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b46b44d2-b1c4-4aec-b14c-9e23ccc78a09 | Marine Stores β - - β β β Stable Yards 32 159 5 4 - β Public Conveniences 41 183 3 2 β β Dwelling-houses (including houses let in lodgings) (1) House - toHouse Inspection 107 4212 426 264 8 8 (2) Inspected on complaint 603 (3) Inspected in course of other work:β (a) Housing work, etc 238 (b) For infectious diseases 28 Totals 1509 5669 449 285 9 9 20 Table X.βDefective Conditions Remedied. Drainage. |
7167ee00-7b2d-463f-ba21-cda26e2a8334 | Sewers cleared or repaired 7 Drains inspected on complaint 34 ,, water tests applied 48 ,, smoke tests applied 43 ,, cleansed or repaired 73 ,, relaid 45 ,, reconstructed 28 ,, ventilated 33 Inspection chambers repaired 15 ,, ,, new provided 10 InterceptorsβCaps fixed 15 Soil pipes renewed 21 ,, ,, new provided 11 Ventilating shafts repaired 10 ,, ,, new provided 1 Fresh air inlets repaired or new provided 5 Rain-water pipes disconnected from drains 1 Water Closets. Pans and traps provided 57 Waste water preventers repaired 24 ,, ,, ,, new provided 19 β ,, β water supplied 1 Apartments repaired 51 β lighted and ventilated Sinks and Baths. Repaired or newly fixed 36 Waste pipes repaired 30 ,, ,, newly fixed 25 ,, ,, trapped 37 Cesspools. Abolished Urinals. Repaired or cleansed 5 New provided Water Supply. |
35e46719-cc0f-438c-808e-f6c9013b0ff5 | Cisterns repaired or renewed 44 Taps off main provided 2 Dustbins. New dustbins provided 46 Ashpits abolished 21 Yards. Paving repaired 63 Newly paved 65 Dampness. Roofs repaired 272 Gutters and rain water pipes repaired 196 Damp courses provided 181 External walls repointed 289 Floor spaces ventilated 69 Sites below floors concreted 21 General. |
5d6f3214-1666-4daa-b4f6-1703b42cd52e | Dangerous structures repaired or rebuilt 14 Food larders ventilated or new provision made 87 Windows repaired 542 Windows made to open 21 Doors and frames repaired 199 Permanent ventilator provided to rooms 24 Lighting provided to stairs 41 Stairs repaired or handrails provided 38 Grates repaired or renewed 113 Smoky chimneys remedied 75 Washing coppers repaired 23 Walls and ceilingβplaster repaired 792 ,, ,, ,, stripped and redecorated 375 Floors repaired 197 Verminous premises fumigated and cleansed 26 β bedding cleansed or destroyed 3 Offensive accumulations removed 38 Miscellaneous defects remedied 271 Animals improperly kept Stables. Premises cleansed 4 Manure receptacles provided or repaired 1 Floors and yards properly paved and drained Infected and Infested Rooms and Articles (dealt with by the Council). |
3d77e1d0-8245-4eae-a1db-4a4f75908b16 | Rooms disinfected 222 Schools disinfected Lots of bedding disinfected 186 ,, β destroyed 19 β ,, disinfested (slum-clearance) ,, ,, disinfested (re-housing) 2 Council houses disinfested 4 Other houses disinfested 22 Apart from houses visited in connection with overcrowding the total number of premises visited by the Sanitary Inspectors under the various Acts, etc., in operation was 1,509, the total number of visits paid being 5,669. Particulars of visits made in connection with overcrowding and other visits not included in Table IX are as follows:β Overcrowding survey, 2,075 ; visits in relation to the management of Council houses, 379 ; for other purposes, 255. |
0bb6df55-07ea-4164-bd77-129d5883e187 | In addition to the above work undertaken by the Sanitary Inspectors, the Disinfecting Officer visited 123 premises for the purpose of disinfection after cases of infectious disease, and he carried out the disinfestation of 4 verminous premises. He was also engaged in the following work in connection with drainage:βDrain testing, 17; cleansing, 1. Legal Proceedings. The owner of a house having failed to comply with a Closing Order made on the 15th January, 1936 in respect of the basement part of a house, by allowing such part of the house to continue to be used for human habitation legal proceedings were taken against him. The proceedings resulted in a fine of 40s. and costs. The basement has since been vacated and is still unoccupied. FACTORY AND WORKSHOPS ACT. Factories, Workshops, and Home-workers. |
b6988fd1-9ea6-4934-ac19-c5db24e0e4f8 | The work carried out in connection with the inspection of factories, workshops and home-workers is summarised in tabular form below. The numbers of these premises on the Council's Register at the end of the year were:βFactories 98, workshops and workplaces 129, homeworkers 8. The number of factories, workshops, workplaces and home-workers' premises visited, and the number of visits of inspection made to each are given in Table IX, on page 19. Two notifications were received during the year from H.M. Inspector of Factories as regards matters remediable under the Public Health Acts, but not under the Factory and Workshops Act, 1901, Sec. 101. The matters complained of were remedied and a report sent to H.M. Inspector. 23 Table XI.βInspection of Factories, Workshops and Workplaces. Premises. Number of Inspections Written Notices. |
b0445a59-d047-4d6e-8219-310642b804d7 | Prosecutions Factories (Including Factory Laundries) 17 2 β Workshops (Including Workshop Laundries) 178 3 - Workplaces (Other than Outworkers' premises) 81 2 - Total 276 7 - Table XII.βDefects 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* Want of cleanliness 2 2 β β Want of ventilation β β β β Overcrowding β β - β Want of drainage of floors β β - β Other nuisances - Sanitary accommodation insufficient 4 4 - - unsuitable or - - - - tive. β β - - not separate for sexes 1 β - - Offences under the Factory and Workshop Acts:β Illegal occupation of underground bakehouse (s. |
16e2ac13-d3a9-4806-9c86-816a159654b3 | 101) Other offences - β - β (Excluding offences relating to out-work and offences under the Sections mentioned in the Schedule to the Ministry of Health (Factories & Workshops Transfer of Powers) Order, 1921. Total 7 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. 24 Table XIII.βShowing the Number of Home-workers on the Register, and the Nature of the Work Undertaken by Them. Nature of Work. Number of Home Workers Fancy Needleworkers 3 Tailors 4 Dressmaking 1 Total 8 SHOP ACTS, 1912-1934. Inspections under the Shops Acts 1912 to 1934 have been carried out by the Chief Sanitary Inspector with the assistance of the Junior Assistant Sanitary Inspector. During the past year 311 shop premises were inspected for the purposes of the above Acts. |
f08ce1d0-8d89-4880-aa53-e2bcb3943256 | In 10 instances notice relating to the sanitary accommodation was given to the occupier. In nine of these cases the notices were complied with; in the remaining case the use of the premises as a shop was discontinued. SMOKE ABATEMENT. The chimneys of factories and other buildings were kept under observation with a view to detecting any contravention of the Byelaws. In three instances nuisances were detected, the nuisance being caused by the emission of black smoke. In each instance the premises concerned were immediately visited with a view to ascertaining the cause of the trouble. The attention of the responsible person was directed to the necessity of greater care being exercised, the personal visit of the Sanitary Inspector being followed up with a written warning. This has led to an improvement. RATS AND MICE (DESTRUCTION) ACT, 1919. There were 325 complaints of infestation of premises with rats. |
18ed7ccc-aca7-4051-84fd-fa85a73fef82 | The rat-catcher made 662 visits to enclosed premises, and 305 visits to open spaces in connection with his duties under the Act. The number of rat-tails brought to the Public Health Office by the ratcatcher during 1937 was 1,520. Poison bait was laid at 70 premises, and 26 sewers were baited with poison. 25 RAG FLOCK ACTS, 1911 and 1928. There are no premises in the area coming within the provisions of these Acts. PREMISES AND OCCUPATIONS WHICH ARE CONTROLLED BY BYE-LAWS OR REGULATIONS. Houses let in Lodgings. During the past year 157 visits were made to premises on the register of houses let in lodgings. During the year 38 such premises were removed from the register, being no longer occupied by two or more families. The total number of such premises on the register at the end of the year was 118. |
04ad52a3-c0da-4ca6-b3fa-e1a130a15f49 | Common Lodging Houses. There are no common lodging houses in the district. Underground Rooms. No closing order in respect of any basement dwelling was made during the year. Tent and Van-Dwellers. There are no tent or van-dwellers permanently located in the areaNo proceedings under the Bye-laws became necessary in connection with any caravans temporarily in the district. Servants' Registries. Registries for female domestic servants are controlled by bye-laws made under Part V of the Surrey County Council Act, 1925. There are 4 premises on the Register. No action for breach of the bye-laws was taken during the year. Offensive Trades. Fish-frying has been declared to be an "offensive trade" in the area and is controlled by bye-laws. The number of premises on the Register during 1937 in which fish-frying is permitted was 5. SWIMMING POOLS. |
f208120b-2866-4ff1-9dd7-bbe90d304ce8 | There are no public swimming baths or pools, or privately owned swimming baths or pools open to the public, in the area. A privately owned swimming pool, belonging to the Roehampton Club, is open to the public, but this pool, whilst situated adjacent to, is not actually within the Barnes Borough. 26 SCHOOLS. There are 28 schools in the district. Of these 13 are Public Elementary Schools, 2 are County Secondary Schools, and 13 are private schools. Careful investigations have been made into all outbreaks of infectious diseases amongst scholars. Details of the incidence of scarlet-fever and diphtheria (two of the more serious, but relatively more preventable, infectious diseases) among children attending school during the year are given below :β Of 84 cases of scarlet fever notified during the year 53 were cases in children of school age. |
e70de39a-929c-44e2-bf88-8bd8b6b32d4e | Of these 33 were children attending public elementary schools, and 20 were cases in children attending private schools (15 at private schools in Barnes, and 5 at private schools outside the district). Of the 3 cases of diphtheria notified during the year only one was a child of school age. This child attended a public elementary school. In the 13 public elementary school cases occurred as under:β Number of scholars on Register. Number of who suffered Scarlet Fever. scholars from:β Diphtheria Barnes Central Boys 221 β β ,, ,, Girls 245 1 β Lowther J.M. and Infants 284 3 1 Castelnau J.M. and Infants 55 β - Westfields Mixed 211 β - ,, Infants 119 1 - East Sheen J.M. and Infants 380 8 - Mortlake Central Boys 198 5 - ,, ,, Girls 228 β - Mortlake Council J.M. |
a30d2fc5-e187-471a-8d59-8ae4abe96258 | and Infants ts 341 4 - Mortlake C.E. Mixed 148 5 - ,, β Infants 76 6 - Mortlake R.C. 162 β β Total 2,668 33 1 Of the 13 private schools in the district scarlet fever occurred in only 4 of them. No case of diphtheria occurred in a private school. The incidence of infectious diseases amongst children of school age was extremely low. It is very satisfactory to have been able to restrict the numbers of cases of scarlet-fever and diphtheria amongst a total of approximately 2,700 school children on the public elementary school registers to such small numbers as 33 scarlet-fever cases and 1 diphtheria case during the year. 27 ERADICATION OF BED BUGS. Particulars are given below of action taken during the year in the case of dwellings found on inspection to be bug-infested. (i) Disinfestation of houses. |
910ba0c3-b3d7-4e5c-8b04-e77a59e9b05f | The number of infested houses dealt with was 30. Of this number 4 were Council houses, and 26 were houses not owned by the Council. Disinfestation of the 4 Council houses was carried out by the staff of the Public Health Department. Vermicine was employed in the case of 3 of these houses ; fumigation with sulphur dioxide was the method employed in the case of the remaining house. In the case of the 26 houses in which disinfestation was carried out by the owners, advice was given by officers of the Public Health Department as to the most suitable action to be taken in each particular case in dealing with the premises. During 1937 hydrogen cyanide was not employed for the disinfestation of any house. (it) Disinfestation of household effects (excluding bedding). No rehousing under the slum clearance programme was carried out durin; 1937, and accordingly no disinfestation of household effects by hydrogen cyanide was undertaken. |
5e3faa13-819f-4785-a327-933f5044dd22 | (ii) Disinfestation of bedding and bedclothing. In all cases disinfestation of bug-infested bedding and bedclothing has been carried out by steam-disinfection at the Council's Disinfecting Station. 28 Section IV. HOUSING. (I) HOUSING STATISTICS FOR THE YEAR 1937. 1. Number of New Dwellings Erected during the Year :β Total erected 165 (i) By the Local Authority Nil (ii) By other Local Authorities Nil (iii) By other bodies or persons 165 2. Number of Dwellings Owned by the Local Authority:β Number of houses 237 β β flats 67 Total 304 3. Unfit Houses. |
c2c973cd-f430-49c2-9abb-3ea1c7f28da3 | (I) Inspection of Dwelling Houses during the Year:β (i) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 948 (b) Number of inspections made for the purpose 4141 (it) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, |
e2980be6-f42f-4664-beb4-56db3d9fb6a2 | 1925 107 (b) Number of inspections made for the purpose 1707 (iii) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (iv) 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 426 (II) Remedy of Defects during the Year without service of formal notices:β Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 264 29 (III) Action under Statutory Powers during the Year A.βProceedings under sections 9, 10 and 16 of the Housing Act, |
74959f39-2ef9-4f4b-8be2-003bd60e8991 | 1936:β (i) Number of dwelling-houses in respect of which notices were served requiring repairs Nil (ii) Number of dwelling-houses which were rendered fit after service of formal notices:β (a) By owners Nil (b) By Local Authority in default of owners Nil B.βProceedings under Public Health Acts:β (i) Number of dwelling houses in respect of which notices were served, requiring defects to be remedied 8 (ii) Number of dwelling houses in which defects were remedied after service of formal notices:β (a) By Owners 6 (b) By Local Authority in default of owners 2 C.βProceedings under sections 11 and 13 of the Housing Act, 1936:β (i) Number of dwelling-houses in respect of which Demolition Orders were made Nil (ii) Number of dwelling houses demolished in suance of Demolition Orders Nil D.βProceedings under section 12 of the Housing Act, |
4ca24cc6-1ae8-4d6c-a3d7-8c610fe5484d | 1936:β- (i) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil (ii) Number of separate tenements or underground rooms in respect of which Closing Orders were determined, the tenement of room having been rendered fit Nil 4. Housing Act, 1936βPart IVβOvercrowding. (a) (i) Number of dwellings overcrowded at the end of the year 109 (ii) Number of families dwelling therein 109 (iii) Number of persons dwelling therein 701 (b) Number of new cases of overcrowding reported during the year 22 (c) (i) Number of cases of overcrowding relieved during the year 32 (ii) Number of persons concerned in such cases 106 (2) DWELLING-HOUSES UNFIT FOR HUMAN HABITATION. (i) PROCEEDINGS UNDER THE HOUSING ACT, 1925βSEC. 11. Premises. |
f28a0ea3-5857-443a-997b-5192e3bbb097 | Represented by M.O.H. Closing Order Made. Premises Vacated. Closing Order Determined. Demolition Order Made. Demolished. 4 Hampton Square 4 Mar., 1930 11 Mar., 1930 8 April, 1935 β - - 5 Hampton Square 4 Mar., 1930 11 Mar., 1930 6 Oct., 1930 - Oct., 1934 7 Agate Yard 3 June, 1930 10 June, 1930 20 Dec., 1933 β β β 56 Hampton Square 3 June, 1930 10 June, 1930 Dec., 1931 6 June, 1932 - - 84 Sheen Lane 3 June, 1930 10 June, 1930 Dec., 1933 - - (April, 1938) (ii) PROCEEDINGS UNDER THE HOUSING ACT, 1930βSEC. 19. |
60e325eb-9124-44ed-827d-84a5f388e457 | Premises. Represented by M.O.H. Closing Order Made. (undertaking given) Demolition Order Made. Premises Vacated. Demolished. 93 High Street, Mortlake 1 Sep. 1931 - 10 Oct. 1931 13 Dec. 1934 57 Railway Side 3 Nov. 1931 - 8 Dec. 1931 4 Jan. 1931 Dec. 1932 58 Railway Side 3 Nov. 1931 - 8 Dec. 1931 3 Mar. 1932 Mar. 1933 The Tea Cottage 5 Dec. 1933 - 14 Feb. 1934 11 Oct. 1934 Oct. 1934 3 Thames Bank 6 Feb. 1934 9 May, 1934 - 8 Aug. 1934 - 4 Thames Bank 6 Feb. 1934 9 May, 1934 - 8 Aug. |
1ce2f7ae-febc-4f4c-974d-51f490a70091 | 1934 - Railway Cottage 1 Mav, 1934 - 12 Sep. 1934 5 Mar. 1935 May, 1935 5 Lifford's Place 1 May, 1934 - 12 Sep. 1934 30 June, 1936 July, 1936 7 Lifford's Place 1 May, 1934 - 12 Sep. 1934 14 May, 1936 July, 1936 Waldeck Cottage 3 July, 1934 - 13 Feb. 1935 23 Jan. 1936 June, 1936 95 High Street, Mortlake 11 Dec. 1935 - 12 Feb. 1936 3 Mar. 1936 β 30 (iii) PROCEEDINGS UNDER THE HOUSING ACT, 1930βSEC. 20. Premises. Represented by M.O.H. Closing Order Made. Premises Vacated. |
35f0dcb4-6e7e-4bbd-8ca0-9cd737c434be | Closing Order Determined. 42 Lonsdale Road 1 May, 1934 15 January, 1936 31 March, 1937 46 Lonsdale Road 1 May, 1934 15 January, 1936 (Unoccupied) β 26 High Street, Barnes 11 Dec., 1935 11 March, 1936 (Unoccupied) β (iv) PROCEEDINGS UNDER THE HOUSING ACT, 1930βPART 1. Clearance Area. Represented by M.O.H. Declared by Council. Compulsory Purchase Order Made. C.P. Order Confirmed. Number of houses. Families to be displaced. Progress to 31 Dec., 1937. Families Re-housed. Houses Vacated. Houses Demolished. No. 1. |
169624bf-9d54-4f65-9146-3e83b33d5383 | (Bessants Cottages) 4 July, 1933 β’ 11 Oct., 1933 9 Nov., 1933 23 Mar., 1934 (Inquiry 19 Dec. 1933) 7 7 7 7 7 No. 2. (Martha Place) 4 4 4 4 4 No. 3. (Mullins Path, No. 1) 6 6 6 6 6 No. 4. (The Vineyard) 11 11 11 11 11 No. 5. (Wisteria Cottage) 3 3 3 3 2 No. 6. (Butlers Cotts., etc.) 3 Oct., 1933 4 4 4 4 4 No. 7. (Mullins Path, No. |
6999092f-b59a-4fc9-8663-c2a47df3f4ce | 2) 16 18 18 16 16 Total : Areas Nos.l to 7 51 53 53 51 50 No. 8. (Railway Street, etc.) 4 Dec., 1935 11 Dec., 1935 10 June, 1936 14 Jan., 1937 (Inquiry 26 Oct., 1936) 4 4 β (4) β (4) β (4) No. 9. (St. Ann's Passage) 20 22 β (22) -(20) β (20) Total : Areas, Nos. 1 to 9 75 79 53 (79) 51 (75) 50 (74) No. |
a81da104-c439-4bc3-99b5-c660539dfc49 | 10 (Hampton Square) 28 Sept., 1936 14 Oct., 1936 9 Dec., 1936 29 June, 1937 (Inquiry 27 April, 1937) 72 75 - (57) -(48) - (-) All Areas : Nos. 1 to 10 147 154 53 (136) 51 (123) 50 (74) Note.βThe figures in brackets represent the progress at the time of writing. 31 32 (3) HOUSING CONDITIONS. The number of new dwellings erected in the area during 1937 was 165; all of these were houses erected by private enterprise. Slum Clearance. At the commencement of 1937 seven of the ten clearance areas included in the five-year programme had been dealt with, the tenants from these having been rehoused and the dwellings (with the exception of one) demolished. |
ebaf3872-2300-4394-abe0-d604853289b6 | The Compulsory Purchase Orders made on the three remaining areas (Clearance Areas Nos. 8, 9 and 10), which were the subject of Public Inquiries during 1936, were confirmed by the Minister of Health on the 14th January, 1937 in the case of Clearance Areas Nos. 8 and 9, and on the 29th June, 1937 in the case of Clearance Area No. 10. Accommodation to re-house the tenants to be displaced from Clearance Areas Nos. 8, 9 and 10 was proceeded with during the year by the erection of a block of 146 flats, it being anticipated that approximately 90 of these flats would be required for re-housing the families from the Clearance Areas, the balance being available for the purpose of abatement of overcrowding. At the time of writing the flats have been completed and re-housing of the majority of the families has been effected. |
74ac7ac4-ebb2-456c-8065-79f81494eccc | A summary of proceedings taken in connection with houses unfit for human habitation since 1930, the date of the last Survey Report, is given in tabular form in pages 30 and 31. OvercrowdingβHousing Act, 1936βPart IV. (1). Ascertainment of "Permitted Numbers." The Housing Act, 1936 requires that every rent-book or similar document used in relation to any dwelling occupied by the working classes must contain a statement of the "permitted number" of persons who may occupy the dwelling. The local authority, on the application of the landlord or the occupier, is required to inform the applicant in writing of the "permitted number" in relation to the dwelling. For the purpose of ascertaining the "permitted number" of a dwelling it is necessary to obtain the measurements of the rooms in the dwelling. |
5cb34713-de8a-4927-a68a-4c0fc4a39723 | During 1937 the measurement of the 6,038 "dwellings" included in the overcrowding survey was proceeded with to ascertain the "permitted numbers" in respect of them. At the end of the year the "permitted numbers" had been assigned in respect of 5,969 " dwellings," there being a balance only of 69 awaiting measurement. 33 By the 31st December, 1937, applications from landlords, asking to be furnished with information as to "permitted numbers," had been received in respect of 2,903 of the "dwellings" included in the survey. Certificates giving the " permitted numbers " for these were issued. (2). Abatement of Overcrowding. There has been no instance during the year of any dwellinghouse having again become overcrowded after the Council had taken steps for the abatement of overcrowding. The overcrowding survey disclosed 140 "dwellings" in which statutory overcrowding existed. |
588aea49-378c-4cd5-991a-db15d37d0007 | During the year 1936 20 further cases were discovered; during the same year 41 cases were abated leaving 119 awaiting abatement on 1st January, 1937. During 1937 22 new cases of overcrowding were reported and 32 cases abated, leaving a balance of 109 cases of overcrowding awaiting abatement on the 31st December, 1937. Of the 32 cases in which overcrowding was relieved during 1937 5 were relieved by rehousing the families in Council houses, 12 were rehoused by the London County Council in houses on the London County Council Castelnau Estate, and the remaining 15 had become relieved in various other ways, such as the families having removed to dwellings with more accommodation, some of the members of the households having left to reside elsewhere, etc. |
24297c9b-df7f-4ab1-9cd3-5701c56ffcbe | For the abatement of those existing cases of overcrowding which do not get relieved by other means the Council will have available a balance of about 40 dwellings remaining in the Chertsey Court block of flats after the families from the last of the slum-clearance areas have been rehoused. 34 Section v. INSPECTION AND SUPERVISION OF FOOD. MILK SUPPLY. The number of premises in the district registered as dairies is 5. The number of purveyors of milk who sell by retail in the Borough is 53. Thirty-nine of these purveyors retail milk from premises situated within the Borough (5 from registered dairies, and 34 from premises which do not constitute dairies); the remaining 14 purveyors retail milk in this area from premises situated outside the Borough. The number of visits paid by the sanitary inspectors to the premises of persons engaged in the milk trade during 1937 was 124. Designated Milk. |
fd4a1109-ee5c-4672-9544-8673ea70c957 | During 1937, designated milk was retailed to customers in this district by the undermentioned 7 purveyors, (a) to (g), holding licences granted by the Council as follows :β (a) From 2 depots in the district "Tuberculin-tested " "Pasteurised " From 4 milk-shops in the district . . "Tuberculin-tested" "Pasteurised" (b) From 7 milk-shops in the district . . "Pasteurised" From 2 premises outside the district "Tuberculin-tested" "Pasteurised" (c) From 1 milk-shop in the district. "Pasteurised" From 1 depot outside the district . . "Tuberculin-tested" "Pasteurised" (d) From 1 milk-shop in the district .. "Tuberculin-tested" "Pasteurised" (e) From 1 milk-shop in the district . . |
34fa572e-22ed-4ade-adf9-466dad11f23f | "Pasteurised" (f) From premises outside the district .. "Tuberculin-tested" "Pasteurised" (g) From premises outiside the district "Pasteurised" No purveyor has applied for a licence to sell "Accredited " milk. Adulteration. Twenty-one samples of milk and two samples of cream were taken by the County Inspector under the Sale of Food and Drugs Acts, none of which was found to be adulterated. 35 Refusal or Revocation of Registration. The Council did not during 1937 refuse or revoke registration on the grounds that the public health was, or was likely to be, endangered by any act or default of any purveyor in relation to the quality, storage or distribution of milk. Tuberculous Milk and Tuberculous Cattle. There has been no instance where there was reason to suspect that tuberculosis was caused or likely to be caused by the consumption of milk sold in the district. |
9c76b83c-bde4-4a8f-8825-039f74236321 | There is no cowshed in the area. The Council is not a Local Authority for the purposes of the Diseases of Animals Act, 1894. MEAT. Inspection of Butchers' Shops. There are 35 butchers' shops in the area. The number of visits of inspection made by the Sanitary Inspectors, who are Certified Inspectors of Meat, was 122. No diseased meat was found in the course of these inspections. No proceedings were taken under the Public Health (Meat) Regulations, 1924. Slaughterhouses. There is no public slaughterhouse in the area. The only private slaughterhouse licenced in the Borough has been found to be kept in a satisfactory condition. During the year only one notice of intention to slaughter was received. Inspection at the time of slaughter was made by the Chief Sanitary Inspector. The animals slaughtered on this occasion were swine only, numbering 14. |
a32f59d3-b9c5-4eb1-8831-4822272173e5 | No disease was found in any of the carcases inspected. OTHER FOODS. Premises where food other than milk Or meat is sold or prepared for sale, which include fishmongers and poulterers (17), greengrocers (56), fried fish shops (5), cooked-provision shops (21), eating houses (31), ice-cream shops (34), bakehouses (13)βtotal 177, were inspected periodically. The number of visits of inspection made to these during the year totalled 448. Notices as to unsatisfactory conditions discovered were served in 6 instances and the requirements of the notice in each case were complied with. 36 There are 13 bakehouses in use in the area, one of which is an underground bakehouse. There are 5 bakehouses in the district which are no longer used, 4 of these are underground and are unfit for use as such. |
b4925ca2-d153-4d41-a161-c6beadae5d49 | Fifty-three visits of inspection were made and in one instance an informal notice was issued in respect of defective conditions. SALE OF FOOD AND DRUGS ACTS : MILK AND CREAM REGULATIONS. The Council of this Borough 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.βReturn of Samples Analysed during the Year ending 31st December, 1937. Articles. Analysed. Adulterated or deteriorated. Prosecutions. Convictions. Format. Informal. |
cb0a7e77-450b-4a2d-96f1-a7eeb7d90938 | Total Formal Informal Total Milk 18 3 21 Cream 2 β 2 β β β β β Meat 6 β 6 - - - - Sausages 2 β 2 - - - β β Preserved Sau'ges 1 β 1 - - - - - Tea 1 β 1 - - - - - Flour β 1 1 β β β β β Whiskey 2 β j. β β β β β Malt Vinegar 1 β 1 - - - - - Barbados Sugar 3 β 3 β == β β β Lemon Cake 1 β 1 - - - - - Mincemeat 1 β 1 - β β β β Raisins 1 β 1 β β - - β Baking Powder β 1 1 β β β β β Icing Sugar β 1 1 β - β β β Totals 39 6 45 - - - - - UNSOUND FOOD. |
80f88262-7060-492a-848f-ccd52eec1cd2 | The following articles of food in an unsound condition were voluntarily surrendered and destroyed:β 1 carcase of a pig. 1 sheep's liver. 2 boxes of skate. 1 box of winkles. 37 Section VI. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1937 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 given. In Table XV the seasonal prevalence during 1937 is shown. The prevalence of the various notifiable infectious diseases during 1937 is shown in Table XVII which gives for comparison the number notified during each of the previous 10 years. Table XV.βShowing the Notifications of Infectious Diseases Received during 1937 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. |
a998404d-5fbc-4153-a379-81df1be0d06b | Measles. Rubella. Enteric Fever. Pulmonary Tuberculosis. Non-pulmonary Tuberculosis. Pneumonia. Erysipelas Puerperal Pyrexia. Opthalmia Neonatorum. Poliomyelitis. Jan. 30 - 10 2 - - 4 4 10 1 - - - Feb. 27 β 7 5 β β β 2 4 β β β β Mar. 27 β 5 61 1 β 4 1 6 2 β β β April 24 β 7 16 β β 3 β 3 β 1 β β May 22 β 9 β β β 1 β 4 1 β β β June 19 β 6 1 β 1 3 β 1 1 β β 1 July 17 2 7 2 1 β 2 β 1 β β β β Aug. |
8f25c27f-f9b6-4f43-a173-3a5e9eda2223 | 14 β 8 8 β β 1 2 1 3 β β β Sept. 11 β 1 3 1 β 2 β 1 β β β β Oct. 9 β 3 β β 1 3 1 - - - - - Nov. 6 β 2 1 β 1 2 β β 2 β 1 β Dec. 4 1 13 1 3 β 1 β β 1 β β 1 Jan. 1 β 6 1 3 β 2 β 3 1 β β β Totals 3 84 101 9 3 28 10 34 12 1 1 2 38 Table XVI.βNotifiable Infectious Diseases, 1937. Diseases. Total Cases Notified. Ages, in years. Parish Removed to Hospital. * Total Deaths of Residents.β Under 1 year 1 to 2. |
1f6d90e0-e4f9-41fb-9d7f-7dafedbb1cc2 | 2 to 3. 3 to 4. 4 to 5. 5 to 10. 10 to 15. 15 to 20. 20 to 25. 25 to 25. 35 to 46. 45 to 65. 65 and over Barnes Mortlake. |
9dab81b7-1940-4782-a019-e1985ed7d20e | Diphtheria 3 - - - - 1 - 1 - - - l β β 1 2 3 β Scarlet Fever 84 β 2 2 10 7 38 13 3 2 5 l 1 β 26 58 69 β Measles 101 1 4 3 5 7 61 16 3 β 1 - - - 22 79 5 β Rubella 9 1 - - - - 3 1 1 1 2 β β β 5 4 1 β Enteric Fever 3 - - - - - - β β 1 β 2 β β 1 2 1 β Pul. Tuberculosis 28 - - - - - β 3 6 9 4 6 β β 13 15 37 25 Non.-Pul.T uberculosis 10 - - - - - 1 1 1 1 2 |
c3847817-4b6d-42b5-8190-e5106efbe385 | 1 3 β 5 5 6 4 Pneumonia 34 1 β 1 1 β 1 β 1 β 6 3 11 9 19 15 9 30 Erysipelas 12 - - - - - - - 1 β β 3 6 2 4 8 3 1 Puerperal Pyrexia 1 - - - - - β β 1 β β β 1 - 1 β Ophth'lmia Neonat'rum 1 1 - - - - - - - - - - - - 1 β β β Poliomyelitis 2 - β - - β 1 β 1 β - β β β 1 1 1 β All Diseases 288 4 6 6 16 15 106 34 17 14 21 17 21 11 99 189 136 60 * Information as to admission to Hospitals will |
8d2ead64-3fdd-4318-af47-dbffbc40acae | be found under the headings of the various diseases. β The deaths recorded in this column are the total corrected number of deaths assignable to the District, and are not necessarily deaths of persons recorded as notified during the year. 39 Table XVII.βNotifiable Infectious Diseases, 1927 to 1937. Year. 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 Diphtheria 10 33 46 41 16 1 72 29 31 4 3 Scarlet Fever 129 101 75 74 64 92 147 132 77 56 84 Enteric Fever 3 4 2 45 3 4 β 1 1 3 3 Puerperal Fever 3 2 1 - 1 1 1 1 - 2 \- β Pyrexia 4 7 1 2 2 |
824e015f-3123-4367-b56b-7109479b5255 | 4 2 2 3 1 1 Erysipelas 12 15 11 8 7 10 16 11 16 11 12 Continued Fever β β β β β β - - - - - Relapsing Fever β β β β - - - - - - - Typhus Fever β β β β β - - - - - - Small-pox β β β β β - - - - - - Cholera β β β β β β - - - - - Plague β β β β β β - - - - - Tuberculosis, P. 41 39 51 43 41 44 30 42 21 39 28 Non-P 8 9 11 10 6 13 10 6 8 5 10 Cerebro-spinal Fever β 1 β β β β 2 1 β - - Poliomyelitis β β β β 1 β 1 - - - 2 |
2cb5189e-2c06-48d1-bbfb-00629384238b | Ophthalmia Neonatorum 5 5 1 1 - 1 β 1 1 1 1 Measles 18 726 126 397 31 790 50 551 7 517 101 Rubella 11 12 123 41 16 8 23 61 5 29 3 Encephalitis Lethargica - - 1 β β β β β β β β Polioencephalitis - β β β β - - - - - - Malaria 1 β 1 β β - - - - - - Dysentery β β β β β β - - - - - Pneumonia 47 25 52 16 28 30 35 36 13 21 34 Anthrax - - - - - - - - - - - NOTIFIABLE INFECTIOUS DISEASES (EXCLUDING TUBERCULOSIS). Small-pox. |
a821204c-e415-4731-a33f-0b5b8d89c28e | No case of small-pox occurred in this district during the year. 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. 40 The following particulars, with reference to the state as regards vaccination on the 31st December, 1937, in respect of the 262 infants whose births were registered between 1st January and the 31st December, 1936, have been supplied to me by the Vaccination Officer for the district:β Births Registered in 1936 262 Certificates of successful vaccination 118 Certificates of exemption 105 Certificates of postponement of vaccination 3 Insusceptible to vaccination β Died unvaccinated 5 Removed to other districts 20 Nor yet accounted for in Vaccination Register .. 11 Diphtheria. |
20fca521-e137-4a18-b189-04573d7f5179 | Three cases only of this disease were notified during 1937, a remarkably small number in a population of 41,100. All three cases occurred in the Borough. As regards age distribution of the 3 cases notified, 1 was a child under school age, 1 was a child of school age (attending a public elementary school) and the remaining case was an adult. The incidence-rate (cases per 1,000 of the population) was 0.07, the rate for London being 1.93, and for England and Wales 1.49. The incidence-rate of diphtheria in Barnes was less than one-twentieth of the incidence-rate of this disease in the country as a whole. All three cases were admitted to the Council's Isolation Hospital. No death occurred from the disease. The death-rate from diphtheria for London was 0.05, and that for England and Wales 0.07 per 1,000 of the population. |
c6dde8c2-cac4-4659-8f7a-c82bb24c4bc6 | The preventive measures taken have been the same as in previous years and were given in detail in my Annual Report for 1930 (page 59). As regards house-incidence the three cases which were notified in the Borough occurred in separate houses. 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. 41 Diphtheria Immunisation. During 1937 the Council have continued to hold a diphtheria immunisation clinic at the Essex House Maternity and Child Welfare Centre each Wednesday, the immunisation being undertaken by a specialist Medical Officer appointed by the Council for this purpose. (a) Work of the Clinic during the Year. |
b4e207d7-0ea1-46d9-aef8-73857fed988c | Information is given below as to the work undertaken in connection with the scheme during the year ending 31st December, 1937 :β During the above-mentioned period leaflets were issued to 1933 mothers drawing their attention to the facilities available at the Clinic for their children. Requests for testing, and immunisation where necessary, were received from parents during 1937 in respect of 359 children. On the 1st January, 1937 there were 56 applications, received during 1936, which had not been dealt with by the end of that year. These cases and 304 of the applications received during 1937, making 360 in all, received appointments to attend at the Clinic. Fifteen of those appointed had not attended by the end of the year, the parents having withdrawn their applications or postponed attendance on account of ill-health of the child. |
d39e6e03-cb4d-4ec4-b1e8-72f9f9ef6b83 | The number of children dealt with at the Clinic during the year totalled 592, consisting of the above-mentioned 345 children plus 247 children whose course of injections had commenced in 1936 but which had not been completed by the end of that year. The position as regards these 592 children on the 31st December, 1937 is given in the accompanying Table (page 42). Forty-seven sessions of the Clinic were held and the attendances made by the 592 children numbered 2,169, an average of 46 children per session. The work of the clinic has run very smoothly and the attendance of the children has been regular. (b) Method of Procedure. The procedure which has been adopted at the clinic has been as under:β All the children (including those under 5 years of age) have received a primary Schick test to ascertain their susceptibility to the disease. The immunising agent used has been T.A.M., three immunising injections of which have been given. |
d3688540-5d63-49dc-bbf8-78369058d83a | 42 Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1937, in Respect of the 592 Children who Attended the Clinic during 1937. Position on 31st Dec., 1937 TOTAL CASES dealt with during 1937 592 (A) Continued in Attendance. |
cbeeeeff-5eec-4263-a7b0-719839bf4127 | 573 (1) Primary-Schick Negative:β 80 (a) Re-Schick Negative (Certificate) 60* (b) Awaiting re-Schick test 9 (c) Re-Schick Positive:β 11 (i) 3-injections, Post-Schick Negative (Certificate) 10 (ii) ,, , awaiting Post-Schick test 1 (2) Primary Schick-Positive:β 493 (a) 3-injections and, Post-Schick Negative (Certificate) 345* (b) Awaiting Post-Schick reading 4 (c) Awaiting Post-Schick test 118 (d) 2-injections, awaiting further injection 10 (e) 1 -injection 4 (f) Awaiting immunisation 4 (g) 3-injections, Post-Schick Positive:β 8 (a)" 2nd Course . . |
623088a6-4f1d-479a-9c65-76eff57dd7a7 | of injections 2nd Post-Schick Negative (Certificate) 6 (b) Awaiting 2nd Post-Schick reading - (c) Awaiting 2nd Post-Schick test 2 (B) Discontinued Attendance. 19 (a) Left the District 12 (i) Primary-Schick, awaiting reading - (ii) Primary-Schick, Negative 4 (iii) ,, β Positive 2-injections (1), 3-injections (7) 8 (b) Discontinued for other reasons:β 7 (i) Primary-Schick, awaiting reading 1 (ii) Primary-Schick, Negative 1 (iii) ,, ,, ,, , 3-injections 5 (C) Number Immunised and Certificates Issued. 421 Schick tests Negative throughout 60 ,, β Negative after immunisation 361 * Cases in which Certificates of immunity have been issued. |
b1ec263d-31a9-4a6c-9939-3c5b60d89fbe | 43 The number of cases in which a second course of injections (usually two in number) has been required before complete immunity, as shown by the Schick test, was established has been very small. Only 10 instances have occurred in the year's work. In every case a Re-Schick test after a negative primary Schick test, or a Post-Schick test after immunising injections, has been performed and a negative result obtained before issuing a certificate of natural immunity, or of artificial immunity after protective injections. Reactions after injections have been very few in number, and those that occurred were only slight in degree. (c) Progress since the Commencement of the Clinic. A summary of the progress made under the scheme during two year's work, from June 1936 (when the scheme was commenced) to June 1938, is given hereunder Number of leaflets issued to parents 4,390 ,, ,, children for whom applications for treatment have been received . |
e2e5af28-a5b4-41d3-91df-87e9cf4d7c25 | 789 ,, ,, children who have been appointed to attend the clinic . 765 ,, β children who have so far attended 754 β ,, children who have continued to attend to-date 726 ,, ,, children in respect of whom certificates of immunity have been issued 616 ,, ,, children awaiting Re-Schick test 84 ,, ,, children receiving immunising injections 26 ,, ,, children who failed to complete course 28 Number of Clinic sessions held 93 β ,, attendances made by children 4,035 Average attendance per session . 45 There has been no instance of any child in the Borough who had reacted negatively to a primary Schick test, or who had been immunised after a positive Schick test, having been notified as a case of diphtheria. Scarlet Fever. The number of cases notified during the year was 84. Two of the cases in respect of whom notifications were received were patients who had developed the disease whilst in London general hospitals and were removed thence to London County Council infectious diseases hospitals. |
b559bd8a-7243-422f-b7a6-a2490c1f9a9f | Of the remaining 82 cases which occurred in Barnes 67 were admitted to the Council's Isolation Hospital; in 15 cases isolation of the patient was carried out at home. 44 Of the 84 notified cases, 12 were young children under school age, 53 were of school age (33 attending puplic elementary schools, and 20 attending private schools), and 19 were above school age. The incidence-rate (cases per 1,000 of the population) for Barnes was 2.04, the rate for London being 2.09, and that for England and Wales being 2.33. No death occurred from this disease during the year. The death-rate for London and for England and Wales was 0.01 per 1,000 of the population. The preventive measures taken in previous years were continued in 1937 (an account of these was given in my Report for 1930, page 60). |
62f65761-b8b9-4dbe-af49-3194e5b2b9bf | The house-incidence of the 84 cases of scarlet-fever which occurred in the district was as follows :β Number of houses in which 1 case occurred 54 ,, ,, ,, 2 cases ,, 8 ,, ,, ,, 3 ,, ,,2 ,, ,, ,, 4 ,, ,, 2 Total houses invaded 66 Use has not been made of the Dick test. Measles. This disease becomes epidemic in this district every second year. During 1936 there were 517 cases of measles notified ; the year 1937 was a non-epidemic year and only 101 cases of measles and 9 cases of german measles were notified. As has been the practice in past years all the cases notified were home-visited, a total of 161 home-visits being made by the Health Visitors with the object of lessening as far as possible the spread of the disease and of securing that appropriate medical attention was obtained. |
c872adf9-8233-4887-ac51-fbf0f7926351 | Cases which were very acute, or in which serious complications has supervened and which were likely to end fatally, and other cases occurring in homes in which the necessary care and nursing attention for the patients could not possibly be provided at home were admitted to the Borough's Isolation Hospital. Six patients were admitted for one or other of the above-mentioned reasons; all these patients recovered. No death occurred from the disease during 1937. The death-rate for England and Wales was 0.02 and that for London 0.01. 45 The death-rate from this disease during the past five years is given in the Table below, contrasted with that for London, and for England and Wales. Table XVIII.βMeasles : Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. |
6c9f6d09-88fb-4e93-8042-33a0f8e61070 | 1933 0.00 0.02 0.05 1934 0.02 0.20 0.09 1935 0.00 0.00 0.03 1936 0.02 0.14 0.07 1937 0.00 0.01 0.02 Average Rate 1933-1937 0.01 0.07 0.05 Enteric Fever. Three cases of enteric fever were notified during the year. All three cases were sporadic, having no connection with one another. In two of the cases the history showed that the disease had been contracted outside the district. In two instances the type of infection was Bac. Typhosus and in the other case Bac. Paratyphosus " B." In two of the cases isolation of the patient was carried out at home, the remaining case being admitted to the Council's Isolation Hospital. |
322a5b13-f47e-4bec-86d7-a8478a4093b2 | None of the cases ended fatally. No secondary cases occurred. A summary of the three cases which occurred is given below:β (1) Female, aged 44 years; notified 29th May; onset of disease 4th May; isolation of the patient carried out at home. This patient had not been away from the Borough. Type of infection Bac. Typhosus. The source of infection was not discovered. (2) Male, aged 42 years; notified 9th September; onset of disease 28th August; removed to the Council's Isolation Hospital 9th September; discharged 24th September. The history in this case points to infection having occurred outside the Borough the patient having been on holiday in Ireland and having returned to this district on the day of onset. Type of infection Bac. Typhosus. The source of infection was not discovered. |
ac6a34b9-2bfe-4518-a1a5-951ff44a5b5e | 46 (3) Male, aged 24 years; notified 25th October; onset of disease 17th October; isolation of the patient carried out at home. The history in this case unquestionably points to infection having occurred outside the area; the patient had been abroad and his illness commenced on the day before his return to this country. Type of infection Bac. Paratyphosus "B." The source of infection was not discovered. The three cases notified in the district correspond to an incidencerate of 0.07 per 1,000 of the population for the Borough ; the incidencerate for London and for England and Wales was 0.05. Acute Anterior Poliomyelitis. Two cases of this disease were notified during the year. The cases were sporadic ones, neither having any connection with the other. One case was that of a child aged 7 years. |
c425dc8d-323f-4f25-bb69-b524d7282d1e | The patient was notified on the 17th June and was removed to one of the London County Council special hospitals on the 18th June. Some paralysis of the upper limbs, back and neck muscles occurred. Subsequently on the 12th July the patient was transferred to another Special Institution for the continuance of orthopaedic treatment. The other case was that of a boy aged 15 years. The case was notified on the 10th November, the onset of the disease being on the 18th October. Partial paralysis of some of the muscles of the upper extremities resulted and the patient received treatment for this condition at a London general hospital. Cerebro-spinal Fever. There was no case of this disease notified during 1937. Encephalitis Lethargica. Two deaths certified to be due to chronic encephalitis lethargica were assigned to this Borough, both males, aged 62 years and 75 years respectively. |
3d7b066c-afee-426b-b8a5-e3e114a63bf0 | Neither had been notified in this area as suffering from "encephalitis lethargica." The former case was an "inward transfer "death of a patient who died in the National Hospital, Queen's Square. The latter was a "resident" death of a patient who had suffered from paralysis agitans of about 2 year's duration, but there is no history of an attack of acute encephalitis lethargica to be obtained in this case. Pneumonia. There were 34 cases of pneumonia notified. Nine cases were removed to institutions for treament, one of these was removed to the Council's Isolation Hospital, and eight were removed to General Hospitals. 47 Erysipelas. Twelve cases of this disease were notified. Three of these cases were removed to the Council's Isolation Hospital. NON-NOTIFIABLE INFECTIOUS DISEASES. Influenza. |
1f65a067-d292-490a-86f5-7c4b922d141a | This disease was prevalent in the district during the early part of 1937; there were twelve deaths during the year. The death-rate for the district was 0.29 per 1,000 of the population, the death-rate for London being 0.38, and for England and Wales 0.45 per 1,000 of the population. Whooping Cough. The number of cases reported to me from notifications by Head Teachers and from other sources was 82. These cases were homevisited by the Health Visitors who made 121 re-visits in following up the casesβ-203 home-visits in all. No death from this disease occurred during the year. Death-rates during the past five years, contrasted with the rates for London and for England and Wales during the same period, are given hereunder. Table XIX.βWhooping Cough : Death-Rate per 1,000 of the Population. Year. Barnes. London. |
b9d5b3f2-0b62-45ef-bbdc-97cc1dd8d198 | England & Wales. 1933 0.00 0.08 0.05 1934 0.00 0.07 0.05 1935 0.00 0.04 0.04 1936 0.02 0.07 0.05 1937 0.00 0.06 0.04 Average Rate 1933-1937 0.00 0.06 0.05 TUBERCULOSIS. During 1937, 28 cases of pulmonary tuberculosis and 10 cases of non-pulmonary tuberculosis were notified, representing an incidencerate of 0.68 cases per 1,000 of the population for pulmonary tuberculosis, and 0.92 for all forms of the disease. 48 Particulars of the new cases of tuberculosis coming to the knowledge of the Medical Officer of Health, and of the deaths which occurred, during 1937 are given in Table XX below. |
643553d1-4d34-4b59-b9ae-00924136fe93 | Of the 47 new cases during the year 38 (28 pulmonary, 10 non-pulmonary) were primary notifications; the other 9 new cases (6 pulmonary, 3 non-pulmonary) were brought to my knowledge in the following manner: βnotifications transferred from other areas on change of address, 6; information obtained from death returns, 3. Table XX.βTuberculosis : New Cases and Mortality during 1937. Age-Periods. New Cases.* deaths.β P ulmonary. NonPulmonary. Pulmonary. NonPulmonary. |
657bbd85-ef55-4d9c-98be-e3f8f659f24a | Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 β - - - β - - 1 β 5-10 β β β β 1 β β β β 10-15 β β β i β β β β β 15-20 β 1 2 1 2 β 1 β 1 20-25 β 4 2 1 25-35 β 5 7 1 1 3 5 β 1 35-45 β 2 3 β 1 2 2 β β 45-55 β 3 2 3 β 5 1 β β 55-65 β 2 β β 1 4 β β 1 65 β and over 1 β β β 1 β β β All ages 18 16 7 6 15 9 1 3 * In addition to primary notifications, |
fe6074b5-9773-489e-97a1-c17a5d10ae75 | all other new cases coming to the knowledge of the M.O.H. are included in these figures. β The total number of deaths from pulmonary tuberculosis assigned to the Borough is 25 (16 male, 9 female). It has not been possible to include in the above Tables one of the male deaths from pulmonary tuberculosis as information as to age of the deceased is not available. The number of deaths during 1937 from tuberculosis was 29 (25 pulmonary, 4 non-pulmonary), corresponding to a death-rate per 1,000 of the population of 0.61 for pulmonary tuberculosis and 0.71 for all forms of the disease, the death-rate for London being 0.75 for all forms of tuberculosis. Notification of Tuberculosis. |
4e0fdaa2-f7cc-4f01-a1b8-99a2c2c15fdb | Information as to the ratio of non-notified tuberculosis deaths to total tuberculosis deaths for the year is given hereunder:β There were during 1937 25 deaths from tuberculosis assigned to this Borough; information regarding one male death from pulmonary tuberculosis is not available from the Registrar General. Of the 49 ing 24 deaths 9 were residents who died within the area, and 15 were transferable deaths of residents who died at addresses outside the area. Of the9 "resident" deaths there was only one instance in which the case had not been notified to me in accordance with the Tuberculosis Regulations during the lifetime of the patient. In this case it was ascertained on enquiry that the patient had been diagnosed to be suffering from tuberculosis whilst an inmate of a London general hospital. Of the 15 "transferable deaths" 13 had been duly notified in accordance with the Regulations. |
6708ac26-5ba5-41f0-9c63-066422241b2c | The remaining 2 deaths were residents whose deaths occurred in areas outside this area and knowledge of these was received from the Registrar-General on Inward Transfer Death-returns. In one of these cases diagnosis of tuberculosis was first made in the institution outside the district in which the patient died; the cause of death in this case was found upon post-mortem examination to be tuberculosis of the larynx. The remaining case was that of a patient who died from pulmonary tuberculosis in an asylum situated outside this Borough. The patient had been originally admitted to the asylum from an address in this area but tuberculosis was first diagnosed whilst the patient was a resident in the asylum. Notification of the case had been made to the Medical Officer of Health of the area in which the asylum was situated but the notification had not been transferred by the Medical Officer of Health of that area to me. No instance occurred of wilful neglect or refusal to notify. |
4f1dcc21-94bc-47c0-ab53-6357631e677b | The Register of Notifications has been kept revised in accordance with the requirements of the Public Health (Tuberculosis) Regulations, 1930. The number of cases added to or removed from the Register during the year and the number remaining on the Register on December 31st, 1937 are as under :β Table XXI.βTuberculosis Notification Register. Form of Disease. On Register 1st Jan. 1937. Cases Added. Removed from Register. Remaining on Register 31st Dec., 1937. Primary Notif'ns Otherwise. Total. Cured Left Disirict. Died. Total. Pulmonary 171 28 7* 35* 4 25 24 53 153 Non-Pulmonary 50 10 3 13 4 4 5 13 50 All Forms 221 38 . |
ef224306-bbed-4b85-85a6-40e04f07d7cb | 10* 48* 8 29 29 66 203 *Note.βIncluded in these figures is one patient whose name was restored to the Register. 50 Preventive Work Carried Out by the Council. There has been no change made in the preventive measures which are routinely carried out by the Public Health Department and which have been referred to in detail in previous Reports. A total of 415 home-visits were made during the year by the Health Visitors in connection with patients notified to be 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. TreatmentβDispensary and Institutional. The Surrey County Council is the Local Authority responsible for the treatment of all tuberculosis cases within the Borough. |
54dfbf21-bb5d-40ba-bea9-d2666c78a107 | There were 43 residents of this district suffering from tuberculosis admitted to institutions during the year (37 of them suffering from pulmonary and 6 from non-pulmonary tuberculosis). Seven of these received institutional treatment at more than one institution. Admissions were as under Pulmonary Tuberculosis. To Surrey County Council Sanatorium 12 ,, Surrey County Hospitals 10 ,, other sanatoria 12 ,, general hospitals 1 β Public Assistance Institution 1 ,, other institutions 5 Total 41 Non-pulmonary Tuberculosis. To sanatoria 3 ,, other institutions 6 Total 9 51 ISOLATION HOSPITAL. The number of cases admitted to the Isolation Hospital during the year was lower than the average, the total cases numbering only 91. Admissions and Deaths. The diseases under treatment at the Hospital during the year were as under :β Admissions. Deaths. |
ef7549fa-d13d-4751-95db-67f13e809b74 | Diphtheria 3 β Septic Throat sent in as Diphtheria 5 β Quinsy 1 β Stomatitis 1 β Scarlet Fever 67 β Rubella, sent in as Scarlet Fever 1 β Measles 5 β Enteric Fever 1 β Pneumonia 1 1 Erysipelas 1 1 Mumps 1 β Varicella 1 β Total 91 2 Diphtheria Cases Admitted. Only three cases of diphtheria were admitted during the year. One of the cases was an adult male who was affected with nasal diphtheria only. The other two cases were children aged 4 years and 8 years respectively. In the case of the elder of the two children the disease was limited to the fauces and tonsils but he suffered from severe diphtheritic paralysis. |
89fdb736-b084-4176-98e7-a8eea2e7d462 | The four-year old child was dangerously ill at the time of admission, suffering from laryngeal diphtheria; tracheotomy was performed immediately after admission. All three patients recovered without any sequelae. No cases of cross-infection occurred in either of the Diphtheria Blocks. There was no "return case" of diphtheria during the year. Scarlet Fever Cases Admitted. Cases of scarlet fever admitted during 1937 numbered 67. In 37 of the patients the original attack was relatively mild; in 19 cases the attack was moderately severe, and in 11 the disease was of a severe type. Scarlet-fever anti-toxin was used in all suitable cases with most beneficial results. No death occurred. |
3418c673-60d2-4728-8c86-b5a33778a590 | 52 Among the 67 cases the following complications occurred:β Secondary throat, 1; cervical adenitis, 7; parotid abscess, 1; rhinorrhΕa, 7; otorrhcea, 6; mastoiditis, 1; mastoid abscess, 1; toxic heart, 1. Detention in hospital was not continued beyond six weeks in 48 of the cases; the remaining 19 cases were detained in hospital for varying periods of longer duration according to the nature of the complication which had occurred. No cross-infection occurred in either of the Scarlet Fever Blocks. There were three "return cases" during the year, the onset of the "return case" being 1 day, 3 days and 21 days respectively after the date of discharge of the infecting case. |
0e3f9013-e4bc-4f4b-b939-4890a464ce9d | In all three instances there were no signs indicating infectiousness in the infecting patients at the time of their discharge; in the instance in which the "return case "arose 21 days after the infecting patient's discharge a rhinorrhoea had recurred a fortnight after he was discharged from hospital. Administration. (A) Cross-Infection. During 1937 the following were instances in which risk of crossinfection had to be guarded against:β Cases of mistaken diagnosis :β Admitted as Scarlet Feverβsuffering from Rubella . . 1 ,, ,, ,, ,, ,, ,, Chicken-pox 1 No case of cross-infection, arising either from these cases or from the other patients in the hospital, occurred during the year. The Cubicle Block has continued to be of the utmost service in avoiding cross-infection. The number of patients under treatment in this Block during 1937 was 45. |
d282f7d0-cf0f-47f8-8011-8ff8d18d80e9 | The nature of the 45 cases admitted to the Cubicle Block during the year, excluding staff, is given below :β Scarlet Fever (complicated or doubtful) 23 Diphtheria (complicated or doubtful) 1 Enteric fever 1 Measles 6 Chicken-pox 1 Mumps 1 Erysipelas 3 Rubella sent in as Scarlet Fever 1 9 Chicken-pox 1 Septic Throat sent in as Diphtheria 4 Quinsy 1 Stomatitis 1 Streptococcal Rhinitis 1 Total 45 53 Of the above-mentioned 45 cases, 40 were admitted direct to the Cubicle Block, and 5 cases were transferred to the Cubicle Block from the other Ward Blocks (namely, 1 from the Convalescent Scarlet Fever Ward, 3 from the Acute Scarlet Fever Ward and 1 from the Acute Diphtheria Ward). |
23f0f3e4-1c64-4b73-9e1a-88307d0d69dd | Forty-four of the 45 cases were retained in the Cubicles until their discharge. One patient died. (B) Incidence of Infectious Disease amongst the Staff. I am pleased to state that none of the members of the staff contracted any infectious disease during the year. (C) Accommodation for Staff. The accommodation for staff is quite satisfactory. (D) Accotnmodation for Patients. The accommodation for patients has been fully reviewed in previous Annual Reports. It is provided in six Ward Blocks. There are two Blocks for scarlet-fever patients and two for diphtheria patients, enabling acute cases and convalescent cases to be isolated in separate Blocks in the case of each of these two diseases. A Cubicle Block provides for the isolation and treatment of doubtful cases, cases with double infections and patients suffering from diseases other than scarlet fever and diphtheria. The remaining block is available for cases of infectious disease other than scarlet fever or diphtheria when prevalent. |
da9d9a13-8977-4d26-b1b2-198bb778a472 | The accommodation provided is adequate for the needs of the area. LABORATORY FACILITIES. 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 undertaken in the Hospital laboratory. Specimens examined during the year were as follows:β For the detection of tubercle bacilli 65 β β β ,, diphtheria bacilli 120 β ,, ,, ,, typhoid bacilli (feces) 6 β β β .. β (urine) 1 Blood (Widal action) 1 Total 193 54 DISINFECTION OF ROOMS AND ARTICLES, AND DISINFESTATION. (a) Disinfection after infectious disease. Rooms vacated by persons suffering from infectious disease are disinfected by fumigation with formalin vapour ; this work is undertaken by the staff of the Public Health Department. |
bf12e058-5a90-4b2f-8de4-87c5b42ddf0c | The number of rooms disinfected after infectious disease during 1937 was 222. Infected bedding and clothing is steam-disinfected after removal to the Disinfecting Station attached to the Isolation Hospital. During 1937 186 lots of bedding and clothing were steam-disinfected. (b) Disinfestation. Bedding and bedclothing from bug-infested houses is disinfested also by steam at the Disinfecting Station. During 1937 2 lots of bedding, from houses from which the tenants were rehoused in Council houses, were dealt with by steam-disinfestation. Information with reference to action taken to disinfest buginfested houses and household effects other than bedding and bedclothing is given on page 27 of this Report. (c) Destruction of bedding and other articles. Nineteen lots of bedding, clothing or other articles which had been infected, or were infested with vermin, were destroyed on request. |
3a387ea7-bb80-4c27-87f1-c44c2b7877f9 | 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. During 1937 3 children were treated at the Cleansing Station for verminous condition of the head ; 10 children attended for the treatment of scabies and received treatment on 42 occasions. Nine adults were treated for scabies during the year, making 35 attendances for that purpose. For dealing with persistently verminous children cleansing at the Cleansing Station is the most satisfactory procedure. As a consequence of such action the number of children found verminous in the schools has shown a marked reduction. 55 Section VII. MATERNITY AND CHILD WELFARE. The Barnes Borough Council is the Welfare Authority for the area. |
3d3028da-8cf2-4273-a56e-d1d56d085e26 | As such the Council is responsible for carrying out the duties under the Public Health Act, 1936, Part VII in connection with notification of births, maternity and child welfare, and child life protection. The Council is not the Local Supervising Authority under the Midwives Act. Infantile Mortality. The total number of deaths of infants under one year of age assignable to the Borough for 1937 is 13 only. The various causes of death of these thirteen infants is given below:β cause of death. number of deaths. Found deadβnewly-born 1 Congenital malformations 4 Marasmus 1 Prematurity 6 Calcinosis 1 Total 13 The ages at which the deaths occurred and the respective causes of death at each age is set out hereunder:β Age at Death. No. of Deaths. Cause of Death Under 24 hours . 4 Found dead, newly-born, inattention at birth. Prematurity (3). |
4ba7ee48-35e0-48bf-bb95-0a0daf86fd87 | 1 to 7 days 2 Congenital malformation. Prematurity. 1 to 2 weeks 2 Prematurity (2). 2 to 3 weeks Nil 3 to 4 weeks Nil 1 to 3 months 4 Congenital malformation (2). Prematurity. Marasmus. 3 to 6 months Nil 6 to 9 months 1 Calcinosis. 9 to 12 months Nil Total 13 56 Of the total 13 infantile deaths assigned by the Registrar-General to the Borough of Barnes for the year 11 were deaths of infants who died outside the borough, but whose deaths are assignable to this area. The infantile deaths which occurred in the Borough during the year numbered 2 only. The thirteen deaths assigned to Barnes corresponds to a rate of infantile mortality for the Borough of 35.6 per 1,000 registered births. |
06df1e6b-1603-40e3-904a-fe1c79a8c080 | The infantile mortality rate for London was 60, and that for England and Wales was 58 per 1,000 registered births. The infantile mortality rate of 35.6 per 1,000 registered births for the year 1937 is the lowest ever recorded for this area. Analysing the age distribution it is found that 12 of the total thirteen deaths occurred before the infants attained the age of 3 months, and 8 of these died before the age of 2 weeks. It is equally of interest to note the causes of death in the case of these infants. Amongst the 12 infants who died before the age of three months 4 were newly-born babies who had been found dead, 3 died from congenital malformations, and in the case of the remaining 5 prematurity was the cause of death. The saving of life which has been effected in the later months, and the reduction in the number of deaths from those causes which are designated preventable, is evident. |
f4bcfb1d-60a0-4f56-b635-cdebf31965ec | Maternal Mortality. It is extremely satisfactory to record that there was no death from maternal causes during 1937. This makes the third year in succession that no life has been lost as a result of childbirth. MIDWIFERY AND MATERNITY SERVICES. An ante-natal clinic, held at the Council's Maternity and Child Welfare Centre, Essex House, is available for expectant mothers and for post-natal cases. The work of the clinic is referred to on page 58. The number of confinements attended by midwives practising in the area during 1937 were as under :β (i) as Midwives155. (ii) as Maternity Nurses 81 Total 236 The number of cases in which medical aid was summoned by a Midwife under Sec. 14 (1) of the Midwives Act 1918 was 15. |
de350cca-fbf3-4f41-ada2-ff4228c3c700 | The services of a Consulting Obstetrician are available in cases of difficult or complicated labour, and in cases of puerperal fever or puerperal pyrexia. 57 Institutional provision for maternity cases under the Council's Maternity and Child Welfare Scheme was continued unchanged during 1937. Of the 365 total births assignable to the district 218 occurred in institutions (hospitals or maternity homes situated either within or without the Borough), a proportion of 60 per cent. These institutional confinements occurred as follows:β In institutions within the Borough 78 In registered maternity homes 78 In institutions outside the Borough . 140 In general hospitals 16 In maternity hospitals 69 In Public Health County hospitals 13 In Public Assistance institutions 23 In maternity homes 19 Total 218 Puerperal Fever and Puerperal Pyrexia. |
727a9d82-26df-432c-9f14-357e765d18d8 | Only one case of puerperal pyrexia was notified during 1937 under the Puerperal Fever and Puerperal Pyrexia Regulations, 1926. The patient was an in-patient at the Richmond Institution where she had been admitted for her confinement. The pyrexia was not due to puerperal sepsis, the cause being mastitis. The patient recovered. Investigations into cases of puerperal fever and puerperal pyrexia are routinely made by the Medical Officer of Health and by the Health Visitors. The Surrey County Council being the Local Supervising Authority under the Midwives Act particulars of the notification in each case notified as puerperal fever or puerperal pyrexia are communicated by me forthwith to the County Medical Officer. The same preventive and remedial measures detailed in previous Reports have been continued during the year. NOTIFICATION OF BIRTHS. |
e3f2d884-210e-4043-ad28-3e6febd7a233 | There were 286 births registered in the district during the year, 278 being live births and 8 still-births. Of the total 286 births registered, 280 or 98 per cent., had been duly notified in accordance with the provisions of the above-mentioned Act. In every instance in which there was a failure to notify a birth the person, or persons, responsible have been communicated with and reminded of their obligations under the Act. 58 During the year notifications were received in respect of 289 births, and of these 49 were notified by medical practitioners, 239 by midwives, and 1 by a person other than a doctor or midwife. Still-Births. There were 2 still-births notified during 1937, representing 0.7 per cent. of the total births occurring in the area in the year. An enquiry was made into both cases. |
4490feb4-30f2-4a43-9957-7dbfee3882fa | Of the total number of "nett" births assignable to the district, namely, 375; live births numbered 365, and still-births 10. Of the 10 still-births, 4 were male and 6 female; two of these were illegitimate. The proportion of still-births was 2.7 per cent, of the total "nett" births. HOME-VISITING. Three whole-time Health Visitors, who are specially qualified for the purpose, undertake the home-visiting in connection with maternity and child welfare work. In carrying out these duties the Health Visitors have made special home-visits in connection with various matters, in addition to their visits to all newly-born infants among the working classes, and a summary of the work performed by them during the year is given below:β Year 1936. Year 1937. |
bd1f4afd-6375-4364-9144-8f9880223aa0 | Visits to expectant mothers 151 401 First visits to newly-born infants 291 352 Revisits to infants under 1 year 1,059 1,646 Visits to children aged 1 to 5 years 1,873 2,857 Still-birth inquiries 5 2 Special visits to opthalmia cases 4 1 β , , puerperal fever cases 1 1 β , β cases of measles 734 161 , , , , , whooping cough 58 203 , β , β , pneumonia 12 38 Visits to foster children 291 444 Visits in connection with infectious diseases other than those above specified 719 1,604 Total visits 5,198 7,710 In my Annual Report for 1935 I expressed the opinion that visits to children aged one to five years should be much more numerous than it had been found possible to undertake in the past with the staff employed, |
121117d7-44be-4257-88d2-0e2991afa504 | and that in the interest of the health of these children it should be possible to arrange for systematic periodical home-visiting 59 of them to be carried out. I recommended that the health visiting staff should be increased and that clerical assistance should be provided to relieve the Health Visitors of clerical work and so enable them to give a greater amount of time to the work they are specially qualified to undertake. The extension of work necessary to make the Maternity and Child Welfare Services efficient could not otherwise be accomplished. At the end of 1936 the Council appointed an additional health visitor, and a female clerk for maternity and child welfare purposes, both of whom commenced duties at the beginning of 1937. This addition to the staff has enabled the work undertaken in connection with maternity and child welfare not only to be widened in its scope, but made more effective. The number of home-visits it has been possible to make and the increase in the number of attendances at the clinics is some evidence of this. |
12992dab-311a-4b37-8a0f-e2643a23c6da | The number of attendances at the clinics has increased to such an extent as to cause a degree of overcrowding both at ante-natal and infant welfare clinics which tends to inefficient work and calls for additional weekly sessions. As soon as the new Centre in North Worple Way is ready for use it will be possible to arrange for an increase in the number of sessions to be held. MATERNITY AND CHILD WELFARE CENTRES. During 1937 ante-natal clinics have continued to be held twice monthly ; clinics for infant consultations have been held twice weekly at the Essex House Maternity and Child Welfare Centre. Ante-Natal Clinic. During the year 105 mothers attended at the clinic; amongst these 90 were expectant mothers who attended as new cases and 3 were post-natal cases. The number of attendances made by the mothers at the clinics was 308. |
f5ca85cc-5abc-4fe7-b0a2-c733d164afaf | Attendances, subsequent to the preliminary consultation and examination, for further observation and advice were made regularly by most of those expectant mothers who were not already under supervision by a medical practitioner or midwife. The number of expectant mothers who attended the Council's Ante-natal Clinics represented 27.9 per cent. of the total notified births for the year. In addition to those expectant mothers who attended at the Council's Clinic there were 30 mothers, who had booked their confinements at Hospitals, or Maternity Hospitals, and attended the Ante-natal Clinics of those institutions ; this 50 corresponds to a further 8.2 per cent. of the total births in which mothers, not under ante-natal supervision by doctors or midwives, attended at an ante-natal clinic, equalling a total of 36.1 per cent. under ante-natal clinic supervision. |
40f466d0-b0e3-4234-94cc-3cf6f21f6a53 | At each session of the clinic a medical officer with special gynaecological and obstetrical experience attends and is assisted by two health visitors, each of whom holds the Certificate of the Central Midwives Board. Under the new Midwives Act, 1936 provision has been made for the services of two whole-time salaried midwives employed by the Local Supervising Authority to be available for home confinements occurring in the Borough of Barnes. There has been close co-operation between these midwives and the officers connected with the work of the Council's ante-natal services which is essential if the objects at which the new Act aims are to be attained. Infant Consultations. The number of new cases, the total number of infants and young children attending at the Centre, and the total attendances made by them during 1937 are given below :β New Cases:β Year 1936. Year 1937. |
cf16da36-ec41-45e2-bfe1-b1677fa0c5f8 | Infants under 1 year 173 206 Children 1 to 5 years 65 89 Total 238 295 Number of Children attending during the year:β Infants under 1 year 240 317 Children 1 to 5 years 200 247 Total 440 564 Number of attendances made by:β Infants under 1 year 2,624 3,688 Children 1 to 5 years 1,776 2,233 Total 4,400 5,921 Mothers 3,860 5,239 The average attendance per week has been 113 ; the average attendance of infants under one year being 70 per week, and of children aged 1 to 5 years, 43 per week. 81 The number of infants under one year of age attending for the first time during 1937, namely 206, represents 56.4 per cent. of the total births occurring in the year. |
0dc57656-425e-4d5b-89b9-127efca70c7c | A Medical Officer and two Health Visitors, kindly assisted by Voluntary Helpers, are in attendance at the Centre at each session. The number of consultations with the Medical Officer at the centre was 2,084 as contrasted with 1,100 in 1936. During the year 58 children under 5 years of age were referred to Hospitals for sick and ailing children, 14 of whom were admitted as in-patients; in addition to these there were 4 children referred to an Orthopaedic Hospital for treatment. The practice of supplying dried milk, etc. at the Centre at cost price, or free in necessitous cases, was continued during 1937. The total dried milk which was supplied during the year was 2,795 pounds. During the year fresh milk has also been supplied to expectant mothers and nursing mothers and to children under 5 years of age. The total fresh milk which was supplied during the year was 1,099 gallons. |
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