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Lots of bedding disinfected after infectious diseases numbered 258 ; 4 lots of verminous bedding were destroyed. Cleansing Station. Arrangements are in force whereby the Council's Cleansing Station is available for the purpose of cleansing children attending the Public Elementary Schools, who, on account 58 Sanitary Administration. of being found persistently in a verminous condition, are removed there from the Schools under the powers conferred by Sectfon 122 of the Children Act, 1908. The number of children cleansed at the Cleansing Station on account of the verminous condition of their hair was 64 ; one child was dealt with on account of body vermin. In addition, the Cleansing Station is available for the treatment of children affected with Scabies, but no children were treated on this account during the year. No adult person infested with vermin applied during the year for cleansing of person or clothing, PUBLIC MORTUARY.
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At the Public Mortuary, adjacent to the Isolation Hospital, 33 bodies, on which post-mortem examinations were conducted and inquests held, were received. Of this number, 10 were bodies of persons resident in the District; 17 were bodies of non-residents whose death occurred in the District, and 6 were bodies of persons unknown. In addition, 5 bodies were received into the Mortuary for reasons other than inquest or post-mortem examination. The Public Mortuary and Post-mortem Room and the rooms used as a Coroner's Court were re-painted and renovated during the year. For the better preservation of bodies received at the Mortuary an additional air-tight shell, in which to retain corpses the burial of which is delayed for purposes of identification, has been provided. NUISANCES. The various nuisances dealt with during the year are included in the tabular summary, already given, of defects remedied.
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Nuisances arising from the keeping of animals, including fowls, duck, rabbits, pigeons, &c., at the rear of houses having very small yards are of frequent occurrence; in most of such cases it is extremely difficult, often impossible, to obtain a remedy under the Nuisance Section of the Public Health Act, 1875. Nuisances arising from this source would be far less frequent, and existing, nuisances more easily dealt with, if Bye-laws for the prevention of the keeping of such animals on any premises so as to be a nuisance or dangerous to health were adopted. 59 Sanitary Administration. OFFENSIVE TRADES. The only offensive trade carried on in the District is that of Fish Frying, which has been declared to be an " offensive trade " within the Urban District, and is controlled by Bye-laws.
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There were on the Register during the year five premises on which fish frying was permitted; these premises having been periodically inspected by the Sanitary Inspector and have been found by him to be conducted in a satisfactory manner. FACTORY AND WORKSHOPS ACT. The work carried out in connection with the inspection of Factories, Workshops, and Home-workers is summarised below : β€” Number of Factories on the Council's Register 33 Number of Workshops and Workplaces on the Council's Register 100 Number of Home-workers on the Council's Register 29 Factories have been visited by the Sanitary Inspector as occasions required. Workshops and Workplaces have been routinely inspected by him, and Home-workers have been kept under observation, especially in connection with the prevention of spread of infectious diseases. 1. Inspection of Factories, Workshops and Workplaces. Premises. Number of Inspections.
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Written Notices Factories (Including Factory Laundries) 8 2 Workshops (Including Workshop Laundries) 86 0 Workplaces (Other than Outworkers' premises) 14 0 Total 108 2 60 Sanitary Administration. 2. Defects found in Factories, Workshops and Workplaces. Particulars. Number of Defects. Found. Remedied. Nuisances under Public Health Acts :β€” Want of cleanliness 2 2 Other nuisances 5 4 Sanitary accommodation insufficient 0 0 unsuitable or defective 2 2 not separate for sexes 0 0 Breach of special sanitary requirements for bakehouses (ss. 97 to 100) 6 6 Total 15 14 Registered Workshops.
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Motor and Cycle Works 9 Blind Maker 1 Boot Repairers 15 Metal Workers 1 Furrier 1 Upholsterers 4 Dressmakers 15 Tailors 10 Workshop Laundries 3 Workshop Bakehouses 11 Others 16 86 Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Acts (s. 5, 1901):β€” Notified by H.M. Inspector 2 Reports (of action taken) sent to H.M. Inspector 1 Underground Bakehouses (s. 101) in use at end of the year, 4 REGISTRIES FOR FEMALE DOMESTIC SERVANTS. The above-mentioned premises are controlled by bye-laws in force in the District: there are 4 such premises on the Register. Inspection during the year disclosed no breach of the Bye-laws. Housing. 6r II. HOUSING.
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The general situation with regard to housing in this District was reviewed in my Annual Report for 1921. Though the positionhas somewhat improved there is still a marked shortage of houses, particularly of houses for the working classes: difficulties in dealing with unfit houses and defective housing conditions necessarily continue. Houses Unfit for Human Habitation. Closing Orders were made under Section 17 of the Housing and Town Planning Act, 1909, in the case of 2 houses. In one case it became necessary to make application to the Magistrates for an Ejectment Order. The Order was granted and the tenants ejected. The premises which were in a very insanitary condition were thoroughly overhauled and improved; the Closing Order was then determined. In the second case a Closing Order having been made in respect of premises not originally constructed for human habitation, the premises were converted into a lock-up shop.
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A Closing Order made in 1920 in respect of certain premises was determined during the year 1922, the premises having been rendered fit for human habitation. One house, in respect of which a Demolition Order was made in 1921, has continued to be occupied owing to the difficulty of finding accomodation for the tenants. With regard to many houses which are incapable of being made fully fit and in normal times would be closed at the earliest opportunity, the procedure has to been require such hcnses to be so repaired as to be passibly habitable for the time being. Remedying of Defective Houses. A very large amount of work has been undertaken during the year in securing improvement in housing conditions aud has resulted in the remedying of a high percentage of the defective 62 Housing. conditions discovered in the course of inspection by the Sanitary Staff.
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Of 609 houses inspected, defective conditions were discovered in 454: the number of these dwelling houses rendered fit by informal action was 359. It became necessary to take action under Statutory Powers in respect of 48 houses, action being taken under the Public Health Acts in respect of 15 of them, and under Section 28 of the Housing and Town Planning Act, 1919, in the case of 33 : of the former all, and of the latter 25, were rendered fit. As many as 4250 visits of inspection were made by the Sanitary Inspectors in connection with this work. Increase of Rent, etc. (Restriction), Act, 1920. The Sanitary Inspector reports that 5 applications for certificates under the above Act were received, and in each case a certificate was granted. Overcrowding. Owing to the almost entire cessation of building in this District for four years during the War, overcrowding became very much increased.
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During the past two and-a-half years, however, much has been done to reduce this evil. There still remains a good deal of overcrowding in certain areas, aad some serious overcrowding in many of the houses occupied by the working-classes. A large number of houses originally intended for occupation by one family became, during the War, occupied by two or three families, and many of these are still so occupied. A large number of families formerly so housed, are now living under quite suitable conditions in the 142 houses erected by the Council under their Housing Scheme. During the past year 20 of the more serious cases of overcrowding were relieved by the families being allotted Council Houses, these being families with two or more children, who, most of them, previously occupied one room only. Three other serious cases of overcrowding were abated by the families themselves obtaining accommodation elsewhere. There is still a considerable shortage of houses, and necessarily overcrowding must continue until more houses are erected. Housing.
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63 The number of dwelling-houses erected during the years since the commencement of the War have been as follows:β€” 1914. 1915. 1916. 1917. 1918. 1919. 1920. 1921. 1922. 190 108 55 3 0 10 95 160 103 Forty of the houses completed during 1920, and 102 of those completed during 1921, were erected by the Council under their Housing Scheme; the erection of these houses assisted very materially in reducing the amount of overcrowding which existed. The houses erected by private builders during 1920, 1921, and 1922, respectively, numbered 55, 58, and 103, a satisfactory increase, considering the very abnormal conditions of the building trade. There is every indication that there will be a very large increase in the number of houses erected during the year 1923.
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Reliable data in regard to the housing accommodation of the inhabitants are available from the Registrar-General's Census Returns. The opportunity has been taken of including in this Report some Tables giving interesting particulars as to the number and type of buildings in the District; the number of structurally separate dwellings; the number of rooms in the dwellings; the number of private families occupying them, and the number of persons in these families. Comparison between 1911 and 1921 of the number of persons living under the "overcrowded" conditions of more than two persons per room shows that, although the number of persons so living has increased slightly (1,525 persons in 1921; 1,427 persons in 1911), the proportion living under these conditions expressed as a percentage of the total population has diminished (4.5 % in 1921; 4.7% in 1911). 64 I. Buildings, Dwellings, Rooms and Population. type of building. Total Buildings.
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Buildings. Dwellings occupied by Non-Private Families. Structurally separate Dwellings occupied by Private Families. Population. Total Rooms occupied. Not containing Dwellings. Containing Dwellings. Undivided Private Houses 6,283 β€” 6,283 5 6,278 28,233 39,622 Housing.
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Structurally divided Private Houses 10 β€” 10 β€” 31 113 100 Blocks of Flats, Tenements 400 β€” 400 β€” 1,113 3,546 4,879 Shops 510 37 473 1 472 2,047 2,415 Other BuildingsΒΊ 146 88 58 13 54 360 170 Total 7,349 125 7,224 19 7,939 34,299 47,186 * Other Buildings include Offices, Factories, Warehouses, Workshops, Hotels, Institutions, Places of Worship, and Places of Amusement, 65 (2) Structurally Separate Dwellings occupied by Private Families or Vacant on Census Night. Dwellings containing Total Dwellings. Total Rooms. 1-3 Rooms. 4-5 Rooms. 6-8 Rooms. 9 or more Rooms.
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Total Structurally Separate Dwellings 369 3,193 3,716 661 7,939 47,186 Housing. Dwellings Vacant on Census Night 20 150 180 30 380 2,210 Dwellings occupied by 1 Private Family 337 2,742 2,965 546 6,590 38,876 2 ,, Families 11 287 502 52 852 5,203 3 or more Private Families 1 14 69 33 117 897 Total Dwellings occupied by Private Families Number % 349 3,043 3,536 631 7,559 44,976 5% 40% 47% 8% 100% β€” Total Private Families therein 362 3,358 4,180 754 8,654 – 66 (3) Private Families Classified by Size of Family, Rooms Occupied, and Density of Occupation.
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Number of Persons in Family. Number of Private Families occupying the following Number of Rooms. Total Private Families Population in Private Families. Rooms Occupied. Population living morethan 2 Persons per Room. 1 2 3 4 5 6β€”7 8β€”9 10 and over. 1 157 91 68 63 48 64 13 4 508 508 1,590 – Housing. 2 85 224 255 343 276 401 78 28 1,690 3,380 7,563 – 3 37 155 213 321 344 635 141 41 1,887 5,661 9,700 111 4 15 64 168 351 376 592 142 56 1,764 7,056 9,530 60 5 2 28 101 216 271 417 91 64 1,
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190 5,950 6,752 150 6 1 18 57 140 153 236 76 52 733 4,398 4,315 114 7 1 9 26 101 107 126 44 33 447 3,129 2,599 252 8 – 7 16 47 57 59 18 22 226 1,808 1,
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351 184 9 – 1 6 22 31 26 8 15 109 981 677 261 10 – 1 – 15 16 16 5 5 58 580 355 160 11 – – 1 7 5 8 4 2 27 297 163 143 12 – – – – 3 1 1 2 7 84 52 36 13 – – 1 – – 1 1 3 39 20 26 14 – – – – 2 – – – 2 28 10 28 15 and over – – – – – – – 3 3 50 67 – Total Private Families 298 598 912 1,626 1,689 2,582 621 328 8,654 – – – Population in Private Families 521 1,646 3,124 6,544 7,
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172 10,501 2,701 1,740 – 33,949 – – Rooms Occupied 297 1,195 2,732 6,502 8,445 16,524 5,186 3,883 – – 44,744 – Percentage of Families living in various units of occupation 1921 3.4 6.9 10.5 18.8 19.5 29.9 7.2 3.8 100 – – – 1911 2.7 5.9 9.6 17.5 19.0 30.5 9.0 3.8 100 – – – Families living more than 2 persons per room 56 64 50 44 10 1 0 0 225 1,525 637 1,525 67 Housing. Houses Let in Lodgings.
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The effect of registration of these houses is to render the premises subject to the requirements of the Council's Bye-laws with respect to houses let in lodgings or occupied by members of more than one family. New Bye-laws made under Section 26 of the Housing and Town Planning Act, 1919, were adopted by the Council in July, 1922. The Bye-laws previously in force applied only where the rent payable by each lodger did not exceed a certain amount fixed by the Bye-laws; the new Bye-laws, however, apply to any house used for occupation by the working classes, and let in lodgings or occupied by members of more than one family irrespective of the amount of rent paid. The previous Bye-laws had become inapplicable in the case of many houses, at one time subject to the Bye-laws, owing to increase in the amount of rent paid. The number of premises on the Register will now, no doubt, increase.
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At present the number of houses on the Register is 48. Such houses are situated mainly in West Road, Stanton Road, and Hampton Square, and these premises have been inspected routinely by the Sanitary Inspector during the year. Numerous defects found have been remedied either by action taken under the Bye-laws or by action under the Public Health Acts or Housing Acts. Common Lodging Houses. There are no Common LodgingHouses in the District. Housing Statistics for 1921 (Ministry of Health Table). Number of new houses erected during the year:β€” (a) Total 103 (b) As part of a municipal housing scheme 0 1. Unfit dwelling houses. Inspectionβ€”(1) Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 609 68 Housing. (2) Number of dwelling houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910.
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185 (3) Number of dwelling houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 1 (4) Number of dwelling houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects " reasonably fit for human habitation" 454 2. Remedy of Defects without Service of formal Notices. Number of defective dwelling houses rendered fit in consequence of informal action by the Local Authority or their Officers 359 3. Action under Statutory Powers. A.β€”Proceedings under section 28 of the Housing, Town Planning, etc., Act, 1919.
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(1) Number of dwelling houses in respect of which notices were served requiring repairs 33 (2) Number of dwelling houses which were rendered fit:β€” (a) by owners 25 (b) by Local Authority in default of owners 0 (3) Number of dwelling houses in respect of which Closing Orders became operative in pursuance of declarations by owners of intention to close 0 B.β€” Proceedings under Public Health Acts. (1) Number of dwelling houses in respect of which notices were served, requiring defects to be remedied 15 (2) Number of dwelling houses in which defects were remedied (a) by owners 15 (b) by Local Authority, in default of owners 0 Housing. 69 C.β€”Proceedings under sections 17 and 18 of the Housing, Town Planning, etc., Act, 1909.
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(1) Number of representations made with a view to making of Closing Orders 1 (2) Number of dwelling houses in respect of which Closing Orders were made 1 (3) Number of dwelling houses in respect of which Closing Orders were determined, the dwelling houses having been rendered fit 2 (4) Number of dwelling houses in respect of which Demolition Orders were made 0 (5) Number of dwelling houses demolished in suance of Demolition Orders 0 I have the honour to be, Mr. Chairman and Gentlemen, Your obedient Servant, E. A. FREEAR WILKES, Medical Officer of Health. INDEX.
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PAGE Adoptive Acts 46 Ambulance Provision 44 Anthrax 15 Bacteriological Work 44 Bakehouses 53 Births 4 Birth Rate 5 Bye-laws and Regulations 46 Cancer 9 Cerebro-spinal Fever 15 Cleansing Station 57 Common Lodging Houses 67 Dairies, Cowsheds and Milkshops Regulations 51 Day Nurseries 36 Deaths 6 Death Rate 7 Death, Causes of 8 Death, Causes of. at age periods, Table Facing 9 Deaths in Public Institutions 10 Density of Population 4 Diphtheria 18 Disinfection 57 Drainage Work 48,54 Encephalitis Lethargica 15 Enteric Fever 23 Epidemic Diarrhoea 9, 11 Erysipelas 26 Factories and Workshops 59 Fishmongers 53 Food Supply 50 Fried Fish Shops 59 Health Visitors,
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Duties and Work of 38 Homes for Unmarried Mothers and their Children 44 PAGE Hospitals, Children's 42 , General 43 Isolation (Fever) 43 , Maternity 42 , Small-pox 43 , Tuberculosis 41 Houses Let in Lodgings 67 Housing 61-79 , Unfit Houses 61 , Remedy of Defects 61 , Statistics, 1921 67 Illegitimate Children, Births and Deaths of 14 Increase of Rent (Restriction) Act 62 Infantile Mortality 10-14 , , Rate of 11 , , Causes of 12 Table, 1921 13 Infectious Diseases, Notifiable 15 , , Tables 16 , , Non-notifiable 31 Influenza 32 Inquests 10 Laboratory Work 44 Legal Proceedings 50 Maternity and Child Welfare 32-37 do. Home Visiting 33 do. Centre 34 do.
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Other Services 35 Maternity Hospitals 42 Measles 24 Meat 52 Midwives 40 Milk Supply 50 Milk Dried, Supply of 34 Milk-shops and Milk-stores 63 Mortuary 58 72 INDEX (continued). PAGE Notification of Births Act 5 Notifiable Infectious Diseases 15-21 Nursing Arrangements, Home Nursing, &c.
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40 Nuisances 58 Offensive Trades 59 Ophthalmia Neonatorum 26 Overcrowding 62 Persons per Inhabited House 66 Pneumonia 26 Population, Census 4 Public Conveniences 55 Puerperal Fever 26 Poor Law Medical Relief 32 Rats and Mice Destruction Act 57 Refuse, Collection of House Refuse 55 Refuse Disposal 56 Registries for Female Domestic Servants 60 Sale of Food and Drugs Act 53 Sanitary Administration 46-60 Sanitary Inspectors, Summary of Work of 47 Scarlet Fever 20 PAGE Scavenging of Streets 56 Schools and School Clinics 37.
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41 Sewage Disposal 54 Slaughter Houses 52 Small-pox 23 Staff of Public Health Department 45 Statistics, Summary of Facing 1 Tuberculosis Deaths 9, 31 ,, Incidence 27 ,, Notification of 27 ,, Preventive Measures 28 ,, Treatment, sary and Institutional 28, 41 Unsound Food 53 Vaccination 24 Venereal Diseases Clinics 41 Verminous Persons and Premises 57 Vital Statistics 2-14 ,, ,, Tables 2 Water Supply 54 Whooping Cough 31 Zymotic Diseases 8
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BARN 52 URBAN DISTRICT OF BARNES THE Annual Report of the Medical Officer of Health for the year 1926 E. A. Fref.ar Wilkes, M.r.c.s.Eng., l.k.c.p.Lond, D.p.H.Camb. Medical Officer of Health. Barnes, S.W.: R W SIMPSQN & CO., LTD., PRINTERS, 15 HIGH STREET. 1927 THE Urban District Council of Barnes. IPublic ibealtb Committee. Mr. Aldis Mr. Harber Mr. Lane ,, Baily β€ž Harding Mrs. Macnamara β€ž Barton β€ž Hibberd Mr. Maynard β€ž Bates ,, Hill β€ž Medus ,, Capell β€ž Hunt β€ž Pike ,, Davis β€ž Hutter (Chairman) β€ž Stanley Sparkes β€ž Firmston β€ž Jackson ,, West ,, Green β€ž King Major Williams Public Dealth Department.
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STAFF Medical Officer of Health, E. A. Freear Wilkes, M.R.C.S.Eng., L.R.C.P.Lond., D.P.H.Camb. D.P.H., R.C.P.S.Lond. Chief Sanitary Inspector, C. S. Perchard, Cert.R.San.Inst. (Certified Inspector of Meat and Other Foods.) Assistant Sanitary Inspector, W. G. J. Sutton, Cert.San.Insp.Ex.Board. (Certified Inspector of Meat and Other Foods.) Health Visitors, Miss Parnell. Miss McNish. Matron of the Isolation Hospital, Miss Peters. Clerk, R. E. Forrest. SUMMARY OF CONTENTS. page 1. Natural and Social Conditions of the Area 2 II. General Provision of Health Services in the Area 12 III. Sanitary Circumstances of the Area 19 IV.
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Housing 29 V. Inspection and Supervision of Food 32 VI. Prevalence of, and Control over, Infectious Diseases 35 VII. Maternity and Child Welfare 46 Summary of Statistics for the year 1926.
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Area of the District in Acres:β€” Total area 2,650 Area excluding tidal waters and foreshore 2,519 Population (Registrar-General) 36,180 Density of Population per Acre 14.4 Number of Inhabited Houses (1921 Census) 7,939 β€ž β€ž Families or Separate Occupiers (1921 Census) 8,654 Persons per Inhabited House 3.6 Birth Rate (Registrar-General) 15.0 Death Rate (Registrar-General) 10.5 Infantile Mortality Rate per 1,000 Births 49.8 β€ž , (Legitimate Infants 40.4 a e or l Illegitimate Infants 273.0 Zymotic Death Rate 0.28 Phthisis Death Rate 0.69 Rateable Value Β£367,103 0 0 Sum Rkpresbnted by a Penny Rate Β£1,350 0 0 Public Health Department, Council House, Mortlake, S.W.14.
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May, 1927. To the Chairman and Members of the Urban District Council of Barnes. Mr. Chairman, Mrs. Macnamara and Gentlemen, I have the honour to submit my Annual Report for the year 1926 on the sanitary circumstances, the sanitary administration and the vital statistics of the District. This Annual Report, in accordance with the directions of the Minister of Health, has been compiled as an Ordinary Report, that is, a Report of a more simple character than the full Survey Report which was prepared last year. In presenting this Report I take the opportunity of expressing my appreciation of the support and assistance which I have continued to receive from the Chairman aud Members of the Council, and also of thanking the Chief Sanitary Inspector and other members of the staff of the Public Health Department, and the Matron and Nursing Staff of the Isolation Hospital for their efficient service and loyal co-operation during the past year. 2 Section 1. NATURAL AND SOCIAL CONDITIONS OF THE DISTRICT.
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Area of the District. The total area of the Urban District is 2,650 acres: the total waters of the foreshore cover 131 acres, the area of land and inland water being 2,519 acres. Population. The population of the Barnes Urban District as enumerated at the last three Censuses is given below:β€” Census. Population. 1901 17,821 1911 30,377 1921 34,281 For the year 1926 the Registrar General has estimated the mid-yearly population for the District to be 36,180. Contrasted with the mid-yearly estimated population of 34,010 for 1921, the estimated population for 1926 represents an increase in the population over a period of five years of 2,170 persons.
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During those five years the increase in population by reason of the excess of births over deaths amounts to 1,100 persons, and during the same period 1,466 new dwelling houses were erected and occupied by families mostly from outside the district. There does not appear to have been much emigration from the District. A very considerable increase in the population has undoubtedly occurred, and with the continuance of building in the area a large further increase may be expected. The density of population is now 14.4 persons per acre, having doubled since 1901, when the density was 7.1 per acre. Physical Features and General Character of the Area. In my Annual Report for 1925 details were given of the physical features and the general character of the area, and reference may be made to page 3 of that report. 3 Number of Inhabited Houses. At the 1921 Census the number of "structurally separate" dwellings in the District was 7,939.
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During the period 1921 to 1926 the number of newly-erected dwelling houf.es completed and occupied has been 1,466, 326 of these having been erected during the year 1926. Building, almost entirely of dwelling houses, is still proceeding extensively in the District, and the remaining sites available for development are rapidly becoming built over. Rateable Value. Social Conditions and Occupations of the Inhabitants The area is largely a residential one. There are approximately 16,000 occupied persons resident in the District, and in the case of more than half of these their workplace is situated outside the area. As regards trades and industries carried on in the District, in none of these has there appeared to be any prejudicial effect on health connected with conditions of occupation. Considerable detail with regard to the social conditions of the inhabitants and their occupations was given in my Survey Report for 1925 (Pages 4 to 8), and there has since occurred no material alteration. Vital Statistics.
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Comparative vital statistics with reference to birth-rate, death-rate and infantile mortality are given in tabular form on pages 4 and 5. The Rateable Value and Assessable Value for District Rate purposes for 1926 were as under:β€” Rateable Value. Β£ Agricultural Land 1,055 Other Hereditaments 366,048 Total Β£367,103 Assessable Value for District Rate purposes Β£346,247 Sum represented by a Penny Rate Β£1,350 4 Table 1.β€”Vital Statistics of Barnes Urban District During- 1926 and previous 5 Years. Year. Population estimated to middle of each year. R.G Births. Total Deaths Registered in the District. Transferable Deaths Next Deaths belonging to the District. Uncorrected Number. Nett. Of nonresidents registered in the District. Of residents not registered in the District. Under 1 year of age. At all ages. Number. Rate. Number. Rate.
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Number. Rate per 1,000 nett births Number. Rate 1 2 3 4 6 6 7 8 9 10 11 12 I3 1921 34,010 618 651 19.1 316 9.3 34 106 42 64.5 388 11.4 1922 34,130 520 574 16.8 289 8.5 27 115 29 50.5 377 11.0 1923 34,400 497 558 16.2 252 7.3 27 116 26 46.4 341 9.9 1924 34,600 436 482 13.9 262 7.6 21 114 25 51.9 355 10.3 1925 35,120 414 498 14.2 255 7.
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3 21 130 28 56.2 364 10.3 1926 36,180 435 542 15.0 260 7.2 27 147 27 49.8 380 10.5 5 Table II. Birth-rate, Death-rate, and Analysis of Mortality during the year 1926, with corresponding rates for England and Wales, 105 Great Towns, 157 Smaller Towns, and for the County of London for comparison. The mortality rates reftr to the whole population as n-gards Kngland and Wales but only to civilians as regards London and the groups of towns Birth Rate Per 1,000 Total Population. Annual Death raiiΒ£ per 1,000 Population. Rate per 1.000 Births. Percentage ok Total Deaths All Causes Enteric Fever. Small-pox Measles. Scarlet Fever. V\ hooping Cough. Diphtheria.
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Inlluenza. Violence Diarthcea and Enteritis (under 2 years). Total Deaths under One Year. Certified Causes of Death. Inquest Cases. Uncertfied Causes of Death. England and Wales 17.8 11.6 0.01 0.00 0.09 0.02 0.10 0.07 0.22 0.47 8.7 70 91.8 7.2 1.0 105 Great Towns, including London (1921 Census Populations exceeding 50,000) 18.2 11 .6 0.01 0.00 0.12 0.02 0.10 0.10 0.22 0.43 11.8 73 92.0 7.5 0.5 157 SmallerTowns (1921 Census Populations 20,000β€”50,000).
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17.6 10 6 0.01 0.00 0.07 0.02 0.11 0.06 0.21 0.40 6.6 67 92.6 6.3 11 London 17.1 11.6 0.01 0.00 0.20 0.02 0.05 0.12 0.17 0.48 11.8 64 90.6 9.4 0.0 Barnes Urban District 15.0 10.5 0.00 0.00 0.22 0.00 0.03 0.00 0.25 0.58 1.8 50 91.3 9.7 0.0 6 Birth-rate.β€”The number of births registered in the District during the year was 435.
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After correction for inward and outward transfers the "nett" number of births was 542, and the Birth-rate for the District was 15.0 per 1,000 of the population. The Birthrate for the year for England and Wales was 17.8, and for London 17.1. The birth-rate of 15.0 per 1,000 of the population for 1926 is a slightly higher one than1 was recorded in the two previous years, that for 1925 having been 14.2, and for 1924, 13.9. Distributed according to sex and legitimacy, the births were as follows:β€” Male. Female. Total. Legitimate 279 241 520 Illegitimate 10 12 22 Total 289 253 542 Death-rate.β€”The number of deaths registered in the Urban District during the year 1926 was 260.
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Of these 27 were deaths of persons who were not "residents" of the District, and 233 were deaths of "residents." To obtain the correct number of deaths representing the true mortality amongst the population it is necessary to add 147 deaths of "residents" whose deaths occurred outside the Urban District. The corrected number of deaths therefore belonging to this District is 380. This number represents a death rate of 10.5 per 1,000 of the population. The death-rate for the year for England and Wales was 11.6, and that for London also 11.6. The death-rate for 1926 compares favourably with the rate in the District during previous years. Table III β€”Showing Causes of, and Ages at, Death during the Year 1926. Causes of Death. Nett Deaths of Residents whether dying within or outside the District. Deaths of Residents Dying in the Urban District. Deaths of Residents Dying ouiside the Urban District.
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Nett Deaths in or belonging to whole Distiict at subjoined ages. Deaths in or belonging to Localities (at all ages). Total Deaths Sex Distribution. Deaths in Institutions. All Ages Under 1 year. 1 and under 2. 2 and under 5. 5 and under 15. 15 and under 25 25 and under 45. 45 and under 65. 65 and upwards Barnes. Mortlake Male. Female. Enteric Fever - - - - - - - - - - - - - - - - Small-pox - - - - - - - - - - - - - - - - Measles 8 1 2 4 1 - - β€” - 4 4 3 5 5 3 5 Scarlet Fever - - - - - - - - - - - - - - - - Whooping-Cough 1 β€” 1 β€” β€” β€” - β€” - - 1 - 1 - 1
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- Diphtheria and Croup - - - - - - - - - - - - - - - - Influenza 9 β€” β€” β€” β€” 1 1 1 6 4 5 2 7 1 8 1 Encephalitis Lethargica Meningococcal Meningitis - - - - - - - - - - - - - - - - Pulmonary Tuberculosis 25 _ β€” β€” β€” 8 9 8 - 10 15 15 10 11 16 - Other Tuberculous Diseases 2 - - - - - 2 - - 1 1 1 1 1 1 1 Cancer, malignantdisease 58 - - β€” β€” β€” 4 26 28 23 35 24 34 18 37 21 Rheumatic Fever 2 β€” β€” β€” β€” 1 β€” β€” 1 1 1 β€” 2 - 2 β€” Diabetes 2 β€” - β€” β€” β€” β€”
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2 β€” - 2 β€” 2 β€” 1 1 Cerebral Haemorrhage 24 β€” - β€” β€” 1 β€” 8 15 12 12 4 20 7 15 9 Heart Disease 51 β€” - 1 β€” β€” 6 15 29 27 24 27 24 17 31 20 Arterio-sclerosis 17 β€” β€” β€” β€” β€” - 6 11 9 8 10 7 2 13 4 Bronchitis 24 - - - - - 1 4 19 16 8 9 15 8 15 9 Pneumonia (all forms) 3 - 1 1 3 5 6 7 14 15 6 7 14 7 Other diseases of Respiratory organs 6 - - - - - 2 4 β€” 4 2 3 3 3 3 3 Ulcer of Stomach and Duodenum
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4 - - - - - - 3 1 1 3 2 2 1 3 1 Diarrhoea and Enteritis 1 1 β€” β€” β€” - - - 1 β€” 1 β€” 1 β€” 1 Appendicitisand Typhlitis 5 β€” β€” β€” 2 1 2 - - 1 4 5 β€” 4 β€” 5 Cirrhosis of Liver 5 - - - - - 1 3 1 2 3 3 2 2 3 2 Nephritis and Bright's Disease 6 - β€” β€” - β€” 1 5 β€” 5 1 2 4 2 4 2 Puerperal sepsis - - - - - - - - - - - - - - - - Other accidents and diseases of Pregnancy and Parturition - - - - - - - - - - - - - - - - Congenital Debility anc Malformation,
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including Premature Birth 17 17 - - - - - - - 10 7 7 10 5 10 7 Suicide 3 - - - - - - 3 β€” 2 1 3 β€” β€” 2 1 Violent Deaths,excluding Suicide 18 2 β€” β€” 1 β€” 2 6 7 9 9 10 8 10 6 12 Other defined diseases . 71 4 2 - 2 - 5 17 41 26 45 32 39 23 45 26 Causes ill-defined or unknown - - - - - - - - - - - - - - - - All causes 380 27 8 5 7 13 39 116 165 175 205 178 202 128 233 147 7 Causes of Death.β€”As regards causes of death during 1926, an analysis of the total (corrected) deaths for the whole District is shown in Table III.
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on the opposite page, classified under various causes of death, and distributed for age, sex and locality. Amongst the principal causes of death, cancer, heart disease, tuberculosis, bronchitis and pneumonia are the most frequent causes of death, their frequency being in the order in which they are stated. Comparative figures showing the number of deaths from each of these causes during the past five years are given in Table IV., below. Table IV.β€”Principal Causes of Death: Annual number of deaths from these causes during five years, 1921 to 1925, and during 1926. Cause of Death. Number of Deaths in previous 5 years. Deaths in Death Rate per 1,000 Population for 1926. 1921 1922 1923 1924 1925 1926 Barnes Urban District. London. Zymotic (Epidemic) Diseases 16 15 10 9 12 10 0.28 0.
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58 Influenza 8 15 5 18 13 9 0.25 0.17 Bronchitis 27 27 25 27 25 24 0.66 0.78 Pneumonia 27 25 16 19 12 21 0.58 0.93 Tuberculosis 35 30 24 25 23 27 0.74 0.99 Cancer 56 41 46 52 48 58 1.60 1.43 Heart Disease 31 46 36 31 49 51 1.41 1.79 Bright's Disease 6 12 12 5 16 6 0.17 0.34 Puerperal Fever β€” 1 1 1 β€” β€” 0.00 0.03 Diseases and Accidents of Child.birth 2 2 2 1 0.00 0.03 Premature Birth, &c.
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19 8 9 8 10 17 0.47 0.37 Violence and Suicide 9 16 12 13 16 21 0.58 0.48 The death.rates for 1926 from each of the seven principal epidemic diseases (zymotic diseases) are given separately in Table V., and in Table VI. the zymotic death.rates for the five years, 1921 to 1925, are contrasted with the rate for 1926. In each of these Tables the death-rates for London and for England and 8 Wales for corresponding periods are also shown for comparison; the death-rates for this District contrast favourably with those. Table V β€”Epidemic Diseases: Death-rates per 1,000 of the Population, 1926. Disease. Barnes. London. England and Wales.
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Small-pox 0.00 0.00 0.00 Enteric Fever 0.00 0.01 0.01 Measles 0.22 0.20 0.09 Scarlet Fever 0.00 0.02 0.02 Whooping Cough 0.03 0.05 0.10 Diphtheria 0.00 0.12 0.07 Diarrhoea (under 2 years) 0.03 0.20 0.15 Zymotic Death Rate 0.28 0.58 0.44 Table VI.β€”Zymotic Death-rate for 1926, contrasted with the Death-rates for the years 1921 to 1925. Year. Barnes. London. England and Wales.
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1921 0.47 0.98 0.70 1922 0.44 1.07 0.60 1923 0.29 0.60 0.55 1924 0.46 0.73 0.45 1925 0.34 0.59 0.54 1926 0.28 0.58 0.44 Deaths in Public Institutions. β€” During 1926 128 Barnes inhabitants died in public institutions; this represents 34.2 per cent, of the 380 total deaths assigned to this District. Of the 233 residents who died in the District, three only died in an institution, viz., in the Isolation Hospital. Of the 147 residents whose death occurred in other areas outside the District, 125 died in institutions, 59 of these deaths occurring in the Poor-law Institution. Richmond, and 66 in various other public institutions outside the District.
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9 The proportion of deaths which occurred in public institutions generally, and of deaths which occurred in the poor-law institution, during each of the five years, 1921 to 1925, and for comparison during 1926, are given as percentages of the total deaths for those years. Percentage of Total Deaths for the Year. Deaths occurring in all Public Institutions. Deaths occurring in the Poor-law Institution. 1921 21.1 per cent. 9.8 per cent. 1922 27.1 13.8 1923 27.6 11.1 1924 28.7 11.5 1925 30.7 13.4 1926 34.2 15.8 It is seen that of the total deaths, the proportion of persons who died in public institutions in 1921 was onΒ© in five, and that this proportion has gradually increased until in 1926 one death in every three occurred in an institution.
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These figures indicate to what a large extent institutional treatment is being resorted to, not only for urgent treatment of acute and serious illness, but also in order to obtain proper nursing attention during the last stages of chronic diseases. Inquests.β€”Inquests were held in respect of 37, or 9.7 per cent., of the 380 deaths assignable to the District. The causes of deaths in these cases were as follows:β€” Deaths from suicide 3 Violent deaths, excluding suicide 21 Deaths from natural causes 13 Infantile Mortality. During 1926 the number of deaths of infants under one year of age was 27, representing a rate of Infantile Mortality of 50 per 1,000 registered births, the Infantile Mortality rate for England and Wales being 70, and that for London 64 per 1,000 registered births for the corresponding period.
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On reference to Table VII., below, in which the average infantile mortality rates for quinquennial periods since 1891 are given, it will be seen that in this District infantile mortality has steadily declined. The lowest rate ever recorded in the District was one of 47 per 1,000 registered births in 1923; the rate for 1926 is only slightly higher than this. 10 Table VI!.β€”Showing- the Infantile Mortality rate for 1926, and the average rate for quinquennial periods since 1891 for the Barnes Urban District and for England and Wales. PERIOD. Infantile Mortality Rate per 1,000 registered births. Barnes Urban District.
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England and Wales 1891-1895 113 151 1896-1900 124 156 1901-1905 102 138 1906-1910 92 117 1911-1915 78 110 1916-1920 75 90 1921-1925 54 76 1926 50 70 The causes of death of infants dying under one year of age during 1925 are analysed in Table VIII. (on page 11), which shows the distribution for age groups and for localities. Further reference to this subject will be found in the section of this report dealing with Maternity and Child Welfare. It Table VIII β€” Infant Mortality during the Year 1926. Nett Deaths from stated Causes, at various Ages, under 1 Year of Age. Cause of Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 4 Weeks.
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1-3 Months. 3-6 Months. 6-9 Months. 9-12 Months. Total under 1 Year. Barnes. Mortlake. Deaths in the Urban District. Deaths outside the Urban District. Deaths in Institutes Small-pox - - - - - - - - - - - - - - - Chicken-pox - - - - - - - - - - - - - - - Measles - - - - - - - - 1 1 1 - - 1 1 Scarlet Fever - - - - - - - - - - - - - - - Whooping Cough - - - - - - - - - - - - - - - Diptheria - - - - - - - - - - - - - - - Erysipelas - - - - - - - - - - - - - - - Tuberculous Meningitis - - - - - - - - - - - - - - - Abdominal Tuberculosis
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- - - - - - - - - - - - - - - Other Tuberculous Disease - - - - - - - - - - - - - - - Meningitis (not Tuberculous) - - - - - - - - - - - - - - - Convulsions - - - - - - - - - - - - - - - Laryngitis - - - - - - - - - - - - - - - Bronchitis - - - - - - - - - - - - - - - Pneumonia (all forms) - - - - - 1 - - 1 2 2 - 1 1 1 Diarrhcea and Enteritis - - - - - 1 - - - 1 1 - - 1 1 Gastritis Syphilis β€” β€” β€” β€” β€” - - - - - - - - - - Rickets β€” β€” β€” β€” - β€” - - - - - - - - - Atrophy,
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Debility and Marasmus 2 2 - - 4 1 - - - 5 3 2 3 2.
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1 Premature Birth 5 β€” β€” β€” 5 1 1 - - 7 3 4 6 1 1 Congenital Malformations 4 - - - 4 - 1 - - 5 2 3 1 4 3 Injury at Birth β€” 1 β€” β€” 1 β€” β€” β€” - 1 - 1 1 - - Atelectasis - - - - - - - - - - - - - - - Suffocation (overlaying) - - - - - 1 - - - 1 - 1 1 - - Violence 2 β€” β€” β€” 2 β€” β€” β€” β€” <> 1 1 2 - - Other causes 1 β€” β€” β€” 1 β€” 1 β€” β€” 2 1 1 1 1 1 All causes 14 3 - β€” 17 5 3 β€” 2 27 14 13 16 11 9 Nett Births in the Year: Total Births,
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542; Legitimate, 520; illegitimate, 22. Nett Deaths (under 1 year): Total Deaths, 27; Legitimate Infants, 21; Illegitimate Infants, 6. Infantile Mortality Rate: Total, 50 ; Legitimate, 40 ; Illegitimate, 273. 12 Section II. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. (1) Hospitals provided or subsidised by the Urban District Council or by the Surrey County Council. (a) Fever Hospital. An Isolation Hospital has been provided by the Barnes District Council for the treatment of cases of infectious disease occurring in the District. The Hospital is situated in South Worple Way, Mortlake.
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The extent and nature of the accommodation is as follows: β€” (i) a Scarlet-fever Block (12 beds) consisting of a male ana female ward, each accommodating 6 patients; (ii) a Diphtheria Block (13 beds) consisting of a male and female ward, each accommodating 6 patients, and a side-ward for 1 patient; (iii) an Isolation Block (14 beds) consisting of 4 small wards, two of which accommodate 4 patients each, the other two accommodating 3 patients each. An extension of the Hospital is now being made to provide increased accommodation both for patients and staff. Further reference to the Isolation Hospital will be found on page 43 under the heading of 'Control over Infectious Diseases." (b) Small-pox Hospital. Hospital accommodation for cases of small-pox arising in this District is provided, by arrangement with the Surrey County Council, at the Small-pox Isolation Hospital, Clandon, Surrey.
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The removal of cases to the Hospital by ambulance is undertaken by the Surrey County Council at the cost of the Barnes District Council. (c) Tuberculosis. Patients suffering from tuberculosis who need institutional treatment are admitted to various Sanatoria and Special Hospitals under the County Tuberculosis Scheme. There is a small Tuberculosis Pavilion situated in the grounds of the District Council's Isolation Hospital, Mortlake, providing accommodation for 12 patientsβ€”6 male and G female. 13 (d) Maternity. Provision during 1926 has continued to be made under the Surrey County Council Maternity and Child Welfare Scheme for the admission of women needing special treatment during confinement to certain Maternity Homes in Surrey. Patients from this District so provided for are usually sent to a Maternity Home at Redhill or Kingston. There is no Maternity Home situated in the District which is provided or subsidised by the District Council or by the County Council.
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On 1st January, 1927, the Barnes Urban District Council became the Local Authority for the purposes of the Maternity and Child Welfare Act, 1918. (e) Children's Hospitals. There being no hospital in the area for the treatment of children, the District Council make a donation annually to the Royal Hospital, Richmond, the Putney Hospital, and the West London Hospital, Hammersmith, these three Hospitals being those mainly used by the inhabitants of this area. In addition, the Surrey County Council, as the local education authority, have made provision for operative treatment of enlarged tonsils and adeuoids to be undertaken at the Royal Hospital, Richmond, in the case of children attending the public elementary schools. (2) Institutional Provision for Unmarried Mothers, Illegitimate Infants and Homeless Children.
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Provision for cases of the above description belonging to this District is made by the Surrey County Council, under the County Maternity and Child Welfare Scheme, in institutions outside this District in the case of persons not already provided for by the Poor-law Authority. (3) Ambulance Facilities. (a) For Infectious Cases. A motor ambulance is provided by the Council for removal of patients suffering from infectious disease to the Isolation Hospital. This ambulance is so constructed as to enable the infected bedding and clothing to be removed at the same time as the patient. 14 (b) For Non-infectious and Accident Cases. The Council have provided a motor ambulance for use in removing accident cases to Hospital, and in such cases no charge is made. The ambulance may also be hired at a nominal scale of charges, according to distance, by residents of the District for the conveyance of patients suffering from non-infectious diseases to Hospitals, Nursing Homes, etc. In necessitous cases the fees may be remitted.
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(4) Clinics and Treatment Centres. Name of Clinic, etc. Address. Days of attendance. Provided by. (a) Situated in the District: Maternity and Child Welfare.
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Ante-natal Clinic Infant Welfare Clinic Technical Institute, North Worple Way, Mortlake Wednesday, 2.30 Tuesday, 2.30 Thursday, 2.30 Urban District Council of Barnes School Clinicsβ€” Minor Ailments Clinic β€ž β€ž Daily, Monday to Friday, 9.30 Surrey County Eye Clinic β€ž β€ž Monday, 2 Council Dental Clinic β€ž β€ž Tuesday, 9.30 Friday, 2 Tuberculosis Dispensary South Worple Way, Mortlake Tuesday, 5 β€ž (b) Situate outside District: Venereal Diseases Clinics Richmond Royal Hospital Males, Tuesday and Friday, 6 Females, Tuesday & Friday, 5 β€ž West London Hospital, Hammersmith Daily 5.30 β€ž And at 21 other Hospitals in the County of London Various times as advertised β€ž (5) Public Health Staff. (a) Medical Officer of Health.
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The Medical Officer of Health of the Barnes Urban District in addition to undertaking the duties of District Medical Officer of Health acts also as Bacteriologist and as Medical Superintendent of the Council's Isolation Hospital. For the past ten years the 15 District Medical Officer of Health has also carried out the work of School Medical Inspection and School Clinics, and acted as Tuberculosis Officer and Medical Officer for Maternity and Child Welfare, under the Surrey County Council's Schemes, within the Urban District. A scheme for the reorganisation of the medical servioes in the area was completed on January 1st, 1927, under which the Medical Officer of Health of the Barnes Urban District now undertakes the duties of District Medical Officer of Health, Bacteriologist, Medical Superintendent of the Council's Isolation Hospital and Medical Officer for Maternity and Child Welfare only. (b) Sanitary Inspectors. The services of Mr. T. Grylls have been retained by the Council as Consulting Sanitary Inspector.
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The Chief Sanitary Inspector holds the Sanitary Inspectors' Certificate of the Royal Sanitary Institute, and in addition, a Certificate as an Inspector of Meat and Other Foods. In addition to his duties as Chief Sanitary Inspector, this Officer acts as Inspector under the Petroleum Acts, Inspector under the Shops Acts, and as Executive Office) under the Rats and Mice (Destruction) Act, 1918. The Assistant Sanitary Inspector holds the Certificate of the Sanitary Inspectors' Examination Board, and a Certificate as an Inspector of Meat and Other Foods. (c) Health Visitors. There are two whole-time Health Visitors employed in the District; their duties until 31st December, 1926, included those of School Nurse and Tuberculosis Nurse, work under the Notification of Births Act, and in connection with Maternity and Child Welfare and Infectious Diseases.
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Under a scheme of reorganisation, commencing 1st January, 1927, the Health "Visitors cease to undertake the duties of School Nurse and Tuberculosis Nurse after that date. Both Health Visitors are trained nurses, and hold the Certificate of the Central Midwives Board, and one of them also holds the Health Visitors' Certificate of the Royal Sanitary Institute. (d) Clerical Staff. One whole time shorthand typist clerk is employed in the Public Health Department. 16 (e) Isolation Hospital Staff. The staff consists of the Matron, one Sister, and eight trained Nurses; there are, in addition, a lodge-porter, a disinfecting officer, a boiler attendant, a gardener, and eleven domestic servants included in the permanent staff. (f) Other Staff. Rat Catcher (who also acts as Disinfecting Officer).
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Public Mortuary Attendant, Superintendent and Matron of the Cleansing Station (part-time) The Officers to whose salary contribution is made under the Public Health Acts or by Exchequer Grants are the Medical Officer of Health, the Chief Sanitary Inspector, and the two Health Visitors. (6) Professional Nursing in the Home. (a) General Nursing. Neither the County Council nor the District Council employ any nurses to undertake general nursing in the homes of the poorer inhabitants of this District. Such work is entirely arranged for by Voluntary Associations, and the Urban District Council make a contribution of Β£50 per annum to the Mortlake District Nursing Association towards the cost of such services. (b) For Infectious Diseases. No special nurses have been provided for the actual nursing of cases of infectious diseases in the homes of the poor; it is very desirable that such services should be available for cases of measles of a severe type, or with complications, occurring in poor class homes.
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Such cases should be admitted to a hospital, but it is extremely rare that accommodation at the Isolation Hospital is available for them. (7) Midwives. There are 8 Midwives practising in the District-5 of these are resident within the District, and 3, although resident outside the Urban District, occasionally practise in Barnes. There are no Midwives working in the District employed by or subsidised by a Public Health Authority, and I do not consider such provision is needed. 17 (8) Chemical Work. The County Council is the authority responsible for the administration of the Sale of Food and Drugs Act in this area (vide page 34, for results of examinations of samples by the Public Analyst). For other chemical work the District Council send samples, when required, to an analyst for examination. (9) Bacteriological Examinations. Pathological specimens are examined at the Council's laboratory at the Isolation Hospital.
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Details of the examinations carried out are given in the section dealing with "Control over Infectious Diseases.'' (10) Public Mortuary. The Council have provided a Public Mortuary, situated in South Worple Way, Mortlake, adjacent to the Isolation Hospital. During 1926 31 bodies, on which post-mortem examinations were conducted and inquests held, were received; of this number 16 were bodies of persons resident in the District, 9 were bodies of non-residents whose death occurred in the District, and 6 were bodies of persons unknown. (11) Legislation in force in the District. List of Adoptive Acts in force in the District, with dale of adoption Adoptive Acts. Portion Adopted. Date of Adoption. Infectious Diseases (Prevention) Act, 1890 The Whole Act 13th Mar., 1894 Public Health Acts (Amendment) Act, 1890 Part II. 28th Sept., 1897 Part III.
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11th July, 1893 Housing of the Working Classes Act, 1890 Part III. 8th Dec., 1896 Private Street Works Act, 1892 The Whole Act 8th Aug., 1893 Small Dwellings' Acquisition Act, 1899 The Whole Act 12th Dec., 1899 Public Health Acts (Amendment) Act, 1907 Parts II., III.,IV. (except Sec. 66) 14th July, 1908 Notifications of Births Act, 1907 The Whole Act 8th July, 1913 Public Health Act, 1925 Parts II to V. 23rd Nov., 1925 18 List of Bye-laws and Regulations relating to Public Health in force in the District, with date of commencement of operation. Byelaws Regulations, etc. Statute. Dale coming into Operation. New Streets and Buildings P.H. Act (Amend.)
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Act, 1890 15th April, 1914 Prevention of Nuisances Public Health Act, 1875 17th Dec., 1894 Cleansing of Earth Closets, &c. Public Health Act, 1875 21st Feb., 1906 Removal of Filth through Streets P.H. Act (Amend.) Act, 1890 22nd Marβ€ž 1912 Offensive Trades (Fish-Fryers) P.H. Act (Amend ) Act, 1907 28th May, 1913 Slaughter Houses Public Health Act, 1875 17th Dec., 1894 Public Mortuary Public Health Act, 1875 23rd Dec., 1895 Common Lodging Houses Public Health Act, 1875 19th June. 1912 Houses Let in Lodgings Housing & Town Planning Act, 1919 11th July, 1922 Domestic Servants' Registries P.H Act (Amend.)
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Act, 1907 10th Aug., 1909 Tents, Vans and Sheds Housing of Working Classes Act, 1885 27th Nov., 1897 Fire-escape in Factories and Workshops Factory & Workshops Act, 1901 24th April, 1908 Dairies, Cowsheds and Milk Shops Dairies, Cowsheds, and Milk Shops Order, 1885 13th Oct., 1903 Notification of Measles, &c. City of Leeds (Measles and German Measles) Regulations, 1920 8th Mar., 1920 Notification of Human Anthrax Infectious Diseases (Notification) Act, 1899 5th Mar., 1921 Particulars of the administration of the above-mentioned Acts, Bye-laws, and Regulations will be found referred to under the various subjects to which they relate. Section III. SANITARY CIRCUMSTANCES OF THE AREA. Water Supply.
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Throughout the district the water supply is from the waterworks of the Metropolitan Water Board direct to the houses. This supply is constant and is ample and of good quality. No case of water-borne disease has been met with in the District during the past year. Almost entirely throughout the area the supply is through a storage cistern; in an increasing number of houses water for drinking purposes is available from a tap on the service pipe. Periodical inspection of storage cisterns in poorer-class dwelling houses has been carried out. The number of cisterns repaired or renewed has been 11, and in 2 instances taps off the main have been provided. River and Stream Pollution. No case of pollution of streams by effluents, solid refuse or filth has come to my notice during 1926. Drainage, Sewerage and Sewage Disposal.
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There has been no important extension or change during the year 1926 in the drainage or sewerage of the district or in the method of sewage disposal. The water-carriage system of sewage disposal is in use practically throughout the whole area. Numerous defects in connection with drains of occupied houses have been discovered by the Sanitary Inspectors and the defective conditions remedied. Details of these defective conditions will be found on reference to Table X., on page 23. 20 Closet Accommodation. With the exception of 3 earth-closets all closets in the area are water-closets. All water-closets are connected up to the main drainage and sewerage system except eleven, which, being situated in low-lying positions where connection with a sewer is impossible, drain to a cess-pool. There is no privy in the district. The earth-closets and cess-pools have been found in a satisfactory condition.
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Public Conveniences.β€”The public conveniences in the District have been regularly inspected by the Sanitary Inspectors, 73 visits having been made during the year Tn four instances informal notices were served in respect of defective conditions discovered, and remedy of the defects obtained. The public convenience at Mortlake Green has been closed, and will shortly be replaced by the erection of a modern convenience providing accommodation for both sexes. Scavenging and Refuse Disposal. The scavenging and the disposal of refuse from the District is carried out by the Surveyor's Department. Collection of House Refuse.β€”Occupiers are required to deposit house-refuse in sanitary dustbins, kept covered. The refuse is collected, in motor-driven vehicles, once weekly and removed to the Council's Destructor for incineration.
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It is important that every opportunity should be taken to educate the public as to the necessity of keeping the contents of the dustbin dry, and to this end occupiers are urged to destroy as far as possible decomposable refuse by burning. During the summer months when opportunities for the destruction of such refuse in the house often do not exist, and when such matter decomposes rapidly, creating a nuisance and endangering health by assisting fly-breeding, the removal of house refuse should be undertaken twice weekly. It is of the utmost importance in the interest of public health that the vehicles removing refuse should be kept covered to avoid as far as possible the dissemination of germ-laden dust from the refuse. Movable sanitary dustbins are in use throughout the area except at 10 houses in one street where fixed receptacles exist. During the past year 1 ashpit has been abolished. 21 During 1926, in compliance with notices served by the Sanitary Inspector, 101 new movable sanitary dustbins have been provided.
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Cleansing and Scavenging of Streets.β€”Mechanical sweepers are used for this purpose and the road-sweepings are removed by motor vehicles to a tip at the destructor works, or to a tip on Palewell Fields. Disposal of Refuse.β€”The house refuse removed is incinerated at the Council's Destructor. In addition to the refuse from the Barnes Urban District the house refuse from the Borough of Richmond is also destroyed at the Council's Destructor. During 1926 the amount of refuse destroyed was 19,730 tons, from the Barnes Urban District 10,176 tons, and from Richmond Borough 9,554 tons. Xo nuisance has been experienced in the district arising from the destructor works except a prevalence of flies and crickets complained of by the occupiers of some of the houses erected by the Council near the destructor for housing their workmen employed on the works. Every endeavour has been made to lessen this nuisance as far as possible.
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The cleansing of the three earth-closets and eleven cesspools in the area is undertaken by the occupiers of the premises. Cleansing has been carried out in accordance with the bye-laws. Sanitary Inspection of the District. The work undertaken during the year under the various Public Health Acts, Bye-laws and Regulations (including the Adoptive Measures given in the table on pages 17 and 18) is shown below in the tabular statement, furnished by the Chief Sanitary Inspector under Article XIX of the Sanitary Officers Order, 1922, containing particulars as to the number and nature of the inspections made by the Sanitary Inspectors during the year, the number of notices (statutory and informal respectively) served, and the result of the service of such notices. The total number of premises visited by the Sanitary Inspectors under the various Acts, etc., in operation was 1,529, the total number of visits paid being 5,558.
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These figures do not include visits made by the Sanitary Inspector in connection with his duties as Inspector under the Petroleum Act and Shops Acts, neither do they include the visits made to premises by the Ratcatcher. Legal Proceedings. It was not found necessary to institute legal proceedings in any case during 1926. 22 Table IX.β€” Showing the number and nature of the inspections made by the Sanitary Inspectors during 1926, the number of Notices served in respect of defects found in the course of inspection, and the number of Notices complied with. Nature of Inspections. Number of Premises Visited. Number of Visits of Inspection and Reinspection. Action taken in respect of defective conditions. Informal Notices. Statutory Notices. Number issued. Complied with. Number issued. Complied with. Milkshops 24 52 4 4 - β€” Butchers' Shops 32 217 1 1 β€” β€” Fishmongers and Poulterers 13 18
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3 3 - - Greengrocers 29 45 2 2 β€” β€” Cooked-provision shops 6 15 1 1 - - Ice-cream shops 35 35 10 10 β€” β€” Restaurants 18 11 5 5 β€” β€” Fried-flish Shops 5 48 β€” β€” β€” β€” Slaughter-houses 1 51 β€” β€” β€” β€” Bakehouses 15 31 5 5 β€” β€” Factories 3 40 2 2 β€” β€” Workshops 97 125 1 1 β€” β€” Workplaces 33 87 β€” β€” β€” β€” Home-workers 17 54 β€” β€” β€” β€” Schools 32 61 β€” β€” β€” β€” Places of Amusement 5 5 β€” β€” β€” β€” Van Dwellers 5 5 β€” β€” β€” - Servants' Registries 8 8 1 1 β€” β€” Marine Stores 2 2 β€” β€” β€” - Stable Yards 35 306 4 4 1 1 Public
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Conveniences 35 73 4 4 β€” β€” Dwelling - houses (including houses let in lodgings):β€” (1) House-to-House Inspection 124 4269 648 570 40 15 (2) Inspected on complaint 280 (3) Inspected in course of other work:β€” (a) Housing work, etc. 473 (b) For infectious Diseases 202 Totals 1529 5558 691 613 41 16 23 Table X.β€”Defective Conditions Remedied. Drainage.
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Sewers cleared or repaired 6 Drains inspected on complaint 38 β€ž water tests applied 106 β€ž smoke tests applied 64 β€ž cleansed or repaired 87 β€ž relaid 34 β€ž reconstructed 35 β€ž ventilated 3 Inspection Chambers repaired 34 β€ž β€ž new provided 51 Interceptorsβ€”caps fixed 4 Soil Pipes renewed 3 β€ž β€ž new provided 24 Ventilating Shafts repaired 5 β€ž β€ž new provided 5 Fresh air inlets repaired or new provided 22 Rain-water pipes disconnected from drains 8 Water Closets. Pans and traps provided 74 Waste water preventers repaired 28 β€ž β€ž β€ž new provided 8 β€ž β€ž β€ž water supplied 12 Apartments repaired 69 β€ž lighted and ventilated 2 Sinks and Baths. Repaired or newly fixed 29 Waste pipes repaired 7 β€ž β€ž newly fixed 19 β€ž β€ž trapped 4 Cesspools. Abolished 0 Urinals. Repaired or cleansed 2 New provided 1 Water Supply.
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Cisterns repaired or renewed 11 Taps off main provided 2 24 Dustbins. Provided 101 Ashpits abolished 1 Yards. Paving repaired 60 Newly Paved 20 Dampness. Roofs repaired 82 Gutters and rain water pipes repaired 32 Damp proof courses provided 20 External walls repointed 51 Floor spaces ventilated 4 Dangerous structures repaired or rebuilt 6 Sites below floors concreted 2 General.
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Food larders ventilated or new provision provided 4 Windows repaired 19 β€ž made to open 1 Stairs repaired or handrails provided 12 Grates repaired or renewed 17 Smoky chimneys remedied 2 Washing coppers repaired 10 Walls and ceilingsβ€”plaster repaired 90 β€ž β€ž stripped and redecorated 211 Floors repaired 34 Verminous premises fumigated and cleansed 7 β€ž bedding cleansed or destroyed 2 Offensive accumulations removed 56 Miscellaneous defects remedied 19 Animals improperly kept 2 Stables. Premises cleansed 1 Manure receptacles provided or repaired β€” Floors and yards properly paved and drained - Injected Rooms and Articles. Rooms disinfected 206 β€ž stripped and cleaned 34 Schools disinfected 2 Lots of bedding disinfected 155 β€ž β€ž destroyed 6 25 Factories, Workshops, and Home-workers.β€”The work carried out in connection with the inspection of factories, workshops and home-workers is summarised in tabular form below.
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The numbers of these premises on the Council's Register at the end of year were:β€”factories 46, workshops and workplaces 130, home-workers 17. The factories, workshops and workplaces have been routinely inspected by the Sanitary Inspectors, and premises occupied by home-workers have been kept under observation in connection with the prevention of spread of infectious disease. The number of factories, workshops, workplaces and homeworkers' premises visited, and the number of visits of inspection made to each are given in Table IX., on page 22. As regards action taken in matters referred by H.M. Inspectors of Factories as remediable under the Public Health Acts, but not under the Factory and Workshops Act, 1901, Sec. 5, notifications were received from H.M. Inspector in regard to two matters, and reports of action taken in each of them were sent to H.M. Inspector. Table XI.β€”Inspection of Factories, Workshops & Workplaces. PREMISES.
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Number of Inspections. Written Notices Prosecutions. Factories (Including Factory Laundries) 42 2 β€” Workshops (Including Workshop Laundries) 125 6 - Workplaces (Other than Outworkers' premises) 87 - - Total 254 8 β€” 26 Table XII.β€”Defects found in Factories, Workshops and Workplaces. PARTICULARS. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector Nuisances under Public Health Acts:β€” * Want of cleanliness 5 5 β€” β€” Want of Ventilation β€” β€” β€” β€” Overcrowding β€” β€” β€” β€” Want of drainage of floors 1 β€” β€” β€” Other nuisances β€” β€” β€” β€” Sanitary accommodation insufficient 2 β€” β€” β€” - - - - not separate for sexes 2 1 β€” β€” Offences under the Factory and Workshop Acts:β€” Illegal occupation of underground bakehouse (s.
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101) - - - - Other offences (Excluding offences relating to outwork and offences under the Sections mentioned in the Schedule to the Ministry of Health (Factories and Workshops Transfer of Powers) Order, 1921.) - - - - Total 10 6 β€” - *Including those specified in sections 2, 3, 7 and 8 of the Factory and Workshop Act, 1901, as remediable under the Public Health Acts. Table XIII.β€”Showing the number of Home-workers on the Register, and the nature of the Work undertaken by them. Nature of Work. Number of Home Workers. Boot Repairers 1 Fancy Needleworkers 8 Furriers 1 Tailors 7 Total 17 27 Smoke Abatement. The area not being an industrial area nuisances from smoke are of rare occurrence. The chimneys of the factories and other buildings have been kept under observation. No proceedings became necessary during the year.
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Premises and Occupations which are controlled by Bye-laws or Regulations. Houses Let in Lodgings.β€”On account of the continued shortage of houses the number of houses which are let in lodgings or occupied by members of more than one family is still very β€’considerable. At the end of the year 1926 there were 196 houses on the Register. There is, therefore, only too frequently, very inadequate provision for personal cleanliness, for cooking, and for the proper storage of food, and insufficient water-closet accommodation; these can only be adequately provided by structurally altering the houses. Action has been taken in respect of some of the houses let under such unsatisfactory conditions. Common Lodging Houses.-There are no common lodging houses in the district. Underground Sleeping Rooms.β€”There is likely to be an increase in the number of underground rooms used habitually as a sleeping-place as the larger houses with basement rooms become let for occupation by several separate families.
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In such circumstances it is not uncommon to find one of the families living entirely in the underground rooms of the house, the rooms which are used as sleeping places being unfit for that purpose. A Closing Order was made in respect of one underground room which was habitually used as a sleeping place. This underground room, I regret to say, still continues to be occupied. Tent and Van Dwellers.β€”Bye-laws are in force in the District. There are no tent or van dwellers permanently located in the area ; caravans occasionally come into the District attached to fairs, and they are kept under general supervision. Servants' Registries.β€”Registries for female domestic servants are controlled by bye-laws in force in this District; there are eight such premises on the Register Inspection during the year disclosed a breach of the bye-laws in one case, the records not having been properly kept.
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Offensive Trades.β€”The only offensive trade carried on in the area is that of fish frying, which has been declared to be an 28 offensive trade "within the Barnes Urban District, and is controlled by bye-laws. There were on the Register during the year five premises on which fish frying was permitted. No breach of the bye-laws was discovered. Rats and Mice (Destruction) Act, 1919. The Council have continued to employ a whole-time ratcatcher acting under the supervision of the Sanitary Inspector to assist in the work of rat destruction and so reduce the amount of damage and risk to health arising from these rodents. Inspections are made periodically of premises likely to harbour rats; during the year, 181 complaints of the presence of rats on premises were received by the Sanitary Inspector. The ratcatcher paid 270 visits to premises, and 331 visits to open spaces, including the Commons, market gardens and orchards, and the banks of the Thames and the Beverley Brook.
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Poison baits were laid at 25 premises. The number of rat-tails brought to the Public Health Office by the rat-catcher during the year was 933. In 1926, during the first week in December a Rat-week was again held as in the previous year; a film depicting "The Rat Menace,'' lent by the Ministry of Agriculture and Fisheries, was shown at the East Sheen Picturedrome by the courtesy of the management, and leaflets were distributed to the public as they entered and left the building. In addition, two lantern lectures on "The Story of the Rat" were given by the Sanitary Inspector at the Technical Institute. Schools. There are 13 Public Elementary Schools, and 19 Private Schools in the District, and the sanitary accommodation and general sanitary conditions have been found, on inspection, to be very satisfactory on the whole.
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The defective condition of the slate-slabbing of the urinals at certain of the Schools having been brought to the notice of the School Managers, the slates in question were replaced by glazed fire-clay. The Sanitary Inspector reports that this has been a great improvement. Careful investigations have been made into all outbreaks of infectious diseases amongst scholars attending either public elementary or private schools, and the procedure with regard to exclusion, referred to in detail in my Survey Report for 1925 (pages 38 to 40), has been continued during 1926 as in previous years. 29 Section IV. HOUSING. The housing situation in this District was fully reviewed in my Survey Report for 1925 (pages 41 to 50); there has been little alteration in the general housing conditions in the area during the past year. The number of new houses erected approximated to the average of the number built in the two preceding years.
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For purposes of comparison, the number of houses erected during 1926 and during each of the preceding ten years is given hereunder. 1915. 1916. 1917. 1918. 1919. 1920. 1921. 1922. 1923. 1924. 1925. 1926. 108 55 33 0 6 69 149 110 188 311 382 326 in spite of the large number of houses erected during the past three years there has not been any marked reduction of the overcrowding which existed in the District. At the end of 1926 there were still 24 cases of serious overcrowding known to exist; instances of overcrowding of a lesser degree were numerous. Every endeavour has been made to keep up the general standard of housing.
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During the year 877 dwelling houses were inspected for housing defects, and in 648 of these houses defective conditions were discovered; a detailed list cf the defects found and remedied is given in Table X, page 23. In connection with the work. 4,067 visits to premises were made by the Sanitary Inspectors. Closing Orders in respect of 5 dwelling houses represented as unfit for human habitation were made by the Council in 1926. These houses, however, are still occupied. No complaints have been received, nor representations made during the year in respect of any "unhealthy area." 30 Housing Statistics for the Year 1926. Number of new houses erected during the year: β€” (a) Total (including numbers given separately under (b)) 326 (b) With State assistance under the Housing Acts:- (1) By the Local Authority 27 (2) By other bodies or persons 0 1. Unfit dwelling houses.