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97d7e884-b5dd-4311-86d7-5e38b58db908 | Inspection—(1) Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 877 (2) Number of dwelling houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910, or the Housing Consolidated Regulations, 1925 124 (3) Number of dwelling houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 5 (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" 648 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 570 3. Action under Statutory Powers. A.—Proceedings under section 3 of the Housing Act, 1925. |
8de4112d-f6ed-47f2-8dd3-db522d653a10 | (1) Number of dwelling houses in respect of which notices were served requiring repairs 1 (2) Number of dwelling houses which were rendered fit after service of formal notices:— (a) by owners 0 (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 31 B.—Proceedings under Public Health Acts. (1) Number of dwelling houses in respect of which notices were served, requiring defects to be remedied 40 (2) Number of dwelling houses in which defects were remedied after service of formal notices:— (a) by owners 15 (b) by Local Authority, in default of owners 2 C.—Proceedings under sections 11, 14 and 15 of the Housing Act, 1925. |
cbacee1a-fb4c-4c90-b236-71ea1db59245 | (1) Number of representations made with a view to making of Closing Orders 5 (2) Number of dwelling houses in respect of which Closing Orders were made 5 (3) Number of dwelling houses in respect of which Closing Orders were determined, the dwelling houses having been rendered fit 0 (4) Number of dwelling houses in respect of which Demolition Orders were made 0 (5) Number of dwelling houses demolished in pursuance of Demolition Orders 0 32 Section v. INSPECTION AND SUPERVISION OF FOOD. Milk Supply. The source of the whole of the milk supplied to the inhabitants is from other areas, no milk being produced in this District. All the milk-shops have been kept under close supervision by the Sanitary Inspectors, and have been generally found to be kept in conformity with the requirements of the Milk and Dairies Order, 1926. In four instances during the year defects were found, but these were remedied on informal notices. |
72be9528-6492-4e11-897c-6098e2fdddcf | There were at the end of the year; 24 milkshops on the Register; in addition there were four firms registered as retailers of milk in the District who retailed milk from premises situated outside the District. There is no cowshed in the area. Tuberculous milk and Tuberculous cattle.—No instance has occurred where there was reason to suspect that tuberculosis was caused or likely to be caused by the consumption of milk sold in the District. The Council is not a Local Authority for the purposes of the Diseases of Animals Act, 1894. Designated milk.- Two purveyors of milk in this District were granted supplementary licences in accordance with rhe Milk (Special Designations) Order, 1922, to retail "Certified" milk within the District in 1923, and both of these firms have continued to supply "Certified" milk since that year. |
8c4f16b9-d2cb-4c10-8629-0f4dd345765a | One purveyor of milk was granted a supplementary licence to retail "Grade A"' milk, and another firm was granted a licence to retail pasteurised milk, designated as such, from eight dairies in the District. Refusal or Revocation of Registration.—It has not been found necessary to revoke any registrations during the year. Bacteriological examination of milk.—In the case of both purveyors who are retailing graded milk in this District the primary licences are granted by the Local Authority of a neighbouring district. In accordance with arrangements made by the 33 Ministry of Health, periodical samples for examination bacteriologically are taken by the Local Authority for that District, sampling by the Local Authority by whom the supplementary licences are granted not being required. Adulteration.-Seventy-four samples of milk were taken by the County Inspector under the Sale of Food and Drugs Acts, and two of these samples were found to be adulterated. Proceedings were not taken in respect of any of the adulterated samples. |
369f7f70-864c-47ba-b727-cf78039e9e3f | Meat. Inspection of Meat.—There is only one licensed slaughter-house in the District. Inspection of meat at the slaughter-house has been carried out by the Sanitary Inspector, who is a Certified Inspector of Meat, on every occasion of slaughtering. In accordance with the Public Health (Meat) Regulations, 1924. 68 notices of intention to slaughter were received during the year, and in consequence the following carcases were examined: Cattle, 38; Sheep, 42; Calves, 14; Swine, 69. One carcase, that of a heifer, was. found to be diseased with generalised tuberculosis and was destroyed. Inspection of Butchers' Shops.—The butchers' shops in the District number 32; these shops, and, in addition, shops at which bacon and ham are sold, have been frequently visited by the Sanitary Inspector, 217 visits of inspection having been made. |
19262e90-13b3-4c6f-9906-a3900a097001 | Tn no instance was diseased meat found exposed for sale; and it was not found necessary in any instance to institute proceedings under the Public Health (Meat) Regulations, 1924, in respect of proper cleanliness not being observed in the handling of meat. Slaughterhouses.—There is no public slaughter house in the area. There is one private slaughterhouse which has continued to be licensed annually up to the present time ; this slaughterhouse has been kept in a satisfactory condition. Other Foods In addition to the above-mentioned premises where meat and milk are dealt with, other places where food is sold, stored or prepared for sale or consumption, such as greengrocers, fishmongers, poulterers, restaurants and eating houses, cooked provision shops, fried-fish shops and bakehouses, have been periodically inspected by the Sanitary Inspectors. The number of each of these premises in the District, the visits of inspection, and the number of defects found are given in the Table on page 22. |
6dc67fe8-264f-4e5f-adf3-2e586cd08c62 | 34 The following articles of food in an unsound condition were surrendered voluntarily and destroyed:—Four cases of fish and 101b. of strawberries. Premises where ice cream is prepared or sold have been visited. Thirty-five such premises have been inspected, and it was found necessary to issue informal notices in 10 instances with regard to the unsatisfactory conditions under which the ice cream was either prepared or sold. There are 15 bakehouses in the District, three of which are underground bakehouses. In 5 instances defective conditions called for the issue of informal notices, mainly in connection with whitewashing, otherwise reasonable care has been taken to ensure cleanliness and freedom from contamination of the food. Sale of Food and Drugs Acts: Milk and Cream Regulations. |
c05c8ae7-6214-4cda-8ccd-d5037b2c2bb3 | The Council of this District is not a Local Authority under the Sale of Food and Drugs Acts; these Acts are administered by the Surrey County Council, and the County Medical Officer has supplied me with the information contained in the following Table setting out the work undertaken in this District by the County Inspectors. Table XIV.—Return of Samples Analysed during the Year ending 31st December, 1926. Articles. Analysed. Adulterated or deteriorated Prosecutions. Convictions. Formal. Informal. Total. Formal. Informal Total. |
58e000d6-48c7-4c32-9aab-be9ac29cd777 | Milk 74 1 75 2 - 2 - - Cream 3 — 3 2 — 2 — — „ Preserved 4 — 4 - - - - - Butter — 2 2 — — — — — Cheese — 1 1 - — — — — Wine 2 — 2 2 — 2 — — Spirits 5 — 5 1 — 1 — — Other Articles 2 10 12 - 3 3 - - Totals 90 14 104 7 3 10 - — 35 Section VI. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. The incidence of infectious diseases in the area is a comparatively low one for an urban district in close proximity to the County of London . |
4a27aad1-99f3-4c9c-9cad-897d9e59ed55 | Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1926 are set out in Table XVI in which the number of cases removed to hospital and the number of deaths in the District from these diseases are also shown. In table XV the seasonal prevalence during 1926 is shown. The prevalence of the various notifiable infectious diseases during 1926 is shown in Table XVII, which gives, for comparison, the number notified during each of the previous 10 years. Table XV.—Showing the Notifications of Infectious Diseases received during 1926 arranged in four-weekly periods Four-weekly period ending Diphtheria. Scarlet Fever. Measles. Enteric Fever. Pulmonary Tuberculosis. Non-pi:linonary Tuberculosis. Pneumonia. Erysipelas Ophthalmia Neonatorum. Poliomyelitis. Puerperal Fever. Jan. |
0c1a3535-1c5c-4ab9-ac68-5efd4d7dd6d2 | 30 i 3 106 - 2 2 2 1 - - - Feb. 27 2 14 188 — 3 1 2 2 1 - - Mar. 27 2 8 177 - 6 1 4 2 - - - April 24 1 9 83 - 1 — 3 1 — - - May 22 — 13 39 - 4 — 3 - - - - June 19 2 5 20 — 3 — — - - - - July 17 — 6 2 - 4 — — - — - l Aug. 14 1 6 — — 4 — — - — - - Sept 11 1 1 2 - 4 — 2 1 - — - Oct. 9 2 2 — — 6 — 1 - - l - Nov. 6 — 2 — - 4 1 — - — - - Dec. |
1c846525-ed3e-4687-b0b9-4065be456faa | 4 — 7 — 1 2 1 3 1 — - - „ 31 — 4 1 — 4 — 6 — - — — Totals 12 80 618 1 47 6 26 8 1 l 1 36 Table XVI.—Notifiable Infectious Diseases, 1926. Diseases. Total Cases Notified. Ages, in years. Parish. Removed to Hospital. Total Deaths of Residents. Under 1 year. 1 to 2. 2 to 3. 3 to 4. 4 to 5. 5 to 10. 10 to 15. 15 to 20 20 to 25. 25 to 35 35 to 45. 45 to 65. 65 and Over. Barnes Mortlake. |
026916b7-53fc-43b3-8ae7-5a236e322f04 | Diphtheria 12 — — 2 - 1 3 2 2 1 - - 1 — 8 4 10 — Scarlet Fever 80 1 — 1 — 4 46 14 8 1 1 3 1 — 37 43 71 — Enteric Fever 1 - - - - - — - - 1 — — - - 1 - 1 — Pneumonia 26 - 2 1 2 2 2 2 1 1 1 3 9 - 8 18 - 14 Pul. Tuberculosis 47 - - - - - - - 4 9 15 5 10 4 17 30 *47 16 Non-Pul. |
363ebb20-5215-4970-866e-8dfbf154cb88 | Tuberculosis 6 — 1 — - — 1 - 1 2 1 - — 3 3 7 1 Erysipelas 8 — - - - — - — - - 2 2 3 1 3 5 - — Ophth. Neonatorum 1 1 - — — - - - — — — - - - 1 — — — Ant. |
09e8ed23-38ea-40ef-804d-b2e28d7e89e0 | Poliomyelitis 1 - - - - - - 1 - - - - - - — 1 1 — Puerperal Fever 1 - — - - — - — - — - 1 - — 1 — - — Measles 618 17 29 37 51 50 310 70 27 12 9 6 - — 172 446 - 3 Rubella 216 3 3 3 9 9 91 52 21 10 7 7 1 — 47 169 - - All Diseases 1017 22 35 44 62 66 452 142 63 36 37 28 25 5 298 719 127 34 *Three of these 47 tuberculous patients were admitted to the Isolation Hospital, Mortlake; the remaining 44 were admitted to the other institutions outside the District, viz. 28 to Sanatoria, |
ca9369bb-e165-4a49-b9e2-f1514fddc94b | 5 to Poor-law Institutions and 11 to other Hospitals for advanced cases. †The deaths recorded in this column are the total corrected number of deaths assignable to the District, and arc not necessarily deaths of persons recorded as notified during the year. 37 Table XVII.—Notifiable Infectious Diseases, 1916 to 1926. Year. 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1925 Diphtheria 34 28 29 42 103 90 65 20 59 46 12 Scarlet Fever 94 37 32 88 69 108 100 74 60 102 80 Enteric Fever 2 6 — - 3 1 — 1 7 1 1 Puerperal Fever 1 — 3 2 4 — 1 3 1 — 1 Erysipelas 8 8 2 13 13 |
fc77b1b6-c46b-44a7-8ad4-6f7b460ad027 | 6 6 9 7 12 8 Continued Fever — — — — — — — — — — — Relapsing Fever - - - - - - - - - - - Typhus Fever - - - - - - - - - - - Small-pox — - - - - - - - - - - Cholera - - - - - - - - - - - Plague — — — — — — — - — — — Tuberculosis, P. 55 54 58 44 35 52 52 34 36 36 47 „ Non-P. — 14 17 12 6 4 10 11 12 8 6 Cerebro-spinal Fever 3 4 2 2 - - - - - 1 - Poliomyelitis 3 — 1 - — — — 3 2 1 1 Ophthalmia Neonatorum 1 3 2 3 3 1 3 3 |
8a14256c-457f-42bb-9ab3-0fc5cdba578f | 2 2 1 Measles 229 451 742 83 472 44 590 76 784 218 618 Rubella 200 292 25 76 98 4 — 6 16 153 216 Encephalitis Lethargica * * * 2 1 5 - 2 1 3 - Polioencephalitis * * * - - - - - 2 - - Malaria * * * 18 12 - - - - - - Dysentery * * * 1 1 — — — — — — Trench Fever * * * 3 1 - — - - - - Pneumonia * * * 67 35 34 29 26 22 17 26 Anthrax * * * — — — — — — — — *Not Notifiable. Notifiable Infectious Diseases (excluding Tuberculosis). Small-pox. |
a419b12d-cd34-4330-a613-31af3c5fa178 | During the past year no case of small-pox occurred in this District. The number of cases of small-pox notified in England and Wales during 1926 was 10,205. A number of intimations have been received from Port Sanitary Authorities of persons who have been exposed to the infection of small-pox on board ship and who have given an address in this District as their place of destination; all such contacts have been visited, advised as the desirability of being vaccinated if not already protected, and instructed to report at once if ill. 38 Vaccination.—I have not in my capacity of Medical Officer of Health had occasion to perform any vaccinations under the Public Health (Small.pox Prevention) Regulations, 1917. |
4a5f4ceb-4305-41f9-b16c-2c5f9353f0a3 | The following particulars with reference to the state as regards, vaccination on the 31st December, 1926, in respect of the 435 infants whose births were registered between 1st January and the 31st December, 1926, have been supplied to me by the Vaccination Officer for the District: — Births registered 435 Certificates of successful Vaccination 341 Certificates of exemption (statutory declarations) 90 Diphtheria. —Remarkably few cases of this disease occurred in the District during 1926; only twelve cases were notified, being the smallest number notified in any year since 1894, when there were eleven cases. No case occurred during the last three months of the year. The relative freedom of the District from diphtheria is all the more remarkable as the incidence of the disease in the County of London was high. |
2eaa7d21-549c-459e-8832-b666e422158d | The incidence (cases per 1,000 of the population) for Barnes was 0.33, that for London being 2.97, and for England and Wales 1.36. No death from diphtheria occurred in this District. The Mortality Rate (deaths per 100 cases) for London was 3.95. The incidence.rate (cases per 1,000 of the population), the percentage of notified cases removed to Hospital, and the mortality. rate per 100 cases during the year 1926 and during the previous 10 years are given in the subjoined Table. Table XVIII.—Diphtheria. Year. Number of Cases Notified. Number of cases removed to hospital Number of Deaths. Incidence Rate. Cases per 1,000 of Population. Percentage Removed to Hospital. Mortality Rate per 100 cases. 1916 34 25 1 1.06 74 2. |
8a75e27c-aa4d-4243-9ab1-38f249986384 | 94 1917 28 27 1 0.86 96 3.57 1918 29 28 3 0.89 97 10.34 1919 42 38 4 1.27 90 9.52 1920 103 56 7 3.07 54 6.80 1921 90 77 1 2.88 84 1.10 1922 65 61 3 1.90 94 4.61 1923 20 17 1 0.59 85 5.00 1924 59 57 6 1.71 97 10.17 1925 46 45 3 1.31 98 6.52 1926 12 10 0 0.33 83 0.00 39 The preventive measures taken during 1926 have been similar to those followed in the past five years; |
dcac64d0-a0bb-43a6-95e0-95b70d0d1642 | full details of these have been given in previous annual reports. Use has not so far been made of the Schick test nor of the recently developed artificial methods of immunisation against diphtheria. Diphtheria antitoxin is supplied to Medical Practitioners applying for it for their patients resident in this District; a supply is immediately available on application at the Isolation Hospital. Antitoxin supplied in this way is charged for at cost price unless the patient to whom it. was administered is subsequently admitted to the Isolation Hospital, in which case no charge is made. Scarlet Fever.—The incidence of scarlet fever during 1926 was about the average for the District; the disease was most prevalent during the first three months of the year. Eighty cases were notified and seventy-one of these were removed to the Isolation Hospital. |
ac86a8a5-ba7a-4169-930d-0da334e57a1e | The prevalence of scarlet fever and the mortality from this disease during the year 1926, and for the previous 10 years will be seen from details given in the Table below. Table XIX.—Scarlet Fever Year. Number of Cases Notified. No. of Cases removed to Hospital. Number of Deaths. Incidence Rate: Cases per 1,000 of Population. Percentage removed to Hospital Mortality Rate per 100 Cases. 1916 94 81 2 2.94 86 2.13 1917 37 35 0 1.12 95 0.00 1918 32 25 1 0.99 78 3.13 1919 88 63 0 2.65 72 0.00 1920 69 57 1 2.02 83 1.45 1921 108 83 1 3.18 77 0. |
833f92ea-804c-47f8-9f61-57b2ab9f798d | 92 1922 100 85 4 2.93 85 4.00 1923 74 69 0 2.15 93 0.00 1924 60 60 1 1.73 100 1.66 1925 102 91 0 2.90 89 0.00 1926 30 71 0 2.21 89 0.00 The incidence rate (cases per 1,000 of the population) in Barnes was 2.21, the rate for London being 2.69, and that for England and Wales. 2.09. 40 No death occurred during the year in this District, the Mortality Rate (death per 100 cases) for London was 0 66. The preventive measures detailed in my Annual Report for 1925 (page 64) have been continued during the past year. Use has not so far been made of the Dick test. |
a17e5694-97a0-4c96-bcd3-754578eec25a | Enteric Fever..—During 1926 only one case of enteric fever was notified, the infection being with Bacillus Paratyphosus B." Infection occurred in Ireland; the patient, who had been staying there with friends, returned to this District only a few hours before the onset of his illness. The patient was removed to the Isolation Hospital, and recovered. No further case occurred. The incidence rate of enteric fever in this District was 0.03 per 1,000 of the population, compared with an incidence rate of 0 07 for London, and 0.08 for England and Wales. Measles.- This disease was epidemic during 1926 and 816 cases were notified; in addition, 216 cases of German measles were notified. This epidemic occurred in the winter months, being at its height during February and March, and there were a large proportion of cases with pulmonary complications. . |
678605ad-5b44-419b-9aad-eef73235e05d | Eight deaths occurred corresponding to a death.rate of 0'22 per 1,000 of the population; the death.rate for London was 0.20, and for England and Wales 0 09. Non-Notifiable Infectious Diseases. Whooping Cough.—During 1926 whooping cough was not unduly prevalent. One death occurred, corresponding to a death. rate of 0 03 per 1,000 of the population contrasted with a death. rate of 0 • 05 for London, and 0.10 for England and Wales. Influenza.—This disease was of a less serious type than in recent years. The death.rate in Barnes was 0.25 for 1926, contrasted with a death-rate of 0.37 and 0 52 for 1925 and 1924 respectively. Tuberculosis. |
3b206dd2-42de-4e32-bf2a-dc56659eb9f3 | During 1926 47 cases of pulmonary tuberculosis and 6 cases of non-pulmonary tuberculosis were notified, representing an incidence-rate of 1.28 cases per 1.000 of the population for pulmonary tuberculosis, and 1 .44 for all forms of the disease. 41 The death-rate in this District during 1926 was 0.69 per 1,000 of the population for pulmonary tuberculosis, and 0.74 for all forms of the disease. Particulars of the new cases of tuberculosis coming to the knowledge of the Medical Officer of Health during the year 1926 and of the deaths which occurred during that year are given in Table XX below. Of the 52 new cases of pulmonary tuberculosis 47 were primary notifications, the other four being transfers from other areas. Table XX.—Tuberculosis: New Cases and Mortality during 1926. AGE-PERIODS. NEW CASES.* DEATHS. Pulmonary. NonPulmonary. |
f4ed7bc9-ff41-4458-95de-3aab224513f1 | Pulmonary. NonPulmonary. Male Female Male Female Male Female Male Female 0-1 years - - - - - - - - 1-5 „ — — 1 — — - — — 5-10 „ - - - - - - - - 10 15 „ - - 2 - - - - - 15-20 „ 1 3 - - 1 - - - 20-25 „ 1 9 1 l 3 4 - - 25-35 „ 10 5 1 1 2 1 1 — 35-45 „ 3 4 — l 3 3 — l 45 55 „ . |
f31ab5fe-5ebe-4a7c-b696-4db4a6c74a90 | 5 1 - - 3 1 - - 55-65 „ 4 2 - - 3 1 - - 65 „ and over 3 1 - - - - - - All ages 27 25 5 3 15 10 1 1 * In addition to primary notifications, all other new cases coming to the knowledge of the M.O.H. are included in these figures. Notification of Tuberculosis.—There were 27 deaths from tuberculosis assignable to this District during 1926, 17 were deaths of residents who died within the District, and 10 were transferable deaths of persons who had formerly been residents but who died at addresses elsewhere. There was one instance only amongst the twenty-seven deaths in which a notification under the Tuberculosis Regulations had not been received in this District during the life-time of the patient. |
4d3f80d8-5a5a-4e15-870a-0fed1e1fb78a | 42 There has been a very decided improvement in notification during the past six years; in every case of failure to notify the medical practitioner has been communicated with and reminded of his obligations under the Regulations. No instance has occurred in which it was necessary to institute proceedings. The Register of Notifications has been kept revised in accordance with the requirements of the Public Health (Tuberculosis) Regulations, 1924, and the number of cases added to or removed from the Register during the year and the number remaining on the Register on December 31st, 1926, are as under:— Table XXI. Form of Disease. On Register 1st Jan., 1926. New Cases Added. Removed from Register. Remaining on Register, 31st Dec. 1926. Primary Notif ns Otherwise. Total Cured. Left District. Died. Total. |
7a73d9a0-06e5-46c0-b7dc-0d871fe00fba | Pulmonary 203 47 5 52 13 13 21 47 208 Non-Pulmonary 68 6 2 8 8 2 5 15 61 All Forms 271 53 7 60 21 15 26 62 269 Preventive work carried nut by the Council. The same measures of prevention have been followed during 1926 as detailed in my Report for 1925 (page 71). A total of 270 home-visits were made by the Health Visitors in connection with patients suffering from tuberculosis. It has not been found necessary to take action during the year under the Public Health (Prevention of Tuberculosis) Regulations, 1925, in respect of any tuberculous persons employed in the milk trade, nor has there been any occasion for compulsory removal to hospital under Section 62 of the Public Health Act, 1925 to be resorted to. |
2825e47f-05e4-4b2c-950f-fab91d646e68 | Treatment—Dispensary and Institutional —The Surrey County Council is the Local Authority responsible for the treatment of all tuberculosis cases within the Urban District. The District Medical Officer of Health, however, acts as Tuberculosis Officer, and the two Health Visitors carry out the work of Tuberculosis Nurses under the County Council's Scheme. Statistical returns as to the work carried out have been furnished to the County Medical Officer, and will be included in his Annual Report. 43 Isolation Hospital. Diseases under treatment at the Isolation Hospital have been mainly Diphtheria, Scarlet Fever and Pulmonary Tuberculosis. The cases admitted during 1926, together with the deaths that occurred, are given in Table XXII. Table XXII.—Isolation Hospital: Admissions and Deaths, 1926. DISEASE. ADMISSIONS. DEATHS. |
19348ac5-fd04-4583-99d4-9845fa1342f4 | Diphtheria 10 - Tonsilitis Notified as Diphtheria 3 - Influenza 1 - Scarlet Fever 71 — Rubella, Notified as Scarlet Fever 2 — Enteric Fever 1 - Pulmonary Tuberculosis 42 11 Hystero-epilepsy* 1 — All Diseases 131 11 *This case was admitted as a suspected case of Encephalitis Lethargica. Diphtheria cases admitted.—Very few cases of diphtheria were under treatment during 1926. Of the twelve cases notified, ten were admitted to the Isolation Hospital. Five of the cases admitted were mild in degree, three were moderately severe, and two were severe, one of them being dangerously ill at the time of admission. No death occurred. Scarlet Fever cases admitted.—Seventy-one of the eighty cases notified were admitted to Hospital. No death occurred. |
713ede66-3a16-46e5-86dc-dfcda599ad3e | Complications were as follows:—Adenitis, 8 cases; Rhinorrhœa, 6; Otorrhœa, 9; Mastoid abscess, 1 (double mastoid); Albuminuria, 9; and Arthritis, 1 case. 44 During the greater part of the year the cases were mostly mild in type, but cases admitted during the last two months were very acute, and early otorrhœa occurred in a large proportion of these cases. There was no "return case" during the vear. Tuberculosis cases admitted.—Forty-two patients suffering from Pulmonary Tuberculosis were admitted during the year, two of the patients being from the Barnes Urban District, and forty from other areas in the County of Surrey. Eleven of these patients died in the Hospital; 21 were discharged (twelve of these, having shown considerable improvement, were transferred to sanatoriums, the remaining 9 returned to their homes). |
55c5edee-f8d2-442e-b506-bbdbd244c16b | Ten of the patients remained under treatment at the end of the year. Administration-Cross-Infection. -Cases of cross-infection during the year were very few. especially considering the limited provision which exists for isolation purposes. Particulars as to the cases of imported infection, and the number of cases of cross-infection that have arisen from them, during the past five years are given below. SCARLET FEVER WARD. Diseases concurrent on admission:— Scarlet Fever and Chicken-pox, I case: resulting cross-infection, 2 cases. Scarlet Fever and Whooping Cough, I case: „ „ I case. A dmitted in the incubation stage of a second infection: — {incubating Measles, I case: Admitted with Scarlet Fever { resulting cross infection, none. DIPHTHERIA WARD. No case of cross infection. |
12baf831-d87e-428a-9e51-a4dd7404fda5 | Incidence of infectious disease amongst the staff.—A nurse, engaged temporarily from a Nursing Home, and on duty in the Scarlet Fever Ward, contracted scarlet fever. Accommodation for Patients and Staff.— Extensions are now being made at the Hospital to provide increased accommodation for the patients and for the necessary staff. The new buildings will be completed and put into use during the coming year. Details of the nature of the extensions were given in my Survey Report for 1925 (page 80). 45 Laboratory. A laboratory is provided by the Council at the Isolation Hospital. Pathological outfits are supplied to medical practitioners and specimens from their patients residing in the District are examined free of charge. The bacteriological examination of specimens from patients in the Hospital is also undertaken in the laboratory. Examinations undertaken during the year were as follows: — For the detection of tubercle bacilli 159 For the detection of diphtheria bacilli 293 Total 452 Disinfection. |
eef2970e-b867-4c66-be83-cb77731af95e | Disinfection is carried out by the staff of the Health Department. For the disinfection of rooms vacated by persons suffering from infectious disease formaldehyde vapour is used. Infected bedding and clothing is removed for steam disinfection at the Disinfecting Station attached to the Isolation Hospital. The number of rooms disinfected after infectious disease during 1926 was 206, and 202 lots of bedding and clothing were steam-disinfected. Cleansing and Disinfestation of Verminous Persons. The Council have provided a Cleansing Station situated at the Council's Depot for the disinfestation of verminous persons and their belongings. In 1921 arrangements were completed whereby the Council's Cleansing Station was made available for the purpose of cleansing children attending the Public Elementary Schools who, on account of their persistently verminous condition, were removed there from the Schools under powers conferred by Section 122 of the Children Act, 1908. |
1b1739db-8ba5-4ed6-9ca5-bde2629982b3 | In addition the Cleansing Station has been made use of for the treatment of children and adults affected with scabies. The use of the cleansing station for dealing with persistently verminous children has had very satisfactory results, and1 the improvement in the cleanliness of children in the schools has been pronounced1. During 1926 4 children only were treated at the Cleaning Station for verminous condition of the head; attendances for the treatment of scabies numbered 14. 46 Section VII. MATERNITY AND CHILD WELFARE. Hitherto, whilst the Urban District of Barnes has been the Local Authority for the purpose of carrying out the Notifications of Births Act, 1907, in this area, the work under the Maternity and Child Welfare Act, 1918, has been undertaken by the Surrey County Council as part of the County Scheme for Maternity and Child Welfare. |
437934ca-25b8-4fcd-8c95-a0b10efe8169 | From the 1st January, 1927 the Urban District Council will carry out directly the whole of the Maternity and Child Welfare work. Infantile Mortality.—Measures carried out under the Maternity and Child Welfare Act has had a very pronounced effect in reducing the rate of mortality amongst infants under 1 year of age in this District. The infantile mortality for 1926 was 50 per 1,000 registered births. In 17 of the 27 deaths assignable to the District, death occurred before the infant was 2 weeks old, a fact indicating the need for preventive measures to be begun as early as possible, indeed, the importance of ante-natal measures is clearly shown by the very large proportion of the deaths which had occurred at this very early age. In 14, or half the total deaths, the infants died within the first week of life, in fact, 9 deaths, one-third of the total, occurred within 24 hours of birth. |
625bd102-26e3-4979-b714-aa5cc4d2abf5 | Maternal Mortality.—There was no death during 1926 either from puerperal fever or other diseases or accidents of pregnacy and childbirth. The deaths from these causes during the previous 5 years were respectively 2, 1, 3, 1 and 1. Puerperal Fever.—One case of puerperal fever was notified in 1926. The case was a serious one, sepsis following a still-birth in which there had been severe ante-partum haemorrhage from placenta prsevia ; the patient recovered. This case was not removed to Hospital. 47 Notification of Births Act, 1907. Of the 435 births registered during the year 420, or 96.6 per cent., were duly notified in accordance with the provisions of the above-mentioned Act. Of the 420 births notified 174 were notified by medical practitioners, 230 by midwives, and 16 by other persons. |
bb7c190c-dab7-4168-93cf-0c9b17320edb | In every instance in which there was at failure to notify a birth the person, or persons, responsible have been communicated with and reminded of their obligations under the Act. Still-births.—There were 10 still-births notified during 1926, representing 2.3 percent. of the total births occurring in the year. Enquiries were made into each of these cases. Home-Visiting. The Health Visitors have made visits to the homes of all newly-born infants amongst the working-classes. During 1926 the total notifications of birth received numbered 420; 372, or 89 percent., of these were home-visited, the visits being made as soon as possible after the birth. In a large number of the cases visited the infants were subsequently brought to the Infant Welfare Clinics, the number thus persuaded to attend, 121, being very satisfactory considering the character of the District. |
1a7f5121-8b58-4cf3-828f-1d2e2fc9aaf7 | Infants and young children who were not brought to the Centre, and in whose case the particular circumstances indicated any need for following-up, were re-visited periodically by the Health Visitors with the object of keeping them under observation until they became of school age. The Health Visitors made 1,023 revisits in connection with this work of following-up. Special visits have also been made by the Health Visitors in connection with infectious diseases occurring amongst infants and children under 5 years, in cases of ophthalmia neonatorum, and for purposes of investigation into still-births and infant deaths, and into cases of puerperal fever. A number of visits have also been made to expectant mothers. Maternity and Child Welfare Centre. The Maternity and Child Welfare Centre is held at the Technical Institute, North Worple Way, Mortlake. The building unfortunately does not entirely meet the requirements of the Clinics; the accommodation available does not allow of the routine undressing of babies for weighing. |
c268728a-80ac-49cc-b86b-d77eba758300 | 48 Infant Consultations.—The Child Welfare Clinic has continued to be held during 1926 on one Session per week, namely Thursday afternoon at 2.30. It has been arranged that, during 1927, two Sessions per week will be held for this purpose, and an additional clinic, on Tuesday afternoons, will shortly be held. There will then be greater opportunity for more routine medical examinations of the infants attending than can be attempted at the present time in addition to the examination of ailing infants. The attendances during the past year have been very satisfactory. The average attendance at the Clinic has been in the case of infants under one year 34 per session, and in the case of young children, aged 1 to 5 years, 22 per session, a total of 56 infants and young children per session. The number of new cases, the total number of infants and young children attending at the Centre, and the total attendances made by then during 1926 are given below. |
f3d08ea7-b1f3-49c9-99fe-01dad4f821e5 | New Cases:— Infants under 1 year 121 Children 1 to 5 years 38 Total 159 Number of Children attending during the year:— Infants under 1 year 162 Children 1 to 5 years 114 Total 276 Number of attendances made by: — Infants under 1 year 1,757 Children 1 to 5 years 1,115 Total 2,872 Mothers 2,871 Assistance is given at the Centre by Voluntary Workersthanks are due to these ladies for devoting so much time to, and showing such enthusiasm in the work. Ante-Natal Clinic.—Up to the end of the year 1926 no separate Clinic was held for this purpose, expectant mothers being seen at the Maternity and Child Welfare Clinic on the same afternoon as the Infant Welfare Clinic was held. Since the beginning of 49 1927, however, a separate session for ante-natal work has been held on Wednesday afternoon at 2.30. |
2210e739-1a9e-44fc-bafe-ce86898ba696 | It will now be possible to carry out much more efficient work, and a larger attendance of expectant mothers is hoped for. Ophthalmia Neonatorum. This disease being of a serious nature every effort should be made to prevent its occurrence; ante-natal inquiries to detect and treat conditions in the mother that might give rise to the disease, and instructions to the mother as to methods of avoiding infection of infant's eyes are of importance. Care of the eyes during labour and after the birth is equally necessary. On notification each case is promptly and rigidly followed-up in order to ensure that appropriate treatment for the condition is obtained at once and persisted in until a cure has been effected. During 1926 only one case was notified in this District. Notifications of this disease in each of the five previous years numbered 1, 3, 3, 2 and 2 respectively. Table XXIII.—Ophthalmia Neonatorum: Cases notified during 1926. Serial Number in Register. CASES. |
077a6281-8150-4ecf-9d6c-cd794083d68a | Vision Unimpaired. Vision Impaired. Total Blindness Deaths. Notified. Treated. At home. Hospital. (1) 21 Feb. l — l — — — I have the honour to be, Mr. Chairman, Mrs. Macnamara and Gentlemen, Your obedient Servant, E. A. FREEAR WILKES, Medical Officer of Health. 51 INDEX PAGE Acute Anterior Poliomyelitis 37 Acute Polioencephalitis 37 Adoptive Acts 17 Ambulance Provision 13 Bacteriological Work 45 Bakehouses 22 Birth Rate 6 Bye-laws and Regulations 18 Cancer 7 Cerebro-spinal Fever 37 Cleansing Station 45 Common Lodging Houses 27 Dairies, Cowsheds and Milkshops Regulations 32 Death Rate 6 Death, Causes of 7 Death, Causes of, at age periods, |
41fbaffd-debc-42a3-a458-488904c31c4a | Table Facing 7 Deaths in Public Institutions 8 Density of Population 2 Diphtheria 38, 43 Disinfection 45 Drainage Work 23 Encephalitis Lethargica 37 Enteric Fever 40 Factories and Workshops 25 Fishmongers 22 Fried Fish Shops 27 Health Visitors, Duties and Work of 15 Homes for Unmarried Mothers and their Children 13 Hospitals, Children's 13 „ Isolation (Fever) 12 „ Maternity 13 „ Small-pox 12 PAGE Hospitals, Tuberculosis 12 Houses Let in Lodgings 27 Housing 29 „ Statistics, 1926 30 Infantile Mortality 9 „ „ Rate of 10 „ „ Causes of 11 „ „ Table, 1926 11 Infectious Diseases, Notifiable 35 „ „ Non-notifiable 40 Influenza 40 Inquests 9 Isolation Hospital 43 Laboratory Work 45 Legal Proceedings 21 Maternity and Child Welfare 46.49 do. |
390daf6a-52ea-4f33-9550-99a34510d9ce | Home Visiting 47 do. Centre 47 Maternity Hospitals „ 13 Measles 40 Meat 33 Midwives 16 Milk Supply 32 Mortuary 17 Notification of Births Act 47 Nursing Arrangements, Home Nursing, &c. 16 Offensive Trades 27 Ophthalmia Neonatorum 49 Overcrowding 29 Pneumonia 37 Population, Census 2 52 INDEX (continued). |
35996506-2e09-4e52-8857-9f62e3b98785 | PAGE Public Conveniences 20 Puerperal Fever 46 Rats and Mice Destruction Act 28 Refuse, Collection of House Refuse 20 Refuse Disposal 20 Registries for Female Domestic Servants 27 River and Stream Pollution 19 Sale of Food and Drugs Act 34 Sanitary Administration 19-28 Sanitary Inspectors, Summary of Work of 21 Scarlet Fever 39, 43 Scavenging of Streets 21 Schools and School Clinics 14, 28 Sewage Disposal 19 Slaughter Houses 33 Small-pox 37 Smoke Abatement. |
7b37dfa0-e468-41fe-a641-385791e89dc5 | 27 PAGE Staff of Public Health Department 14 Statistics, Summary of Facing 1 Tuberculosis Deaths 41 „ Incidence 40 „ Notification of 41 „ Preventive Measures 42 „ Treatment, Dispensary and Institutional 42 Unsound Food 34 Vaccination 38 Venereal Diseases Clinics 14 Verminous Persons and Premises 45 Vital Statistics 3-11 „ „ Tables 4-5 Water Supply 19 Whooping Cough 40 Zymotic Diseases 8 |
4febf33b-1a18-4670-ab39-0abc816da2f3 | BARN 5 library BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1937 1 1 1 BOROUGH OF BARNES the Annual Report ok the Medical Officer of Health for the year 1937 E. A. Freear Wilkes, M.R.C.S.Eng., L.R.C.p.Lond., D.p.H.camb. Medical Officer of Health. BOROUGH OF BARNES. Public Health Committee. Chairman. Alderman Stanley Sparkes, J.P. Members. The Mayor (Councillor G. S. Marler, J.P). Alderman A. W. Aldis Councillor T. E. Dixon ,, E. P. Barry ,, J. A. Dorey ,, J. D. Firmston, J.P. ,, G. H. Freyberg, O.B.E. ,, P. Hamilton Hughes, J.P. |
39626204-4094-492a-983a-e5d410fdeb7e | ,, L. Gassman ,, S. E. Jackson, J.P. ,, H. Hedderly, J.P. „ W. J. Lane, J.P. ,, J. G. Hensman „ E. Middleton ,, L. J. Nicholls Councillor E. S. Bolton ,, J. W. J. Samels ,, R. H. Cale „ E. S. Stevens ,, B. J. Capell ,, T. E. V. Sturgis ,, J. N. P. Conlan, J.P. ,, F. G. Sutton-Mattocks ,, H. G. Curran ,, H. Thomas ,, E. T. Dailley ,, D. Urquhart-Nicol ,, F. Davis ,, W. Young Hospital Sub-Committee. Chairman. Alderman W. J. Lane, J.P. Members. |
85ccfcd4-aff8-4810-98de-4b4c25bb42c1 | Alderman A. W. Aldis Councillor E. S. Bolton ,, J. D. Firmston, J.P. ,, F. Davis ,, Stanley Sparkes, M.B.E., J.P. ,, L. J. Nicholls Councillor E. S. Stevens Maternity and Child Welfare Committee. Chairman. Co-opted Member: Mrs. Ludlow, J.P. Council Members. Adlerman P. Hamilton Hughes, J.P. Councillor T. E. Dixon ,, W. J. Lane, J.P. ,, J. A. Dorey Councillor J. N. P. Conlan, J.P. ,, G. H. Freyberg, O.B.E. ,, E. T. Dailley ,, L. J. Nicholls ,, F. Davis ,, H. Thomas Co-opted Members. Mrs. Boorman Mrs. Burgess Mrs. Colbourne Housing Committee. |
8814c3c8-6b1c-4bce-bc87-42cb685d089d | Chairman. Alderman A. W. Aldis. Members. The Housing Committee consists of the members of the Public Health Committee given above with the exception of Alderman E. Middleton and Councillors H. G. Curran, and J. G. Hensman, and with the addition of Councillor C. T. Wright-Warren. STAFF OF THE PUBLIC HEALTH DEPARTMENT. 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. Assistant Medical Officer for Maternity and Child Welfare (part-time). Margaret J. M. Cuthbert, M.A., M.B., B.Ch., St. Andrews. Medical Officer for Diphtheria Immunisation (part-time). D. S. Murray, B.Sc., M.B., Ch.B., Glasgow. |
f881fc18-741c-4c83-b9c6-6383a5d17115 | Chief Sanitary Inspector. C. S. Perchard, Cert.R.San.Inst., Cert. Meat and Food Insp. Assistant Sanitary Inspectors. G. G. Gardiner}! A. A. Brown}Cert.San.Insp., Cert. Meat and Food Insp. R. H. Street} Health Visitors. Miss M. Parnell, S.R.N., S.c.m., H.V.Cert. Miss J. McNish, S.c.m. Miss O. L. Wilson, S.R.N., S.c.m., H.V.Cert. Chief Clerk. R. E. Forrest. Assistant Clerks. R. A. Billen. Miss D. E. Gouldby. G. K. Shilleto. Matron of the Isolation Hospital. Miss E. E. Peters, S.R.N. SUMMARY OF CONTENTS. |
c9cd02bb-f6a2-4eed-b4a5-8dacd8a64db5 | PAGE I. Statistics and Social Conditions of the District 2 II. General Provision of Health Services in the Area 12 III. Sanitary Circumstances of the Area 17 IV. Housing 28 V. Inspection and Supervision of Food 34 VI. Prevalence of, and Control over, Infectious Diseases 37 VII. Maternity and Child Welfare 55 Public Health Department, High Street, Mortlake, S.W.I4. To the Mayor, Aldermen and Councillors of the Borough of Barnes. Mr. Mayor and Gentlemen, I have the honour to present my Annual Report for the year 1937, on the sanitary circumstances, the sanitary administration, and the vital statistics of the Borough. In accordance with the requirements of the Minister of Health the Annual Report for 1937 has been compiled as an Ordinary Report. The Report contains detailed information specifically directed by the Minister of Health and a record of alterations, improvements or developments which have taken place during the year. |
56c4743e-a50b-4736-aca3-9f30655bd117 | The vital statistics of the Borough show the various mortality rates for the year under review to be satisfactory, and they compare favourably with the statistics of similar areas, and of England and Wales as a whole. The extremely low mortality from infectious diseases, from diseases and accidents of childbirth, and amongst children under one year of age during 1937 is especially worthy of mention. Not a single death occurred from the acute infectious diseases—diphtheria, enteric fever, scarlet fever, measles, whooping cough or epidemic diarrhoea. The rate of maternal mortality was nil; 1937 was the third year in succession in which there has been no death from maternal causes, and, further, during the first eight months of the present year no death from this cause has occurred. The infantile mortality rate for 1937 is the lowest ever recorded for the district, being only 35.6 compared with a rate of 58 per 1,000 registered births for England and Wales. |
e8827820-b920-423d-9079-62ac5d1d9b86 | I regret the preparation of this Report has been delayed ; the delay has been occasioned by additional work in connection with the organisation of new services, and extension of existing ones, in accordance with recent legislation. In presenting this report I take the opportunity of expressing my appreciation of the support which I have received from the Council, and of thanking the staff of the Public Health Department for their assistance. I have the honour to be, Mr. Mayor and Gentlemen, Your obedient Servant, E. A. FREEAR WILKES, August, 1938. Medical Officer of Health. 2 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1937. Section i. STATISTICS AND SOCIAL CONDITIONS OF THE DISTRICT. PHYSICAL FEATURES AND GENERAL CHARACTER OF THE AREA. A detailed review of the physical features and general character of the area was given in my previous Survey Reports. |
05e9bc87-23d9-48aa-9cd1-2adc02dcaec9 | There has been no alteration in the extent or boundaries of the area since that date. The area is now very largely built-up and the existence of the numerous and extensive permanent open spaces in such a district is of incalculable value from a public health aspect. Area of Borough in acres 2,650 Population—Census, 1921 34,281 ,, Census, 1931 42,440 Estimated, 1937, R.G 41,100 Number of inhabited houses—Census, 1921 7,939 „ „ „ Census, 1931 10,575 ,, „ ,, Rate-books, 1937 11,007 Number of Families, or Separate Occupiers—Census, 1921 8,654 „ „ „ „ Census, 1931 11,746 Rateable Value £509,169 Sum represented by a Penny Rate £2,021 3 SOCIAL CONDITIONS AND OCCUPATION OF THE INHABITANTS. |
515ed68e-7491-4dd4-b484-194aeca59dc2 | The district is mainly a residential one; more than fifty percent. of the employed persons living in Barnes have their place of work outside the Borough. There are relatively few industries in the Borough. In none of the trades and industries carried on in the district has evidence been forthcoming of any detrimental effect on health connected with conditions of occupation. VITAL STATISTICS. Statistical Summary, 1937. Births:— Birth-rate (per 1,000 of population) 89 Live Births:— Total. M. F. Legitimate 337 178 159 Illegitimate 28 12 16 Total 365 190 175 Still Birth-rate (per 1,000 total births) 26.7 Total . M. F. Still Births 10 4 6 Deaths:— Death-rate (per 1,000 of population) 11.4 Total. |
189611da-f2b9-48f9-a2c8-c47c1c4123ac | M. F. Deaths (all causes) 469 224 245 Percentage of all deaths occurring in Public Institutions 40% Death-rate from Maternal Causes (per 1,000 total births) 0.0 Deaths from Sepsis Nil ,, ,, Other causes Nil Death-rate from Zymotic Diseases 0.0 Deaths from Cancer (all ages) 80 ,, ,, Measles (all ages) Nil ,, „ Whooping Cough (all ages) Nil ,, ,, Diarrhoea (under two years of age) Nil Death-rate of infants under one year of age 35.6 Legitimate infants 32.6 Death-rate for {Illegitimate 35.7 Natural increment or decrease in the population for 1937 (excess of births over deaths or vice versa):— Decrease 104. Comparative vital statistics with reference to birth-rate, deathrate and infantile mortality are given in tabular form on pages 4 and 5. Table I. |
01ddc85e-3f25-46f9-8eaa-969fd1e663bf | \ital Statistics of the Borough of Barnes during 1937 and previous 5 Years. Year. Population estimated to middle of each year. R.G. Registered Births. Total Deaths Registered in the District Transferable Deaths Nett Deaths belonging to the District. Uncorrected Number. Nett. Number. Rate. Of nonresidents registered in the District. Of residents not registered in the District. Under 1 year of age. At all ages. Number. Rate. Number. Kate per 1,000 nett births Number Rate 1 2 3 4 5 6 7 8 9 id 11 12 13 1932 42,790 322 421 9.8 294 6.9 27 184 21 49.9 451 10.5 1933 42,590 292 386 9.1 243 5. |
2d825f01-2aae-4cae-b7e1-a7581150e648 | 7 12 205 16 41.5 436 10.2 1934 42,050 281 356 8.5 252 6.0 17 218 25 702 453 10.8 1935 42,030 288 393 94 205 4.9 18 204 19 48.3 391 9.3 1936 41,560 259 351 8.4 271 6.5 12 227 19 54.1 486 11.7 1937 41,100 278 365 8.9 252 6.1 25 242 13 35.6 469 11.4 4 Table II.—Birth-rate, Death-rate, and Analysis of Mortality during the Year 1937, with corresponding rates for england and wales, 125 great towns, 148 smaller towns, |
20dbdc03-79ee-47be-91bd-9595a92e2527 | and for the County of London for comparison. The mortality rates refer to the whole population as regards England and Wales, but only to civilians as regards London and the groups of towns. Birthrate per l.000 Total tion. Annual Death rate per 1,000 Population Death rate per 1.000 Births. Matfrnal Mortality Rate per 1,000 Total Births All Causes Enteric Fever. Small-pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence Disrrha and Enteritis (under 2 years). Total Deaths under One Year. All Causes. Puerperal Sepsis Other Causes. England and Wales 14.9 12.4 o.oo — 0.02 o.o1 0.04 0.07 0.45 0.54 5.8 58 3.23 0. |
df1f721d-87c6-4998-b593-d2c41d120cf9 | 97 226 125 County Boroughs and Great Towns, including London 14.9 12.5 001 - 0.03 o.o1 0.04 0.08 0.39 0.45 7.9 62 Not available 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 15.3 11.9 o.oo 0.02 o.o1 0.03 0.05 0.42 0.42 3.2 55 London 13.3 12.3 o.oo — o.o1 o.o1 0.06 0.05 0.38 0.51 12.0 60 Barnes Borough 8.9 11.4 0.00 — 0.00 0.00 0.00 0.00 0.29 0.51 o. |
8a44af75-8fb8-42b7-a56e-72602ae09ff8 | oo 36 0.00 o.oo 0.00 5 6 Population. The Registrar General's estimate of the population of Barnes for mid-year 1937 is 41,100. This is a decrease of 460 persons on his estimate of the population for the previous year, and represents a decrease of 1,340 persons since the date of the last Census six years ago, when the population of the Borough was found to be 42,440 persons. Although there has been during the six years since the 1931 Census a natural decrease from excess of deaths over births amounting to 414 persons, there have been during that same period 804 newly erected dwellings completed, and occupied, whilst less than 100 dwellings have been demolished. The density of population is now 16.3 persons per acre, considerably more than double the density in 1901 which was only 7.1 persons per acre. Birth-rate. |
b13e1b3c-e411-4e92-8326-7e0961349425 | The number of live births registered in the district during the year was 278. After correction for inward and outward transfers the "nett" number of births assignable to the district was 365, corresponding to a birth-rate of 8.9 per 1,000 of the population. The birth-rate for the year for England and Wales was 14.9 and for London 13.3. The birth-rate for the area has been declining since 1921; from that year until 1930 there was a steady decline, but from 1930 to the present time the fall has been much more marked. The lowest ever recorded for the area was in 1936 when the rate was a low as 8"4 per 1,000 of the population. Death-rate. The number of deaths registered in the district during the year 1937 was 252. |
157a9b0f-c9f7-4239-adc7-3be771bd8c93 | Of these 25 were deaths of presons who were not "residents" of the Borough, and 227 were deaths of "residents." To obtain the correct number of deaths representing the true mortality amongst the population it is necessary to add 242 deaths of "residents" whose deaths occurred outside the Borough. The corrected number of deaths therefore belonging to this district is 469. This number represents a death-rate of 11.4 per 1,000 of the population. The death rate for the year for England and Wales was 12 4, and that for London 12.3. The death-rate of 11.4 for the year 1937 is slightly lower than the death-rate for 1936. The death-rates for both these years are higher than the average for the previous five years, this average being 10 5 per 1,000 of population. |
cdc6a0e5-bc5d-43bd-aa5d-f26f70d3f860 | The increase in the higher death-rates during 7 1936 and 1937 was largely due to the unusually large number of deaths which occurred in persons of one particular age-period, viz., 65 years and over. The number of deaths of persons aged 65 years and over during 1937 represented 58 percent. of the total deaths for that year. Causes of Death. An analysis of the total (corrected) deaths for the whole district during 1937 is shown in Tables III and IV on pages 7 and 8 classified under various causes of death, and distributed for age, sex and locality. Table III.—Causes of Death during the Year 1937. |
f9d21f9c-15ed-4202-9c1d-6a8fb2694d5f | Causes of Death Total Deaths Male Female 1 Typhoid and Paratyphoid fevers — — — 2 Measles — — — 3 Scarlet Fever — — — 4 Whooping Cough — — — 5 Diphtheria - — — 6 Influenza 12 4 8 7 Encephalitis Lethargica 2 2 — 8 Cerebro-spinal fever — — — 9 Tuberculosis of respiratory system 25 16 9 10 Other tuberculous diseases 4 1 3 11 Syphilis 1 1 1 12 General paralysis of the insane, tabes dorsalis 2 1 13 Cancer, malignant disease 80 37 43 14 Diabetes 6 3 3 15 Cerebral hæmorrhage, etc. |
e359244c-32cd-4165-9075-7f1467570f43 | 23 8 15 16 Heart Disease 121 58 63 17 Aneurism 2 1 1 18 Other circulatory diseases 21 9 12 19 Bronchitis 11 9 2 20 Pneumonia (all forms) 30 16 14 21 Other respiratory diseases 8 5 3 22 Peptic ulcer 2 1 1 23 Diarrhoea, etc. (under 2 years) — — — 24 Appendicitis 2 1 1 25 Cirrhosis of liver 2 1 1 26 Other diseases of liver, etc. 3 1 2 27 Other digestive diseases 9 5 4 28 Acute and chronic nephritis 11 4 7 29 Puerperal sepsis — — — 30 Other puerperal causes — — — 31 Congenital debility, premature birth, tions. etc. |
84e78490-02b2-4595-9914-6df027dd82b3 | 11 7 4 32 Senility 30 6 24 33 Suicide 3 2 1 34 Other violence 18 7 11 35 Other defined diseases 30 18 12 36 Causes ill-defined or unknown — — — All Causes 469 224 245 Table IV.—Deaths during 1937 distributed for Sex, Age and Locality. Total Deaths. Sex Distribution. Age Distribution. Number of Deaths at subjoined ages. Deaths in or belonging to Localities (at all ages). Deaths in Institutions. Inquests Certified by Coroner, No Inquest Male. Female. Under 1 year. 1 and under 2 and under 5. 5 and under 15. 15 and under 25 25 and under 45 45 and under 65. 65 and over. Barnes. | Morllake. |
a1e0735e-f3b5-4440-8ccf-f0ead7b43936 | Deaths of Residents dying in the Borough 227 106 121 2 - - - - 13 50 161 108 119 2 9 17 Deaths of Residents dying outside the Borough (Inward Transfers) 235 112 123 11 1 1 5 6 32 72 107 109 126 183 20 10 Total Deaths— Nett Deaths of Residents, whether dying within or outside the Borough * 462 218 244 13 1 1 5 7 45 122 268 217 245 185 29 27 * Note.—The total number of deaths assigned to the Borough by the Registrar-General is 469. The total number of deaths, according to the death-returns from the Local Registrar of Deaths and the returns of inward and outward transfer deaths from the Registrar-General, amount to 462 only. |
3f6de755-063c-442f-b0e9-a8b28b88eab4 | It is not possible to include the additional seven deaths in the above Table as information ast o Sex, Age and Locality in the case of these seven deaths is not known. 8 9 In the subjoined Table V is given the number of deaths occurring from certain causes of death which are important in themselves or from the fact that they contributed a considerable share to the total mortality for the year. The absence of any death from diseases and accidents of child birth, or from zymotic diseases, is particularly worthy of note. Table V.—Principal Causes of Death: Annual Number of Deaths from these Causes during Five Years, 1932 to 1936, and during 1937. Cause of Death Number of Deaths in previous 5 years D'ths in Death Rate per 1,000 Population for 1937 1932 1933 1934 1935 1936 1937 Barnes Borough London Zymotic (Epidemic) Diseases 9 7 5 6 5 — 0. |
5c0105d7-8004-40d6-a12e-a38161c89e5b | 00 029 Influenza 11 23 9 3 9 12 0.29 038 Bronchitis 20 20 13 8 10 11 0.27 0.45 Pneumonia 29 22 20 21 20 30 0.73 0.84 Tuberculosis 29 25 21 20 27 29 0.71 0.75 Cancer 60 75 78 75 90 80 1.95 1.74 Heart Disease 83 83 85 92 100 121 2.94 3.41 Bright's Disease 21 15 22 10 8 11 0.27 0.32 Puerperal Fever 2 — 1 — — — 0.00 0.01 Other Puerperal Diseases 2 1 - - - - 0.00 0.02 Premature Birth, Etc. |
5c72e7c8-f74e-40af-b9cd-c01e7c80fa9c | 8 7 7 9 12 11 0.27 0.27 Violence and Suicide 23 23 38 24 32 21 0.51 0.51 Zymotic Death-rate. The death-rates for 1937 from each of the seven principal epidemic diseases (zymotic diseases) are given separately in Table VI, and in Table VII the zymotic death-rate for the five years, 1932 to 1936 are contrasted with the rate for 1937. In each of these Tables the deathrates for London and for England and Wales for corresponding periods are shown for comparison; the death-rates for this district contrast very favourably with those. 10 Table VI.—Epidemic Diseases: Death-rate per 1,000 of the Population, 1937. Disease. Barnes. London. England and Wales. |
46fa3984-c95c-4406-a563-155bd32bf870 | Small-pox 0.00 0.00 0.00 Enteric Fever 0.00 o.oo o.oo Measles 0.00 o.o1 0.02 Scarlet Fever 0.00 0.01 0.01 Whooping Cough 0.00 0.06 0.04 Diphtheria .00 0.05 0.07 Diarrhoea (under 2 years) 0.00 0.16 0.09 Zymotic Death Rate 0.00 0.29 0.23 Table VII.—Zymotic Death-rate for 1937, contrasted with the Death-rates for the previous Five Years. Year. Barnes. London. England and Wales. |
bfc1d55e-25e5-4341-b2ee-956cc1ee98bc | 1932 0.21 0.54 0.32 1933 0.16 0.35 0.28 1934 0.12 0.56 0.34 1935 0.14 0.26 0.24 1936 0.12 0.48 0.30 1937 0.00 0.29 0.23 Inquests. Inquests were held in respect of 29 or 6"2 per cent., of the 469 deaths assignable to the district. The causes of deaths in these cases were as follows:— Deaths from suicide 3 Violent deaths, excluding suicide 18 Deaths from natural causes 8 Deaths in Public Institutions. During 1937, 185 Barnes inhabitants died in public institutions ; this represents 40.0 per cent of the 469 total deaths assigned to this district. |
25ad9763-09ac-452b-a431-c8b6666b9ff7 | Of the 227 residents who died in the district, two died in an institution, viz., the Barnes Isolation Hospital, one from influenza and one from erysipelas. Of the 242 residents whose deaths occurred in other areas outside the Borough, 183 died in institutions; 88 of these deaths occurred in the Public Assistance Institution, Richmond, and 95 in various other public institutions outside the Borough. 11 Table VIII.—Infant Mortality during the Year 1937. Nett Deaths from stated Causes, at various Ages, under One year of Age. Cause of Death Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 4 Weeks. 1-3 Months. 3-6 Months. 6-9 Months. 9-12 Months. Total under 1 Year Barnes. Mortlake. Deaths in the Borough Deaths outside the Borough. |
94e2e0cf-1ac2-4d3e-8775-0d7a2c34bd7c | | Deaths in Institutions Small-pox Chicken-pox Measles Scarlet Fever Whooping Cough Diphtheria Erysipelas Tuberculous Meningitis Abdominal Tuberculosis Other Tuberculous Disease Meningitis (not Tuberculous) Convulsions Laryngitis Bronchitis Pneumonia (all forms) Diarrhoea and Enteritis Gastritis Syphilis Rickets Atrophy, Debility and Marasmus . . . . . 1 . . . l 1 . . l 1 Premature Birth 4 1 . . 5 1 . . . 6 1 5 1 5 4 Congenital Malformations 1 l . . 2 2 . . . 4 l 3 . 4 4 Injury at Birth Atelectasis Suffocation (overlying) Violence 1 . . . 1 . . . . 1 l . l . . Other causes . . . . . . . 1 . |
8aa0ee20-8fdc-4337-a614-6a1b2b8d80f1 | 1 . 1 . 1 1 All causes 6 2 . . 8 4 1 . 13 4 9 2 11 10 Nett Births in the Year: Total Births, 365; Legitimate, 337; Illegitimate, 28. Nett Deaths (under 1 year): Total Deaths, 13; Legitimate Infants, 12; Illegitimate Infants, 1. Infantile Mortality Rate: Total, 36; Legitimate, 33; Illegitimate, 36. 12 Infantile Mortality. During 1937 the number of deaths of infants under one year of age was only 13, representing a rate of infantile mortality of 36 per 1,000 registered births, the infantile mortality rate for England and Wales being 58 and that for London 60 per 1,000 registered births for the corresponding period. |
ffeabb11-8895-4bc4-8e83-b3ab13c9612b | The infantile mortality rate of 36 per 1,000 registered births for the year 1937 is the lowest ever recorded for the district. The causes of death of infants dying under one year of age during 1937 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 Section VII of this Report which deals with Maternity and Child Welfare. Section II. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. (1) PUBLIC HEALTH STAFF. (a) Medical Officer of Health. The Medical Officer of Health of the Borough in addition to undertaking the duties of District Medical Officer of Health acts also as Medical Superintendent of the Council's Isolation Hospital, and as Medical Officer for Maternity and Child Welfare. (b) Assistant Medical Officer. |
27519b31-834c-4873-8187-0f18ccd3b914 | A part-time Assistant Medical Officer acts as Assistant Medical Officer for Maternity and Child Welfare (including Ante-natal work) and as Deputy Medical Superintendent of the Isolation Hospital when the Medical Officer of Health is off duty. (c) Medical Officer for Diphtheria Immunisation. The services of a Specialist Medical Officer experienced in diphtheria immunisation is employed to undertake this work in connection with the Council's Diphtheria Immunisation Clinic. (d) Consultant Medical Officers. The services of a Consultant Obstetrician for cases of puerperal fever or puerperal pyrexia and for cases of difficult or complicated labour, and of a Consulting Aural Surgeon to the Isolation Hospital, are available as occasion requires. 13 (e) Chief Sanitary Inspector. The Chief Sanitary Inspector holds the Sanitary Inspectors' Certificate of the Royal Sanitary Insitute, and in addition, a Certificate as an Inspector of Meat and other Foods. |
2199659b-cd76-4d29-a353-9168a7583f63 | In addition to his duties as Chief Sanitary Inspector this officer acts as HousingManager, Inspector under the Petroleum Acts, Inspector under the Shops Acts, and as Executive Officer under the Rats and Mice (Destruction) Act, 1919. (/) Assistant Sanitary Inspectors. There are two Assistant Sanitary Inspectors, each of whom holds the Certificate of the Royal Sanitary Institute and of the Sanitary Inspectors Examination Joint Board, and, in addition, a Certificate as an Inspector of Meat and other Foods. There is in addition a Junior Assistant Sanitary Inspector who assists in work under the Shops Acts as well as undertaking duties as an Assistant Sanitary Inspector ; this Inspector holds the Certificate of the Royal Sanitary Institute and Sanitary Inspectors Examination Joint Board, and recently (May, 1938) he obtained the Certificate as an Inspector of Meat and other Foods. (g) Health Visitors. There are three whole-time Health Visitors employed in the district. |
ff1673e1-0ccc-4ded-8e0f-30221110c48b | Their duties include work in connection with maternity and child welfare, and the supervision of foster children. They also undertake investigations into cases of infectious disease and assist at the Council's Diphtheria Immunisation Clinic. Each of the three Health Visitors holds a Certificate as a Generaltrained Nurse and the Certificate of the Central Midwives Board. Two of them hold the Health Visitors' Certificate of the Royal Sanitary Institute in addition ; the other holds a Certificate as a Fever-trained Nurse. (h) Clerical Staff. In addition to the chief clerk there are three assistant shorthandtypist clerks employed in the Public Health Department. One of these undertakes duties in connection with the work of the sanitary inspectors and another is employed as a general clerk. A female clerk is responsible for the clerical work connected with the Health Visitors' duties and assists at the various clinics. 14 (i) Isolation Hospital Staff. |
18af1d18-151d-474c-80f0-3806ba3e9792 | The staff consists of the following:— The Medical Officer of Health acts as Medical Superintendent; in his absence the Assistant Medical Officer acts as deputy. There is no Resident Medical Officer. The resident staff consists of a Matron, one Sister, twelve trained Nurses, thirteen domestic staff, and a lodge-porter and portress (the former acts also as an ambulance driver). The out-door staff consists of a seamstress, an ambulance driver, a gardener, and a boiler attendant. (j) Other Staff. Ratcatcher, who also acts as Disinfecting Officer and assists the Sanitary Inspectors in the testing of drains. A list of the members of the staff, with their qualifications, has been incorporated at the beginning of this Report. The Officers to whose salary contribution is made under the Public Health Acts or by Exchequer Grants are the Medical Officer of Health, the Assistant Medical Officer for Maternity and Child Welfare, the Chief Sanitary Inspector, and the three Health Visitors. |
e73f1cd0-578d-4869-998c-333cf44fa4b9 | (2) AMBULANCE FACILITIES. (a) For Infectious Cases. Two motor ambulances are provided by the Council for removal of patients suffering from infectious disease to the Isolation Hospital. Both ambulances are so constructed as to enable the infected bedding and clothing to be removed at the same time as the patient. The ambulances are stationed at the Hospital. (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. The Ambulance Service provided by the Council has been adequate to meet the needs of the area. 15 (3) CLINICS AND TREATMENT CENTRES. |
fd6b2ef2-073a-49c8-871f-8bd3c47b5b14 | The Clinics provided in the Borough either by the Barnes Borough Council, or by the Surrey County Council, are given below, together with the days and hours of attendance at which the various clinics are held. Name of Clinic, etc. Address. Days of attendance. Provided by. (a) Situated in the District: Maternity and Child Welfare Centre— Essex House, Station Road, Barnes Barnes Borough Council Ante-natal Clinic ,, ,, 1st & 3rd Fridays, 2 p.m. ,, Infant Welfare Clinic ,, ,, Tuesdays & Thursdays at 2 p.m. ,, Diphtheria Immunisation Clinic ,, ,, Wednesdays, 2 p.m. ,, Day Nursery Oxford House, Upper Richmond Road, East Sheen Daily, Monday to Saturday Voluntary tion School Clinics— tion Minor Ailments Clinic School Clinic, Cleveland Road, Barnes Daily, Monday to Friday, 9.30 a.m. |
8f998977-4e78-4ba5-9cae-861152b279a4 | Surrey County Council Eye Clinic ,, ,, 1 st & 3rd Mondays, 2 p.m. ,, Dental Clinic ,, ,, Mon., Tues.,Wed. & Fri., 9.30 a.m. 2nd & 4th Saturdays, 9.30 a.m. 2nd & 4th Mondays, 1.45 p.m. ,, Tuberculosis Dispensary 38, Sheen Road, Richmond 1 st, 3rd & 5th Thursdays, 1.30 p.m. 2nd& 4thThursdays, 5.30 p.m. ,, (b) Situate outside District: Venereal Diseases Clinics West London Hospital, Hammersmith 1 Monday to Friday, 10-12 & 3-7. ' |
bb1e91d9-9dfd-4a35-adf1-d1f218f0af34 | Saturday, 11-12 & ,, And at 21 other Hospitals in the County of London 5.30-6.30 Various times as advertised ,, * The Barnes Borough Council makes an annual contribution of £357 to this institution. (4) MIDWIFERY AND MATERNITY SERVICES. The Surrey County Council is the local supervising authority under the Midwives Acts, and for the purpose of providing the necessary domiciliary service for the Borough the County Council employ directly two whole-time salaried midwives. 16 During 1937 the number of midwives who gave notice of their intention to practise in this Borough was thirteen, ten of these (including the two municipal midwives) being resident within the Borough and three resident in adjacent areas. (5) MATERNITY AND NURSING HOMES. The Surrey County Council is the Local Supervising Authority for the registration and inspection of Nursing Homes and Maternity Homes in this Borough. |
19b9caf1-dc8d-4c43-87ff-2487bc002294 | There are four private Maternity Homes in the district registered by the County Council. No information has been received of any orders refusing or cancelling registration. (6) PUBLIC MORTUARY. The Council have provided a Public Mortuary situated in South Worple Way, Mortlake, adjacent to the Isolation Hospital. During 1937 23 bodies, on which post-mortem examinations were conducted or inquests held, were received ; of this number 8 were bodies of persons resident in the district, 12 were bodies of nonresidents whose deaths occurred in the district, and 3 were bodies of persons unknown. (7) LEGISLATION IN FORCE IN THE DISTRICT. The Adoptive Acts, Bye-laws and Regulations relating to public health, and Local Acts in force in the district were enumerated in my Annual Report for 1930 (page 17). The Bye-laws above referred to continued in force during the year under review. |
8b780073-1117-454c-8b98-ccee9c50a738 | New Bye-laws to replace certain of these have been made and approved by the Minister of Health, coming into force in 1938. It is necessary that Regulations as to underground rooms should be in force in the Borough in order that semi-basement rooms which are used as dwellings, although unsuitable for such purpose, may be dealt with. Particulars of the administration of the various Acts, Byelaws, and Regulations will be found referred to under the various subjects to which they relate. 17 Section III. SANITARY CIRCUMSTANCES OF THE AREA. WATER SUPPLY. The water supply of all the houses in the district is from the Metropolitan Water Board's waterworks; the supply is constant and through storage cisterns. No case of waterborne disease has arisen. The supply is ample and of satisfactory quality. |
763a92a3-5dc3-4a00-bc22-30a489458259 | The results of the periodical chemical and bacteriological examinations of the Board's supply are available in the Metropolitan Water Board's Annual Report which is supplied to the Council. It has been the practice for me to bring to the notice of the Metropolitan Water Board the occurrence of notified cases of enteric fever, or other waterborne diseases, where it appears that the source of the disease may have been from drinking water. Special samples of water are taken in the district for examination whenever there is occasion to do so. RIVER AND STREAM POLLUTION. Instances in which waste-pipes from lavatory basins are found to have been wrongly connected and are discharging into the surface water drains, and thence into the River Thames or Beverley Brook, occur from time to time; in all such cases the waste-pipes are required to be so altered as to discharge into the foul-water drains. |
286ecc61-ce28-4506-a2dc-8f96ed94e9f7 | Apart from these instances no case of pollution of rivers or streams by effluents, solid refuse or filth has come to my notice during 1937. DRAINAGE, SEWERAGE AND SEWAGE DISPOSAL. The water-carriage system of sewage disposal is in use practically throughout the whole area. The defects in connection with drainage of occupied houses which have been discovered by the Sanitary Inspectors, and the defective conditions remedied, will be found on reference to Table X, on page 20. Closet Accommodation. There is now no privy or earth-closet in use in the district. All the water-closets are connected up to the main sewerage system except 6, which, being situated in low-lying positions where connection to a sewer is impossible, drain into cess-pools. |
d29bd895-0e24-4856-b491-584531cdd6d0 | The cess-pools have been found in a satisfactory condition; the cleansing of them is undertaken by the occupiers of the premises, and has been carried out in accordance with the Bye-laws. 18 Public Conveniences. There are 41 public conveniences in the district. Seven of these have been provided by the Council; one, though not provided, is maintained by the Council; thirty-two are conveniences in connection with public-houses, urinals in connection with six of these being available to the public outside licensing hours. There is a public convenience at the Sheen Gate entrance to Richmond Park. • 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. The system of house-refuse collection described in my Annual Report for 1934 has remained unchanged during the past year. |
47f833e7-bbdd-421b-8da4-c3f9c50a873f | During the year, in compliance with notices served by the Sanitary Inspector, 46 new movable sanitary dustbins were provided. Disposal of House Refuse. All house-refuse collected in the district is incinerated at the Council's Destructor; in addition to this refuse, the house-refuse from the Borough of Richmond is also destroyed at the Barnes Borough Council's Destructor. During 1937 the amount of refuse collected from the Barnes Borough was 11,612 tons, and the amount collected in Richmond Borough 11,662 tons, making a total of 23,274 tons to be disposed of. Cleansing and Scavenging of Streets. Mechanical sweepers are used for this purpose and the roadsweepings are removed by motor vehicles to a tip at the destructor works, or to a tip on Palewell Fields. The streets and roads in the district have been kept in a very cleanly condition. SANITARY INSPECTION OF THE DISTRICT. |
27083dd7-6423-432b-86fe-edc241b9fdb9 | The work undertaken during the year under the various Public Health Acts, Bye-Laws and Regulations is shown below in the tabular statement, furnished by the Chief Sanitary Inspector under Article XIX of the Sanitary Officers Order, 1935, 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. 19 Table IX.—Showing the Number and Nature of the Inspections made by the sanitary inspectors during 1937, 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 54 124 — — — |
19d68fed-1284-4220-b0c5-71c63db21872 | — Butchers' Shops 35 122 2 2 — — Fishmongers and Poulterers 17 43 1 1 - - Greengrocers Cooked- 56 165 2 2 - — provision shops 21 47 — — - — Ice-cream shops 34 35 — — - — Restaurants 31 77 1 1 - — Fried-fish shops 5 28 — — - — Slaughterhouses 1 10 — —- - — Bakehouses 13 53 2 2 - — Factories 17 17 2 2 1 1 Workshops 100 178 3 3 - — Workplaces 29 81 2 2 — Home-workers 8 23 — — - — Schools 29 83 — — - — Public Halls and Cinemas 8 19 - - - - Van Dwellers Servants' — — — — - — Registries 4 9 — — — — |
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