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ce0c1c6a-8a76-4dde-b420-c66633dea7da	9 15 — 37 27 25 17 41 TABLE IV. Causes of, and Ages at, Death during Year 1905. Causes of Death. Deaths at the Subjoined Ages of " Resident'' whether occurring in or beyond the District. Deaths at all Ages of Residents' belonging to Localities whether occurring in or beyond the District. total Deaths whether of Residen s or NonResidents in Public Institutions in the District. All Ages. Under 1 year. 1 and under 5. 5 and under 15. 15 and under 25. 25 and under 65. 65 and upwards.
9fe3fc71-9ee8-420f-a179-3430697eddb8	Barnes, Mortlake, Smallpox — — — — — — — — — — Measles — — — — — — — — — — Scarlet Fever 1 — 1 — — — — — 1 1 Whooping-cough 6 3 3 — — — — 2 4 — Diphtheria and membranous croup 4 — 3 — — 1 — 2 2 2 Croup — — — — — 1 — — — — Fever . Typhus — — — — — — — — — — Enteric 1 — — — — 1 — — 1 — Other continued — — — — — — — — — — Epidemic influenza 1 — — — — — — — 1 — Cholera — — — — — — — — — — Plague — — — — — — — — — — Diarrhœa 9 9 — — — — — 2 7 — Enteritis
626e86d8-5659-41a8-acaf-5ef90fc56160	3 2 — — — — 1 1 2 — Puerperal fever — — — — — — — — — — 42 Erysipelas 1 — — — — 1 — 1 — — Other septic diseases 1 — — — — — 1 — 1 — Phthisis (Pulmonary Tuberculosis) 30 2 3 — 1 20 4 17 13 — Other tubercular diseases 9 2 6 1 — — — 5 4 — Cancer,malignant disease 22 — — — 1 10 11 12 10 — Bronchitis 11 2 1 — — 3 5 5 6 — Pneumonia 18 5 6 — — 7 — 9 9 — Pleurisy 2 — — — — 2 — 1 1 — Other diseases of Respiratory Organs 2 — — 1 1 — —
b783b6f3-f0c3-48c5-8476-775a476f7151	1 1 — Alcoholism Cirrhosis of Liver 7 — — — — 6 1 3 4 — Venereal diseases — — — — — — — — — — Premature Birth 11 11 — — — — — 2 9 — Diseases and accidents of parturition — — — — — — — — — — Heart Diseases 21 3 — — 2 9 7 10 11 — Accidents 6 3 1 1 — — 1 2 4 Suicides 5 — — — 2 1 2 4 1 — All other causes 118 32 — 1 6 25 54 59 59 — All causes 289 74 24 4 13 87 87 138 151 3 43 TABLE V. Infantile Mortality during the Year 1905. Deaths from stated Causes in Weeks and Months under 1 Year of Age. Cause of Death.
8fd8e21d-5549-499c-b87b-032469f48d28	Under 1 week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 month. 1-2 Months. 2-3 Months. 3-4 Months. 4-5 Months. 5-6 Months. 6-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months. Total Deaths under 1 year.
dad386f3-828e-4a42-9bd8-314721bc1bac	All Causes Certified 15 2 3 5 25 14 2 5 7 1 3 2 4 6 3 2 74 Uncertified — — — — — — — — — — — — — — — — — Common Infectious Diseases Smalt-pox — — — — — — — — — — — — — — — — — Chicken-pox — — — — — — — — — — — — — — — — — Measles — — — — — — — — — — — — — — — — — Scarlet Fever — — — — — — — — — — — — — — — — — Diphtheria : Croup — — — — — — — — — — — — — — — — — Whooping Cough — — — — — 1 1 — — — — — — — — 1 3 Diarrhœal Diseases Diarrhœa,
517b55bc-c9e0-40cd-be18-53c880067678	all forms — — 1 1 3 1 2 1 1 9 Enteritis (not Tuberculous) — — — — — — — 1 1 — — — — — — — 2 Gastritis, Gastrointestinal Catarrh — — — — — — — — — — — — — — — — — Wasting Diseases. 'Premature Birth 6 1 1 1 9 2 — — — — — — — — — — 11 Congenital Defects 1 1 1 — 3 1 — — — — — — — — — — 4 Injury at Birth — — — — — — — — — — — — — — — — — Want of Breast Milk — — — — — — — 1 1 — — — — 1 — — 3 Atrophy.
149684b4-1c98-4ea8-a400-c121697fe1f2	Debility, Marasmus 1 — — 2 3 4 1 2 1 — 1 — — — — — 12 44 Tuberculous Diseases. Tuberculous Meningitis — — — — — — — — — — — — — — 1 — 2 Tuberculous Peritonitis: Tabes Mesenterica — — — — — — — — — — — — — — — — — Other Tuberculous Diseases — — — — — — — — — — — 1 1 — — — 2 Erysipelas — — — — — — — — — — — — — — — — — Syphilis — — — — — — — — — — — — — — — — — Rickets — — — — — — — — — — — — — — — — — Meningitis (not Tuberculous) — — — — — — — — 1 — — — — 2 — — 3 Convulsions
effff2c1-505d-4d0e-8559-c26b82098098	1 — 1 — 2 1 — — — — 1 — — — — — 4 Bronchitis — — — — — — — — 1 — — — 1 — — — 2 Laryngitis — — — — — — — — — — — — — — — — — Pneumonia — — — — — 1 — — 1 1 — — 1 1 — — 5 Suffocation, overlaying — — — 1 1 — — 1 1 — — — — — — — 3 Other Causes 6 — — — 6 1 — — — — — 1 — — 1 — 9 15 2 3 5 25 14 2 5 7 1 3 2 4 6 3 2 74 District: —Barnes. Population (estimated to middle of 1905), 24,250.
63f5b336-fd3d-45d7-983d-4d3dadd5fd6a	Births in the year, 600. Deaths from all causes at all ages, 289. 45 46 Appendix C. Tables. Infectious Disease. General Work of the Sanitary Department. Food and Drugs Act. Vaccination. 47 TABLE Shewing the number of cases of Scarlet Fever, Diphtheria and Typhoid Fever, notified during 1905 and in the 10 previous years, with the estimated population, and number of cases per 1,000 estimated population, for each year. Year. Estimated Population. Cases Notified. No. of cases per 1,000 estimated population. Scarlet Fever. Diphtheria and Croup. Typhoid Fever. Total. 1895 15,950 53 43 10 106 6.5 1896 16,200 66 28 10 104 6.4 1897 16,
6beeebf9-ba88-4127-a5bb-688a66969cb3	450 41 44 7 92 5.7 1898 16,700 73 38 12 123 6.9 1899 17,000 90 24 9 123 7.2 1900 17,400 32 26 5 63 3.6 1901 17,900 31 75 12 118 6.5 1902 19,900 75 61 8 144 7.2 1903 21,150 30 55 8 93 4.3 1904 23,250 31 14 7 52 2.2 Averages 18,185 52.2 40.8 8.8 101.8 5.5 1905 24,250 31 17 4 52 2.1 TABLE.
15cbb5cb-8417-4a5c-9a4a-5eabb1391a16	Showing the Case Mortality at the Isolation Hospital, Mortlake, since January 1st, 1901. Year. SCARLET FEVER. DIPHTHERIA AND CROUP. TOTALS. Admissions. Deaths. Mortality per cent. Admissions. Deaths. Mortality per cent. Admissions. Deaths. Mortality per cent.
a7ce437f-a8c6-4ba2-b0fb-480020e13779	1901 18 0 0.0 56 1 1.71 74 1 1.35 1902 56 1 1.71 46 6 13.04 102 7 6.86 1903 21 1 4.76 45 3 6.57 66 4 6.06 1904 21 0 0.0 9 0 0.0 30 0 0.0 1905 24 1 4.16 14 2 14.2 38 3 7.89 Totals 140 3 2.11 170 12 7.05 3.10 15 483 Of the 14 cases of diphtheria admitted in 1905, four had laryngeal complications (in one instance congenital) necessitating tracheotomy.
0f457414-48da-4788-bd9f-c25a5b6ce381	48 49 TABLE Showing the work done by the Sanitary Inspectors during 1905, having relation to the Housing of the Working Classes. BARNES. MORTLAKE. TOTALS. Houses found unfit for habitation 0 0 0 Overcrowding 1 2 3 Premises cleansed by owners 32 64 96 Visits made to dwelling houses 1666 2255 3921 TABLE Showing the number of certain places under the Council's supervision, and the visits made to them by the Sanitary Inspectors during 1905. BARNES. MORTLAKE. TOTALS. No. Visits. No. Visits. No. Visits.
81a5a7f5-3a7d-479f-9bed-f2e69cbbdf95	Dairies and milk shops 9 36 11 44 20 80 Other places where milk is sold 3 6 9 18 12 24 Cowsheds 1 4 1 6 2 10 Slaughterhouses 1 3 3 11 4 14 Places where petroleum is stored 4 8 8 16 12 24 TABLE Showing the work done by the Sanitary Inspectors during 1905 with relation to infectious diseases. BARNES. MORTLAKE. TOTALS.
7f3ea40e-9cba-4066-8ec2-68f025900eff	Visits to cases of notifiable disease 41 29 70 Visits to cases of non-notifiable disease 40 11 51 Disinfections performed 39 29 68 Lots disinfected by steam 24 22 46 Premises cleansed under Infectious Diseases Prevention Act 8 8 16 50 TABLE Showing the work done by the Sanitary Inspectors during 1905 with regard to places under the Factory and Workshops Act, 1901. BARNES. MORTLAKE. TOTALS. No. Visits. No. Visits. No. Visits A.—FACTORIES.
0e4c14d8-564b-4b8e-81b7-a72b80a71a8b	Sawmills 1 2 1 2 1 2 Electric Lighting Works 1 1 1 2 2 3 Printers' 1 1 4 4 5 5 Coachbuilders' ... ... 1 2 1 2 Cricket Ball Makers' 1 2 ... ... 1 2 STEAM LAUNDRIES— Over 40 employees 1 3 ... ... 1 3 Under 40 employees 2 6 2 7 4 13 B.—WORKSHOPS. Wall Paper Designers' . . 1 1 1 1 Blindmakers' 1 1 . .
564ced34-9688-4bdd-9d00-aace1c59e331	1 1 Tailors' 4 4 4 5 8 9 Dressmakers' 17 21 12 13 29 34 Shoemakers' 8 10 7 9 15 19 Cycle and Motor 4 4 3 4 7 8 Saddlers' 1 2 2 2 3 4 Confectioners' 1 1 . . 1 1 Photographers' . . 3 3 3 3 Paving Works 1 2 . . 1 2 Smiths' l 1 3 5 4 6 HAND LAUNDRIES— Over 40 employees . . . . . . Under 40 employees 5 14 9 23 14 37 BAKEHOUSES— 4 12 6 18 10 30 C.—DOMESTIC WORKSHOPS.
4f984ecf-fb4e-4b0a-ad8c-4a236da31b1e	Dressmakers' 9 15 6 6 15 21 Family Laundries 4 10 8 18 12 28 D.-WORKPLACES. Stable Yards 5 8 2 3 7 11 Restaurants 3 6 5 8 8 14 Totals 75 126 79 133 154 259 51 TABLE Showing the number and kind of general nuisances discovered and remedied during 1905. Barnes. Mortlake Total. Defective drains amended 15 27 42 Defective drains reconstructed 7 24 31 Defective soil pipe ventilators 9 9 18 Defective closet pans, etc.
122e4207-88fe-466e-adf7-5580ca5cfcee	74 52 126 Defective closet fittings 1 4 5 Defective waste pipes — 8 8 Defective light and ventilation to closets 6 5 11 Defective flushing cisterns 36 63 99 Cisterns cleansed and covered 11 34 45 Dustbins replaced 41 61 102 Yards paved 10 22 32 Mica valves made good 5 37 42 Nuisances from animals 6 2 8 Foul accumulations 0 2 2 Rain water pipes disconnected 4 5 9 Defective gutterings 8 11 19 Totals. 233 366 599 Statutory notices served 47 Summonses taken out 1 52 TABLE Showing the general work done in the Sanitary Department during 1905, and in the four preceding years. Nature of Work Done. 1901 1902 1903 1904 1905 Inspections of houses and premises made 2391
d3b75598-b1ef-4f96-b290-d34cd8a30c1f	2750 3642 4142 4454 Notices served for abatement of defects 397 458 615 764 681 Houses and Premises cleansed and repaired 22 28 129 220 96 Houses disinfected 85 126 90 53 68 Defective drains (amended) 30 35 47 42 42 Defective drains (reconstructed) 7 4 8 22 31 Defective soil pipe ventilators 15 28 6 15 18 Defective closet pans and traps (replaced) 21 20 50 114 126 Dustbins (replaced) 85 56 141 125 102 Defective flushing cisterns 116 139 180 182 99 Cisterns cleansed and covered 32 53 71 56 45 Premises on which animals causing nuisance 3 2 5 7 8 Foul accumulations (removed) 8 1 6
0e04a063-2fcd-469d-ac21-fc98010879ba	4 2 Defective roofs and eaves gutterings 11 6 50 55 19 Insanitary Yards paved 35 18 9 69 32 Defective Mica Valves . 10 18 66 42 Burst pipes repaired . 9 8 2 . No proper receptacle for manure or offal . . 3 9 . Overcrowding (abated) 7 6 6 11 3 Houses found unfit for habitation 5 15 2 1 . Bakehouses inspected 11 11 13 11 10 Cowsheds and Dairies inspected 14 17 20 23 22 Licensed slaughter-houses inspected 5 5 4 4 4 Factories and Workshops inspected . . 128 140 154 Number of visits to notifiable diseases . . 116 108 70 Number of visits to non-notifiable diseases . .
715993e9-7903-4665-94a0-43d70e781585	42 154 51 Premises licensed for storage of Petroleum 3 6 9 11 12 Complaints received . . . 33 45 Summonses for abatement of Nuisances 1 . 1 3 1 TABLE. Shewing the Proceedings taken during 1905, under the Food and Drugs Act, by the County Inspector, Mr. Houghton. Articles Purchased. Samples taken. Found Genuine. Slightly Adulterated etc. Cases in which proceedings taken. Connections obtained. Fines Inflicted. Milk 21 15 2 4 3 £15 4 6 Butter 9 9 — — — — Spizits 2 1 — 1 1 £2 4 6 Coffee 1 1 — — — — Cheese 4 4 — — — — Margarine 2 2 — Under Margarine Act.
bbfd49ae-537d-4e06-a44d-efec72066a9d	1 £1 14 0 Vinegar 1 1 — — — — Olive Oil 1 1 — — — — Totals 41 34 2 6 5 £19 3 0 53 TABLE Showing the administration of the Vaccination Acts in the Mortlake Registration Sub-District (which includes the parishes of Barnes and Mortlake) according to the return made by Mr. Umney, Clerk to the Richmond Guardians. Return for the period January lst to December 31 st, 1904. Registration Sub-District Comprised in the Vaccination Officer's District. No. of Births returned in the Birth List Sheets as registered. Number of these Births duly entered by 31st January, 1906, in Cols.
dc7f7121-fc04-496a-8b2e-7ebddbce0dd7	1, 2, 4, & 5 of the Vaccination Register (Birth List Sheets), viz : Number of these Births which on 31st Jan , 1906, remain unentered in the Vaccination Register on account (as shown by Report book) of Number of these Births remaining on 31st Jan.. 1906, neither duly entered in the Vaccination Register (Cols. 3, 4, 5, 6, & 7 of this return) nor temporarilly accounted for in the Report Book (Cols. 8, 9, & 10 of this Return.) Number of Certificates of Conscientious Objectionactually received, by the Vaccination Officer irrespective of the dates of Births of the Children to which they relate during the year 1905. Total number of Certificates of successful Primary Vaccination at all ages received during the calendar year 1905. COL 1. Column 2. COL 4. COL.
39135654-020f-4420-858e-b8ecf862d372	5. Postpone ment by Medical Certificate. Removal to Districts the Vaccination Officer of which has been duly apprised. Removal to place unknown or which cannot be reached and cases not having been found. Successfully Vaccinated. Insusceptible of Vaccin" ation. Had Small Pox. Number in respeet of whom Certificates of Conscientious Objection have been received. Dead unvaccinated 1 2 3 4 5 6 7 8 9 10 11 12 13 MORTLAKE 743 660 3 — 7 54 — 7 12 none — 683 Return for the Period January-June, 1905. (Supplementary). MORTLAKE 376 331 2 — 5 27 4 1 6 none 12 — 54
608e97c9-d8d3-43ba-b074-e0f4525415b7	BARN 61 The Urban District Council of Barnes. THE ANNUAL REPORT For 1907 OF THE Medical Officer of Health, F. GRAHAM CROOKSHANK, M D., Lond. Barnes, S.W. R. W. Simpson & Co., Ltd., Printers, 15 High Street, 1908 The Sanitary Department, Council House, Mortlake, S.W, January 30th, 1908. Mr. Chairman and Gentlemen, 1 beg to submit my seventh Annual Report. The district becomes each year more populous and less rural. Higher standards of efficiency are therefore required, and continuous effort is necessary if the public health is to be improved, or at least, not to fall below its present standard. 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.
4005ef59-f190-48d3-bf70-0a0ec60925ca	Sanitarp Committee, 1907=8. Chairman: Councillor G. W. P. BATES. The Chairman of tbe Council: Councillor S. W. LAMBERT, J.P. The vice=chairman of the Council: Councillor J. D. FIRMSTON. Councillors DAVENPORT, HAINES, HAMPTON, KITLEY, LANGDON, MEDUS, MERRICK, MOONAN, NEW, PALMER, RANDALL, SHEARMAN, SLATTER, SMITH, SPENCER and WATERMAN. Medical Officer of health and medical Superintendent of isolation hospital: F. GRAHAM CROOKSHANK, M.D., Lond. inspector of auisances: Mr. T, GRYLLS. assistant inspector of auisances: Mr. C. H. ROBINSON.
0b5440db-f8b2-4fb6-ba04-d846b9d793b7	Matron of the isolation hospifal: MISS BELLINGER. CONTENTS. Page GENERAL SUMMARY 9 Vital Statistics 13 Housing 15 Sewerage, Drainage, Water Supply, etc. 16 Nuisances 18 Places over which the Council has Supervision 19 Infectious Disease 19 Hospital Accommodation 20 School Hygiene 23 Mortuary, Baths, &c. 26 Midwives Act, 1902 26 Appendix A: Factories and Workshops Act 28 Appendix B: Tables of the Local Government Board 32 Appendix C: Other Statistics 40 Infectious Disease 41 General Work of the Sanitary Department 43 The Food and Drugs Act 47 Vaccination 48 9 GENERAL SUMMARY. The Urban District of Barnes embraces the parishes of Barnes and Mortlake.
a882d8e6-2af6-467b-aa25-bc122cc94bbe	Area—exclusive of water 2,400 acres Population—Census, 1901 17,821 Population—Midsummer, 1907 28,000 Inhabited Houses—Census, 1901 3,403 Inhabited Houses—Midsummer, 1907 5,332 Rateable Value—Agricultural Land £1,938 £238,611 Other Hereditaments £236,673 Assessable Value £212,741 General District Rate 4/1 Poor Rate—Parish of Barnes 2/8 Poor Rate—Parish of Mortlake 3 4 Birth Rate—Per 1,000 estimated population 24.4 Death Rate—Per 1,000 estimated population 9.5 Corrected Death Rate—Per 1,000 estimated population 10.7 Infantile Mortality—Per 1,000 births 92 block Plan or Isolation Hospital. 13 Vital Statistics (For Tables see Appendix B.)
b35e8441-e10a-4c47-b83e-aa4a350a7329	According to the rate-books the number of inhabited housed in the district at Midsummer last was 5,332. Of these rather more than half were in Mortlake, rather less than half in Barnes. During the last 6 months of the year the increase in the number of inhabited houses was considerably greater than in the early part of the year, and I estimate the population at December 31st to have been at least 29,000. I estimate the population at Midsummer to have been 28,000, of which 13,450 were resident in Barnes and 14,550 in Mortlake. On this estimate the birth-rate for the whole district in 1907 was 24 4, exactly the average for the preceding ten years (see Appendix B, Tables 1. and II.).
f56b28a3-9849-491c-ba00-2bdf395cb237	The number of births which actually occurred in Barnes during 1907 was 277, seven less than in 1906, and the number of those in Mortlake 407. one hundred and fifty-nine more than in 1906. In the subjoined table the yearly increases in the number of inhabited houses since the last Census are set forth. Date of Computation. Number of Inhabited Houses. Barnes. Mortlake. Total.
eb60fc1e-62d4-473b-93b8-63bd5f244ac5	1901 Census (March) 1893 1510 3403 1902 (Midsummer) 2051 1763 3814 1903 (Midsummer) 2167 1869 4036 1904 (Midsummer) 2315 2120 4435 1905 (Midsummer) 2377 2308 4685 1906 (Midsummer) 2459 2464 4923 1907 (Midsummer) 2576 2756 5332 Increase in 6¼ years 683 1246 1929 14 It is obvious that Mortlake continues to increase in population more rapidly than Barnes, and, in fact, has become in point of population the "predominant partner" in the Urban District. The death rate at all ages is once more the lowest yet recorded for this district, and the very marked fall in infantile mortality is particularly noteworthy.
ec0fac0e-7e4d-4511-9a68-cc56ea5b9ae4	It is true that 1907 was, in most districts, a healthy year for infants. Still, the fact that the infantile mortality for 1907 was so low as 92 per 1,000 births, while the lowest rates hitherto recorded have been 111 and 112 is most encouraging, especially when it is remembered that there has been a steady and continuous decrease noted since 1904, and that the birth rate itself remains at the average of the last ten years. Important factors in securing this improvement have been (a) the introduction of the constant water supply: (b) the improvement in the general condition of the poorer dwellings: (c) the particular attention given by the Surveyor to the road conditions of the poorer quarters : and (d) the closer supervision of the retail milk trade. Tables IV and V, Appendix A, give detailed information of the causes of, and ages at, death during 1907.
8d7d3508-1fdc-48ef-8498-563b0a6ce5be	It will be seen that only eight deaths were due to measles, scarlet fever, whooping cough and diphtheria, that none occurred from enteric fever, and but seven from diarrhœa. On the other hand, fourteen were ascribed to epidemic influenza. Eighteen deaths occurred from phthisis, and sixteen from malignant disease. These figures shew some improvement on past years. 15 Eight deaths were definitely stated to be due to chronic alcoholism. In other words, of every hundred persons dying above the age of 25 four were certified to have died from the effects of alcohol. The actual number that so died was no doubt greater. Table V. deserves special attention. It will be seen that in all 65 deaths of infants under 1 year in age are analysed. Of these 65 deaths so many as 19 are ascribed to premature birth, although in eight instances the children survived one week.
40ad70b0-83a7-4d23-b7a8-5c9a3b9f3159	Nine children died from nutritional defects and seven from diarrhoea. Seven died from meningitis and three from suffocation. It is obvious that, although much has been done, much more may yet be done to reduce our infantile death rate. Housing of the Working Classes. The demand for increasing housing facilities caused by the influx of motor men and other artisans has been lately met to a great extent by the subletting of small houses of a rental of £28—32 a year or thereabouts, in which, a few years ago, but one family resided. The difficulties and evils to which this has given rise are apparent, and the Sanitary Department has given special attention to the subject. A block of Workmen's cottages of a distinctly good type has been built by private enterprise in Mortlake, and is already well filled.
6f63fd6f-21a4-43b4-9f10-1503ffb81628	In the early part of 1907 further consideration was given to my special report of May, 1906, on the condition of what is known as the "Malthouse Area" in Barnes. 16 Plans were prepared by a Sub-Committee for the clearance and re-building of this area, but ultimately it was resolved by the Council that for financial reasons this could not be carried out. The resolution of the Council also referred to the fact that the owner of a certain part of the property in this area had carried out certain improvements. I have little to add to what I have already said in past reports on the condition of this area. It would seem not unlikely, however, that the financial tragedy of the Sibylline books may have, in our local history, yet one more parallel.
1935f220-2507-44c7-9da1-c2cd91959f0f	For, without doubt, six or seven years ago the necessary work could have been carried out for much less than it would now cost, and it seems probable that the longer the work is delayed the greater will be the ultimate cost, and the less will be the benefits resulting. In the meantime the Sanitary Department has knowledge of other areas and groups of houses, the condition of which is rapidly approximating to that of this more notorious area, and to which serious attention will have, sooner or later, to be given. Sewerage, Drainage, Cesspools, and Water Supply. House drains were in 61 instances during 1907 amended or reconstructed under notice from the Sanitary department. Continued attention has been paid to the existing cesspools, and most are now in a fairly satisfactory condition.
5aa24360-e2c7-4e71-848e-c95f461132eb	17 In my report for 1906 1 drew attention to the fact thnt many streets in Barnes and Mortlake are not, or were not then, channelled, and that in most instances the sidewalks were not flagpaved, and in many the curbing was irregular. I further pointed out that the absence of channelling in roads such as White Hart Lane, and in areas such as the Westflelds, Littleworth End, and Lillian Road, was now a matter of sanitary importance. 1 went on to say that 1 felt sure "that the channelling of these roads, the macadamizing of some of them, and the making good the sidewalks of others, together with the diversion of the storm water, would go a long way towards the reducing the amount of diphtheria and sore throat which undoubtedly does prevail in excess in this district."
909e8426-1674-4f3b-b092-9e2a4e6eb1ab	1 am glad to be able to report that at the time of writing the work of channelling and flag paving part of the Westflelds is in progress. But when this task is completed only a part of that which I last year indicated as desirable will have been done, and there is no justification for the suggestion that the flagpaving and channelling of the Westflelds is equivalent to the stamping out of diphtheria and scarlet fever. I believe that as this kind of sanitary work is carried out throughout the district (and there are many roads besides the Westflelds where it is needed) that sore throat and diphtheria will become relatively less frequent. But with the perpetual increase of the artizan population it would be absurd to hold out hope that the absolute amount of disease will yet awhile become less, and it will be a matter for congratulation indeed if it does not increase.
8ab16eee-fdd1-4f3f-a7a8-2c7dadfc215e	18 The condition of White Hart Lane does require attention very urgently, and I trust that in another year 1 shall be able to report that it has been put in order and that some progress has been made towards the betterment of the Lillian Road area and other parts of the district. Nuisances. Statistical record of the work done during 1907 is given in the tables in Appendix C, which clearly indicate the very great attention that under the experienced direction of Mr. Grylls, has been given to these matters. Note may particularly be taken of the number of instances in which drains have been amended or reconstructed and backyards paved. Mention should be made of one case in which a summons was taken out at the Mortlake Petty Sessional Court. Premises known as Roteman's Wall Paper Manufactory were, in 1907, taken over by a company engaged in the making of gas mantles.
028edc8f-b90b-4c81-a011-a009d507826d	In the process of making gas mantles a fabric is dipped in a compound of ethereal and allied substances, and, during the drying, vapours are given off of varying nature. In this particular case residents in the neighbourhood of the factory alluded to complained of the intermittent production of ethereal and other vapours (some, resembling "pear-drops," evidently amylic) which they alleged caused nausea, retching, and other unpleasant effects, and were also a nuisance. As, in my opinion, these complaints were well based, I recommended that proceedings be taken under Sec. 114 of the Public Health Act, 1875. At the hearing of the case evidence was produced in support of the allegations and complaints, but, other evidence being called for the defendants, which consisted of the 19 testimony of persons who had either not noticed the vapours or to whom the vapours were not offensive, in the result the summons was dismissed.
d17a2596-a471-4b74-857c-84f9fb0865f0	A recent judgment in the High Courts, however, would seem to indicate that if persons resident in a neighbourhood prior to the commencement of what they suffer from as a nuisance are in fact seriously affected by such a nuisance it is no defence to produce the evidence of other less sensitive or refined persons who are not annoyed by the proceedings in question. Places over which the Council has Supervision. The special report concerning Factories, Workshops, and Workplaces is found in Appendix A. As will be seen from the tables there supplied, the chief defects found during 1907 were those arising from want of cleanliness. In each case the necessary work was carried out. In Appendix C particulars are given of the number of milkshops, slaughterhouses, etc., in the district. Cowkeepers are no more to be found in either Barnes or Mortlake, but the total number of places where milk is known to be sold is now 38.
e68517b1-3530-439e-8b7c-a661609de10c	124 visits were made by the Sanitary Inspectors to these places, and many more by myself during 1907, and I am glad to say that there is a progressive improvement in the standard of cleanliness observed by the various shopkeepers. The three slaughterhouses are fairly well kept, and so are the fourteen bakehouses, but constant visitation is required to keep these places up to the mark. Infectious Disease. No definite outbreak of disease occurred during 1907. The cases of scarlet fever and diphtheria that did occur were mostly scattered about the district and distributed amongst all classes. Measles was infrequent, but some whooping cough occurred in the 20 earlier part of the year, and much mumps. The deaths from infantile diarrhoea were, as has already been mentioned, relatively very few, and although this relative immunity was no doubt due in part to improved sanitary conditions, of course the climatic circumstances of the summer were extremely favourable.
e013d06d-0a0c-47f6-933b-feb0e5ee7491	Isolation and disinfection is carried out with greater care and stringency than in former years, and the good effects of these and other administrative improvements are beginning to be seen. The first table in Appendix C affords some indication of this. In the quinquennium 1896-1900 the cases of scarlet fever, diphtheria, and enteric fever notified per 1,000 of the population averaged 6.08 ; in the succeeding quinquennium 4.3; and in 1907 3T. Taking the years 1896 to 1907, it will be seen that the three worst years, 1898, 1899, and 1902, occurred before 1903, and the three best years, 1904, 1905, and 1907, since that date.
344220ac-628d-4a88-b082-5e2fd067ba90	The improvement that has occurred is chiefly with regard to scarlet fever, but in respect of diphtheria some allowance may fairly be made for (a) the notification, in order to be on the safe side, of doubtful cases, and (b) the more accurate diagnosis of slight cases. Still, there is far too much diphtheria and sore throat generally in the district, and much work yet requires to be done. During the past year a considerable amount of bacteriological work has been done at the Hospital in the way of assisting diagnosis, with, it is thought, very good results. Hospital Accommodation, &c. During 1907 seventy-four cases were treated in the Isolation Hospital. Of these, one was a patient admitted on January 1st, 1907, who was notified in 1906, and one an adult patient who was found on admission to be suffering from drug rash.
c647e994-7257-41bd-804e-c294240191c7	In this latter instance the formal notification had not been given, and therefore the figures shown in Table III. Appendix A are correct, 21 Of the remaining seventy-two cases one was one of typhoid, one was an instance of puerperal septicemia, 49 were cases of scarlet fever or scarlet fever and diphtheria, seventeen were cases of diphtheria, and four were cases sent in as either scarlet fever or diphtheria, and proving to be otherwise. Of eighty-six cases of scarlet fever or diphtheria notified, seventy-three were removed to hospital, or eighty-one per cent. This percentage is rather lower than usual, and is due to the fact that during 1907 a larger proportion of cases than usual occurred in houses where proper facilities for isolation existed.
71035866-aab4-4ecc-8f43-385deb3558c8	These cases were also mostly those of persons above fifteen years of age, Although the absolute number admitted to the hospital during 1907 was not very great, still, in the early part of the year, there was very great strain on the accommodation owing to the fact that an unusually large number of groups of cases had to be treated at once. Thus at one time there were present simultaneously cases of diphtheria, scarlet fever, scarlet fever and diphtheria, typhoid, diphtheria and whooping cough, and other complaints or combination of complaints. Under circumstances such as these the knowledge of the nominal number of beds in a hospital is of little consolation to those who have to deal practically with the situation caused, not only by the necessity of separating the various diseases, but also the sexes, and the "convalescents" from the "acutes."
103a9f5e-6583-48f8-9630-994686a7d21c	It was my duty therefore to urge anew (especially as a lamentable series of cross-infections, &c., had arisen as a result of the deficient ward accommodation in December, 1906) the building of the ward block first suggested by me in 1901. Decision was, however, postponed, but two very necessary and important improvements were carried out, under the supervision of Mr. Tomes, in the conversion of the hand laundry 22 to steam and the provision of bathrooms for the diphtheria block Later in the year the question of the ward block and the provision of a new mortuary were referred to a Special Committee for inquiry and report, and since then (January, 1908) these absolutely necessary works have been decided on. I trust that there will be found no occasion for further delaying their execution. The fact that the hospital rate for 1906-7 was 4.2d.
0c18a7b8-7750-4c37-914e-5dcb8d1ca12e	in the pound had, I have no doubt, some influence in causing the postponement for a time of the decision to realise these projects. But this rate of 4.2d. was actually exceeded in the year 1899-1900, and would not have been reached in 1906-7 but for the expensive and severe prevalence of diphtheria during 1906, and the very great administrative difficulties that arose as a direct consequence of the insufficient accommodation available late in 1906. It should not be forgotten too that during 1906-7 there were special charges not likely to recur annually, and also that the "hospital" is something more than a "hospital," being also the disinfecting station for the whole district.
8ad948bb-7781-4d12-81ee-340b3b8becb5	The new ward block is needed in order that recurring outbreaks of scarlet fever and diphtheria may be dealt with without fear of cross-infection, and in order that mixed cases, doubtful cases, and cases of disease other than scarlet fever or diphtheria may be Properly isolated, without danger to themselves or others, and without the administrative waste that is the inevitable result of attempting to do without what is necessary. 23 I believe that there will be a real economy in working when this new block is erected, especially if it is found possible to reserve the "old block" for mixed, doubtful, or other cases, as in practice this block, consisting as it does of four wards and two duty rooms, is a woefully extravagant place in which to nurse the ten cases it nominally holds if these ten cases be all instances of one disease. The necessity for the erection of a small and suitable mortuary is, I think, generally admitted.
aacd5335-5ae5-4246-b2fa-667712346970	It is to be hoped that when these proposed works are executed that the preventive side of the Council's health work—I mean the work of the Sanitary Department—will be so supported and strengthened that, in spite of the inevitable growth of the district, it will be some years before there is need for capital expenditure on the hospital except in respect of those minor works and improvements which are best carried out from time to time before postponement and delay has led to makeshifts and contrivances which are rarely efficient and always extravagant. During 1907 Miss Clark, the Matron, whose services had been most valuable, received an appointment in India, and Miss Bellinger, the Chief Nurse, was appointed to succeed her. A block plan of the hospital is given on page 11 of this report, and shows the disposition of the present and projected buildings.
5dacfe04-aa54-4c95-af26-977eeafc9fc3	The paths, &c., have been laid out in such a way that proper arrangements can be made on the site in the event of the population of the district rising to its probable maximum—70,000. School Hygiene. The system of inspection and supervision of public elementary schools, mentioned in my last report, has been continued in this district with, I think it may be said, very satisfactory results. 24 Visits of inspection to the schools have been made by me regularly and a considerable number of children have been examined for school attendance purposes. Detailed reports have been sent each term to Dr. Jones, the County Education Medical Officer, and these reports are incorporated in Dr. Jones' report to the Surrey County Council. One large and excellent school has been built during the year at Mortlake, and recently opened, and another one is contemplated for erection in Barnes.
f7edddcf-17af-4f6a-a75b-df11cc069127	The plans in both these instances are on the usual lines, shewing central halls, but it is to be hoped that in future years attention will be paid to the plans recently described by Dr. George Reid, the County Medical Officer of Health for Staffordshire, which are undoubtedly the best. In these plans the "central hall " is abandoned and the class rooms open on to a kind of open corridor, in this way securing economy in space and simplicity and perfection in ventilation. Considerable improvements are needed in most of the existing public elementary schools in the district, and some are, I believe, under consideration. With regard to the work of examination of scholars for school attendance purposes, some remarks may perhaps be made.
9af2a44f-6e5c-4127-b657-57253df86dad	The examining medical officer, while exercising the greatest vigilance in detecting what may be called vicarious malingering, has to protect attending scholars against risk of infection or contamination, and defaulting children, who are really ill, from hardships all arising from their parents' laxity, or evasion of proper observances. In some instances definite certification as desired by managers or attendance officers cannot be made. For instance, a child absent for a week or two is alleged by a parent to have been ill during that time. The child when 25 examined is found fairly well. It is impossible to either deny or affirm the truth of the parents' statement. Again, many children are intermittently absent, the parents alleging such complaints as asthma, epilepsy, sick headache and so forth, which recur from time to time only.
a3a104a8-05f7-48a4-a90d-60ed36e9a5ae	In such cases it is almost impossible for a medical officer who sees the child only in periods of good health to express a positive opinion as to the actual facts, and the onus of proof should be on the parents, the non-production of a certificate or statement from the medical man alleged to be in attendance during the attacks, regarded as evidence of their unreality. Under the existing scheme the physical examination of children attending school who are not alleged or suspected to be suffering from disease has hardly been attempted. But the issue of the recent memorandum from the Board of Education clearly indicates the lines on which in the future the routine examination of all scholars is to be carried out, and some considerable amplification of the present system is thereby made necessary. The matter will no doubt be considered in due course by the Surrey County Council (the Education Authority for this district), and a fuller scheme elaborated.
146868d2-6f3b-4d4f-ae05-a928040796c6	In the meantime it is interesting and significant to note that the Board of Education attaches the greatest importance to the co-ordination of medical inspection, etc., of scholars with the work of the existing public health service. There is no doubt but that this work of school and scholar inspection will be performed in the future under the direction of County or District Medical Officers of Health, as has been consistently urged by some of us for years past. 26 Mortuary and Coroner's Court. The public mortuary continues to be of great service, but might well be improved and modernized in several particulars. The number of inquests held during 1906 was 45. Baths and Washhouses, etc. There are no public baths and washhouses in Barnes and Mortlake, although Richmond and Putney are provided with these useful institutions. There is no public recreation ground and no free library. The Midwives' Act.
1e7e5026-9db6-44de-af39-8f5034bbf674	I continue, under the arrangement made by the Surrey County Council, to supervise the work of the registered midwives resident in the district, and have recently reported in detail to the County Medical Officer of Health, Dr. Seaton. At present there are but two trained midwives and one untrained but registered person actually practising in the district. Of the 684 births during 1907 about 250 are known to have been attended by one or other of these three, and the results on the whole have been excellent There are several untrained midwives who are not registered who continue to practise, but their cases become apparently fewer year by year. The Richmond Board of Guardians have recently notified midwives practising in this and other districts of the Richmond Union of their willingness to pay a fee of £1 11s. 6d. for medical assistance in suitable cases.
d1660971-72fe-48cd-9a36-b0b072b58cc3	As the duty of calling in a medical man is in certain cases now a statutory one, and the Act has made no provision for the remuneration of medical men so called, it is to be hoped that this decision will not in practice be rendered ineffective by too narrow a definition of the cases considered suitable. 28 Appendix A. Special Report under the Factories and Workshops Act, 1901. The statistical particulars officially required in respect of this Act will be found on the pages immediately following this annotation, and, in Appendix C, there is a table giving an analysis of the visits made by the Sanitary Inspectors during 1907. I have myself frequently visited these places, and am satisfied that the provisions of the Act are generally complied with. There has been less difficulty this year in securing the compliance of the few persons in the district employing outworkers, with the Act.
bfb462da-b998-4a5f-97da-acb35ef06c1f	The factories and workshops in this district are chiefly laundries, bakehouses, and Shoemakers' and dressmakers' premises. Bye-laws dealing with the provision of means of escape from fire have been prepared, and submitted to the Local Government Board for confirmation. 29 Annual Report of the Medical Officer of Health for the year 1907 for the Urban District of Barnes on the administration of the Factory and Workshop Act, 1901, in connection with FACTORIES, WORKSHOPS, LAUNDRIES, WORKPLACES and HOMEWORK. 1.- INSPECTION. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. Premises. Number of Inspections. Written Notices Prosecutions. Factories (Including Factory Laundries) 27 4 1 Workshops (Including Workshop Laundries) 259 18 — Workplaces (Other than Outworkers' premises included in Part 3 of this Report).
70a7291f-26b5-4d34-b107-874c142b0a6e	51 — — Total 337 22 — 2.—DEFECTS FOUND, Particulars. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector Nuisances under the Public Health Acts:— Want of cleanliness 16 16 — — Want of ventilation 1 1 — — Overcrowding 1 1 — — Want of drainage of floors — — — — Other nuisances — — — — Sanitary accommodation insufficient — — — — unsuitable or defective — — — — not separate for sexes — — — — Offences under the Factory and Workshop Act:— Illegal occupation of underground bakehouse (s 101) — — — — Breach of special sanitary requirements for bakehouses (ss. 97 to 100) — — — — Other offences — — — — (Excluding offences relating to out work which are included in Part 3 of this Report).
c1809f2b-b91b-4b03-907c-1077242efd2f	Total 18 18 — — 30 3.—HOME NATURE OF WORK. OUTWORKERS' LISTS. Lists received from Employers. Numbers or Addresses of Outworkers received from other Councils. Numbers of Addresses of Outworkers forwarded to other Councils Twice in the year. Once in the year. Lists. Outworkers. Lists. Outworkers. Wearing Apparel— (1) making, &c. 8 10 9 12 7 3 (2) cleaning & washing Lace, lace curtains & nets Furniture and Upholstery Fur pulling Umbrellas... Paper Bags and Boxes... Brush making Stuffed Toys File making Electro Plate Cables and Chains Anchors and Grapnels ... Cart Gear Locks, Latches and Keys Total 8 10 9 12 7 3 4—REGISTERED WORKSHOPS. Workshops on the Register (S. 131) at the end of the year. Number.
1382263b-1fb6-4cb2-9fd4-004bcce0624f	Important classes of workshops, such as workshop bakehouses, may be enumerated here. Laundries 17 Dressmakers ... 34 Shoemakers 34 Bakehouses 14 Total number of workshops on Register .. 150 31 WORK. SECTION 107. Number of Inspections of Outworkers' premises. OUTWORK IN UNWHOLESOME PREMISES (SEC. 108). OUTWORK IN INFECTED PREMISES (SECS. 109, 110). Prosecutions. Instances. Notices served. Prosecutions. Instances. Orders made (S. 110). Prosecutions (Sections 109, 110). Failing to keep or permit inspection of lists. Failing to send lists. — — 26 — — — — — — 26 5.—OTHER MATTERS. Class. Number. Matters notified to H.M.
ccb31cc5-61de-4eba-8f27-1dec0e2c85d2	Inspector of Factories:- Failure to affix Abstract of the Factory and Workshop Act (S. 133) — Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Act (S. 5) Notified by H.M. Inspector — Reports (of action taken) sent to H.M. Inspector — Other — Underground bakehouses (S. 101)— Certificates granted during the year — In use at the end of the year 5 32 Appendix B. Tables of the Local Government Board. I.—Vital Statistics of whole District during 1907 and previous years. II.—Vital Statistics of Localities during 1907 and previous years. III.—Cases of Infectious Disease notified during 1907. IV.—Causes of, and ages at, death during 1907. V.—Infantile Mortality.
5d4a6677-4e33-4cc0-9924-089946277b83	33 TABLE I. Vital Statistics of whole District during 1907 and previous Years. Name of District—Barnes Urban. Year. Population estimated to Middle of each Year. Births. total Deaths Registered in the District. Total Deaths is Public Institutions in the District, Deaths of NonResidents registered in Public Institutions in the District. Deaths of Residents registered in Public Institutions beyond the District. Nett Deaths at all Ages belonging to the District. Number. Rate.* Under 1 year of age. At all Ages. Number. Rate per 1,000 Births Registered. Number. Rate.* Number. Rate.* I 2 3 4 5 6 7 8 9 10 11 12 13 1897. 16450 370 22. 54 145.9 196 11.9 2 — 5 201 12.2 1898.
a3ee1cad-2d4e-4de2-b739-0cb6f6901665	16700 351 21.0 64 182.3 203 12.1 5 — 3 207 12.4 1899. 17000 458 26.0 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.
5179390a-d8ee-453e-ba8b-4c6e6d0feecf	21150 513 24.2 57 111.1 220 10.3 5 — 27 247 11.6 1904. 23200 618 26.6 83 134.3 237 10.2 0 — 24 261 11.2 1905. 24250 600 24.7 72 120.0 254 10.4 3 — 35 289 11.9 1906. 25500 632 24.7 71 112 256 10.0 15 — 32 288 11.2 Averages for years 1896-1907. 19945 487 24.4 62 127 228 11.4 4 6 — 18 246 12.3 1907.
55fb7a68-11b8-4b51-9229-f0ed030cfd1b	28000 684 24.4 63 92 267 9.5 5 — 33 300 10.7 *Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated population. Area of District in acres (exclusive of area covered by water). 2,400 Total population at all ages 17,821 Number of inhabited houses 3,403 Average number of persons per house 5,236 At Census of 1901. 34 TABLE II. Vital Statistics of separate Localities in 1907 and previous years. Name of District—Barnes Urban. Names of Localites 1. WHOLE DISTRICT. 2. BARNES (Parish). 3. MORTLAKE (Parish). Year Population estimated to middle of each year. Births registered. Deaths at all ages. Deaths under l year. Population estimated to middle of each year.
719f1f5a-f45b-4407-b577-23cffaf7d348	Births registered. Deaths at all ages. Deaths under 1 year Population estimated to middle of each year. Births registered. Deaths at all ages. Deaths under 1 year. a b c d a b c d a b c d 1897 16450 370 201 54 6230 218 101 26 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
545f2975-7d9e-4827-8571-d33663e37f89	501 286 60 10700 259 140 32 9200 242 146 28 1903 21150 513 247 59 11250 263 133 32 9900 250 114 27 1904 23200 618 261 86 12000 293 134 43 11200 325 127 43 1905 24250 600 289 74 12250 310 138 26 12000 290 151 48 1906 25500 632 288 75 12750 284 136 25 12750 348 152 50 Averages of years 1897 to 1906 19945 487 246 64 10388 258 126 31 9257 230 120 32 1907 . 28000 684 300 65 13450 277 ;
da3b754c-0367-45c7-8a35-705c2afa3851	144 28 14550 407 156 37 35 TABLE III. Cases of Infectious Disease notified during the year 1907. Notifiable Disease. Cases Notified in Whole District. Total Cases Notified in each locality. Number of Cases removed to Hospitals from each locality. At all ages. At ages—Years. 1 2 1 2 Under 1. 1 to 5. 5 to 15. 15 to 25. 25 to 65. 65 and upw'ds. Barnes. Mortlake. Barnes. Mortlake Small-pox — — — — — — — — — — — Cholera — — — — — — — — — — — Diphtheria (including Membranous Croup) 29 — 10 11 3 5 — 18 11 11 9 Erysipelas 6 2 — — —
3347119d-8057-4b39-b48c-c03472f6f3d8	4 — — 6 — — Scarlet Fever 57 — 12 36 7 2 — 26 31 21 29 Typhus Fever — — — — — — — — — — — Enteric Fever 2 — — — 1 1 — — 2 — 1 Relapsing Fever — — ~~ ~~ — — — — — — — Continued Fever — — — — — — — — — — — Puerperal Fever 3 — — — — 3 — 2 1 — 1 Plague — — — — — — — — — — — Phthisis (Voluntary) 2 — — — — 2 — — 2 — — Totals 99 2 22 47 11 17 — 46 53 32 40 36 TABLE IV. Causes of, and Ages at, Death during year 1907. Causes of Death.
042c66be-9ea9-409d-a05c-be72b47f1ed7	Deaths at the subjoined ages of "Residents" whether occurring in or beyond the District. Deaths at all ages of "Residents" belonging to Localities, whether occurring in or beyond the District. Total Deaths whether of Residents or Nonresidents in Public Institutions in the District. All Ages Under 1 year. 1 and Under 5. 5 and under 15. 15 and under 25. 25 and under 65 65 and upwards. Barnes. Mortlake. Small-pox — - — — — — — — — — Measles 1 — 1 — — — — — 1 — Scarlet fever 1 — — 1 — — — — 1 1 Whooping-cough 3 1 1 1 — — — 2 1 — Diphtheria (including Membranous croup) 3 — 2 1 — 1 2 2 Croup — — — — — — — — —
17a20755-7e06-4c65-af61-542e2fb649eb	— Fever Typhus — — — — — — - — — — Enteric — — — — — — — — Other continued — — — — — — — — — Epidemic influenza 14 1 — — 2 3 8 8 6 — Cholera — — — — — — — — — — Plague — — — — — — — — — — Diarrhœa 7 7 — — — — — 3 4 — Enteritis — — — — — — — — — — Puerperal fever 1 — — — — 1 — — 1 1 37 Erysipelas — — — — — — — — — — Other septic diseases — — — — — — — — — — Phthisis (Pulmonary Tuberculosis) 18 1 — — 2 14 1 7 11 — Other tubercular diseases 6 3 1 1 — 1 — 1 5 —
411593fe-944e-47e9-a4aa-8f8d95be4b25	Cancer, malignant disease 16 — — — — 11 5 7 9 — Bronchitis 20 3 2 — — 4 11 11 9 — Pneumonia 20 6 3 1 — 9 1 5 15 — Pleurisy — — — — — — — — — — Other diseases of Respiratory organs — — — — — — — — — — Alcoholism Cirrhosis of liver 8 — — — — 6 2 4 4 — Venereal — — — — — — — — — — Premature birth 19 19 — — — — — 9 10 — Diseases and accidents of parturition — — — — — — — — — — Heart diseases 32 — — 1 6 12 13 14 38 — Accidents 10 3 — 2 2 1 2 8 2 — Suicides 9 — — — 2 7 — 7
10106f97-fec5-4a28-a427-82787d3f61a0	2 — All other causes 112 21 4 1 5 36 45 56 56 1 All causes 300 65 14 9 19 105 88 143 157 5 38 TABLE V. Infantile Mortality during the Year 1907. Deaths from stated causes in Weeks and Months under 1 Year of Age. CAUSE OF DEATH. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months. 2-3 Months. 3-4 Months. 4-5 Months. 5-6 Months. 6-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months Total Deaths under 1 year.
dcfc1ef1-33c6-4568-aeb4-073f2d3496ed	All Causes 18 5 3 — 26 12 10 2 4 4 2 1 — 2 — 2 65 Common Infectious Diseases Small-pox — — — — — — — — — — — — — — — — — Chicken-pox — — — — — — — — — — — — — — — — — Measles — — — — — — — — — — — — — — — — — Scarlet Fever — — — — — — — — — — — — — — — — — Diphtheria (including Membranous Croup) — — — — — — — — — — — — — — — — — Diarrhœal Diseases Whooping Cough — — 1 Diarrhœa, all forms — — — — — 2 — — 2 2 1 7 Enteritis,
a2f94957-2092-42b5-8506-8690526c4775	'Muco-enteritis Gastro-enteritis — — — — — — — — — — — — — — — — — Gastritis, Gastrointestinal Catarrh — — — — — — — — — — — — — — — — — Wasting Diseases Premature Birth 11 3 1 — 15 1 3 — — — — — — — — — 19 Congenital Defects — — — — — — — — — —— — — — — — — — Injury at Birth — — — — — — — — — — — — — — — — — Want of Breast-milk, Starvation — — — — — — — — — — — — — — — — 1 Atrophy, Debility, Marasmus 1 1 2 — 4 2 2 — — — — — — — — — 8 39 Tuberculous Diseases Tuberculous Meningitis — — — — — — — 1 1 — — —
200583e7-7a04-4a0b-8673-458ce6ed65f6	— — — 1 3 Tuberculous Peritonitis: Tabes Mesenterica — — — — — — — — — — — — — — — — — Other Tuberculous Diseases — — — — — — — — — — — — — — — — 1 Other Causes Erysipelas — — — — — — — — — — — — — — — — — Syphilis — — — — — — — — — — — — — — — — Rickets — — — — — — — — — — — — — — — — — Meningitis (not Tuberculous) — — — — — — 1 — — 2 — — — 1 — — 4 Convulsions — — — — — — — — — — — — — — — 1 Bronchitis — — — — — 2 — — 1 — — — — — — — 3 Laryngitis — — — — — — — — — — — — — —
9cfb234f-1c5f-4f8c-9869-af700d1da80f	— — — Pneumonia — — — — — 3 1 — — — — — — 1 — 1 6 Suffocation, overlying — 1 — — 1 1 1 — — — — — — — — 3 Other Causes 6 — — — 6 — 1 — — — 1 — — — — — 8 18 — — — 26 12 10 2 4 4 2 1 — 2 — 2 65 Registration District:—Mortlake. Population (estimated to middle of 1907), 28,000. Total births in the year, 684 Deaths in the year of infants, 65. Deaths from all causes at all ages, 300. 40 Appendix C. Tables Infectious Disease. General Work of the Sanitary Department. Food and Drugs Act. Vaccination.
68c9d6ba-0982-4100-af42-3dfcda7bd715	41 TABLE Showing the number of cases of Scarlet Fever, Diphtheria and Enteric Fever, notified since 1895, with the estimated population the number of cases annually per 1,000 estimated population and the means for the periods 1896-1900 and 1901-1905. Year. Estimated Population. Cases Notified. Cases per 1.000 estimated Population. Scarlet Fever. Diphtheria. Enteric Fever. Totals. 1896 16,200 66 28 10 104 6.4 1897 16,450 41 44 7 92 5.7 1898 16,700 73 38 12 123 6.9 1899 17,000 90 24 9 123 7.2 1900 17,400 32 26 5 63 3.6 Mean.
c45c261a-bcc8-499b-9702-ba436e258e23	16,750 60.4 32 8.6 101 6.08 1901 17,900 31 75 12 118 65 1902 19,900 75 61 8 144 7.2 1903 21,150 30 55 8 93 4.3 1904 23,250 31 14 7 52 2.2 1905 24,250 31 17 4 52 2.1 Mean. 21,290 39.6 44.4 7.8 91.8 4.3 1906 25,500 38 115 8 161 6.2 1907 28,000 57 29 2 88 3.1 42 TABLE Showing the Case Mortality at the Isolation Hospital, Mortlake, since January 1st, 1901, for certain diseases. Year.
feeb7d5c-8b25-4f55-af88-a02ff57aa605	SCARLET FEVER. DIPHTHERIA AND CROUP. Admissions. Deaths. Mortality per cent. Admissions. Deaths. Mortality per cent. 1901 18 0 0.0 56 1 1.7 1902 56 1 1.7 46 6 13.0 1903 21 1 4.7 45 3 6.5 1904 21 0 0.0 9 0 0.0 1905 24 1 4.1 14 2 14.2 1906 25 1 4.0 105 11 10.4 1907 50 1 2.0 17 2 11.7 Totals.
5dd26fde-c3c2-438d-8846-1e972f905ba7	215 5 2.3 292 25 8.6 In 1907 there were also admitted one case of Puerperal Fever, which died; one case of Enteric; one of Tonsilitis; and four other cases of illness sent in as either Scarlet Fever or Diphtheria. 43 TABLE Work done by the Sanitary Inspectors during 1907, having relation to the Housing of the Working Classes. BARNES. MORTLAKE. TOTALS. Houses found unfit for habitation 1 — 1 Overcrowding 2 1 3 Premises cleansed by owners 22 74 96 Visits made to dwelling houses 1703 2340 4043* TABLE Showing the number of certain places under the Council's supervision, and the visits made to them by the Sanitary Inspectors during 1907. BARNES. MORTLAKE. TOTALS. No.
2f620095-19ba-435f-bb1e-10f443b37729	Visits. No. Visits. No. Visits. Dairies and milk shops 10 36 15 44 25 80 Other places where milk is sold 4 17 9 27 13 44 Slaughterhouses 1 3 2 9 3 12 Places where petroleum is stored 6 18 6 49 12 67 TABLE Work done by the Sanitary Inspectors during 1907 with relation to infectious diseases. BARNES. MORTLAKE. TOTALS.
1e65ca62-a931-4140-91d8-d6f6bc250293	Visits to cases of notifiable disease 57 49 106 Visits to cases of non-notifiable disease 86 205 291 Disinfections performed 47 45 92 Lots disinfected by steam 38 32 70 Premises cleansed under infectious Diseases Prevention Act 37 30 57 *These do not include the numerous visits of supervision made to premises, the owners of which have had notice to abate nuisance. 44 TABLE Showing the work done by the Sanitary Inspectors during 1907 with regard to places under the Factory and Workshops Act, 1901 BARNES. MORTLAKK. TOTALS. No. Visits. No. Visits. No. Visits. A.—FACTORIES.
e8cba569-be9a-45bb-9d52-a2125d6b6da1	Brewery ... ... 1 2 1 2 Sawmills 1 2 ... ... 1 2 Electric Lighting Works ... ... i 6 1 6 Printers 1 2 2 4 ... 6 Coachbuilders 1 2 1 2 Cricket Ball Makers 1 2 1 2 Motor Works l 3 ... ... 1 3 Gas Mantles l 3 ... ... 1 3 STEAM LAUNDRIES— Over 40 employees l 3 ... ... 1 3 Under 40 employees 2 4 2 4 4 8 B.—WORKSHOPS.
cf9f22ac-59cb-4978-8649-ff57aa669ee8	Tailors 9 14 4 6 13 20 Dressmakers 13 20 21 27 34 47 Shoemakers 16 13 18 21 34 40 Cycle and Motor 6 11 1 2 7 13 Saddlers 1 1 1 2 2 3 Photographers ... ... 1 1 1 1 Paving Works 1 2 ... ... 1 2 Smiths 2 3 1 1 3 4 HAND LAUNDRIES— Over 40 employees ... ... ... ... ... ... Under 40 employees 4 12 8 24 12 36 BAKEHOUSES— 5 15 9 24 14 39 C.—DOMESTIC WORKSHOPS. Dressmakers 13 15 7 8 20 23 Family Laundries 4 8 6 12 10 20 D.—WORKPLACES.
dcbf3045-3795-4698-b66f-19adcfcf26a1	Stable Yards 6 9 2 4 8 13 Restaurants 11 22 6 12 17 34 Ice Cream Makers 2 4 ... ... 2 4 Totals 100 171 94 166 194 337 45 TABLE Showing the number and kind of general nuisances discovered and remedied during 1907. Barnes. Mortlake. Total. Defective drains amended 13 29 42 Defective drains reconstructed 10 9 19 Defective soil pipe ventilators 2 1 3 Defective closet pans, etc.
62390a70-a2dc-4286-a12c-20786f3541c3	17 32 49 Defective closet fittings 1 5 6 Defective waste pipes 1 1 2 Defective light and ventilation to closets 1 0 1 Defective flushing cisterns 35 50 85 Cisterns cleansed and covered 27 14 41 Dustbins replaced 43 60 103 Yards paved 20 74 94 Mica valves made good 12 30 42 Nuisances from animals 1 1 2 Foul accumulation 4 3 7 Defective gutterings, etc. 9 21 30 Ventilation and damp courses 19 5 24 Totals 215 325 550 Statutory notices served 97 Summonses taken out 2 46 TABLE Showing the general work done in the Sanitary Department during 1907, and in the four preceding years. Nature of Work Done. 1903 1904 1905 1906 1907 Inspections of houses and premises made
e0880c89-bb8d-4680-9740-0da2444c3dc9	3642 4142 4454 4315 4043 Notices served for abatement of defects Houses and Premises cleansed ant 615 764 681 782 715 repaired 129 220 96 178 96 Houses disinfected 90 53 68 156 92 Defective drains (amended) 47 42 42 46 42 Defective drains (reconstructed) 8 22 31 28 19 Defective soil pipe ventilators 6 15 18 1 3 Defective closet pans and traps (replaced) 50 114 126 87 49 Dustbins (replaced) 141 125 102 79 103 Defective flushing cisterns 180 182 99 102 85 Cisterns cleansed and covered 71 56 45 50 41 Premises on which animals causing nuisance 5 7 8 3 2 Foul accumulations (removed) 6
f52a530c-a95f-4083-a732-c60dfee9cfa6	4 2 6 7 Defective roofs and eaves gutterings 50 55 19 60 30 Insanitary Yards paved 9 69 32 74 94 Floors ventilated . . .50 24 Defective Mica Valves 18 66 42 9 42 Burst pipes repaired 8 2 . . . No proper receptable for manure or offal 3 9 . . . Overcrowding (abated) 6 11 3 4 3 Houses found unfit for habitation 2 1 . 21 1 Bakehouses inspected 13 11 10 12 14 Cowsheds and Dairies inspected 20 23 22 21 25 Licensed slaughter-houses inspected . 4 4 4 4 3 Factories and Workshops inspected 128 140 154 180 194 Number of visits to notifiable diseases.
9627134a-b63e-4651-90bb-31df234c61f9	116 108 70 176 106 Number of visits to non notifiable diseases 42 154 51 158 291 Premises licensed for storage of Petroleum 9 11 12 13 12 Complaints received 33 45 49 42 Summonses for abatement of Nuisances 1 3 1 1 2 47 TABLE Showing the Proceedings taken during 1907, under the Food and Drugs Act, by the County Inspector, Mr. Houghton. Articles Purchased. Samples taken. Found Genuine. Slightly Adulterated, etc. Cases in which proceedings taken. Convictions obtained. Fines Inflicted.
f1c0113e-4f30-4fba-b700-7603d10ffb78	Milk 30 24 2 4 3 £5 3 6 Butter 12 11 1 Spirits 4 4 Cheese 1 1 Brawn Cream 1 1 Cocoa Honey 1 1 Oatmeal Vinegar 2 2 Beer Olive Oil 1 1 52 44 4 4 3 £5 3 6 48 TABLE Showing the administration of the Vaccination Acts in the Mortlake Registration Sub-District (which includes the parishes of Barnes and Mortlake) according to the return made by Mr. Umney, Clerk to the Richmond Guardians. Return for the period January to December 31 st, 1906. Registration Sub-District Comprised in the Vaccination Officer's District. No. of Births returned in the Birth List Sheets as registered. Number of these Births duly entered by 31st January, 1908, in Cols 1. 2,4.
7f706856-a484-403d-abee-cb4e9bf340de	& 5 of the Vaccination Register (Birth List Sheets), viz.: Number of these Births which on 31st Jan., 1908 remain unentered in the Vaccination Register on account (as shown by Report book) of Number of these Births remaining on 31st Jan., 1908, neither duly entered in the Vaccination Register (Cols. 3, 4. 5, 1, ft 7 of this return) nor temporarily accounted for in the Report Book (Cols 8, 29, & 10 of this Return) Number of Certificates of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of Births of the Children to which they relate during the year 1907. Total number of Certificates of successful Primary Vaccination at all ages received during the calendar year 1907. COL. 1. Column 2. Col. 4. Col. 5.
9dff200d-4398-4508-ad21-f4ddda133b01	Postpone ment by Medical Certificate Removal to Districts the Vaccination Officer of which has been duly apprised. Removal to place unknown or which cannot be reache. and cases not having been found. Successfully Vaccinated. Insusceptible of Vaccination. Had Small Pox. Number in respect of whom Certificates of Conscientious Objection have been received. Dead unvaccinated. 1 2 3 4 5 6 7 8 9 10 11 12 13 MORTLAKE 789 692 2 — 8 58 2 5 20 — — 722 Return for the Period January-June, 1907. (Supplementary). MORTLAKE 406 349 — — 8 24 10 3 12 — 22
a4dff579-63bd-4c1e-ac1d-1cc8b434e022	BARN 1 The Urban District Council of Barnes. THE ANNUAL REPORT For 1908 OF THE Medical Officer of Health, F. G. CROOKSHANK. m.d. Lond. Barnes, S.w. R. W. Simpson & Co., Ltd., Printers, 15 High Street, 1909 The Council House, Mortlake, S.W January, 1909. Mr. Chairman and Gentlemen— I beg to submit my eighth Annual Report. I am glad to be able state that, although each year the district becomes less rural, and more urban, still the public health continues to improve not only absolutely, but relatively to that of other districts in our County. The arrangement of this report differs somewhat from that of former years in order that the points referred to in the recent Memorandum of the Medical Officer to the Local Government Board obtain their proper prominence.
514920fc-3de7-44a1-a099-1876ea65f3af	1 am, Gentlemen, Obediently yours, F. G. CROOKSHANK. The Chairman and Members of the Urban District Council of Barnes, THE Urban District Council of Barnes. Sanitary Committee, 1908=9. Chairman: Councillor W. H. MOONAN. The Chairman of tee Council: Councillor S. W. LAMBERT, J.P. The Wice-Chairman of the Council: Councillor J. D. FIRMSTON. Councillors BATES, DAVENPORT, HAMPTON, JONES, KITLEY, LANGDON, MEDUS, MERRICK, NEW, PALMER, RANDALL, SHEARMAN, SMITH, SPENCER, WAKEFIELD, WATERMAN, and WATSON. Hospital Sub-committee: Councillor WATSON (Chairman), Councillors BATES, HAMPTON.
8d724229-83cc-4d66-b0d2-51c92cbf0c2c	MEDUS, MOONAN, RANDALL, and WAKEFIELD. Medical Officer of health and Medical Superintendent of Hospital: F. G. CROOKSHANK, M.D., Lond. inspector of Nuisances: Mr. T. GRYLLS. assistant inspector of Nuisances: Mr. C. H. ROBINSON. Matron of the Isolation hospital: Miss BELLINGER. CONTENTS. page SUMMARY 9 General Conditions, &c. 11 House Accommodation, &c. 12 Water Supply 15 Milk Supply, Food Inspection, &c.
86e27d16-df9a-4095-829a-8f94fa3e24b7	15-17 Sewerage and Drainage 18 Dust Disposal 20 Nuisances 20 Bye-Laws 21 Schools (Public Elementary) 22 The Control of Infectious Diseases 24 The Control of Tuberculosis 30 Incidence of Disease in 1908 32 Infantile and General Mortality 34 Circulars of the Board of Education ; Factories and Workshops' Act 36 Tables: (a) of the Local Government Board 41 (b) Other Tables 48 (c) Work of the Sanitary Department 53 9 SUMMARY.

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