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acb1613a-c324-4e3c-b5b3-2baa224e405c | The cheap bits of trimmings they used to be able to buy cheaply can no longer be got, as the butchers do not trim the joints, and in that respect, as well as with sugar, the poor have to go without, as they cannot afford the full price of meat. Also the better class are buying the cheaper joints and bones, and the poor have no chance at all. Milk puddings are not made much now, not because of the milk, but the sugar. Puddings require an amount of sugar that cannot be spared out of the small amount of sugar they can get. Milk puddings take rather a long time cooking, which means gas or coal being burned a long time. At one house 1 was in this last week they were living in a small back room because the fire grate took less coal than the kitchen range, and a pan of potatoes was cooking on the fire, which was the family dinner." 22 Infant Welfare. |
05e6d686-9b4b-4319-9b90-72d58f351cc1 | It was decided that the report be forwarded to the Local Government Board, urging that the Board should make such arrangements as will enable the people to purchase sugar, according to the number in family, through some other agency than the grocers, who have in many instances undoubtedly taken advantage of the situation. HEALTH VISITOR'S REPORT. During 1916 there were 570 births in the district, of which 542 were notified by doctors or midwives. Nine were still-born. 270 infants were visited by the Health Visitor in their homes, and advice given on the care and feeding of children, a printed leaflet being left for the mother to read. 1761 visits were made to the infants at the homes during the year. The babies born in the two previous years are still visited at intervals, and advice given about children up to five years old. |
c8c6723b-9955-4b5a-9f00-64d8bd5914f9 | 2417 visits made during the year were as follows :— Infants 1761 Measles 396 Tuberculosis 155 Expectant mothers 87 Other visits 18 2417 On inquiring into the feeding of 245 infants, 117 were breast fed; 55 were breast and bottle fed; 42 bottle fed; 31 had moved and address not known. There were more babies bottle fed and partly bottle fed during the year, owing to the fact of the mother going out to work. There has been plenty of work for the women, and the mothers, owing to food being dear, in many cases have had to go out to work, but it has not been good for the homes, the homes and feeding of older children being of secondary consideration when other work has had to be done. There were 37 deaths during the year under one year old ; 13 died before they were fourteen days' old. Infant Welfare. |
6dbb51bb-e1d1-4e92-8596-b02190998ff2 | 23 There were 6 deaths from diarrhoea during the summer, 5 more than the year before. The babies do not seem to have much resistance against disease, as they seem to be rather a nervous lot of babies, owing, perhaps, to the nervous tension of the mothers before baby was born. All the babies who died from diarrhoea were bottle fed. The Health Visitor had visited 19, and inquired into feeding of the babies who died ; 15 were bottle fed and only 4 breast fed, which means that mothers putting the baby on the bottle to go out to work will increase the death-rate among infants. Ten of the deaths were illegitimate children, 3 in one of the homes for illegitimate children, and two were found dead on the Common or in gardens. |
33e6ea0f-0aac-4796-9c32-6666721a0083 | During the year 1916 85 new babies came to the Child Welfare Centre, which brought the number on the register to 179 and during the year the Centre was open on 44 Thursdays, and the attendance of mothers and babies were: Babies, 390 ; mothers, 476 ; children over one year, 241. Of the 85 new babies, 27 were from Barnes and 58 from Mortlake. The feeding of the new babies attending the Centre: Breast fed, 51 ; bottle, 32 ; breast and bottle, 2. Forty children over one year were brought by the mothers to see the doctor, and 117 attendances were made, some of them being seen by the doctor at regular intervals during the year. Older children are weighed now as well as the babies. A banana crate, charts, clothing, and health literature are on view each Thursday, and books have been sold to the mothers on the care of children. |
2a83c65f-eea2-430e-9526-3db3a6f82209 | Patterns of children's clothing are given to the mothers when required. Dried milk, milk foods and Virol are all sold to the mothers at cost price, or less than cost price in some cases. Four trusses and belts have been provided for the babies, and a belt for a mother, the money being repaid weekly by the mothers. One baby has had plaster of Paris bandages applied to deformed feet to straighten them, the baby having been sent first to hospital, but they were too busy to apply them at hospital. The attendance at the Centre has steadily improved throughout the 24 Sanitary Administration. year, especially since the Exhibition of Mother Craft and Baby Show in April, which was a success, and made the Centre much better known. Expectant mothers do not make much use of the Centre for consultation. Expectant mothers do not like mixing with other mothers who are strangers to them, especially with the first baby. |
ea55a827-6c09-46ef-94b4-592e536319d2 | Fifty expectant mothers were visited in their homes, and printed leaflets and advice given to them. There were three deaths among the babies who attended the Centre (1 tubercular, 1 diarrhoea, 1 overlaid). Although there were some very delicate babies attending the Centre, the mothers followed out the directions and advice given, and the babies have improved. 155 visits were made to the homes of tuberculosis patients for inquiring into the patients and seeing that the treatment was being carried out, and 95 attendances were made at the Dispensary. 396 visits were made for measles and German measles, and instructions given re infection and disinfection. HOUSE AND TOWN PLANNING, &c. The routine inspection of dwelling houses has gone on as usual this year, and various structural defects have been remedied. The number is seen in the table drawn up by the Inspector of Nuisances. No Closing Orders were made. |
0abeace0-5c48-40fd-a2c9-464f274b2155 | Twenty houses were demolished with the consent of the Local Government Board, viz., 14 in Long-row (Malthouse Area), which had been allowed to become ruinous by the owner, and 6 in Waring's Buildings (Malthouse Area). In one case a Demolition Order was determined, the house having been rendered fit for human habitation. ALLOTMENTS. Now that there is likely to be a lot of waste land under cultivation, the improvement in the appearance of such spaces will greatly add to the amenities of the district, and the householders will have extra facilities for the burying of garbage and other refuse, and so relieve the amount of refuse at present taken to the destructor. Sanitary Administration. 25 Table showing the general work done by the Public Health Department during 1916, and in the preceding two years. Nature of Work Done. 1914 1915 1916 No. of House to House Inspections - 1530 2565 , |
40ef5a7d-d3df-445f-b6da-1218d5917446 | Various other visits 1164 1773 1140 , Defects Notified 624 377 287 , Houses cleansed 226 63 87 , , , after Infectious Disease 70 35 54 , Disinfections performed 340 150 447 , Drains unstopped 20 23 26 m tt repaired 14 8 3 , , reconstructed 24 19 1 , Defective closet pans and traps 21 13 5 , , dust receptacles replaced 75 41 43 , Flushing tanks repaired 40 37 24 , Waste pipes trapped and repaired 19 11 3 , Cisterns cleansed and covered 29 23 3 , Taps provided on rising main 35 8 7 Offensive accumulations removed 7 6 1 , New sinks provided 20 9 5 , Roofs and eaves' gutterings repaired 45 41 29 , Yards paved and paving repaired 37 15 3 , |
89093f58-1234-42f2-bbad-904b1a07a4af | Dampness remedied 25 9 3 , Manholes made watertight 10 3 — , Mica valves made good 6 5 4 , Receptacles for manure provided 2 1 - , Cases of overcrowding abated 4 3 2 , Houses found unfit for habitation 15 — - , Bakehouse inspections 33 33 33 , Dairy inspections and Milkshops 144 140 105 , Licensed slaughter house inspections 8 2 4 , Factory and Workshops inspections 323 321 334 , Visits to Infectious Diseases 286 242 635 , Complaints received 85 79 38 , Statutory Notices served 8 3 5 , Summonses to abate Nuisances 1 0 , Premises licensed for storage of Petroleum 25 22 22 Re-inspections are not included in this table. TABLE showing the number of certain places under the Council's supervision, and the visits made to them during 1916. |
64f6d60d-a866-48aa-9f46-11dac40de8a2 | [ BARNES. MORTLAKE TOTALS. No. Visits. No. Visits. No. Visits. Places where petroleum is stored 9 18 12 24 21 42 Servants' Registry Offices 5 5 7 7 12 12 Marine Stores 2 4 1 2 3 6 26 Sanitary Administration. DAIRIES AND MILKSHOPS. These are visited quarterly and are generally fairly well kept. One or two new dairies in East Sheen have been constructed on modern and up-to-date lines. No. Xo. of Visits. Dairies and places where Milk is sold ... 35 Quarterly. Other premises where food is prepared or sold for human consumption:— Visits. Defects Found. Defects Remedied. |
7b1746eb-293c-4f27-804a-af10891aebfe | Restaurants 34 3 3 *Fishmongers 37 4 4 Butchers... 50 4 4 *Including Fried Fish Shops. HOUSES LET IN LODGINGS. Houses let in lodgings are principally in West Road, Hampton Square, Mortlake, and Stanton Road, Barnes. I find that the occupiers are responsible in a great measure for the dirty and dilapidated condition of some of the flats. Stanton Road in particular. Houses Let in Lodgings. Defects Defects No. Visits. Found. Remedied. 49 98 68 61 BAKEHOUSES. The number of bakehouses is 13, and they have been inspected quarterly, and are generally well kept. SCHOOL NOTES. The full report of the work done in the elementary schools of the district is sent to the Surrey Education Committee. A brief abstract of the report may be of local interest. Sanitary Administration. |
1d88dbf8-49a6-44c6-86a0-797b01d21fe6 | 2 7 Sixty visits were paid to the schools by the school doctor ; two were closed for Infectious Disease. The Public Health Department visited the homes of 325 school children suffering from Infectious Disease. The diseases comprised measles (116); German measles (126): scarlet fever (53); diphtheria (62); tuberculosis (7) ; cerebro spinal fever (1). At the Attendance Clinic 334 attendances were made by school children; 153 children were examined by request of the Attendance Officer, and 187 certificates were given. At the School Medical Clinic 32 new cases attended, while the total attendance of old and new cases numbered 330, the cases treated being chiefly skin diseases, sore eyes, and running ears. In the schools, 1,025 children were medically inspected, as a routine group, and 164 as a special group. The chief defects noted in the 1,025 routine cases were :— Unsatisfactory clothing 14.8 per cent. |
853ddaaf-342b-4cac-ba61-e1fdd0c4e3ba | ,, footgear 138 „ Want of soap and water 11 .3 „ Nutrition below standard 18 7 „ Enlarged tonsils .. 3.6 „ Adenoids (marked) 107 „ Ear discharge 1.8 „ Teeth, four or more decayed 17.6 „ „ sound 36.3 „ Pretubercular 1.6 „ Heart disease .58 „ Skin disease 1.6 „ Dull or backward 3.5 „ Mentally defective .45 „ Poor vision 1.2 „ Bad vision 3.4 „ Squint .17 „ Poor hearing 1.4 „ Bad hearing 97 „ Unvaccinated .15 ,, 28 Sanitary Administration. A whole time school nurse is needed for a district of this size, in order to assist the doctor at the school inspection, and to do some home visiting and following up of cases of illness or conagious disease. |
471d0ce0-254e-4fe7-8650-f0f817c2f59f | Two days a week are given to the inspection of heads, etc., at present, and a half day at the School Clinic. In cases of Scabies and vermin a cleansing station is neeessary, when clothes can be disinfected and the children bathed. Compulsory powers are also needed to seize and disinfect the bedding of such cases. The power is at present only permissive. REPORT OF SANITARY INSPECTOR FOR 1916. Mr. Grylis reports:—167 Preliminary Notices, dealing with 287 Nuisances were served during the year 1916, and it was found necessary to serve 5 statutory notices only. 2,565 house-to-house inspections were made, and 1,140 various other visits. FACTORIES AND WORKSHOPS The number of factories in the district is 20, and 32 inspections have been made. No notices have been received during 1916 from H. M. Inspector. |
c9da7165-897b-481f-94a6-d17789192efd | The number of workshops is 208, and 289 inspections have been made. There are 15 outworkers, their work chiefly consisting of ladies' outfitting. Sanitary Administration. . 29 Table showing the work done by the Sanitary Inspectors during 1916, with regard to places under the Factory and Workshops Act, 1901. BARNES. MORTLAKE. TOTALS. No. Visits. Xo Visits. No. Visits. |
5c8f1702-828e-4f91-a621-9a969dcb2879 | A.—FACTORIES— Brewery ... ... 1 2 1 2 Electric Light Works ... ... 1 1 1 1 Printers 1 2 1 1 2 3 Wheelwright ... ... 1 2 1 2 Motor Works 3 6 2 4 5 10 Golf Club Maker ... ... ... ... ... ... Engineering Works 2 2 1 1 3 3 Packing Case xMaking 1 1 ... ... 1 1 Ladies' Outfitter 1 1 ... ... 1 1 Anglo-Belgian Manufac. Co. ... ... 1 3 1 3 Beverley Works Munition 1 3 ... ... 1 3 Miralite, L.T.D. . 1 1 1 1 Flour Store . . 1 1 1 1 Metal Foundry 1 1 . . |
3286b45c-80b8-4b63-afb4-001ed5909fe4 | 1 1 STEAM AND ELECTRIC LAUNDRIES — Over 40 employees 1 2 1 2 2 4 Under 40 employees 2 4 4 8 6 12 B.—WORKSHOPS— Tailors 8 8 7 7 15 15 Dressmakers and Milliners 7 7 5 5 12 12 Shoemakers 10 10 20 20 30 30 Cycle and Motor Works 4 4 6 6 10 10 Saddlers 1 1 1 1 2 2 Photographers 1 1 2 2 3 3 Smiths 3 3 3 3 6 6 Umbrella Makers . . 2 2 2 2 Upholsterers 2 2 1 1 3 3 Picture Frame Makers . . |
7b09879a-759b-47c0-83ff-9395cff02720 | 1 1 1 1 Watch Makers 3 3 2 2 5 5 Metal Worker 1 1 . 1 1 Model Maker 1 1 1 1 Outworkers 5 10 30 13 15 23 Knitting Co 1 1 . . 1 1 Furrier 2 2 . . 2 2 HAND LAUNDRIES — Under 40 employees 3 6 3 6 6 12 BAKEHOUSES— 3 0 10 30 13 39 C.—DOMESTIC WORKSHOPS Dressmakers 10 10 17 17 27 27 Laundries 9 27 9 21 18 48 D.—WORKPLACES- Stable Yards 5 8 2 2 7 10 Restaurants 5 10 9 14 14 24 Totals 97 146 125 179 222 325 30 Sanitary Administration. |
5799e6f9-2327-4cc4-83fd-439414266f83 | NO. OF CASES OF INFECTIOUS DISEASE VISITED. Disease. Barnes. Mortlake. Totals. Scarlet Fever 35 61 96 Diphtheria 20 15 35 Erysipelas 2 4 6 Enteric Fever 1 1 2 Pulmonary Tuberculosis 22 31 53 Other Tuberculosis 4 8 12 Cerebro Spinal Fever I 1 2 Totals ... 85 121 20G NO. OF DISINFECTIONS MADE. |
ef6b5092-bd70-4499-ab9d-cec96964db2c | Scarlet Fever 48 69 117 Diphtheria 17 28 45 Measles 95 70 165 Hospital ... 12 12 Various 15 19 34 Pulmonary Tuberculosis 25 47 72 Enteric Fever 1 1 2 Totals ... 201 246 447 REGISTER GENERAL'S FIGURES FOR 1916 Total Births 590 (including 39 illegitimate) Infantile Deaths 33 Deaths 337 Deaths from Pulmonary Tuberculosis 35 Deaths from Cancer 31 Deaths from chief Zymotic Diseases ) including Diarrhoea ) 15 Population for Death Bate 31960 Population for Birth Kate 34773 Birth Rate 1708 Death Rate 105 Infartile Mortality 624 Tuberculosis Death Rate 109 Cancer Death Rate o97 Zymotic Death Rute 04 |
f94cf767-2b5a-402f-a5df-8aeddd3b5a08 | AC 4413(2) BARNES BARN 3 (Later Hun. B.) Urban district Council of Barnes. Annual Report on the Health, Sanitary Conditions, Etc., OF THE URBAN DISTRICT OF BARNES, for the Year 1917, BY B. C. Stevens, m.d., f.r.c.s.e., d.p.h, Medical Officer of Health Barnes, S.W.: R. W. Simpson & Co., Ltd., Printers, 15 High Street, 1918. Urban District Council of Barnes. Annual Report ON THE Health, Sanitary Conditions, Etc., OF THE URBAN DISTRICT OF BARNES, for the Year 1917. by B. C. Stevens, m.d f.r.c.s.e. d.p.h., Medical Officer of health Barnes, S.W. R. W. Simpson & Co., Ltd., Printers, 15 High Street, 1918. |
4ff1a33a-b3a2-410d-9198-b21df41a1495 | THE Urban District Council ok Barnes. public health Department. Staff. Medical Officer of Health, Medical Superintendent of Isolation Hospital, Tuberculosis Officer, etc. Bbrtram Crossfield Stevens, F.R.C.S. (Edin.), D P.H. (Oxon ), M.D.. M.S. (Dunelm), L.R.C P. (Lond.) Assistant School Medical Officer Surrey Education Committee. Medical Officer, Child Welfare Centre and Day Nursery. Sanitary Inspector and Inspector of Housing, T. Grylls, Senior Assistant Sanitary Inspector and Assistant Inspector of Housing, Junior Assistant Sanitary Inspector, *C. W. Slade, a.r.s.i. Matron of the Hospital, Miss Wb«b. Health Visitor, Miss Williams. * Absent on Military Service. Summary—1917. |
220b24e6-83c7-4dae-900f-81aa19332b59 | Area (Barnes and Mortlake) 2,650 acres, including 133 of water Census Population, April, 1911 30,377 Estimated Population, June 30th, 1917—Por Birth-Rate 36,223 ,, ,, ,, ,, For Death-Rate 32,495 Rateable Value £285,119 Assessable Value, 1917 £263,263 General District Rate 3s. 9d. in the pound Poor Rate Barnes, 3s. 2d. Mortlake, 3s. 5d. " " " A Penny Rate Produces £1,058 VITAL STATISTICS. |
93278d01-2f38-43b6-a457-1d8bdbb4d2c0 | Birth-rate per 1,000 living 13.2 Resident death rate per 1,000 living 8.2 Nett death-rate per 1,000 living 10.9 Infantile Mortality per 1,000 births registered 68.6 Zymotic death-rate per 1,000 living 0.4 HOSPITAL ACCOMMODATION. Por infectious cases Barnes U.D.C. Isolation Hospital For smallpox Guildford, Godalming, and Woking Joint Hospital at Whitmoor. Electricity Barnes U.D.C. Electric Works Water Supply Metropolitan Water Board Gas Supply Brentford and Richmond Gas Co's Sewerage Separate System Sewage Disposal Chemical Precipitation and Bacterial Filtration, Richmond and Barnes Joint Sewerage Board ANNUAL REPORT. WAR EMERGENCY COMMITTEES. Many Committees have been formed for the purpose of dealing with conditions arising out of the War. |
13b3391f-1b7b-4351-a8d6-2c26105c4427 | These have meant much extra time given up by the Councillors and the Executive Officers of the Council. The chief Committees are :— The Barnes and Mortlake Tribunal. The Naval and Military War Pensions Committee. The War Savings Committee. The War Allotments Committee. The Food Control Committee. The Food Economy Committee (Communal Kitchens, etc). MUNITIONS WORKS. There are four such works in the district, employing a large number of people. SOLDIERS. Men continue to be billetted in the district, and a militaiy camp exists in Barnes. VITAL STATISTICS FOR THE YEAR ENDING 31ST DECEMBER, 1917. Barnes. Mortlake. Totals. |
6e08b8d7-9e7c-41ea-ac43-1f0d221a07f6 | Births, Male 92 150 242 1481 „ Female 98 141 239 Total Births— Legitimate 178 277 455 1481 Illegitimate 12 14 26 Deaths at all ages—Resident 121 143 264 297 Non-Resident 18 15 33 Deaths under 1 year 11 17 28 297 1 to 5 years 3 7 10 5 to 15 years 2 10 12 15 to 25 years 5 16 21 25 to 65 years 47 53 100 Over 65 years 74 52 126 "Deaths registered locally. Vital Statistics. Deaths from: Barnes. Mortlake. Totals. |
f1c32928-4cbe-4e95-945a-c5250c729cdd | Cerebro Spinal Fever — 1 1 Diphtheria — 1 1 Pulmonary Tuberculosis 9 30 39 Other Tuberculosis 2 2 4 Cancer 19 19 38 Measles I 2 3 Whooping Cough 2 2 4 Diarrhoea I 2 3 Total deaths from preventable disease 34 39 93 Cases Notified or ascertained. Cerebro Spinal 3 l 4 Scarlet Fever 7 30 37 Diphtheria 12 16 28 Typhoid 5 1 6 Erysipelas 4 4 8 Puerperal Fever — — — Ophthalmia Neonatorum 2 1 3 Pulmonary Tuberculosis 19 35 54 Other Tuberculosis 4 10 14 55 98 153 VITAL STATISTICS. |
21895db5-1330-401a-a7db-3c428d5a0f0d | The Registrar General's figures are 36,223 population for estimating the Birth Rate and 32,495 for estimating the Death Rate. This means that for purposes of Birth Statistics the male population is counted as being in the district, while for Death Statistics they are counted as being absent on Military Service. After all said and done, the population is constantly and quickly changing, and estimates can only be approximate. Very few houses remain empty, there being about 7,800 inhabited houses in the district. 5 6 Vital Statistics. The Births notified in the district number 481, compared with 570 for 1916. The births will probably continue to fall for a few years owing to the present social and economic conditions. For 1917 the rate is 13.2 per 1,000 of the population, compared with 16.4 in 1916. The Deaths of residents in the district number 264, compared with 256 in 1916. |
77b751a1-c7cc-4b29-b3e4-c54fbc2ffdb6 | This gives a residential death rate of 8.2 per 1,000, compared with 7.3 in 1916. This is a strictly residential death rate, and does not include people who have died elsewhere and given a Barnes or Mortlake address. This rate is 10.9, compared with 10.5 in 1916. Deaths from the principal Zymotic Diseases number 13 in 1917, compared with 11 in 1916. The district Infantile Mortality or deaths under 1 year number 33, compared with 37 in 1916. This gives a death rate of 68.6, compared with 62.4 in 1916. The deaths from Tuberculosis of the Lungs in 1917 number 27, compared with 36 in 1916. Deaths from Cancer number 38, compared with 29 in 1916. |
54679cda-00ed-45eb-a731-7d6491b91c2f | The number of illegitimate births number 26, with 10 deaths, compared with 24 in 1916, with 11 deaths. BIRTH RATE. 1916 18.8 1916 17 1917 13.2 DEATH RATE. 1915 10.9 1916 10.5 1917 10.9 INFANTILE MORTALITY RATE. 1915 83.8 1916 62.4 1917 68.6 birth rate. death rate. infantile mortality. England and Wales . 17.7 14.4 97 London 17.4 15.0 103 Barnes 13.2 10.9 68.6 Sanitary Administration of the District. 7 EPIDEMIC DISEASES. |
98dbe021-85ae-4934-ab0e-bbe8a0cdaf88 | Deaths from the seven principal epidemic diseases, viz: Small-pox, Measles, Scarlet Fever, Diphtheria, Whooping-cough, Fever (Typhus, Enteric and Continued), and Diarrhoea, number 13, which is equal to a rate of 0.4 per 1,000 of the population *VACCINATION AND SMALL-POX. Fifteen per cent, of the school children are unvaccinated, and exemption certificates are obtained for 25 per cent, of all children born in the district. In order to prevent the spread of Small-pox, every individual should be twice successfully vaccinated. |
c1563bf2-8e0d-4fff-9241-72e736e2bc67 | The present half-and-half measures are a common danger, as a person, say, vaccinated once in infancy may contract the disease in a mild form, be undetected and spread the disease far and wide, whereas if he had not been vaccinated at all he would get the disease badly, be very ill, would be recognised at once, and promptly isolated, while all contacts would be immediately vaccinated. "Figures kindly supplied by Mr. Raggett, Vaccination Officer. MORTALITY TABLE. Deaths, Deaths. Deaths, Age Group. Rate per 1,030 of Population. 1915. 1916. 1917. 1915. 1916. 1917. |
020650a1-b27e-48dc-a0dd-7a9a9f632e3c | 55 38 33 Under 1 year 1.5 1.2 1.0 34 20 12 1 to 5 years 0.9 0.6 .3 35 30 32 5 to 25 years 1.0 0.9 1.0 130 120 127 25 to 65 years 3.8 3.7 4.0 126 129 152 65 years and upwards 3.7 4.1 4.6 380* 337 356 All ages 10.9 10.5 10.9 *Total nett deaths relegated to the district by the Registrar General and including residents who have died outside the district. 8 Sanitary Administration of the District. INFANTILE MORTALITY (compared with two previous years). DISEASE. No. Year 1916. No. Year 1916. No. |
b71230e1-66db-4c8b-8f71-1856db84fb3d | Year 1917. Whooping Cough 2 2 4 Measles 4 — 3 Tuberculosis 1 1 — Heart Disease 1 — 2 Other Respiratory Diseases 7 3 3 Meningitis 2 1 — Diarrhoea (up to 2 years) 1 6 3 Mai-Nutrition and Premature Birth 21 10 8 Violent Deaths 2 5 6 Syphilis 1 — 1 Other Defined Diseases 11 6 5 Ill-defined Diseases 2 4 — Totals 55 38 *35 Including 2 over 1 year of age. Infantile Mortality Rate, 1915 83 8 „ 1916 624 „ „ „ 1917 686 1916 1917 (provisional) Births 570 484 Vaccinations 391 325 Exemptions 111 122 Sanitary Administration of the District. |
65a204d1-b092-417d-a338-43ef7543017e | 9 INFECTIOUS DISEASES. MEASLES AND RUBELLA. These diseases were very prevalent during 1917: 743 (451 Measles, 292 Rubella cases were notified; 603 by doctors, 140 by parents and others. The number of visits paid to these cases was 454. The deaths numbered 3. No school closure was deemed necessary. Two district nurses have been appointed by the Council to nurse cases of measles at their homes on the advice of the Medical Officer of Health. In exceptional circumstances also, cases of measles are admitted to the Isolation Hospital. Five cases were admitted in 1917. The diminishing proportion of fatal cases shows that compulsory notification and home visiting have done good. Year. Cases Notified. Deaths. 1915 — 15 1916 434 2 1917 743 3 SCARLET FEVER. There has been no outbreak of this disease worth noting during 1917. |
5f55912d-d07c-4383-8c4b-6bb8e9e8e92c | 37 cases have been notified. Of these, 35 cases were removed to the Isolation Hospital. There were no deaths. Two of the cases were doubtful. Two cases were complicated by chicken-pox before admission. There were no return cases after discharge. Year. Cases Notified. Deaths. 1914 154 nil 1915 137 3 1916 94 nil 1917 37 nil PUERPERAL FEVER. No cases were notified in 1917, Under the Maternity and Child Welfare Scheme evolved by the District Council but now 10 Sanitary Administration of the District. taken over by the County Council, provision has been made for nursing such cases in the District Council's Isolation Hospital. Year. Cases Notified. 1915 6 1916 1 1917 0 OPHTHALMIA NEONATORUM. |
5eae0abf-04e6-4182-a0c2-8732a4eb28ee | This disease is usually caused by the child's eyes becoming infected during birth by venereal disease of the mother, and is a serious and frequent cause of blindness. It needs both urgent and energetic treatment to be of any success. Three cases were notified in 1917 and one in 1916. Two of these were imported. POLIO-MYELITIS. No cases notified. We were warned, however, of an outbreak in the Esher and Epsom districts. Of the NON-NOTIFIABLE INFECTIOUS DISEASES, Chicken-pox, Mumps, Whooping-cough, have been prevalent among children, and in one infant school the attendance was so reduced by the two former diseases and the heating arrangements were unsatisfactory, so that the department was closed ten days prior to the end of the term. DIPHTHERIA. |
ce79ae73-7068-4dba-904f-65c86c923300 | This disease has shown no prevalence during 1917; 28 cases were notified, and of these 27 were removed to the Isolation Hospital. The only death was a child brought in dying, who only survived a few hours. One case was imported. Antitoxin is always given at the earliest opportunity, and was frequently given by the medical attendant before admission. There was one case of mixed Scarlet Fever and Diphtheria, who though very ill at first made a good recovery. There were no return cases after discharge. Year. Cases Notified. Deaths. 1914 57 0 1915 41 0 1916 34 1 1917 28 1 Sanitary Administration of the District. ii CEREBRO-SPINAL MENINGITIS. Four cases have been notified; three were associated with military contacts; one case was admitted to the Hospital and died after 11 weeks, being unconscious practically the whole time. |
996502bc-5a35-442e-87ee-baa9a9fc7656 | One military case died in a military hospital. No secondary cases arose in the families affected. Year. Cases Notified. 191 5 0 191 6 3 191 7 4 ENTERIC (typhoid fever). Six cases were notified: two at least of these were imported; one case (R.N. A S.) was removed to Hospital. There were 2 deaths among the privately nursed cases. No secondary cases arose in the families affected. Year. Cases Notified. 1915 3 191 6 2 191 7 6* * Two Imported Cases. LIST OF INFECTIOUS DISEASES NOTIFIED 1917. Measles, 451 Rubella, 292 3 deathsScarlet Fever, 37. No deaths. Diphtheria, 28 (including 1 imported case). 1 death. Enteric Fever, 6 (including 2 imported). |
65a1c5c8-4257-4118-b468-46016d71ff1e | 2 deaths. Puerperal Fever, nil. Cerebro-Spinal Fever, 4 (including 2 soldiers, Ranelagh Camp). 2 deaths. Polio-Myelitis, nil. Pulmonary Tuberculosis, 54. 15 deaths. Other Tuberculosis, 14. No deaths. Erysipelas, 8. No deaths. Ophthalmia Neonatorum, 3 (including 2 imported cases). No deaths. 12 Sanitary Administration of the District. BACTERIOLOGICAL EXAMINATIONS FOR 1917. Result. Diphtheria. Typhoid Fever. Pulmonary Tuberculosis. Other Diseases. Totals Positive 35 — 27 7 69 Negative 106 2 71 2 181 Totals 141 2 98 9 250 CONTAGIOUS DISEASES. |
9f306071-e20e-42b8-9672-252ce0339c73 | Ringworm, Scabies, Impetigo, and Verminous Heads and Bodies, have been rather in evidence this year, due partly to depletion of school nurses, mothers being away at work all day, and contact with men home on leave. VENEREAL DISEASES. Efforts are being made throughout the country to educate people as to the prevention and treatment of these scourges. Facilities for early treatment have been placed at the disposal of all affected if they will only enquire of the county or local medical officer of health or report at once to any medical man. In order to stimulate interest in thejrjatter in this district, a conference was held in the Council, when Sir Thomas Barlow, K.C.V.O., gave an address, under the auspices of the National Society for the Prevention of Venereal Disease. After this the Society sent down two lecturers to address men and three to address women. |
f296a524-1b82-4b26-aa7a-ec50657f921b | The attendance was only fair, but a good deal of literature was disposed of, and many influential people were present, so that it is hoped that some good was done in educating the people here. The Health Department is steadily continuing the propaganda by means of its staff. The Medical Officer of Health would welcome confidential notification from any desiring treatment and would see *In this connection (under the Cleansing of Persons Act, 1897) the establishment of a cleansing station is being seriously considered by the Public Health Committee. Child Welfare. 13 that they got it. Treatment does not mean incapacity for work. The scheme for Surrey is, however, controlled by the Surrey County Council, from Kingston. The following letter was widely circulated in the district last October:— Venereal Diseases. the barnes urban district council. A conference will be held on Wednesday, the 31st October, 1917, at 8 p.m., at the Council House, High Street, Mortlake. |
11fa0b2d-2a52-4126-b8c8-646ad788d9a7 | Sir Thomas Barlow, Bart., and Miss W. Cullis, D.Sc., from the National Council for Combating Venereal Diseases, will explain the working of the Regulations of the Local Government Board for the Prevention and Treatment of these Diseases, and indicate generally how all interested in the welfare of our race can actively assist in this desirable object. Your presence at the conference will be appreciated, and you will be helping in a great National Effort to combat diseases which affect so seriously the national life, and are well-known causes of in-efficiency in the home and industrial life and in the services. A card of admission is enclosed which is hoped you will use yourself or pass on to a friend ready to assist in so worthy an undertaking. As space will be restricted an early intimation of attendance to the Medical Officer of Health would assist the organisers. The Public Health Department, Council Offices, Mortlake, S.W. 14. CHILD WELFARE. |
1b9c553d-3aa9-40dc-b84e-b95bd39cde28 | Under the Notification of Births Extension Act, 1915, all births must be notified to the Medical Officer of Health, and are visited by the Health Visitors after the doctor or midwife in attendance have ceased their visits. The Mother and Child Welfare Centre receives mothers and their children up to five years of age, and is attended by the doctor 14 Child Welfare. and Nurse, Expectant mothers are also invited to come for advice. Three age groups of school children are inspected annually, numbering well over 1,000. Those found defective are treated at medical, dental, and eye clinics regularly; those requiring surgical treatment are given hospital tickets. It is hoped that the age up to which children will be medically supervised will shortly be increased from 14 to 18 years. Fuller information on school work can be obtained by reference to the Annual Report of the Medical Officer of the Surrey Education Committee, Kingston, being the controlling body for education in this district. |
e67200ff-b21d-43d5-a7a1-551c0c770300 | The Day Nursery (Voluntary Committee) takes care of children, up to the age of five, whose mothers find it necessary to go out to work. Details of their work are published in their first Annual Report recently published. The Education Authority and Mother and Child Welfare Authority rent rooms from the Day Nursery Committee, and so district, county, and voluntary work in connection with Child Welfare are all conducted in one building. The local Medical Officer of Health has medical supervision over all three. Now that the Surrey County Council has taken over the control of the mother and child welfare work already well established in the district, the duty of providing medical and other assistance for necessitous and complicated cases of pregnancy and parturition devolves upon them. There are no hospitals for women and children in the district. The only way the District Council can help (and this has been done) is to provide beds for Puerperal Fever, and to admit certain cases of Infective Diarrhoea in children. |
6db820c2-2372-4217-9ff9-45680426eace | Owing to the present congested state of our large Metropolitan and County Hospitals and to the depletion of their staffs, it is impossible to get beds for children needing medical care as opposed to surgical operations. Child Welfare 15 Health Visitors' Report for 1917. There were 481 births, 291 in Mortiake and 190 in Barnes. Of these 469 were notified by doctors or midwives; 243 births were visited, and advice given verbally and by means of leaflets, and the mothers urged to attend the centre at Afon House. The following visits were paid during the year:— Infants and children up to five years 1722 Measles 454 Tuberculosis 163 Expectant mothers 45 Other visits 15 2399 Only 22 expectant mothers were found and visited. No information was forthcoming from the district midwives, who have been provided with the necessary forms. |
0f6582fc-84a0-45e2-b2f8-00d550456995 | More babies are bottle-fed owing to the mothers going out to work; 250 enquiries on this matter showed 116 breast-fed, 98 bottlefed, 9 part breast anil part bottle, 27 left the district. The scarcity and high price of cow's milk has shown itself, but has to some extent been overcome by a supply of condensed or prepared milk. 33 infants died under one year of age; 10 of these were illegitimate; five were found dead (abandoned); 12 died before they were a fortnight old, and so escaped visiting. Of the 11 visited, nineijrgre bottle-fed and only two breast-fed. There only 3 deaths from Diarrhoea, probably due to the very wet summer. There were a few cases of Diarrhœa, and the only infant death occurred in an illegitimate bottle-fed baby of one month. Child Welfare Centre. During 1917, 106 new babies attended, bringing the register up to 285. |
3a1f6b09-9730-480d-b81b-5f8b3b184d2a | The centre was opened on 46 Thursdays and the attendance was good, viz.: Babies, 1,018; mothers, 1,429; other children, 527. Of the 106 new babies, 64 belonged to Mortiake and 40 to 16 Child Welfare. Barnes; 49 were breast-fed and 59 bottle-fed. It is chiefly on account of the latter that the mothers seek advice. Dried milk, special foods, Virol, etc., are sold to the mothers; also a few simple medicaments and apparatus; literature and patterns are also displayed. Of babies attending the Centre, three died; two of pneumonia and one of malnutrition (illegitimate) in Hospital. 49 older children attended for medical advice, and all children are regularly weighed. Tuberculosis. 163 visits were paid to the homes to see that preventive measures were carried out. 89 attendances were made by the Health Visitors at the Dispensary. |
90c09bec-4b00-41ae-a10b-17c8d17fc363 | Measles. 454 visits were made to see that proper isolation and treatment were carried out. The two District Nurses visit cases at home at the discretion of the Medical Officer of Health. The notification of measles has done much good in reducing the mortality from this disease. Maternity and Child Welfare Scheme. urban district council of barnes. 1. The Ante-Natal Clinic now established should be looked upon as a treatment centre to which Midwives can bring or send patients who in their opinion need medical advice, either for general ill-health or for the ailments of pregnancy. 2. Midwives who send patients are asked to send with them a sealed note stating any facts which the Doctor should know. She will in turn receive a sealed report from the Doctor. 3 In no case will a Midwife's case be referred to a Hospital or Doctor direct from the Clinic, but the need for such a step will be reported to the Midwife, who can refer her own patient. Hospital Administration. |
79dea9b1-8a21-4706-8333-6073384c968f | 17 4. Only minor ailments will be treated at the Clinic, but advice will be given in all cases. 5. Any Midwife suspecting venereal disease can send her patient to the Clinic Doctor with a note, and blood will be taken for testing and treatment given or recommended in accordance with the pathologist's report. 6. Urine will be tested as a matter of routine. 7. An internal examination will not be made as a matter of routine, but only when there is reason to believe that such is desirable. 8. In the case of a woman attending the Clinic who has not booked an attendant, no particular Doctor, Hospital, or Midwife will be recommended, but a list of those available will be shown to her, and she will be advised to choose her own as soon as possible 9. Medical etiquette will always be observed in dealing with both Midwives' and Doctors' cases. 10. All correspondence between the Doctor and Midwife must be strictly confidential. |
35b509b1-048b-46a0-996d-848c9bfcdf4a | Patients seen at Afon House, High Street, Mortlake, S.W., Thursdays, 3 to 4.30. HOUSING OP THE WORKING CLASSES. Government Scheme. It is estimated that at least 100 houses are required for the accommodation of the artisan class. These should not be flats, but self-contained houses, averaging ten to the acre. H. AND T. P. ACT, ETC. Certain areas have been visited by the Inspector. Two houses have been closed and one demolished. One closing order was made; the other closure and demolition were voluntary. HOSPITAL ADMINISTRATION. The Hospital is situated in South Worple Way, and contains blocks for Scarlet Pever, Diphtheria, Typhoid Fever, and Tuberculosis. It also contains a Tuberculosis Dispensary, 18 Hospital Administration. Bacteriological Laboratory, Coroner's Court and Mortuary, and a Disinfecting Apparatus. |
97dffa9c-a7c1-4577-bd86-7632cf552f4b | The Staff consists of the Matron,* 2 Sisters, 1 assistant nurse, 4 probationers, Domestic and Laundry Staff, Ward Maids, Porter and Portress, Assistant Porter, and a Gardener. There is accommodation for fifty patients in all. Scarlet Fever.—Ten cases were carried over from 1916. 35 cases were admitted in 1917 with no deaths. There were two doubtful cases. Diphtheria.—Only 27 cases were admitted, some of whom were "carriers" only. There was only one death during the year. This case was dying on admission. Enteric Pever (Typhoid).—Only one case was admitted, which recovered. Cerebro-Spinal Fever.—One case admitted, death ensued in 11 weeks. Two cases of Scarlet Fever had Chicken Pox as well on admission. One case of Diphtheria had Scarlet Fever as well on admission. |
d41820f2-63a6-41f4-b21d-954c5d9dbcd6 | Five cases of Measles were admitted: one complicated by Whooping Cough on admission. One case of Whooping Cough was admitted from the West London Hospital. TUBERCULOSIS WARD A new ward to accommodate 6 male and 6 female patients was opened at the same time as the dispensary. In addition to the ward cubicles, 5 patients can be accommodated in shelters. The patients for the most part were in an advanced state of the disease when admitted, but some improved sufficiently to recommend them for further treatment in a sanatorium. The results for the year are as follows:— Patients admitted toward or shelter 64 „ sent on to a sanatorium 13 „ died in hospital 12 „ known to have died since discharge 6 *Miss Webb was appointed Matron in April, 1917, vice Miss Woods, resigned. Hospital Administration. |
9ac06c4b-c689-430a-8989-1dde25222a52 | 19 The balance consists of patients sent home after a course of treatment, for the most part improved, and those who have been discharged at their own request. In several cases those discharged are following on with the dispensary treatment. Of the 64 in-patients, 55 were insured workers and 12 were residents in the district. To public authorities who propose building blocks for advanced cases of pulmonary tuberculosis I would suggest that the ward system is preferable to the cubicle system. The drawbacks to the latter are increased work for the nursing staff, heating difficulties, awkward lavatory arrangements, and more or less solitude for the patient. In the long ward there is the open fire, proper lavatory accommodation at the end of the ward, more company, and a side ward available for an extreme case. TUBERCULOSIS DISPENSARY (ESTABLISHED 1911). The new dispensary was opened in the summer of 1915. |
7619809c-28a6-4e24-bd4a-3e371b0a8b05 | It is now opened twice weekly for sessions of two hours for the treatment of ambulatory cases of pulmonary tuberculosis. The register shows 818 names of persons who have attended since the old dispensary first opened in 1911. During this year 263 new cases have presented themselves for diagnosis, or an opinion, but many of these were found not to be tuberculous. 50 recruits were sent by the R.A.M.C. Of the 263 cases 113 received dispensary treatment with the results shewn below. The present patients may be roughly sub-divided as follows:— Adults Only. jPit for ordinary work 27 Fit for light work 237 Unfit for light work 11 Died during the year 6 Pretubercular Children attended during the year, mostly school children 52 20 Hospital Administration. At the dispensary medicines are dispensed, malt and oil distributed and tuberculin given according to the needs of the patient. |
cb3eff41-33d7-4f15-b5a2-165b6186cb7d | For 1917 :— The number of attendances of Insured persons 456 ,, „ „ „ Non-Insured „ 171 852 „ ,, ,, Dependants 225 Visits to the homes of all classes 163 Experience over 5 years of uninterrupted work goes to show that cases with Tubercle Bacilli in the sputum who have had considerable dosage of Tuberculin live longer than those who have not been so treated. Also that the Dispensary and the Hospital are the two most useful means of dealing with early and late cases respectively, but that the home conditions of the majority of the working classes are adverse to recovery, as shown by the frequent relapses; and that many Sanatorium cases find their way eventually into Hospitals for advanced cases. |
cdc54cac-6bd0-48ae-a317-498788c32302 | I am convinced that for every able bodied consumptive, state controlled, state founded and state aid farm-colonies should be established, and that home life and freedom on the colonies should be so arranged as to be agreeable to all patients concerned and their earning capacity developed to the full. Pulmonary Tuberculosis in the District. Cases notified for the first time during 1917 54 Of these:— Treated at the Dispensary 10 Treated at the Hospital 10 Treated at Home 14 Treated in Hospitals or Sanatoria outside the district 20 Died 15 (including 3 cases notified after death) Year. First Notification. Residents' Deaths, Old& New Cases. Mortality Rate 1,000 of Population. 1915 60 29 .8 1916 55 35 1.09 1917 54 27 .8 Hospital Administration. 21 Where there are dispensaries established, there is more correct certification of deaths from Tuberculosis. |
0740f7d3-e8ba-4890-9f13-82e57e17b377 | During the years of the war deaths from Pulmonary Tuberculosis have increased. England and Wales, deaths from Pulmonary Tuberculosis:— 1911 39,232 1912 38,085 1913 37,055 1914 38,637 1915 41,676 1916 41,545 The Tuberculosis (Domiciliary Treatment in England) Order of 1916 states that from January, 1917, with regard to cases of consumption treated at home:— Article 11.—The treatment shall be carried out under the care and direction of a Medical Practitioner, subject to the following conditions, and to such other conditions as we may in any case from time to time approve ; that is to say :— (1) That the Medical Practitioner attend each patient at such intervals as may be necessary in the interest of the patient. |
39543f59-4f62-41bf-8cd6-aa8ee86a8d7d | (2) That the Medical Practitioner give the patient such instructions as are required as to his mode of living, diet, rest, and work, and as to precautions necessary to protect the patient against re-infection. (3) That the Medical Practitioner prepare and transmit to the Consulting Officer at such reasonable intervals, not being less often than once in every three months, as may be arranged between them, a report in regard to each patient in the Form set forth in the Schedule to these Regulations. (4) That the Medical Practitioner make arrangements with the Consulting Officer for each patient to be examined by the Consulting Officer not less often than once in every twelve months. (5) That the Medical Officer confer with the Consulting Officer at such times and in such circumstances as may be arranged between them in regard to patients under the care of the Medical Practitioner. 22 Hospital Administration. |
024afefe-71c0-4ca7-9568-3710e78386af | (6) That the Medical Practitioner from time to time inform the Medical Officer of Health of the Sanitary District in which the patient resides, of any circumstances known to the Medical Practitioner which may effect adversely the sanitary conditions under which the patient is living, and in respect to which action by the Medical Officer of Health or of the Sanitary Authority would, in the opinion of the Medical Practitioner, be necessary or desirable. Note.—There is no evidence to hand that the private Practitioners in this district are carrying out these regulations, unless they have reported directly to the County Insurance Committee at Kingston. I would also earnestly press for the earliest notification of Tuberculosis. Postmortem notification is of little use. LOCAL DISTRIBUTION OF TUBERCULOSIS CASES. Barnes. East Ward 1 West Ward 7 South Ward 3 11 Mortlake. South Ward 4 North Ward 4 Middle Ward 8 16 27 LOCAL DISTRIBUTION OF CANCER CASES. |
ab59b4bd-70f4-408b-a82f-f0e58b84e364 | Barnes. East Ward 4 West Ward 11 South Ward 4 19 Mortlake. South Ward 10 North Ward 2 Middle Ward 7 19 38 Sanitary Administration. 23 RECENT LEGISLATION. The Public Health (Small-Pox Prevention) Registrations, 1917, gives power to Local Authorities to appoint their Medical Officer of Health to vaccinate or re-vaccinate persons during an outbreak of Small-Pox at the expense of the Local Authority. TABLE SHOWING WORK DONE DURING 1917 IN RELATION TO INFECTIOUS DISEASES, INCLUDING PULMONARY TUBERCULOSIS. 1 Visits and inspections in consequence of notifiable disease 148 2 Disinfections performed 241 3 Lots disinfected by steam at the Isolation Hospital 56 4 No. |
55431897-2d60-471f-982c-85821a8976af | of Notices served by the Medical Officer of Health 32 5 ,, ,, Inspectors 68 6 Premises inspected 148 7 *No. of secondary visits to Pulmonary Tuberculosis 22 8 No. of visits supervising works 117 9 Military Kit and bedding disinfected (lots) 9 10 Statutory notices served 9 * In addition to the visits under No. 1. MORTUARY AND CORONER'S COURT. Inquests during 1917. Residents 24 Non-Residents 18 Unknown 5 47 Cause of Death. Natural 25 Violence 17 Suicide 5 47 24 Sanitary Administation. REPORT OF SANITARY INSPECTOR FOR 1917. 1 302 House-to-house Inspections have been made as compared with 2,565 in 1916, and 2,007 various other visits as compared with 1,140. |
b7c578aa-096e-4921-bed7-5d3b53a7a324 | 68 Preliminary Notices dealing with 174 Nuisances were served during the year 1917 and three Statutory Notices. Special attention has been paid to Hampton Square and West Road and other localities of the poorer class. It is a singular fact that not one case of Scarlet Fever or Diphtheria has occurred in Hampton Square, West Road, or Lodge Avenue, and only two cases of Pulmonary Tuberculosis. It has been a difficult matter to get the landlords to do sufficient cleansing work, but the shortage of labour has made it a difficult task. Two houses in Mortlake have been voluntarily closed on notice being served as to their unfitness for human habitation. There are 12 Bake-houses in the district, and they have been inspected quarterly and found generally to be well kept. Dairies and places where Milk is sold number 36, and have also been inspected quarterly. |
115da0ee-03cb-43ee-ac6e-482f4f9dac49 | There are 24 Butchers' Shops and 12 Fishmongers in the district, and 72 visits have been made to the former and 28 to the latter. Two boxes of fish were condemned. The number of Factories is 18, and 40 visits made. The number of Workshops is 144, and 183 visits paid to same. There are four Munition Works in the district. The Beverley Works comprise five firms, employing in the aggregate 380 men and 245 women. The Anglo-Belgian Manufacturing Co. employing 17 men and 33 women. The Miralite, Ltd., Aluminium Works employ 36 men and 28 women, and the Mortlake Aircraft Co. which employ 53 men and 30 women. The outdoor inspections, drain testing, and disinfections, have since July, 1917, been carried out by one Inspector. |
cffc1787-8743-4f62-96f0-48aada38ef3e | The Secretary Society Medical Officers of Health 1 Upper Montague Street Russel Square W. C. |
df56d2d2-5ff0-4c1e-8281-3bf866287b38 | BARN 55 Urban District Council of Barnes. Annual Report on the Health, Sanitary Conditions, Etc., of the URBAN DISTRICT OF BARNES, for the Year 1918, by B. C. Stevens, m.d., f.r.c.s.e, d.p.h., Medical Officer of Health. Barnes, S.W.: R. W. Simpson 8 Co., Ltd., Printers, 15 High Street, 1919. THE Urban District Council of Barnes. Public Health Committee. Coun. Bates „ Day „ Firmston „ Hampton (Chairman) „ Harding „ Hinton Coun.Jackson „ Jones „ Kitley „ Lambert „ Maynard „ Medus Coun. Moonan „ Pike „ Shearman „ Sparkes „ West Hospital Sub=committee. Coun. Bates Coun. Jackson „ Firmston (Chairman) „ Kitley Coun. Pike „ Powell Coun. |
0b521f6b-d5d8-49e1-831a-c45aa6f492ab | Day „ Harding Child Welfare Committee. Coun. Jackson (Chairman) „ Jones Coun. Lambert „ Pike. Medical Officer of Health, Tuberculosis Officer, Medical Superintendent of Isolation Hospital, Medical Officer Child Welfare, Centre and Day Nursery, School Medical Officer, Bacteriologist. B. C. Stevens, M.D., F.R.C.S., D.P.H. Senior Sanitary Inspector. Mr. Grylls. Assistant Sanitary Inspectors, Messrs. Perchard and Slade.* Matron of the Hospital, Miss Pearson. Health Visitor, Miss Williams. * Absent on Military Service. Statistical Memoranda for 1918. |
e264ea77-6c91-44ae-8b8f-ccdf96b69bcb | Area—Barnes 1,067 acres „ Mortlake 1,583 „ 2,650 Tidal waters of foreshore 133 2,517 Population as estimated to middle of 1917 by Registrar General For Births 36,223 For Deaths 32,495 Residental Death Rate for 1918 11.3 per 1,000 *District „ „ „ „ 12.4 *After adding deaths of residents occurring outside the district and deducting deaths of non residents occurring in the district. |
5e26678c-2d1e-49f4-ae7e-724ed539b7f4 | Birth Rate 12 per 1,000 of population Death Rate from Infectious Diseases(including influenza) 36 per 1,000 „ „ „ Pulmonary Tuberculosis .8 „ „ „ „ Cancer 1.07 „ „ „ „ Pneumonia .9 „ Infantile Death Rate 91 per 1,000 births Census Population, 1901 17,900 „ „ 1911 30,377 Number of Inhabited Houses 7,950 Rateable Value—Agricultural land £1,6781 £283,873 „ „ Other Hereditaments £282,1951 Assessable Value £262,029 General District Rate 4/- in the £ Poor Rate—Barnes 3/9 „ „ „ Mortlake 4/2 „ Id. in the £ for District Rate purposes produces £1,060. ANNUAL REPORT. The Council House, Mortlake, S.W. |
624f1abd-aa71-4f5c-803b-d35b3f21d607 | To the Chairman and Members of the Urban District Council of Barnes. Gentlemen, I beg to submit my Annual Report for the year 1918. It is still necessarily curtailed. Work under the Housing and Town Planning Act is still in abeyance, but should shortly improve. It is hoped that 150 new houses will be erected shortly, and that some undesirable areas will be cleared to make room for new houses. Good housing accommodation is the first important step towards lessening the number of cases of Tuberculosis. The proportion of slums to good property in this district is fortunately small, but could be made smaller, and this ratio perhaps accounts for the fact that although Tuberculosis has increased generally throughout the country, it is not the case in this district. Infectious disease has also kept remarkably low, except for the pandemic of Influenza, and a spring outbreak of Measles. |
22a916f5-0910-47a4-bf68-9f0ad7a19a2d | Once labour is available and material at hand, building should progress on garden city lines and the amenities of the district preserved. I trust that this report will show that the staff of the Public Health Department (though short handed still), have, so far as their resources have allowed them, carried out their duties satisfactorily. I beg also to acknowledge the help of the other officers of this Council in Hospital and other matters. I am, Gentlemen, Your obedient Servant, B. C. STEVENS. 6 General. RECENT PUBLIC HEALTH LEGISLATION. RECOMMENDATIONS AND ORDERS. A register of the blind by the L.G.B. Juvenile organisations Committee by the Home Office. Mothers' Pensions. Treatment of Discharged Sailors and Soldiers (Pensions Board). Medical certificates for men appearing before National Service Medical Boards. |
de0d6025-3aeb-4c2e-89ba-454e1dd88dd2 | Notification of males of military age suffering from Tuberculosis to the Chief Commissioner of Medical Services at the Ministry of National Service. Notification by the Chairman of any National Service Medical Board of Tuberculosis to the M.O.H. of the district from which the case came. Notification to the L.G.B of cases of Malaria, and facilities given for microscopic examinations of the blood. A uniform form of certificate or notification by Medical Practitioners for all notifiable infectious diseases. Reports to the L.G.B, on Epidemic Influenza. Exclusion of School children from Cinemas, etc., and the ventilation and resting of such places. The compulsory notification of Acute Encephalitis Lethargica and Acute Polio-Encephalitis (cases producing an unusual group of cerebral symptoms). The Midwives Act, 1918, contains several important alterations and a new scale of fees for medical assistance. |
536cf5bd-328a-4a03-be20-c65a0a210223 | This should be under Local Control, but it is so far controlled by the County, which is the Local Supervising Authority. VITAL STATISTICS FOR 1918. Total registered Births are 438, which gives a birth rate for the year of 12.03, the lowest yet recorded. The Infantile Mortality or number of deaths under 1 year 7 Vital Statistics. after accepting 2 deaths of infants dying outside the district is 40, representing a rate of 91 per 1,000 births. Several of these deaths were directly due to illness or shock on the part of the mother The registered deaths among civilians resident and dying in the district number 368, giving a residential death rate of 11.3 per 1,000 of the population. |
d8a2fb2a-ad1e-48ef-891d-4fc94aab0dc7 | After adding deaths of residents, who died outside the district, and after deducting deaths of nonresidents dying in the district, the net deaths number 404, which represents a rate of 12.4 per 1,000 of the civilian population. The increased death rate is almost entirely accounted for by the severe Influenza epidemics. The causes of the Infantile Mortality are set out in the following table:— Measles, 3; Meningitis, 3; Diarrhoea, 7 ; Premature Birth, 13 ; Whooping Cough, 1 ; Bronchitis, 1 ; Malformations, 1 ; Other Causes 2 ; Influenza 1; Pneumonia 4 ; Marasmus 4. The population as reckoned for birth rate is 36,223, and that for the death rate as 32,495. |
8f663407-ac02-4c5c-a4b6-d47f86dd4ca9 | COMPARATIVE FIGURES for 1918 shew:— Birth Rate Death Rate Infantile Mortality Rate Eng. and Wales 17.7 17.6 97 96 great towns including London 17.6 18.1 106 148 smaller towns 18.0 16.1 94 London (only) 15.8 18.7 107 Barnes 12.03 12.4 91 In London the death rate exceeds the birth rate, a most serious condition. In Barnes the number of births only exceeds the net deaths by 34. The suggested remedy is to build houses and thereby encourage marriages and family life, also secure good employment by starting 8 Vital Statistics. new industries and giving good wages, at the same time reducing the cost of food and living generally. Birth Rate in proportion to population in Barnes:— Year Births Deaths Nat. |
bea74679-9aed-41e0-804f-af518eb4c729 | Increase Population 1912 700 291 409 32,000 1913 736 350 386 33,386 1914 754 336 418 34,745 1915 656 380 276 34,745 Birth 32,288 Death 1916 510 337 253 34,288 Birth 31,900 Death 1917 481 356 125 36,2231 Birth 32,4951 Death 1918 438 404 34 „ „ The higher figure represents population as reckoned for Birth Rate, the lower for Death Rate estimations. Whilst the Death Rate keeps fairly steady the Birth Rate is steadily declining and the natural increase or the excess of births over deaths is diminishing almost to vanishing point. Birth Rate Death Rate Year Barnes Eng. and Wales Barnes Eng. |
eed7e11e-fd7e-4a86-b7c3-4c1604bb61f7 | and Wales 1912 21.8 23.8 9.0 13.3 1913 22.07 23.9 10.5 13.4 1914 21.7 23.6 9.6 13.6 1915 18.8 21.9 10.0 15.1 1916 17.08 21.6 10.5 14.0 1917 13.2 17.7 10.9 14.4 1918 12.0 17.7 12.4 17.6 INFANTILE MORTALITY RATES (i.e. deaths under 1 year) Year Barnes Eng. |
950390ee-e013-4970-ae48-bb9b6361a6f5 | and Wales Per 1,000 Births 1912 58.5 95 „ „ „ 1913 84.2 109 „ „ „ 1914 63.6 105 „ „ „ 1915 83.8 110 „ „ „ 1916 68.4 91 „ „ „ 1917 68.6 97 „ „ „ 1918 91.0 97 „ „ „ 9 Vital Statistics. VACCINATION RETURNS. I am indebted to Mr. Raggett, the Vaccination Officer, for the following figures:— Births Vaccinated Percentage Vaccination 1918 438 231 53 per cent. 1917 484 296 61 „ „ Two infants out of every five in this district are unvaccinated. Let us hope that under the new Ministry of Health the Vaccination Acts will be re-modelled or we may live to regret it. |
ff7b10a4-dbf6-4925-b1e0-b5dd7fe080bf | POOR LAW RELIEF. I am indebted to Mr. Pratt, the Relieving Officer, for the following figures:— 1918 120 orders were issued for medical attendance. 66 „ „ „ „ admission to workhouse and Infirmary. 1917 The orders were 135 and 79 respectively. The Military Service Acts have diminished pauperism. DEATHS IN INSTITUTIONS OUTSIDE THE DISTRICT. Year Ending 31st December, 1918. Males 88 Females 10 TABLE I. Vital Statistics of whole District during 1918 and previous Years. Name of District—Barnes Urban. Year. Population estimated to middle of each year. Births. Total Deaths Registered in the District. Transferable Deaths Xett Deaths belonging to the District. Uncorrected Number. Nett. Number. Rate. Of nonresidents registered in the District. |
78fead13-74f2-4873-a5fc-d58f00758dfb | Of residents not registered in the District. Under 1 year of age. At all ages. Number. Rate per 1,000 nett births Number. Rate Number. Rate. 1 2 3 4 5 6 7 8 9 10 11 12 13 1913. 33,386 718 736 22.07 294 8.8 29 85 62 84.2 350 10.5 1914. 34,745 734 754 21.7 276 7.9 28 88 48 63.1 336 9.6 1915. 33,516 636 656 19.5 287 8.2 38 93 55 83.8 380 11.3 *1916. |
f4466d70-721c-4352-8721-0903c1b35491 | 34,773 570 570 17.0 256 7.3 37 118 38 62.4 337 10.5 31,960 *1917. 36,223 481 481 13.2 264 8.2 31 123 33 68.6 356 10.9 32,495 *1918. 36,223 438 438 12.0 368 11.3 41 108 40 91 404 12.4 32,495 *Higher Figure. —Birth Rate population. Lower Figure.— Death Rate population (civilian only). 11 Infectious Diseases. INFECTIOUS DISEASES. GENERAL REMARKS. THE INFLUENZA EPIDEMICS. This pandemic disease broke out in this district in July and October. Details of the deaths are set out below. |
beb71c9e-26b2-401a-8d95-c9e6d5b1fbab | As the disease is not notifiable there is no information as to the number of individuals attacked, but it was very considerable. The school children alone numbered 525 cases. In several cases girls lost their hair after the illness. The influenza germ attacked first, and this was followed by the pneumonia germ, and then other septic or blood poisoning germs gained an entrance into the lungs and blood streams. The causes of the high rate of mortality were increased virulence on the part of the germ and lowered resistance on the victim. In round numbers 100,000 deaths were caused in Great Britain, and 6,000,000 deaths in the world generally. The Public Health Committee recommended the Council to make provision in the hospital for cases of Pneumonia, to obtain help of the Health Visitors in the homes and to make Influenzal Pneumonia notifiable, and this was done and confirmed by the Local Government Board, which expressed its satisfaction as to the measures taken. |
c9372eaa-98cb-4566-8529-ce14abe3ab41 | By order of the L.G.B. children from schools closed for Influenza are forbidden to attend picture palaces or other places of amusement. These places, moreover, are to be well flushed with fresh air at intervals of four hours. Large posters were circulated in the district giving advice on Influenza, and the doctors were asked to notify cases complicated by pneumonia. All schools were closed both in July and October, and the senior school children addressed by the M.O. H. before breaking up. When the next outbreak occurs, the whole population should have learnt what to do. 12 Infectious Diseases. INFLUENZA MORTALITY, 1918. Males 31. Females 50. Total 81 (residents dying in the district). males. females. total. |
bb9fa9c4-143c-4726-92ca-7e1c573942a2 | Under 1 year 1 1 1 to 5 years 6 2 8 5 to 15 years 4 9 13 15 to 25 years 6 8 14 *25 to 65years 13 27 40 Over 65 years 2 3 5 31 50 81 *Group with heaviest mortality. After adding 11 deaths among residents dying outside the district, and deducting 4 deaths of non-residents dying in the district, the net deaths are 88. At a rough estimate there would be about 4,000 cases in this district during the year. |
2570bba8-02ad-4ee4-adfa-bb1d7d6d314c | Death was accelerated by the following complications:— Pneumonia 54 (4 septic) Bronchitis 8 Heart Disease 5 Pregnancy 4 Tuberculosis 2 Pyrexia 1 Toxaemia 1 Epilepsy 1 Asthma 1 Pleurisy 1 Oedema of lungs 1 Uterine hemorrhage 1 81 (Local only) 13 Infectious Diseases. Diseases compulsorily notifiable in this district are .— Small-pox. Scarlet Fever or Scarlatina. Diphtheria or Membranous Croup. Enteric Fever or Typhoid Fever. Continued or Relapsing Fever. Puerperal Fever. Measles and Rubella. Acute Polio-Myelitis (infantile paralysis). Epidemic Cerebro-Spinal Meningitis (Spotted Fever). Erysipelas. |
32dc1b13-48f1-4f28-8dbe-e51de61224c7 | Acute Encephalitis Lethargica. Acute Polio-Encephalitis. Post Influenzal Pneumonia. Epidemic Summer or Infective Diarrhoea. Pulmonary Tuberculosis. Other Tuberculosis (non-pulmonary). Plague. Malaria. Ophthalmia Neonatorum. Cholera. Dysentery. Pneumonia. Trench Fever. Cases Notified During 1918. *Scarlet Fever—32 cases. Barnes 13; Mortlake 19. Of these 25 were admitted to Hospital, and there was one "return case." The proportion of females to males was as 4 is to 1. Diphtheria—29 cases. Barnes 14; Mortlake 15. Of these 28 were admitted to hospital. Three died, one shortly after admission. |
7bef7a70-3dec-4740-8ad8-78ebb8d78410 | Six cases was admitted from one school. The proportion of males to females was equal. Erysipelas—2 cases. Barnes 1; Mortlake 1. *One case of Septic Tonsillitis admitted as Scarlet Fever, died in hospital. 14 Infectious Diseases. Puerperal Fever—3 cases. Mortlake 3. One died in Isleworth Infirmary. Enteric Fever or Typhoid—Nil. Cerebro-spinal Fever,—2 cases. Barnes 1; Mortlake 1. One case removed to hospital, recovered. One case died outside the district in hospital. Ophthalmia Neonatorum—2 cases. Barnes 2. Acute Polio-myelitis —1 case. Barnes 1. Pneumonia (post influenzal)—1 case. Barnes 1. |
96701328-6df0-419b-aafc-bf45beaecd8e | (Since compulsory notification). Voluntary notifications led to 12 cases being admitted to Hospital, with 4 deaths, including two expectant mothers. Males numbered 4 and females 8. Average age 30 years. Measles—Notifications by medical practitioners, 620 cases. Barnes 239; Mortlake 381. Cases ascertained from other sources number Barnes 21; Mortlake 126. Total 767. There were 13 deaths. Cases admitted to hospital 6, including 4 from a private school. No deaths in hospital. The cases visited by district nurses, and paid for by the Council, were 14 in Mortlake and 2 in Barnes. Posters dealing with Measles have been freely circulated in the district, and there is now no excuse for parents or doctors not notifying the Health Department. |
e55b2c18-3574-4f65-9b81-fa4dbf90ce09 | The death rate from all Infectious Diseases (including influenza) is 3.6 per 1,000 of population. PULMONARY TUBERCULOSIS. Primary notifications number 58.—Barnes 27; Mortlake 31. Secondary Notifications 5 Number attending Dispensary 19 „ sent to Hospital 14 „ „ Sanatorium 14 Receiving domiciliary treatment 7 Left the district 4 63 Of these 58 notifications, 13 died the same year. 15 Infectious Diseases. OTHER TUBERCULOSIS. 17 cases.—Barnes 8; Mortlake 9. There were 3 deaths. Residential deaths from Tuberculosis during 1918—26 nett. 42 Deaths were registered locally; of these 22 belonged to other districts and are deducted, while we have to add 6 other deaths of residents dying outside the district. |
e547e075-50b5-4ea9-ae57-94d3c73bb694 | This leaves 26 nett deaths, equal to a rate of 8 per 1,000 of the population, which is very satisfactory when compared with England and Wales. TUBERCULOSIS. Remedies. Immediate better and ample housing accommodation, including the demolition of old property. Houses 12 to the acre with plenty of light and air space. No house should have less than 3 bed rooms if there are any children. There should be licenses granted for sub-letting and then only afteivproper investigations Sufferers from consumption should be segregated and colonised. More centres for diagnosis and treatment should be established and sufferers should be better controlled as to their habits and mode of life by legislation. The building of flats is to be deprecated ; it is begging the whole housing question. They may be useful for old or childless couples, or for bachelors and spinsters. |
abac52b8-59f0-4135-a241-3fc45ddb45c1 | What this country should be out for is to build houses for family life, because it is on decent family life that the character of the individual and the strength of the nation are founded. The question of cost of land would be well repaid in the increased health, happiness and freedom of the people. Gardens or allotments should be acquired as they give scope for healthy exercise, economy and thought. I am convinced that the past epidemics of Influenza will send up the incidence rate of Tuberculosis quite appreciably. 16 Infectious Diseases. TUBERCULOSIS. |
8e983ee2-58b3-428d-ac32-fa94b27139bc | Pulmonary Tuberculosis has increased generally during the period of war as shown below:— males females total deaths (england & wales) 1911 21,985 17,247 39,232 1912 21,568 16,515 38,083 1913 21,034 16,021 37,055 1914 21,812 16,825 38,637 1915 23,630 18,046 41,676 1916 23,238 18,307 41,545 1917 23,670 19,443 43,113 Before the outbreak of war a steady decline was going on, but from 1914 onwards there has been a steady increase, and the proportion of females to males has increased. Causes:— 1. There are 100,000 discharged tuberculosis soldiers. 2. Increased female employment in factories. 3. |
97b0fe90-2635-4ae7-9710-b157055d684a | Overcrowding due to sub letting and want of sufficient and healthy housing accommodation, 4. War conditions generally; such as stress, anxiety and privations. Local figures shew no increase of either notifications or deaths. notified. deaths. 1911 38 30 Average annual deaths—29. 1912 112 28 1913 74 33 1914 66 38 1915 60 19 1916 55 85 1917 54 27 1918 58 26 THE MEASLES EPIDEMIC. There were 742 cases of Morbilli and 25 of Rubella, with 15 deaths, including 2 outside the district. The epidemic was not expected, as there had been one the previous year, and epidemics of this disease are usually bi-ennial. 17 Infectious Diseases. |
4a9a0565-4583-462a-8564-a13c2fb9fe3a | Pneumonia was the usual cause of death, and this is best prevented by keeping in bed and by attention to oral hygiene. Strenuous efforts were made to prevent the spread of the disease and Health Visitors and District Nurse were kept busy. Delay or neglect in notifying cases, especially secondary cases, was vexatious at times. Hospital accommodation has been provided for cases who cannot be properly nursed at home. Printed precautions have been widely circulated by mean* of the schools and by posters throughout the district. The mortality was not heavy considering the severity of the epidemic. There is still a general tendency to regard Measles as a trivial complaint and to let the patient up and about too soon. The safe rule is one week in bed, one week more in the bedroom, and one week more before mixing with the healthy. If this were rigidly followed out, there would be few deaths and few complications. |
1c7a6ad1-5ed5-43f7-80f6-6907b32e2ad6 | In order to get notifications of secondary cases of Measles, which are often not attended by doctors, a postcard is left with the parents to post on to the Health Authority, and this will be followed up by an early visit. CANCER. 23 Deaths have been registered locally. There are 12 others who have died in places outside the district—Total 35. This represents a death rate of 1.07 per 1,000, and is greater than that from Tuberculosis of lungs. Cancer cannot be considered to be contagious, nor a disease of locality or environment. It is due to a proliferation of body cells and their invasion of the adjacent tissues. By some subtle influence these cells instead of multiplying in just sufficient numbers to repair the body waste, have their balance between supply and demand upset, multiply more rapidly than is healthy, and a neoplasm or morbid growth results. If these growths ulcerate a more or less offensive discharge occurs. |
f95dafe4-0ba0-476f-b8cd-7a4ecc286924 | In these cases it is desirable that the bedding should be disinfected or destroyed, 18 Child Welfare. A printed leaflet pointing out early signs of disease, and the dangers of delay will be given to enquirers. VENEREAL DISEASES. The campaign against these diseases is now being energetically pursued. There are, however, two schools of thought, one is for abjuring restraint and continence, moral teaching, early marriage, and general educative measures. The other is for the general use of such preventive precautions as will greatly lessen the risk of infection. Quack treatment is forbidden and early treatment at Venereal Clinics urged. A few local cases have been seen and recommended to the evening clinic at the West London Hospital, Hammersmith. Medical men in the district are also treating patients on modern lines. Men under military control are getting prompt treatment. |
d159a55a-6fe7-4d5c-a59f-9f4b94d40d43 | These diseases should be made compulsorily notifiable (in strict confidence) to the Health Authorities. MOTHER AND CHILD WELFARE. Under the extended scheme of the Surrey County Council, a second Health Visitor was appointed for the Barnes side of the Urban District. The Committee making the selection have been unfortunate in not securing a really good worker, and a change was made after 5 months. After a short interval a second nurse was appointed, but broke down in health and had to resign. The result has been that the school work and infant visiting in Barnes has not been so well done as was expected. However, a fresh health visitor has been appointed, and things will doubtless improve. So far as Mortlake is concerned the work has gone on satisfactorily Miss Williams has now worked in this capacity for five years, and has done, and is doing, good work. |
9f62c320-880f-4775-b0a2-208e8ed95458 | 438 Births were registered, or 43 less than in 1917 Of these 51 were not notified by the doctor or parents, and had to be written to. Mortlake 264 Births. Barnes 173 Births. Visits in this connection, and including children up to 5 years, number 941 in Mortlake and 353 in Barnes Child Welfare. 19 Mothers were encouraged to attend the child welfare centre, on Monday and Thursday afternoons, where demonstrations, consulta. tions and Medical advice were given. The Centre was opened on 96 occasions in the year, the babies making 1,385 attendances. 112 New babies were entered in the register, 71 from Mortlake and 41 from Barnes. Of these 51 were breast fed and 61 bottle fed. |
69dba1f9-f8af-437c-9fdf-5542d405ff0d | Leaflets dealing with nursing, maternity, and simple ailments were freely disposed of; and Virol, ointments, dried foods, etc sold 53 older children, but under school age, attended for medical treatment, making 168 attendances, several of these receiving hospital letters. In home visiting of infants it was found that the proportion of breast fed to bottle ied babies was as 3 is to 2. Infant deaths under one year number 38, plus 2 dying outside the district; 13 of these died in their first fortnight and 15 were prematurely born. There were 3 deaths among 15 illegitimate born. ANTENATAL WORK. This work is gradually increasing, 36 expectant mothers were found and 80 visits paid to them. Facilities were provided for them in the way of getting meat, butter and milk. |
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