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a1b1edd2-33ae-4d64-a068-70e6b71218c9 | (b) Slaughter houses. These, in actual use, are few, and fairly well kept. I have found the occupiers of the various premises willing, and indeed eager, to adopt any measures the desirability of which I have pointed out to them. But the slaughter houses themselves are mostly old and roughly constructed of wood. Under t... |
88782301-0f54-4bd2-ab68-fa15c79e4a8f | But it mutt be confessed that the antiquated and imperfect state of some premises, and the cramped construction of others, hampers the efforts of the occupiers to maintain cleanliness and orderliness. There are five underground bakehouses in the district, and although they are, as such, undesirable, 1 have found them a... |
7498f88a-4e41-4313-adcd-769a3f7ca8de | The cowkeepers are themselves purveyors of milk, and the milk is in consequence distributed by them to the consumers very shortly after it is drawn. The condition of the milkshops, i.e., trade premises occupied by purveyors of milk who, as a rule, merely distribute to the consumer milk brought from a distance by middle... |
ecc75bec-9f44-41e4-969c-a66892c11788 | The importance of the bacteriological purity of milk can hardly be overestimated, and it is to the absence of precautions to avoid germ-contamination of milk brought from a distance that much infantile mortality and sickness is to be ascribed. Under the Dairies, Cowsheds, and Milkshops order, no "cowshed or dairy" may ... |
42de1a21-ac65-4dfe-80a2-4ad2024e55ad | Such places as under the old Factories Acts required the occasional visitation of the Inspector of Nuisances have been usually found in a proper sanitary condition. Under the new Factories Act—which operates from January 1, 1902—a large number of workshops and workplaces are to be registered by the Sanitary Authority, ... |
6ca09cbb-2d4f-4025-8a55-459d3ade7291 | In some places one small cistern contains the entire supply of two cottages during the hours that the water is " turned off," and in not a few streets two families living in one house are dependent on one cistern of 40 or 50 gallons. The question of inadequate cisterns has been laid before the District Council, but it ... |
b4c5850a-2291-4a89-890f-2b395962cd8b | That not a few of them were discovered when seeking the cause of disease is proof of the advisability of house to house inspections being made in all parts of the district. In the summer of 1901, the Inspector of Nuisances and myself gave evidence in support of a summons against the London & South Western Railway Compa... |
ac4b7943-7444-4afd-b7fc-cef495f4a3eb | Complaints are frequently made of offensive smells perceptible in Barnes High Street and on the Terrace, which apparently are due to offensive deposits on the Middlesex side of the river. Representations have been made on more than one occasion to the contiguous Sanitary Authority, but the nuisance recurs from time to ... |
7fa0da82-a3ad-47a3-9fa7-79a4efb42910 | Mattresses and textile substances are disinfected, when desired, in the Steam Disinfector at Mortlake, and the cleansing of infected houses by either landlord or tenant is frequently insisted on. These methods prove, in practice, perfectly satisfactory. In fact the public confidence in them is such that persons not inf... |
1e358553-96b5-4f33-874c-5498d514eec5 | In one successful case Tracheotomy was performed on a child under three, and in this, as in other severe cases, Antitoxin was administered. Three cases of Typhoid Fever were admitted ; in two instances the patients were gravely ill when removed, and removal was necessary to prevent spread of the disease. The removal to... |
44cecfb7-1f81-481a-8d10-969cbbb64136 | Such facilities, are, however, now less easily obtained than formerly, as there is a disposition on the part of those governing the great London Hospitals to exclude from their wards more than a certain percentage of typhoid cases. In consequence, when domestic resources are unable to provide the necessary skilled nurs... |
501f2b16-62f8-4b87-8697-6d0e3222a82b | It is not, however, the practice of the Council to recover the charges legally due in ordinary cases when removal is dictated by regard to the public health, though charges are made if persons other than ratepayers, or persons requiring private wards, are admitted. Typhoid Fever is certain to become more frequent as th... |
61b923b4-94a5-4147-8f29-c6e2822c7ad9 | Communications were made to the authorities of every Small Pox Hospital (including the Metropolitan Asylums Board) within reach, but in each case a reply was received that the admission of cases from Barnes could not, under the circumstances, be entertained. 19 The Urban District Council then, having regard to the prox... |
66d78547-39ca-4ffc-81ff-859da82b7d8c | Representations were then made to the Surrey County Council of the urgent need of some such means, and on almost the last day of the year it was announced that the Surrey County Council had concluded an arrangement with the Joint Small Pox Hospital Board for Croydon and Wimbledon, by which the latter body bound themsel... |
3761d82f-5daa-4723-9e69-36385dc891bd | 20 A formal summons was also taken out against the widow for having failed to notify the case, and further for having vacated the house in contravention of the Infectious Diseases (Prevention) Act, 1890. Sec. 7. A fine of 20s. was inflicted on the medical man, and the first summons against the widow was withdrawn, as i... |
3c1106c3-072a-4ddb-835b-e91a471c29de | It was also resolved to pay the fee of 2s. 6d. for any such notifications made in the course of private practice, and Is. for any made in an official capacity. These resolutions have already met with considerable success; the pithy memorandum of the Surrey County Council on the Prevention of Consumption has been distri... |
24dbf98e-1f35-45ff-8262-9a0b947a0d51 | Medical opinion, on some matters, is at present in a state of flux, and while circumstances may sometimes require the notification of a case as diphtheria on grounds bacteriological rather than clinical, yet at other times notification may be called for rather by the obvious need for isolation than the ascertained pres... |
e85046c0-06e3-43c3-a572-f03acbc9e704 | The School Board for Barnes, and the Managers of the National Schools at Mortlake, also responded to communications made to them by taking steps to promote, with all due deference to parental authority, vaccination and re-vaccination amongst their scholars. The general public have also submitted in great numbers to re-... |
f697afd1-9a7e-42f6-8861-7d9d716a0148 | Such information would be of the greatest interest and value to the Aulhority on which the duty of dealing with Small Pox actually falls. Systematic inspections of the district have been made throughout the year, and much of the work thus done is summarized in the Inspector's Report. Five houses reported as unfit for h... |
e9e9408f-88bf-42cc-9550-09b9fa70a3f0 | Ann's Passage, Barnes, will also, it is hoped, be shortly carried out. The contemplated improvements in High Street, Barnes, in a sanitary sense are important, and will, it is hoped, lead to the disappearance of certain houses in the vicinity. In December I was required specially to report on the suitability, in a sani... |
566e29fb-a547-414f-af5c-5f6f181d7295 | It is to be desired that no shops should be erected which may be used for certain trades, unless the Sanitary Authority is first satisfied that the proposed structures will admit of the fulfilment of all sanitary requirements. Early in the year an outbreak of Diphtheria occurred in Barnes that was found by the acting M... |
93de76d4-1f82-4ef0-9169-ab5706e506fa | It is hoped that the measures to be proposed will prove adequate in the coming year Most other cases of Diphtheria have been sporadic. Some have been imported; in others a connection has been traced with insanitary conditions of domestic origin. In the early part of the year cases of Scarlet Fever were few; but in the ... |
128a81b1-3405-4bd8-b5ff-1c824ac5db46 | The number of cases of Typhoid Fever that have been notified is greater than last year. In most instances, if not in all, the infection was contracted, so far as I know, outside the district, and it is gratifying that no secondary cases occurred. In more than one instance the infection was probably from soldiers return... |
cb8597b8-25a5-48ed-be19-8045b9173b9b | It will be noticed that the population of the district as enumerated at the census of 1901, is less than the population as estimated for 1899 and 1900. The calculated birth and death rates, therefore, for the last few years have been, so far as they depend on the estimated population, too low. That the birth rate for 1... |
4cbf8ac2-d6cc-460f-8cc1-0f79c448a769 | 5 and 6, it will be gathered that the heavy mortality amongst children of less than one year does not in this district appreciably decrease, and it is in this fact, coupled with the slightly lowered birth rate, that we must seek some explanation of the disappointing census return, one meaning of which is that the natur... |
19d22d79-ffd4-415e-be31-581ad8038074 | This inclusion of the deaths of non-residents is, perhaps, not so unfair as at first appears, for not a few persons from this district die in London Hospitals and elsewhere, their deaths, which should be credited to Barnes and Mortlake, being for statistical purposes lost count of. Particular pains, however, have been ... |
cf522079-575a-4c3d-ab14-8a37c897c218 | The absolute value of these figures is, of course, affected by the considerations already mentioned as affecting those for the whole district. It appears that in 1901 the infantile mortality was greater in Mortlake than in Barnes—and not only relatively to the lesser population, but absolutely. In previous years the ab... |
5cbcf5cb-77cb-4b7f-b0c2-155b9149b03a | I am unable to agree with the opinion frequently expressed that this heavy mortality is due to neglect by mothers working in laundries and market gardens, for the simple reason that in none of the many cases that have come under my personal observation did this factor obtain. I attribute the heavy infantile mortality o... |
62ada311-09c1-4aa2-8018-927d4f59cc8a | The cases of Scarlet Fever were 3 less and those of Typhoid 7 more than in 1900. 28 In spite of the relatively enormous increase in the number of cases of Diphtheria notified, there was only one death. The case mortality for the district is, therefore, only 1-3 per cent. 1 attribute part of the increase in the notifica... |
e900a589-cdc5-483d-a1e0-abc2a7f022df | Fifteen fatal cases of Diarrhoea in infants are recorded, as against 5 in 1900, but there is reason to believe that this is due to increased accuracy of certification and classification. "Zymotic enteritis" is now more generally recognized as an entity than was the case a few years ago. Nineteen deaths were recorded as... |
8e3ad17c-f3c6-4f8b-8cda-37ae81a3ee6d | 49 But at the same time it must not be forgotten that the exceedingly small rooms now occupied by persons of the middle and lower classes are a potent cause of Phthisis; and that these rooms, cramped and small by reason of the demand for low rents and the high price of materials, are rendered more air-tight than is nec... |
d9a4a3ac-ed40-4f7b-b981-8a708ad6846d | Totai. Deaths registered in the District. Total Deaths in Public Institutions in the District. Deaths of Nonresidents registered in Publie Institutions in the District. Deathe of Residents registered in Public Institutions beyond the District. Net Deaths at all Ages belonging to the District. Number. Rate* Under 1 Year... |
67633fb4-1053-4171-97dc-30c46ec24470 | 16,200 397 26.5 51 128.4 218 13.45 7 … 6 224 13.8 1896. 16,800 404 24 61 140.9 191 11.36 4 … 7 198 11.7 1897. 16,950 370 21.8 54 145.9 196 11.56 2 … 5 201 12.4 1898. 17,300 351 20.28 64 182.3 203 11.7 5 … 3 207 11.9 1899. 18,000 458 25.4 58 126.6 225 12.2 5 ... 4 229 12.6 1900. |
e292436b-4316-45de-b914-36a68425961b | 18,300 416 22.7 56 134.6 220 12.02 1 … 3 223 12.1 Averages for years 1893-1900. 16,893.7 396.6 23.49 55.6 139.6 208.1 12.3 4.62 … 7.37 215.5 128 1901. 17,900 420 23.49 56 133.3 214 11.9 3 … 24 238 13.2 * Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated population. Area of District Exclusive of Area Cover... |
5aee1ebf-45eb-4ee6-9973-27a35a95baa3 | Institutions within the district receiving sick and infirm persons from outside the district—none. Institutions outside the district receiving sick and infirm persons from the district:—Richmond Infirmary and Workhouse, Richmond General Hospital, Brookwood Asylum. Other institutions, the deaths in which have been distr... |
3c7e25e2-63ea-467b-b507-43199dc234f8 | a. b. c. d. a. b. c. d. a. b. c. d. 1893 15600 412 275 56 8740 219 138 27 6860 193 137 29 1894 16000 367 167 44 9000 202 85 19 7000 165 82 25 1895 16200 397 224 51 9100 226 107 25 7050 171 117 26 1896 16800 404 198 61 9500 217 104 30 7300 187 94 31 1897 16950 370 201 54 9600 218 101 26 7350 152 100 28 1898 17300 351 20... |
758f32e1-3374-44c9-8ff2-ac7fcfe469cf | 58 10200 286 123 36 7800 192 106 22 1900 18300 416 223 56 10300 230 107 26 8000 186 116 30 Averages) of Years 1893 to 1900. 16893.7 396.6 215.5 55.5 9536.2 221.3 111.2 28.6 7357.4 175.4 104.3 26.6 1901 17900 420 238 56 10100 258 127 26 7800 162 111 30 33 TABLE III. Cases of Infectious Disease notified, during the Year ... |
c5a9aa1c-ba44-44b6-a6a9-35e7845fab5c | 1 Barnes. 2 Mortlake. 1 Barnes. 2 Mortlake. Under 1. 1 to 5. 5 to 16. 15 to 25 25 to 65. 65 and up'wrds Small-pox - - - - - - - - - - - Cholera - - - - - - - - - - - Diphtheria 76 1 17 43 9 6 - 60 16 49 7 Membranous croup - - - - - - - - - - - Erysipelas 10 - - 16 1 7 2 4 6 - 1 Scarlet fever 29 - 7 - 4 2 — 23 6 13 5 Ty... |
32fdcb9b-d89a-410c-b230-8a4c09d224f8 | - - - Continued fever - - - - - - - - - - - Puerperal fever 2 - - - - 2 - - 2 - - Plague - - - - - - - - - - - Phthisis* 5 - - - 1 4 - 5 - - - Total 134 1 24 59 17 31 2 98 36 64 14 * Notifiable voluntarily only. 34 TABLE IV. Causes of, and Ages at, Death during Year 1901. Causes of Death. deaths in or belonging to whol... |
e481e7dd-a82b-4f5c-a8bd-28ce3d7c60d1 | Small-pox - - - - - - - - - - Measles - - - - - - - - - - Scarlet fever - - - - - - - - - - Whooping-cough 1 - 1 - - - - 1 - - Diphtheria and membranous croup 1 - - 1 - - - 1 - 1 Croup - - - - - - - - - - Fever Typhus - - - - - - - - - Enteric 5 - - - - 5 - 3 2 2 Other continued - - - - - - - - - - Epidemic influenza 4... |
f2572eb6-66a0-4647-adf1-4bcb9370bebb | Puerperal fever 2 - - - - 2 - - 2 - 35 Erysipelas - - - - - - - - - - Other septic diseases - - - - - - - - - - Phthisis 19 - - 3 3 12 1 11 8 - Other tuberculardiseases 2 1 1 - - - - - 2 - Cancer, malignant „ 20 - - - - 18 2 11 9 - Bronchitis 16 1 - - - 8 7 6 10 - Pneumonia 3 2 - - - - 1 1 2 - Pleurisy - - - - - - - - ... |
cd955ec7-bfc9-4e93-a07b-679902324b65 | Premature birth 12 12 - - - - - 8 4 - Diseases and accidents of parturition - - - - - - - - - - Heart diseases 23 - - 1 2 16 4 19 4 - Accidents 5 - - - 3 2 - 3 2 - Suicides 6 - - - - 5 1 4 2 - Wilful murder 1 1 - - - - - 1 - - All other causes 87 19 - 2 2 36 28 40 47 - All causes 238 57 4 7 11 113 46 127 111 3 36 REPOR... |
c5023d89-943f-4397-b20e-7a1cb8637290 | The total number of house to house inspections has been 2,391 as against 2,225. ABSTRACT OF NOTICES. Barnes. Mortlake. Total. Defective drains 11 19 30 Condemned closet pans and traps 9 12 21 Dilapidated closet fittings 2 5 7 Pipes insufficiently ventilated 6 9 15 Defective Hushing cisterns 61 55 116 No proper dust bin... |
013ccffb-29e9-4a2e-a311-64dced486f3d | but repaired 4 1 5 Animals so kept as to be a nuisance 3 3 Foul deposits 5 3 8 Defective roofs and gutterings 6 5 11 Yards in need of paving 18 17 35 Total 195 202 397 Number of Cowkeepers 2 1 3 Number of Purveyors of Milk 7 7 14 Number of Bake Houses 5 6 11 Number of Slaughter Houses 2 3 5 Number of persons licensed f... |
ae4ea4e9-31cf-4388-b5a0-a8d043e8c200 | BARN 62 The Urban District Council of Barnes. THE ANNUAL REPORT For 1905 OF THE Medical Officer of Health, F. GRAHAM CROOKSHANK, M.D., Lond. Bartnes, S,W. R. W. Simpson & Co., Ltd., Printers, 15 High Street, 1906 The Sanitary Department, Council House, High Street, Mortlake, S.W. January, 1906. Mr. Chairman and Gentlem... |
f640d54a-eb82-4243-881b-e8ad1b306ce8 | Seaton) shew that our position in the County is, relatively to other districts, better than was, till recently, the case. I am, Gentlemen, Obediently yours, F. GRAHAM CROOKSHANK. The Chairman and Members of the Urban District Council of Barnes. THE Urban District Council of Barnes. Sanitary Committee, 1905=6. Chairman:... |
e8a50b12-bf55-4285-9966-7ce1b7cda6e0 | Medical Officer of Health and Medical superintendent of Isolation Hospital: F. GRAHAM CROOKSHANK, M.D. Lond. Inspector of Nuisances: Mr. T. GRYLLS. Assistant Inspector of Nuisances: Mr. C. H. ROBINSON. Matron of Isolation Hospital: Miss M. BAXTER CLARK. CONTENTS. page GENERAL SUMMARY 9 Vital Statistics 11 Housing: Sewe... |
d930bebf-0232-429b-8659-00a4921e57a9 | 33 Midwives Act 34 Appendix A: Special Report under Factories and Workshops Act, 1901 35 Appendix B: Tables of the Local Government Board 38 Appendix C: Other Statistical Tables 46 Infectious Disease 47 General Work of Sanitary Department 49 Food and Drugs Act 53 Vaccination 54 GENERAL SUMMARY. The Urban District of Ba... |
991377d2-30be-471b-92cb-4415054cf592 | 120 14 0 General District Rate 4/0 Poor Rate—Parish of Barnes 3/3 Poor Rate—Parish of Mortlake 3/3 Birth Rate—Per 1,000 estimated population 24.7 Death Rate—Per 1,000 estimated population 10.4 Corrected Death Rate—Per 1,000 estimated population 11.9 Infantile Mortality—Per 1,000 births 120 For ease of comparison the st... |
a3a986d6-51a8-4f71-8d4a-c0dd35f142d5 | (Appendix B. Tables I., II., III., IV. and V.) The first and most important matter is the just estimation of the population at Midsummer of last year. In former years I have pointed out the reasons why the official method of estimating populations during inter-censal periods has, for this district, so little validity. ... |
bb71c5f9-335e-4a40-a81e-75e89ec95a51 | That this estimate is for the whole district a fair one appears from the fact that the birth rate, calculated on this estimate, works out at 24.7, or slightly above the average for the last 10 years. If the population were over-estimated the birth rate would be less than the average for the last 10 years. It should be ... |
545326f7-66d3-465c-9b26-ea108ab72d2e | Mortlake. 1901 March (Census) 3403 1893 1510 1902 (Midsummer) 3814 2051 1763 1903 (Midsummer) 4036 2167 1869 1904 (Midsummer) 4435 2315 2120 1905 (Midsummer) 4685 2377 2308 Increase in 4¼ years 1282 484 798 Increase in last year 250 62 188 The death rate for 1905 is so low as 10.4 per thousand of the estimated populati... |
482f462c-d494-4480-8559-53aa1f8f7b63 | This "correction," required by official usage, is, however, very nearly balanced by the number of "deaths registered in the district," which is really the number of persons, at no time residents of Barnes and Mortlake, whose bodies were found in the river between Kew and Putney. 13 The "uncorrected" death rate of 10.4 ... |
fb42324c-9cd4-4522-95a8-653e76fe3e41 | In my last report some allusion was made in detail to the causes of infantile mortality, and it may perhaps be said here that there is reason to hope that in the next few years the operation of various sanitary measures will tend to still further reduce its local incidence. In Table V., which appears for the first time... |
83e85f4c-6b3f-4175-b36f-1ffceac8df7a | the causes of and ages at death of persons dying during 1905 are set forth. It will be seen that Phthisis and other tubercular diseases account for about one-eighth of the total deaths. This is an increase on the records of late years. In part 14 it is no doubt accounted for by increasing urbanization, by the steady de... |
1d249313-e6b8-448b-807d-b654a6d37fea | There is no doubt at all but that very many cases of phthisis amongst servants, shop girls and clerks, are directly related to the tiny rooms allotted them for sleeping in dwellings which a builder would describe as "replete with modern and up-to-date sanitary arrangements." The deaths from pulmonary diseases other tha... |
e99ca9f8-1ae1-4569-aa19-8eac5a81b39f | 15 In considering the necessity for ensuring such provision the character of the district has to be taken into account. It would seem likely that in a few years the population will lose, to a great extent, its old residential character and will be largely a population made up of (1) persons engaged in London, and their... |
4149d948-68fe-4c45-bd31-449a28a7ae71 | If new dwellings are provided by the Council I sincerely trust that some airy tenements with two or three good-sized rooms each will be provided for families of two, or at most, three persons. The question of tenements and flats designed for the social strata immediately above those of the artizan and labourer is very ... |
ed29a871-f539-4ed7-880f-e01931861c8a | All this has a very important bearing on national physique, and obviously the stimulus for a reversion to better methods must come, not from central authorities, but from suburban councils on the outskirts of the great cities. Sewerage. The increase in the number of houses and streets has thrown great stress on the exi... |
48c43382-0064-437d-a922-2d716bacad0d | This will allow the sewer by the towing path to collect the Barnes sewage only, and will be accomplished by laying a new sewer—shown by a long dotted line on the plan. As a rapid development of building estates is occurring south of the Upper Richmond Road and east of Sheen Lane, severely taxing the capacity of the sew... |
c644a870-b25b-4d4b-a75c-6dd7ddbd334e | Drainage: Cesspools, &c. As will be seen by reference to the table given on page 51, Appendix C., in several instances defective drains have been reconstructed or amended during 1905. The subject of cesspools, earthclosets and ashpits has been again considered (cf., reports 1902—4) and the proposed bye-laws set out bel... |
754ae819-7876-46c0-8c60-9047098b8f94 | The occupier of any premises shall, once at least in every three months, cleanse every earthcloset belonging to such premises and furnished with a fixed receptacle for fœcal matter and with suitable means or apparatus for the frequent and effectual application of dry earth to such matter. 19 2. The occupier of any prem... |
f4f0e10b-6ec9-49b8-9cf1-eef858fa4535 | The occupier of any premises shall, once at least in every week, cleanse every ashpit belonging to such premises, and used only as a receptacle for ashes, dust, and dry refuse. 6. The occupier of any premises shall, once at least in every week, cleanse every ashpit belonging to such premises and used in connection with... |
f7967ea8-1541-40fb-98e0-bc11aee43620 | Provided, nevertheless, that the Justices or Court before whom any complaint may be made, or any proceedings may be taken in respect of any such offence may, if they think fit, ajudge the payment as a penalty of any sum less than the full amount of the penalty imposed by this Bye-law. 20 The Common Seal of the Urban Di... |
b73828e6-bde0-4558-9f46-51b6f8f204ed | Further, the resolution of the Council empowered the Clerk and Medical Officer of Health to take all necessary steps to secure the same. In consequence, the Water Board were approached, and most courteously responded, enabling the necessary inspections to be made at a relatively trifling expense to the Council. By Marc... |
c5a554b5-1497-46c4-95ce-31e041f5bf2d | But it is only right to state that the happy result of this having been carried through without the least resort to legal proceedings was largely due to the tact and energy of Mr. Goodale, the Assistant Clerk, on whom the whole organization of the work devolved. It is worth mentioning that the secondary results of the ... |
92ab72f5-886c-4861-b75f-195f3ff65c2a | The tables given in Appendix C, on pages 50 and 52, shew, perhaps, better than I can here explain, how greatly the routine work has of late increased, and how much attention has been paid to the smaller, but not unimportant details of sanitary administration. Places over which the Council has supervision. Those places ... |
6bd98ed4-fe29-4572-be8c-f17ac97ac151 | Some of the tradespeople are eager and willing to respond to suggestions made to them, and I do not think that any of them have regretted the expenditure they have incurred in making better and more suitable arrangements. But there is still a tendency on the part of many to "muddle along" with chaotic backyards and unc... |
a6c14295-de47-4234-837d-180d26e30aa0 | As will be seen by reference to the table on Page 47 (Appendix C), the total number of cases of Scarlet Fever, Diphtheria and Typhoid Fever notified during 1905 was 52, exactly the number notified during 1904, and almost exactly half the average number notified during the years 1895-1904, when the population was much l... |
b9e93cdf-a050-41b5-80da-afd63e75f8a0 | CHARTS Shewing the number of cases of Scarlet Fever and Diphtheria notified weekly during certain years. 1902. CHARTS Shewing the number ot cases of Scarlet Fever and Diphtheria notified weekly during certain years. 1904. 25 Of course, however, at any time an undetected case of* Scarlet Fever or Diphtheria at school ma... |
0a6cabf4-28e0-41f8-bf90-f638e43e682d | Such "revisions" appear in practice to consist in the elimination of every "case notified" the history of which does not, in the opinion of the Hospital Superintendent or other person, bear out the original notification. This proceeding, of course, results in a table of "cases which occurred" particularly favourable to... |
eeec26bf-4b20-4c9a-be6c-fb12ee2eca7b | It is encouraging to note, however, that the principle of disinfection after death in cases of phthisis has been eagerly accepted by the public and has been carried into effect into almost every instance 26 With regard to notification it may be said that the advantages offered by the Council in the matter of examining ... |
515c3048-8c8f-4eb2-adc8-ea7a44315ca7 | When dealing with cases of uncertain nature the best course undoubtedly is to notify the case provisionally, explaining to relatives why this is done. The notification can then be either confirmed or withdrawn as occasion arises. In such instances the action of the Sanitary Officers is always in accordance with the exi... |
d0d83d18-2eb1-4575-bdbf-14bfc437465a | Of these two recovered. Of the two fatal cases, one was complicated by a peculiar congenital malformation of the larynx, and one was admitted too late for more than temporary relief to be afforded. The period of detention in hospital of the cases of Scarlet Fever and Diphtheria was much shorter than in past years, and ... |
872ef3c3-02a8-424a-b718-452608a7716f | Early in 1905 a report was submitted urging the desirability of at once augmenting the quite insufficient accommodation for the staff, and of building a ward block suitable for the reception of cases of typhoid fever. A Sub-committee was appointed, which, after careful consideration, approved the principle of the recom... |
ec29db76-d625-4dcd-b882-1e7cf461b932 | As Medical Officer of Health, I cannot of course but regret that financial considerations should have led to the postponement of the typhoid pavilion being built; but the necessity for such a block has been recognized, and I am confident that the Council will, at the earliest possible moment, take steps to realize a pr... |
0b921bd0-f6a3-47d6-bc67-fd4fb72f277b | Yet many think that an isolation hospital is extravagant unless it is full, or in other words, unless it is failing to perform its function—the prevention of disease. The necessary expenditure on what is called maintenance, and which includes the payment of rates, water rates, insurance and other inevitable charges, ca... |
63e41d42-8843-428d-bc32-354a9d346171 | For these and other reasons, the cost of small Isolation Hospitals is usually considered by those conversant with the subject not in respect of the "average number of patients present daily," but (a) With reference to the population and character of of the district served. (b) With reference to the extent to which the ... |
95190130-4e91-4ff8-ace6-3951d0ecbc75 | The first year in which no patients were admitted to the Council's Hospital from the "added area" was that corresponding to the financial year ending March 31, 1900, 30 The population was then 17,000; the attack rate from Scarlet Fever and Diphtheria seven per thousand; the cost of "maintenance" £1,369 9s., and the tot... |
9dc296a7-04c9-46e7-aecf-903a9f162750 | This involved a charge on the rates of less than threepence in the pound. During the last five years, therefore, the population has increased by 35 per cent.; the attack rate from Scarlet Fever and Diphtheria has dropped to a quarter of what it was ; the cost of maintenance, in spite of larger expenditure from revenue ... |
f80b7dec-a7e7-4ac6-93e5-b8c40442a46c | The Small Pox Hospital Order (see report, 1904, p. 42) has been confirmed, but I have no knowledge of further steps having been taken. 31 School Hygiene. In my report for 1903 the arrangements which had been made with the local bodies, then managing Public Elementary Schools, with the aim of checking the spread, at the... |
09f6f580-45b3-4278-a33c-a76f41966bd4 | At the beginning of 1905, however, the Local School Attendance Committee made other plans for the carrying out of the medical examination of scholars, and later in the year the County Education Committee appointed as their adviser on medical subjects a special Education Medical Officer. As a result of the policy adopte... |
00d3c041-ee7c-4b8c-b6e3-df63302f3ae9 | And the 32 father absurd situation results that, although the Sanitary Department continues to afford to schools and school teachers such information as is possible as to children suffering from notifiable disorders, yet the Medical Officer of Health, who alone can, by reporting to his Authority, secure the compulsory ... |
b4d75b13-4003-43ea-8611-65e6153e69ac | This is the position adopted successfully in many counties, and is, of course, in principle that taken up by practically every Local Authority which is also an Education Authority. Unless some such scheme be adopted it becomes a matter of necessity that a medical staff of some magnitude should be appointed to act under... |
897bb864-8bc7-4c22-ae0a-f3cb3824838a | I need hardly say, however, that such assistance as can at any time be given, by reason of local knowledge or propinquity, to County the Education Medical Officer will always be most readily forthcoming. But the disadvantage of not having recognised status and the power to act promptly and decisively, if necessary, wit... |
66fd13d3-8c3a-438e-84a1-7623809cf3f1 | The verdicts were, in 11 cases, "Found drowned" or "Found dead"; in 5 cases "Suicide"; and in 2 cases (those of infants whose bodies were found on the Common) " Wilful murder." 10 deaths were found due to natural, and 5 to accidental causes. Baths and Washhouses. No further steps have been taken in regard to this matte... |
a21fd14d-6bfd-4b4e-807f-167bfbdb43b0 | "(2) The certified midwives said to practice in this district, of whom I have obtained information, are six in number. I have repeatedly during the year visited their residences, and have obtained such information relative to their mode of practice, and their compliance or otherwise with the Act as has been possible. "... |
defb6846-31d2-4b02-a638-6da1ddc3c11c | "(6) No difficulties have arisen with respect to the payment of fees to medical men, and no case of irregularity or disease has been brought to my notice as having occurred in the practice of any of the midwives, registered or unregistered, during the past year." 35 Appendix A. Special Report under the Faetory and Work... |
c8a96531-f4b1-4b96-b428-0cc983e5c5af | I have again, however, to record the statement that no steps have been taken to make bye-laws " providing for means of escape from fire in the case of any factory or workshop," or to see that, as the Act directs, " every factory and workshop in the district is provided with sufficient means of escape from fire." 36 Ann... |
b4a61a6f-83a6-4a4b-b2c1-1e85acc41deb | Factories (Including Factory Laundries) 26 3 — Workshops (Including Workshop Laundries) 200 23 — Workplaces 25 1 — Homeworkers' Premises 12 — Total 263 27 — 2.—DEFECTS FOUND. Particulars. Number of Defects Number OF tions. Found. Remedied. Referred to H.M . Inspector Nuisances under the Public Health Acts :— Want of cl... |
6faa5230-f1eb-4575-807f-b9d296b76ca1 | 97 to 100) - - - - Failure as regards lists of ou workers (S. 107; - - - Giving out work to be done in premises which are unwholesome (S. 108) - infected (S. 110) — — — — Allowing wearing apparel to be made in premises infected by scarlet fever or smallpox (S 109) - - - - Other offences — - - - Total 27 27 - - 37 3.—OT... |
acf913a6-1895-4d90-bd14-811a0425c713 | 101): — Certificates granted during the year — In use at the end of the year 5 Homework : Number of Lists of Outworkers (S. 107): — Lists. Outworkers. Lists received - — Addresses of outworkers ' forwarded to other Authorities . - - received from other Authorities 6 17 Homework in unwholesome or infected premises :— We... |
3bb9602d-64db-46ad-9f5d-c3c795e6bd62 | I.— Vital Statistics of whole District during 1905 and previous years. II.— Vital Statistics of Localities during 1905 and previous years. III.—Cases of Infectious Disease notified during 1905. IV.— Causes of, and ages at, death during 1905, V.—Infantile Mortality. 39 TABLE I. Vital Statistics of whole District during ... |
b01b350c-cdea-4972-bb41-4389ee4aa4c8 | Rate Number. Rate.* 1 2 3 4 5 6 7 8 9 10 11 12 13 1895. 15950 397 24.1 51 128.4 218 13.6 7 ... 6 224 14.1 1896. 16200 404 24.9 61 140.9 191 11.7 4 ... 7 198 12.2 1897. 16450 370 22.5 54 145.9 196 11.9 2 ... 5 201 12.2 1898. 16700 351 210 64 182.3 203 12.1 5 ... 3 207 12.4 1899. |
a75e1c2e-da70-4174-8c76-bf233383036b | 17000 458 26.9 58 126.5 225 13.2 5 ... 4 229 13.4 1900. 17400 416 23.9 56 134.6 220 12.7 1 ... 3 223 12.8 1901. 17900 420 23.5 56 133.3 214 12.5 3 ... 24 238 13.2 1902. 19900 501 25.1 57 113.7 257 12.9 7 ... 27 286 14.2 1903. 21150 513 24.2 57 111.1 220 10.3 5 ... 27 247 11.6 1904 Averages for Years 1895-1904. |
fb4cccda-9204-431e-a572-c241ef6d01df | 23200 618 26.6 83 134.3 237 10.2 0 ... 24 261 11.2 18185 444.8 22.4 59.7 134.4 218.1 11.9 39 ... 13 231.4 12.7 1905. 24250 600 24.7 72 120 254 10.4 3 ... 35 289 11.9 Area of District in acres (exclusive of area covered by water). 2,400. *Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated, population. Total... |
bedd3fcd-b704-467f-8d22-bfd937901b1f | Names of Localities 1. BARNES (URBAN). 2. BARNES, 3. MORTLAKE. Year Population estimated to middle of each year. Births registered. Deaths at all ages. Deaths under I year. Population estimated to middle of each year. Births registered. Deaths at all ages. Deaths under 1 year. Population estimated to micdle of each yea... |
5f0f2000-2cd4-43d1-ac10-43d14d6a5bd8 | 7220 152 100 28 1898 16700 351 207 64 9350 193 126 42 7350 158 81 22 1899 17000 458 229 58 9500 286 123 36 7500 192 106 22 1900 17400 416 223 56 9750 230 107 26 7650 186 116 30 1901 17900 420 238 57 10100 258 127 27 7800 162 110 30 1902 19900 501 286 60 10700 259 140 32 9200 242 146 28 1903 21150 513 247 59 11250 263 1... |
e9ee22bc-ae79-4903-ad35-1d7e615fde7f | 11200 325 127 43 Averages of Years 1895 to 1904 . 18185 444 231 60 9993 244 120 31 8192 200 111 28 1905 24250 600 289 74 12250 310 138 26 12000 290 151 48 TABLE III. Cases of Infectious Disease notified during the Year 1905: Name of District—Barnes Urban. Notifiable Disease. Cases Notified in Whole District. Total Case... |
d05e6613-f6c8-4d96-87a2-0f52654f9792 | — — — — — — Cholera — — — — — — — — — — — Diphtheria 17 — 4 7 3 3 — 8 9 6 8 Membranous croup 1 — 1 — — — — — 1 — 1 Erysipelas 10 — — — 2 8 — 6 4 — 2 Scarlet Fever 31 — 9 19 2 1 — 21 10 19 6 Typhus Fever — — — — — — — — — — — Enteric Fever 4 — — — 1 3 — 2 2 — — Relapsing Fever — — — — — — — — — — — Continued Fever — — —... |
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