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a8f91883-1976-4d20-8d74-bd4d9b7edec1 | 41 44 30 42 21 39 28 25 35 32 39 „ Non-P. 6 13 10 6 8 5 10 8 3 4 4 Cerebro-spinal Fever — — 2 1 — — — 2 1 5 4 Poliomyelitis 1 — 1 — — — 2 1 — — — Ophthalmia Neonatorum - 1 - 1 1 1 1 1 - 2 1 Measles 31 790 50 551 7 517 101 387 8 79 63 Rubella 16 8 23 61 5 29 9 439 22 * * Encephalitis Lethargica - - - - - - - - - - - Polioencephalitis - - - - - - - - - - - Malaria - - - - - - - - - - - Dysentery — — — |
0e2a779d-dd0e-4066-a987-0ae525375902 | — — — — 1 — — 1 Pneumonia 28 30 35 36 13 21 34 18 14 14 21 Anthrax - - - - - - - - - - - Whooping Cough -(Not Notifiable)- 5 2 151 * No longer notifiable. Table 25.—Schools. Number in Borough Number of scholars who suffered from:— Scarlet Fever Diphtheria Public Elementary Schools:— 10 Barnes Central Boys — 1 „ „ Girls — — Lowther J.M. and Infants — — East Sheen J.M. and Infants 1 2 Mortlake Central Boys 1 — „ „ Girls — — Mortlake Council J.M. and Infants 2 — Mortlake C.E. Mixed — — „ „ Infants 1 - Mortlake R.C. |
8c2428cc-8f0b-478b-9e34-d0857b28183c | 3 — Secondary Schools:— 1 East Sheen and Richmond County Boys' School - - Private Schools 5 — - Total 16 8 3 22 Table 26.—Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1941, in Respect of the 1,186 Children who Attended the Clinic during 1941. Position on 31 Dec., 1941 1. TOTAL NEW CASES dealt with during 1941 1096 (A) Continued in Attendance:— 840 (a) Post-Schick Negative (Certificate) 628 (b) Completed injections, awaiting Post-Schick test 159* (c) Receiving injections at end of year 53 (B) Discontinued Attendance:— 256 (a) Completed injections—failed to attend for PostSchick test 237* (b) Did not complete injections 19 (c) Left district before completion of injections 1 2. |
2106c9b1-2027-4359-b099-fd21e37bde8d | CHILDREN attending for Re-Schick Test two years after immunisation:— 90 (a) Re-Schick test negative—immunisation confirmed 87 (b) Re-Schick test positive—further injections given 3 TOTAL CHILDREN attending Clinic during year 1186 Children invited but did not attend 62 Note.— In addition to the 628 children in respect of whom certificates were given, 396* additional children completed courses of immunising injections during the year, making in all 1,024 children immunised during the year. Table 27.—Clinic for Inoculation against Typhoid Fever. Adults. Children under 16. Total. |
47bc4bca-8b66-4cab-af71-54f94d8d4230 | Number of applications received during 1941 428 73 501 Number of applications withdrawn 25 1 26 Total invited 403 72 475 Number who attended Clinic:— (a) Completed course of injections 346 67 413 (b) Failed to complete course of injections 9 1 10 Number invited but did not attend 48 4 52 Number of injections given 1048 203 1251 23 TUBERCULOSIS. Notification Register. 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, 1941 are as under:— Table 28.—Tuberculosis Notification Register. Form of Disease. On Register, 1st Jan., 1941 Cases Added. Removed from Register. |
5443af99-93d6-4434-8d68-b581e88000d5 | Remaining on Register 31st Dec., 1941 Primary Notif' ns Otherwise. Total. NonTub. Cured Left District Dead. Total. Pulmonary 143 39 20 59* 1 - 24 29 54 148 Non-Pulm'y 50 4 — 4 1 — 4 4 9 45 All Forms 193 43 20 63* 2 — 28 33 63 193 * Included in these figures are two patients whose names were restored to the Register. Table 29.—Tuberculosis: New Cases and Mortality, 1941. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. |
390594e4-dc4b-4708-a13c-b02900e435f7 | Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 „ - — — 2 — — — — 5-10 „ - - - - - - - - 10-15 „ 1 - - - - - - - 15-20 „ 10 — — 1 1 — — — 20-25 „ 5 3 — — 3 — — — 25-35 „ 7 7 — — 2 3 — — 35-45 „ 6 4 1 - 3 2 - — 45-55 „ 6 4 — - 5 — - — 55-65 „ 2 - - - - - - - 65 „ and over — 2 — - 1 — - 1 All ages 37 20 1 3 15 5 - 1 * In addition to primary notifications, |
fc0dcff9-f98d-4142-b625-bead7bccdf2f | all other new cases coming to the knowledge of the M.O.H. are included in these figures. Incidence-rate—Pulmonary 1.25 All forms 1.38 Non-pulmonary 0.13 Death-rate -Pulmonary 0.64 All forms 0.67 Non-pulmonary 0.03 24 Table 30.—Institutional Treatment. Admissions during 1941 were as under:— Pulmonary Tuberculosis: To Surrey County Council Sanatorium 7 „ Surrey County Hospitals 12 „ other sanatoria 8 „ general hospitals 4 „ Public Assistance Institutions — Total 31 Number of patients admitted : Pulmonary 30 Non-pulmonary Nil INFECTIOUS DISEASES HOSPITAL. Table 31.—Admissions and Deaths. Residents of Borough. Nonresidents admitted under reciprocal arrangements Noncivilians. TOTALS. Admitted. Died. Admitted. Died. Admit ted. Died. |
841c9a50-e1b6-4a7d-9825-69b35dcd188c | Admit ted. Died. Diphtheria 9 - - - - - 9 - Scarlet Fever—sent in as Diphtheria 1 - - — — — 1 — Diphtheria and Scarlet Fever 2 — - — — — 2 — Scarlet Fever 18 - - - - - 18 — Diphtheria Measles sent in as Scarlet Fever 1 - - - - - 1 — 1 - - - - - 1 — Scarlet Fever and Chicken-pox 1 - - - - - 1 — Scarlet Fever and Whooping Cough 1 - - - - - 1 — Cerebro-spinal Meningitis 5 — — — — — 5 — Pneumonia Double Otorrhoea and Mastoiditis sent in as Cerespinal 1 - - - - - 1 — Meningitis 1 - - - - - 1 — Enteric Fever—Paratyphoid 1 - - - - - 1 — |
1088e921-8285-4e36-974d-5a85ef2f5316 | Measles—sent in as Enteric Fever 1 - - - - - 1 — Measles 1 - 5 — — — 6 — German Measles - - - - 1 — 1 — Whooping Cough 7 1 9 — — — 16 1 Chickenpox - - 5 — — — 5 — Pediculosis and septic scalp sent in as Chickenpox — — — — 1 — 1 — Arteriosclerosis 1 - - - - - 1 — Erysipelas 1 — 1 — — — 2 — Erysipelas and Chickenpox 1 - - - - - 1 — Gastro-enteritis — — 2 — — — 2 — Dysentery, |
fd6da527-12b3-41f8-b4fe-1c46b5f2065b | Sonne — — 16 — — — 16 — Cellulitis—sent in as Mumps 1 - - - - - 1 — Totals 55 1 38 — 2 — 95 1 25 Deaths. (1) Whooping cough, complicated by broncho-pneumonia on admission— child six weeks old—died 4th day after admission. Complications. (1) Diphtheria. (4) Cerebrospinal Meningitis. Strabismus, 4. Facial paralysis, 1. Dipththeritic myocarditis, 4. Arthritis, 1. Paralysis—Palate, 2. —Face 1. (5) Whooping Cough. Serum reaction, 1. Broncho-pneumonia, 10. Tonsillitis. Enteritis, 1. (2) Scarlet Fever. |
dcf9baa4-af1c-4567-bffa-0f1b4a397143 | (6) Chickenpox. Rheumatism, 1. Impetigo, 1. Necrosis, 2. Otorrhœa, 1. Adenitis, 3. Secondary tonsillitis, 1. C) Paratyphoid. Anaemia, 1. Rheumatism, 1. Serous meningitis, 1. (8) Dysentery Sonne. (3) Measles. Broncho-pneumonia, 1. Congestion of lungs, 1. Tonsillitis, 1. Broncho-pneumonia, 4. Otorrhœa, 1. Table 32.—Laboratory Facilities. |
3294bf50-30ca-4d0e-b679-c107f80ebbf2 | Specimens examined during the year were as follows:— Sputa for detection of tubercle bacilli 57 Swabs „ „ „ diphtheria bacilli 185 Fæces „ „ „ typhoid bacilli 64 Urine „ „ „ „ „ 13 Cerebro-spinal fluid 5 Blood (Widal) 2 „ (Blood-count) 1 Pus 1 Smears 4 Total 332 26 MATERNITY AND CHILD WELFARE. Table 33.—Home-Visiting. |
86f46f44-3d28-4fb2-9743-1d591cd870fb | A summary of the work performed by the three Health Visitors during the year is given below:— Visits to expectant mothers 384 First visits to newly-born infants 306 Revisits to infants under 1 year 2,085 Visits to children aged 1 to 5 years 3,175 Visits in connection with Council's scheme for the supply of milk 43 Still-birth inquiries 5 Special visits to cases of measles 90 „ „ „ „ „ whooping cough 391 „ „ „ „ „ pneumonia 16 Visits to foster children 72 Visits in connection with infectious diseases other than those above specified 1,111 Total visits 7,678 Table 34.- Notification of Births. (a) Registered in Borough:— Live Births. Still Births. Totals. |
e5b686c1-65db-4217-aab8-06e6d822a92a | Number of births registered during 1941 as occurring in the Borough 248 6 254 Number of such births not notified in accordance with the Public Health Act, 1936, Part VII 1 2 3 (b) Notified. Number of births, live and still, notified during the year— by medical practitioners 10 by midwives 246 by other persons 1 Total notified 257 Number of still-births notified during the year 6 Percentage of still-births to total births occurring in the Borough 2.3 Table 35—Institutional Confinements. In institutions within the Borough 127 In registered maternity homes 127 In institutions outside the Borough 108 In general hospitals 8 In maternity hospitals 29 In Public Health County hospitals 35 In Public Assistance institutions 22 In maternity homes 14 Total 235 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 50 27 MATERNITY AND CHILD WELFARE CENTRES. |
ac55323f-c169-4763-ae78-bf17d334cb65 | Table 36—Ante-Natal Clinic. Year 1940 Year 1941 Total number of expectant mothers attending Borough ante-natal Clinic during the year 196 244 Number of new cases attending for first time and included in total number 157 202 Number of attendances made by all mothers 508 618 Percentage of expectant mothers of total notified births attending Borough Clinic 60.1 78.6 Table 37—Infant-Welfare Clinics.— Attendances. Year 1940. Year 1941. New Cases:— Infants under 1 year 256 279 Children 1 to 5 years 128 167 Total 384 446 Number of Children attending during the year:— Infants under 1 year 312 369 Children 1 to 5 years 364 396 Total 676 765 Number of attendances made by:— Infants under 1 year 2,027 3,718 Children 1 to 5 years 1,412 2, |
4bbf3efa-fd4b-4b4f-a4b2-4dc1c7244565 | 619 Total 3,439 6,337 Mothers 2,903 5,681 Number of consultations with Medical Officer 2,320 3,769 Average attendance per week: Infants under 1 year 39.8 72.9 Children 1 to 5 years 27.6 51.4 Total, all children 67.4 124.3 Number of children attending Centre for first time during the year: Percentage of total births represented by this figure 70.9 77.5 28 Table 38.—Child Life Protection. |
f71029b0-83de-474d-9cc6-999d0362cc3c | The following is a summary of the cases on the Register during 1941:— Foster-mothers on the Register at the beginning of the year 5 „ „ added to the Register 4 „ „ removed from the Register, having ceased to have care of children 4 „ „ on the Register at the end of 1941 5 Foster-children on the Register at the beginning of the year 5 „ „ in respect of whom Notice of Reception was received 10 „ „ removed from the Register during the year:— Returned to care of parents 5 8 Evacuated 1 Adopted 1 Admitted to Hospital 1 ,, „ on the Register at the end of 1941 7 Number of visits of inspection made by Health Visitors during the year 72 Table 39.—Voluntary Associations. (1) Nursing Associations. |
3e18ed74-2aa4-4046-928d-6bcb053e2012 | Barnes District Nursing Association Mortlake District Nursing Association Totals Home-visits in connection with maternity and child welfare - - - „ „ to cases of—whooping cough 31 — 31 —pneumonia 141 67 208 —influenza — 26 26 „ „ to other general and surgical cases 6,103 15,198 21,301 6,275 15,291 21,566 (2) Barnes and Mortlake Day Nursery. Accommodation for children under 5 years 26 Number of attendances—Whole-day 3,745 Half-day 696 |
dae3af5a-b1c8-4483-bf58-b708d300b5aa | BARN 10 BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1942 Public Health Department, 394 Upper Richmond Road, East Sheen, S.W.14. 14.4 1944. Dear Sir, Annual Report of Medical Officer of Health for 1942. With reference to my Annual Report for 1942 I should be glad if you would make the following corrections in the text. Page three lines from the bottom, erase the word 'such'. Page 25, under the heading of "Complications (l) Scarlet Fever, erase Measleson admission,2 Page 25, under the heading "cross infections", where cross infections is printed, it should read "mixed infections", Yours truly, Medical Officer of Health. Ministry of Health. |
d62f84fa-bf2a-4d2a-a1b3-795d4425af94 | » BOROUGH OF BARNES THE Annual Report OF THE Medical Officer of Health FOR THE YEAR 1942 W. F. Twining McMath, m.d.Beif., m.R.c.p.Lond.. l.m., d.p.h. Medical Officer of Health. BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health. W. F. Twining McMath, M.D., B.Ch., B.A.O.,Belf., M.R.C.P.Lond., L.M., D.P.H. Assistant Medical Officer of Health. A. V. B. Crawford, M.A., M.B., B.Ch., B.A.O.(T.C.D.), D.P.H.(R.C.P.S.Lond.) Chief Sanitary Inspector. C. S. Perchard, Cert.R.San.Inst., Cert. Meat and Food Insp. Additional Sanitary Inspectors. |
ac046b2d-060a-487c-abc3-e23e16fa868b | G. G. Gardiner *A. A. Brown Cert.San.Insp., Cert. Meat and Food Insp. *R. H. Street Temporary Sanitary Inspectors. E. Kilner J Plant Cert.San.Insp., Cert. Meat and Food Insp. 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. Miss M. Sharp. *G. K. Shilleto. G. E. Tydeman. Temporary Clerks. Miss B. Haydon. Miss K. P. Morcom. Miss H. Wheatiey. Mrs. |
877da6bc-a8c9-406a-a9f9-20d4a1331801 | J. Scullard. Miss J. Campbell. Matron of the Infectious Diseases Hospital (Temporary Appointment). Mrs. P. Manger, S.R.N., R.F.N. Matrons, War-Time Day Nurseries. 47 Castelnau, Barnes— Mrs. I. Beck, S.R.N. 2 and 4 Sheen Gate Gardens—Mrs. C. Dyer, S.R.N., R.F.N. * (Serving with H.M. Forces). 3 Public Health Department, 394, Upper Richmond Road, East Sheen, S.W.14. To the Mayor, Aldermen and Councillors of the Borough of Barnes. Mr. Mayor, Ladies and Gentlemen, I have the honour to present my Annual Report for the year 1942 on the sanitary circumstances, the sanitary administration, and the vital statistics of the Borough. |
20954b2e-3cd4-4d45-a0db-092fb3896ae0 | In accordance with Ministry of Health instructions this Annual Report has been curtailed and has been set out on the lines indicated in the introductory letter contained in my Report for 1940. As before I desire to express appreciation of the support afforded me by the Council and to the staff of the Public Health Department for their continued co-operation and devotion to duty. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, W. F. TWINING McMATH, Medical Officer of Heailh. 4 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1942. PREFACE. In view of the pressure of work in public health departments of local authorities and the need for strict economy in the use of paper, this Report, in accordance with the requirements of Ministry of Health Circular No. 2,773, has been confined to essential and urgent matters which have affected the public health during the year. |
5bff282b-8ef4-4430-9340-c637902f331f | Accordingly I have to make observations only under the headings which follow. OFFICES. Owing to the increased number of staff of the Public Health Department due to many additional provisions undertaken, it was necessary to obtain larger premises as offices. On the 22nd January, 1942 the Public Health Department was transferred to 394, Upper Richmond Road, East Sheen. STAFF. The following changes in staff occurred during the year. Mrs. J. Scullard was appointed on 6th September, 1942, filling the position originally held by Mrs. M. Wall. As a result of the increased work of the department generally it was decided to appoint a temporary clerk to act as telephonist. Miss J. Campbell commenced duties in this capacity on the 28th July, 1942. |
48b20091-8b63-440b-9050-cd9b39e7e8da | The Matron of the Borough Infectious Diseases Hospital having married, the Council decided that her appointment as Matron on the permanent staff be terminated on the 15th May, 1942 and that she be appointed in a temporary capacity as from the 16th May, 1942. SANITARY INSPECTION OF THE DISTRICT. The suspension of routine housing inspections and similar inspections in accordance with Ministry of Health instructions still continues. Work in connection with housing has been restricted to remedying defective conditions in dwelling-houses discovered in the course of other work, or on complaint. 5 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1942 are set out in Tahles 21-25 in the Appendix, in which the number of cases removed to hospital and the number of deaths in the district from these diseases are also given. |
248aa58d-8618-46fd-91ba-fcdccca68163 | It will be seen by reference to the statistics referred to that measles showed a considerably higher incidence in Barnes than in the country as a whole. This high incidence is no doubt largely accounted for by the fact that there had been few cases of measles during the previous three years and consequently there were more children susceptible to this infection. None of the cases of diphtheria occurring during the year had received a course of immunising injections. DIPHTHERIA IMMUNISATION. In October, 1942, a six weeks' propaganda scheme was initiated in an endeavour to secure the immunisation of as many children as possible between the ages of 1 and 15 years. The campaign included the use of banners, press advertising, posters, pamphlets and word-of mouth publicity by ministers of religion, organisations, etc. PRECAUTIONS AGAINST WHOOPING COUGH. |
2baec7ac-d899-44e1-a743-88c99dceacf2 | In December, 1941, the Council adopted a scheme for the free inoculation against whooping cough of the following groups of children (a) aged 6 months to 5 years; (b) definite or suspected contacts of any age. The inoculation consists of four injections, followed by a fifth injection in the case of children under five years shortly before they attend school, or, at any time, if a child is known to have come into contact with a case of whooping cough. It was decided to commence the inoculations in the first instance among the children attending the two Borough War-Time Day Nurseries. At the end of the year 34 of the children attending were receiving these protective injections. LOUSE-BORNE TYPHUS FEVER. In May, 1942 a scheme for the hospital treatment of Typhus Fever was instituted in the County of Surrey, the Borough of Barnes being one of the Authorities co-operating. |
a3397e21-914b-4e24-87e2-880bfb687988 | Arrangements were also made for the cleansing and isolation of contacts of patients and for the disinfestation of bedding and household effects. For this purpose a team of seven members of the Public Health Department staff (including members of the staff at the Hospital) have been equipped with the necessary protective clothing, and such other precautionary measures have been taken in order that the scheme may be put into immediate operation, should the necessity arise. 6 INFECTIOUS DISEASES HOSPITAL. I think it wise to record the great difficulties experienced since the loss of the cubicle block at the hospital. Owing to the number of various diseases, mixed infections and observation cases requiring treatment it is often very difficult to find accommodation for patients in spite of the fact that there may be quite a number of empty beds throughout the wards. Further, if cubicles were available it would be more economical for nursing and running costs. |
4cde3891-2fda-4482-92ab-fc98da935cf7 | However, owing to the shortage of labour and materials the question of the provision of a new cubicle block has been postponed until the end of the war. CLEANSING STATION. In accordance with the Council's decision a male cleansing attendant was appointed in April, 1942 at the Borough Cleansing Station, which had been placed under the direct control of the Medical Officer of Health. It was not possible, however, to obtain a suitable female cleansing attendant until May, 1942. In the case of each of these employees it was arranged that when not engaged on cleansing duties they should be employed at the Borough Infectious Diseases Hospital. During the year the Scabies Order, 1942 came into operation, whereby powers were granted to the Medical Officer of Health for the control, prevention and treatment of persons suffering from scabies. Most of the provisions advised in this Order were already in operation in the Borough of Barnes. BOROUGH ACCIDENT AND GENERAL PURPOSES AMBULANCE SERVICE. |
fbfda8a0-139e-4cb0-9f06-df50e901e767 | This service was placed under the control of the Medical Officer of Health in December, 1941. During 1942, owing to the fact that the firemen were all trained in first aid and owing to the difficulty experienced in obtaining trained substitutes for them, the accident ambulance continued to be manned by personnel of the Fire Service. MATERNITY AND CHILD WELFARE. The birth-rate for Barnes for 1942 was 14.5 per 1,000 population, contrasted with 11.6 the previous year. This birth-rate is the highest recorded in the borough since 1926. As a result of the Council's representations, permission was received from the Ministry of Health to establish two whole-time day nurseries in the borough for the care of children of mothers in employment. |
6b79a567-63cf-4102-8cd1-19a7169677a2 | Suitable premises were obtained, adapted and equipped with the result that a nursery in the Barnes parish was opened on the 23rd September, and one in the Mortlake parish on the 26th October, 1942, for 45 and 50 children respectively. The staffs of each of these nurseries have been provided in accordance with the standards laid down by the Ministry of Health. borough of Barnes. appendix to the ANNUAL REPORT of the Medical Officer of Health 1942. 8 STATISTICS and TABLES. BOROUGH OF BARNES. VITAL STATISTICS. The following statistical information relating to the Borough has been completed on receipt of the Local and National Statistics issued by the Registrar-General in connection with Population, Birth-rate, Death-rates, Maternal Mortality, Infantile Mortality, and Incidence of Notifiable Infectious Diseases. TABLE 1 .—STATISTICAL SUMMARY, 1942. |
d3a08f59-8011-4a5e-94a2-0708fffba81b | Births:— Birth-rate (per 1,000 of population) 14.5 Live Births:— Total. M. F. Legitimate 442 225 217 Illegitimate 31 14 17 Total 473 239 234 Still Birth-rate (per 1,000 total births) 30.7 Total. M. F. Still Births (Legit. 14; Illegit. 1) 15 7 8 Deaths:— Death-rate all causes (per 1,000 of population) 14.5 Total. |
1c58a931-9b1a-4de1-b9d0-3fc98a479e1c | M. F. Deaths (all causes) 474 239 235 Death-rate from Cancer (per 1,000 of population), 74 deaths 2.27 Death-rate from Zymotic Diseases (per 1,000 of population) 0.06 Deaths from Whooping Cough (all ages) 1 „ „ Diarrhoea (under two years of age 1 Death-rate from Maternal Causes (per 1,000 total births) — Deaths from Puerperal Sepsis Nil „ „ Other Puerperal causes Nil Death-rate of infants under one year (per 1,000 live births) 48.6 Death-rate for Legitimate infants (20 deaths) 42.3 Illegitimate infants (3 deaths) 96.8 9 Table 2.- vital Statistics of the Borough of Barnes during 1942 and previous 5 Years Year. Registered Births Total Deaths Registered in the District. Transferable Deaths Nett Deaths belonging to the District. |
ec56500f-a146-49f1-aec0-6444326a8fca | Uncorrected Number. Nett. Of nonresidents registered in the District. Of residents registered outside the District. Under 1 year of age. At all ages. Number. Rate. Number. Rate. Number. Rate per 1,000 nett births Number Rate 1 2 3 4 5 6 7 8 9 10 11 12 1937 278 365 8.9 252 6.1 25 242 13 35.6 11.4 1938 309 378 9.2 237 5.8 15 219 26 68.7 443 10.8 1939 307 397 9.6 215 5.5 14 221 16 40.9 422 10.8 1940 285 361 10.3 301 7.6 23 276 12 35. |
4c44f930-9a25-4c4f-abe6-8b9a56b904f1 | 2 554 13.9 1941 248 360 11.6 215 6.9 14 248 22 74.5 449 14.4 1942 382 473 14.5 221 6.8 17 270 23 48.6 474 14.5 10 Table 3.—Birth-rate, Death-rate, and Analysis of Mortality during the Year 1942, with corresponding rates for england and wales, 126 great towns, 148 smaller towns, and for the County of London for comparison. Birthrate per 1,000 Total Population. Annual Death-rate per 1,000 Population. Death rate per 1,000 Births. Maternal Mortality rate per 1,000 Total Births All Causes Enteric Fever. Small-pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. |
83b796a2-41f2-4cb6-b12c-871067e824d4 | Influenza Diarrhœa and Enteritis (under 2 years). Total Deaths under One Year. All Causes. Puerperal Infection. Other Causes. England and Wales 15.8 11.6 0.00 — 0.01 0.00 0.02 0.05 0.09 5.2 49 2.01 0.42 1.59 126 County Boroughs and Great Towns, including London 17.3 13.3 0.00 - 0.02 0.00 0.03 0.06 0.9 7.5 59 Not available 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 18.4 12.1 0.00 - 0.01 0.00 0.02 0.04 0.10 4. |
8bb49fc3-e80a-407b-8009-3c2eee8b4c24 | 8 46 London 14.0 13.9 0.00 — 0.01 0.00 0.04 0.02 0.07 8.6 60 Barnes Borough 14.5 14.5 — — — — 0.03 — 0.15 2.1 49 — — — 11 Table 4.—Causes of Death during the Year 1942. Causes of Death (Registrar-General's short list of causes). |
cf0c9cdd-07aa-413c-b0cd-73c27a887c64 | Total Deaths Male Female 1 Typhoid and Paratyphoid fevers — — — 2 Cerebro-spinal fever 3 2 1 3 Scarlet Fever — — — 4 Whooping Cough 1 1 — 5 Diphtheria — — — 6 Tuberculosis of respiratory system 24 14 10 7 Other forms of tuberculosis 3 1 2 8 Syphilitic diseases 6 2 4 9 Influenza 5 1 4 10 Measles — — — 11 Acute poliomyelitis and polioencephalitis — — — 12 Acute infectious encephalitis — — — 13 Cancer of buccal cavity and oesoph. (m); uterus (f) 6 1 5 14 „ stomach and duodenum 15 10 5 15 „ breast 7 — 7 16 „ all other sites 46 22 24 17 Diabetes |
c0eb170a-1865-4237-8c8a-b819b1ac32df | 7 2 5 18 Intra-cranial vascular lesions 39 13 26 19 Heart Disease 119 68 51 20 Other diseases of circulatory system 17 8 9 21 Bronchitis 22 11 11 22 Pneumonia 25 13 12 23 Other respiratory diseases 7 5 2 24 Ulceration of stomach or duodenum 4 4 — 25 Diarrhoea under 2 years 1 1 — 26 Appendicitis 4 2 2 27 Other digestive diseases 10 3 7 28 Nephritis 13 7 6 29 Puerperal and post-abortive sepsis — — — 30 Other maternal causes — — — 31 Premature birth 8 3 5 32 Congenital malformations, birth injury, |
0e858e47-d7a7-462c-b512-24bfc1a1c4cb | infantile diseases 6 2 4 33 Suicide 4 4 — 34 Road traffic accidents 6 4 2 35 Other violent causes 11 6 5 36 All other causes 55 29 26 All Causes 474 239 235 12 Table 5.—Infant Mortality during the Year 1942. Causes of death, at various ages, of infants under one year. cause of Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 4 W'ks 1-3 Months. 3-6 Months. 6-9 Months. 9-12 Months. |
80d88b79-cc66-4d06-85c9-03d15e229a0a | Total under 1 Year Deaths in the Borough Deaths outside the Borough Deaths in Institu'ns Premature Birth 6 ... 1 1 8 ... ... ... ... 8 l 7 6 Congenital Malformations 2 ... ... 1 3 2 1 ... ... 6 4 2 2 Diarrhoea and Enteritis ... ... ... 1 1 ... ... ... ... 1 ... 1 1 Bronchitis ... ... ... ... ... ... ... 1 ... 1 1 Broncho-pneumonia 1 ... ... 3 4 ... ... ... ... 4 ... 4 4 Violence 3 ... ... ... 3 ... ... ... ... 3 3 ... ... All causes 12 ... 1 6 19 2 1 1 ... 23 9 14 13 Infectious Diseases Mortality. |
c51fec71-04d0-44fc-a22b-61819f0269f5 | The death-rate for 1942 from each of the seven principal epidemic diseases (zymotic diseases) are given separately in Table 6, and in Table 7, the zymotic death-rate for the five years, 1937 to 1941, are contrasted with the rate for 1942. In each of these Tables the death-rates for London and for England and Wales are shown for comparison. Table 6.—Epidemic Diseases: Death-rate per 1,000 of the Population, 1942. Disease. Barnes. London. England and Wales. |
85452707-1e73-459b-9e0d-b8da0ea3cce0 | Small-pox — - - Enteric Fever — 0.00 0.00 Measles — 0.01 0.01 Scarlet Fever — 0.00 0.00 Whooping Cough 0.03 0.04 0.02 Diphtheria — 0.02 0.05 Diarrhoea (under 2 years) 0.03 0.10 0.08 Zymotic Death Rate 0.06 0.17 0.16 Table 7.—Zymotic Death-rate for 1942, contrasted with the Rates for the previous Five Years. Year. Barnes. London. England and Wales. |
7fca12b7-52b0-45b2-97b8-f651c3469180 | 1937 - 0.29 0.23 1938 0.20 0.33 0.23 1939 0.03 0.16 0.17 1940 0.06 0.09 0.17 1941 0.13 0.16 0.23 1942 0.06 0.17 0.16 13 Table 8.—Measles: Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. |
d7e43bd6-1024-41da-bfa4-2c0762068af0 | 1938 0.02 0.06 0.04 1939 - 0.00 0.01 1940 — 0.01 0.02 1941 - 0.02 0.03 1942 0.06 0.01 0.01 Average Rate 1938-1942 0.02 0.02 0.02 Table 9.—Whooping Cough: Death-Rate per 1,000 of the Population. Year. Barnes. London. England & Wales. |
90faa39f-9884-4221-8862-2d382b971655 | 1938 0.02 0.03 0.03 1939 — 0.03 0.03 1940 — 0.00 0.02 1941 0.03 0.04 0.06 1942 0.03 0.04 0.02 Average Rate 1938-1942 0.02 0.03 0.03 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Table 10.—Cleansing and Disinfestation of Verminous Persons. Treated at Borough Cleansing Station. For Verminous Head For Verminous Body For Scabies Totals No. of Persons Attendances No. of Persons Attendances No. of Persons Attendances No. |
c1767e76-bcfd-452b-9931-6b135ecd90f9 | of Persons Attendances Children under school-age 2 2 - - 26 69 28 71 Schoolchildren 3 3 — — 71 256 74 259 Adults 4 4 — — 87 218 91 222 Totals 9 9 — — 184 543 193 552 14 Table 11—Infected and Infested Rooms and Articles (dealt with by the Council). Premises disinfected 64 Rooms disinfected 75 Lots of bedding disinfected 220 „ „ destroyed 6 „ „ disinfested 4 Council houses disinfested 5 Other houses disinfested 6 Table 12.—Rats and Mice Destruction. Number of complaints received 170 Visits to (a) Enclosed premises 352 (b) Open spaces 182 Number of occasions on which (a) Poison bait was laid 290 (b) Gas (sulphurdioxide) was used 13 HOUSING. |
a4f65fc8-c68e-4489-80c7-4055653f8db9 | Table 13.—HOUSING STATISTICS FOR THE YEAR 1942. 1. Number of Dwellings Owned by the Local Authority:— Number of houses 241 Total 448 „ „ flats 207 2. Unfit Houses. (I) Inspection of Dwelling Houses during the Year :— (i) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 803 (b) Number of inspections made for the purpose 3378 [ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, |
2fd9c291-f8a2-4088-b1a3-9ba226d5035b | 1925 and 1932 Nil (b) Number of re-inspections made under the Regulations Nil (wi) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil ( i ) 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 639 16 (II) Remedy of Defects during the Year without service of formal notices :— Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 402 (III) Action under Statutory Powers during the Year :— Regarding the house in respect of which representation was made during 1941 under Section 11 of the Housing Act, 1936, on the 23rd February, 1942, an undertaking was given by the owner that the premises would not be re-occupied until they had been made habitable. |
77a8a537-b1e7-4484-a8ab-ecfcf242ddde | He undertook to carry out the necessary repairs within a period of six months and the work being completed the undertaking was cancelled by the Council. The cottage is now occupied No proceedings were taken under the following Statutory Powers : (a)—Sec. 9, 10 and 16, Housing Act, 1936—(Repair of dwellinghouses). (b)—Sec. 13, Housing Act, 1936—(Demolition Order). (c)—Sec. 12, Housing Act, 1936—(Closing Order, underground rooms). 3. Housing Act, 1936—Part IV—Overcrowding. |
12ff4115-6ec8-436b-94f9-d4f78aa2439f | (a) (i) Number of dwellings overcrowded at the end of the year 2 («) Number of families dwelling therein 2 (m) Number of persons dwelling therein 15 (b) Number of new cases of overcrowding reported during the year 4 (c) (i) Number of cases of overcrowding relieved during the year 2 (it) Number of persons concerned in such cases 13 Cases of Overcrowding. 1936 1937 1938 1939 1940 1941 1942 Awaiting abatement 1st January 140 119 109 37 18 1 — New cases discovered 20 22 14 4 1 — 4 Total for abatement 160 141 123 41 19 — 4 Abated during the year 41 32 86 23 18 — 2 Awaiting abatement 31st Dec. |
30d8524c-b956-4819-bf06-967ab8e2adba | 119 109 37 18 1 — 2 16 SANITARY CIRCUMSTANCES OF THE AREA. Table 14.—Showing the Number and Nature of the Inspections made by the sanitary inspectors during 1942, 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 on Register. 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 4 61 3 3 — — Milkshops 12 104 — — — — Butchers' Shops 31 196 — — - Fishmongers and Poulterers 5 53 — — — — Greengrocers 14 32 — — — — Fried Fish Shops 3 19 Restaurants 28 35 6 6 |
2bd1e472-374c-40dd-972d-c5c103568782 | — — Other food premises 32 63 — — — — Slaughterhouses 1 27 — - - - Bakehouses 11 56 1 1 - - Factories:— Mechanical 79 63 14 14 — — Non-mechanical 16 13 1 1 — - Air Raid Shelters 113 146 — — — — Home-workers 11 19 — — — — Schools 16 — — — — - Public Halls and Cinemas 5 1 — — — — Servants' Registries 4 4 — — — — Piggeries and Stable Yards 22 185 7 7 — — Public Conveniences 40 45 5 5 — — Dwelling-houses (including houses let in lodgings) No. of Premises Visited. |
714a7b8c-2c4e-4aec-b25c-e1dfc2e14284 | (1) House-toHouse Inspection - 3388 639 402 4 4 (2) Inspected on complaint 803 (3) Inspected in course of other work:— (a) Housing work, etc. - (b) For infectious diseases 10 Totals 813 4510 676 439 4 4 17 Table 15.—Factories. No. of Premises on Register. Inspection. Number Written Notices Served. Factories with mechanical power 79 63 14 Factories without mechanical power 16 13 1 Total 95 76 15 Defective conditions:— Sanitary conveniences insufficient Discovered Remedied 3 3 Other offences 12 12 Total 15 15 Matters referred to H.M. Inspector of Factories Nil Notifications received from H.M. Inspector of Factories 1 Legal proceedings:— No legal proceedings were necessary during 1942. Table 16.—Home Workers. Work undertaken. |
6bd50755-f6aa-4789-a8cc-acfc0279d051 | No. on Register Fancy Needlework 1 Dressmaking 4 Tailoring 3 Boot Repairing 2 Glove making 1 Total 11 INSPECTION AND SUPERVISION OF FOOD. Table 17.—Dairies and Milkshops. Number of purveyors of milk :— Dairies situated within Borough .. 4 Milkshops (not dairies) within Borough 12 Purveyors of milk from outside Borough 2 Total 18 Designated milk is sold from :— (а) Premises within Borough 4 (b) „ outside „ 1 5 18 FOOD AND DRUGS ACT, 1938. Table 18.—Return of Samples Analysed during the Year ending 31st December, 1942. ARTICLES. ANALYSED. ADULTERATED OR DETERIORATED. Prosecutions Convictions Formal Informal Total Formal Informa Total Milk (New) 63 - 63 2 — 2 2 2 Milk |
3514f53a-fddc-4409-a1f6-7a32e344775d | (National Dried Full Cream) - 1 1 - - - - - Beef Sausages 1 — 1 - - - - - Pepper 2 — 2 - - - - - Cocoa 1 — 1 - - - - - Pancake Mixture 1 — 1 - - - - - Mustard 1 — 1 - - - - - Baking Powder 1 — 1 - - - - - Custard Powder 2 — 2 - - - - - Ginger Ale 1 — 1 - - - - - Butter 1 — 1 - - - - - Lard 1 — 1 — — — — — Cheese 1 — 1 — — — — — Rissoles 1 — 1 - - - - - Mixed Spice 1 — 1 - - - - - Fish Galantine 1 — 1 - - - - - Aspirin 1 — 1 - - - - - Ground Ginger 1 — 1 - - - - - |
fba4dcf5-dd44-4d42-87e1-47f301a57021 | Ammoniated Tincture of Quinine 1 - 1 - - - - - Liquorice Powder 1 — 1 - - - - - Zinc Ointment 1 — 1 - - - - - Mixed Pickles 1 — 1 - - - - - Boracic Ointment 1 — 1 — — — — — Tincture of Iodine 1 — 1 - - - - - Compound Tincture of Rhubarb 1 - 1 - - - - - Compound Syrup of Figs 1 - 1 - - - - - Curry Powder 1 — 1 - - - - - Saccharin Tablets 1 — 1 - - - - - Coffee Essence 1 — 1 - - - - - Concentrated Soup 1 — 1 - - - - - Malt Vinegar 1 — 1 - - - - - Lemon Squash 1 — 1 - - - - - Canned Peas 1 — 1 - |
8277f955-1ae4-419f-826a-f4a37d81d390 | - - - - Yorkshire Pudding Mixture with Egg 1 - 1 - - - - - Fish Paste 1 — 1 - - - - - Vinegar (Artificial) 1 — 1 - - - - - Orange Wine 1 — 1 - - - - - Black Pudding 1 — 1 - - - - - Ground Cinnamon 1 — 1 - - - - - Totals 102 1 103 2 — 2 2 2 19 Table 19.—Slaughterhouses. No. of licensed slaughterhouses Private. 1 Public. Total. 1 No. of notices received of intention to slaughter during the year 25 — 25 No. of animals slaughtered:— Swine 90 - 90 Cattle — — — Sheep — — — Total 90 — 90 Meat discovered to be unfit for human consumption :— One pig, weight 18 stone, diseased—destroyed. |
51e76be2-a416-48d2-a596-9493ff979f01 | Table 20.—Unsound Food. In no instance was it found necessary to seize unsound food on any premises The following articles were voluntarily surrendered and destroyed as being unfit for human consumption :— Meat—tins 174 Honey—tins 11 —jars Sausage meat 14 Cheese 5 lbs. 224J lbs. Spaghetti—tins 4 Vegetables—tins 128 Bacon ½lb. Fish—tins 254 Chicken & Ham Paste—tins 1 „ —fresh 14 stones —jars 1 Periwinkles 180 lbs. Porridge—packet 1 Milk—tins 115 Chicken 4 lbs. Soup—tins 35 Custard Powder—packed 1 Sugar 70 lbs. Meat Cubes—packet 1 Jam—tins 2 26 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Incidence of Notifiable Infectious Diseases. |
8c8f9a5f-7817-4fe6-98b9-57d949780d7e | Comparison between the incidence of certain of the notifiable infectious diseases in Barnes, and in London and England and Wales, is shown below:— Table 21.—Infectious Diseases: Incidence per 1,000 of the Population in 1942. Disease. Barnes. London. England and Wales. |
51990dd5-7f9d-4cb6-8653-dd22587c346f | Typhoid Fever - 0.02 0.01 Paratyphoid Fever — 0.01 0.01 Cerebro-spinal Fever 0.09 0.15 0.14 Scarlet Fever 1.04 1 .86 2.19 Whooping Cough 2.24 2.72 1.73 Diphtheria 0.18 0.76 1.05 Erysipelas 0.18 0.43 0.30 Small-pox — 0.00 0.00 Measles 21.81 8.62 7.46 Pneumonia 0.49 0.94 1.07 Table 22.—Notifiable Infectious Diseases, 1942. Diseases. Total Cases Notified. Ages, in years. Parish Removed to Hospital. Total Dtaths of Residents.† Undei 1 year I to 2. 2 to 3. |
eecde8d3-d672-49cf-9377-36f275aaa330 | 3 to 4. 4 to 5. 5 to 10. 10 to 15. 15 to 20 20 to 25. 25 to 35 35 to 45. 45 to 65. 65 and over. Barnes Mortlake. 6 - - - - - 3 - 2 1 - - - - 5 1 6 - 34 1 - 1 4 7 14 2 2 - 1 1 1 - 19 15 34 - Measles 712 15 88 66 75 160 232 49 18 2 4 1 2 — 211 501 13 — Dysentery 1 1 — - — — — — — — — — - - — 1 — — Pul. |
68c13af5-0f9f-4c96-8345-8e7a85133d57 | Tuberculosis 42 — - - - - - - 12 6 11 5 7 1 13 29 29 24 Non-Pul. Tuberculosis 7 — — 1 1 — - - 1 2 2 — - — 3 4 2 3 Pneumonia 16 — — - — — 1 — 1 — 1 2 9 2 6 10 2 25 Erysipelas 6 - - - - - - - - - - - 5 1 2 4 1 — Puerperal Pyrexia 4 - — - — — - - - - 4 — — — 2 2 2 — Poliomyelitis 1 — - - - - - - - - - 1 - - — 1 1 — Cerebro-spinal Fever 3 — — - — — — — — — — 1 2 — 1 2 |
a8540d5e-306c-4bc2-99f4-4211e3c8dcd1 | 1 3 Whooping Cough 73 5 14 8 7 16 17 2 — — 2 — 2 — 18 55 6 1 2 1 - - - — - - - - - 1 - — 1 1 — — - All Diseases . 907 23 102 76 87 193 267 53 36 11 25 12 28 4 281 626 98 56 f The deaths recorded in this column are the total corrected number ot deaths assignable to the District, and are not necessarily deaths of persons recorded as notified during the year. 21 Table 23.—Notifiable Infectious Diseases, 1932 to 1942. Year. |
f17bb4b1-bfcb-4af1-9eec-e487685c5153 | 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 Diphtheria 1 72 29 31 4 3 1 4 5 13 6 Scarlet Fever 92 147 132 77 56 84 52 36 39 21 34 Enteric Fever 4 — 1 1 3 3 2 1 2 1 — Puerperal Fever 1 1 1 — 2 — * * • • • „ Pyrexia . |
1709de7d-94c8-486e-888d-d51a6563207a | 4 2 2 3 1 1 4 3 2 1 4 Erysipelas 10 16 11 16 11 12 6 10 4 5 6 Continued Fever — — — — — — — —- — — — Relapsing Fever Typhus Fever Small-pox Cholera Plague — — — — — — — — — — - Tuberculosis, P. 44 30 42 21 39 28 25 35 32 39 42 Non-P. . . |
4c017112-857f-4d9f-be3f-bb72b9c4331e | Cerebro-spinal Fever 13 10 6 8 5 10 8 3 4 4 7 — 2 1 — — — 2 1 5 4 3 Poliomyelitis — 1 — — — 2 1 — — — 1 Ophthalmia Neonatorum 1 1 1 1 1 1 2 1 , Measles 790 50 551 7 517 101 387 8 79 63 712 Rubella 8 23 61 5 29 9 439 22 • * # Encephalitis Lethargica — Polioencephalitis - - Malaria Dysentery — — — 1 — — 1 1 Pneumonia 30 35 36 13 21 34 18 14 14 21 16 Anthrax — — — — — — — — Whooping Cough . . |
dcf9d996-e356-4c75-a670-645d95ad75c0 | —(Not Notifiable) 5 2 151 73 * No longer notifiable. Table 24.—Showing the Notifications of Infectious Diseases Received during 1942 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. Measles. Enteric Fever. Pneumonia. Erysipelas Pue'peral j Pyrexia. Cerebrr-spinal Fever. Polio-Myelitis Whooping Cough Dysentery. Food Poisoning Jan. 24 2 3 3 4 — 2 — — Feb. 21 1 2 113 — — 1 — 1 — 3 — 1 Mar. |
d4fee4cd-498d-4cf6-a32c-b1b96de8f17f | 21 — 1 107 — 3 — — 2 — 6 — April 18 — 1 128 — — — — — — 4 — — May 16 1 — 28 — 1 — — — — 12 — June 13 — 4 37 1 — 1 — — 4 — July 11 1 6 23 — 1 — — — — 11 — Aug. 8 — 1 9 — — 1 1 — — 5 — Sept. 5 — 2 9 — 1 — — — — 8 — Oct. 3 — — 5 — — — 1 — — 11 1 1 Oct. 31 — — — — 1 3 — — 1 5 — — Nov. 28 1 7 74 — 1 — 1 Dec. |
3a806550-95c0-40b9-b3e3-75938a970d5a | 26 — 7 176 — 2 1 — — — 2 T otals 6 34 712 1 16 6 4 3 1 73 1 2 22 Table 25.—Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1942, in Respect of the 1,185 Children who Attended the Clinic during 1942. Position on 31 Dec., 1942 Total New Cases dealt with during 1942 1146 (A) Continued in Attendance:— 1123 (a) Post-Schick Negative (Certificate). . 382 (b) Completed injections, awaiting Post-Schick test 599* (c) Receiving injections at end of year 142 (B) Discontinued Attendance:— 23 (a) Completed injections—failed to attend for PostSchick test. . |
e3edf26f-3ea0-4d74-b472-eb907bdd4636 | 18* (6) Did not complete injections 2 (c) Left district before completion of injections 3 2. CHILDREN attending for Re-Schick Test two years after immunisation:— 39 (a) Re-Schick test negative—immunisation confirmed 38 (b) Re-Schick test positive—further injections given 1 TOTAL CHILDREN attending Clinic during year 1186 Children invited but did not attend 41 Note.—In addition to the 382 children in respect of whom certificates were given, 617* additional children completed courses of immunising injections during the year, making in all 999 children immunised during the year. Table 26.—Clinic for Inoculation against Typhoid Fever. Children Adults, under 16. |
e8b5edcb-fa0a-4b1c-a117-bb0d926fd3a8 | Total Number of applications outstanding 1st Jan., 1942 25 5 30 Number who attended Clinic:— (а) Completed course of injections .. 20 5 25 (b) Failed to complete course of injections 3 — 3 Number invited but did not attend .. 2 — 2 Number of injections given ., 63 15 78 23 TUBERCULOSIS. Notification Register. 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, 1942 are as under:— Table 28.—Tuberculosis Notification Register. Form of Disease. On Register. 1st Jan., 1942 Cases Added. Removed from Register Remaining on Register 31st Dec., 1942 Primary Notifns Otherwise. Total NonTub. |
4476749a-bfed-4d16-81cd-1e557744987d | Cure c Left District Dead. Total. Pulmonary 148 42 12 54* — - 6 21 27 175 Non-Pulm'y 45 7 4 11 — — — 4 4 52 All Forms 193 49 16 65* — — 6 25 31 227 *Included in these figures is one patient whose name was restored to the Register, Table 27.—Schools. Number in Borough Number of who sutfered Scarlet Fever scholars from:— Diphtheria Public Elementary Schools:— 10 Barnes Central Boys — — ,, ,, Girls — — Lowther J.M. and Infants 5 1 East Sheen J.M. and Infants 5 1 Mortlake Central Boys — — ,, ,, Girls — — Mortlake Council J.M. and Infants 3 — Mortlake C.E. Mixed 1 — „ ,, Infants 2 2 Mortlake R.C. |
a04bb6fd-ad51-4f99-a31b-ac3b556e6c67 | 2 — Secondary Schools:— 1 East Sheen and Richmond County Boys' School - _ Private Schools 5 1 — Total 16 19 4 24 Table 29.—Tuberculosis: New Cases and Mortality, 1942. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 - - 1 1 - - - - 5-10 „ - - - 1 - - - 1 l 0-l5 „ - - - - - - - - 15-20 „ 8 4 1 — 1 — 1 - 20-25 „ 4 4 2 1 1 2 - — 25-35 „ 4 12 — 3 1 2 |
e9b124c1-3b0e-41b8-9f0c-d40adbd3d94f | - — 35-45 „ 3 2 - 1 6 5 - - 45-55 „ 4 1 - - - 1 - - 55-65 „ 5 - - - 4 - - — 65 „ and over 1 1 — - 1 — - 1 All ages 29 24 4 7 14 10 1 2 *In addition to primary notifications, all other new cases coming to the knowledge of the M.O.H. are included in these figures. Incidence-rate Pulmonary 1.29 All forms 1.50 non-pulmonary 0.21 Death-rate —Pulmonary 0.74) A11 forms 0.83 Non-Pulmonary 0.09 All forms 0.83 Tab e 30.—Institutional Treatment. |
6c97788e-5ea3-43de-b950-62344e15b970 | Admissions during 1942 were as under:— Pulmonary Tuberculosis: To Surrey County Council Sanatorium 6 „ Surrey County Hospitals 7 ,, other sanatoria 8 ,, general hospitals 8 ,, Public Assistance Institutions — Total 29 Non-pulmonary Tuberculosis: To sanitorium 1 „ general hospitals 1 Total 2 Number of patients admitted: Pulmonary 29 Non-pulmonary 2 Infectious diseases hospital. Table 31.—Admissions and Deaths. Residents of Borough. Nonresidents admitted under reciprocal arrangements Noncivilians. TOTALS. Admitted. Died. Admitted. E Died. Admitted. Died. Admit ted. Died. |
f4405bf2-343e-4e26-add3-007be8e92c05 | Diphtheria 6 - - - - - 6 — Tonsillitis and sent in as Diphtheria Stomatitis 1 1 — Diphtheria Carrier 1 — — — — — 1 — Diphtheria and Measles 1 - - - - - 1 — Scarlet Fever 31 — 6 — — — 37 - Tonsillitis—sent in as S.F. 1 — — — — — 1 - Scarlet Fever and Jaundice 1 - - - - - 1 - Scarlet Fever and Measles 2 — — — — - 2 - Cerebro-spinal Meningitis 1 — — — — — 1 - Measles sent in as Cerebro- spinal Meningitis 1 - - - - - 1 - Pneumonia 2 - - - - - 2 — Measles 9 — — — 1 — 10 - Impetigo sent in as Measles 3 |
3e7d8759-986c-4649-b7fa-d8479b314238 | - - - - - 3 - Conjunctivitis 1 - - - - - 1 - Whooping Cough 7 1 6 — 1 — 14 1 Bronchial catarrh sent in as Whooping Cough 1 - - - - - 1 - Gastro-enteritis — — 1 — — — 1 - No appreciable disease — — 1 — — — 1 — Chickenpox — 1 — — 1 — Erysipelas 2 — — — — — 2 — Pneumonia 1 - - - - - 1 — Dysenterv, |
a7d91b93-e04f-4a7b-8f3b-f70173429e39 | Sonne — — 4 — — — 4 - Food poisoning—sent in as Dysentery 1 - - - - - 1 — Mumps 1 — — — 2 — 3 — Undulant Fevers sent in as Enteric Fever 1 - - - - - 1 - Sub-arachnoid haemorrhage 1 - - - - - 1 — Totals 76 1 19 — 4 — 99 1 Deaths. (1) Whooping cough, complicated by broncho-pneumonia on admission— child one year nine months old—died 4th day after admission. Complications. (1) Scarlet Fever. (2) Diphtheria. Measles, on admission, 2. Extra Systoles, 1. Rhinorrhea, 1. Dipththeritic myocarditis, 2. Adenitis, 5 (3) Measles. |
72fb3e2f-7138-4a66-b304-1f9e45d88634 | Tonsillitis, 1. Convulsions, 1. Otorrhœa, . Broncho-pneumonia, 3. Secondary attack, 1. Bronchitis, 2. Conjunctivitis, 1. (4) Whooping Cough. Broncho-pneumonia, 2. Cross-Infections. As the result of two cases admitted to the Hospital suffering from Scarlet Fever being already infected with and incubating another disease on admission, the following cases of cross-infection occurred in two particular wards:—Scarlet fever and measles, 1 ; Scarlet fever and chickenpox, 7. Owing to the absence of the cubicle block there has been considerable difficulty in isolating these mixed infections. 25 26 Table 32.—Laboratory Facilities. |
7c5176a4-cebf-4ec4-8d97-cec3ffe19dda | Specimens examined during the year were as follows :— Sputa for detection of tubercle bacilli 48 Swabs „ „ „ diphtheria bacilli 393 Fasces „ „ „ typhoid bacilli 65 Urine „ ,, ,, ,, ,, 2 Cerebro-spinal fluid 5 Blood (Widal) 5 „ (Blood-count) 3 Smears 1 Total 522 MATERNITY AND CHILD WELFARE. Table 33.—Home-Visiting. |
25c80f65-1c50-4ec3-b7f4-d3d82ecd5812 | A summary of the work performed by the three Health Visitors during the year is given below:— Visits to expectant mothers 503 First visits to newly-born infants 374 Revisits to infants under 1 year 2,387 Visits to children aged 1 to 5 years 3,262 Still-birth inquiries 14 Special visits to cases of measles 917 „ ,, ,, whooping cough 110 „ ,, ,, ,, „ pneumonia 20 Visits to foster children 72 Visits in connection with infectious diseases other than those above specified 683 Total visits 8,342 Table 34.—Notification of Births. (a) Registered in Borough:— Live Still Births. Births. Totals. Number of births registered during 1942 as occurring in the Borough 382 9 391 Number of such births not notified in accordance with the Public Health Act, 1936, Part VII 3 — 3 (b) Notified. |
b42ae009-5665-4cdb-ae15-50b4f4cdea50 | Number of births, live and still, notified during the year— by medical practitioners by midwives 407 by other persons 1 Total notified 413 Number of still-births notified during the year 9 Percentage of still-births to total births occurring in the Borough 2.2 27 Table 35—Institutional Confinements. In institutions within the Borough .. 171 In registered maternity homes 171 In institutions outside the Borough .. 183 In general hospitals 17 In maternity hospitals 49 In Public Health County hospitals 58 In Public Assistance institutions 28 In maternity homes 31 Total 354 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 51 MATERNITY AND CHILD WELFARE CENTRES. Table 36—Ante-Natal Clinic. |
37147a8b-0d58-4b3c-82cb-24ad83dda2bf | Year 1941 Year 1942 Total number of expectant mothers attending Borough ante-natal Clinic during the year 244 415 Number of new cases attending for first time and included in total number 202 302 Number of attendances made by all mothers 618 842 Percentage of expectant mothers of total notified births attending Borough Clinic 786 731 Table 37—Infant-Welfare Clinics.—Attendances. New Cases:- Year 1941. Year 1942. Infants under 1 year 279 388 Children 1 to 5 years 167 168 Total 446 556 Number of Children attending during the year:— Infants under 1 year 369 558 Children 1 to 5 years 396 525 Total 765 1,083 Number of attendances made by:— Infants under 1 year 3,718 5,201 Children 1 to 5 years 2,619 3,633 Total 6,337 8, |
2e3f43c1-91cc-432b-a5f3-ddf12dbe300e | 834 Mothers 5,681 7,916 28 Number of consultations with Medical Officer 3,769 4,459 Average attendance per week: Infants under 1 year 72.9 102.0 Children 1 to 5 years 51.4 71.2 Total, all children 124.3 173.2 Number of children attending Centre for first time during the year: Percentage of total births represented by this figure 77.5 82.0 Table 38.—Child Life Protection. |
d7483269-3488-4380-8aa6-d37294954e00 | The following is a summary of the cases on the Register during 1942:— Foster-mothers on the Register at the beginning of the year 5 „ ,, added to the Register 5 „ „ removed from the Register, having ceased to have care of children 7 ,, „ on the Register at the end of 1942 3 Foster-children on the Register at the beginning of the year 7 ,, ,, in respect of whom Notice of Reception was received 7 „ „ removed from the Register during the year:— Returned to care of parents 8 Transferred to care of Foster mother 10 in another area 2 ,, ,, on the Register at the end of 1942 4 Number of visits of inspection made by Health Visitors during the year 72 Table 39.—Voluntary Associations. (1) Nursing Associations. |
e801c066-bcf7-473c-9c50-03ec58d5cfe5 | Barnes District Nursing Association Mortlake District Nursing Association Totals Home-visits in connection with maternity and child welfare 20 - 20 ,, ,, to cases of—pneumonia 147 89 236 „ „ to other general and surgical cases 5,951 20,929 26,880 6.118 21,018 27,136 (2) Barnes and Mortlake Day Nursery. Accommodation for children under 5 years 26 Number of attendances—Whole-day 4,688 Half-day 329 |
25b8ebbc-8bc4-4d41-b783-72ad47ba4a5b | BARN 11 library BOROUGH OF BARNES Annual Report of the Medical Officer of Helth For the Year 1943 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1943 W. F. Twining McMath, M.D.Beif., M.R.c.p.Lond., L.m., D.P.H. Medical Officer of Health, BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health. W. F. Twining McMath, M.D., B.Ch., B.A.O.,Belf., M.R.C.P.Lond., L.M., D.P.H. Assistant Medical Officer of Health (Temporary Appointment). Merton Harrison, M.R.C.S., L.R.C.P.(Lond.) Chief Sanitary Inspector. C. S. Perchard, Cert.R.San.Inst., Cert. Meat and Food Insp Additional Sanitary Inspectors. |
67ca7567-1d48-43ec-9fb9-d369133070c7 | G. G. Gardiner *A. A. Brown Cert.San.Insp., Cert. Meat and Food Insp. Vacancy Temporary Sanitary Inspector. E. Kilner, Cert.San.Insp., Cert. Meat and Food Insp. 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. Miss M. Sharp. *G. K. Shilleto. *G. E. Tydeman. Temporary Clerks. Miss L. M. Fairclough. Miss K. P. Morcom. Miss J. Campbell. Miss H. Wheatley. Mrs. |
e5a85c45-594b-4071-8a68-353a1eacdc70 | J. Scullard. D. Rundle. Matron of the Infectious Diseases Hospital (Temporary Appointment; Mrs. P. Manger, S.R.N., R.F.N. Matrons, War-Time Day Nurseries. 47 Castelnau, Barnes— Mrs. M. Heard, S.R.C.N. 2 and 4 Sheen Gate Gardens—Mrs. C. Dyer, S.R.N., R.F.N. *(Serving with H.M. Forces). 4 Public Health Department, 394, Upper Richmond Road, East Sheen, S.W.14. To the Mayor, Aldermen and Councillors of the Borough of Barnes. Mr. Mayor, Ladies and Gentlemen, I have the honour to present my Annual Report for the year 1943 on the sanitary circumstances, the sanitary administration, and the vital statistics of the Borough. |
52446f75-2a68-4359-8ef8-b97cfb65d4ed | In accordance with Ministry of Health instructions this Annual Report has been curtailed and has been set out on the lines indicated in the introductory letter contained in my Report for 1940. As before I desire to express appreciation of the support afforded me by the Council and to the staff of the Public Health Department for their continued co-operation and devotion to duty. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, W. F. TWINING McMATH, Medical Officer of Health. 5 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1943. PREFACE. In view of the pressure of work in public health departments of local authorities and the need for strict economy in the use of paper, this Report, in accordance with the requirements of the Ministry of Health, has been confined to essential and urgent matters which have affected the public health during the year. |
463c78fe-4ba8-4fc9-873d-50f408c8df81 | Accordingly I have to make observations only under the headings which follow. STAFF. There have been several changes in Staff during the year, the names of those members actually remaining on the Staff at 31st December, 1943, are given on page 3. The following alterations occurred during the year:— Dr. A. V. B. Crawford, Assistant Medical Officer of Health, left the service on the 2nd July, and Dr. Merton Harrison was appointed as temporary Assistant Medical Officer of Health, commencing duties on the 13th September. During the interim period the services of private medical practitioners were used for attendance at the various clinics. Mr. J. H. Plant, a temporary Sanitary Inspector, left on the 2nd September, upon the return of Mr. R. H. Street from service with the Royal Air Force. On the 10th October Mr. |
7787a561-fcd0-4e28-a1e1-474dcddca07c | Street left the service of the Corporation upon obtaining a similar position in another borough. The vacancy thus resulting had not been filled by the end of the year. Miss B. Hayden, one of the temporary clerks, left on the 31st March. She was replaced by another temporary who only remained for two months. From the 9th June until the 15th November, when Miss L. M. Fairclough commenced duties, the position remained vacant. Upon Mr. G. E. Tydeman being called for service with the Royal Navy, Mr D. Rundle commenced duties on the 19th July as temporary junior clerk. 6 On the 1st November, Mrs. I. Beck, Matron of Castelnau Wartime Day Nursery, left the Corporation's service and was replaced by Mrs. M. Heard, who commenced duties upon the 15th November. SANITARY INSPECTION OF THE DISTRICT. |
01aa0c61-b429-492d-9ffc-718d2ffdc551 | The suspension of routine housing inspections and similar inspections in accordance with Ministry of Health instructions still continues. Work in connection with housing has been restricted to remedying defective conditions in dwelling-houses discovered in the course of other work, or on complaint. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1943 are set out in Tables 21-24 in the Appendix, in which the number of cases removed to hospital and the number of deaths in the district from these diseases are also given. Two cases of typhoid fever and one of paratyphoid fever occurred in the borough during the year. Despite the assistance of an expert from the Ministry of Health, the sources of infection in these cases were not definitely traced. There was an epidemic of scarlet fever in the borough amounting to 184 cases. The incidence was mainly among infants and junior school children. |
42f3efa1-df58-45ee-b910-abea51a3f43b | One baby died of toxic scarlet fever, so raising the death rate for this disease to 0.03 per 1,000 population. None of the cases of diphtheria occurring during the year had received a course of immunising injections. DIPHTHERIA IMMUNISATION. During the year, consequent upon the Ministry of Health Circular 2,713, a personal canvass of parents with children under five years of age was carried out by the Health Visitors in an endeavour to get every child in that age group protected against diphtheria at an early age. Propaganda of this character is, of course, a routine practice of the health visiting staff, but this intensive canvass produced very good results among those who had not already been persuaded to have their children immunised. PROTECTION AGAINST WHOOPING COUGH. The Council's scheme for the free inoculation of children against whooping cough continues in operation. |
c72bc67a-96c1-4359-934f-ac273def3c02 | Children attending war-time day nurseries and those whose parents are home-visited by Health Visitors have been offered the facilities. The response has not been as good as in the case of diphtheria immunisation, possibly because 7 of the larger number of injections required to secure protection. It is hoped that before long a two-injection method may be available and this should encourage more parents to take advantage of the protection against the disease. INOCULATION AGAINST TYPHOID FEVER. Only two applications, adults, were received during 1943 and these received the necessary courses of injections. At the beginning of the year the 347 persons who had received a course of injections in 1942, were invited to have a further one injection. 143 responded and received this additional precautionary injection. The balance of those invited either declined to avail themselves of the offer, or did not attend. INFECTIOUS DISEASES HOSPITAL. |
ef4fabe3-86a2-434b-8abe-6c0bae6b3474 | The Infectious Diseases Hospital was busy during the year, mainly as a result of the scarlet fever epidemic. During 1943 the Council adopted the application of the First Report of the Nurses Salaries Committee under the chairmanship of Lord Rushcliffe. CLEANSING STATION. During the year the Borough Cleansing Station has been well used, the majority of treatments being for scabies. Two alterations in the method of treatment have been adopted (a) following upon the recommendations contained in the Ministry of Health Circular 2,831, lethane hair oil has been used for the treatment of head lice and (b) benzyl-benzoate emulsion substituted for the previous sulphur treatment of scabies. A full time male cleansing attendant is employed, but although a female cleansing attendant was appointed during the year, she subsequently relinquished her position and it has not been possible to replace her. |
69bf8430-1a51-44ea-8d60-5e8be36fef21 | Consequently, the duties which she carried out at the cleansing station have been undertaken by nursing auxiliaries of the First-Aid Post Service. BOROUGH ACCIDENT AND GENERAL PURPOSES AMBULANCE SERVICE. This service, which although transferred to the control of the Medical Officer of Health in 1941, continued to be manned by the personnel of the National Fire Service until the 17th June, 1943, when the Accident Ambulance was transferred from the Fire Station, Mortlake High Street, to Essex House, Station Road, Barnes, and 8 manned by personnel of the Civil Defence Ambulance Service, assisted by certain members of the Civil Defence Rescue Service. During the year the ambulance was used for the removal of 1,043 persons, 188 of these being accident cases and 195 removals of expectant mothers to institutions, nursing homes etc., for confinement. MATERNITY AND CHILD WELFARE. |
bdd9dee6-c0d2-4443-b3d0-90c7839eb97d | The birth rate for 1943 in Barnes was 18.0 per 1,000 population. This is the highest rate recorded since 1921, when it was 19.1. There has been a steady rise in the birth rate for the borough since 1938, when it was 9.2. The increased birth rate is partly due to the smaller population of Barnes, resulting from war-time conditions, upon which the rate is based, but, nevertheless, the actual number of births occurring has increased considerably. During the year, as a result of the recommendation contained in Ministry of Health Circular 2,729 the Council decided to provide the services of Home Helps, to carry out domestic duties where confinements take place at home. Some difficulty was experenced in obtaining suitable persons for these duties, and it was not until the end of the year that such a person was appointed. Consequently, in only one case during the year were the services of a Home Help provided under the scheme. |
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