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e6fbb6f6-8859-4196-8e1b-d23245e1be72 | 2 — Scarlet Fever and Chickenpox 2 - - - - - 2 — Measles 17 — 1 — 1 — 19 — Measles and Broncho-pneumonia 3 - - - - - 3 — Rubella - — - — 1 — 1 — Urticaria Sent in as Measles 1 - - - - - 1 - Conjunctivitis 1 - - - - - 1 — Rubella — — - — 1 — 1 — Whooping Cough 2 - - - - - 2 — Whooping Cough and Bronchopneumonia 1 - - - - - 1 - Chickenpox 1 - - - - - 1 — Erysipelas 1 - - - - - 1 — Influenzal Pneumonia 1 - - - - - 1 — Broncho-pneumonia 3 - - - - - 3 - Bronchitis Sent |
6c6f910b-d49a-4325-9d07-52f22acb9fa1 | in as Pneumonia 3 - - - - - 3 — Enteritis 1 — 1 — — — 2 — Dysentery Sonne 4 — - — 3 — 7 — Enteritis 3 - - - - - 3 — Non-specific Ulcerative Colitis Sent in as Dysentery 1 - - - 2 - 3 - Suspected Poliomyelitis 1 - - - - - 1 — Tubercular Meningitis Sent as in Cerebrospinal Meningitis 1 1 1 — — — 1 1 Influenzal Meningitis 1 1 - — — — 1 1 Acidosis 1 - - - - - 1 — Laryngitis, |
cb171179-00ca-4e14-9137-87d83df5b217 | Catarrhal 1 - - - - - 1 — Tonsillitis Sent in as Mumps — — - — 1 — 1 — No appreciable disease 1 - - - - - 1 — Totals 112 3 2 — 13 127 3 General. During 1945, 12 patients suffering from diphtheria were treated in the hospital. The incidence was once again considerably more marked among adolescents and adults than among children and the older persons who contracted the disease were severely affected. 29 Deaths. (i) Diphtheria—laryngeal—aged one year nine months—tracheotomy performed—died two days after admission. (ii) Tubercular Meningitis—aged five years—admitted as cerebrospinal meningitis—died three days after admission. |
43825c8b-f4e9-48ff-9c2e-a2ad7faf198c | (iii) Influenzal Meningitis—aged one year eight months—admitted as cerebro-spinal meningitis—died 25 days after admission—diagnosis confirmed bacteriologically. Cross Infection. A child admitted with scarlet fever was at the time of admission incubating chickenpox and gave rise to one secondary case in the ward. Complications. (1) Diphtheria. (3) Measles. Squint, 6. Broncho-pneumonia, 6. Palatal paresis, 3. Rhinorrhoea, 2. Cardiac arrythmia, 2. Double otorrhoea, 1. Septic burns, 1. (2) Scarlet Fever. (4) Whooping Cough. Otorrhoea, 1. Broncho-pneumonia, 1. |
db0f9334-48ad-49ca-9889-71cfbc650532 | Double otorrhoea, 1. (5) Pneumonia. Secondary attack, 1. Asthma, 1. Table 34.—Laboratory Facilities. Specimens examined during the year were as follows :— Sputa for detection of tubercle bacilli 32 Swabs „ „ „ diphtheria bacilli 257 Rectal Swabs for pathogenic organisms 53 Cerebro-spinal fluid 6 Blood (Widal) 12 Total 360 30 MATERNITY AND CHILD WELFARE. Table 35.—Home-Visiting. |
48bedcd5-5f05-49be-9a99-270073e786cb | A summary of the work performed by the three Health Visitors during the year is given below :— Visits to expectant mothers 497 First visits to newly-born infants 810 Revisits to infants under 1 year 2,487 Visits to children aged 1 to 5 years 2,912 Still-birth inquiries 7 Special visits to cases of measles 430 „ „ „ „ „ whooping cough 107 „ „ „ „ pneumonia 22 Visits to foster children 45 Visits in connection with infectious diseases other than those above specified 363 Total visits 7,660 Table 36.—Social Welfare Worker. Care of Unmarried Mothers and their Children. Number of cases brought to the notice of the department during the year :— through local authority records, clinics, health visitors 53 by nursing homes, hospitals, police, clergy, etc. |
0ef034b1-35ba-4604-9d90-2e1e78202af3 | 16 by mothers themselves 2 Total 71 Number of cases visited for the first time during the year 67 „ „ home-visits and revisits to all known cases . . 609 ,, „ visits to employers, relatives, institutions, hostels, etc. in connection with cases 341 Number of mothers:— (a) admitted to:— ante-natal or post-natal homes 14 long-stay training homes 1 short-stay shelters 3 special homes for confinements 3 (6) for whom:— residential employment was found 12 non-residential employment was found 2 housing accommodation was found 2 arrangements were made for return to native land 1 31 Number of mothers concerned who were, at the end of the year living with child without child Total as married 17 — 17 in own homes with husbands (extra-marital) — 4 4 with parents or relatives 21 1 22 at homes of employers (residential employment) . |
b312069c-f793-4b11-90a3-026944d378f5 | 14 — 14 in lodgings 8 3 11 in institutions or hostels 3 — 3 Affiliations:— Number obtained through court procedure 4 „ arranged voluntarily 6 „ of mothers who refused to make application 4 Number of children for whom arrangements were made:— for adoption 4 for admission to homes, institutions or residential nurseries 4 to remain with mothers, or relatives (89%) 63 Table 37.—Notification of Births. (a) Registered in Borough:— Live Births. Still Births. Totals. Number of births registered during 1945 as occurring in the Borough 401 6 407 Number of such births not notified in accordance with the Public Health Act, 1936, Part VII 1 - 1 (b) Notified. Number of births, live and still, notified during the year— Residents. Outward Transfers. |
f5b10f0d-0ddf-45be-ac8e-52bb416e03d3 | Total by medical practitioners 3 1 4 by midwives 235 160 395 by other persons — — — Total notified 238 161 399 Number of still-births notified during the year 2 2 4 Percentage of still-births to total births occurring in the Borough 0.8 1.2 1.0 (c) Premature Infants. Number of births notified during the year as occurring in the Borough where the baby weighed less than 5i lbs. at birth :— Place of birth. Number Notified Nursed entirely at place of birth Transferred to Hospital Who died during first 24 hours Who survived one month At home - - - - - At private mat. home 3 3 — 1 2 Totals 3 3 - 1 2 32 Table 38.—Institutional Confinements. |
9e95ef53-246a-4dc8-8e35-9a3bf92b2740 | In institutions within the Borough .. 169 In registered maternity homes 169 In institutions outside the Borough 285 In general hospitals 25 In maternity hospitals 83 In Public Health County hospitals 120 In Public Assistance institutions 38 In maternity homes 19 Total 454 Number of above institutional confinements through the Borough Ante-natal Clinic 130 MATERNITY AND CHILD WELFARE CENTRES. Table 39.—Ante-Natal Clinic. Year 1944 Year 1945 Total number of expectant mothers attending Borough ante-natal Clinic during the year 369 372 Number of new cases attending for first time and included in total number 274 322 Number of attendances made by all mothers 1,123 1,104 Percentage of expectant mothers of total notified births attending Borough Clinic 65.3 80.7 Table 40.—Infant-Welfare Clinics.—Attendances. Year 1944. Year 1945. |
2b32d072-3615-4b23-a71c-eac3e6845674 | New Cases:— Infants under 1 year 466 404 Children 1 to 5 years 59 90 Total 525 494 Number of Children attending during the year:— Infants under 1 year 708 738 Children 1 to 5 years 482 538 Total 1,190 1,276 Number of attendances made by:— Infants under 1 year 5,064 6,139 Children 1 to 5 years 2,599 3,484 Total 7,663 9,623 Mothers 7,109 8,885 Number of consultations with Medical Officer 2,710 2,959 Average attendance per week: Infants under 1 year 99.8 120.4 Children 1 to 5 years 52.1 68.3 Total, all children 151.9 188.7 Number of children attending Centre for first time during the year: Percentage of total births assigned to the Borough represented by this figure 78. |
600784f6-4e39-4b9c-b46d-03ceee863652 | 5 75.2 Table 41.—Home Help Service. Confinements Other Maternity reasons Conditions other than Maternity Totals Application outstanding from 1944 1 - - 1 Applications received during 1945 22 13 5 40 Cases attended during 1945 13 11 4 28 Cases booked but not yet attended 3 — — 3 Cases booked but not attended— mother admitted to hospital in emergency 3 — — 3 Applications received but cases not attended because:— (a) Home Helps already booked and not available 2 1 1 4 (b) Applicants withdrew applications 2 1 — 3 Table 42.—Child Life Protection. |
0f21c6b8-4f38-4573-a8e0-2a9265076411 | The following is a summary of the cases on the Register during 1945:— Foster-mothers on the Register at the beginning of the year 4 „ „ added to the Register 6 „ „ removed from the Register, having ceased to have care of children 4 „ „ on the Register at the end of 1945 6 Foster-children on the Register at the beginning of the year 5 „ „ in respect of whom Notice of Reception was received 5 „ „removed from the Register during the year:— returned to care of parents 3 „ „ on the Register at the end of 1945 7 Number of visits of inspection made by Health Visitors during the year 45 33 Table 43.—War Time Day Nurseries. |
5e1a6b33-b248-41d8-a42d-0cf62eea8583 | BARNES NURSERY MORTLAKE NURSERY BOTH NURSERIES Age-groups 0—1 1—2 2—5 Total 0—1 1—2 2—5 Total 0—1 1—2 2—5 Total Places available in Nursery 5 15 25 45 5 15 30 50 10 30 55 95 Children in attendance 31st December, |
98038024-c41b-414f-8bb1-cab95b84ec65 | 1944 5 11 16 32 1 10 17 28 6 21 33 60 Children admitted during 1945 11 18 40 69 8 19 37 64 19 37 77 133 Total children attending 16 29 56 101 9 29 54 92 25 58 110 193 „ ceased attending 5 10 38 53 3 6 33 42 8 16 71 95 Still in attendance 31 Dec. 1945 4 14 30 48 2 11 37 50 6 25 67 98 (* The final figures have been adjusted to show age-grouping at end of year.) |
7743c784-8328-45be-b966-ea7fe287386f | 1944 1945 1944 1945 1944 1945 Total attendances made by children 8,301 11,105 8,564 10,011 16,865 21,116 Average daily attendance 28 37 28 33 55 70 34 35 Table 44.—Adoption of Children. Number of Notices of Reception received during 1944 still on Register at 1st January, 1945 5 Number of Notices of Reception received during 1945 6 Number of children adopted during year 8 „ „ removed from Register for other reasons — Number of children still on Register awaiting adoption at 31st December, 1945 3 Table 45.—Voluntary Associations. (1) Nursing Associations. |
13fb767b-bfda-41dd-a8e3-d24ff68eea34 | Barnes District Nursing Association Mortlake , District Nursing Association Totals Home-visits in connection with maternity and child welfare - - - „ „ to cases of pneumonia 33 92 125 „ ,, ,, ,, —influenza 24 — 24 „ „ to other general and surgical cases 6,578 15,662 22,240 6,635 15,754 22,389 (2) Barnes and Mortlake Day Nursery. Accommodation for children under 5 years 26 Number of attendances—Whole-day 4,122 Half-day 537 R W. Simpson & Co., Ltd., Printers, 70, Sheen Road, Richmond, and Barnes High street. |
21a031e9-722a-445e-bfca-971e9a09a576 | LIBRARY AC 4413 (1) BARANES BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1946 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1946 R. C. Webster, b.sc., m.d., d.p.h., d.c.h,, l.m. Medical Officer of Health, BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health. R. C. Webster, B.Sc., M.D., D.P.H., D.C.H., L.M. Assistant Medical Officer of Health. R. Hill, M.B., B.Ch., B.A.O., D.P.H. Chief Sanitary Inspector. C. S. Perchard, Cert.R.San.Inst., Cert. Meat and Food Insp. Deputy Chief Sanitary Inspector. W. L. Leach, Cert.San.Insp., Cert. |
9d31f394-259d-4151-8d36-b63f760ea6a2 | Meat and Food Insp. Additional Sanitary Inspectors. G. G. Gardiner P. T. Shannon Cert.San.Insp., Cert. Meat and Food Insp. Temporary Sanitary Inspector. J. G. Plant, Cert.San.Insp, Cert. Meat and Food Insp. Assistant Housing Manager. A. A. Brown, 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. G. E. Tydeman. |
b12757a7-aac9-456e-bb5b-2ed0d1f8d0e3 | Miss K. P. Morcom. Miss L. M. Fairclough. Miss M. E. Wright. Temporary Clerks. Miss J. Campbell. Miss P. A. Healey. *D. Rundle. D. Massam. Miss J. Dupille. Mrs. R. Alsford (part-time). Matron of the Infectious Diseases Hospital (Temporary Appointment/ Miss M. McPhee, S.R.N., R.F.N., S.C.M. Matrons, War-Time Day Nurseries. 47 Castelnau, Barnes— Miss D. L. Rhodes, S.R.N. 2 and 4Sheen Gate Gardens—Miss D. Callund. * (Serving with H,M. Forces), 3 Public Health Department, 117, Mortlake High Street, S.W.14. To the Mayor, Aldermen and Councillors of the Borough of Barnes. Mr. |
bcc0e8f9-8c3d-4515-b7be-7988ed07d44c | Mayor, Ladies and Gentlemen, I have the honour to present my Annual Report on the health of the Borough during the year 1946. Although this report is presented by me, the Medical Officer of Health during the period under review was in fact Dr. W. F. Twining McMath. As this report is the only one for whose presentation I shall be responsible and as far-reaching changes will occur in the near future, it may be appropriate to refer briefly to the past and to existing unsolved problems. THE PAST. As we glance through some 50 years of reports we find we have now pure water, improved conditions of sale of food, better standards of child care, better housing, all the concern of the Public Health Department. |
76caa581-ea05-40ef-8c66-2727d5d643b0 | From its early concern with " smells, drains and fevers," the public health service has expanded to interest in every aspect of health, and to the provision of facilities unknown to the pioneers—ante-natal clinics, child welfare clinics, immunisation, a special section for housing, the provision of food supplements, day nurseries, home helps and the associated medical care of the school child. In 1897, the death rate under 1 year per 1,000 live births was 145'9; in 1898 it was 182.3 ; in 1946 the rate was 36. In the report of the Medical Officer of Health for 1902 we find mention of cesspools " still in use," milk kept by the sellers " in the scullery or fowl house " and " the cans washed in the family wash tub " ; some houses " still supplied by wells." He forecasts that " typhoid fever is certain to become more frequent as the district becomes more urban." |
7fda12ca-7d77-442f-a59c-131053c12e04 | The conditions to which he refers no longer exist, and typhoid fever is now a rarity, The vital statistics, improved living conditions, lowered incidence of most infectious diseases, are objective indications of what has been accomplished. THE PRESENT. Infant Mortality. Mortality among infants under one year of age has been so much reduced that the main problem now remaining is death and disability due to congenital defects, the importance of which is seen in Table V. Research into this aspect of infantile 4 mortality is being intensified in the new departments of child health of the nation's medical schools. Housing. This is a terrifying problem. The social effects of families crowded together are only too clear. As to health, every public health officer is aware of the fact, for example, that children are obliged to sleep even in the same room as cases of open tuberculosis, that in not a few cases of maladjustment in children the housing conditions are primarily responsible. |
21b84a67-95ed-463f-8771-02561906b333 | Our lists of cases urgently requiring rehousing on medical grounds grows and it is clear that this is a formidable danger to the health of the citizen and to the stability of the family. Hospital Accommodation. The position in this matter approaches breakdown. Large numbers of old people who require institutional care and/or treatment, in their own interests and that of others, have no reasonable expectation of securing it; cases of tuberculosis wait long periods for beds, sometimes to their own detriment, very often to the danger of their relatives, especially children ; maternity cases are accommodated with difficulty, the demand among mothers for hospital delivery, reinforced by housing difficulties, grow ever more acute. These problems are national not local, but are severely felt in Barnes. Public health departments to-day in urban areas are faced not with defective drains, poor water supplies, as were their predecessors, but with housing and bed shortage. |
45ed5fdf-21b8-4900-9c2d-38ac04198a54 | Improved nutrition, health centres, prophylaxis, all these are very good and necessary, but public health authorities are forced to realise that these measures alone cannot effectively prevent ill health and disability in those persons who are badly housed and/or unable to secure hospital accommodation when necessary. May I take this opportunity of thanking the authority for the confidence placed in me by appointing me their Medical Officer of Health and my thanks for the kindly relationship which has existed between the authority and myself, and may I also be permitted to express as an official my appreciation of the keen interest of the Council and individual members in all matters affecting the public health. Tribute must also be paid to the staff of the department for their good work, the more notable under the present " bad housing conditions " in which the department itself is still accommodated. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, July, 1947. R. C. WEBSTER, Medical Officer of Health. |
4dc71225-c1a6-4721-a807-4860fbe057d9 | 5 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1946. PREFACE. In accordance with Ministry of Health Circular 13/47 the Annual Report for 1946 has been prepared on the same lines as previous years and consists of two parts, a preface in which reference is made to items of special interest and an appendix in which is tabulated the statistics relating to the health of the district. OFFICES. Pending the completion of the erection of the temporary municipal offices in Sheen Lane, where all the departments will, for the first time since 1928, be housed together, the public health department has remained divided into two parts, the general public health and maternity and child welfare sections being located at 117 Mortlake High Street and the sanitary inspectors' and housing portions at the Council House, Mortlake High Street. |
2ffe318f-ee38-4a11-802d-d0777890ab76 | This division is of course unsatisfactory from an administrative point of view and the reunion of the sections of the department will be a great advantage. STAFF. Dr. W. F. Twining McMath resigned his appointment as Medical Officer of Health upon obtaining an appointment with another authority. He left the services of the Barnes Borough Council on the 11th October, 1946, but continued in a consultant capacity as Acting Medical Officer of Health from the 12th October until 29th December. I commenced duties as Medical Officer of Health on the 30th December. Dr. Rosetta Hill was appointed Assistant Medical Officer and commenced duties on the 23rd September. As a result of the adoption by the Council of the Scheme of Conditions of Service of the National Joint Council for Local Authorities' Administrative, Professional, Technical and Clerical Services, the establishment of the department consequently decided upon created vacancies for a Deputy Chief Sanitary Inspector and an Assistant Housing Manager. |
99103917-320b-4636-aaef-8149d688d5a3 | On the 13th March, Mr. W. L. Leach, one of the Additional Sanitary Inspectors was promoted to the first position, and Mr. A. A. Brown, another Additional Sanitary Inspector, newly returned from service with H.M. Forces, appointed to the second. The vacancy for an additional sanitary inspector caused by Mr. Brown's appointment was filled by Mr. P. J. Shannon, who commenced duties with this authority on the 13th September. 6 Another result of the New Scheme of Conditions was the transfer of Miss L. M. Fairclough and Miss K. P. Morcom from the temporary to the permanent staff. |
36cbf737-462d-450b-a0f2-9d1a6e7ca0ea | Consequent upon the reorganisation of areas resulting from the Education Act, 1944, when a scheme for the establishment of a Divisional Executive Committee for the Boroughs of Barnes and Richmond was adopted, it was agreed that the Medical Officers of Health of the respective Boroughs should be appointed Divisional Medical Officers for the purposes of the School Medical Services and that an additional clerk be appointed in the Public Health Department of the Borough of Barnes to carry out clerical work in connection with that service. Miss M. E. Wright was appointed to the vacancy thus available and commenced duties on the 12th August. During the year Mrs. M. Gazzard, a part-time shorthand typist, resigned and ceased duties on the 5th January, being replaced by Mrs. R. Alsford, who started duties on the 21st February. Two temporary juniors, Mr. |
1acbacb1-be79-4b71-8382-54d36484ebda | D. Massam and Miss J. Dupille, also commenced duties during the year, on the 15th April and 24th February respectively. The vacant appointment of Matron at the Borough Infectious Diseases Hospital on the permanent staff was filled by Miss M. McPhee who commenced duties in that capacity on the 20th March. Mrs. C. Dyer, who had been kindly acting as Temporary Matron pending the appointment of a Matron on the permanent staff, completed her term of office on the 21st April. Miss M. Farrer, who had been appointed Matron of the Castelnau Day Nursery resigned and left on the 31st December, 1945. She was succeeded on the 25th February, 1946, by Miss D. L. Rhodes. SANITARY INSPECTION OF DISTRICT. The work of the sanitary inspectors has been considerably increased by the present shortage of labour and material. |
375aaff3-4f5b-4552-8250-0fb069fb0d9c | Defective conditions which before the war would have been remedied within a short time of the service of an informal notice now tend to remain unattended to for a very much longer period owing to the difficulties of the builders. As a result it is necessary for the inspectorial staff to visit the premises many more times. A necessary but uneconomical use of their time and energies. Events still bring to light serious damage to premises due to wartime bombing and gunfire. To really ascertain present-day conditions of property generally would entail a full and careful survey of the borough. Even were staff available for such a survey it would be of little avail for, with the present limited labour and material, and the urgent need to press on with the rebuilding of demolished houses 7 and the building of new ones, little could be done to remedy the defects so discovered. WATER SUPPLY. The water supply of the area has been satisfactory both in quality and in quantity. |
0828aa31-baa8-48e2-a795-aa8a78f595c8 | Four samples of water were collected and submited for bacteriological examination. In each case the results showed that the water was fit for public supply. There has been no evidence of either plumbo-solvency or of any form of contamination. The whole of the dwellings in the Borough are supplied from public water mains direct to house. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Particulars of the incidence and distribution of the cases of infectious disease notified during the year 1946 are set out in Tables 23-26 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. The incidence of infectious diseases in the Borough during the year have been low, with the exception of dysentery sonne of which there was an outbreak during the year. |
22d65bcd-d595-4cd6-ab39-0f4aad4da3da | On March 29th the Head Mistress of a Primary School in the Borough reported that a considerable number of scholars, chiefly of the five to eight year old group, had been away owing to illness commencing about March 27th. Upon investigation, it was ascertained that the condition from which they had been suffering was dysentery sonne. Sustained enquiries failed to reveal any carrier among the canteen workers of the school or among those serving school meals. Water and milk supplies were examined also, and were found to be in every way pure. Although this was a sudden outbreak at the school, sporadic cases were known to have occurred in the Borough and, in fact, throughout the whole country during the last few years. In all, 83 cases were reported, 68 of which were notified, two of whom were adults ; 14 children were admitted to the Borough Infectious Diseases Hospital. |
43ecf1b5-2557-48d0-8256-06c669fa23ca | Three other cases occurred during the year but these had no connection with the outbreak among the children and adults connected with the school. In outbreaks of this character, one of the most important means of prevention of spread of infection is special attention to personal cleanliness—such as washing one's hands after using the water-closet and also before taking meals, and the importance of these simple preventive measures were publicised, as far as possible, by personal propaganda and reference thereto in the local presa 8 DIPHTHERIA IMMUNISATION. The routine propaganda to encourage parents to have their children immunised against diphtheria continued throughout the year. The Minister of Health in his Circular 194 of November, 1945, required welfare authorities to make each health visitor responsible for securing immunisation of children under school age in their own districts. |
b70bde0b-1b85-4567-abbb-482296258eab | This practice had been in force in the Borough of Barnes since the inauguration of the scheme for immunisation against diphtheria in 1935 and consequently no alteration in existing arrangements were necessary. In order, however, to assist the health visitors to fulfil the instruction to the highest degree of practicability sheets upon which the names of all births notified or received as inward transfers during each month are recorded and handed to the respective health visitors when the children named thereon have reached the age of eleven months. During the eleventh month the health visitor makes a special effort to obtain consent of the parents for immunisation of the children, recording the result of their visits and revisiting for further persuasion where consent is not obtained. In addition the health visitors routinely press parents to agree to immunisation whenever they come across an un-immunised child, whatever its age, during the course of visiting for any of the many purposes which occasion a home visit. |
5f13f843-9b08-46a8-9791-7555ed1913ab | The Borough Immunisation clinic is held every Wednesday morning and children of all ages may, and do, attend. There is little or no delay between the receipt of an application for immunisation and the invitation to attend. The cards in use at the Borough Clinics conform to the type recommended by the Ministry and no alteration had been necessary— details of injections of children leaving the district, etc. are forwarded, to the Medical Officers of Health of the areas in which the new addresses are situated. The number of children receiving complete courses of immunising injections during 1946 was 493 as compared with 609 during the previous year. Two children who had been immunised against diphtheria contracted the disease during the year. The first, a child aged 4 years and 8 months had received immunising injections of 0.2 c.c. and 0.5 c.c. |
b38fa757-e18b-4925-8139-709a3bc1c74c | A.P.T., in September and October, 1942, and a Schick Test in March, 1944 gave a negative result. The illness was a very mild one. The other was a child aged 6 years, immunised in April and May, 1941 with injections of 0.1 c.c. and 0.3 c.c. A.P.T.—the then accepted dosage. In this case the parents failed to bring the child for a Schick Test. The illness was moderately severe in this instance with paralytic complications. Both children recovered. 9 PROTECTION AGAINST WHOOPING COUGH. The Council's scheme for the free inoculation of children against whooping cough continues in operation. The number of children attending the Council's clinic for protection against whooping cough during 1946 was practically the same as in the previous year. |
110212e7-ce18-4659-9603-9a14f8415f24 | The antigen used is alum precipitated whooping cough vaccine which requires only two injections and which can be given at the same time, if necessary, as the diphtheria prophylactic used. TYPHUS SCHEME. During the year intimation was received from the Ministry of Health that it was no longer considered necessary to make special provision for the treatment of typhus fever. The use of the premises in Mullin's Path taken over from the disbanded Civil Defence Services as an emergency cleansing station for disinfestation of typhus fever contacts was consequently relinquished. HOME HELPS SERVICE. The scheme for home or domestic helps is operated by the clerical staff of the Public Health Department, under supervision of the Medical Officer of Health and with the assistance of the Health visitors. Upon receipt of an application for home help at a home confinement the attendance is provisionally booked, assessment of charges made and applicant advised of the cost. |
1d6b5a5c-eee9-46d5-bcc4-11b0be21a72a | When the applicant has signified acceptance, the midwife, or doctor, is given a note of the name and address of the home help so that she may be called immediately the necessity arises. One month before the anticipated date of confinement the health visitor for the area calls and fixes the hours of attendance of the home help throughout the two weeks she is to attend. In cases where requests for assistance are required for reasons other than confinement at home, applications have to be accompanied by a medical certificate and attendance of a home or domestic help is normally automatic, provided the reason is sufficiently urgent and comes within the scope of the scheme. If no help is available the whole of the cases being attended are reviewed, assessment of the urgency and priority of each case is made and attendance adjusted in order to include the new case. In nearly every instance it has been possible to provide some help. Each home help works a 47-hour week, 8 a.m. to 5.30 p.m. |
fbe74e6d-5ba5-462b-a095-1c7b10f7241b | Mondays to Fridays, Saturdays 8 a.m. to 12.30 p.m. Although these are the routine hours, exception is made wherever a definite necessity arises to work other days and hours. Few instances have occurred where 10 this has been necessary. Home Helps for confinement at home are not provided unless,there is someone able to be with the mother after the home help has left each day—if this is not available other provision for the confinement being recommended, and made where necessary. In domestic help cases it is usual to send help for units of two hours, as nearly as possible as often as requested. When the number of cases requiring such help is large, the amount of time available to each case is rationed, so that all cases get some help so far as practicable and subject to priority of urgency and necessity. |
66ce1e06-bf72-4568-bbe9-e61cc29dd1bf | From inception it has been the practice to treat the theoretically separate Home Help and Domestic Help services as one—utilising the Home Helps for domestic work when not engaged on confinement cases and the Domestic Helps for confinement cases in emergencies. For record purposes details of the different types of cases are kept separately. The six occasions during 1946 when it was necessary to refuse to supply Home Helps, resulted from expected dates of confinements occurring at periods when there was more than a normal number of confinements, and the Home Helps had already been booked for other cases. Such occasions are bound to occur in any scheme owing to the uncertainty of dates of confinements, and the fact that confinements are not evenly distributed throughout any year, but bound to be larger at certain periods, varying from year to year. The Council has been fortunate in the home and domestic helps employed and in only one case has there been made a complaint by a recipient of the service. |
62e78269-f824-458d-85ba-12ec6d2d6d4b | In this case the complaints were nebulous, and upon investigation appeared to be without foundation. Many appreciative letters or verbal thanks for the given assistance have been received throughout the period of the scheme. In the case of domestic helps it is noticeable that most applicants are families who had been used to domestic help in the home before the war—the poorer families in the district who have had to make do without domestic help through financial difficulties throughout their lives and for whom, no doubt, such a provision would be highly desirable, usually do not apply for help, and in any case the method of assessment of contributions towards the cost of the service almost invariably makes it necessary to request payment at the full rate, i.e., at 2/- an hour which results in financial difficulty to many families of moderate means. In July, 1946, as a result of Ministry of Health Circular 110/46, the Domestic Help and Home Help services were amalgamated under the title " Home Helps Service." |
9ebecd67-7f16-444f-b284-0a0905d18f03 | The number of home helps 11 employed has increased steadily from one whole time worker in October 1943 to 4 whole-time and 1 part-time on the 31st December, 1946 In February, 1947 the number of workers had further increased to 7 whole-time and 3 part-time. CLEANSING STATION. The Barnes Cleansing Station continued to serve a necessary purpose throughout the year. There has been no alteration in the arrangements to combat infestation which were enumerated in detail in the Annual Report for 1944. In no case during the year was it found necessary to take statutory action. BOROUGH ACCIDENT AND GENERAL PURPOSES AMBULANCE SERVICE. Details of the number of journeys made and the types of cases dealt with by the Borough Ambulances are given in Table 19. HOSPITAL CAR SERVICE. There is a County Voluntary Hospital Car Service of which use is made by all hospitals, with one exception, normally attended by residents of the Borough. |
10c02160-bea8-4fa2-84c9-6a25fbb0f615 | This car service is available, via the hospitals concerned, for the conveyance of sitting case patients attending hospitals and clinics who need special transport and are unable to hire or pay for the hire of cars. Application for use of such a vehicle is arranged by the hospital concerned, which with its knowledge of the condition of the patient is best able to assess the need for the use of the service. In addition the Barnes Borough Council have made arrangements with two car owners, who have kindly volunteered to undertake such work on a nominal payment by the Council and the provision of petrol for the specific journeys, to supplement the County Service where this is not available. For stretcher cases the Borough Ambulance is of course available at a small charge, or free in necessitous cases. MATERNITY AND CHILD WELFARE. In August it was necessary to increase the number of Ante-natal Clinics in the Borough still more by arranging sessions on the two Saturday mornings not already used for the purpose. |
744366f9-b37a-447a-b74c-14bcf3fd5413 | There are now 8 sessions held each month, 4 in each area. There have been no alterations made in 1946 in the arrangements 12 for the care of premature infants and the care of illegitimate children detailed in the Annual Report for 1945. As a result of the joint circulars, Ministry of Health No. 221/45 and Ministry of Education No. 75, the question of day nursery provision in the Borough was reviewed during the year. The Council decided to continue a service similar in all respects to that maintained during the war, there being in their opinion a definite need for the provision. Arrangements were made therefore, to take over the two war-time day nurseries previously maintained by the Ministry of Health. In addition the question of daily guardians, sitters-in and creches were investigated. Deciding that the question of creches should be deferred for some future consideration the Council resolved to put into effect schemes for " daily guardians " and "sitters-in." |
09188167-8b84-4c9e-b91d-3d997eac93cf | Despite advertisement and personal canvassing the response to requests for registration as " daily guardians " was poor and no women willing to undertake such work have intimated willingness to do so. A number of suitable women, however, have registered as "sitters-in," but the service is little used. BOROUGH OF BARNES APPENDIX to the annual report of the Medical Officer of Health 1946. 14 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, 1946. Population :— Census, 1921 34,281 Census, 1931 42,440 Estimated—Mid-year, 1946 (Reg. Gen.) |
be79d038-b9ee-41e5-89f6-96030ab58bf9 | 39,690 Births :— Birth-rate (per 1,000 of population) 18.3 Live Births :— Total . M. F. Legitimate 669 328 341 Illegitimate 57 28 29 Total 726 356 370 Still Birth-rate (per 1,000 total births) 22.5 Tota I. M. F. Still Births (Legit. 17; Illegit. 2) 19 14 5 Deaths :— Death-rate, all causes (per 1,000 of population) 12.5 Total . |
5ac20e1b-08ed-479b-93a0-2b26c1843760 | M. F. Deaths (all causes) 498 261 237 Death-rate from Cancer (per 1,000 of population), 84 deaths 2.1 Death-rate from Zymotic Diseases (per 1,000 of population) 0.05 Deaths from Diarrhoea (under two years of age) 2 Death-rate from Maternal Causes (per 1,000 total births) 2.36 Deaths from Puerperal Sepsis.. 1 ,, „ Other Puerperal causes 1 Death-rate of infants under one year (per 1,000 live births) 35.8 Death-rate for Legitimate infants (22 deaths) 32'9 Illegitimate infants (4 deaths) 70.2 Table 2.—Vital Statistics of the Borough of Barnes during 1946 and previous 5 Years Registered Births, Total Deaths registered in the District. Transferable Dkaths Nett Deaths belonging to the District. Year. Uncorrected Number. |
a71bc8d6-c067-47b9-86ec-55475f201f83 | Nett. Number. Rate. Of nonresidents registered in the District. Of residents registered outside the District. Under 1 year of age. At all ages. Number. Rate. Number. Rate per 1,000 nett births Number Rate. 1 2 3 4 6 6 7 8 0 10 11 12 1941 248 360 11.0 215 6.9 14 248 22 74.5 449 14.4 942 382 473 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 1944 415 594 18.0 260 7.9 18 352 26 43. |
d5b5543d-349b-4d34-8864-cd682875b1a0 | 8 458 13.9 19+5 408 537 15.5 245 8.1 22 257 19 35.4 470 13.6 1946 629 726 18.3 301 7.6 14 211 26 35.8 498 12.5 15 Table 3.—Birth-rate, Death-rate, and Analysis of Mortality during the Year 1946, with corresponding rates for England and Wales, 126 Great Towns, 148 Smaller Towns, and for the County of London for comparison. BIRTH RATE PER 1,000 TOTAL POPULA TION. Annual Death-rate per 1,000 Population. Death rate per, l 000 Births. Maternal Morality Hate per 1,000 Total Births All Causes Typhoid & Paratyphoid Scarlet Fever. Whooping Cough. Diphtheria. Influenza. |
1c68adfe-3e94-442c-811e-21d421a43a06 | Small-pox Measles. Diarrhoea and Enteritis (under 2 years). Total Deaths under One Year. All Causes Puerperal Infection. Other Causes. England and Wales 19.1 11.5 0.00 o.oo 0.02 0.01 0.15 o.oo 0.00 4.4 43 1.43 0.01 1.12 126 County Boroughs and Great Towns, including London 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 22.2 12.7 o.oo o.oo 0.02 0.01 0.13 o.oo 0.01 6.1 46 Not avail able 21.3 11.7 0.00 o.oo 0.02 0.01 0.14 o.oo o. |
1bf8cfc5-0ed4-4981-ad27-ae7dd93a1003 | oo 2.8 37 London 21.5 12.7 o.oo o.oo 002 0.01 0.2 — 0.01 4.2 41 Barnes Borough 18.3 12.5 — — — — 0.8 — — 2 36 2.6 1.8 1.18 16 17 Table 4.—Causes of Death during the Year 1946. Causes of Death (Registrar-General's short list of causes). Total Deaths Male Female 1 Typhoid and Paratyphoid fevers — — — 2 Cerebro-spinal fever — — — 3 Scarlet Fever — — — 4 Whooping Cough — — — 5 Diphtheria — — — 6 Tuberculosis of respiratory system. |
45411feb-57f1-4b60-843a-ff7b20e9088c | 11 5 6 7 Other forms of tuberculosis — — — 8 Syphilitic diseases 4 4 — 9 Influenza 7 4 3 10 Measles — — — 11 Acute poliomyelitis and polioencephalitis — — — 12 Acute infectious encephalitis 1 1 — 13 Cancer of buccal cavity and oesoph. (m) ; uterus (f) 6 6 — 14 , stomach and duodenum 10 7 3 15 , breast 13 — 13 16 , |
f3b09036-5597-43da-91a9-fb49601854ed | all other sites 55 30 25 17 Diabetes 4 1 3 18 Intra-cranial vascular lesions 54 23 31 19 Heart Disease 138 74 64 20 Other diseases of circulatory system 25 8 17 21 Bronchitis 21 13 8 22 Pneumonia 21 11 10 23 Other respiratory diseases 9 6 3 24 Ulceration of stomach or duodenum 4 4 — 25 Diarrhoea under 2 years 2 — 2 26 Appendicitis 1 —- 1 27 Other digestive diseases 10 4 6 28 Nephritis 12 9 3 29 Puerperal and post-abortive sepsis 1 — 1 30 Other maternal causes 1 — 1 31 Premature birth 7 3 4 32 Congenital malformations, birth injury, |
5e969db3-d99a-42b6-baf8-6f3ecf6ebcf7 | infantile diseases 13 7 6 33 Suicide 8 7 1 34 Road traffic accidents 2 2 — 35 Other violent causes 10 6 4 36 All other causes 48 26 22 All Causes 498 261 237 18 Table 5.—Infant Mortality during the Year 1946. Causes of death, at various ages, of infants under one year. Causk 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 D Htiis in the Borough Deaths outside the Borough. |
08b1a7fa-8a4d-46ea-a767-e45026b1ccbd | Deaths in Institu'ns Premature Birth 6 ... l ... 7 ... ... ... ... 7 2 5 3 Congenital tions 6 l l 8 l l l ... 11 7 4 5 Atelectasis 1 ... ... ... 1 ... ... ... ... 1 1 1 Diarrhoea and Enteritis . ... ... ... ... ... 1 1 ... ... 2 1 1 2 Influenza ... ... ... ... ... ... ... ... ... 1 1 1 Broncho-pneumonia ... ... ... ... ... 1 1 ... ... 2 ... 2 1 Septic Meningitis ... ... ... ... ... l ... ... ... 1 ... 1 1 Violence ... ... ... ... ... ... ... 1 ... 1 1 ... ... All causes 13 l 2 ... 16 4 3 3 ... 26 11 15 14 Infectious Diseases Mortality. |
68b4a108-1d76-4f40-982f-2b100b88a55b | The death-rate for 1946 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, 1941 to 1945, are contrasted with the rate for 1946. 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, 1946. Disease. Barnes. London. England and Wales. |
023c1828-dc3e-483e-b67d-0221d9aa94af | Small-pox — — o.oo Typhoid & Paratyphoid — o.oo 0.00 Measles — 0.01 0.00 Scarlet Fever — 0.00 o.oo Whooping Cough — 0.02 0.02 Diphtheria — 0.01 0.01 Diarrhoea (under 2 years) 0.05 009 0.09 Zymotic Death Rate 0.05 0.13 0.12 19 Table 7.—Zymotic Death-rate for 1946, contrasted with the Rates for the previous Five Years. Year. Barnes. London. England and Wales. |
3e909505-1a2c-4dcc-a372-2f8d6776c2bd | 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 1945 0.09 0.22 0.16 1946 0.05 0.13 0.12 Table 8.—Measles: Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. |
d63d024c-8f2e-47c6-8f58-ba473b9d3846 | 1942 0.06 0.01 0.01 1943 — 0.02 0.02 1944 — 0.00 0.01 1945 — 0.01 0.02 1946 — 0.01 0.00 Average Rate 1942-1946 0.01 0.01 0.02 Table 9.—Whooping Cough : Death-Rate per 1,000 of the Population. Year. Barnes. London. England & Wales. 1942 0.03 0.04 0.02 1943 — 0.03 0.03 1944 — 0.04 0.03 1945 — 0.02 0.02 1946 — 0.02 0.02 Average Rate 1942-1946 0.01 0.03 0.02 20 HOUSING. |
8453eba6-81de-4c26-b1fe-592a049b5e79 | Table 10.—HOUSING STATISTICS FOR THE YEAR 1946. 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) 1292 (b) Number of inspections made for the purpos 5087 (ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, |
2ac7d4a3-ddd1-4820-b905-6e34548d636f | 1925 and 1932 Nil (b) Number of re-inspections made under the Regulations Ni (iii) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 4 ( 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 893 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 (including 89 cases outstanding from the previous year) 903 21 (III) Action under Statutory Powers during the Year:— A. Proceedings under sections 9, 10 and 16 of the Housing Act, |
da26a1ba-8b53-4bb1-b7ab-7aa8ee541828 | 1936 (i) Number of dwelling-houses in respect of which notices were served requiring repairs 35 (ii) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) By owners 23 (b) By Local Authority in default of owners Nil B. Proceedings under Public Health Acts:— (i) Number of dwelling-houses in respect of which notices were served, requiring defects to be remedied 3 (ii) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 3 (b) By Local Authority in default of owners Nil C. Proceedings under sections 11 and 13 of the Housing Act, 1936:— (i) Number of dwelling-houses in respect of which Demolition Orders were made 4 (ii) Number of dwelling-houses demolished in pursuance of Demolition Orders 2 D. Proceedings under section 12 of the Housing Act, |
ba7979ad-7e60-4a66-8a0b-e50ea7dbda85 | 1936:— (i) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil (ii) Number of separate tenements or underground rooms in respect of which Closing Orders were determined, the tenement or room having been rendered fit Nil 3. Overcrowding. The position with regard to overcrowding cannot be accurately assessed without a general survey of housing conditions in the area. The system of allocation of corporation houses and flats gives some preference to overcrowded cases and during the year 8 statutorily overcrowded families, involving 32 persons, were rehoused in Council owned properties. 22 SANITARY CIRCUMSTANCES OF THE AREA. Table 11.—Showing the Number and Nature of the Inspections made by the sanitary inspectors during 1946, 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. |
c31ba7a9-ec99-4b8d-bcc0-bd6aa72ce09f | 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 6 - - - - Milkshops 14 20 1 1 — — Butchers' Shops 30 85 5 5 — — Fishmongers and Poulterers 14 61 2 2 - - Greengrocers 39 14 1 1 - — Fried Fish Shops 4 5 — — - — Restaurants 36 40 1 1 - — IceCream Mfrs. |
c6c3368f-2f73-424b-b25b-59538fd1a08a | 4 9 — — - — Other food premises 41 86 2 2 - — Slaughterhouses 1 16 — — - — Bakehouses 11 17 3 3 — Factories:— Mechanical 133 37 7 7 - — Non-mechanic'l 37 13 — - — Home-workers 23 2 — — - — Schools 19 13 1 1 - — Public Halls and Cinemas 4 3 - - - Piggeries and Stable Yards 17 102 2 2 - — Public Conveniences 40 99 3 3 - — Total 470 Dwelling-houses (including houses let in lodgings):- No. of Premises Visited. |
81eab4da-8b81-4c32-ad1e-6d871d42a146 | (1) House-toHouse Inspection - (2) Inspected on complaint 516 (3) Inspected in course of other work:— 5220 893* 814 38 26 (a) Housing work, etc 1876 (b) For infectious diseases 133 Totals 2525 5848 921 842 38 26 ("Includes 491 notices or certificates issued on request in respect of defects in dwelling houses). 23 Table 12.—Factories. No. of Premises on Register. Inspection. Number Written Notices Served. Factories with mechanical power 133 37 7 Factories without mechanical power 37 13 Total 170 50 7 Contraventions:— Discovered. Remedied. Want of cleanliness 2 2 San. Accom.—Unsuitable/Defective 6 6 Total 8 8 Matters referred to H.M. Inspector of Factories Nil Notifications received from H.M. |
4b081e9b-b6d4-4033-8a13-5da4662fd9d1 | Inspector of Factories 2 Legal proceedings:— No legal proceedings were necessary during 1946. Table 13.—Home Workers. Work undertaken. No. on Register. Wearing Apparel 21 Lamp Shades 24 Curtain Makers 2 Household Linen 2 Total 49 INSPECTION AND SUPERVISION OF FOOD. Table 14.—Dairies and Milkshops. Number of purveyors of milk:— Dairies situated within Borough 3 Milkshops (not dairies) within Borough 14 Purveyors of milk from outside Borough 4 Total 21 Designated milk is sold from:— (a) Premises within Borough 12 (i) ,, outside „ 4 16 24 FOOD AND DRUGS ACT, 1938. 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. |
cafac9b1-8849-4453-97fc-3baaf6b301f7 | Table 15.—Return of Samples Analysed during the Year ending 31st December, 1946. ARTICLES analysed. BELOW STANDARD. Prosecutions Convictions Formal Informal Total Formal Informal Total Milk Other Foods. 56 — 56 1 — 1 — — Baking Powder — 3 3 - — — — - Batter Flour — 1 1 - - - - - Benergy — 1 1 — — — — — Bicarbonate of Soda — 1 1 — — — — — Chocolate Cup — 1 1 — — — — — Coffee — 1 1 — — — — — Fish Cakes — 2 2 - - - - - Fish Omelette 1 1 2 1 1 2 — - Frutella — 1 1 - - - - - Ground Ginger — 1 1 — — — — — Ice Cream — 3 3 — — — — — Lemexa — 1 1 |
5c1dd8a1-8d96-4df2-8745-d1e8313ba217 | - - - - - Lemon Barley 1 — 1 — — — — — Lemonade Crystals — 2 2 — — — — — Meat Cutlet — 1 1 — — — — — Orange Squash 1 — 1 - - - - - Pickle (Sweet) — 1 1 - - - - - Potato (Mashed) — 1 1 - - - - - Soup — 1 1 - - - - - Sponge Mixture — 1 1 - - - - - Vinegar — 2 2 — 2 2 — — Drugs. |
d4a5432f-2964-4996-a65e-49d10ab53622 | Aspirin - 1 1 - - - - - Phosphates (Tonic) — 1 1 - - - - - Saccharin — 1 1 - - - - - Zinc Ointment — 1 1 - - - - - Totals 59 30 89 2 3 5 — - Note.—It was not found necessary to institute proceedings in respect of the samples' found to be below standard. The discrepancies were of a minor character and the informal action taken resulted in satisfactory measures being taken to comply with the required standards. The Public Analyst reports that, in classifying the samples as genuine or otherwise, all relevant Regulations and Orders under the Defence Regulations, as well as the Regulations made under the Food and Drugs Act, 1938, have been taken into account. Several of the discrepancies found related to labelling of articles required by recent legislation. 25 Heat Treatment (Prescribed Tests) Order, 1944. |
75cec268-3f60-4ca4-9ade-70e2d9ef261c | Four samples of Pasteurised Milk were submitted for examination under the provisions of the above Order. All the samples were found to have been efficiently pasteurised and to satisfy the prescribed standards. Ice Cream. Three samples of ice cream, taken from two manufacturers, were submitted for bacteriological and chemical examination. Bacillus coli was found to be present in l/100th c.c. in all three samples. There, is however, no prescribed standard of cleanliness or quality for ice cream. The results were regarded as fairly satisfactory but the vendors were requested to improve their standards of cleanliness, and in one case further sterilizing apparatus was installed. Table 16.—Slaughterhouses. Private. Public. Total. No. of licensed slaughterhouses 1 — 1 No. of notices received of intention to slaughter during the year 23 — 23 No. |
d8ff64db-8efd-4d3f-920d-c684c6769ec0 | of animals slaughtered:— Swine 88 — 88 Cattle — — — Sheep — — — Total 88 — 88 Table 17.—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:— Pork lbs. 25 Offal lbs. 10 Bacon lbs. 130 Tinned Meat tins 92 Meat and Vegetables tins 15 Poultry:— Chickens lbs. 23 Fish:— Cod lbs. 224 Haddock lbs. 196 Plaice lbs. 84 Skate lbs. 84 Kippers lbs. 56 Shrimps gallns. 36 Cockles gallns. 8 Canned Fish cans 139 Fruit:— Dates lbs. 830 Raisins lbs. 25 Prunes lbs. 10 Canned Fruit tins 37 Vegetables:— Canned Vegetables cans 276 Other Foods:— Bread lbs. |
73edc6aa-3fda-404a-948a-2cb4b4be2fbb | 705 Cheese lbs. 33 Jam lbs. 3 Macaroni lbs. 70 Marmalade lbs. 24 Mayonnaise lbs. 3 Milk tins 188 Sandwich Spread lbs. 1 Soup tins 20 26 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Table 18.—Domestic Help Scheme. Illness Chronic Invalidity Aged & Infirm Miscellan. Reasons Total Sudden Em'ey Serious Tub. |
006e8fd3-5d7a-499d-8cf2-c06d255ba78e | Number of 1945 cases still being attended on the 1st Jan., 1946 1 3 — — 6 1 11 Number of NEW applications received during 1946 8 4 2 5 15 7 41 TOTAL cases dealt with during 1946 9 7 2 5 21 8 52 Cases attended during 1946 8 6 1 4 21 7 47 Not Attended Application withdrawn—other arrangements made 1 1 1 - - 1 4 Domestic help not available — — — 1 - — 1 Not within scope of scheme - - - - - - - Totals 1 1 1 1 - 1 5 Table 19.—Borough Accident and General Purposes Ambulance Service. |
f1cd3bd2-69bc-4da4-be81-4256de2f7895 | Number of Cases Mileage Accidents 213 962 Removals after accident 52 306 Maternity 291 3,221 Other purposes 730 5,111 Totals 1,286 9,600 Table 20.—Cleansing and Disinfestation of Verminous Persons. Treated at Borough Cleansing Station. For Verminous Head For Verminous Body For Scabies Totals No. of Per. ons Attendances No. of Persons Attendances No, of Persons Attendances No. of Persons Attendances Children under school-age 1 1 - - 31 41 32 42 Schoolchildren 40 43 — — 82 128 122 171 Adults 3 3 1 1 179 253 183 257 Totals 44 47 1 1 292 422 337 470 27 Table 23.—Infectious Diseases: Incidence per 1,000 of the Population in 1946. |
0276797a-5eda-4317-a36e-cfb52b26cf62 | Disease. Barnes. London. England and Wales. Typhoid Fever - 0.01 0.01 Paratyphoid Fever 0.03 0.01 0.02 Cerebro-spinal Fever 0.05 0.06 0.05 Scarlet Fever 1.08 1.42 1.38 Whooping Cough 1.66 2.22 2.28 Diphtheria 0.13 0.24 0.28 Erysipelas 0.13 0.27 0.22 Small-pox — 0.00 0.00 Measles 4.46 7.35 3.92 Pneumonia 0.48 0.75 0.89 Table 21—Infected and Infested Rooms and Articles (dealt with by the Council). |
5d9c1101-9d3b-4822-9408-e41b7a815880 | Premises disinfected 74 Rooms disinfected 85 Lots of bedding disinfected 114 ,, ,, destroyed 6 „ ,, disinfested 8 Council houses disinfested by liquid insecticides 3 Other houses disinfested (hydrogen cyanide —, by liquid insecticides 5) 5 Table 22.—Rats and Mice Destruction. Number of complaints received 129 (a) Enclosed premises 776 visits to Open spaces 37 Number of occasions on which (a) Poison bait was laid 287 (b) Gas was used 10 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:— 28 Table 24.—Notifiable Infectious Diseases, 1946. Diseases. Total Cases Notified. Ages, in years. |
2ead5e43-549c-4f98-b601-6ff09a5c0082 | Parish Removed to Hospital. Total Deaths of Residents.† Under lyear 1 to 2. 2 to 3. 3 to 4. 4 to 5. 5 to 16 10 to 15 15 to 20 20 to 25. 25 to 35 35 o 46. 45 to 65. 65 and over. Barnes Mortlake. |
96abb7bb-b044-4acd-9181-716985721798 | Diphtheria 5 1 — — — - 2 — 1 — 1 - - — 2 3 5 — Scarlet Fever 43 — — 2 4 4 17 7 6 1 1 1 — — 21 22 37 — Paratyphoid Fever 1 — — — 1 — - - - - - - - - 1 — 1 — Poliomyelitis 1 - - — — — - - - 1 - - - - 1 — 1 — Cerebro-spinal Fever 2, |
8b3c539b-5537-45b8-b2a7-3ffdad75ad1d | - 1 1 — — - - - - - - - — 1 1 2 — Measles 177 1 17 31 26 20 65 3 3 1 4 — - - 92 85 18 — Dysentery 71 — 1 2 2 — 56 2 2 — 2 1 3 — — 71 16 — Pul. Tuberculosis 35 — — — — — 1 1 2 8 9 5 8 1 14 21 37 11 Non-Pul. Tuberculosis 5 — — — — — 2 1 — 1 1 — — — 3 2 6 — Pneumonia 19 — 2 1 — — 1 - - - - 3 9 3 9 10 3 21 Erysipelas 5 — - - - - - - - - 1 — |
43cca29d-4db7-496d-b4af-2ff26c85b46b | 1 3 2 3 4 — Ophthalmia neonator'm 2 2 — — - — — — — — — — — — 2 — 2 — Whooping Cough 66 8 9 12 11 7 16 1 — — — 1 1 — 14 52 16 — Puerperal Pyrexia 1 — - - - - - - - 1 - - - - - 1 - - All Diseases 433 18 30 49 44 31 160 15 14 13 19 11 22 7 162 271 148 32 †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. 29 Table 25.—Notifiable Infectious Diseases, 1936 to 1946. Year. 1936 1937 1938 1939 1940 |
ec642d1d-1895-48af-9611-105fba7d4b03 | 1941 1942 1943 1944 1945 1946 Diphtheria 4 3 1 4 5 13 6 3 15 12 5 Scarlet Fever 56 84 52 36 39 21 34 184 50 36 43 Typhoid Fever 3 2 1 — 1 — — 2 — — — Paratyphoid Fever — 1 1 1 1 1 — 1 — — 1 Puerperal Fever 2 — * * * * * * * * * „ Pyrexia 1 1 4 3 2 1 4 1 — 3 1 Erysipelas 11 12 6 10 4 5 6 5 10 3 5 Continued Fever — — — — - — — — — — — Relapsing Fever - - - - - - - - - - - Typhus Fever - - |
1c9f5dea-6923-4559-b1e6-eb897fd2109d | - - - - - - - - - Small-pox - - - - - - - - - - - Cholera - - - - - - - - - - - Plague — — — — — — — — — — — Tuberculosis. P. 39 28 25 35 32 39 42 43 50 39 35 ,, Non-P. 5 10 8 3 4 4 7 7 1 6 5 Cerebro-spinal Fever. — — 2 1 5 4 3 2 — — 2 Poliomyelitis — 2 1 — — — 1 — — — 1 Ophthalmia Neonatorum 1 1 1 - 2 1 - 1 1 1 2 Measles 517 101 387 8 79 63 712 111 68 358 177 Rubella 29 9 439 22 * * |
6784317b-934e-469a-a4ee-18a64c396131 | * * * * * Encephalitis Lethargica - - - - - - - - - - - Polioencephalitis - - - - - - - - - - - Malaria - - - - - - - 1 - - - Dysentery — — 1 — — 1 1 2 1 9 71 Pneumonia 21 34 18 14 14 21 16 20 18 20 19 Anthrax — - — - - - - — — — — Whooping Cough Not Notifiable 5 2 151 73 82 108 71 66 * No longer notifiable. Table 26.—Showing the Notifications of Infectious Diseases Received during 1946 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. Measles. Whooping Cough Pneumonia Erysipelas Dysentery. |
088f80dd-6d84-44c7-8c9e-0ed2f65a3e91 | Ophthalmia Neonatorum Puerperal Pyrexia Paratyphoid Fever Poliomyelitis Cerebrospinal Fever Jan. 26 1 5 1 10 2 - - - - - - 1 Feb. 23 - 3 2 1 7 1 1 - - - - - Mar. 23 - 4 - 4 - - - — - — — - April 20 1 4 1 2 3 — 67 - - - - - May 18 2 2 4 4 1 1 1 — — — — — June 15 — 5 8 1 2 1 - - - - - - July 13 - 2 12 4 — - — — — 1 — — Aug. 10 — 1 35 10 - 1 — — — — — Sept. |
a9901514-95a4-41b5-aff2-84ee76333709 | 7 — 1 65 16 — — 1 — 1 — — — Oct. 5 1 6 18 6 - — - 1 — - — — Nov. 2 - 3 10 4 - - 1 1 — — — - Nov. 30 — 5 3 3 3 — - — — — — - Dec. 31 — 2 18 1 1 1 — - — — 1 1 Totals 5 43 177 66 19 5 71 2 1 1 1 2 30 Table 27.—Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 1946, in Respect of the 881 Children who Attended the Clinic during 1946. Position on 31 Dec., 1946 1. |
1e982125-9886-4ccd-8509-a844c6626ae0 | TOTAL CASES dealt with during 1946 531 (A) Continued in Attendance:— 512 (a) Post-Schick Negative (Certificate) 232 (b) Completed injections, awaiting Post-Schick test 254* (c) Receiving injections at end of year 26 (B) Discontinued Attendance:— 19 (a) Completed injections — failed to attend for PostSchick test — (b) Did not complete injections 9 (c Left district—completed injections— no Post-Schick test 7* (d) Left district before completion of injections 3 2. |
d39894b4-46ed-4557-b087-93a04f3099a9 | CHILDREN attending for Re-Schick Test two years after immunisation:— 350 (a) Re-Schick test negative—immunisation confirmed 323 (b) Re-Schick test positive—further injections given 3 (c) Attended for Re-Schick test—did not attend for reading 24 TOTAL CHILDREN attending Clinic during year 881 Children invited but did not attend 8 Note.—In addition to the 232 children in respect of whom certificates were given, 261* additional children completed courses of immunising injections during the year, making in all 493 children immunised during the year. Table 28.—Clinic for Inoculation against Whooping Cough. |
a4b6970d-faa1-4db8-8821-b0caaeebf901 | Position on 31 Dec., 1946 Number of children attending:—- (a) Completed course of injections 95 (b) Receiving injections at end of year 5 (c) Discontinued injections—left district —ceased attending 4 Total attending clinic during year 436 Children invited but did not attend 4 31 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, 1946 are as under:— Table 30.—Tuberculosis Notification Register. Form of Disease. On Register, 1st Jan., 1940 Cases Added. Removed from Register. Remaining on Register 31st Dec., 1946 Primary ,Notif'ns. Otherwise. Restored Total NonTub. |
a449668d-c4ca-42f5-95e9-f794bf70c12d | Cured Left District Dead Total Pulmonary 256 35 23 5 63 - - 18 14 32 287 Non-Pulm'y 55 5 1 — 6 — 3 1 1 5 56 All Forms 311 40 24 5 69 — 3 19 15 37 343 Table 29.—Schools. Number in Borough Number of who suffered Scarlet Fever scholars from:— Diphtheria County Primary Schools:— 7 Railway Street—Infants 3 — Lowther—J. Mixed and Infants 1 — East Sheen—J. M. and Infants 3 — Mortlake—J. M. and Infants 1 — Mortlake C. of E.—Mixed 2 — „ ., „ —Infants — — „ R.C.—J. M. and Infants . |
1e2ebf8d-4357-4c05-a28c-250e989c8f56 | 5 — County Secondary Schools:— 4 B a r n e s—Boys 1 1 ,, —Girls — — Mortlake—Boys 2 — „ —Girls — — County School:— 1 East Sheen and Richmond Boys 1 — Private Schools 7 3 — Total 19 22 1 32 Table 31.—Tuberculosis: New Cases and Mortality, 1946. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonarv. Pulmonary. NonPulmonary. |
766ecf90-39e8-455e-8470-53558580e85c | Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 „ - - - - - - - - 5-10 „ 1 1 2 - - - - - 10-15 „ - 1 1 1 - - - - 15-20 „ - 4 - - - 2 — - 20-25 „ 5 6 1 - 1 — — — 25-35 „ 11 7 — 1 2 1 — — 35-45 „ 6 4 - - - 1 - - 45-55 „ 3 1 - - - - - - 55-65 „ 5 2 — — 1 — — — 65 , and over — 2 — — 1 2 — — All ages 30 28 4 2 5 6 — — Table 32. |
28a71ee2-3229-418d-bf59-ee147822ebc6 | —Tuberculosis: Institutional Treatment. Admissions during 1946 were as under:— Form of Disease. Surrey County Council Other Sanatoria General Hospitals Totals. Sanatoria Hospitals Pulmonary 2 8 15 19 44 Non-Pulmonary -— 1 2 3 6 Totals 2 9 17 22 50 Number of patients admitted: Pulmonary 37 Non-pulmonary 6 *In addition to primary notifications, all other new cases coming to the knowledge of the Medical Officer of Health are included in these figures. Incidence-rate Pulmonary 0.88 Non-pulmonary 0.13 }All forms 1.01 Death-rate -Pulmonary 0.28 Non-pulmonary - }All foums 0.28 33 INFECTIOUS DISEASES HOSPITAL. Table 33.—Admissions and Deaths. Residents Nonresidents Noncivilians. TOTALS. Admit ted. |
4eb6b431-0ec7-48bc-a7ef-5e53ae1c3165 | Died. Admit ted. Died. Admit ted. Died. Admit ted. Died. Diphtheria 4 - - - 1 — 5 - Diphtheria and Whooping Cough 1 - - - - - 1 — Diphtheria carrier Tonsillitis. Sent in as Diphtheria 2 - - - - - 2 — 2 - - - - - 2 - Bronchial Catarrh 1 - - - - - 1 — Scarlet Fever 38 - - - - - 38 — Measles 1 - - - - - 1 — Pharyngitis Urticaria Sent in as Scarlet Fever 1 - - - - - 1 — 1 - - - - - 1 — Food rash 1 - - - - - 1 — Cerebro-spinal Meningitis 1 - - - - - 1 — Measles 12 - |
0af9501f-0c58-4cbc-8de3-8b9c90add9dc | - - - - 12 — Measles and Whooping Cough 1 - - - - - 1 — Measles and Broncho-pneumonia 2 - - - - - 2 — Whooping Cough 11 - - - - - 11 — Broncho-pneumonia Sent in as Whooping Cough 1 - - - - - 1 — No appreciable disease 1 - - - - - 1 — Erysipelas 4 - - - - - 4 — Paratyphoid "B" 1 - - - - - 1 — Dysentery Sonne 15 - - - - - l5 — Colitis 1 Sent in as Dysentery 1 - - - - - 1 — Gastro-enteritis 1 - - - - - 1 — Gastro-enteritis 4 1 — — - — 4 1 Influenza 3 - - - - - 3 — Mumps 1 - - - |
692dad37-4b95-4b66-8ede-79f91aceca86 | - - 1 — Herpes Zosta 1 - - - - - 1 — Tonsillitis 1 - - - - - 1 - Totals 113 1 — — 1 — 114 1 Death. The one death which occurred during the year was that of a child aged four months who died 12 hours after admission from acute enteritis. Cause of death was confirmed by a post-mortem examination. The child had been artificially fed on dried milk. Cross Infection. A child admitted with scarlet fever was at the time of admission incubating mumps and gave rise to one secondary case in the ward. Complications. (1) Diphtheria. Otorrhoea, 1. Broncho-pneumonia, 1. (2) Scarlet Fever. Otorrhoea, 2. Cervicle advenitis, 1. Nephritis, 1. |
61abdf6a-ed5f-47aa-8094-43ca3332680d | Vulval vaginitis, 1. (3) Measles. Broncho-pneumonia, 1. (4) Whooping Cough. Broncho-pneumonia, 2. Otorrhoea, 1. (5) Influenza. Broncho-pneumonia, 1. 34 Table 34.—Laboratory Facilities. Specimens examined during the year were as follows:— Sputa 23 Swabs—Throat 161 ,, —Nose 90 „ —Ear 3 Blood—Urea 3 ,, —Wasserman 1 „ —Widal 2 ,, —Culture 2 ,, —Counts 6 Cerebro-spinal fluid 4 Faeces 97 Urine 8 Total 400 MATERNITY AND CHILD WELFARE. Table 35.—Home-Visiting. |
6ca62422-5d7e-4b61-bf5a-1b1b6abb2ebb | A summary of the work performed by the three Health Visitors during the year is given below:— Visits to expectant mothers 759 First visits to newly-born infants 1,131 Revisits to infants under 1 year 2,262 Visits to children aged 1 to 5 years 2,140 Still-birth inquiries 24 Special visits to cases of measles 263 ,, ,, ,, ,, ,, whooping cough 88 ,, ,, ,, ,, ,, pneumonia 15 Visits to foster children 49 Visits in connection with infectious diseases other than those above specified 1,295 Total visits 8,026 Table 36.—Social Welfare Worker. Care of Unmarried Mothers and their Children. Number of cases brought to the notice of the department during the year:— through local authority records, clinics, health visitors 40 by nursing homes, hospitals, police, clergy, etc. |
f662ebb6-7995-4640-8147-447f6bb7631e | 13 by mothers themselves 8 Total 61 Number of cases visited for the first time during the year 61 ,, ,, home-visits and revisits to all known cases 533 ,, ,, visits to employers, relatives, institutions, hostels, etc. in connection with cases 341 35 Number of mothers:— (а) admitted to:— ante-natal or post-natal homes 11 long-stay training homes — short-stay shelters 4 special homes for confinements 6 (b) for whom:— residential employment was found 12 non-residential employment was found 8 housing accommodation was found 3 arrangements were made for return to native land — Number of mothers concerned who were, |
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