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9db8d44e-7f65-41f1-bc88-10f2a9e36d5d | 59 3 4 Numerous atypical, mainly poorly differentiated cells present, diagnostic of squamous cell ca. Clinically suspect and referred to Gynaecologist. Cone biopsy - Irradiation 4. 46 3 3 Heavily infected smear with numerous atypical cells highly suggestive of an epidermoid ca. Cone biopsy - Hysterectomy One of the four positive smears was clincally suspect of carcinoma and was immediately referred to the Gynaecologist without actually waiting for the Cytology result. She had a history of bleeding for six weeks previous but did not go to see her G.P. Another of the positive smears had a previous smear two years ago when a few atypical cells were seen. These she was told were due to infection. The smear in 1972 again showed heavy infection but also numerous atypical cells due to epidermoid carcinoma. |
85244f54-2634-4baf-9b8f-ba3b82dd200c | Table 2 shows the four suspect smears, three had negative reports on further smears and one is still under observation and follow-up. Table 2. Age Social Class Para Cytology Report and follow-up 5. 28 3 3 2.3. mild displasia rep. 2/12 6.6. severe displasia ? ca in situa rep. 1/12. 28.7. non specific infection - negative. 6. 41 3 1 mild displasia rep. 3/12 after 3/12 - negative 7. 27 3 0 mild displasia rep. 1/12 Trichomonas vag. but no malignancy. 8. 40 3 2 mild displasia rep. 3/12 1,551 seems to be a good response but we cannot be complacent. |
e86e36c7-33e2-4f0f-b5f0-deeb656b2ba4 | We are still far from reaching the most threatened group of women of social class IV and V which are notoriously the most elusive in all parts of the world. We have to increase our efforts in trying to contact them and use all possible means of education to increase screening in as wide a circle as possible. 37. VENEREAL DISEASE Contact Tracing This Borough,being conveniently situated for travel to Central London, has patients attending special clinics at most of the major London Hospitals as well as the local centre at Oldchurch Hospital. Miss Dobson (Area Nursing Officer) is the designated person that special clinics can approach regarding contact tracing in the Borough but requests for assistance are rare. It is understood that in most instances the staff employed by the Hospital Service can cope with the work involved without additional assistance from this authority. Health Education The risk to health of sexually transmitted disease is included as a subject by the Health Education Section in their general health education syllabus for schools, and in talks to adult groups that request it. |
1e05708f-b570-4b2f-95ec-23d27b4c5ace | TUBERCULOSIS I am indebted to Dr. F. Macken, Consultant Chest Physician, for the following report:Annual Report of Dagenham & Barking Chest Clinics 1972. In 1972 the chest services in the London Borough of Barking continued to rely on Barking Hospital Chest Out-patients and Five Elms Chest Clinic, and hospital beds in Dagenham and Chadwell Heath Hospitals. Asthma, bronchitis, carcinoma of lung, tuberculosis and industrial pulmonary disease remain prevalent. 56 new cases of tuberculosis were discovered and 74 cases of carcinoma bronchus. Total attendances between the two Out-patient Departments were over 10,000. Clinic Nurses continue to play an invaluable part in supervising out-patient anti-tuberculous treatment, following up contacts. 38. TUBERCULOSIS STATISTICS NOTIFICATIONS AND DEATHS AGE NEW CASES DEATHS Pulmonary Meninges and C.N.S. |
a1e8d89e-c64d-4fdc-b4cc-cc2e9820a6e2 | Other Total Pulmonary Non–Pulmonary M F M F M F M F M F M F Under 5 2 – – – – – 2 – – – – – 5– 1 6 – – 2 – 3 6 – – – – 15– 7 5 – – 3 1 10 6 – – – – 45– 11 7 – – – – 11 7 – – – – 65 + 6 1 – – – 1 6 2 1 1 – – (18 other notified cases died during the year but tuberculosis was not assessed to be the cause of death) Total 27 19 – – 5 2 32 21 1 1 – – TRANSFERRED CASES Into Borough 7 Outwards 12 Net Decrease 5 TUBERCULOSIS REGISTER No. |
9f7c661b-678b-4bb8-8ca2-ce640031e856 | of cases on Register 466 Free Milk On the recommendation of a Chest Physician additional supplies of milk are made available to patients suffering from tuberculosis, 49 patients were so assisted during the year. 39. CHIROPODY SERVICE 1972 was another difficult year for the Chiropody Service due to staff shortage. Two fulltime chiropodists who left could not be replaced. The Chief Chiropodist reports as follows:– The Chiropody Service was available at the following clinics:– Central Clinic –Operated by the Chief Chiropodist in conjunction with his administrative duties, and assisted by Miss K. Richards in the organisation of the Domiciliary Service. Greatfields Clinic –Operated by Mr. H. Stenson until November when he resigned Thames View Clinic to take up a position in Halifax. Julia Engwell Clinic –Operated by Mrs. D. Mann who also attends Louise Graham House for Mentally Handicapped each month. |
ac2b5b02-8b88-405c-9a7b-5b3c2b70f471 | Porters Avenue Clinic –Operated by Mr. D. Ditsell. Ford Road Clinic –Operated by Mrs. Leage, who also attends Grays Court Old Peoples Home each week. Oxlow Lane Clinic –Operated by Mrs. M. Goss until her remarriage and subsequent resignation in July, owing to commuting difficulties. Service at this clinic has, however, been maintained by reducing the service at other clinics to four days per week. Annie Prendergast Clinic –Operated by Mr. N. Freeman, and assisted by Miss K. Richards, Clerk/Receptionist, when Hospital Car Service sessions are being operated. Old Peoples Homes –Five Old Peoples Homes have been regularly attended by Chiropodists throughout the year. Domiciliary Service –This service continues to have extremely heavy demands made upon it, and is at present operated by Mr. Samuels, also Mr. |
0b69adc7-f387-4864-b4d3-a39fe13c4da3 | Fulton (who joined our staff in the Spring), as well as two of our full–time staff working extra sessions. The car transport service –Operated by Mr. Freeman at Annie Prendergast Clinic, and is continuing to function most satisfactorily, and is a great help in relieving the heavy burden made upon the Domiciliary Service. The Staff Meetings which I introduced when I came to the Borough have proved very worthwhile, and as a result of these, a Central Supply Store has been set up, enabling the ordering and supply of drugs and materials to be made more economically, and with less delay to each Chiropodist. The introduction of an amended Treatment Return Sheet has enabled greater accuracy in statistical returns, and shown a more detailed and accurate picture of work output. 40. The appliance and prosthesis work, which I introduced last year, is being carried out very successfully by Mr. Ditsell, Mrs. Leage and myself. |
c06d657e-a480-4761-b017-54ae463e3a80 | The benefit and safety derived by the Physically Handicapped patients, from the installation of the Electric Hydraulic Chair at the Annie Prendergast Clinic and also the introduction of a chiropody drill with dust extractor at Porters Avenue Clinic, has shown the great necessity for more modern and improved equipment in all the clinics, which I hope we shall achieve in due course. During this past year I have attended a Management Course at Oxford, for Chief Chiropodists, and in July, Mr. Ditsell (Senior Chiropodist) attended a Refresher Course at the London Foot Hospital. TREATMENTS FOR THE YEAR 1972 CLINIC Children Adults Total Sessions –5yrs. 5–16yrs. O.A.P. Others A/N P/H Central 3 33 1,880 1 3 16 1,936 349 Julia Engwell 1 16 2,137 6 – 21 2, |
aa8d7740-9910-4f5b-a3bf-08ba7ad79628 | 181 393 Porters Avenue – 37 2,407 26 – 33 2,503 432 Greatfields 5 17 1,901 – – 2 1,925 331 Thames View – 16 507 – – – 523 81 Ford Road – 31 2,586 121 3 89 2,830 413 Annie Prendergast 3 17 2,319 9 1 27 2,376 435 Oxlow Lane 2 14 1,905 26 5 29 1,981 323 Total 14 181 15,642 189 12 217 16,255 2, |
1a3a18cc-4017-45ea-a230-4a9ce07f60f2 | 757 OLD PEOPLE'S HOMES Grays Court – – 318 – – – 318 46 Mayesbrook – – 141 – – • 141 20 The Lawns – – 139 – – – 139 20 Saywood Lodge – – 138 • • – 138 20 Riverside – – 139 – – – 139 20 Total – – 875 – – – 875 126 Domiciliary: West – – 1,414 – – – 1,414 355 East – – 605 – – – 605 151 Hospital Car Service _ _ 644 _ _ _ 644 91 Louise Graham House – – – • – 67 67 11 Grand Total 14 181 19,180 189 12 284 19,860 3,491 41. SCHOOL HEALTH SERVICE Schools There are 62 primary schools, 11 comprehensive secondary schools and 3 special schools in the Borough. |
accd500b-1f4a-4f07-be3c-894ad5f6eeeb | The Bentry and Castle Special Schools cater for educationally sub–normal pupils and the Faircross Special School for delicate and physically handicapped pupils. A unit for partially hearing pupils is established at Eastbury Infants school. At the end of the year, numbers on roll were as follows:– Primary Schools 16,828 Secondary Schools 11,731 Special Schools 344 28,903 Provision of Free School Milk As from 1st September 1971 Regulations made under the Education (Milk) Act, 1971, required local education authorities to provide free school milk only to certain categories of pupils in their schools viz:– (a) Pupils in Special Schools. (b) Pupils in other schools up to the end of the summer term next after their seventh birthday. (c) Pupils up to the age of 12 years who are certified by the school medical officer to require free school milk by reason of their health. |
438f6abb-6f6b-41fa-97ae-e08d1a2f2000 | During 1972, 53 children in category (c) above were nominated to receive free school milk. SCHOOL CONSULTATIVE CLINICS Minor ailments sessions at which a doctor was present were held at the following clinics: Annie Prendergast Friday a.m. Becontree Avenue Monday and Thursday a.m. Central Tuesday and Thursday 9 – 9.30 a.m. Five Elms Monday p.m., Friday a.m. Ford Road Monday a.m., Friday a.m. Julia Engwell Monday to Friday 9 – 9.30 a.m. Leys Monday p.m. Marks Gate Friday a.m. Oxlow Lane Wednesday a.m. Porters Avenue Monday, Wednesday and Friday 9 – 9.30 a.m. A total of 1,426 pupils were seen during the year. 42. SCHOOL MEDICAL INSPECTIONS Routine school medical inspections are carried out on:– (a) Pupils entering primary school. |
1df4c032-62ed-47f6-8886-ba78d8005c68 | (b) Pupils in their last year at primary school, and (c) Where considered necessary, on pupils in their last year at secondary school. In addition, pupils entering the Borough from other areas and children found to require observation or treatment are followed up as necessary. Particular attention is paid to pupils at the special schools. Number of special inspections 2,196 Number of re–inspections 1,731 3,927 43. Periodic Inspections Age Groups Inspected (by year of birth) No. of Pupils Inspected 1968 and later 358 1967 1,299 1966 1,064 1965 229 1964 102 1963 81 1962 397 1961 1,321 1960 557 1959 38 1958 44 1957 458 5, |
39d2dad0-63a6-46eb-9d43-61701be561c6 | 948 Pupils found not to warrant medical inspection (Following completion of a Health Questionnaire) 739 PUPILS FOUND TO REQUIRE TREATMENT Age Groups Inspected (by year of birth) Individual Pupils found to require treatment For Defective Vision (excluding squint) For any other condition Total Individual Pupils 1968 and later 1 24 22 1967 27 161 166 1966 19 191 178 1965 5 19 19 1964 1 3 4 1963 1 3 3 1962 28 67 84 1961 65 150 183 1960 25 55 68 1959 – 2 2 1958 4 8 11 1957 and earlier 22 47 63 Total 198 730 803 General Condition of Children Out of 5,948 pupils examined, only two were considered to be of unsatisfactory general condition. |
46520467-cbb9-4875-858a-99a4e9b4b436 | INFESTATION WITH VERMIN During the year 48,064 pupils were examined, and 363 found to require treatment. CONVALESCENT TREATMENT Pupils who are recommended convalescent treatment on medical advice are sent away for periods of up to four weeks. 11 cases were recommended treatment during the year. EMPLOYMENT OF CHILDREN 86 pupils were examined for fitness for employment out of school hours and certificates were granted. 44. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT A Specialist Ear, Nose and Throat Consultant attends weekly at Central Clinic. |
10d18f21-29a9-4eba-99c0-dd2f1924b204 | Pupils known to have been treated Received operative treatment (a) for diseases of the ear 17 (b) for adenoids and chronic tonsillitis 154 (c) for other nose and throat conditions 10 Received other forms of treatment 247 Total number of pupils in schools who are known to have been provided with hearing aids:– (a) in 1972 17 (b) in previous years 78 ORTHOPAEDIC AND POSTURAL DEFECTS An Orthopadic Consultant attends monthly at Leys Clinic where a whole–time physiotherapist is also in attendance. Pupils known to have been treated (a) at clinics or out–patient departments 242 (b) at school for postural defects 4 EYE DISEASES, DEFECTIVE VISION AND SQUINT Ophthalmic Specialists of the Regional Hospital Board attended weekly at Central, Porters Avenue and Becontree Avenue Clinics. |
0fc423ef-d204-41ae-9d98-ae439cc526ce | Pupils known to have been treated (a) External eye diseases and other (excluding errors of refraction and squint) 25 (b) Errors of refraction (including squint) 929 (c) Number of pupils for whom spectacles were prescribed. 723 DISEASES OF THE SKIN (excluding uncleanliness) Pupils known to have been treated Ringworm: (a) scalp 3 (b) body 7 Scabies 5 Impetigo 21 Other (plantar warts, etc.) 745 781 SPEECH THERAPY REPORT The Speech Therapists report that the work of the Borough is still being carried out by only two Speech Therapists. They hope, however, that the majority of the children requiring Speech Therapy are receiving help at one of the clinics in the Borough. The Speech Therapists would like to see a better liaison between themselves and other professionals over mutual patients. |
ffef7885-859d-454c-accc-e17821c44cd0 | They consider that case conferences and discussions introducing a team approach to an individual case would be valuable. It is evident from the number of pre–school children referred for Speech Therapy that there is a real case for more nursery schools and play groups in the Borough. The Speech Therapists feel that a diagnostic unit which would be able to assess children with severe speech problems and language disorders would prove invaluable to the Speech Therapy Service. SPEECH CLINICS AND SPECIAL SCHOOLS Total number of attendances during 1972 2,557 Total number of non–attendances during 1972 1,117 Number on Register in December 1972 230 New Patients Category Under 5 Infant Junior Sec. |
47bcb630-df64-4a6f-abff-ebf41e082b3b | Special Articulation Defects 22 83 18 1 5 Language 13 6 1 – 3 Stammer 5 7 3 1 – Resonance – 1 – 1 1 Cleft Palate – – – – – Total Number of New Patients during 1972 = 171 Discharged Patients Category Under 5 Infant Junior Sec. Special Speech Normal 6 60 37 3 – Left area 1 5 2 – 1 Non–attendance – 29 11 1 – Discharged at patients request 2 4 _ _ _ No further progress likely _ – 4 1 1 Total Number of Patients discharged during 1972 = 168 46. CHILD GUIDANCE CLINIC I am indebted to Dr. S. Fahmy, Consultant Psychiatrist, for the following report:– In 1972 the Clinic's work was markedly helped by the appointment of a Social Worker at the end of last year. |
2092e722-8ed8-4cda-b666-c4b1da5fe958 | The improvement was most noticeable in reducing the waiting period before parents were first seen, in home visits to parents who found attending difficult and in releasing some of the Consultant's time for individual therapy. This progress continued throughout the year but, unfortunately, stopped at its end when the Psychiatric Social Worker decided to return to her country. The following tables covering the four quarters reflect the current call made by referring agencies and under–estimates the real needs. Since many teenagers who go to the Courts are now being dealt with by the Social Services the figures do not show either the true picture of antisocial behaviour or the current incidence of adolescent disturbances. Further, through the increase in the number and activities of the educational psychologists, the schools appear to refer fewer cases than in previous years. This may have reduced the call on the clinic but need not necessarily imply a reduction in the incidence of emotional disturbances or increased community resources in treating them. |
43faa49f-ad9f-4d75-8f82-80e9a2e9ffe3 | Analysis of the figures show the steady reduction in the waiting periods and an increase in the number of active treatment sessions given to individual children. It was and remains the hope that this trend would continue and even accelerate when the staffing situation improves. In contrast to this picture the situation in Child Care in the Borough has, if anything, become less effective than in previous years. This is due to the shortage of social workers with experience in dealing with disturbed children. These difficulties hampered and further delayed systematic work with institutions and professional groups mentioned in previous reports. As in previous years psychologists and remedial teachers maintained their eagerness to help with clinic cases and the smooth efficiency of the Clinic's administrative work has depended upon the ever willing, conscientious hard work of the senior secretary. 47. CHILD GUIDANCE SERVICE Statistics 1972 Quarter Ended (a) Cases on books at end of quarter 31.3.72 30.6.72 30.9.72 31.12.72 (i) Waiting first Appointment |
c844491c-30c8-4b9c-9080-02decd174a52 | 54 55 39 32 (ii) Seen at regular intervals 38 41 42 51 (iii) Others seen for re–assessment or surveillance 81 77 93 84 Total 173 173 174 167 (iv) Cases included in (iii) but will not be seen again unless requested 12 14 6 11 (b) Cases referred during quarter B G B G B G B G Under 5 years 1 2 2 – – – – – 5–12 years 13 4 9 5 8 – 7 7 12 –18 years 10 4 5 3 6 5 4 2 Total 24 10 16 8 14 5 11 9 (c) Cases closed during quarter (i) Treatment complete and case closed 22 13 9 13 (ii) Other treatment cases closed 8 4 7 10 (iii) Cases closed no treatment received 1 |
dd53e9c0-ce18-4486-9b0d-cf6897ca3898 | 7 1 4 Total 31 24 17 27 (d) Treatment carried out during quarter and cases awaiting treatment (i) By Psychiatrist Individuals seen 102 70 104 81 Interviews 163 96 152 149 Appointments offered and not kept 49 43 51 59 (ii) By Educational Psychologists Individuals seen 10 11 3 18 Interviews 34 24 17 36 Appointments offered and not kept 3 5 2 3 (iii) By Psychiatric Social Worker Individuals seen 46 70 80 64 Interviews 109 115 165 151 Appointments offered and not kept 27 53 66 40 48. |
12043919-3215-48ac-be94-857a56eaa945 | HANDICAPPED PUPILS REQUIRING EDUCATION AT SPECIAL SCHOOLS–1972 Blind Part Sighted Deaf Part Hearing Physically Handicapped Delicate Maladjusted Educationally Sub–normal Epileptic Speech Defect Total Number of children newly assessed in the year _ 1 _ 4 7 6 2 48 _ _ 68 Number of children placed in Special Schools in year _ 4 1 5 14 9 5 53 _ _ 91 Number of children requiring places in Special Schools _ _ _ _ 2 2 _ 35 _ _ 39 Number of children on Registers of Special Schools at 21st January 1973 5 16 2 26 75 47 35 291 5 2 504 Number of children receiving tuition at home or in hospital, etc. |
82c28bc1-7407-4b90-abbd-70b8fed28b62 | – – – – 1 – – 2 – – 3 INCIDENCE OF CONGENITAL ABNORMALITIES 1972 The notification and classification of congenital abnormalities apparent in children at birth continued during the year, the following defects being noted in 40 babies:– Central Nervous System Hydrocephalus 1 Spina Bifida 6 Eye and Ear Other specified malformations of ear 1 Alimentary System Cleft lip 3 Cleft Palate 5 Rectal and anal atresia and stenosis 1 Heart and Circulatory System Specified malformations of heart and circulatory system 2 Urino–genital System Hypospadias, |
122c24c3-06b4-4c71-a3ad-f98fc4d9393c | epispadias 3 Undescended testicle 2 Hydrocele 2 Other specified malformations of urino–genital organs (includes pseudohermaphroditism) 1 Unspecified malformations of urino–genital organs 1 Limbs Syndactyly 2 Reduction deformity leg or foot 1 Talipes 12 Congenital dislocation of hip 1 Other specified malformations of upper limb or shoulder 1 Other specified malformations of leg or pelvis 1 Unspecified limb malformations 2 Other parts of Musculo-Skeletal System Malformations of spine – scoliosis curvature – lordosis, not otherwise stated 1 Other Systems Branchial cleft, cyst or fistula; pre–auricula sinus 1 Exomphalos, omphalocele (excluding umbilical hernia) 1 Pigmented naevus 3 50. |
b7a102ae-05c2-4442-8ec2-61dbb0794fc4 | DENTAL SERVICES I am indebted to the Principal Dental Officer for the following report The School Dental Service The School Dental Service was able during 1972 to provide free Dental Treatment for any school child in the Borough receiving education from the Local Authority, including those in special schools. The percentage of the school roll inspected was 74%, this compares well with the national average which is 58%. It is interesting to note that Headmasters now ring to find out why we are late with our School Inspection, because they have become accustomed to their inspection at a certain time of the school year. However, desirable as this is, it is not always possible, due to staff shortage, to arrange regular inspection. It is also interesting to note that the percentage of first inspections requiring treatment in Barking is 55%, this figure is also the national average. |
0ab42bd6-7a62-450f-9baf-30b2ea4c055c | The number of children who commenced a course of treatment in 1972 was 5,059 compared with 4,617 in 1971, this is the first time that we have passed the five thousand mark. There were 11,620 fillings completed, compared with 11,069 in 1971, and also noteworthy is the ratio of permanent teeth filled to each extracted (national average 6.6) London Borough of Barking (11.01). Orthodontic treatment carried out during the year was satisfactory. It is difficult to compare figures for one year with those of another year in orthodontics, as of cases commenced in 1972, some could be completed in months,others may take years. However, the overall demand for this part of the Dental Service is increasing. Dental Health Education The experiment, started in 1970, to distribute Dental Hygiene Kits to all new school entrants was continued. |
707be0fd-63ad-48ae-be1b-0ecadddd56f4 | This scheme is proving a great success, the large majority of Head Teachers Teachers are very enthusiastic and co–operative. The Principal School Dental Officer visited all infants schools in 1972 and distributed 2,222 Hygiene Kits. Nine schools requested a further supply. I would like to thank the Health Education Officer for the various talks and film shows that she arranged and gave in various Junior and Infants schools during the year. Staffing The staffing problem has been a "headache" for years. The common factor that governs this problem is salary. During 1972 we could not replace a Dental Auxiliary who left at the end of May, and it was with difficulty that we replaced a full time Dental Officer in February. I would like to repeat what I said in my 1971 report – the continual changing of Den tall Staff at any clinic is the surest way to decreasing attendances of children and subsequently the output of work. |
af5ca5d1-ddcb-4245-ba01-6b40d004bb8e | Dentistry is and will always be, in my opinion, a very personal service. Maternity and Child Welfare Services Treatment was available at all Dental Clinics for expectant and nursing mothers, and children under five years. During the year 1971 this service expanded well beyond any previous year and I am pleased to report that in 1972 it has again increased in numbers attending and output of work. The number of under fives inspected per Dental Officer was 155 and compares well with the national average of 84. Under fives treated per Dental Officer/Dental Auxiliary was 73 compared with the national average of 46, and the percentage of children age 3–4 years treated was 8% compared with 4.5% national average. 51. General Comments The year 1972 was a successful year from a Dental point of view. |
efb0f08c-bd95-4123-9f0f-464273a8278d | I only wish to make one comment, and this is taken from the Annual Report of the Chief Medical Officer to The Department of Health & Social Security: "While the Dental Health of Children continues to improve it is grossly impeded by the failure to provide for water fluoridation, the ceaseless opposition to this humane and safe measure makes a mockery of one aspect of the care of children's heath". Finally, I would like to thank all Dental Staff for their co–operation in 1972, also all teachers and the official staff in the Public Health Department. 52. DENTAL SERVICE STATISTICS Sessions (½ days) worked 1. Sessions devoted to inspection 158 2. Sessions devoted to dental health education 76 3. Sessions devoted to treatment 2,150 3. Sessions devoted to treatment of mothers and young children 162 2,546 School Dental Inspection 5. |
b4db4fd3-22e2-44a2-822e-8f0f71d153d1 | Number of pupils first inspected at school 19,502 Number of pupils first inspected at clinic 1,749 Number of pupils found to require treatment 11,639 Number of pupils offered treatment 11,639 Number of pupils re–inspected at school or clinic 306 Number of pupils found to require treatment 240 Treatment 6. Number of pupils actually treated 5,059 7. Number of attendances made 13,289 8. Number of fillings in permanent teeth 7,587 9. Number of fillings in deciduous teeth 4,033 10. Permanent teeth extracted 668 11. Deciduous teeth extracted 3,021 12. General anaesthetics given 1,286 13. Number of pupils x–rayed 453 14. Number of pupils supplied with dentures 3 Orthodontics 15. New cases commenced 48 16. Cases remaining from previous year 163 17. |
bcaab1bb-95b9-440f-8b5d-f54668992d28 | Cases completed 30 18. Cases discontinued 7 19. Number of appliances fitted 56 20. Pupils referred to hospital Consultant 4 MATERNITY AND CHILD WELFARE DENTAL TREATMENT Expectant and Nursing Mothers Children under 5 years Number of Cases 1. Number of persons examined 20 758 2. Number of persons treated 33 452 Treatment Provided 3. Scalings and other prophylaxis 21 254 4. Fillings 45 632 5. Teeth otherwise conserved – 116 6. Crowns and inlays 1 – 7. Extractions 20 153 8. General anaesthetics 1 76 9. Dentures provided 1 – 10. Patients x–rayed 9 17 53. |
fc16dd82-5fc7-415b-94c4-e43c5c386a01 | BARN 63 THE ANNUAL REPORT of the SANITARY CONDITION of the Urban District of Barnes FOR THE YEAr 1895, by the MEDICAL OFFICER OF HEALTH, JAMES ADAMS, M D. K. W. Simpson, Printer, Barnes and Richmond. 1896. THE ANNUAL REPORT of the SANITARY CONDITION of the Urban District of Barnes FOR THE YEAR 1895, by the MEDICAL OFFICER OF HEALTH, JAMES ADAMS, M.D. R. W. Simpson, Printer, Barnes and Richmond. 1896. to the Urban District Council of Barnes. January, 1896. Gentlemen, There was more sickness, and consequently a higher death-rate, for the past than the preceding year; it is difficult to find a satisfactory reason for this. |
07dd1e2a-493e-4b03-a422-8ada0207421f | There was certainly some influenza in the early part which caused some deaths from bronchitis and pneumonia, and there were also more fatal cases of diphtheria, but not sufficient to account for the increase. The year was very trying to old people; no less than 64 died over 65 years of age out of a total of 218, which is considerably more than a fourth of the whole. Seventeen of the 64 were over 70, and some between 80 and 90; the number of those who died over 65 in the two preceding years was 40 and 42. The sanitary condition of the district, as a whole, is satisfactory. There are defects, especially in the construction of houses built before the adoption of the Building Bye-laws, but these are under constant inspection, and such work as is necessary to keep them in a wholesome condition is promptly effected. |
b7d7744f-2c78-49e4-be95-f337dd2b321e | Most of the worst constructed, and those which were unfit for habitation, have been pulled down or closed, but where it has been found possible to convert them into healthy dwellings, this has been done. i have had to certify nine as unfit for habitation during the year, eight of which have been closed and one temporarily improved. Many important changes have been effected in the district since the passing of the Sanitary Acts in 1875, one of which was 4 the closing of foul wells from which the larger part of the district obtained water for domestic use; but that which is most felt and most essential to the prosperity of the district is the introduction of the sewerage system. It has, undoubtedly, added to the comfort of the inhabitants, and has, I believe, been effectual in lessening the sickness and lowering the death-rate. The substitution of upright in the place of surface ventilators has removed a source of great annoyance and injury. There are still some remaining, but they have not been a trouble so far. |
87c9f66a-bbc9-4061-9269-bcd095536b13 | Some of the house drains which have been connected with the new sewers are not in a satisfactory condition. The old house drains, as they existed before the sewers were laid, have been connected without alteration. They were laid in loose soil, without concrete or any firm bed, and are, consequently, at different angles, and leaked at the joints. This has proved particularly mischievous in the cluster of houses forming the Thome Estate, Barnes. This omission has been remedied in some localities, viz., St. James's Place, Fitzgerald Road, and Victoria Place, Mortlake, and should be on the Thome Estate where it is urgently needed. The converting the private roads into wholesome and respectable thoroughfares has also helped largely in improving the health of the inhabitants. |
ae0b2175-6596-47f1-9762-07f2d3034818 | It is remarkable to what an extent the sub-soil water has diminished during recent years There were few places in the district 30 years ago where the sub-soil water was more than three feet below the surface, in some places it was less, but it has been gradually subsiding, and is not to be reached in most parts of the district at a less depth than nine or ten feet. A damp soil has undoubtedly a prejudicial effect on the health particularly in cases of Phthisis. I give a table which illustrates this. It will be seen, that although the population has very largely increased, that the deaths from Phthisis have diminished. |
1a104c16-00da-4e34-beec-42364f56c84a | 5 Deaths from Phthisis registered in the parishes of Mortlake and Barnes— 1874 deaths 21 1891 deaths 17 1875 „ 18 1892 „ 12 1876 „ 26 1893 „ 18 1877 „ 26 1894 „ 17 1878 „ 25 1895 „ 18 116 82 The removal and disposal of house refuse continues most unsatisfactory. The contract system is a failure. We have frequent accumulations notwithstanding the constant representations of Mr. Grylls. These accumulations are very mischievous under any circumstances, but when it occurs in the small back yards, and under the windows of cottages, it is difficult to estimate the amount of injury. |
148d184f-8db5-4f7b-91dd-12dbe01d9ca5 | The disposal of the refuse when collected is a difficult matter, but the difficulty might be overcome by the use of a destructor, a site for which might be found on the land adjoining the sewage works, where it would not be near habitations, and could not be objected to as unsightly or a nuisance. There has been an opinion amongst some of the members of the Council that certain localities in the district were overcrowded and defective in the sanitary condition of the houses. These localities constitute the poorest parts of the district, and receive a large amount of attention in the way of inspection, both from the inspector and myself, in consequence of this impression. |
3577a382-0122-4e5d-8c54-b829da0da0ae | I have made special reports which I give:— "In consequence of the report in the public papers of the discussion respecting the sanitary condition of the Westfields district, which took place at the last meeting of the Council, I have considered it advisable to give an account of the district, which will inform you on points which, I trust, will lead to a more satisfactory knowledge of its real condition. 6 Mr. Grylls has taken a census and ascertained the number of inhabitants per house, and he has also furnished me with the extent of the district in acres, which he gives as 33, and which, with a population of 2,500, allows 75½ persons per acre. These 33 acres are almost entirely covered with houses with small gardens in front and rear. There are 493 houses, most of them with from four to six rooms. |
c96f0e7a-8cb7-438d-965e-627b3756929f | The average number of occupants of each house is 5.12 The streets which have the smallest number of occupants per house are the White Hart Lane, 4.26; Railway Side, 4.47; Cross Street, 5.0; Railway Street, 5.02; and St. Ann's Passage, 5.1; and the largest, Archway Street, 5.77; Thome Passage, 576; and Thorne Street, 5.27 "I am not able to find that any of the houses are so over full as to require interference, and I may say that they are kept in as satisfactory a condition by frequent inspections as is possible, and Mr. Grylls is indefatigable in this work. The 493 houses are occupied by 2,500 persons. |
80c03752-aff1-4ae3-a3d6-361dedc437fa | There were 28 deaths registered dur ng the year 1894, which gives a death rate of 11.2 per 1,000, and for the three quarters of this year ending 30th September 26 deaths, which is equal to a death rate of 13.6 per 1,090 per annum. There were two deaths from infectious sickness of people belonging to the Westfields district during the year 1894, one of whooping cough and one of scarlet fever, and there have been four deaths during the present year, two of whooping cough and two of diphtheria. I think that the conclusion we must arrive at on considering the foregoing facts is that the houses are not overcrowded, that the sickness and mortality for a poor and populous place is unusually low, and that the amount of infectious sickness is very small, in fact, the district bears very favourable comparison with most healthy rural districts." |
92cf6183-1a4f-43a3-a0be-304815d85ede | "According to your instructions I have to report as to the density per acre, average number of inhabitants per house, number of infectious diseases notified, and death rate per 1,000 of the Back Lane, Mortlake, included in the space bounded on 7 the North by the High Street, South by the South-Western Railway. East by Tinderbox Alley, and West by Sheen Lane. Mr. Grylls has taken a census of the population, with number of houses and extent of area in acres, he has found that the total number of houses is 292, but deducting empties, &c., he gives the number as 278, and these are occupied by 1,336 people, giving an average of 4.84 per house on an area of 21 acres, which gives 63 6 persons per acre. The deaths registered for the locality in 1894 were 14, which is equal to a rate of 104 per 1,000. |
c2f7931a-4df2-4e19-8557-8d160d08c355 | The diseases notified during the year 1894 were one of Scarlet Fever, one Erysipelas, and one Membranous Croup. The deaths registered for the eleven months of this year to the end of November were n, which is at the rate of 8.97 per 1,000 per annum, one case of Scarlet Fever and one of Diptheria were notified during the 11 months." The localities of which I have given special reports -that is the Westfields, Barnes, and the Back Lane, Mortlake—are those which you have considered the least favoured in point of their sanitary condition of any part of the district, but the result of the inquiry does not prove it. It is shown that in neither case is the population by any means dense, nor the houses crowded, and that the people as a whole are healthy. |
52b87d21-247c-4004-b006-5688a61e93bb | This, in a great measure, is to be attributed to the fact that a large proportion of them spend much of their time in the open air, the parents in their work, and the children, when not at school, at play in the many open spaces near at hand. Most of the four-roomed cottages are occupied by one family only, and one room is almost invariably reserved as a living room. Sometimes houses with six rooms have two families, but even then they generally have sufficient accommodation to permit of a living room indepen dent of the bedrooms. The one great failure in many of the poorer houses is a want of cleanliness in the occupants. Three wells have been closed, the water from which was found on analysis to be unfit for domestic purposes. |
ece2a427-6063-4e54-8f90-183b418257b9 | I find that it is 8 very difficult to induce people to keep their cisterns clean, they are frequently found on inspection to contain deposit that has been collecting for a long period, and occasionally we receive complaints that the water supplied by the Company is unfit for use; it is invariably found that the fault is in the cistern. If there was a constant supply, this source of mischief would in a measure be remedied. I have, in company with the Inspector, made inspections of the Bake-houses, Cow-sheds, Dairies, and Slaughter-houses. The Bake-houses are kept in very good condition, and on the whole very clean and well managed. There are several underground, and some of these are remarkably well kept under the circumstances, but the arrangement at the best is very unsatisfactory. The Cow-sheds which are in use are, with one or two exceptions, well constructed and well kept. |
0f9d3c31-b0e2-4e6b-83b7-d5073cc9f98f | There are very few cows kept in the district at present, most of the milk is imported. The Dairies are invariably clean and well managed. A large proportion of the meat used in the district is procured from the dead meat market. The Slaughter-houses that are in use are generally found in good condition and clean. The diseases notified during the year corresponded almost exactly in number with those of the preceding, they were ir3 for 1895, and 112 for 1894. There were not so many cases of Scarlet Fever, but more of Diphtheria. There were 52 cases of Scarlet Fever—23 in Mortlake and 29 in Barnes—one of which proved fatal from complications. Forty-three cases of Diphtheria were notified—10 in Mortlake and 33 in Barnes. An undue proportion occurred in the houses comprising the Thome Estate; there were 10 deaths, four of which were of children belonging to Mortlake, and six to Barnes. |
4afa8232-d39b-4b0e-a711-75995e23a6dc | All of the Barnes and one of the Mortlake cases were taken into the Hospital; five were in a hopeless condition when admitted. 9 Ten cases of Typhoid were notified—two in Mortlake and eight in Barnes. Several were imported. One case of Small Pox was notified. It occurred in a man who had tramped from Leicester to Barnes, to work at the new reservoirs. On his arrival at lodgings which had been provided for him, it was found that he was ill. I had him removed at once to Highgate, and had what was necessary done to prevent the spread, and there were no more cases. TABLE I. Mortlake. Barnes. Total. |
0dd41e0d-c5db-49a2-add4-68a153a4a48b | Scarlet Fever 23 29 52 Diphtheria 10 33 43 Typhoid 2 8 10 Erysipelas 4 3 7 Small Pox — 1 1 Total 39 74 113 Extensive building operations were commenced in the district during the year, mostly in Barnes, where it is proceeding very rapidly, and will cause a considerable increase in the population in the future; but during the past year there has been very little addition either in Mortlake or Barnes, and what has taken place is from the excess of births over deaths, except that in Barnes a few navvies who work at the new reservoirs have found lodgings in the parish. I estimate the population to the middle of the year as 16,200. The registered deaths were 218, which is equal to a death rate of 13.45 per 1000; a very low rate, though in excess of that or the preceding year. |
8f3b5775-e984-43fd-94e4-33828eaa3017 | This has to be corrected by the addition of people belonging to the district who died and were registered elsewhere, of whom there wtre six, but against this is to be set r4 who were registered in this district who did not belong to it, which reduces the number by eight, so that the number we have to consider is 210, and this gives a rate of 12.96. 10 The deaths for Mortlake were no, and the estimated population 7050, which gives a rate of 15.6 per 1000. The deaths for Barnes were 100, and the estimated population 9150, which is equal to a rate of 10-9 per 1000. Fifty-one children died under one year, which is equal to 3.14 per 1000. Sixty-four people died over 65 years, which is equal to 3.95 per 1000. |
aa1d00a5-fb1e-45cd-92be-bb8dfd62ee06 | There were 23 deaths from the zymotic class of diseases, which is at the rate of 1.42 per 1000. The hospital has continued to increase in popularity, and is a great boon to the district. I believe that it would not only be wise and beneficial, but also very popular if the accommodation were increased. Great disappointment is felt when we are so unfortunate as not to be able to receive infectious cases from want of room. One hundred and five cases were under treatment in the hospital during the year, 29 of which were from the Richmond Added Area, all of which were Scarlet Fever. TABLE II. Mortlake. Barnes. Added Area. Total. |
a9826588-c43f-4a27-a257-bde42c3d6342 | Scarlet Fever 16 28 29 73 Diphtheria 5 26 — 3i Typhoid — 1 — 1 Total 21 55 29 105 Three hundred and ninety-seven births were registered for the district during the year, 171 for Mortlake and 226 for Barnes. This is equal to a birth rate of 24.5 per 1000. Your obedient Servant, J. ADAMS. REPORT of Inspector of Nuisances For the Year ending December 31st, 1895. Notices have been served to abate 738 Nuisances in the District as against 472 for the year 1894, 58 complaints have been received and 1841 house inspections made. ABSTRACT OF NOTICES. |
b194fcac-642b-45cf-9f0e-96eaefa6074f | Defective Drains 71 Pipes not sufficiently trapped 9 No water supply to Closets 2 Condemned Closet pans and traps 28 Dilapidated Closet fittings 15 Want of light and ventilation to Closets 10 Defective flushing tanks 88 Defective service water pipes 18 Insufficient water supply 18 Defective Covers to Cisterns and foul Cisterns 48 No Cisterns provided 5 Soil.Pipes not sufficiently ventilated 9 Houses in need of cleansing and repairing 81 Overcrowding 2 No Dustbins, and Dustbins out of Repair 264 Houses condemned as unfit for human habitation 8 Foul Deposits 13 Animals so kept as to be a nuisance 7 Defective roofs and gutterings 16 Factories with no Sanitary Convenience 2 Leaky and Defective Cisterns 11 Yards not properly Paved 13 738 12 Summonses were taken out against 5 persons for not complying with Notices to abate Nuisances, |
2aa80011-11f5-4e32-8adf-1f38a707ffd9 | and Magistrates' orders obtained. Forty-one houses in the District have been entirely re-drained according to regulations after serving notices on the owners, viz., 8 in Barnes, and 33 in Mortlake. The drainage of the Real Estates property in the Westfields, Barnes, has caused great trouble from the frequent stoppages in the pipes, and requires immediate measures to be taken to amend the system. Number of Registered Cow-keepers, Dairymen, and Purveyors of Milk 12 *Number of Cowsheds 5 Number of Bakehouses 11 Number of Registered Slaughter Houses 5 Number of persons licensed to sell Petroleum 4 THOS. GRYLLS, Inspector of Nuisances to the Urban District Council of Barnes. *The greater portion of Milk is supplied by wholesale dairymen outside the District. 13 TABLE IV. 62 Townshend Terrace, Richmond, Surrey. |
5f6a83c3-959e-4e99-960c-8095e6951a90 | Report oj Vaccination for the Urban District of Barnes and Mortlake, being within Richmond Union, from 1st January to j/st December, 1895. Name of Parish. Number successfully Vaccinated. Number insusceptible to Vaccination. Number had Small Pox. Number Dead Unvaccinated. Number Postponed. Number removed Information to Vaccination Officer. Number removed and not found. Number Unvaccinated. Total. Barnes 148 1 — 8 5 8 5 55 230 Mortlake 115 — - 15 2 1 3 31 167 263 1 - 23 7 9 8 86 397 14 TABLE V. BIRTHS AND DEATHS IN THE PARISHES OF MORTLAKE AND BARNES FROM 1873 TO 1895. Mortlake. Barnes. Total Births. Total Deaths. |
d9f3b313-52c3-481e-a23f-6b47161d4026 | Births. Deaths. Births. Deaths. 1873 183 82 120 73 303 155 1874 167 106 139 62 306 168 1875 188 77 138 80 326 157 1876 175 100 151 73 326 173 1877 202 98 172 95 374 193 1878 196 82 182 67 378 149 1879 204 91 186 91 390 182 1880 201 100 192 105 393 205 1881 207 90 175 96 382 186 1882 219 102 196 105 415 207 1883 240 120 196 98 436 218 1884 258 119 220 107 478 226 1885 228 112 212 100 430 212 1886 238 134 |
df4726f8-2f93-49f0-9e6d-1d152c1ba9f5 | 241 113 479 247 1887 227 88 216 137 443 245 1888 240 126 229 114 469 240 1889 226 112 229 131 455 243 1890 230 169 235 120 465 289 1891 236 115 223 119 459 234 1892 227 159 228 135 455 294 1893 193 123 219 123 412 246 1894 165 80 202 80 367 160 1895 171 116 226 103 396 219 TABLE VI. MORTALITY PER THOUSAND FOR THE PARISHES OF MORTLAKE AND BARNES FOR THE YEARS 1875 TO 1895. For the Years. |
98cd7675-82db-4797-89df-92a42a303547 | 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 MORTLAKE. 14. 181 17.3 14.38 15.4 16.5 14.2 15.45 17.26 16.30 14.45 16.4 10.7 15. 13.3 19.8 14.88 20.1 17.9 11.4 15.6 BARNES 17.2 156 20. 13. 16.2 18.1 16. 16.8 15.55 16.46 15.2 13.8 17.5 14. 15.4 13.6 14. |
56af6c4c-cf97-4d96-8f9c-dea723329c8f | 15.2 14. 8.8 10.9 table vii. Giving Deaths from subjoined Diseases for each Year, from 1874 to 1895. rural district. Year. Small-Pox. Measles. Scarlatina. Diphtheria, including Croup. Whooping Cough. Continued Fever. Diarrhoea. Erysipelas. Total. 1874 4 10 3 2 1 9 29 1875 6 2 7 13 28 1876 1 5 1 10 14 31 1877 2 12 3 6 2 5 30 1878 1 3 5 2 10 1 22 1879 3 3 11 10 27 1880 5 11 1 5 22 1881 13 5 3 10 31 |
bb8e834c-f961-448e-abba-cae95188c232 | 1852 7 3 8 11 4 10 43 1883 6 11 11 1 8 1 38 1884 5 5 13 3 15 1 42 1885 9 2 2 1 10 24 1886 9 1 3 15 1 13 1 43 1887 5 1 4 1 10 21 1888 1 1 15 8 5 30 1889 3 1 1 3 3 11 1 23 1890 21 2 1 17 2 4 1 48 1891 2 1 5 1 2 11 1892 16 1 17 18 2 5 59 1893 1 33 2 4 1 41 1894 3 1 1 4 2 2 |
97d3e4a3-593f-4ba1-b48a-389c63f8425a | 13 1895 3 1 8 3 2 6 23 Table vii. Table of Deaths Registered during the year 1895, in the Urban District of Barnes ; classified according to Diseases, Ages, and Localities, and showing also the Population of such Localities, and the Births therein during the year. Names of Parishes. Population at all Ages. Registered Births. Mortality from all Causes, at Subjoined Ages. Mortality from Subjoined Causes, distinguishing Deaths in Persons under Five Years of Age. Census 1891. Estimt d to middle 1895. At all ages. Under 1 year. 1 and under 5 5 and under 15 under 25 25 and under 65 65 and upwards Small pox. Measles. Scarlatina. Diphtheria. Croup (not "spasmodic"). Whooping Cough. |
e639db66-c7a9-4a9e-9072-3dbb5a618914 | Continued Fevers. Diarrhoea and Dysentery. Cholera. Rheumatic Fever. Erysipelas. Pyaemia. Puerperal Fever. Ague. Phthisis. Bronchitis, Pneumonia, & Pleurisy. Heart Disease. Injuries. Influenza. Other Diseases. Typhus. Enteric or Typhoid. Other or doubtful. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 PART OF MORTLAKE 7050 171 116 26 10 9 8 31 32 Under 5 1 6 2 8 19 5 upwards 2 |
e21bbb03-8b44-4b80-b071-cf576912099c | 1 4 1 10 10 7 1 5 39 BARNES 8445 9150 226 103 25 5 4 7 30 32 Under 5 2 4 4 1 1 18 5 upwards 1 1 8 17 8 1 4 33 TOTALS 16200 397 219 51 15 13 15 61 64 Under 5 1 6 2 6 12 1 1 37 5 upwards 2 1 4 1 2 1 18 27 15 2 9 71 |
995206a8-dac2-4568-81aa-b5658f077248 | BARN 64 THE ANNUAL REPORT of the SANITARY CONDITION of the Urban District of Barnes FOR THE YEAR 1897, by the MEDICAL OFFICER OF HEALTH, JAMES ADAMS, M.D. r.w. simpson & co., limited, printers, barnes, richmond, and twickenham. 1898. THE ANNUAL REPORT OF THE SANITARY CONDITION OF THE Urban district of Barnes FOR THE YEAR 1897, BY THE MEDICAL OFFICER OF HEALTH, JAMES ADAMS, M.D. R. W. SIMPSON & CO., LIMITED, PRINTERS, BARNES, RICHMOND, AND TWICKENHAM. 1898. TO THE Urban District Council of Barnes. Jamuary, 1898. Gentlemen, I have again to present to you what I believe you will consider a satisfactory Report of the Sanitary Condition of the District. |
eacbd9dd-9ef4-43c2-b349-dbfc4365a444 | I have made the usual house to house inspections of the district, sometimes in company with the Inspector; they have been made principally in localities where sickness has been prevalent, or when there has been reason to believe that Sanitary defects have existed. The alteration to the drainage of the Thorne Estate in the Westfields has been completed in a satisfactory manner. The Dust Removal has been effected in a way that leaves no room for improvement in a sanitary point of view. Most of the Private Roads which were in an unwholesome condition have been properly made up and adopted. Altogether steady advance has been made in the sanitary condition generally. There are some defects which will have to be remedied, especially in Mortlake, where—by some oversight—the house drains were not re-laid and properly disconnected and ventilated at the time the new sewers were laid; this is now being done, but it can only be effected gradually. |
e9f8c0eb-346c-4778-ad56-08d11ff15ed2 | The New Sewerage system has done much in improving the health and comfort of the 4 tants, but the benefit is in a mesure neutralized by the defects in the house drains, but this will undoubtedly be corrected. The district has been subject to occasional outbreaks of infectious sickness in different localities, almost amounting in one or two instances to epidemics. Whooping Cough has been prevalent in most parts of the district; there were' six deaths, four in Mortlake and two in Barnes. Measles during the last two months was general in Mortlake, but not very severe in character. There were also some cases in other parts of the district, but scattered and of a mild type. There was only one death which occurred in Mortlake. There were some cases of Typhoid, but only one death. |
24c85614-b4cd-42b8-a4e2-0f161b3317c9 | There were fewer cases of Scarlet Fever during the early part of the year than we have had for some time, but there was a great increase in the number during the last four months; the same was the case with respect to Diphtheria. The larger number of the recent cases of both diseases were of people residing near Hammersmith Bridge, and almost all affected either attended school or had business connections on the Middlesex side of the river. Thirty-two of the 79 cases of the two diseases notified for Barnes resided in the part of the parish adjoining Hammersmith Bridge. There was nothing in the sanitary arrangements of the locality to account for it, but both Scarlet Fever and Diphtheria have been very prevalent in Hammersmith during the past few months. Only one case of Scarlet Fever was notified for Mortlake during the year; this is remarkable, as the surrounding parishes suffered considerably. The 13 cases admitted to the Hospital from the Richmond added area were from the portion which formerly formed part of Mortlake. |
3d0324b4-3fd9-447b-892f-99f97f7af7ea | Forty-four cases of Diphtheria were notified for the district, 20 of which were for Mortlake, which is rather an excess in proportion to population. There were four deaths, two for Mortlake and two for Barnes. There were 12 deaths from Diarrhcea, n infantile and one in an adult, with complications; six of the deaths were in Mortlake and six in Barnes. 5 Twenty-three deaths occurred from Lung Disease other than Phthisis, 12 in children under five years of age, and 11 over five years. There were 15 deaths from Phthisis, nine in Mortlake and six in Barnes, which is one more than last year, but considerably below the average of former years. There were only two deaths registered as directly due to Influenza. I have, in company with the Inspector of Nuisances, inspected the Cow Sheds, Dairies, Bake-houses and Slaughterhouses. |
e7e58454-c068-428f-b56f-dd7e87ccfe47 | The Cow Sheds are well constructed and kept in good order, with one exception, the owners of which have received notice to alter the arrangements. The Bake-houses as a rule are kept in good condition and clean, but those which are underground are not generally very satisfactory. Very few Slaughter-houses are in use in the district, and they are in very good condition and well kept. The water from four wells was found on analysis to be unfit for domestic use, and were closed, and a pure supply substituted. One hundred and ten cases of infectious sickness were notified, 31 for Mortlake and 79 for Barnes; this is the smallest number notified since the adoption of the Act in 1890. TABLE I. Mortlake. Barnes. Total. |
7faa3cac-f25b-49e5-af54-519c3d578766 | Scarlet Fever I 40 41 Diphtheria 20 24 44 Typhoid 3 6 9 Erysipelas 7 9 16 Total 31 79 110 Although the total number of patients admitted to the Hospital was rather less than during the preceding year, we have been more inconvenienced for room. There were comparitively few admitted during the spring and early part of the summer, but we became over full in August, when we had a 6 case of Typhoid which occupied one of our four wards, some cases of Diphtheria in another, and 15 cases of Scarlet Fever in the other two, which were built for the reception of five. This is a repetition of what took place last year. We have since up to the end of the year had from 17 to 24 in wards built for 10 patients. |
37a48590-bc65-418e-a432-68ec6ab9c570 | It is very necessary that the Convalescent Wards be proceeded with: it is very unsatisfactory to be obliged to crowd infectious sickness in confined space; it interferes with the progress of recovery, and we are obliged to refuse admission to urgent cases. I am pleased to be able to say that since writing the above the sanction of the Local Government Board has been received to proceed with the work, and that the Surveyor has received instructions to advertise for tenders for the construction of the building. Seventy-nine were admitted to the Hospital, 47 of Scarlet Fever, 28 of Diphtheria, and four of Typhoid. TABLE II. Mortlake. Barnes. Area. Total. |
54aca142-692a-4720-b57f-10753a885d1f | Scarlet Fever 1 33 13 47 Diphtheria 10 18 — 28 Typhoid — 4 — 4 Total 11 55 13 79 There was little increase in the population up to the middle of the year, notwithstanding the extensive building operations in progress; there were not many completed ready for occupation, and few of them let. The estimate of the population for the district to the middle of the year is 16,950, and the deaths registered to the end of December, 196, which gives a death-rate of 11.56, but the deaths of five people who belonged to the district and died elsewhere have to be added, and the deaths of 16 people who were registered in the district but did not belong to it have to be deducted, which 7 reduces the number to 185 and the death-rate to 10.91. This is the fourth year in succession of low mortality, which is very gratifying as a proof of steady sanitary improvement. |
28846d8c-765f-4326-9fef-fcbcc97a2964 | Ninety-eight deaths were registered for Mortlake which, with an estimated population of 7,350, gives a death-rate of 13.3 per 1,000. The same number of death (98) were registered for Barnes. This, with an estimated population of 9,600, gives a death-rate of 10 per 1,000. The deaths of 54 children under one year of age were registered, which is equal to a rate of 3.18 per 1,000. The deaths of 38 people over 65 years were registered, which gives a rate of 2.2 per 1,000. Three hundred and seventy births were registered, 218 for Barnes and 152 for Mortlake; this gives a birth-rate of 21.8 per 1,000. |
1ed1d74a-cc5c-4d82-aa22-cddcd5bd26e9 | There were 35 inquests, 24 of which were registered for Barnes and 11 for Mortlake; 16 of these were of strangers, mostly bodies found in the river and brought ashore in the district. Your obedient servant, J. ADAMS. REPORT of Inspector of Nuisances For the Year ending December 31st, 1897. Notices have been served to abate 551 Nuisances in the District for the year 1897, and 2,030 house to house Inspections have been made. ABSTRACT OF NOTICES. |
5dd4089e-b9fc-429c-a6a3-d6fa59208782 | Defective Drains 57 Soil Pipes and other Pipes not sufficiently Ventilated 20 Condemned Closet Pans and Traps 33 Dilapidated Closet Fittings 8 Defective Flushing Tanks 190 Defects in Cisterns and Foul Cisterns 60 Insufficient Water Supply 7 Houses in need of Cleansing 43 Overcrowding 6 No proper Dustbins 71 Foul Deposits 7 Animals so kept as to be a Nuisance 5 Defective Roofs and Gutterings 30 Yards not properly Paved 7 Premises with Insufficient Sanitary Conveniences 7 Total 551 9 Summonses were taken out against two persons, one against the owner of No. 118 Castlenau, for not complying with a notice to ventilate the soil pipe of the w.c., and one against a butcher, of 98 Railway Street, Barnes, for exposing meat for sale that was unfit for food. In both cases convictions were obtained. |
0e5ad400-e9c7-4799-8f1a-2e3039741fbf | Number of Registered Cowkeepers and Purveyors of Milk 14 Number of Bakehouses 11 Number of Slaughter Houses 5 Number of persons licensed to sell Petroleum 4 The word "Petroleum" means such Petroleum as when tested gives off an inflammable vapour at a temperature of less than 73 degrees of Fahrenheit's Thermometer. T. GRYLLS, Inspector of Nuisances. January 1st, 1898. 10 62 Townshend Terrace, Richmond, Surrey. Report of Vaccination for the Urban District of Barnes and Mortlake, being within Richmond Union, 1st January to 31 st December, 1897. Name of Parish. Number successfully Vaccinated. Number insusceptible to Vaccination. Number had Small Pox. Number Dead Unvaccinated. Number Postponed. Number removed. Information to Vaccination Officer. Number removed and not found. Number Unvaccinated. Total. |
ded6d943-7239-46e3-8ae4-cfee2b11b5ed | Barnes 147 2 — 14 8 1 2 44 218 Mortlake 113 1 — 13 1 1 1 28 158 260 3 — 27 9 2 3 72 376 Note.—There are 56 successfully vaccinated, six deaths, one removed and not found, one removed information to Vaccination Officer, and 12 now unvaccinated in North Sheen. The above cannot be shown in the Registration District of Mortlake. Parents living in the added area of Richmond are continually complaining of having to attend Mortlake Vaccination Station. G. C. HARDER, Vaccination Officer. Richmond, 11 th January, 1898. 11 TABLE IV. BIRTHS AND DEATHS REGISTERED FOR THE PARISHES OF MORTLAKE AND BARNES FROM 1893 TO 1897. Mortlake. Barnes. Total Births. Total Deaths. |
234e4997-6034-45ba-93cc-fa69b94f3095 | Births. Deaths. Births. Deaths. 1893 193 123 219 123 412 246 1894 165 80 202 80 367 160 1895 171 116 226 103 396 219 1896 187 91 217 100 404 191 1897 152 98 218 98 370 196 TABLE V. MORTALITY PER 1000 FOR THE PARISHES OF MORTLAKE AND BARNES FOR THE YEARS 1893 TO 1897. 1893 1894 1895 1896 1897 MORTLAKE. 17.9 11.4 15.6 11.78 13.3 BARNES. 14. 8.8 10.9 10.3 10. TABLE VI. Giving deaths from subjoined Diseases for each Year, from 1893 to 1897. Year. |
74639314-4d9a-46e2-8a0f-eeb14d01a5b4 | Small Pox. Measles. Scarlatina. Diphtheria, including Croup. Whooping Cough. Typhoid. Diarrhœa. Erysipelas. Total. 1893 1 33 2 4 1 41 1894 3 1 1 4 2 2 13 1895 3 1 8 3 2 6 23 1896 10 3 1 5 10 10 1 40 1897 1 1 4 6 1 12 1 26 TABLE VII. Table of Deaths Registered during the year 1897 in the Urban District of Barnes; classified according to Diseases, Ages, and Localities, and showing also the Population of such Localities, and the Births therein during the year. Names of Parishes. Population at all Ages Registered Births. |
e4183dbd-b5ea-4f05-876e-9ef2653601c9 | Mortality from all Causes, at Subjoined Ages. Mortai ity from Subjoined Causes, distinguishing Deaths in Persons under Five Years of Age. Census 1891. Estim'td to middle 1887. At all ages. Under 1 year. 1 and under 5 5 and under 15 15 and under 25 25 and under 65 65 and upwards. Small Pox. Measles. Scarlatina. Diphtheria. Croup (not "spasmodic.") Whooping Cough. Continued Fevers. Diarrhœa and Dysentery. Cholera. Rheumatic Fever. Erysipelas Pyæmia. Puerperal Fever. Ague. Phthisis. Bronchius Pnuemonia & Pleurisy. Heart Disease. Injuries. Other Diseases. |
98d2d301-2cab-4831-a7d6-53ddba65d19b | Typhus Enteric or Typhoid. Other or doubtful. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 PART OF MORTLAKE 7350 152 98 28 13 3 2 34 18 Under 5 3 4 5 9 3 17 5 upwards 1 1 1 1 1 9 4 12 1 27 BARNES 8445 9600 218 98 26 6 4 2 40 20 Under 5 2 6 3 1 20 5 upwards 1 1 6 7 3 16 32 TOTALS 16950 370 196 54 19 7 |
2cdf9c89-01b1-4131-8408-18962f000324 | 4 74 38 Under 5 3 6 11 12 4 37 5 upwards 1 1 1 1 1 1 1 15 11 15 17 59 |
a52a21bd-755e-43fd-93d0-ae3ac839738e | BARN66 THE ANNUAL REPORT For 1901 TO THE Urban District Council of Barnes, OF THE MEDICAL OFFICER OF HEALTH, F. GRAHAM CROOKSHANK, M.D. Lond., M.R.C.S., L.R.C.P. BARNES: R. W. SIMPSON AND CO., LIMITED, PRINTERS. 1902. Extract from the recent Memorandum of the Local Government Board as to Annual Reports of Medical Officers of Health. As subjects concerning which the Board desire to obtain, through Annual Reports of the Medical Officer of Health, not only definite general information, but record also of particular changes of condition that are occurring incidentally or by action of the local authority, the following deserve to be especially borne in mind:— Physical features and general character of the District. House accommodation, especially for the working class: its adequacy and fitness for habitation. Sufficiency of open space about houses and cleanliness of surroundings. |
b3d5c89c-549d-404d-bbda-5fbe531c44e1 | Supervision over erection of new houses. Sewerage and drainage: its sufficiency in all parts of the District. Condition of sewers and house drains. Method or methods of disposal of sewage. Localities where improvements are needed. Excrement disposal: system in vogue ; defects, if any. Removal and disposal of house refuse—whether by public scavenger or occupiers : frequency and method. Water supply of the District or its several parts: its source (from public service or otherwise), nature (river water, well water, upland water, &c.), sufficiency, wholesomeness, and freedom (byspecial treatment or otherwise) from risks of pollution. 4 Places over which the Council have supervision, e.g., lodging houses, slaughterhouses, bakehouses, dairies, cowsheds, and milkshops, factories and workshops, and offensive trades. Nuisances: proceedings for their abatement—any remaining unabated. |
a4f05807-9723-4134-a570-644313e6a968 | Methods of dealing with infectious diseases; notification; isolation hospital accommodation and its sufficiency; disinfection. The Medical Officer of Health, in reporting his proceedings and advice, should put on record whether he has made systematic inspections of his district. By "systematic inspections" are meant inspections independent of such inquiries as the Medical Officer of Health may have to make into particular outbreaks of disease, or into unwholesome conditions to which his attention has been especially called by complaints or otherwise, and such inspections will include house-to-house inspections which may be necessary in particular localities. The report should deal with the extent, distribution, and causes of disease, especially of epidemic and notifiable diseases, within the district; and should give an account of any noteworthy outbreaks of such diseases during the year under review, stating the result of his investigations into their origin and propagation, and the steps taken by him, or on his advice, with a view to check their spread. The Council Offices, High Street, Mortlake, January, 1902. |
3aecd36e-a4ec-41ae-be9f-3245a4a2f38f | THE Urban District Council of Barnes. Mr. Chairman and Gentlemen, In writing the subjoined Report I have been guided by the recent Memorandum of the Local Government Board as to Annual Reports of Medical Officers of Health. In this Memorandum it is laid down, inter alia, that such reports " are for the information of the Local Government Board and the County Council, as well as for the Council of the district, and that a statement of the local circumstances and history of local sanitary questions, which may seem superfluous for the latter, may often be needed by the former bodies." I am indebted to Dr. A. J. B. Adams, who acted as Medical Officer of Health during the first three months of last year, for statistical and other information ; and to Mr. Grylls, the Inspector of Nuisances, for the valuable assistance which, from his intimate knowledge of the district, he has been able to afford me. |
c1d07014-5c86-457e-b776-b39da43878a1 | I am, Gentlemen, Your obedient Servant, F. GRAHAM CROOKSHANK, M.D. Lond., M.R.C.S., LR.C.P. 6 The Urban District Council of Barnes is in the greater part of its extent riverain, flat, low-lying, with an alluvial soil, and a gravelly subsoil of varying depth based upon the London Clay. The most southerly portions are the most elevated, and in them the clay, as a rule, is nearer to the surface. The incidence of disease is, in general terms, similar to that met with throughout the Thames Valley. The geographical position of the district is peculiar and not unimportant, for its component parishes, Barnes and Mortlake, are separated on the north and east by a long stretch of river, and on the south by a broad belt of wood and common land, from neighbouring suburbs. |
1c642867-4be7-4460-b3cf-a4ad0da297bc | The greater part of Barnes proper is cut off from Putney on the east by Barnes Common, and market gardens still prevent the continuity of Mortlake with Richmond on the west. So long as this curiously insulated position is preserved, infectious disease will be found, as at present, to be introduced mainly from two sources:—from London by railroad, and from Hammersmith by local communication across Hammersmith Bridge. At the recent census of 1901, 3,403 inhabited houses were enumerated, and the average number of persons per house was estimated at. 5.23. Although there is some reason to doubt the accuracy of the population returns from the poorer localities, it must be admitted that there is no great numerical overcrowding. The number of houses of all grades that are empty shews that in one sense at least house accommodation is ample. |
daf688b1-dd9b-4a57-9070-9a837f8357d1 | In another sense it is not so ample, for the size of living and bedrooms in the cheaper houses recently erected is small, and in a sanitarian's opinion overcrowding exists whenever one person sleeps in an inadequately ventilated room of small size. 7 The class which has difficulty in finding accommodation in this district, as in others, is that to which belongs the working man earning 25/- or so a week, and who has a family of five or more beneath the wage-earning age. And, unless sisshilling houses are to be provided at four shillings a week, this class will continue to be inadequately housed. For, rightly or wrongly, the supposed objection of the working man to cottages without a "front room," a "front door," and a "hall," deters builders from erecting cottages with one living room, two or three bedrooms and no waste of space and material on " passages " and "porches." |
02cf6cf6-b6ce-4d67-83f8-8788a82a1a42 | Roughly, houses in Barnes and Mortlake fall into three main groups:— (a) Detached "residences," old, or of recent construction, standing in grounds of adequate or even considerable extent. From all but one part—and that is being now encroached upon—the older houses have been for some years steadily disappearing; and, in consequence, the character of the district is becoming modified. (b) Detached, semi-detached, and terrace houses of recent construction, and rents varying from £30 to £100 or more, per annum. Many of these have been erected under the building bye-laws, and in almost all the drains and closets are well planned. But it is much to be desired that these houses, as well as those of the poorer classes, should be subjected by an Inspector of Nuisances to regular visitation. This, however, is not at present practicable. |
cd66c9db-95a7-4145-a318-688decaeb5e6 | In some of the terrace houses recently built, the open space allotted is insufficient: and a common fault is the absence of proper forecourts. 8 In some, planned with a central kitchen, the house drains run beneath the house, and at least once last summer diphtheria appeared to be connected with this arrangement. (c) Houses inhabited by the working classes. Some very old cottages are found built without "passages," and "front rooms." These afford cheap and wholesome accommodation to those who are content with them, and it is seldom that their inmates suffer from infectious disease. Not a few of these old cottages are surrounded by a little ground, which is sometimes cultivated. Others, of more recent date, but built before the time of building bye-laws, are in "terraces," "rows," "places," and "squares," or "alleys," and are, perhaps, the most undesirable in the district. |
bbf17d3e-bf03-446d-be29-0b992b39dced | Dark and insufficiently ventilated, they are surrounded by no proper open space, and some are without forecourt, or backyard. They are occupied by the most uncleanly part of the population, and furnish a large proportion of the patients of the Isolation Hospital. They are, however, solidly built and, for technical reasons, it is but seldom that any can be pronounced "unfit for habitation" in the legal sense. It is to these houses that the working man with a large family is too often compelled to turn, or it is in them that poverty sometimes compels the introduction of lodgers, and, hence, legal overcrowding. There are in Barnes certain houses of an inferior class built largely of wood but there is reason to hope that the demolition of some of them will shortly be witnessed. 9 Small houses, such as many in the Westfields, Barnes, and in part of Mortlake, afford fair accommodation to many respectable artizans and labourers. |
80c10f27-666e-4fa5-908e-3defd71554fc | But in too many instances weekly rents of seven, eight, nine, and ten shillings compel subletting with its attendant evils—insufficiency of closet accommodation and water supply amongst others. Houses for the working-classes that have been built under the bye-laws of the Council are few in number. "Double tenements" are being built with rapidity, it is true, and many more are proposed. These, however, do not become occupied by the working-classes, the overlying social strata providing to the landlord persons who are desirable tenants, and are yet content with such accommodation as they can procure at an inclusive rent of ten, eleven, or twelve shillings a week. "Double tenements" are erected under bye-laws devised at a time when the demand for those constructions was not anticipated. It may be doubted very seriously whether they afford proper cubic space and ventilation, and whether they will not in the long run prove most undesirable in a public health point of view. |
5af75ae0-a54c-4a15-8fd5-dd448722b40f | It is not a little curious to note that the demand for them, and the supply, has followed closely, for obvious reasons, the adoption by the lower middle classes of measures which artificially restrict the birth rate. During 1901 the workmen's dwellings erected under the auspices of the District Council were completed. All are now occupied, and the applications from would-be tenants have proved considerably in excess of the dwellings available. It is open to question, however, whether these buildings—excellent as they are—in any way solve the really urgent problem in the housing of the poor, inasmuch as the tenants are mostly persons with small families who are earning good wages. In Mortlake private enterprise has provided a street of workmen's dwellings, built on the "flat" principle, and let at 10 moderate rentals. The construction of these dwellings is interesting, as the floors are of concrete and the walls simply plastered. |
53717737-629c-446c-beb0-421dab18056e | It is at present too soon to say how far these and other distinctive characteristics will prove attractive to tenants. But the size of the rooms is certainly ample, and the buildings themselves are wisely broken into blocks and not constructed in terraces. On the whole it may be said that in this district the working classes are comparatively well housed. Certain localities are unhealthy and the disappearance of not a few houses would be welcomed. But the causes for dissatisfaction with many houses are not such as can be easily removed under existing Acts. What is really needed by the working classes is more air, more light, and more water. In recent and projected buildings the chief deficiency is in the cubic space of living and bedrooms. At the present time cubic space is sacrificed to perfection of construction and low rentals. Another matter of sanitary interest to which legislative attention is required is the quality of plastering employed by competitive and speculative builders. The rapid increase of building operations has rendered the important work of the Building Inspector arduous and difficult of fulfilment. |
65453335-f642-476d-9c93-ade29d232a69 | It is satisfactory therefore that additional assistance to the Surveyor in this department of his work is proposed. The water carriage system of excrement-removal is now general throughout the greater part of the district, although some cesspools are in use. The sewage is disposed of, with that of Richmond, at the works of the Richmond Main Sewerage Board at the confines of Mortlake and Kew. The present system of sewage treatment is chemical, but the idea of bacterial methods has been lately mooted. The 11 condition of the main sewers appears to be satisfactory, and the extension along the Lonsdale Road, now in progress, has been wisely planned on lines adequate for the inevitable development of the district in that direction. When the present system of excrement-removal was first adopted, the then existing house-drains were, in many cases, connected with the new sewers. Some of these old house-drains have been since replaced or improved; but some still give occasional trouble. |
ee5b8dd1-1a89-4745-a6e0-a0421e5d0f64 | During the past year, improperly connected or imperfect house drains have been found to cause ill-health and annoyance on several occasions, but they have been speedily made good. The repeated occurrence of cases of infectious sore throat in Charles, Thorne, and the north side of Archway Street, has been the subject of special investigation by the Surveyor, the Inspector of Nuisances, and myself, and a report to the Sanitary Committee on the matter has been called for. It may be remarked here that the cases of sore throat from Archway Street occurred on that side of the road the houses of which are drained by the same system of sewers as are Charles and Thorne Streets, and that more frequent flushing of this system has been followed by a remarkable diminution in the number of cases of sore throat notified. The removal of house refuse is at present carried out by the employes, in the carts, of the District Council, under the direction of the Surveyor. |
bb8ce5fc-19d4-4028-a817-8e8998ea4d4f | The refuse is carted to Small Profit Dock, and there emptied into barges which are, when full, removed under contract. The refuse is collected and removed regularly and with system; the cartage is efficiently performed without annoyance to the residents; but during last summer, strong and not infrequent complaints were made of effluvia from the partly-laden barges. Although everything possible was being 12 done to obviate any nuisance, the complaints were not without justification. A continuance of the present system will certainly lead to complaints, and very probably to disorders of health, amongst those who may dwell in the houses shortly to be erected in the vicinity of the dock. The erection of a dust destructor in some part of the district, as has been proposed and so freely discussed, will become a matter of sanitary necessity, if no other alternative to the present system can be devised. Places over which the Council has supervision:— (a) Lodging houses. There are no lodging houses in Barnes and Mortlake. |
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