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9af12b02-dc09-4f77-872e-54c6cd09c810 | This service provides a very necessary adjunct to the maternity and child welfare services, especially during war-time, when it is not always possible to arrange for institutional provision for confinement. When the Home Help is not engaged in the specific duties connected with confinements she has been employed to augment the staffs of the two war-time day nurseries. Later in the year it was decided to extend the scheme for the provision of Home Helps to include attendance at other types of cases, such as serious illness, where some home help is required in emergency, this extension being subject to the condition that maternity cases take precedence. As reported in my Annual Report for 1942 two war-time day nurseries were opened during that year. In the Appendix, Table 39, details of the admissions, discharges and attendances made by children during the part of 1942 from the opening of the nurseries, and during the whole of 1943, are given for information as to the use made of this very necessary war-time provision. |
f60f522f-356a-45bb-b9c0-fc56f259be4b | On the 1st June, 1943, the Adoption of Children (Regulation) Act, 1939, came into operation. This has been introduced to regulate the making of arrangements by Adoption Societies and other persons in connection with the adoption of children. The Health Visitors, who are already appointed Infant Life Protection Visitors, are undertaking the necessary visitation and enquiries in connection with the new Act. Borough of Barnes. APPENDIX to the Annual Report OF THE Medical Officer of Health 1943. 10 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.βSTATISTICAL SUMMARY, 1943. |
ec83b38f-8cd1-4679-b735-10bc669af7fe | Births:β Birth-rate (per 1,000 of population) 18.0 Live Births:β Total. M. F. Legitimate 566 291 275 Illegitimate 41 23 18 Total 607 314 293 Still Birth-rate (per 1,000 total births) 304 Total. M. F. Still Births (Legit. 15; Illegit. 4) 19 4 15 Deaths:β Death-rate, all causes (per 1,000 of population) 13-8 Total. |
650b9c17-836d-4b96-b681-5a91733ef32f | M. F. Deaths (all causes) 465 213 252 Death-rate from Cancer (per 1,000 of population), deaths 75 2.23 Death-rate from Zymotic Diseases (per 1,000 of population) 0.06 Deaths from Scarlet Fever (all ages) 1 ,, ,, Diarrhoea (under two years of age) 1 Death-rate from Maternal Causes (per 1,000 total births) 0-03 Deaths from Puerperal Sepsis Nil ,, ,, Other Puerperal causes 1 Death-rate of infants under one year (per 1,000 live births) 32.9 Death-rate for Legitimate infants (16 deaths) 28.3 Illegitimate infants (4 deaths) 97.6 11 Table 2.βVital Statistics of the Borough of Barnes during 1943 and previous 5 Years Ykar. Registered Births Total Deaths Registered in the District. |
14804a40-a21e-4e6c-a4b4-88fbb8ee0726 | Transferable Deaths Nett Deaths belonging to the District. Uncorrected Number. Nett. Of nonresidents registered in the District. Of residents registered outside the District. Under 1 year of age. At alt ages. Number. Rate per 1,000 nett births. Number Rate Number. Rate. Number. Rate. 1 2 3 4 5 6 7 8 9 10 11 12 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 16 409 422 10.8 1940 285 361 10.3 301 7.6 23 276 12 35.2 554 13. |
64f09e31-ae2c-41bd-a857-d939c5d73f2e | 9 1941 248 360 11 215 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 1943 487 607 18.0 210 6.2 15 270 20 32.9 465 13.8 12 Table 3.βBirth-rate, Death-rate, and Analysis of Mortality during the Year 1943, with corresponding rates for England and Wales, 126 Great Towns, 148 Smaller Towns, and for the County of London for comparison. Birthrate perl.000 total Population. Annual Death-rate per 1,000 Population. Death-rate per l 000 Births. Maternal Mortality Hate per 1,000 Total Births All Causes Enteric Fever. |
6c7d4d35-592d-4f22-800e-d0d14f6f1566 | Small-pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Diarrhoea and Enteritis (under 2 years). Total Deaths under One Year. All Causes. Puerperal Infection. Other Causes. England and Wales 16.5 12.1 0.00 - 0.02 0.00 0.03 0.03 0.37 5.3 49 2.29 0.73 1.56 126 County Boroughs and Great Towns, including London 18.6 14.2 0.00 - 0.02 0.00 0.03 0.04 0.36 7.9 58 Not available 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 19.4 12. |
d6c7b606-94e4-4fdf-acd4-6be4917ed641 | 7 0.00 - 0.02 0.00 0.03 0.04 0.37 4.4 46 London 15.8 15.0 000 β 0.02 0.00 0.03 0.02 0.27 10.4 58 Barnes Borough 18.0 13.8 β β β 0.03 β β 0.36 1.6 33 0.03 β 0.03 13 Table 4.βCauses of Death during the Year 1943. Causes of Death (Registrar-General's short list of causes). |
78861dc3-e488-4cec-afa2-b1c1a4976247 | Total Deaths Male Female 1 Typhoid and Paratyphoid fevers β β β 2 Cerebro-spinal fever β β β 3 Scarlet Fever 1 β 1 4 Whooping Cough β β β 5 Diphtheria β β β 6 Tuberculosis of respiratory system 18 13 5 7 Other forms of tuberculosis 4 2 2 8 Syphilitic diseases 1 β 1 9 Influenza 12 8 4 10 Measles β β β 11 Acute poliomyelitis and polioencephalitis β β β 12 Acute infectious encephalitis 1 1 β 13 Cancer of buccal cavity and oesoph. (m); uterus (f) 7 β 7 14 , stomach and duodenum 9 4 5 15 , breast 10 β 10 16 , |
c0b172eb-6409-4983-b3e0-126b28a4c19c | all other sites 49 26 23 17 Diabetes 8 4 4 18 lntra-cranial vascular lesions 43 12 31 19 Heart Disease 125 59 66 20 Other diseases of circulatory system 15 6 9 21 Bronchitis 27 15 12 22 Pneumonia 21 8 13 23 Other respiratory diseases 12 8 4 24 Ulceration of stomach or duodenum 4 4 β 25 Diarrhoea under 2 years 1 β 1 26 Appendicitis 2 1 1 27 Other digestive diseases 16 5 11 28 Nephritis 9 6 3 29 Puerperal and post-abortive sepsis β β β 30 Other maternal causes 1 β 1 31 Premature birth 2 2 β 32 Congenital malformations, birth injury, |
1bd005fc-0687-457a-b343-e05c9a2ad2fe | infantile diseases 11 6 5 33 Suicide 5 2 3 34 Road traffic accidents 2 2 β 35 Other violent causes 5 β 5 36 All other causes 44 19 25 All Causes 465 213 252 14 Table 5.βInfant Mortality during the Year 1943. 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 4W'ks 1-3 Months 3-6 Months. 6-9 Months. 9-12 Months. Total under 1 Year Deaths in the Borough. Deaths outside the Borough. |
8dcf3ba7-841f-4289-8b1c-c99b59fd2aa8 | Deaths in Institu'ns Premature Birth 2 ... ... ... 2 ... ... ... ... 2 1 1 ... Congenital Malformations 7 2 1 ... 10 ... 1 ... ... 11 6 5 5 Diarrhoea and Enteritis ... ... ... 1 1 ... ... ... ... 1 ... 1 ... Bronchitis ... ... ... ... ... 1 1 ... ... 2 2 ... ... Broncho-pneumonia ... ... ... ... ... ... ... 1 ... 1 1 ... ... Whooping Cough ... ... ... ... ... ... ... ... 1 1 1 ... 1 Other causes ... 2 ... ... 2 ... ... ... ... 2 ... 2 2 All causes 9 4 1 1 15 1 2 1 1 20 11 9 8 Infectious Diseases Mortality. |
772055bc-7637-425b-9e79-e0f7b13f779c | The death-rate for 1943 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, 1938 to 1942, are contrasted with the rate for 1943. In each of these Tables the death-rates for London and for England and Wales are shown for comparison. Table 6.βEpidemic Diseases: Death-rate per 1,000 of the Population, 1943. Disease. Barnes. London. England and Wales. |
a0503d53-4c09-43b9-9330-6a451065cf50 | Small-pox β β β Enteric Fever β 0.00 0.00 Measles β 0.02 0.02 Scarlet Fever 0.03 0.00 0.00 Whooping Cough β 0.03 0.03 Diphtheria β 0.02 0.03 Diarrhoea (under 2 years) 0.03 0.16 0.09 Zymotic Death Rate 0.06 0.23 0.17 Table 7.βZymotic Death-rate for 1943, contrasted with the Rates for the previous Five Years. Year. Barnes. London. England and Wales. |
b4419b31-a243-4f38-b64d-a987faa8488e | 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 1943 0.06 0.23 0.17 15 Table 8.βMeasles: Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. |
301505f6-d686-44c7-9e22-4f54283daffb | 1939 - 0.00 0.01 1940 β 0.01 0.02 1941 β 0.02 0.03 1942 0.06 0.01 0.01 1943 β 0.02 0.02 Average Rate 1939-1943 0.01 0.01 0.02 Table 9.βWhooping Cough: Death-Rate per 1,000 of the Population. Year. Barnes. London. England & Wales. |
7437863d-e7f7-4f1c-aaec-3fb766c9d35e | 1939 - 0.03 0.03 1940 - 0.00 0.02 1941 0.03 0.04 0.06 1942 0.03 0.04 0.02 1943 β 0.03 0.03 Average Rate 1939-1943 0.01 0.03 0.03 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Table 10.βCleansing 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. |
1c493017-9386-4c53-9b68-3ce5945b77db | of Persons Attendances Children under school-age 1 1 - - 39 72 40 73 Schoolchildren 26 29 β - 69 119 95 148 Adults 3 3 β β 161 292 164 295 Totals 30 33 - β 269 483 299 516 16 Table 11βInfected and Infested Rooms and Articles (dealt with by the Council). Premises disinfected 253 Rooms disinfected 277 Lots of bedding disinfected 319 β β β destroyed 3 β β disinfested 9 Council houses disinfested (by hydrogen cyanide 1, by liquid insecticides 9) 10 Other houses disinfested 8 Table 12.βRats and Mice Destruction. |
c26203cc-d963-42e6-b16a-4288cb0a8c08 | Number of complaints received 289 Visits to (a) Enclosed premises 511 (b) Open spaces 193 Number of occasions on which (a) Poison bait was laid 331 (6) Gas was used 9 HOUSING. Table 13.βHOUSING STATISTICS FOR THE YEAR 1943. 1. Number of Dwellings Owned by the Local Authority:β Number of houses 241 Total 448 β β flats 207 2. Unfit Houses. (I) Inspection of Dwelling Houses during the Year:β (i) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1664 (b) Number of inspections made for the purpose 2352 (ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, |
b271b829-4633-434b-8718-b1961ce96a00 | 1925 and 1932 Nil (b) Number of re-inspections made under the Regulations Nil 17 (tii) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (iv) Number of dwelling-houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 665 (II) Remedy of Defects during the Year without service of formal notices:β Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 501 (Ill) Action under Statutory Powers during the Year:β No proceedings were taken under any of the following Statutory Powers during the year:β (a)βSec. 9, 11, 10 and 16, Housing Act, 1936β(Repair of dwelling-houses). (b)βSec. |
7feb78d8-edad-40dc-964e-e22a20c7e3cc | 13, Housing Act, 1936β(Demolition Order). (c)βSec. 12, Housing Act, 1936 β (Closing Order, ground rooms). 3. Housing Act, 1936βPart IVβOvercrowding. (a) (i) Number of dwellings overcrowded at the end of the year 8 (ii) Number of families dwelling therein 16 (iii) Number of persons dwelling therein 72 (b) Number of new cases of overcrowding reported during the year 14 (c) (i) Number of cases of overcrowding relieved during the year 8 (ii) Number of persons concerned in such cases 65 Cases of Overcrowding. |
1304a4a3-2d00-45d6-be0b-08e71b5f1c55 | 1936 1937 1938 1939 1940 1941 1942 1943 Awaiting abatement 1st January 140 119 109 37 18 1 - 2 New cases discovered 20 22 14 4 1 β 4 14 Total for abatement 160 141 123 41 19 - 4 16 Abated during the year 41 32 86 23 18 β 2 8 Auatiing abatement 31st December 119 109 37 18 1 - 2 8 18 SANITARY CIRCUMSTANCES OF THE AREA. Table 14.βShowing the Number and Nature of the Inspections made by the sanitary inspectors during 1943, 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. |
46686b85-b966-45b7-bb75-fa1ff127f3d7 | 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 3 36 β β β β Milkshops 13 81 β β β β Butchers' Shops 31 137 β β β β Fishmongers and Poulterers 11 30 β β β β Greengrocers 30 44 β β β β Fried Fish Shops 3 13 β β β β Restaurants 32 41 β β β β Other food premises 34 74 2 2 β β Slaughterhouses 1 19 β β β β Bakehouses 11 53 3 3 β β Factories:β Mechanical 112 152 9 9 β β Non-mechanic'l 23 48 3 3 β β Air Raid Shelters 113 231 β β β β Home-workers 10 8 β β |
9f245a14-820b-4c18-a013-504b78d073c6 | β β Schools 16 19 β β β β Public Halls and Cinemas 3 3 β β β β Servants' Registries 4 4 β β β β Piggeries and Stable Yards 25 188 β β β β Public Conveniences 40 146 2 2 β β Dwelling-houses (including houses let in lodgings) No. of Premises Visited. (1) House - toHouse Inspection β 4016 665 501 12 11 (2) Inspected on complaint 1111 (3) Inspected in course of other work:β (a) Housing work, etc 533 (b) For infectious diseases 283 Totals 1927 5343 684 520 12 11 19 Table 15.βFactories. No. of Premises on Register. Inspection. Number Written Notices Served. |
eb63a77b-d522-4025-8e47-9e878a006718 | Factories with mechanical power 112 152 9 Factories without mechanical power 23 48 3 Total 135 200 12 Defective conditions:- Discovered. Remedied. Sanitary conveniences insufficient 2 2 Other offences 14 14 Total 16 16 Matters referred to H.M. Inspector of Factories . 1 Notifications received from H.M. Inspector of Factories Nil Legal proceedings:β No legal proceedings were necessary during 1943. Table 16.βHome Workers. Work undertaken. No. on Register. Fancy Needlework .. .. 2 Dressmaking .. .. 4 Tailoring .. .. 2 Boot Repairing . . .. .. 2 Total .. 10 INSPECTION AND SUPERVISION OF FOOD. Table 17.βDairies and Milkshops. |
99aeba42-547c-49b4-b7f0-eee2acf1572c | Number of purveyors of milk :β Dairies situated within Borough 3 Milkshops (not dairies) within Borough 13 Purveyors of milk from outside Borough 4 Total . . 20 Designated milk is sold from :β (a) Premises within Borough 11 (b) β outside β 4 15 20 FOOD AND DRUGS ACT, 1938. Table 18.βReturn of Samples Analysed during the Year ending 31st December, 1943. ARTICLES. ANALYSED. ADULTERATED OR DETERIORATED. Prosecutions Convictions Formal Informal Total Formal Informal Total Milk (New) Bottled 52 9 61 3 β 3 β β β β Loose 2 3 5 β β β β β β β In course of delivery 6 - 6 β β β β β Butter 1 β 1 β β β β β Margarine 1 β 1 β |
d94a8a6f-d4a0-4968-ab5e-b7eb547d0597 | β β β β Lard 1 β 1 - β β β β Tea 1 β 1 β β β β β Sugar 1 β 1 β β β β β JamβFull fruit 1 β 1 β β β β β Dried Eggβloose 1 β 1 β β β β β Saccharin 1 β 1 β β β β β Fish Paste 3 β 3 β β β β β Essence of Lemon 1 β 1 β β β β β Faggots 1 β 1 β β β β β Lemon Barley Cordial 1 β 1 β β β β β Blancmange β Powder Substitute 1 - 1 β β - β - Vinegar 2 β 2 1 β 1 1 1 Pepper 2 β 2 β β β β β Fish Galantine 1 β 1 β β β β β Ground Coffee 2 β 2 β β β β β Zinc Ointment 1 β 1 |
9fe5a1d2-5728-431e-ae8f-17313e7c4ef7 | β β β β β Aspirin 2 β 2 β β β β β Liquorice Powder 1 β 1 β β β β β Peppermint Cordial 1 β 1 β β β β β Mixed Spice 3 β 3 β β β β β Camphorated Oil 1 β 1 β β β β β Castor Oil 1 β 1 β β - β β Curry Powder 1 β 1 β β β β β Baking Powder 1 β 1 β β β β β Yorkshire Pudding and Pancake Mixture with Egg 1 β 1 β β β β β Epsom Salts 1 β 1 β β β β β Glycerine Lemon and Ipecac Balsam 1 - 1 β β β β β Beef & Vegetable Extract 1 β 1 β β β β β Beef Sausage β 2 β β β β β Syrup of Figs 1 β 1 β β β β β Lemon |
4c8d79c9-ddfd-473b-8c55-c190787d6418 | Cordial 1 β 1 β β β β β Chocolate flavour Pudding Mixture 1 β 1 β β β β β Mint Sauce in Malt Vinegar 1 - 1 β β β β β Cocoa 1 β 1 β β β β β Flour (self-raising) 1 β 1 β β β β β Lemonade Crystals (sweetened) 1 - 1 β β β β β Meat Paste 1 β 1 β β β β β Totals 108 12 120 4 - 4 1 1 21 Table 19.βSlaughterhouses. Private. Public. Total. No. of licensed slaughterhouses 1 β 1 No. of notices received of intention to slaughter during the year 18 β 18 No. |
c87ea793-6d55-4770-97eb-7fec07341a39 | of animals slaughtered:β Swine 49 - 49 Cattle β β β Sheep - - - Total 49 β 49 Meat discovered to be unfit for human consumption:β One pig's head and pluckβdestroyed. Table 20.βUnsound 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 :β Meat 21 lbs. Cheese 36Β½ lbs. Meatβtins 115 Meat Pasteβjars 2 Fruit 18 lbs. Fish Pasteβjars 1 Fruitβtins 168 Jamβtins 8 Fruitβbottles 23 Cerealsβtins 3 Vegetablesβtins 117 Bacon 75J lbs. Fish 112 lbs. |
3e82a7d2-0581-4487-92a2-7393c573cdda | Margarineβpackets 9 Fishβtins 202 Milk Puddingβpackets 1 Fishβjars 1 Dried Eggsβpackets 2 Milkβtins 130 Vinegarβbottles 2 Soupβtins 24 Cocoa Spreadβpackets 1 Beetoxβjars 1 Coffee Essenceβbottles 1 Picklesβjars 1 22 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Incidence of Notifiable Infectious Diseases. Comparison between the incidence of certain of the notifiable infectious diseases in Barnes, and in London and England and Wales, is shown below:β Table 21.βInfectious Diseases: Incidence per 1,000 of the Population in 1943. Disease. Barnes. London. England and Wales. |
8a14e46e-8a9a-4fc0-ab10-4f210c8df9f2 | Typhoid Fever 0.06 0.01 0.01 Paratyphoid Fever 0.03 0.01 0.01 Cerebro-spinal Fever 0.06 0.09 0.08 Scarlet Fever 5.47 3.80 3.01 Whooping Cough 2.44 2.68 2.54 Diphtheria 0.09 0.74 0.88 Erysipelas 0.15 0.42 031 Small-pox β β β Measles 3.30 9.17 9.88 Pneumonia 0.59 1.27 1.34 Table 22.βNotifiable Infectious Diseases, 1943. Diseases. Total Cases Notified. Under 1 year l to 2. 2 to 3. 3 to 4. Ages, in years. Parish Removed to Hospital. |
6acd61d3-a10a-4499-88db-35772b345a02 | Total Deaths of Residents. β 4 to 5. 5 to 10 - 10 to 15. 15 to 20. 20 to 25. 1 25 to 35. 35 to 45. 45 to 65. ! 65 and over. Barnes Mortlake. |
bb28804b-f605-47a8-aaeb-0cebd7955a91 | Diphtheria 3 β β β β β β β 1 2 β β β 2 1 3 β Scarlet Fever 184 1 7 8 16 21 105 15 6 2 3 β β β 87 97 184 1 Measles 111 5 16 13 22 17 26 6 β 2 2 2 β β 46 65 5 β Typhoid Fever 2 β β β β β 1 β β β 1 β β 2 2 β Paratyphoid Fever 1 β β β β β β 1 β β β β β β β 1 1 β Dysentery 2 β β β β β β β β 2 β β β β β 2 2 β Pul. |
804603fd-9310-4ba7-8e08-ac49e22e4bb1 | Tuberculosis 43 β β 1 β β 2 β 11 8 5 7 8 1 18 25 34 18 Non-Pul. Tuberculosis 7 β β β β β β β 1 β 1 1 1 β 5 2 6 4 Pneumonia 20 β 1 2 β β 1 1 1 β β β 9 5 8 12 4 21 Erysipelas 5 β β β β β β β β β β 1 3 1 2 3 2 β Puerperal Pyrexia 1 β β β β β β β β β 1 β β β β 1 1 β Opthalmia neonatorum 1 1 β β β β β β β β β β β β 1 β 1 β Cerebro-spinal Fever ? |
ef0deac4-4ca6-45fa-919f-8597098fb2c8 | 1 β β β β β β β β 1 β β β β 2 2 β Whooping Cough 82 4 13 9 18 17 18 β β β 2 β 1 β 7 75 8 β Malaria 1 β β β β β β β β β β β 1 1 β β β All Diseases 465 12 371 33 56 55 152 24 19 18 17 12 22 8 177 288 255 44 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. 23 Table 23.βNotifiable Infectious Diseases, 1933 to 1943. Year. 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 Diphtheria 72 |
63f78c07-ebb7-42b8-a52d-ec0bbf1f802f | 29 31 4 3 1 4 5 13 6 3 Scarlet Fever 147 132 77 56 84 52 36 39 21 34 184 Typhoid Fever β 1 β 3 2 1 β 1 β β 2 Paratyphoid Fever β β 1 β 1 1 1 1 1 β 1 Puerperal Fever 1 1 β 2 β # # # # # # β Pyrexia 2 2 3 1 1 4 3 2 1 4 1 Erysipelas 16 11 16 11 12 6 10 4 5 6 5 Continued Fever β β β β β β β β β β β Relapsing Fever β β β β β β β β β β β Typhus Fever β β β β β β β β β β β Small-pox β β β β β β |
724ca6ee-62d1-4ef8-82ca-7b0372df7d93 | β β β β β Cholera β β β β β β β β β β β Plague β β β β β β β β β β Tuberculosis, P. 30 42 21 39 28 25 35 32 39 42 43 β Non-P. 10 6 8 5 10 8 3 4 4 7 7 Cerebro-spinal Fever 2 1 β β β 2 1 5 4 3 2 Poliomyelitis 1 β β β 2 1 β β β 1 β Ophthalmia Neonatorum β 1 1 1 1 1 β 2 1 β 1 Measles 50 551 7 517 101 387 8 79 63 712 111 Rubella 23 61 5 29 9 439 22 * * * * Encephalitis Lethargica β β β β |
2a983b93-aad9-473a-a110-4cd5e6f5f3e6 | β β β β β β β Polioencephalitis β β β β β β β β β β β Malaria β β β β β β β β β β 1 Dysentery β β β β β 1 β 1 1 2 Pneumonia 35 36 13 21 34 18 14 14 21 16 20 Anthrax β β β β β β β β β β β Whooping Cough (Not Notifiable) 5 2 151 73 82 * No longer notifiable. Table 24.βShowing the Notifications of Infectious Diseases Received during 1943 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. Measles. Typhoid Fever. Paratyphoid Fever. Pneumonia. 1 Erysipelas Puerperal Pyrexia. Cerebro -spinal Fever. |
3f7ee24a-e241-4152-8416-fdd99c5d0717 | Ophthalmia Neonatorum. Whooping Cough Dysentery. Malaria. Jan. 30 1 5 39 β β 2 β β 1 β 5 β β Feb. 27 β 7 10 β β 1 β β β 3 β β Mar. 27 1 7 9 β β β β β β β 6 β β April 24 β 8 16 β β 5 β β β β 4 β β May 22 β 8 8 β β 1 1 β β 25 β β June 19 1 9 5 β β β 1 β β β 9 β β July 17 β 19 12 2 β 1 1 β β β β β β Aug. 14 β 7 7 β β β β β β β 1 β 1 Sept. |
bea9213d-6a50-48e0-9fee-2e8aa070ebb2 | 11 β 13 2 β β β β β β β 1 1 β Oct. 9 β 26 1 β 1 β β 1 β β 15 1 β Nov. 6 β 35 2 β β 2 β β β 1 3 β β Dec. 4 β 23 β β 1 β β β 3 β β Jan. 1 β 17 β β β 8 1 β 1 β 7 β β Totals 3 184 111 2 1 20 5 1 2 1 82 2 1 24 Table 25.βDiphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1943, in Respect of the 751 Children who Attended the Clinic during 1943. Position on 31 Dec., 1943 1. |
afda783a-3c84-4d73-9c4c-188aedf19946 | TOTAL NEW CASES dealt with during 1943 533 (A) Continued in Attendance:β 396 (a) Post-Schick Negative (Certificate) 229 (b) Completed injections, awaiting Post-Schick test 151* (c) Receiving injections at end of year 16 (B) Discontinued Attendance:β 137 (a) Completed injectionsβfailed to attend for PostSchick test 120* (b) Did not complete injections 12 (c) Left district before completion of injections 5 2. CHILDREN attending for Re-Schick Test two years after immunisation :β 218 (a) Re-Schick test negativeβimmunisation confirmed 212 (b) Re-Schick test positiveβfurther injections given . . |
5933dfd5-2530-42d8-8128-e682134bd86b | 6 TOTAL CHILDREN attending Clinic during year 751 Children invited but did not attend 73 Note.β In addition to the 229 children in respect of whom certificates were given, 271* additional children completed courses of immunising injections during the year, making in all 500 children immunised during the year. Table 26.βClinic for Inoculation against Whooping Cough. Position on 31 Dec., 1943 Number of children attending :β (a) Completed course of injections 73 (b) Receiving injections at end of year.. 18 (c) Discontinued injectionsβleft district 1 βceased attending 13 Total attending clinic during year 105 Children invited but did not attend 11 25 Table 27.βSchools. Number in Borough Number of scholars who suffered from:β Scarlet Fever Diphtheria Public Elementary Schools:β 10 Barnes Central Boys 2 β ,, ,, Girls 1 β Lowther J.M. |
bb64076a-b252-4c5d-b2bf-ed71f7093b9e | and Infants 9 β East Sheen J.M. and Infants 17 β Mortlake Central Boys 2 β ,, ,, Girls 1 β Mortlake Council J.M. and Infant 21 β Mortlake C.E. Mixed 18 β ,, ,, Infants 14 β Mortlake R.C. 11 β Secondary Schools:β 1 East Sheen and Richmond County Boys School 3 β Private Schools 5 9 β Total 16 108 β 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, 1943 are as under:β Table 28.βTuberculosis Notification Register. Form of Disease. On Register 1st an 1943 Cases Added. Removed from Register. |
1efbc1db-e700-458b-99f9-b7203ccb7c5f | Remaining on Register 31st Dec.. 1943 Primary Notifins Otherwise Total. NonTub. Cured Left District Dead. Total. Pulmonary 175 43 11 55* - - 8 21 29 201 Non-Pulm'y 52 7 2 10* β β 2 4 6 56 All Forms 227 50 13 65 β β 10 25 35 257 * Included in each of these totals is one patient whose name was restored to the Register. 26 Table 29.βTuberculosis : New Cases and Mortality, 1943. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonarv. 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 |
29e71490-3392-41de-b6ab-b94a30d980a3 | 1 β β β β β β 5-10 β β 3 β β β 1 β β 10-15 β β β β β β β β β 15-20 β 6 5 β 1 β 1 2 β 20-25 β 7 2 1 2 β β β β 25-35 β 5 6 β 1 1 2 β β 35-45 β 6 3 β 1 2 1 β 1 45-55 β 1 1 1 β 5 β β β 55-65 β 6 1 1 4 1 65 β and over 1 β 1 1 β β All ages 32 22 2 7 13 5 2 2 * In addition to primary notifications, all other new cases coming to the knowledge of the M.O.H. are included in these figures. |
6a7727e0-50df-4461-94f9-9ce09ab0bbaf | Incidence-rateβPulmonary 1.28 Non-pulmonary 0.21 All forms 1.49 Death-rate βPulmonary 0.54 Non-pulmonary 0.12 All forms 0.65 Table 30.βInstitutional Treatment. Admissions during 1943 were as under :β Pulmonary Tuberculosis : To Surrey County Council Sanatorium 2 ,, Surrey County Hospitals 19 ,, other sanatoria 14 ,, general hospitals 2 ,, Public Assistance Institutions β Total 37 Non-pulmonary Tuberculosis : To sanatorium 1 β Surrey County Hospitals 2 β general hospitals 3 Total 6 Number of patients admitted : Pulmonary 34 Non-pulmonary 6 27 INFECTIOUS DISEASES HOSPITAL. Table 31.βAdmissions and Deaths. Residents of Borough. Hon- residents admitted under reciprocal arrangements Noncivilians. TOTALS. Admitted. Died. Admitted. Died. |
4e1aa30b-3c51-4d16-a7e2-26e14a921f4c | Admitted. Died. Admitted. Died. Diphtheria 2 β 1 β β β 3 β Diphtheria and Scarlet Fever 2 β β β β β 2 β Cartarrhal laryngitis 1 β β β β β 1 β Thrush sent in as Diphtheria 1 β β β β β 1 β Tonsillitis 1 β β β β β 1 β Scarlet Fever 122 1 14 β 1 β 137 1 No appreciable disease β sent in as S. |
9bff4d67-6ab9-4278-9478-2dcb11df2c29 | F 1 β β β β β 1 β Measles 4 β 1 8 β Rubella 1 β 1 β 1 β 3 β Urticariaβsent in as Rubella 1 β β β β β 1 β Typhoid Fever 2 β β β β β 2 β Pleural effusion sent in as Typhoid Fever 1 β 1 β Dysentery, |
761c1918-36dd-4375-bd8e-d9e28cd4002f | Sonne 1 β β β β β 1 β Paratyphoid Fever 1 β β β β β 1 β Whooping Cough 6 β 2 1 β β 8 1 Pneumonia 7 1 β β β β 7 1 Pneumonia and Enteritis 1 β β β β β 1 β Erysipelas 2 β β β 1 β 3 Chickenpox β β 1 β β β 1 β Mumps 2 β β β 2 β 4 β DysenteryβFlexner 1 β β β β β 1 β Enteritis . . |
559bb7af-9341-486e-921f-20e5d90b6810 | f β β β β β 2 β Encephalitis 1 Sent in asCerebro1 spinal Meningitis β 1 1 β β 1 1 Rubella β β β β 1 β 1 β Otitis media 1 β β β β β 1 β Totals 163 2 23 2 7 β 193 4 General. One case of scarlet fever was suffering from severe chorea on admission and another developed mastoiditis necessitating the performance of an onen oneratinn In addition to this latter case a child suffering from scarlet fever and admitted during 1942 developed double mastoiditis during 1943 for which a double mastoid operation had to be performed. Complications. (1) Scarlet Fever. (2) Diphtheria. Albuminuria, 3. Serum reaction, 2. (3) Measles. Broncho-pneumonia, 4. |
0412895d-855b-4aca-9bf7-744061688a34 | Adenitis, 4. Chiekenpox, 4. Styes, 1. Rheumatism, 1. Stomatitis, 1. Otorrhoea, 6. Conjunctivitis, 1. Perionychia, 3. (4) Whooping Cough. Abscess, 3. Broncho-pneumonia, 3. Impetigo, 2. Bronchitis, 1. Secondary attack, 3 (5) Enteritis. Laryngitis, 2. Broncho-pneumonia, 1. Vaginal discharge, 1. (6) Chickenpox. Mastoiditis, 1. Impetigo, 1. 28 Deaths. (i) Scarlet Fever, toxicβchild 7 months oldβdied morning after admission. |
7085c3c8-6609-4a52-9f09-b25fde8fec80 | (ii) Whooping Cough, complicated by broncho-pneumonia on admission βchild 11 months oldβdied third day after admission. (iii) Encephalitis, admitted as suspected meningitisβchild aged 10 yearsβ died ninth day after admission. (iv) Influenzal pneumonia, complicated by chronic rheumatic heart disease on admissionβadult male aged 54 yearsβdied second day after admission. Mixed Infections. Two cases of scarlet fever were incubating chickenpox at the date of admission to hospital resulting in one secondary cross infection of chickenpox in the ward to which the patient was admitted. Return Case. There has been one return case of scarlet fever during the year. Table 32.βLaboratory Facilities. |
98867fd7-98b7-4f49-8fe3-584ad3218220 | Specimens examined during the year were as follows :β Sputa for detection of tubercle bacilli 32 Swabs β β ,, diphtheria bacilli 326 Fasces ,, ,, ,, typhoid bacilli 65 Urine ,, ,, 22 Cerebro-spinal fluid 4 Blood (Widal) 18 ,, (Blood-count) 8 β (for organisms) 1 ,, (Kahn Test) 1 Pleural fluid 1 Total 478 MATERNITY AND CHILD WELFARE. Table 33.-βHome-Visiting. |
1621a8d0-77bb-4fa4-8793-6e979ecd861e | A summary of the work performed by the three Health Visitors during the year is given below :β Visits to expectant mothers 618 First visits to newly-born infants 798 Revisits to infants under 1 year 1,184 Visits to children aged 1 to 5 years 2,575 Still-birth inquiries 9 Special visits to cases of measles 150 ,, ,, ,, ,, ,, whooping cough 94 ,, ,, ,, ,, β pneumonia 7 Visits to foster children 20 Visits in connection with infectious diseases other than those above specified 460 Visits in connection with special Diph. Immunisation Campaign 2,682 Total visits 9,297 29 Table 34.βNotification of Births. (a) Registered in Borough :β Live Births. Still Births. Totals. |
32edc297-8807-4118-a6e3-d038eac88c15 | Number of births registered during 1943 as occurring in the Borough 503 12 515 Number of such births not notified in accordance with the Public Health Act, 1936, Part VII 3 9 12 (b) Notified. Number of births, live and still, notified during the yearβ by medical practitioners 14 by midwives 485 by other persons β Total notified 499 Number of still-births notified during the year 12 Percentage of still-births to total births occurring in the Borough 2*4 Table 35βInstitutional Confinements. In institutions within the Borough .. 226 In registered maternity homes 226 In institutions outside the Borough .. 250 In general hospitals 27 In maternity hospitals 78 In Public Health County hospitals 72 In Public Assistance institutions 42 In maternity homes 31 Total 476 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 120 MATERNITY AND CHILD WELFARE CENTRES. |
a66b510f-c38e-4a1d-b5c0-52ac703aa937 | Table 36βAnte-Natal Clinic. Year 1942 Year 1943 Total number of expectant mothers attending Borough ante-natal Clinic during the year 415 369 Number of new cases attending for first time and included in total number 302 308 Number of attendances made by all mothers 842 1,001 Percentage of expectant mothers of total notified births attending Borough Clinic 731 61-7 Table 37βInfant-Welfare Clinics.βAttendances. Year Year 1942. 1943, New Cases :β Infants under 1 year 388 491 Children 1 to 5 years 168 141 Total 556 632 30 Number of Children attending during the year :β Infants under 1 year 558 699 Children 1 to 5 years 525 513 Total 1,083 1,212 Number of atte7idances made by :β Infants under 1 year 5,201 6, |
d4240fc4-ce7f-4c9c-9a60-584c452e684c | 866 Children 1 to 5 years 3,633 3,742 Total 8,834 10,608 Mothers 7,916 9,666 Number of consultations with Medical Officer 4,459 4,334 Average attendance per week : Infants under 1 year 1020 133.3 Children 1 to 5 years 71.2 72.7 Total, all children 173.2 206.0 Number of children attending Centre for first time during the year : Percentage of total births represented by this figure 82.0 80.9 Table 38.βChild Life Protection. |
ae9bd90c-ee7e-46e7-90a6-99628723d194 | The following is a summary of the cases on the Register during 1943 :β Foster-mothers on the Register at the beginning of the year 3 ,, ,, added to the Register 4 ,, β removed from the Register, having ceased to have care of children 3 ,, ,, on the Register at the end of 1943 4 Foster-children on the Register at the beginning of the year 4 β ,, in respect of whom Notice of Reception was received 5 ,, ,, removed from the Register during the year :β Returned to care of parents 1 5 Transferred to care of adoption societies 2 Admitted to an institution 1 No longer within provisions of Act 1 ,, ,, on the Register at the end of 1943 4 Number of visits of inspection made by Health Visitors during the year 20 31 Table 39.βWar Time Day Nurseries. BARNES NURSERY MORTLAKE NURSERY BOTH NURSERIES Date of opening 23rd September, |
3f780b7a-b3b3-45f8-befe-0fb2f7fe220e | 1942 26th October, 1942 β Age-groups 0-1 1β2 2β5 Total 0-1 1-2 2β5 Total 0β1 1β2 2β5 Total Places available in Nursery 5 15 25 45 5 15 30 50 10 30 55 95 Children admitted during 1942 5 15 33 53 7 11 23 41 12 26 56 94 , ceased attending , , 2 β 7 9 β β 2 2 2 β 9 11 Still in attendance 31 Dec. |
22f0e940-8747-4f74-a697-a56aa795ef52 | 1942 2 16* 26 44 5 13* 21 39 7 29* 47 83 Children admitted during 1943 11 15 13 39 7 16 21 44 18 31 34 83 13 31 39 83 12 29 42 83 25 60 81 166 β ceased attending , , 9 21 9 39 11 18 12 41 20 39 21 80 Still in attendance 31 Dec. 1943 4 10 30* 44 1 11 30 42 5 21 60* 86 (* Children in one age-group transferred to another.) |
b9fbf39d-50f3-4665-b3f9-ad6c986fcc22 | 1942 1943 1942 1943 1942 1943 Total attendances made by children 2,126 8,609 1,325 8,904 3,451 17,513 Average daily attendance 25 28 23 29 8 57 32 Table 40.βVoluntary Associations. (1) Nursing Associations. Barnes District Nursing Association Mortlake District Nursing Association Totals Home-visits in connection with maternity and child welfare 3 3 β ,, to cases ofβmeasles 6 6 β β β β βpneumonia 105 131 236 β β ,, β βinfluenza 31 18 49 β β to other general and surgical cases 7,159 10,538 17,797 7,304 10,787 18,091 (2) Barnes and Mortlake Day Nursery. |
0dcef3fa-d93f-458b-afcd-99365d143a1e | Accommodation for children under 5 years 26 Number of attendancesβWhole-day 5,577 Half-day 214 |
5d18f016-99a3-47e8-b109-ae091b64c4cf | LIBRARY BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1944 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1944 W. F. Twining McMath, m.d., b.ch., b.A.o.,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. |
6c424dd3-2a1f-4c8e-b934-4fc6c850d548 | G. G. Gardiner *A. A. Brown - Cert.San.Insp., Cert. Meat and Food Insp. W. L. Leach J 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. Social Welfare Worker (Joint appointment with Borough of Richmond). Miss H. Oliver. Chief Clerk. R. E. Forrest. Assistant Clerks. Vacancy. *G. K. Shilleto. *G. E. Tydeman. Temporary Clerks. Miss L. M. Fairclough. |
1ccb73c1-584a-4d84-9c39-8ea71565041a | Miss K. P. Morcom. Miss J. Campbell Vacancy. Mrs. M. Gazzard. 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, Barnesβ Mrs. M. Heard, S.R.C.N. 2 and 4 Sheen Gate GardensβMrs. 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 1944 upon the Health Services of the Borough. |
47f4e5b5-9709-4b75-b271-c7f95410fb5b | 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 1944. 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. |
d2550045-7263-481d-8e7c-3b80946af88b | Accordingly I have to make observations only under the headings which follow. STAFF. During the year the Second Report of the Nurses' Salaries Committee, under the Chairmanship of Lord Rushcliffe, was adopted in respect of the health visitors employed in the borough. There have been several changes in Staff during the year, the names of those members actually remaining on the Staff at 31st December, 1944, are given on page 3. The following alterations occurred during the year:β Mr. W. L. Leach was appointed Additional Sanitary Inspector, and took up duties on the 17th July, 1944, thus filling the vacancy which had occurred when Mr. Street left the service of the Corporation. A new, joint appointment was made during 1944 in collaboration with the Borough of Richmondβthat of Social Welfare Worker. This was done in accordance with the terms of Ministry of Health Circular 2,866 as part of the scheme for the care of unmarried mothers and illegitimate children. |
2cb17b91-f57c-45aa-9e6b-0ef343c19576 | Miss H. Oliver was appointed to this position and commenced duties on the 8th August, 1944. On the 29th April, Miss M. Sharp, a member of the permanent clerical staff, dealing with maternity and child-welfare matters, left the services of the Corporation. Great difficulty was experienced in obtaining suitable candidates for the position, and this has consequently not been filled. It is with regret I have to report that Miss H. Wheatley, who had been employed in the Public Health Department as a temporary shorthand-typist, since November, 1939, died on the 20th September. Mrs. J. Scullard, a temporary clerk, resigned her appointment towards the end of the year. The vacancy had not been filled by the 31st December. Mrs. M. Gazzard was appointed a part-time shorthand-typist on the 9th October, 1944. 6 SANITARY INSPECTION OF DISTRICT. |
4c412d76-d400-4cc7-9196-dd0525625f41 | The remarks contained in the Annual Report for 1943 equally applied throughout 1944. The advent of the flybomb and rocket made considerable call upon the time of the sanitary inspectors in endeavouring to re-house those unfortunate families who suffered the loss of their homes. Undoubtedly the effects upon property from bombs and gunfire will continue to be evidenced over a long period and must inevitably lead to considerable calls upon the services of the sanitary inspectors. WATER SUPPLY. The whole of the area of the borough is supplied by water from the Metropolitan Water Board direct to the houses. During the year the supply was satisfactory in quality and in quantity. In view of the fact that samples of the water supplied are taken regularly by the Metropolitan Water Board it has not been considered necessary for the Public Health Department to do so also. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. |
7e8cee95-4c69-45b7-9472-3b8e37bc36ab | Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1944 are set out in Tables 22-25 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. During the year there was an increase in the number of cases of diphtheria notified, 15 being received. There was a noticeable shift in the age-groups towards adolescents and adults, 8 of those notified being over 15 years of age. One death occurred, a child aged 17 months, which resulted in a death-rate for the Borough of 0.03 per 1,000 population. It is pleasing to note that there were no deaths at all from measles or whooping cough during the year, although there were five deaths from diarrhoea under two years of age, an unusually high number for the area. |
1e62ce55-f00b-4632-b407-f812346cfb11 | The rate for Barnes for this disease was 8.4 per 1,000 births, compared with 10.1 for London, and only 4.8 per 1,000 for the country as a whole. DIPHTHERIA IMMUNISATION. The routine propaganda to encourage parents to have their children immunised has continued unabated throughout the year. The number of children attending during 1944 was slightly less than in the previous year, but this can be no doubt largely accounted for by the increased aerial activity during the twelve months reviewed. 7 In the case of two children contracting diphtheria injections for immunisation had been given, one at the Borough clinic and the other privately. In neither case had the child attended for a post-schick test. PROTECTION AGAINST WHOOPING COUGH. The Council's scheme for the free inoculation of children against whooping cough continues in operation. |
3a9c60cf-7b61-42bc-a018-807e200a4123 | Children attending war-time day nurseries and those whose parents are home-visited by health Visitors have been offered the facilities. Although the number of children attending for this purpose is not comparable with those attending for immunisation against diphtheria, it is pleasing to record that the number attending during 1944 was more than double that of the previous year. As whooping cough so commonly occurs among the very young children, parents have often not decided to agree to inoculation before the child actually contracts the disease. This stresses the importance of giving protective inoculation against whooping cough at the earliest possible moment, preferably at six months of age. CLEANSING STATION. The Borough Cleansing Station has been well used during the year, the treatments carried out there having increased by about 20% when compared with the figures for 1943. |
62ac82cb-c896-41e1-801f-a4a682a6c94e | The following is a summary of the steps taken to combat infestation:β (i) All persons infested with vermin coming to the knowledge of the department are treated at the cleansing stationβthose with verminous heads with lethane oil. (ii) Persons suffering from scabies receive two treatments of benzyl benzoate. The other members of the family are pressed to have one precautionary treatment and to this they almost invariably agree. (iii) While undergoing treatment the patients' clothing is disinfested at the cleansing station. (iv) In severe cases of infestation the bedding is collected and disinfested at the Borough Steam Disinfector. (v) Co-operation of the local doctors, the school medical services, etc., has been obtained and the services available for the cleansing of such cases have been brought to the notice of all concerned. In no case during the year was it found necessary to take statutory action. <3 BOROUGH ACCIDENT AND GENERAL PURPOSES AMBULANCE SERVICE. |
6b724862-c9a4-4d18-9493-50048cfc1b62 | The manning of the Borough Ambulance continued to be carried out by whole-time women members of the Civil Defence Ambulance Service, with the assistance of two whole-time paid male attendants. I would like to record my appreciation of the excellent way in which this service was carried out by these women members of the Civil Defence services throughout the whole of the period they undertook the work. On the 19th December the manning of the ambulance was transferred to a staff of paid men employed solely for the purpose. During the year the Council decided to purchase a new Austin Accident and General Purposes Ambulance, and this was received on the 20th December, the old Talbot ambulance being retained as a reserve vehicle. Details of the number of journeys made and the types of cases dealt with are given in Table 19. MATERNITY AND CHILD-WELFARE. The birth-rate for 1944 for Barnes remained the same as that of the previous yearβ18.0 per 1,000 population. |
a73fd131-39ba-4c06-8af0-8666218e0c98 | Regular ante-natal clinics have been held four times each month, and, where the numbers justified it, two additional clinics a month have been held at each centre on Saturday mornings. As previously mentioned, a Social Welfare Worker was appointed during the year, and commenced duties in August. The post is a joint one with the Borough of Richmond and has fulfilled a need in the borough. Table 35 gives details of the work performed by this officer during the last four months of the year. At the beginning of the year one Home Help was employed. On the 18th May a part-time Home Help was appointed, who later in the year undertook full-time duties. Details of the work of this new service are given in Table 40. During the year Ministry of Health Circular No. 20/44 was received requiring special provisions to be made for the care of premature infants. |
bf996b14-deea-41a6-b69c-3d1afbf46dce | Notification of any birth of a child whose birth weight is five and a half pounds or less is now specifically required, and provision for this information has been incorporated in the Notification of Birth cards. The provision of suitable equipment for use in the home, and special arrangements for the conveyance and admission to hospital of the mother and child where this is indicated, is being arranged in collaboration with the Surrey County Council. The services of a Home Help are supplied wherever necessary and available. Borough of Barnes. APPENDIX to the annual report of the Medical Officer of health 1 944. 10 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.βSTATISTICAL SUMMARY, 1944. |
c9c36228-e2b8-4180-9165-88cac7a15dec | Births:β Birth-rate (per 1,000 of population) 18.0 Live Births :β Total. M. F. Legitimate 543 302 241 Illegitimate 51 24 27 Total 594 326 268 Still Birth-rate (per 1,000 total births) 43.5 Total. M. F. Still Births (Legit. 23; Illegit. 4) ..27 18 9 Deaths:β Death-rate, all causes (per 1,000 of population) 13.9 Total. |
3e6e8a48-e734-4a6e-89f8-3cece33baf51 | M. F. Deaths (all causes) 458 233 225 Death-rate from Cancer (per 1,000 of population), 73 deaths 2.2 Death-rate from Zymotic Diseases (per 1,000 of population) 0.18 Deaths from Diphtheria (all ages) 1 ,, ,, Diarrhoea (under two years of age) 5 Death-rate from Maternal Causes (per 1,000 total births) 3.22 Deaths from Puerperal Sepsis Nil ,, ,, Other Puerperal causes 2 Death-rate of infants under one year (per 1,000 live births) 43.8 Legitimate infants (23 deaths) 42.4 Death-rate for Illegjtimate Infants (3 deaths) 58.8 11 Table 2.βVital Statistics of the Borough of Barnes during 1944 and previous 5 Years Year. 1 Registered Births Total Deaths Registered in the District. |
c0a7c28b-0429-432f-b225-99644c4ca249 | Transferable Deaths Nett Deaths belonging to the District. Uncorrected Number. 2 Nett. Of nonresidents registered in the District. 7 Of residents registered outside the District. 8 Under 1 year of afie At all ages. Number. 5 Rate. 6 Number. 9 Rate per 1,000 nett births 10 Number 11 Rate 12 Number. 3 Rate. 4 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 35.2 554 13.9 1941 248 360 11.0 215 6.9 14 248 22 74.5 449 14.4 1942 382 473 14.5 221 6. |
e5d3da4f-9dc6-491b-a334-5bcb96a831e7 | 8 17 270 23 48.6 474 14.5 1943 487 607 18.0 210 62 15 270 20 32.9 465 13.8 1944 415 594 18.0 260 79 18 352 26 43.8 458 13.9 12 Table 3.βBirth-rate, Death-rate, and Analysis of Mortality during the Year 1944, 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 fate pek l 000 BIRTHS. Maternal Mortality Hate per 1,000 Total Births All Causes Enteric Fever. Small-pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. |
e5885868-7075-4081-b5c5-a1417931fdb0 | Influenza DiarihΕa and Enleritis (under 2 years). Total Deaths under One Year. All Causes Puerperal Infection. Other Causes. England and Wales 17.6 11.6 0.00 0.00 0.01 0.00 0.03 0.02 0 .12 4.8 46 1.93 0.59 1.34 126 County Boroughs and Great Towns, cluding London 20.3 13.7 0.00 - 0.01 0.00 0.03 0.03 0.10 7.3 52 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 20.9 12.4 0.00 - 0.01 0.00 0.02 0.03 0.11 4. |
fc3dbe5c-fd1a-44c0-8229-d07a70b2f456 | 4 44 Not available London 15.0 15.7 0.00 β 0.00 0.00 0.04 0.01 0.08 10.1 61 Barnes Borough 18.0 13.9 - - - - - 0.03 0.18 8.4 44 3.22 β 3.22 13 Table 4.βCauses of Death during the Year 1944. Causes of Death (Registrar-General's short list of causes). Total Deaths Male Female 1 Typhoid and Paratyphoid fevers β β β 2 Cerebro-spinal fever β β β 3 Scarlet Fever β β β 4 Whooping Cough β 1 β 5 Diphtheria 1 β 6 Tuberculosis of respiratory system. . |
ff2f1588-8f01-4776-b729-15a963aa0d68 | 11 6 5 7 Other forms of tuberculosis 3 1 2 8 Syphilitic diseases 1 β 1 9 Influenza 6 3 3 10 Measles β β β 11 Acute poliomyelitis and polioencephalitis β β β 12 Acute infectious encephalitis 3 3 β 13 Cancer of buccal cavity and oesoph. (m) ; uterus (f) 11 6 5 14 β stomach and duodenum 10 4 6 15 β breast 6 β 6 16 β all other sites 46 24 22 17 Diabetes 4 2 2 18 Intra-cranial vascular lesions 33 9 24 19 Heart Disease 116 67 49 20 Other diseases of circulatory system 15 5 10 21 Bronchitis 15 9 6 22 Pneumonia 13 8 5 |
eb0e6386-2eaf-4d3d-8d97-f9beb8e5597f | 23 Other respiratory diseases 16 8 8 24 Ulceration of stomach or duodenum 3 3 β 25 Diarrhoea under 2 years 5 4 1 26 Appendicitis 1 β 1 27 Other digestive diseases 9 4 5 28 Nephritis 7 3 4 29 Puerperal and post-abortive sepsis β β β 30 Other maternal causes 2 β 2 31 Premature birth 4 2 2 32 Congenital malformations, birth injury, infintile diseases 12 8 4 33 Suicide 6 4 2 34 Road traffic accidents 2 1 1 35 Other violent causes 49 30 19 36 All other causes 48 18 30 All Causes 458 233 225 14 Table 5.βInfant Mortality during the Year 1944. |
b424d66c-e3f5-4f8f-b796-f8e2ce82985a | Causes of death, at various ages, of infants under one year. Cause op 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. Total under 1 Year Deaths in the Borough Deaths outside the Borough. Deaths in Institu'ns Premature Birth 5 1 ... 1 7 ... ... ... ... 7 4 3 4 Congenital Malformations 3 1 1 ... 5 ... ... ... ... 5 1 4 5 Atelectasis 1 ... ... ... 1 ... ... ... ... 1 1 ... 1 Diarrhoea and Enteritis . |
ace1de69-4d29-45f5-acbb-668273649da6 | ... ... ... ... ... 1 2 1 ... 4 ... 4 4 Bronchitis ... 1 ... ... 1 ... ... ... ... 1 ... 1 1 Broncho-pneumonia ... ... 1 ... 1 ... ... 1 ... 2 ... 2 2 Injury at Birth ... ... 1 ... 1 ... ... ... ... 1 ... 1 1 Violence 1 ... ... ... 1 ... 2 ... 1 4 4 ... ... All causes 10 3 3 1 17 1 4 2 l 25* 10 15 14 *The number of deaths under one year of age assigned to the Borough is 26. One death has not been traced in the death returns, consequently details of this cannot be included in the table. Infectious Diseases Mortality. |
8bd3f53f-8a33-4b53-9e6e-73fdbbe581ad | The death-rate for 1944 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, 1939 to 1943, are contrasted with the rate for 1944. In each of these Tables the death-rates for London and for England and Wales are shown for comparison. Table 6.βEpidemic Diseases: Death-rate per 1,000 of the Population, 1944. Disease. Barnes. London. England and Wales. |
b7487d44-e414-4ebe-9b3d-a6f98f048a29 | Small-pox - β 0.00 Enteric Fever β 0.00 0.00 Measles β 0.00 0.01 Scarlet Fever β 0.00 0.00 Whooping Cough β 0.04 0.03 Diphtheria 003 0.01 0.02 Diarrhoea (under 2 years) 015 0.16 0.08 Zymotic Death Rate 0.18 0.21 0.14 Table 7.βZymotic Death-rate for 1944, contrasted with the Rates for the previous Five Years. Year. Barnes. London. England and Wales. |
ad1dce1f-2d74-4a3a-9db2-0fde68db6c3a | 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 1943 0.06 0.23 0.17 1944 0.18 0.21 0.14 15 Table 8.βMeasles: Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. |
eb4b1823-9b96-456b-b2d3-918934571b5a | 1940 - 0.01 0.02 1941 β 0.02 0.03 1942 0 .06 0.01 0.01 1943 β 0.02 0.02 1944 β 0.00 0.01 Average Rate 1940-1944 0.01 0.01 0.02 Table 9.βWhooping Cough: Death-Rate per 1,000 of the Population. Year. Barnes. London. England & Wales. 1940 - 0.00 0.02 1941 0.03 0.04 0.06 1942 0.03 0.04 0.02 1943 - 0.03 0.03 1944 β 0.04 0.03 Average Rate 1940-1944 0.01 0.03 0.03 HOUSING. |
e70cc06c-9c1e-488e-9049-5ee6edf1adbe | Table 10.βHOUSING STATISTICS FOR THE YEAR 1944. 1. Number of Dwellings Owned by the Local Authority:β Number of houses 241) β β flats 207 Total 448 2. Unfit Houses. (I) Inspection of Dwelling Houses during the Year:β (i) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1278 (b) Number of inspections made for the purpose 1751 16 (ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, |
19815930-5a15-4d20-9d86-451751cd2659 | 1925 and 1932 Ni (b) Number of re-inspections made under the Regulations Nil (iii) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (iv) Number of dwelling-houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 541 (II) Remedy of Defects during the Year without service of formal notices:β Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 509 (III) Action under Statutory Powers during the Year:β No proceedings were taken under any of the following Statutory Powers during the year:β (a)βSec. 9, 11, 10 and 16, Housing Act, 1936β(Repair of dwelling-houses). (b)βSec. 13, Housing Act, 1936β(Demolition Order). (c)βSec. |
9e1b760c-983a-480d-8e87-2078a6a0a00c | 12, Housing Act, 1936β(Closing Order, underground rooms). OVERCROWDING. The question of persons living in overcrowded or other unsatisfactory conditions in the borough is one that must receive attention in the near future. Unquestionably many such cases exist, the position having been brought about by war-time conditions. The true position, however, can only be ascertained by a survey of the borough similar to that carried out under the Housing Act, 1935. 17 SANITARY CIRCUMSTANCES OF THE AREA. Table 11.βShowing the Number and Nature of the Inspections made by the sanitary inspectors during 1944, 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. |
258c5054-6b57-4f69-ae76-025739f6dc81 | Complied with. Number issued. Complied with. Dairies 3 12 1 1 - - Milkshops 13 40 β β β β Butchers' Shops 31 60 β β - β Fishmongers and Poulterers 13 16 - - - - Greengrocers 35 15 1 1 β β Fried Fish Shops 3 3 - - β β Restaurants 39 40 1 1 β β Other food premises 40 102 - - - - Slaughterhouses 1 4 - - β β Bakehouses 11 25 - - - β Factories:β Mechanical 103 112 2 2 - - Non-mechanic'l 38 40 β β β β Air Raid Shelters 113 35 β β β β Home-workers 12 12 β β β β Schools 16 16 1 1 β β Public Halls and Cinemas 5 5 1 1 - - Servants' |
8f033dcb-3b00-42f1-86bd-0ea3326ee36c | Registries 4 - - - - - Piggeries and Stable Yards 31 74 3 3 - - Public Conveniences 40 42 - - - - Total 551 Dwelling-houses (including houses let in lodgings) No. of Premises Visited. (1) House - toHouse Inspection (2) Inspected on complaint 603 (3) Inspected in course of other work:β - 3029 541 509 11 11 (a) Housing work, etc 675 (b) For infectious diseases 283 Totals 1399 3682 551 519 11 11 18 Table 12.βFactories. No. of Premises on Register. Inspection. Number Written Notices Served. Factories with mechanical power 103 112 2 Factories without mechanical power 38 40 β Total 141 152 2 Defective conditions:β Sanitary conveniences insufficient Other offences Discovered. |
6c13e9fb-b688-4054-a6e0-fedb741b5ab0 | Remedied. 3 3 Total 3 3 Matters referred to H.M. Inspector of Factories Nil Notifications received from H.M. Inspector of Factories 1 Legal proceedings:β No legal proceedings were necessary during 1944. Table 13.βHome Workers. Work undertaken. No. on Register. Fancy Needlework 3 Dressmaking 4 Tailoring 3 Boot Repairing 2 Total 12 INSPECTION AND SUPERVISION OF FOOD. Table 14.βDairies and Milkshops. Number of purveyors of milk:β Dairies situated within Borough 3 Milkshops (not dairies) within Borough 13 Purveyors of milk from outside Borough 4 Total 20 Designated milk is sold from:β (Π°) Premises within Borough 12 (b) β outside β 4 16 19 FOOD AND DRUGS ACT, 1938. |
6af06b39-fe2c-4a9a-8485-86d4296f7fe7 | A summary of the samples taken under the above Act during the year is given in the following Table. In no instance was it necessary to institute Court proceedings. FOOD AND DRUGS ACT, 1938. Table 15.βReturn of Samples Analysed during the Year ending 31st December, 1944. ARTICLES ANALYSED. BELOW STANDARD. Prosecutions Convictions Formal Informal Total Formal Informal Total Milk 36 - 36 1 - 1 - - Other Foods. |
3920d028-21d6-4c47-b212-27ad79204216 | Barley 1 - 1 - - - - - Coffee - 1 1 - - - - - Ground Ginger 1 2 - - - - - - Ground Nutmeg - 1 1 - - - - - Ground Rice 1 - 1 - - - - - Lard 1 - 1 - - - - - Malt and Chocolate Spread - 1 1 - - - - - Meat Extract - 1 1 - - - - - Mixed Spice - 1 - - - - - - Mustard - 1 1 - - - - - SausagesβPork 2 - - - - - - - Semolina - 1 1 - - - - - Drugs. |
46893634-a981-40f2-a620-454f11e1a966 | Aspirin 3 - 3 - - - - - Boracic Ointment - 1 1 - - - - - Camphorated Oil - 1 1 - - - - - CinnamonβEssence - 1 1 - - - - - Epsom Salts - 1 1 - - - - - Eucalyptus Oil - 1 1 - - - - - IodineβTincture - 1 1 - - - -- - Zinc Ointment 1 1 2 - - - - - Totals 46 16 62 1 - 1 - - Note.βThe report of the Public Analyst upon the sample of milk shown to be below standard was such that no legal action was justified. Previous and subsequent samples from the same source were found to be genuine. Table 16.βSlaughterhouses. No. of licensed slaughterhouses Private. Public. Total. 1 - 1 No. |
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