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5f2fea1a-3c2a-47d8-8fa2-dcfa55a0ae1f | β Sausages 3 β 3 β β β β β Preserved Sau'ges 5 β 5 β β β β β Sugar 4 β 4 3 β 3 β β - Jam 1 β 1 β β β β β Ginger Marm'lde β 1 1 β β β β β Grape Fruit Conserve 1 β 1 β β β β β Lemon Squash β 1 1 β β β β β Pure Malt Vinegar 1 β 1 β β β β β Raisins 1 β 1 β β β β β Sultanas 1 β 1 1 β 1 β β Lysol β 1 1 β β β β β Totals 44 8 52 5 β 5 β β 38 Section VI. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. |
6eba3367-5597-45bf-8f4c-07876bd6b4fd | Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1938 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 1938 is shown. The prevalence of the various notifiable infectious diseases during 1938 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 1938 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. Measles. Rubella. Enteric Fever. Pulmonary 1 uberculosis. Non-pulmonary Tuberculosis. Pneumonia. Erysipelas Puenperal Pyrexia. Opthalmia Nenatorum. Poliomyelitis. |
492bf7bb-e1a7-4d5c-85b1-ce954f497b82 | Cerebrc-spinal Fever. Dysentery, Jan. 29 - 4 15 8 - 2 1 1 - - - 1 - Feb. 26 β 9 62 76 1 3 - 1 β 1 β β β β Mar. 26 1 4 79 129 β 2 2 6 β β 1 β 1 β April 23 - 1 114 126 β 1 β 2 β β β β β β May 21 - 5 64 51 β 2 β β 1 β β β β β June 18 - 12 22 28 β 2 3 3 β β β β β β July 16 - 2 5 8 β 4 β β 1 1 β 1 β β Aug. 13 - 6 β 2 β β β β β β - β β β Sept. |
5e7943c9-3daa-41d5-9883-8cc92c90bdff | 10 - 2 1 2 β 2 1 1 1 1 - β β β Oct. 6 - - 1 - - - 1 - - 1 - - - 1 Nov. 5 - 2 8 4 1 2 - - - - - - - β Dec. 3 - 2 14 4 β 2 1 2 1 β - β β β Dec. 31 - 3 2 1 β 3 - 2 1 β - - β β Totals 1 52 387 439 2 25 8 18 6 4 1 1 2 1 39 Table XVI.βNotifiable Infectious Diseases, 1938. Diseases. Total Cases Notified. Ages, in years. Parish Removed to Hospital.* Total Deaths of Resident!,β Under l year I to 2. 2 to 3. 3 to 4. |
a245f5dc-9aa5-45f3-95e5-78fcb5aca814 | 4 to 5. 5 to 10. 10 to 15. 15 to 20. 20 to 26. 25 to 35. 35 to 45. 45 to 65. 65 and over. Barnes Mortlake. |
17557808-1444-4fcd-bb75-7d40e198e9d7 | Diphtheria 1 - - - - - - - - - l - - - β 1 1 1 Scarlet Fever 52 β 3 β 2 7 27 4 2 1 3 3 β β 15 37 49 β Measles 387 9 42 33 25 77 138 39 10 8 3 3 β β 212 175 9 1 Rubella 439 9 11 8 15 28 188 124 28 10 17 1 β β 204 235 1 β Enteric Fever 2 - - - - - 1 β β β β 1 β β 2 β 2 1 Pul. Tuberculosis 25 β - β β β 1 1 3 6 9 1 4 β 9 16 24 16 Non-Pul.Tuberculosis 8 β - β 1 β 1 1 β |
4095a59a-ecda-4fb0-a7f7-07b3f3b659e7 | 3 1 β 1 β 3 5 6 4 Pneumonia 18 β - β β 2 2 β β β 1 2 7 4 6 12 4 16 Erysipelas 6 - - - - - β 1 β β β 2 3 β β 6 β β Puerperal Pyrexia 4 β - β - - - - 1 β 2 1 β - 3 1 3 β Ophth'lmiaNeonat'rum 1 1 - - - - - - - - - - - - 1 β β β Poliomyelitis 1 β - β β - 1 β β β β - β β 1 β 1 β Dysentery 1 - - - - - - - - - 1 β β β β 1 β β Cerebro-spinal Fever 2 1 - - - - - 1 - - - - - - |
42e2f9bc-ec2b-45c6-8025-1d74a9c55bd7 | 1 1 2 1 All Diseases 947 20 56 41 43 114 359 171 44 28 38 14 15 4 457 490 142 40 *Information as to admission to Hospitals will be found under theheadings 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. 40 Table XVII.βNotifiable Infectious Diseases, 1928 to 1938. Year. 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 Diphtheria 33 46 41 16 1 72 29 31 4 3 1 Scarlet Fever 101 75 74 64 92 147 132 77 56 84 b2 Enteric Fever 4 2 45 |
f20c58ac-aeff-4310-bea3-0e0748fd91fd | 3 4 β 1 1 3 3 2 Puerperal Fever 2 1 β 1 1 1 1 β 2 - - β Pyrexia 7 1 2 2 4 2 2 3 1 1 4 Erysipelas 15 11 8 7 10 16 11 16 11 12 6 Continued Fever - - - - - - - - - - - Relapsing Fever - - - - - - - - - - - Typhus Fever - - - - - - - - - - - Small-pox - - - - - - - - - - - Cholera β β β β β β β β β β β Plague β β β β β β β β β β β Tuberculosis, P. 39 51 43 41 44 30 42 21 39 28 25 Non-P. 9 11 10 6 13 |
124130d3-8491-4dd1-a6d1-ad3994139a9e | 10 6 8 5 10 8 Cerebro-spinal Fever 1 β β β β 2 1 β β β 2 Poliomyelitis β β β 1 β 1 β β β 2 1 Ophthalmia Neonatorum 5 1 1 - 1 - 1 1 1 1 1 Measles 726 126 397 31 790 50 551 7 517 101 387 Rubella 12 123 41 16 8 23 61 5 29 9 4S9 Encephalitis Lethargica - 1 - - - - - - - - - Polioencephalitis - - - - - - - - - - - Malaria β 1 - - - - - - - - - Dysentery β β β β β β β β β β 1 Pneumonia 25 52 16 28 30 35 36 |
bebca450-203e-4593-bf51-cddac2187efd | 13 21 34 18 Anthrax β β β - - - - - - - - NOTIFIABLE INFECTIOUS DISEASES (EXCLUDING TUBERCULOSIS). Small-pox. 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. |
84aa3b45-4cce-41f2-a05b-eebc75b3adfc | 1917, 41 The following particulars, with reference to the state as regards vaccination on the 31st December, 1938, in respect of the 273 infants whose births were registered between 1st January and the 31st December, 1937, have been supplied to me by the Vaccination Officer for the district:β Births Registered in 1937 273 Certificates of successful vaccination 102 Certificates of exemption 125 Certificates of postponement of vaccination Insusceptible to vaccination 1 Died unvaccinated 4 Removed to other districts 28 Nor yet accounted for in Vaccination Register 13 Diphtheria. One case only of this disease was notified during 1938. The incidence of diphtheria has been extremely low for several years past. During the three years 1936-1938 a total of only eight cases have been notified in the Borough. |
0970e7dc-8a9d-49ae-8095-da778944288f | The incidence-rate for Barnes for 1938 was only 0.02 cases per 1,000 of the population; the incidence-rate for London during 1938 was 1.90, and that for England and Wales 1.58 per 1,000 of population. The case notified, an adult male, was admitted in a moribund condition and died a few hours after his admission. The death corresponded to a death rate of 0.02 per 1,000 of the population, the the death-raje for London being 0.05, and that for England and Wales 0.07 per 1,000 of population. 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). 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. |
30210f4b-baf6-4709-8172-e4966a1148be | 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. 42 Diphtheria Immunisation. During 1938 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. Information is given below as to the work undertaken in connection with the scheme during the year ending 31st December, 1938:β During the above-mentioned period leaflets were issued to 539 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 1938 in respect of 127 children. |
94d64f3f-6b8a-47ae-b240-f8c5cb875620 | On the 1st January, 1938 there were 55 applications, received during 1937, which had not been dealt with by the end of that year. These cases and the 127 applications received during 1938, making 182 in all, received appointments to attend at the Clinic. Eleven 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. The number of children attending for immunisation at the Clinic during the year totalled 323, consisting of the above-mentioned 171 children plus 152 children whose course of injections had commenced in 1937 but which had not been completed by the end of that year. The position as regards these 323 children on the 31st December, 1938 is given in the accompanying Table (page 43). |
38672eed-00d3-4026-ba70-4c78ca61e1ad | In addition to the above 323 children, 46 children attended for second post-Schick test 2 years after immunisation, making a total of 369 children attending during the year. Forty-four sessions of the Clinic were held and the attendances made by the 369 children numbered 1,365, an average of 31 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. 43 Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1938, in Respect of the 323 Children who Attended the Clinic during 1938. |
ca73441a-f416-45a4-aa38-70e5adf703c3 | Position on 31 st Dec., 1938 β TOTAL CASES dealt with during 1938 323 (A) Continued in Attendance. 303 (1) Primary-Schick Negative:β 31 (a) Re-Schick Negative (Certificate) 22* (b) Awaiting re-Schick test 7 (c) Re-Schick Positive:β 2 (i) 3-injections, Post-Schick Negative (Certificate) - (it) , , awaiting Post-Schick test 2 (2) Primary Schick-Positive:β 272 (a) 3-injections and, Post-Schick Negative (Certificate) 225* (b) Awaiting Post-Schick reading 7 (c) Awaiting Post-Schick test 30 (d) 2-injections, awaiting further injection 4 (e) 1-injection β (f) Awaiting immunisation 1 (g) 3-injections, |
c08a5933-8c42-4e75-ad1d-4a2a0cd6bee6 | Post-Schick Positive:β 5 (i) 2nd Course of injections 2nd Post-Schick Negative (Certificate) 3* (ii) Awaiting 2nd Post-Schick reading 1 (iii) Awaiting 2nd Post-Schick test 1 (B) Discontinued Attendance. 20 (a) Left the District:β 5 (i) Primary-Schick, awaiting reading - (ii) Primary-Schick, Negative - (Hi) ,, ,, Positive 2-injections (1), 3-injections (4) 5 (b) Discontinued for other reasons:β 15 (i) Primary-Schick, awaiting reading 5 (ii) Primary-Schick, Negative - (Hi) ,, ,, Positive, 2-injections 10 (C) Number Immunised and Certificates Issued. 250 Schick tests Negative throughout 22 ,, ,, Negative after immunisation 228 *Cases in which Certificates of immunity have been issued. |
3761b8fa-211a-4f2e-a5b5-02949e27e9e6 | β The figures in this Table do not include the 46 children, referred to on page 42, who attended at the Clinic merely for the purpose of a Re-Schick Test two years after the date of immunisation. 44 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 four 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. |
4b6ef613-8ce1-47b0-828a-6557d97fdf42 | A summary of the progress made under the scheme during three years' work, from June 1936 (when the scheme was commenced) to June 1939, is given hereunder:β Number of leaflets issued to parents 4,910 ,, ,, children for whom applications for treatment have been received 880 ,, ,, children who have been appointed to attend the clinic 854 ,, ,, children who have so far attended 841 ,, ,, children who have continued to attend to-date 800 ,, ,, children in respect of whom certificates of immunity have been issued 746 ,, ,, children awaiting Re-Schick test 42 ,, ,, children receiving immunising injections 12 ,, ,, children who failed to complete course 41 Number of Clinic sessions held 132 β ,, attendances made by children 5,042 Average attendance per session 38 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. |
97745a61-c89b-47c1-b64d-7c8abe098873 | Scarlet Fever. The number of cases notified during the year was 52. Three 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. Of the remaining 49 cases which occurred in Barnes 45 were admitted to the Council's Isolation Hospital, one was admitted to the London Fever Hospital, and in 3 cases isolation of the patient was carried out at home. 45 Of the 52 notified cases, 5 were young children under school age, 37 were of school age (26 attending puplic elementary schools, and 11 attending private schools), and 10 were above school age. The incidence-rate (cases per 1,000 of the population) for Barnes was 1.27, the rate for London being 2.05, and that for England and Wales being 2.41. No death occurred from this disease during the year. |
bc764720-1932-43c0-bc65-8db1daee58be | 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 1938 (an account of these was given in my Report for 1930, page 60). The house-incidence of the 52 cases of scarlet-fever which occurred in the district was as follows:β Number of houses in which 1 case occurred 40 ,, ,, ,, 2 cases ,, 3 ,, ,, ,, 3,, ,, 2 Total houses invaded 45 Use has not been made of the Dick test. Measles. This disease becomes epidemic in this district every second year. During 1937 there were 101 cases of measles and 9 cases of german measles notified ; the year 1938 was an epidemic year and 387 cases of measles and 439 cases of german measles were notified. |
126a1756-7502-4ac5-81b0-8dcf9f064f0e | As has been the practice in past years all the cases notified were home-visited, a total of 1,186 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. 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. Ten patients were admitted for one or other of the above-mentioned reasons. Only one death occurred from measles. This patient was a child aged 4 years, who was admitted to the Borough Isolation Hospital and died shortly after admission. The cause of death was due to pneumonia as a complication. |
0009b788-bbef-4c4f-b580-685fe733b3f2 | 46 The death-rate for Barnes was 0.02 per 1,000 of the population; the death-rate for England and Wales was 0.04 and that for London 0.06. 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. 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 1938 0.02 0.06 0.04 Average Rate 1934.1938 0.01 0.08 0.05 Enteric Fever. |
621e71b4-fbcb-488b-87db-5776eb5dd4cf | Two cases of enteric fever were notified during the year. The cases were sporadic, having no connection with one another. In one instance the type of infection was Bac. Typhosus and in the other case Bac. Paratyphosus " B." Both cases occurred in London general hospitals and in one case the patient was transferred to a London County Council infectious diseases hospital. There was one death from this disease. No secondary case occurred. A summary of the two cases is given below:β (1) Female, aged 7 years; notified 4th February, 1938; onset of disease 22nd January. The patient was admitted to a London general hospital for observation and treatment on the 29th January, 1938; the disease was diagnosed on the 4th February, 1938, as enteric fever and the patient was transferred to a London County Council infectious diseases hospital on the 4th February. Type of infection Bac. |
6e684fb9-76eb-46e0-96cd-0dd657211542 | Paratyphosus "B." The patient recovered. The source of infection was not discovered. 47 (2) Female, aged 42 years; notified 19th October; onset of disease 8th October. The patient was admitted to a London general hospital on the 11th October, 1938, for treatment and a diagnosis of enteric fever was made subsequent to admission. The patient was seriously ill on admission and the attack proved fatal. Type of infection Bac. Typhosus. The source of infection was not discovered. The above-mentioned death corresponds to a death-rate for the Borough of 0.02 per 1,000 of the population ; the death-rate for London and for England and Wales was 0.00. The two cases notified in the district correspond to an incidencerate of 0.05 per 1,000 of the population for the Borough; the incidence-rate for London was 0.05 and for England and Wales 0.03. |
f69a1141-a67e-41e4-bd82-a3eae3b6edd9 | Acute Anterior Poliomyelitis. One case of this disease was notified during 1938. The case was that of a child aged 9 years. The child was an in-patient at a London general hospital and was notified on the 9th July, 1938. Some paralysis of the muscles of the arms and legs occurred. Orthopaedic treatment for this condition wrs given in the hospital and the patient was discharged on the 12th December, 1938. Cerebro-spinal Fever. There were two cases of cerebro-spinal fever notified during 1938'. the two cases were not in any way connected. One of the cases was that of a child aged 3 months. The child had been admitted to a London general hospital for diagnosis and treatment; the case was notified on the 11th January, onset of the disease being on the 4th January. |
c161a211-5829-4454-ab39-2e28b5f31ee3 | The disease proved fatal, the child dying on the 3rd February, 1938. The other case was that of a youth, aged 15 years, who was admitted on the 10th March to a London general hospital for diagnosis. The case was transferred on the same day, after diagnosis, to one of the London County Council infectious diseases hospitals. The patient recovered and was discharged from hospital on the 3rd April, 1938. Encephalitis Lethargica. There was no case of this disease notified during 1938. 48 Pneumonia. There were 18 cases of pneumonia notified. Four cases were removed to institutions for treatment, one of these was removed to the Council's Isolation Hospital, two were removed to general hospitals, and one to a Public Assistance institution. NON-NOTIFIABLE INFECTIOUS DISEASES. Influenza. |
45809348-3732-47a2-ac98-e8635db314a9 | This disease was not prevalent in the district during 1938; there were only three deaths during the year. The death-rate for the district was 0.07 per 1,000 of the population, the death-rate for London being 0.64, and for England and Wales 0.11 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 105. These cases were homevisited by the Health Visitors who made 150 re-visits in following up the casesβ255 home-visits in all. Only one 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. England & Wales. |
061721c0-b14f-438d-b654-c12700ce2f36 | 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 1938 0.02 0.03 0.03 Average Rate 1934-1938 0.01 0.05 0.04 49 TUBERCULOSIS. During 1938, 25 cases of pulmonary tuberculosis and 8 cases of non-pulmonary tuberculosis were notified, representing an incidencerate of 0.61 cases per 1,000 of the population for pulmonary tuberculosis, and 0.81 for all forms of the disease. Particulars of the new cases of tuberculosis coming to the knowledge of the Medical Officer of Health, and of the deaths which occurred, during 1938 are given in Table XX below. |
1d1b7e28-7598-4179-a151-7921fa74f64d | Of the 48 new cases during the year 33 (25 pulmonary, 8 non-pulmonary) were primary notifications; the other 15 new cases (11 pulmonary, 4 non-pulmonary) were brought to my knowledge in the following manner : βnotifications transferred from other areas on change of address, 13 ; information obtained from death returns, 2. Table XX.βTuberculosis: New Cases and Mortality during 1938. Age-Periods. New Cases. Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years β β β β β β β β 1-5 β β β 2 β β β β β 5-10 β β 1 1 β β β β β 10-15 β 1 1 1 1 β β β 1 15-20 β 1 1 |
b49fc340-dfd2-4552-9213-6143baeaeaf5 | 1 β 1 β β β 20-25 β 3 3 1 3 2 1 β 2 25-35 β 4 12 β 1 1 1 1 β 35-45 β 4 β β β 1 β β β 45-55 β 1 3 β 1 4 1 β β 55-65 β 1 β β β 2 1 β β 65 β and over β β β β 1 β β β All ages 15 21 6 6 12 4 1 3 *In addition to primary notifications, all other new cases coming to the knowledge of the M.O.H. are included in these figures. |
c1070a80-61e5-4479-958d-cea04d85d2a4 | The number of deaths during 1938 from tuberculosis was 20 (16 pulmonary, 4 non-pulmonary), corresponding to a death-rate per 1,000 of the population of 0.39 for pulmonary tuberculosis and 0.49 for all forms of the disease, the death-rate for London being 0.69 for all forms of tuberculosis. Notification of Tuberculosis. Information as to the ratio of non-notified tuberculosis deatln to total tuberculosis deaths for the year is given hereunder:β There were during 1938 20 deaths from tuberculosis assigned to this Borough. 50 Seven were residents who died within the area, and 13 were transferable deaths of residents who died at addresses outside the area. All 7 "resident" deaths had been notified to me in accordance with the Tuberculosis Regulations during the lifetime of the patient. Of the 13 "transferable deaths" 10 had been duly notified in accordance with the Regulations. |
21ceaddf-b127-46cd-98b9-6c7efeeb6926 | The remaining 3 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 only discovered after death as a result of post-mortem examination ; in another case diagnosis of tuberculosis was made in the institution, outside the Borough, in which the patient died. The cause of death in each of these cases was pulmonary tuberculosis. 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. |
be6c7867-341a-4cfe-8754-fe8b06ff1bc6 | 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, 1938 are as under :β Table XXI.βTuberculosis Notification Register. Form of Disease. On Register 1st jan. 1938 Cases Added. Removed from Register Remaining on Register 31st Dec.. 1938. Primary Notif ns Otherwise. Total. Cured Left District. Died. Total. |
cdc35c93-7dbb-4e43-83c5-47b6a8edc2cd | Pulmonary 153 25 13 38 7 18 17 42 149 Non-Pulmonary 50 8 5 13 1 7 5 14β 49β All Forms 203 33 18 51* 8 25 22 56β 198 *Included in these figures are three patients whose names were restored to the Register. β 1 non-pulmonary tuberculosis transferred to pulmonary tuberculosis upon subsequent notification. 51 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 356 home-visits were made during the year by the Health Visitors in connection with patients notified to be suffering from tuberculosis. |
b8964240-2ede-49a6-869f-8f58039a7781 | 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. There were 30 residents of this district suffering from tuberculosis admitted to institutions during the year (24 of them suffering from pulmonary and 6 from non-pulmonary tuberculosis). Five of these received institutional treatment at more than one institution. Admissions were as under:β Pulmonary Tuberculosis. To Surrey County Council Sanatorium 10 ,, Surrey County Hospitals 4 ,, other sanatoria 3 ,, general hospitals 8 ,, Public Assistance Institution 2 Total 27 Non-pulmonary Tuberculosis. |
438c9a37-3d96-45c6-91dd-48876c110fe6 | To sanatoria 4 ,, other institutions 5 Total 9 52 ISOLATION HOSPITAL. The number of cases admitted to the Isolation Hospital during the year was lower than the average, the total cases numbering only 72. Admissions and Deaths. The diseases under treatment at the Hospital during the year were as under:β Admissions. deaths. Diphtheria 1 1 Diptheria carrier 1 β Septic Throatβsent in as Diphtheria 1 - Scarlet Fever 46 - Tonsilitisβsent in as Scarlet Fever 1 - Measles 10 1 Influenzal Pneumonia 1 1 Pneumoniaβsent in as Enteric Fever 1 Whooping Cough 5 β Chicken Pox 3 β Mumps 1 β Acute Cellulitisβsent in as Erysipelas 1 β Total 72 3 Diphtheria Cases Admitted. |
537ad858-7fc7-472f-999d-ca8f50e456d1 | Only one case of diphtheria was admitted during the year. The case was of extremely severe character and terminated fatally. Scarlet Fever Cases Admitted. Cases of scarlet fever admitted during 1938 numbered 46. In 26 of the patients the original attack was relatively mild; in 16 cases the attack was moderately severe, and in 4 the disease was of a severe type. Scarlet-fever anti-toxin was used in all suitable cases with most beneficial results. No death occurred. Among the 46 cases the following complications occurred:β Secondary throat, 1; cervical adenitis, 3; rhinorrhΓ¦Εa, 3; otorrhΕa, 2; toxic heart, 2. Detention in hospital was not continued beyond six weeks in 35 of the cases; the remaining 11 cases were detained in hospital for varying periods of longer duration according to the nature of the complication which had ocurred. |
72c121fc-9dba-48f0-af52-2cf7f50e7ee3 | No cross-infection occurred in either of the Scarlet Fever Blocks, and there was no "return case" during the year. 53 Administration. (A) Cross-Infection. No case of cross-infection 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 1938 was 47, 3 of whom were admitted during 1937 and were still under treatment at the beginning of 1938. |
636b2875-a7c6-4ce6-937c-8c18813e7ea6 | The nature of the 44 cases admitted to the Cubicle Block during the year, excluding staff, is given below:β Scarlet Fever (complicated or doubtful) 20 Diphtheria (complicated or doubtful) 1 Measles 9 Rubella 1 Whooping Cough 5 Chicken-pox 3 Mumps 1 Influenzal Pneumonia 1 Septic Throatβsent in as Diphtheria 1 Pneumoniaβsent in as Enteric Fever 1 3 Cellulitis of legβsent in as Erysipelas 1 Total 44 All the above-mentioned 44 cases were admitted direct to the Cubicle Block. Forty of the 44 cases were retained in the Cubicles until their discharge. One patient was transferred to the Convalescent Scarlet Fever Ward and 3 patients died. (B) Incidence of Infectious Disease amongst the Staff. |
ad3f156a-8055-49f0-a137-4c6d6f70cae2 | 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) Accommodation 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. The accommodation provided is adequate for the needs of the area. 54 LABORATORY FACILITIES. |
a45d936d-9f61-42ae-a868-140c363e6734 | 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 57 β β ,, β diphtheria bacilli 116 β β ,, β typhoid bacilli (fΓ¦ces) 3 β β β β β β (urine) 2 Blood (Widal action) 4 Total 182 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. The number of rooms disinfected after infectious disease during 1938 was 252. |
232b242a-bbb7-4f3b-bc5c-353d74132029 | Infected bedding and clothing is steam-disinfected after removal to the Disinfecting Station attached to the Isolation Hospital. During 1938 137 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 1938 276 lots of bedding from houses in slum clearance areas, and 51 lots of bedding from other 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 28 of this Report. (c) Destruction of bedding and other articles. Twenth-four lots of bedding, clothing or other articles which had been infected, or were infested with vermin, were destroyed on request. |
42b7d36e-023d-42e6-8545-990a15fe05da | 55 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 1938 3 children were treated at the Cleansing Station oi verminous condition of the head; 16 children attended for the treatment of scabies and received treatment on 108 occasions. Eight adults were treated for scabies during the year, making 49 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. Section VII. MATERNITY AND CHILD WELFARE. The Barnes Borough Council is the Welfare Authority for the area. |
fda145eb-f44b-48e1-9af5-44b1c4ecae75 | 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. 56 Infantile Mortality. The total number of deaths of infants under one year of age assignable to the Borough for 1938 is 26 only. The various causes of death of these twenty-six infants is given below:β CAUSES OF DEATH. NUMBER OF DEATHS. Found deadβnewly-born 1 Injury at birth 3 Congenital malformations 5 Congenital debility 1 Marasmus 1 Prematurity 8 Gastro-enteritis 4 Bronchitis 1 Meningitis 1 Accidental death 1 Total 26 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. |
a537163f-772c-4a69-8bfe-37a72fd1bba9 | Cause of Death. Under 24 hours 10 Found dead, newly-born, inattention at birth. Injury at birth (2). Congenital malformation. Congenital debility. Prematurity (5). 1 to 7 days 4 Injury at birth. Congenital malformation (2). Prematurity. 1 to 2 weeks 2 Prematurity (2). 2 to 3 weeks 1 Gastro-enteritis. 3 to 4 weeks Nil 1 to 3 months 4 Gastro-enteritis (2). Bronchitis Accidental death. 3 to 6 months 3 Marasmus. Gastro-enteritis Meningitis. 6 to 9 months 2 Congenital malformation (2). |
97f684fe-3dff-4a9c-a64b-dfc1ca8a5de2 | 9 to 12 months Nil Total 26 Of the total 26 infantile deaths assigned by the Registrar-General to the Borough of Barnes for the year 13 were deaths of infants who died outside the borough, but whose deaths are assignable to this area, and 13 were infantile deaths which occurred in the Borough. 57 The twenty-six deaths assigned to Barnes corresponds to a rate of infantile mortality for the Borough of 68.7 per 1,000 registered births. The infantile mortality rate for London was 57, and that for England and Wales was 53 per 1,000 registered births. The infantile mortality rate of 68.7 per 1,000 registered births for the year 1938 is in striking contrast to the rate of 35.6 for 1937, which was the lowest ever recorded for the District. The exceptionally large proportion of neo natal deaths is a conspicuous feature of this unusually high mortality. |
c9025824-2d2b-4110-9ec3-a66a556222a5 | Analysing the age distribution it is found that no less than 17 of the total 26 deaths occurred before the infants had reached the age of 3 weeks. It is further observed that 10 of the infants died within 24 hours of birth. From a consideration of the causes of death as certified it is difficult to assess precisely the various factors, or the extent to which any) particular factors, contributed to this high mortality under 1 month. The ages, and causes of death, of the 17 infantile deaths under 3 weeks are given for reference:β Age at death. Certified cause of death. Newly born Found dead (want of attention at birth). 10 minutes Malpresentation. 30 ,, Prematurity. 1 hour Congenital heart disease. 5 hours Prematurity (twin). 6 β Prematurity. 8 β Prematurity. 8 β Injury at birth (difficult labour). 9 β Prematurity (twin). |
42c749d0-1b4a-4429-81b4-4077ce8d4d20 | (10) 15 ,, Injury at birth (breech presentation). 1 day Collapse of lung. 2 days Injury at birth (twin). 3 ,, Congenital malformation (imperforate anus). 4 ,, Prematurity (twin). 1 week Prematurity (7 months). 11 days Prematurity. (17) 2 weeks Intestinal indigestion. Maternal Mortality. It is extremely satisfactory to record that there was no death from maternal causes during 1938. This makes the fourth year in succession that no life has been lost as a result of childbirth. There has been nojjdeath from puerperal fever since 1934 and no death from other puerperal causes since 1933. 58 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. |
b1509a71-218a-4b4c-9cc0-9ed139d4669f | The work of the clinic is referred to on page 61. The services of a Consulting Obstetrician are available in cases of difficult or complicated labour, and in cases of puerperal fever or puerperal pyrexia. During 1938 these services were utilised on three occasionsβone a case of puerperal pyrexia, another a difficult labour, and the third post-partum hΓ¦morrhage with subsequent pyrexia. Information as to the number of midwives practising in the Borough, the number of confinements attended by these midwives, and the number of cases in which medical aid was summoned during the year, is given in the following table:β Domiciliary Midwives. Midwives in Institutions. Totals. 1. |
0d69093e-5e9a-4641-8ef6-2fc1ae70f7ed | Total number of midwives practising at the end of the year in the Borough of Barnes:β (a) Employed by the Local Supervising Authority 2 - 2 (b) In private practice 2 6 8 2. Number of cases in the Borough of Barnes attended during the year by midwives:β (a) Employed by the Councilβ (i) As midwives 68 β 68 (ii) As maternity nurses 12 β 12 (b) In Drivate nracticeβ (i) As midwives 67 36 103 (ii) As maternity nurses 88 176 264 3. |
d22ef32f-d837-40a6-a9ca-8444df61c3e7 | Number of cases in which medical aid was summoned during the year under Section 14(i)of the Midwives Act, 1918, by a midwife:β (i) Engaged in domiciliary practice 43 Total 44 (ii) For cases in institutions 1 Institutional provision for maternity cases under the Council's Maternity and Child Welfare Scheme was continued unchanged during 1938. Of the 378 total births assignable to the district 217 occurred in institutions (hospitals or maternity homes situated either within 59 or without the Borough), a proportion of 57 per cent. These institutional confinements occurred as follows:β In institutions within the Borough 70 In registered maternity homes 70 In institutions outside the Borough 147 In general hospitals IS In maternity hospitals 71 In Public Health County hospitals 13 In Public Assistance institutions 33 In maternity homes 15 Total 217 Puerperal Fever and Puerperal Pyrexia. |
21bd5f3f-7f95-47fa-aecd-93bab0c9c436 | Four cases were notified under the Puerperal Fever and Puerperal Pyrexia Regulations, 1926, during the year. These cases are summarised below:β 1. Confinement in a nursing home. On account of pyrexia the patient was seen by a consultant obstetrician and admitted to a London general hospital. The febrile condition on investigation was found to be due to a mild puerperal sepsis which completely cleared up and patient was discharged twelve days after admission. 2. Confinement in a nursing home. Post-partum hΓ¦morrhage occurred and a consultant obstetrician was called in. Pyrexia supervened but was not of a severe degree. Patient made a good recovery. 3. Home confinement. Pyrexia supervened on the third day after delivery. Patient was admitted to Queen Charlotte's Isolation Block for observation and treatment. |
ce7f926b-b881-42ea-9a37-93047d65e35e | The pyrexia was not due to puerperal sepsis and the patient was discharged after 12 days' retention in hospital. 4. Confinement in a London general hospital. Pyrexia was not attributable to puerperal sepsis. Investigations into cases of 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 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. 60 NOTIFICATION OF BIRTHS. There were 316 births registered in the district during the year, 309 being live births and 7 still-births. |
ce88b797-494a-4e58-86d8-63ac73b8c1d7 | Of the total 316 births registered, 310 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. During the year notifications were received in respect of 311 births, and of these 25 were notified by medical practitioners, 284 by midwives, and 2 by persons other than a doctor or midwife. Still-Births. There were 5 still-births notified during 1938, representing 1.6 per cent, of the total births occurring in the area in the year. An enquiry was made into all cases. Of the total number of "nett" births assignable to the district, namely, 389; live births numbered 378, and still-births 11. |
9bc71885-46b3-43c5-94ba-da58da667c68 | Of the 11 still-births, 7 were male and 4 female; two of these were illegitimate. The proportion of still-births was 2.8 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 Year 1937. 1938. Visits to expectant mothers 401 308 First visits to newly-born infants 352 373 Revisits to infants under 1 year 1,646 1,450 Visits to children aged 1 to 5 years 2,857 2, |
4e638c96-607e-4c41-bc64-25284d4fac2b | 451 Still-birth inquiries 2 13 Special visits to ophthalmia cases 1 3 , , , puerperal fever cases 1 4 , , , cases of measles 161 1,186 , , , , , whooping cough 203 255 , , , , , pneumonia 38 25 Visits to foster children 444 410 Visits in connection with infectious diseases other than those above specified 1,604 1,472 Total visits 7,710 7,950 61 In consequence of the appointment, at the beginning of 1937, of an additional health visitor and a female clerk for maternity and child welfare purposes, the number of home-visits made increased from 5,198 visits during the year 1936 to 7,710 visits during 1937. The number of home-visits made by the health visitors during 1938 was 7,950. MATERNITY AND CHILD WELFARE CENTRES. |
16f567a9-0ea7-4ee9-a353-d155c767f23c | During 1938 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. The number of attendances at this Centre, which had increased during the year 1937, continued to be so large during 1938 as to cause a degree of overcrowding, both at the Ante-natal and the Infantwelfare Clinics, which tended to inefficiency in the work. Fortunately soon after the end of the year, on the completion of the New Health Centre at North Worple Way, Mortlake, it became possible to transfer half of the work to that Centre. Early in the present year, March, 1939, it was arranged for four Infant-welfare sessions per week and four Ante-natal sessions per month to be held, the mothers and infants from the Barnes parish attending at the Essex House Centre and those from the Mortlake parish attending the clinics held at the North Worple Way Centre. |
02bdcb70-ec31-474f-8b65-71d98bfd47ce | Ante-Natal Clinic. During the year 146 mothers attended at the clinic; amongst these 126 were expectant mothers who attended as new cases and 2 were post-natal cases. The number of attendances made by the mothers at the clinics was 348. 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 37.4 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 24 mothers, who had booked their confinements at Hospitals, or Maternity Hospitals, and attended the Ante-natal Clinics of those institutions; this corresponds to a further 6.2 per cent. |
5733d863-3107-40ee-afc8-c42de9066072 | 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 43.6 per cent, under ante-natal clinic supervision. 62 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. 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, has continued. Infant Consultations. |
4fe17236-1253-4e89-8ded-a3ae1527fcfd | 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 1938 are given below:β Year Year New Cases:β 1937. 1938. Infants under 1 year 206 238 Children 1 to 5 years 89 99 Total 295 337 Number of Children attending during the year:β Infants under 1 year 317 366 Children 1 to 5 years 247 326 Total 564 692 Number of attendances made by:β Infants under 1 year 3,688 4,078 Children 1 to 5 years 2,233 3,247 Total 5,921 7,325 Mothers 5,239 6,245 The average attendance per week has been 142; the average attendance of infants under one year heing 79 per week, and of children aged 1 to 5 years, 63 per week. |
7ed5ada3-7f6f-4aaa-b8da-71724bba8353 | The number of infants under one year of age attending for the first time during 1938, namely 238, represents 63.0 per cent. of the total births occurring in the year. 63 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 2,466 as contrasted with 2,084 in 1937. During the year 48 children under 5 years of age were referred to Hospitals for sick and ailing children, 13 of whom were admitted as in-patients ; in addition to these there were 2 children referred to an Orthopaedic Hospital for treatment, one of whom was admitted as an in-patient. The practice of supplying dried milk, etc. at the Centre at cost price, or free in necessitous cases, was continued during 1938. The total dried milk which was supplied during the year was 3,430 pounds. |
ce1c41c7-142a-4fdc-a649-0eed7a827065 | 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 2,806 gallons. The following are the number of cases in which a supply of milk was granted:βto expectant mothers, 12; to nursing mothers, 25; to children under 5 years of age, 111: Total 148. In each instance, in accordance with the Council's Scheme, the supply of milk has not been granted for a period longer than a month at a time. The cases have been reviewed in every instance before continuing or renewing a supply. In all cases in which fresh milk has been supplied it has been stipulated that the milk supplied shall be "pasteurized" milk. LOCAL GOVERNMENT ACT, 1929. |
a2910f25-7090-44ed-826f-b6f12ffb114f | Under the above-mentioned Act it became the duty of the Council firstly, to perform the functions of a Local Authority under the Children Act, 1908 as regards Infant Life Protection, and secondly, to make contributions towards the expenses of certain Voluntary Associations (viz. two nursing associations and a day nursery) in so far as they were providing maternity and child welfare services within the area. The conditions subject to which the contributions are payable to these Voluntary Associations were included in the Council's Scheme and were set out briefly in my Annual Report for 1930, pages 98 to 100 ; one of these conditions is that the Council must be satisfied as to the efficiency of the maternity and child welfare services provided by the association. 64 Child Life Protection. In order to secure co-ordination of this work with the general child welfare work in the area, and to avoid duplication of visitors in the homes, the health visitors carry out the duties of Child Life Protection Visitors under Part VII of the Public Health Act, 1936. |
58eae5db-adbb-4f82-8912-1e7b91e62516 | Visits are made to the homes of all foster-children once a month routinely, more frequent visits being made where the particular circumstances indicate a need for such. In carrying out the necessary supervision of foster-children the Health Visitors made 410 home-visits, giving advice as to the proper care and management of the children and ascertaining that the conditions under which they were living remained satisfactory. It was not found necessary to institute proceedings during the year for any contravention of the provisions of the Act. |
b36e6276-d149-413e-a7a9-8547c71e118b | The following is a summary of the cases on the Register during 1938:β Foster-mothers on the Register at the beginning of the year 16 ,, ,, added to the Register 6 ,, ,, removed from the Register, having ceased to have care of children 12 ,, ,, on the Register at the end of 1938 10 Foster-children on the Register at the beginning of the year 31 ,, ,, in respect of whom Notice of Reception was received 34 β ,, removed from the Register during the year:β Returned to care of parents 26 Adopted 1 Transferred to the care of foster- mothers outside the area 4 Removed with foster-mother to another 48 area 14 Admitted to institutions 1 No longer within provisions of Act 1 Died 1 ,, ,, on the Register at the end of 1938 17 Voluntary Associations. (A) Voluntary Nursing Associations. (a) Nursing in connection with maternity and child welfare. |
11aafcb4-9d62-4f77-b849-b84bcb2a2115 | The Council contributed Β£20 per annum to each of the two District Nursing Associations, this contribution being made, in accordance with the Council's scheme, in respect of maternity and child welfare services provided. Home nursing for expectant mothers, 65 cases of ophthalmia neonatorum, and cases of measles, whooping-cough, diarrhoea and poliomyelitis in children under five years of age are included in the services provided for under the scheme. (b) Nursing of general medical and surgical cases. In addition to the payment of Β£40 referred to above as a contribution authorised under the Maternity and Child Welfare Scheme, the Council made a further contribution of Β£80 towards the expenses of the two District Nursing Associations (Β£40 to each Association). |
a043d22f-5a02-4b7e-9fef-b29566488b67 | During the present year (March, 1939) the Council made an increase in the contribution payable in respect of the nursing of general medical and surgical cases from Β£40 to each of the two Associations, to Β£50 in the case of the Barnes District Nurisng Association, and Β£75 in the case of the Mortlake District Nursing Assooiaticn, respectively. In connection with nursing of general medical and surgical cases, other than those specifically provided for maternity and child welfare purposes, the number of home-visits made by the two District Nursing Associations' nurses respectively were as under:β Barnes District Nursing Association, 6,026 home-visits (16 being to cases of pneumonia and 5 to a case of influenza). Mortlake District Nursing Association, 12,653 home-visits (8 being to a a case of influenza). (B) Barnes and Mortlake Day Nursery. |
1c1e4530-c302-489c-92fd-6f6a50a39280 | During the year the Council made a contribution of Β£357 towards the expenses of the Barnes and Mortlake Day Nursery in accordance with the Scheme made, for the provision of Maternity and Child Welfare Services, under Sec. 101 of the Local Government Act. In accordance with the Council's Scheme the provision of this service is made for children for whom adequate care cannot be provided in their own homes by reason of the unavoidable absence of the mothers at work, or other cause which necessarily prevents adequate care being provided at home; if the accommodation available cannot be filled with children whose mothers go out to work any vacancies should go to children requiring care and supervision owing to unsatisfactory home conditions. The number of attendances made by children during 1938 were as follows:βWhole-day attendances 3,805 ; half-day attendances 320. 66 Notices were received in respect of 35 infants and young children newly admitted during the year; of these 20 had ceased to attend the Nursery before the end of the year. |
4a7355a2-c75e-4429-a65a-7d847358778e | Thirty-four of the children who had been attending at the Day Nursery during 1938 discontinued attendance in the course of the year. The various reasons for cessation of attendance were as follows: 10 discontinued attending as the mother had ceased going out to work, 12 ceased to attend as other arrangements had been made for their care, 5 because the family had left the district, 3 were admitted to institutions, and 4 had reached school age. Of the 23 children attending at the end of 1938 3 were infants under one year of age; 9 were between 1 and 3 years, making a total of 11 under three years of age; 11 of the children in attendance were between 3 and 5 years of age. Exclusions to prevent spread of infectious disease during 1938 were as follows1 child was excluded suffering from German measles and 3 as contacts of this disease; 2 suffering from whoopingcough and 2 suffering from mumps. |
0ce70f76-78e8-43fe-880d-d93852c2c0ce | OPHTHALMIA NEONATORUM. Only one case of ophthalmia neonatorum was notified during 1938. The birth occurred in a London general hospital, and the disease commenced a few days after birth whilst the infant was still in hospital. Special institutional provision was not required in this case: after discharge from hospital the District Nurse visited the child at home and treated the eye. The eye recovered without any impairment of vision resulting. 67 INDEX PAGE Acute Anterior Poliomyelitis 47 Adoptive Acts 16 Ambulance Provision 14 Bacteriological Work 54 Bakehouses 37 Birth Rate 6 Bye-laws and Regulations 17 Cerebro-spinal Fever 47 Child Life Protection 64 Cleansing Station 55 Common Lodging Houses 26 Dairies, Cowsheds and Milkshops Regulations 35 Day Nursery 65 Death Rate 6 Death, Causes of 7, 9 Death, Causes of, at age periods, |
a52aa988-615e-49e6-8535-0650193861cf | Table 8 Deaths in Public Institutions 10 Diphtheria 38, 41, 52 Diphtheria Immunisation 42 Disinfection 54 Disinfestation 28, 54 Drainage Work 21 Encephalitis Lethargica 47 Enteric Fever 46 Factories and Workshops 23 Fishmongers 20 Fried Fish Shops 26 Health Visitors, Duties and Work of 13, 60 PAGE Houses Let in Lodgings 26 Housing 29 34 β Statistics, 1938 29 Infantile Mortality 12, 56 β β Rate of 12 , , Causes of 56 β Table, 1938 11 Infectious Diseases, Notifiable 38 β β Non-notifiable 48 Influenza 48 Inquests 10 Isolation Hospital 52-53 Laboratory Facilities 54 Legal Proceedings 23 Local Government Act, |
ed5395c5-3bec-4a55-8a55-2caf1badb5b7 | 1929 63 Maternal Mortality 57 Maternity and Child Welfare 55-66 β Home Visiting 58 β Centre 59 Measles 45 Meat 36 Midwives 16, 58 Milk Supply 35 Mortuary 16 Notification of Births 60 Nursing Arrangements, Home Nursing, Etc. 64 Offensive Trades 26 Ophthalmia Neonatorum 66 Overcrowding 31 Pneumonia 47 Population 2, 6 68 INDEX (continued). PAGE Public Conveniences 19 Puerperal Fever 59 Rats and Mice Destruction Act 25 Refuse, Collection of House Refuse 19 Refuse Disposal 19 Registries for Female Domestic Servants 26 River and Stream Pollution 18 Sale of Food and Drugs Act 37 Sanitary Administration 18-28 Sanitary Inspectors, Summary of Work of 20 Scarlet Fever 38, 44, |
7de25f85-c979-44de-bda3-bd09e9b83840 | 52 Scavenging of Streets 19 Schools and Schools Clinics 15, 27 Sewage Disposal 18 Shops Acts 25 Slaughter Houses 36 Slum Clearance 31-33 Small-pox 40 Smoke Abatement 25 PAGE Staff of Public Health Department 12 Statistics, Summary of 3 Swimming Pools 26 Tuberculosis Deaths 49 β Incidence 49 β Notification of 49 , Preventive Measures 51 β Treatment, Dispensary and Institutional 51 Unsound Food 37 Vaccination 41 Venereal Diseases Clinics 15 Verminous Persons 55 Vital Statistics 3-12 β , Tables 4-5 Water Supply 18 Whooping Cough 48 Zymotic Diseases 10 R. W. SIMPSON AND CO. LTD. PRINTERS, 15, BARNES HIGH STREET, S.W.13. |
7583f146-e1fa-46fe-939b-a080308ff194 | BARN 7 BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1939. BOROUGH OF BARNES THE Annual Report OF THE Medical Officer of Health FOR THE YEAR 1939 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. 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 of Health. A. V. B. Crawford, M.B., B.Ch., B.A.O.Dub., D.P.H.Eng. Medical Officer for Diphtheria Immunisation (part-time). D.S. |
951dcb9d-3c7e-4480-9b39-231edcc3c7c7 | Murray, B.Sc., M.B., Ch.B., Glasgow. 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., Cert. Health Visitor. Miss J. McNish, S.C.M., Cert. Gen. and Fever Trained Nurse. Miss O. L. Wilson, S.R.N., S.C.M., Cert. Health Visitor. Chief Clerk. R. E. Forrest. Assistant Clerks. R. A. Billen. Miss D. M. Reed. *G. K. Shilleto. Matron of the Isolation Hospital. |
6f06448f-adaa-4815-8a95-45c145ef7a75 | Miss P. Thompson, S.R.N., R.F.N. * (Serving with H.M, Forces). SUMMARY OF CONTENTS. page I. Statistics and Social Conditions of the District 2 II. General Provision of Health Services in the Area 3 III. Sanitary Circumstances of the Area 5 IV. Housing 16 V. Inspection and Supervision of Food 19 VI. Prevalence of, and Control over, Infectious Diseases 22 VII. Maternity and Child Welfare 34 Public Health Department, Mortlake High Street, S.W.14. 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 1939, on the sanitary circumstances, the sanitary administration, and the vital statistics of the Borough. |
43f6716d-f453-455e-8dc6-c2555b936f39 | The Report for 1939 has been drawn up in accordance with the requirements of the Ministry of Health's Circular 1961 (dated 16th February, 1940) and contains, in addition to detailed information specifically directed by the Minister of Health, a record of important alterations, improvements or developments which have taken place during the year, especially such as were occasioned by circumstances arising out of the War. The Ministry's Circular states that the Registrar-General will continue to issue as in past years, for inclusion in the Report, the local statistics in respect of the Borough together with certain national statistics for the country as a whole, but that owing to the War these statistics will not be available before July, and should be awaited before completing the Report. In view of my retirement from the position of Medical Officer of Health in June I have proceeded with the preparation of the text of the Report with the intention of including in an Appendix the information as to vital statistics, with comments thereon, when these have been received. |
b93280e6-0b89-4465-b16d-213774d47ccb | During the year under review there was no unusual sickness or mortality in the Borough. The incidence of the acute infectious diseases was remarkably low. All the usual Health Services of the Department were maintained in a state of efficiency throughout the year, alternative arrangements having been promptly made in those instances in which at the outbreak of war certain premises, specially provided for these services, were required for Civil Defence purposes. The presentation of this Report affords an opportunity of expressing my appreciation of the support which I have received from the Council in my work as Medical Officer of Health of the Borough during the past nineteen and a half years. I wish at the same time to thank the Chief Officers of other Departments for their co-operation. |
5ffa9a66-3e29-4a89-b310-c167c3b0937e | During 1939 the staff of the Public Health Department had a year of strenuous work owing to the very considerable additional duties which they were called upon to undertake in connection with the provision and organisation of the casualty services and other air raid precautions measures; it became necessary for very long hours of duty to be devoted to this work by all members of the staff, not only during the earlier months before the outbreak of war but increasingly so afterwards, and they have given me much valued assistance. I wish to record, and thank them for, their efficient service during a trying period. I have the honour to be, Mr. Mayor and Gentlemen, Your obedient Servant, E. A. FREEAR WILKES, Medical Officer of Health. May, 1940. 2 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1939. Section I. STATISTICS AND SOCIAL CONDITIONS OF THE DISTRICT. |
fa0ad80a-a2dc-473d-83c8-fc176a717109 | PHYSICAL FEATURES AND GENERAL CHARACTER OF THE AREA. A detailed review of the physical features and general character of the area has been given in my previous Survey Reports. There has been no alteration in the extent or boundaries of the area since that date. Area of Borough in acres 2,650 t PopulationβCensus, 1921 34,281 β Census, 1931 42,440 ,, Estimated, 1938, R.G. * 40,960 Number of inhabited housesβCensus, 1921 7,939 β β β Census, 1931 10,575 β β β Rate-books, 1939 10,835 Rateable Value Β£522,418 Sum represented by a Penny Rate Β£2,068 *The Registrar General's estimate of the population for 1939 is not available at the time of writing. It will be included, when received, in the Appendix to this Report. |
f64a9dd5-2075-4661-8b14-9efe7da82101 | 3 SOCIAL CONDITIONS AND OCCUPATION OF THE INHABITANTS. The district is mainly a residential one; more than fifty per cent. of the employed persons living in Barnes have their place of work outside the Borough, mostly in London, and the occupations they follow are therefore very diverse in character. 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. In the absence of information from the Registrar General with regard to the births and deaths assignable to this Borough during 1939, I am unable to comment on the vital statistics for the year. The Statistical Summary for the year 1939, and the comparative vital statistics with reference to birth-rate, death-rate, infantile mortality, zymotic death-rate and deaths from various causes will be given in tabular form in the Appendix when this information is available. section ii. |
886ee278-373f-4e44-bfb2-4d52247eb504 | GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. (1) PUBLIC HEALTH STAFF. A list of the members of the staff of the Public Health Department, with their qualifications, has been incorporated at the beginning of this Report. Information as to the duties performed by them was given in my Annual Report for the Year 1938, and these duties remained the same during 1939 except for additional work in connection with Air Raid Precautions. 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. 4 (2) AMBULANCE FACILITIES. The ambulance services provided by the Council have been adequate to meet the needs of the area. |
d4e375fc-4f06-4411-a49d-5389f838dfbe | Information as to these services, both for infectious cases and for non-infectious and accident cases, has been given annually in my previous Reports, and there has been no change during 1939 in the facilities provided. (3) CLINICS AND TREATMENT CENTRES. The Clinics provided in the Borough either by the Barnes Borough Council, or by the Surrey County Council, were set out in my Annual Report for 1938 (page 15), together with the days and hours of attendance at the various Centres. The clinics held at these centres continued unchanged during 1939 until September. At the outbreak of war, owing to the premises being taken over for air raid precautions purposes, it became necessary to discontinue the use of the Centres for clinics. Arrangements were made immediately for the Barnes Borough Council's Maternity and Child Welfare work to be continued at other premises. Information as to the steps taken in this direction will be found in Section VII dealing with Maternity and Child Welfare. |
d23ab8ef-336b-43cb-bf97-ad8dee499799 | (4) MIDWIFERY AND MATERNITY SERVICES. There has been no change in the provision made for these services since my last Annual Report. During 1939 the number of midwives who gave notice of their intention to practise in this Borough was nine, eight of these (including the two municipal midwives) being resident within the Borough and one resident in adjacent area. (5) MATERNITY AND NURSING HOMES. There are three private Maternity Homes in the district registered by the Surrey County Council. (6) PUBLIC MORTUARY. The Council have provided a Public Mortuary situated in South Worple Way, Mortlake. During 1939 10 bodies, on which post-mortem examinations were conducted or inquests held, were received ; of this number 3 were bodies of persons resident in the district, 4 were bodies of nonresidents whose deaths occurred in the district, and 3 were bodies of persons unknown. 5 Section ii. |
8afb8e0b-f1f7-430a-a1b0-6dddb22e8bee | SANITARY CIRCUMSTANCES OF THE AREA. (1) 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 water-borne disease has arisen. The supply is ample and of satisfactory quality. 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; during 1939 no such occasion arose. (2) RIVER AND STREAM POLLUTION. |
23e30364-7efa-4bb1-8a9f-4868f5e9f830 | No instance of pollution of rivers or streams by effluents, solid refuse or filth has come to my notice during 1939. (3) DRAINAGE, SEWERAGE AND SEWAGE DISPOSAL. The water-carriage system of sewage disposal is used throughout the Borough; there is now no privy or earth-closet in use in the area. Drainage. The defects discovered by the Sanitary Inspectors in connection with the drainage of dwelling-houses and other premises, and defective conditions remedied, will be found on reference to Table 2. Closet Accommodation. All the water-closets except 6 are connected to the main sewerage system. The six water-closets which drain into cess-pools are situated in low-lying positions where connection to a sewer is impossible. The cleansing of these cess-pools is undertaken by the owners of the premises, and has been carried out in accordance with the Council's Bye-laws. |
bec3bb0f-79ee-44a3-872c-edd029b1e232 | 6 Public Conveniences. During 1939 there has been no alteration in the number of public conveniences available in the Borough. Details of these were given in my Annual Report for 1938. Disposal of Sewage. The disposal of the sewage from the Borough of Barnes, and of that from the Borough of Richmond, is carried out by the Richmond Main Sewerage Board. In 1934 the Richmond Main Sewerage Board, acting upon a Report from the Board's Consulting Engineers, decided to bring their Works up to date in order to deal more efficiently with the sewage. The Board prepared a Scheme for alteration and extension of the Works but delay in proceeding with the Scheme arose from certain objections. After two Local Inquiries by the Ministry of Health had been held the Board were in a position to proceed with the work included in their Scheme subject to the necessary sanction of the Minister of Health being given. |
4ef47d92-e2aa-4af7-b853-5454479666ad | In consequence of the outbreak of war however, and by reason of the Government's general restriction on the raising of loans and the commencement of new capital works, the proposed extension and alteration of the Board's Works has had to be further postponed the Minister of Health having refused to sanction the loan required for the work. The present position is that the Sewage Works are still not capable of dealing with the sewage as efficiently as is desirable and, whilst no evidence has come to my knowledge during the period that I have been Medical Officer of Health of Barnes from 1921 to the present time either of nuisance arising from the effluent or of the occurrence of any infectious disease attributable to this source, I am of opinion that in the interest of general public health the Board's Scheme should be proceeded with as soon as circumstances will allow. (4) 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. |
b81f56b4-38ce-4d9a-8395-395ac0363e16 | The system of house-refuse collection remained unchanged during 1939; for a short period after the outbreak of war, owing to shortage of staff, collection had to be undertaken at less frequent intervals than usual. 7 During the year, in compliance with notices served by the Sanitary Inspector, 124 new movable sanitary dustbins were provided. Disposal of House Refuse. In normal times the whole of the house-refuse collected in the Barnes Borough is incinerated at the Council's Destructor; in addition the house-refuse from the Borough of Richmond is also destroyed at the Barnes Borough Council's Destructor. During 1939 the amount of refuse collected in the Barnes Borough was 11,024 tons, and the amount collected in Richmond Borough 11,108 tons, making a total of 22,132 tons to be disposed of. |
7df8f88e-336c-4b03-940e-0ed0b7206b2a | On the outbreak of war it became impossible to continue the use of the Council's Destructor and from September to the end of the year other methods of disposal had to be resorted to, the quantities of refuse incinerated, tipped and barged away respectively during the year being as follows:β From Barnes Borough. From Richmond Borough. Refuse incinerated 7,933 tons. 9,059 tons. β barged 315 β β β β tipped 2,776 β 2,049 β Total refuse disposed of 11,024 β 11,108 β No serious nuisance arose from the refuse tipped. Complaints were received of some nuisance from flies and from the presence of rats in the neighbourhood of the tip and preventive measures were taken to deal with both; the time of year was not very conducive to fly-breeding and their prevalence quickly diminished as the autumn advanced. Cleansing and Scavenging of Streets. |
0d255317-d1f7-45ec-8943-c566517400eb | No change was made during 1939 in the methods normally used in the Borough for these purposes. (5) SANITARY INSPECTION OF THE DISTRICT. 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 27 of the Sanitary Officers (outside London) Regulations, 1935, containing particulars as to the number and nature of the inspections made by the Sanitary Inspectors during the year, the number of notices served, and the result of the service of such notices. 8 Table 1.βShowing the Number and Nature of the Inspections made by the Sanitary Inspectors during 1939, 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. |
6ffbd959-3a31-46df-a55d-9f946ac68fc9 | 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. Dairies 44 14 β β β β Milkshops 42 64 β β β β Butchers' Shops 33 235 3 2 β β Fishmongers and Poulterers 18 23 β β β β Greengrocers 51 108 1 1 β β Cooked- provision shops 36 179 β β β β Ice-cream shops 48 66 β β β β Restaurants 34 45 3 3 β Fried-fish shops 5 22 β β β β Slaughterhouses 1 56 β β β β Bakehouses 14 33 1 1 β β Factories:β Mechanical 93 119 1 1 β β Non-mechanic'l 42 50 1 1 1 1 Workplaces |
ecfefda4-0049-4a0f-b1a5-da89411de5d5 | 27 80 β β β β Home-workers 1 1 β β β β Schools β β β β β β Public Halls and Cinemas 6 6 β β β β Van Dwellers β β β β β β Servants' Registries 3 3 β β β β Marine Stores β β β β β β Stable Yards 30 51 β β β β Public Conveniences 40 74 β β β β Passageways 12 12 β β β β Dwelling-houses (including houses let in lodgings) (1) House - toHouse Inspection 94 2622 407 322 - - (2) Inspected on complaint 273 (3) Inspected in course of other work:β β (a) Housing work, etc 230 (b) For infectious diseases 15 Totals 1162 3857 417 331 1 1 9 Table 2.βDefective Conditions Remedied. Drainage. |
99ff4ac9-d5b1-4341-a4a4-86ba1ce881ef | Sewers cleared or repaired 6 Drains inspected on complaint 22 β water tests applied 33 β smoke tests applied 20 β cleansed or repaired 44 β relaid 10 β reconstructed 4 β ventilated 1 Inspection chambers repaired 11 β β new provided 3 InterceptorsβCaps fixed 21 Soil pipes renewed 1 Ventilating shafts repaired 6 Fresh air inlets repaired or new provided 8 Rain-water pipes disconnected from drains . . 8 Water Closets. Pans and traps provided 33 Waste water preventers repaired 19 β β β new provided 15 β β water supplied 1 Apartments repaired 88 β lighted and ventilated 10 Sinks and Baths. Repaired or newly fixed 40 Waste pipes repaired 6 β β newly fixed 14 β β trapped 20 Urinals. Repaired or cleansed 3 Water Supply. Cisterns repaired or renewed 13 Taps off main provided 10 Dustbins. |
4bf36496-41a8-43f8-98e5-16a3b8fc99a4 | New dustbins provided 124 Yards. Paving repaired 38 Newly paved 7 Dampness. Roofs repaired 200 Gutters and rain water pipes repaired 191 Damp courses provided 148 External walls repointed 78 10 General. |
6250bd61-8eca-4bf5-9f74-5cf12c5ca87b | Food larders ventilated or new provision made 53 Rooms insufficiently lighted 6 Windows repaired 526 Windows made to open 9 Doors and frames repaired 55 Permanent ventilator provided to rooms 9 Lighting provided to stairs 26 Stairs repaired or handrails provided 23 Grates repaired or renewed 69 Smoky chimneys remedied 65 Washing coppers repaired 21 Walls and ceilingβplaster repaired 164 ,, ,, β stripped and redecorated 297 Floors repaired 91 Verminous premises fumigated and cleansed 16 ,, bedding cleansed or destroyed 2 Offensive accumulations removed 7 Miscellaneous defects remedied 61 Smoke nuisances abated 4 Infected and Infested Rooms and Articles (dealt with by the Council). |
0cb9ee57-d87c-4fa5-a432-ef65156b0812 | Rooms disinfected 93 Lots of bedding disinfected 138 ,, ,, destroyed 23 ,, ,, disinfested (slum-clearance) 3 ,, β disinfested (re-housing) 9 β β disinfested (overcrowding) 18 Council houses disinfested 16 Other houses disinfested 8 The total number of premises visited by the Sanitary Inspectors under the various Acts, etc.,in operation was 1,162, the total number of visits paid being 3,857. Particulars of visits made in connection with overcrowding and other visits not included in Table 1 are as follows:β Overcrowding, 133 ; visits in relation to the management of Council houses, 261. In addition to the above work undertaken by the Sanitary Inspectors, the Disinfecting Officer visited 67 premises for the purpose of disinfection after cases of infectious disease, and he carried out the disinfestation of 27 verminous premises. |
91e63f73-2d5d-47bb-b259-f476aad3f30a | He was also engaged in the following work in connection with drainage:βDrain testing, 12; cleansed, 2; opened-up, 29. Legal Proceedings. It was not found necessary to institute legal proceedings during 1939. 11 (6) FACTORIES ACT, 1937. Factories. The number of Factories on the Register at the end of the year was 135, consisting of 93 factories with mechanical power and 42 factories without mechanical power. Inspections made and written notices served were as under:β No. of Inspections. Written Notices. Factories with mechanical power 119 1 Factories without mechancial power 50 2 Total 169 3 Defective conditions found were few in number and were as follows:βSanitary conveniences insufficient, 1; Other offences, 3. All of these conditions were remedied. No matter was referred to H.M. |
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