaries . 12 Health Department, Aldis House, 56a Longbridge Road, Barking. To: THE MAYOR, ALDERMEN AND BURGESSES OF THE LONDON BOROUGH OF BARKING. This introduction is being written at a time when the massive re-organisation of the National Health Service is the main subject of discussion amongst those interested or involved in health matters. It is difficult, therefore, to look back to 1971 and comment at any length on the progress that took place and the changes occuring during that year However, I must draw attention to one or two events of that time. First, it was in that year that the setting up of the new Social Services Department produced such a change in the Health Department-taking away the Mental Health Service-the home helps-day nurseries-child minders etc.
d67a8142-094c-40f4-9a0f-a4edd1227b27
Considerable resources had been expended in developing these services since 1965 and particularly rapid progress had been made in building up the mental health service of the new London Borough. These services should continue to develop and expand if the Borough is to keep pace with modern developments in Health and Social Services with their emphasis on community care. I am pleased to record during 1971 continued progress in the Health Education Section of the Department-though it is sad to have to recall the death of Mr. A. C. Phillips the Projectionist/Technician who was such a helpful and popular member of the staff. The section on Page 21 of the report discusses only some of the liaison arrangements which were formed to help towards the co-ordination of services which is so necessary if the present tripartite system of the Health Service is to function for the patient's benefit. The 'new look' Community Nursing Service (as outlined in the Mayston Report) began to take shape and the proposed appointment of a Director of Nursing Services was put forward.
7c7355c3-4f87-45be-ae5c-ace76566c539
The Health Visitor recruitment was still difficult and suggestions are put forward of ways in which it may be helped. The Department continued to be a busy one and the emphasis on the handicapped child in clinics-schools - and assessment centre continued. The Public Health Inspectorate as always had a busy year in 1971. The operating of the Noise Abatement Act of 1960 brought a slight increase in the number of visits. Unfortunately it was decided that the extension of the Smoke Control Areas should again be deferred although the major portion of the Borough is designated for this purpose. The need for vigilance was again demonstrated by the occurrence of a number of outbreaks of salmonella infection at no less than six different wedding receptions talcing place on the same day. The common source turned out to be a butcher's premises in a neighbouring borough, where the storage of cooked and uncooked turkeys together demonstrated how easy it is for cross infection to take place.
947f03c1-26c4-4f20-bbb8-26a5f6efb9a6
Imported foods too demand an increased amount of time and staff and are likely to continue to require more and more attention as the years go by and as the amount of trade passing through the transport depots increases. J. ADRIAN GILLET Medical Officer of Health. 13 VITAL STATISTICS 1971 Registrar General's estimate of residential population, mid-year 1971. 153,870 Live Births: Legitimate (1,039 male, 982 female) 2,021 Illegitimate (73 male, 80 female) 153 Total (1,112 male, 1,062 female) 2,174 Illegitimate live births per cent of total 7.04 Live birth rate per 1,000 population 14.13 Live birth rate adjusted by comparability factor of 1.04 14.
2ea6e2ea-d599-491b-9b11-544e3d1e58ee
70 Stillbirths: Legitimate (12 male 9 female) 21 Illegitimate (2 male 4 female) 6 Total (14 male 13 female) 27 Stillbirth rate per 1,000 live and stillbirths 12.27 Total live and stillbirths 2,201 Deaths: Infant deaths (under 1 year) (26 male 20 female) 46 Infant death rate per 1,000 live births 21.16 Legitimate infant death rate per 1,000 legitimate live births (23 male 17 female) 19.79 Illegitimate infant death rate per 1,000 illegitimate live births (3 male 3 female) 39.22 Neo-natal mortality rate (deaths under 4 weeks (32) per 1,000 live births) 14.72 Peri-natal mortality rate (stillbirths (27) and deaths under one week (26) per 1,000 live and stillbirths) 24.
175268c6-43d4-4402-99e0-686403836748
08 Early neo-natal mortality rate (deaths under 1 week per 1,000 live births) 11.96 Maternal mortality rate (deaths from pregnancy, childbirth, abortion) Nil General Mortality: Number of deaths (1,012 male 849 female) 1,861 Death rate per 1,000 population-crude 12.09 Death rate adjusted by comparability factor of 1.31 15.84 The Registrar General's estimate of population for 1971, 153,870 shows a marked fall from the previous year - 16 6,060. There is no apparent reason for the reduction in the estimate and this figure must be suspect. On it are based the local statistical rates for births and deaths which may therefore be artificially high.
2e5fc119-cc7d-41d1-92cb-1d166fb10f99
In order to improve comparability with national statistics, the Abbreviated List of Causes of Death issued by the Registrar General was expanded in 1971 to include further sub-divisions relating to deaths from tuberculosis, malignant neoplasms and multiple sclerosis, and now comprises classifications under 72 headings. 14 CAUSES OF INFANT DEATHS Cause of Death Age at Death Total under 4 weeks 4 weeks - 1 year Enteritis and other diarrhoeal diseases - 1 1 Meningitis 1 1 2 Pneumonia 1 2 3 Other diseases of respiratory system 1 7 8 Congenital Anomalies 10 3 13 Birth Injury, Difficult labour etc.
c1b26562-1d8f-416e-a6ed-7170ed11fc80
9 - 9 Other causes of perinatal mortality 10 - 10 32 14 46 PRINCIPAL CAUSES OF DEATH (All Ages) Diseases of heart and circulatory system 644 Cancer and other malignant diseases 482 Pneumonia, bronchitis and other respiratory diseases 268 Cerebrovasculor disease and other diseases of the brain and nervous system. 245 I give below for purpose of comparison the birth and death rates of Barking, Greater London and England and Wales for 1971. Live births (per 1,000 population Barking 14.13 Greater London 15.2 England &.
43c8bb37-710f-4177-888c-10bc6537e6d1
Wales 16.0 Stillbirths (per 1,000 live and stillbirths) 12.27 11.7 12.0 Infant Mortality (per 1,000 live births) 21.16 17.4 18.0 Deaths (per 1,000 population) 12.09 11.5 11.6 15 SUMMARY OF VITAL STATISTICS 1965 - 1971 Year Population Deaths *Death Rate Live Births *Live Birth Rate Deaths under 1 yr.
952de92b-f5e6-42af-8053-10a9664cb6a4
Infant Death Rate 1965 172,970 1,748 13.34 2,408 14.48 40 16.61 1966 171,000 1,701 13.23 2,348 14.29 36 15.33 1967 170,100 1,715 13.31 2,296 13.50 45 19.6 1968 169,520 1,857 14.46 2,307 14.15 41 17.77 1969 167,960 1,902 14.72 2,234 13.50 39 17.46 1970 166,060 1,764 13.91 2,202 13.80 27 12.26 1971 153,870 1,861 15.84 2,174 14.70 46 21.16 *Adjusted for comparability.
4a3594a2-3ef3-4536-be5b-520bf8025420
16 CAUSES OF DEATH 1971 CAUSE OF DEATH AGE AT DEATH Under lyr. 1 and under 5 years 5 and 15 under years 15 and under 25yrs 25 and under 45yrs 45 and under 65yrs 65 and under 75yrs 75 and over Total M F M F M F M F M F M F M F M F M F 1. Cholera - - - - - - - - - - - - - - - - - - 2. Typhoid Fever - - - - - - - - - - - - - - - - - - 3. Bacillary dysentery and amoebiasis - - - - - - - - - - - - - - - - - - 4. Enteritis and other diarrhoea!
1cae7f39-f4eb-456d-9f7a-22644e5b401d
diseases 1 - - 1 - - - - - - - 1 - - 1 2 2 4 5. Tuberculosis of respiratory system - - - - - - - - 1 - 1 - 1 - 1 - 4 - 6. Late effects of respiratory tuberculosis - - - - - - - - - - 1 - - _ 1 _ 7. Other tuberculosis - - - - - - - - - - - - - - - - - - 8. Plague - - - - - - - - - - - - - - - - - - 9. Diphtheria - - - - - - - - - - - - - - - - - - 10. Whooping Cough - - - - - - - - - - - - - - - - - - 11.
53fc73b2-182e-40b8-b546-552e55d500c4
Streptococcal sorethroat and scarlet fever - - - - - - - - - - - - - - - - - - 12. Meningococcal infection - - - - - - - - - - - - - - - - - - 13. Acute poliomyelitis - - - - - - - - - - - - - - - - - - 14. Smallpox - - - - - - - - - - - - - - - - - - 15. Measles - - - - - - - - - - - - - - - - - - 16. Typhus and other rickettsioses - - - - - - - - - - - - - - - - - - 17. Malaria - - - - - - - - - - - - - - - - - - 18.
8d43df78-c575-44fa-820e-b195c42a027a
Syphilis and its sequelae - - - - - - - - - - - - - - - - - - 19. All other infective and parasitic diseases - - - - 1 - - - - - 3 - - - - - 4 - carried forward 1 - - 1 1 - - - 1 - 5 1 1 - 2 2 11 4 17 CAUSES OF DEATH 1971 (contd.) CAUSE OF DEATH AGE AT DEATH Under lyr.
4d115cc7-0265-4ce1-8d7b-82ad453a5bf6
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 1 - - 1 1 - - - 1 - 5 1 1 - 2 2 11 4 Malignant Neoplasm 20. - Buccal Cavity etc. - - - - - - - - - - β€” β€” 3 2 - - 3 2 21. - Oesophagus - - - - - - - - - - 2 4 - - - 1 2 5 22. - Stomach - - - - _ - - - 1 - 14 4 13 14 11 12 39 30 23.
cad3139d-e328-4723-bd1a-cce2c329766f
- Intestine - - - - - - 1 - 6 6 7 7 7 13 21 26 24. - Larynx - - - - - - - - - - 1 - 1 - 1 - 3 - 25. - Lung,Bronchus - - - - - - - - - - 58 9 5111 8 27 3 136 20 26. - Breast - - - - - - - - - 3 - 21 - 11 - 6 - 41 27. - Uterus - - - - - - - - - 2 - 7 - 1 - 3 ~ 13 28. - Prostate - - - - - - - - - - 2 - 5 - 6 - 13 - 29.
b4fbc588-c2ac-4c36-aaa1-9d995c3bf3d6
Leukaemia - - - - 1 - - - 1 - 1 1 - 1 1 1 4 3 30. Other malignant neoplasms - - - - 1 - 3 - 2 3 30 27 17 14 7 17 60 61 incl. neoplasms of lymphatic and haematopoietic tissue - - - - - - - - - - - - - - - - - - 31. Benign neoplasms and neoplasms of unspecified nature - - - - - - - - - - 2 1 1 2 1 1 4 4 32. Diabetes Mellitus - - - - - - - - 1 2 1 1 3 3 3 3 8 9 33.
cac73d9b-76f3-4a56-9fff-ad7c93a769a1
Avitaminoses and other Nutritional Deficiency - - - - - - - - β€” β€” β€” - β€” 1 - 1 - 2 34. Other Endocrine, Nutritional - and Metabolic diseases - - - - - - - - - - - 1 2 2 - 2 2 5 35. Anaemias - - - - - - - - - - - - 1 1 1 1 2 2 36. Other diseases of blood and blood forming organs - - - - - - - - - - - 1 - - - - - 1 carried forward 1 - - 1 3 - 3 - 7 10 122 84 105 67 67 66 308 228 18 CAUSES OF DEATH 1971 (contd.)
a6a997ae-37d6-4d31-beba-7919780e2b74
CAUSE OF DEATH AGE AT DEATH Under lyr 1 and under 5 years 5 and under 15 years 15 and under 25yrs 25 and under 45yrs . 45 and under 65yrs 65 and under 75 yrs 75 and over Total M F M F M F M F M F M F M F M F M F brought forward 1 - - 1 3 - 3 - 7 10 122 84 105 67 67 66 308 228 37. Mental Disorders - - - - - - - - - - - - β€” β€” 2 1 2 1 38. Menigstis 1 1 - - - β€” β€” β€” - β€” β€” 1 β€” β€” β€” 1 1 3 39. Multiple Sclerosis - - - - - - - - 1 1 1 3 - 1 - - 2 5 40.
1787cf55-fc0c-4760-819a-38ee7acb12db
Other Diseases of Nervous System and Sense Organs - - 1 - 1 - 1 - 1 1 - 3 3 2 4 5 11 11 41. Active Rheumatic Fever - - - - - - - - - - β€” - - β€” β€” - β€” 42. Chronic Rheumatic Heart disease - - - - - - - - - - 3 7 4 9 2 6 9 22 43. Hyepertensive Disease - - - - - - - - 1 - 2 5 3 3 7 10 13 18 44. Ischaemic Heart Disease - - - - - - - - 11 1 105 28 118 73 67 85 301 187 45. Other forms of Heart Disease - - - - - - - - 1 - 3 3 4 3 9 14 17 20 46.
4a29f911-6607-424d-a3c0-399d4c39f2f8
Cerebrovascular Disease - - - - - - - - β€” 3 13 11 34 32 35 81 82 127 47. Other Diseases of the Circulatory System - - - - - - - - - - 7 1 10 10 8 21 25 32 48. Influenza - - - - - - - - - - - - 1 - 2 - 3 - 49. Pneumonia 1 2 - - β€” - - β€” β€” β€” 10 5 18 19 26 51 55 77 50. Bronchitis, Emphysema - - - - - - - - 1 - 17 1 32 6 33 19 83 26 51. Asthma - - - 1 - - - - - - β€” - β€” 1 - 1 ~ - 52.
7c27e433-ca2e-4bd5-b936-3844a626bcc5
Other Diseases of the Respiratory System 4 4 - - - - - - 1 - l 1 1 2 2 - 9 7 53. Peptic Ulcer - - - - - - - - β€” 1 3 β€” 4 1 2 3 9 5 54. Appendicitis - - β€” - - - - β€” β€” β€” β€” - - - - - - - 55. Intestinal Obstruction and Hernia - - - - - - - - - - - 2 1 2 3 3 4 7 56. Cirrhosis of Liver - - - - - - - - - β€” 1 β€” β€” 1 - - 1 1 57.