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at the end of the year living:β€” with child without child Total as married 14 1 15 in own homes with husbands (extra-marital) 1 8 9 with parents or relatives 14 2 16 at homes of employers (residential employment) 10 β€” 10 in lodgings 7 1 8 in institutions or hostels 3 β€” 3 Affiliations:β€” Number obtained through court procedure 7 β€ž arranged voluntarily 6 , of mothers who refused to make application 1 Number of children for whom arrangements were made:β€” for adoption 8 for admission to homes, institutions or residential nurseries 2 to be cared for by foster-mothers 2 to remain with mothers, or relatives (80%) 49 Table 37.β€”Notification of Births. (a) Registered in Borough:β€” Live Births. Still Births. Totals.
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Number of births registered during 1946 as occurring in the Borough 608 21 629 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 yearβ€” Residents. Outward Transfers. Total by medical practitioners 11 2 13 by midwives 369 240 609 by other persons β€” β€” β€” Total notified 380 242 622 Number of still-births notified during the year 6 6 12 Percentage of still-births to total births occurring in the Borough 1.6 2.5 1.9 36 (c) Premature Infants. Number of births notified during the year as occurring in the Borough where the baby weighed less than 5Β½ lbs. at birth:β€” Place of birth.
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Number Notified Nursed entirely at place of birth Transferred to Hospital Who died during first 24 hours Who survived one month At home 4 4 - - 4 At private mat. home 6 5 1 1 5 Totals 10 9 1 1 9 Table 38.β€”Institutional Confinements. In institutions within the Borough 232 In registered maternity homes 232 In institutions outside the Borough 341 In general hospitals 31 In maternity hospitals 84 In Public Health County hospitals 147 In Public Assistance institutions 38 In maternity homes 41 Total 573 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 182 MATERNITY AND CHILD WELFARE CENTRES. Table 39.β€”Ante-Natal Clinic.
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Year 1945 Year 1946 Total number of expectant mothers attending Borough ante-natal Clinic during the year 372 486 Number of new cases attending for first time and included in total number 322 404 Number of attendances made by all mothers 1,104 1,863 Percentage of expectant mothers of total notified births attending Borough Clinic 80.7 78.1 Table 40.β€”Infant-Welfare Clinics.β€”Attendances. Year 1945. Year 1946. New Cases:β€” Infants under 1 year 404 532 Children 1 to 5 years 90 98 Total 494 630 37 Number of Children attending during the year Infants under 1 year 738 744 Children 1 to 5 years 538 545 Total 1,276 1,289 Number of attendances made by:β€” Infants under 1 year 6,139 6,873 Children 1 to 5 years 3,484 3,
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135 Total 9,623 10,008 Mothers 8,885 9,048 Number of consultations with Medical Officer 2,959 3,061 Average attendance per week: Infants under 1 year 120.4 134.8 Children 1 to 5 years 68.3 61.5 Total, all children 188.7 196.3 Number of children attending Centre for first time during the year: Percentage of total births assigned to the Borough represented by this figure 75.2 73.3 Table 41.β€”Home Help Service.
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Confinements Other Maternity reasons Conditions other than Maternity Totals Cases booked in 1945 for attendance during 1946 3 - - 3 Applications received during 1946 41 17 β€” 58 Cases attended during 1946 22 14 - 36 Cases booked but not yet attended 12 β€” β€” 12 Cases booked but not attendedmother admitted to hospital in emergency 4 β€” β€” 4 Applications received but cases not attended because:β€” (a) Home Helps already booked and not available 6 - - 6 (6) Applicants withdrew applications β€” - β€” β€” 38 Table 42.β€”Child Life Protection.
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The following is a summary of the cases on the Register during 1946:β€” Foster-mothers on the Register at the beginning of the year 6 β€ž β€ž added to the Register 4 ,, β€ž removed from the Register, having ceased to have care of children 5 ,, ,, on the Register at the end of 1946 5 Foster-children on the Register at the beginning of the year 7 β€ž β€ž in respect of whom Notice of Reception was received 7 ,, β€ž removed from the Register during the year:β€” returned to care of parents 9 ,, ,, on the Register at the end of 1946 5 Number of visits of inspection made by Health Visitors during the year 49 39 Table 42.β€”War Time Day Nurseries.
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BARNES NURSERY MORTLAKE NURSERY BOTH NURSERIES Age-groups 0-1 1β€”2 2β€”5 Total 0β€”1 1-2 2β€”5 Total 0β€”1 1β€”2 2β€”5 Total Places available in Nursery 5 15 25 45 5 15 30 50 10 30 55 95 Children in attendance 31st December,
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1945 4 14 30 48 2 11 37 50 6 25 67 98 Children admitted during 1946 7 15 33 55 6 10 42 58 13 25 75 113 Total children attending 11 29 63 103 8 21 79 108 19 50 142 211 β€ž ceased attending 3 8 45 56 1 5 55 61 4 13 100 117 Still in attendance 31 Dec. 1946 3 7 37 47 5 9 33 47 8 16 70 94 (*The final figures have been adjusted to show age-grouping at end of year.)
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1945 1946 1945 1946 1945 1946 Total attendances made by children 11,105 10,566 10,011 10,486 21,116 21,052 Average daily attendance 37 35 33 35 70 69 40 Table 44.β€”Adoption of Children. Number of Notices of Reception received during 1945 still on Register at 1st January, 1946 3 Number of Notices of Reception received during 1946 7 Number of children adopted during year 3 β€ž β€ž removed from Register for other reasons 1 Number of children still on Register awaiting adoption at 31st December, 1946 6 Table 45.β€”Voluntary Associations. (1) Nursing Associations.
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Barnes District Nursing Association Mortlake District Nursing Association Totals Home-visits in connection with maternity and child welfare - 61 61 β€ž β€ž to cases of pneumonia 86 171 257 β€ž β€ž β€ž β€ž β€”influenza 67 27 94 β€ž β€ž to other general and surgical cases 6,809 13,400 20,009 6,962 13,659 2 ,621 (2) Barnes and Mortlake Day Nursery. Accomodation:β€” 0-2 yrs. 2-5 yrs. Total. Places available 8 18* 26 Children in attendance 31st Dec., 1946 3 18 21 Attendances Whole-day 4,037 Half-day 989 (*During the winter months the number of places available in the 2-5 year age-group is 17). R. W. Simpson & Co.. Ltd., Printers, 70, Sheen Road, Richmond, and Barnes High Street.
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BARN 15 BOROUGH OF BARNES Annual Report of the Medical Officer of Health For the Year 1947 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1947 R. HILL, M.B., B.ch., B.A.O., D.P.H. Acting Medical Officer of Health. BOROUGH OF BARNES STAFF OF THE PUBLIC HEALTH DEPARTMENT. Acting Medical Officer of Health & 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 Insr. Deputy Chief Sanitary Inspector. W. L. Leach, Cert.San.Insp., Cert. Meat and Food Insp. Additional Sanitary Inspectors.
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F. A. Sadler P. J. Shannon Cert.San.Insp., Cert. Meat and Food Insp. E. J. Silvester Assistant Housing Manager (Vacant). Temporary Housing Investigations Officer. G. E. Tydeman. 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. H. W. Giles. Miss L. M. Fairclough. Mrs. P. M. Oakley. Miss J. Campbell. Temporary Clerks. Miss J. Dupille. *D. Rundle.
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Matron of the Infectious Diseases Hospital. Miss M. McPhee, S.R.N., R.F.N., S.C.M. Matrons, War-Time Day Nurseries. 47 Castelnau, Barnesβ€” Miss D. L. Rhodes, S.R.N. 2 and4Sheen Gate Gardensβ€”Mrs. S. O. Brown, S.R.N. *(Serving with H.M. Forces). 4 Public Health Department, Municipal Offices, Sheen Lane, 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 on the health of the Borough during the year 1947. Although I present this report, the Medical Officer of Health during most of the period under review was in fact Dr. R. C. Webster, who resigned his appointment as Medical Officer of Health upon obtaining an appointment with another authority.
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He left the service of the Barnes Borough Council on the 9th October, 1947. In view of the prospective changes anticipated under the National Health Service Act, the post was not filled but I was appointed Acting Medical Officer of Health pending some more definite knowledge of the re-organisation of Health Services under the new Act. This will be the last report of a complete year's work of the Health Department under conditions existing before the introduction of the National Health Service Act. The maternity and child welfare services, the infectious diseases hospital and the ambulance service will all pass out of the jurisdiction of the Barnes Borough Council, and only the work of the Sanitary Inspectors, the control of infectious diseases and one or more small services will remain. The work of the Public Health Department has been well performed throughout the years, no less as a result of the efficiency of the staff but also because of the personal interest of the members of the Council.
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Together the local knowledge and interest of the Council and staff has resulted in a progressive health service whereby the needs of the public have been well served over a period of many years. Change is inevitable, but nevertheless it is a sad moment when the pride taken in local work well done and locally appraised is no more. At the time of writing, the future of many of the members of the staff in the new Health Service is obscure, but among those who have been transferred already to the County are the three Health Visitors, Miss M. Parnell, Miss J. McNish and Miss O. L. Wilson. It is only fitting that some reference should be made to 5 these three officers, who together have a total of 62 years' service in the Borough. It would be impossible to estimate how many mothers and children during these years have benefited by their im sensational but highly important efforts.
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Although their work has been accepted as a matter of course, there is no doubt that the interest, commonsense, help and advice given by them has been of vital importance to the proper functioning of the maternity and child welfare work in the Borough. A great deal of the work performed by them cannot be appreciated if considered statistically only. Much is advisory and is dependent upon their sympathetic appreciation of the difficulties of mothers. In all these ways the Council has been excellently served by the three officers now transferred to the County Council. No review of the work of this department before the transfer of many of its members to the Surrey County Council would be complete without a reference to our Chief Clerkβ€”Mr. R. E. Forrest β€”who, during his 20 years' service in the Public Health Department, has done much valuable work for this authority.
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For myself, I should like to express my appreciation of his everwilling help and unfailing loyalty, and also to all the other members of the existing staff, at this moment when the department is breaking up. Their conscientious and good work has been a considerable factor in the efficient functioning of the department. One other member of the Public Health Department with many years' service will be retiring before the preparation of another Reportβ€”Mr. Charles S. Perchard, Chief Sanitary Inspector and Housing Manager. Coming to Barnes in 1918, he has taken in his stride many changes in legislation; the development of the area from a comparatively small urban district to its present size; and a world war with all its fresh problems and day-to-day extemporisations. Latterly, as Housing Manager, he has been called upon to deal with the unenviable problem of re-housing.
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Throughout the years he has proved himself a conscientious and good local government officer and from my own experience of his help I would like to take this opportunity of thanking him for his continued assistance and advice. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, ROSETTA HILL, October, 1947. Acting Medical Officer of Health. 6 BOROUGH OF BARNES. REPORT OF THE ACTING MEDICAL OFFICER OF HEALTH FOR THE YEAR 1947. PREFACE. In accordance with Ministry of Health Circular 170/47, the Annual Report for 1947 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.
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In October, 1947, the new Municipal Offices in Sheen Lane having been completed, the two parts into which the Public Health Department had been split by force of circumstance were again united under one roof. For the purposes of administration the reunion of the department was most satisfactory and the centralisation of the offices of all departments in one building of great advantage, both to the public and to the staff. STAFF. Mr. J. G. Plant, a temporary Sanitary Inspector, died on the 25th February, 1947, and Mr. G. G. Gardiner resigned and left on the 7th December upon obtaining an appointment with another local authority. Consequently, two further District Sanitary Inspectors were appointed to fill the vacancies thus causedβ€”Mr. F. A. Sadler, commencing on the nth November, 1947, and Mr. E J. Silvester on the 8th December, 1947. Mr.
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A. A. Brown, Assistant Housing Manager, resigned his appointment and left on the 31st July. Pending fuller consideration of the possibility of separating the Housing Section from the Public Health Department and forming a separate department, it was decided not to fill this vacancy for the time being. In the meantime, it was decided to appoint Mr. G. E. Tydeman, a General Division Clerk in the department, as a Temporary Investigations Officer for re-housing purposes. Several changes in the clerical staff occurred during the year. Miss Morcom left on the 1st March and was replaced by Mr. H. W. Giles, who commenced duties on the 31st March; Miss P. A. Healey left on the 23rd August and was replaced by Mrs.
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P. M. Oakley, who commenced duties on the 27th October; Miss M. E. Wright, 7 clerk for School Medical purposes, left on the 30th November and the vacancy remained unfilled at the end of the year. Mr. D. A. Massam, a temporary junior, left on the 30th August, and Mrs. Alsford, a part-time shorthand typist, left on the 21st January and were not replaced. In October, 1947, the question of temporary staff was considered by the Council and it was decided to place Miss J. Campbell on the permanent establishment, and to retain Miss J. Dupille in a temporary capacity until the 1st November, 1948, when the matter would be again reviewed. Miss D. N. Callund resigned her appointment as Matron of Sheen Gate Gardens Day Nursery and left on the 6th February, 1947. Mrs.
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S. O. Brown was appointed to fill the vacancy and commenced duties on 24th March. SANITARY INSPECTION OF DISTRICT. The position with respect to the work of the Sanitary Inspectors eased somewhat during the year with the appointment of an additional Inspector to bring the staff up to establishment. More time was devoted to the inspection of food preparation premises and similar food visits. It is only recently, with improved facilities for repairs and extensions, that it has been practicable for necessary work to be required in order to bring such premises up to the standard envisaged at the time of the passing of the Food and Drugs Act, 1938. A lot remains to be done in this direction, particularly with regard to the habits and conduct of employees in the food handling processes. With regard to the general work of the Sanitary Inspectors, housing conditions have taken up a large proportion of the time of the staff.
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Although the restrictions on building activity have been eased considerably, there is still a large amount of leeway to make up in the matter of dilapidations, a good proportion, of course, being due to war damage. The economic position of property owners, and the higher cost of building work have repercussions on the standard of repair and maintenance. Many owners, finding that mounting costs tend to make liabilities of their assets are reluctant to comply with notices, and extra persuasion and effort is called for, with the resultant increase in re-visits, interviews, correspondence, etc. RODENT CONTROL. In accordance with the requirements of the Ministry of Agriculture and Fisheries (Rodent Control Division), the task of controlling rodent infestation in the sewers was commenced. A "test" baiting 8 of 10 per cent. of all the manholes on the foul sewers in the borough was undertaken.
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This showed that the Mortlake and East Sheen sections were lightly infested, whilst the sewers in the Barnes section were found to be almost free. Arrangements have been made for regular testing and maintenance treatments to be carried out at six-monthly intervals. Rodent infestations on private property were investigated and appropriate action taken. The existing law relating to Rodent Control is due for alteration, when the present arrangements will no doubt be revised. WATER SUPPLY. The water supply of the area has been satisfactory both in quality and in quantity. Samples are taken regularly and frequently by the Metropolitan Water Board. 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.
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The incidence of infectious diseases in the Borough during the year was, in general, low, although measles was epidemic during the first eight months of the year. It is pleasing to be able to say that although there were 437 cases of this disease notified, no death occurred. During August and September four sporadic cases of poliomyelitis and one case of polioencephalitis occurred. In addition to the five cases notified, one death from poliomyelitis was assigned to the Borough. This was a child of five years who had died in November in a London general hospital, diagnosis being made after death as the result of a Coroner's post mortem examination. Of the four cases of poliomyelitis, three were admitted to hospital and one was nursed at home. In two instances paralysis resulted, in one case extensive, and the other slight. The number of new cases of pulmonary tuberculosis notified during 1947 was the highest since 1914.
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Of some note is the fact that 10 per cent. of these were over 65 years of age, which, so far as this Borough is concerned, is an unusual incidence for that age group. DIPHTHERIA IMMUNISATION. The routine propaganda to encourage parents to have their children immunised against Diphtheria continued throughout the year. The percentage of children in the Borough under five years of age who have been immunised at the Borough Immunisation Clinic by the 31st December, 1947, is 48 per cent., 1,403 of the estimated population of 2,930. To these numbers should be added 9 10 per cent. for immunisations carried out privately or in other areasβ€”a percentage obtained as a result of the house-to-house enquiry made by health visitors in 1943. This would mean that a better estimate of the percentage of children under five years immunised is 53 per cent.
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It should also be borne in mind that of the children under five years of age, until recently the group under one year could not commence to receive injections until at least 11 months of age. Thus, in practice, the number under five years immunised relates almost entirely to children aged one year and under five. Consequently, making allowance for the fact that few children under one year can complete immunisation before they are 12 months of age, to get a truer picture of the position it would be better to ignore the group under one year of age. If this is done, the percentage of children immunised over one but under five years of age is 65 per cent. Of the 3,860 children aged five years and under 14 years of age. 2,437 have been immunised at the Borough Clinicβ€”a percentage of 63 per cent.
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If the estimated allowance for private immunisation, etc., is added, the percentage of such children estimated to be immunised in Barnes is 69 per cent. 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 for inoculation against whooping cough continued without diminution during 1947. HOME HELPS SERVICE. The Home Help Service has continued throughout the year to cater for an obvious need. It has worked very satisfactorily and at the end of the year there were seven whole-time and three parttime helps employed in this work. All the Home Helps have worked well and there have been many expressions of appreciation of their assistance. 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.
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In no case during the vear 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. 10 MATERNITY AND CHILD WELFARE. Reference to the statistics relating to the Health Visitors shows a decrease in the number of home visits they were able to make during the year. This was partly due to an increased number of ante-natal clinics, previously reported as being necessary and established in 1946, which reduced the time available for home visiting, and partly to the illness of one of the Health Visitors, who was away ill for two months. Her absence not only resulted in the loss of visits which she herself would have carried out, but also the loss of time available to the other two Health Visitors as a result of them having to be present at the two or three clinics weekly which she would otherwise have attended.
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So far as the clinics are concerned, it is interesting to note that in 1938, 146 expectant mothers attended the ante-natal clinic and made a total number of attendances of 348. In 1947, 511, or threeand-a-half times as many attended, and made 2,017 attendances, or nearly six times as many as in 1938, an average attendance per session of 20 in 1947, contrasted with seven in 1938. It is obvious from these figures that despite the fact that additional ante-natal clinics were established in 1946, unless the clinics are to be overcrowded, additional clinics are really necessary. In 1938, 692 children made 7,352 attendances, a weekly average, of 142; in 1947, 1,401 children made 10,920 attendances, a weekly average of 213, or an increase of exactly 50 per cent, on the 1938 attendances.
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From these figures it will be seen that the clinics are more than well used. With the increase of work resulting from new duties introduced in recent years, it has become increasingly obvious that the number of Health Visitors in this Borough could quite well have been increased in order to cope with the additional work at the clinics and to increase the available home visiting time. Owing to the war and the shortage of Health Visitors, the possibility of obtaining an additional Health Visitor has been remote. Now that the County are taking over the Health Visiting staff, no doubt the necessity to employ at least an additional Health Visitor for this part of the division will be borne in mind. During the year, leaflets setting out all the maternity and child welfare provisions and information likely to be of use to expectant mothers and mothers of children were prepared by the department, printed in the form of a leaflet and distributed with the kind cooperation of the Ministry of Food through the local Food Office and, of course, by the staff of the Public Health Department.
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This dissemination of information proved to be of considerable use to the mothers and expectant mothers in the Borough and has brought to their notice information of services available of which they might otherwise have been ignorant. BOROUGH OF BARNES APPENDIX to the annual report of the Medical Officer of Health 1947. 12 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.β€”STATISTICAL SUMMARY, 1947. Population:β€” Census, 1921 34,281 Census, 1931 42,440 Estimatedβ€”Mid-year, 1947 (Reg. Gen.)
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40,930 Births:β€” Birth-rate (per 1,000 of population) 17.1 Live Births:β€” Total. m. f. Legitimate 674 346 328 Illegitimate 27 14 13 Total 701 360 341 Still Birth-rate (per 1,000 total births) Total m. f. 23.5 Still Births (Legit. 14; Illegit. 3) 17 13 4 Deaths:β€” Death-rate all causes (per 1,000 of population) 12.5 Total.
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M. f. Deaths (all causes) 512 252 260 Death-rate from Cancer (per 1,000 of population), 85 deaths 2.1 Death-rate from Zymotic Diseases (per 1,000 of population) 0.07 Deaths from Diarrhoea (under two years of age) 3 Death-rate from Maternal Causes (per 1,000 total births) 1.39 Deaths from Puerperal Sepsis β€” β€ž ,, Other Puerperal causes 1 Death-rate of infants under one year (per 1,000 live births) 37.1 Death-rate for Legitimate infants (24 deaths) 35.6 Illegitimate infants (2 deaths) 74.0 13 table 2.β€”vital Statistics of the Borough of Barnes during 1947 and previous 5 Years year. 1 registered births total deaths registered in the District. transferable deaths. nett deaths belonging to the district. Uncorrected Number.
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2 Nett. Of nonresidents registered in the District. 7 Of residents registered outside the District. 8 Under 1 year of age At all ages. Number. 5 Rate. 6 Number. 9 Rate per 1,000 nett births 10 Number 11 Rate 12 Number. 3 Rate. 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 1944 415 594 18.0 260 7.9 18 352 26 43.8 458 13.9 1945 408 537 15.5 245 8.1 22 257 19 35.4 470 13.
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6 1946 629 726 18.3 301 7.6 14 211 26 35.8 498 12.5 1947 658 701 17.1 337 8.2 27 206 26 37.1 512 12.5 14 Table 3.β€”Birth-rate, Death-rate, and Analysis of Mortality during the Year 1947, with corresponding rates for england and wales, 126 great towns, 148 smaller towns, and for the County of London for comparison. birth rate PER l,OO0 Total PopuLATION. Annual Death-rate i'ek 1,000 Population. Death rate per 1000 Births. Maternal materlity rate per 1,000 Total births All Causes Typhoid & Paratyphoid Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Small-pox Measles.
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DiarrhΕ“a and Enteritis (under 2 years;. Total Deaths under One Year All Causes Puerperal Infection. Other Causes. England and Wales 20.5 12.0 0.00 0.00 0.02 0.01 0.09 0.00 0.01 5.8 41 1.17 0.32 0.85 126 County Boroughs and Great Towns, including London 23.2 13.0 0.00 0.00 0.03 0.01 0.09 0.00 0.02 8.0 47 Not avail able 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 22.2 11.9 0.00 0.00 0.02 0.01 0.08 0.00 0.
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02 3.7 36 London 22.7 12.8 0.00 0.00 0.02 0.01 0.08 β€” 0.01 4.8 37 Barnes Borough 17.1 12.5 β€” - - β€” 0.07 β€” β€” 4.3 37 1.39 β€” 1.39 15 Table 4.β€”Causes of Death during the Year 1947. Causes of Death (Registrar-General's short list of causes).
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Total Deaths Male Female 1 Typhoid and Paratyphoid fevers β€” β€” β€” 2 Cerebro-spinal fever 1 β€” 1 3 Scarlet Fever β€” β€” β€” 4 Whooping Cough β€” β€” β€” 5 Diphtheria β€” β€” β€” 6 Tuberculosis of respiratory system 16 12 4 7 Other forms of tuberculosis 2 β€” 2 8 Syphilitic diseases 3 2 1 9 Influenza 3 3 β€” 10 Measles β€” β€” β€” 11 Acute poliomyelitis and polioencephalitis 1 β€” 1 12 Acute infectious encephalitis β€” β€” β€” 13 Cancer of buccal cavity and oesoph. (m); uterus (f) 8 7 1 14 β€ž stomach and duodenum 8 2 6 15 β€ž breast 16 β€” 16 16 β€ž all other sites 53 24 29 17 Diabetes 2
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1 1 18 Intra-cranial vascular lesions 60 26 34 19 Heart Disease 173 90 83 20 Other diseases of circulatory system 19 7 12 21 Bronchitis 21 13 8 22 Pneumonia 16 9 7 23 Other respiratory diseases 5 3 2 24 Ulceration of stomach or duodenum 7 6 1 25 Diarrhoea under 2 years 3 2 1 26 Appendicitis 1 β€” 1 27 Other digestive diseases 12 5 7 28 Nephritis 8 5 3 29 Puerperal and post-abortive sepsis β€” β€” β€” 30 Other maternal causes 1 β€” 1 31 Premature birth 6 4 2 32 Congenital malformations, birth injury,
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infantile diseases 9 6 3 33 Suicide 8 1 7 34 Road traffic accidents 4 3 1 35 Other violent causes 10 5 5 36 All other causes 36 16 20 All Causes 512 252 260 16 Table 5.β€”Infant Mortality during the Year 1947. 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. Deathe in Institu'ns Premature Birth Congenital 5 1 . . 6 . . . . 6 1 5 4 tions 3 1 . .
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4 . . 1 . 7 1 6 6 Atelectasis 2 . . . 2 . . . . 2 1 1 1 Marasmus . 1 . . 1 . . . . 1 l . . Diarrhoea and Enteritis . . . . . . . 1 . 1 1 . . Intra-cranial haemorrhage 1 1 . . 2 . . . . 2 . 2 1 Broncho-pneumonia . 1 1 . 2 1 1 . . 4 2 2 2 Bronchitis . 1 . . 1 . . . . 1 1 . . Otitis media . 1 . . 1 . . . . 1 . 1 1 Violence 1 . . . 1 . . . . 1 1 . . All causes 12 7 1 . 20 3 1 2 .
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26 9 17 15 Infectious Diseases Mortality. The death-rate for 1947 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, 1942 to 1946, are contrasted with the rate for 1947. In each of these Tables the death-rates for London and for England and Wales are shown for comparison. Table 6.β€”Epidemic Diseases: Death-rate per 1,000 of the Population, 1947. Disease. Barnes. London. England and Wales.
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Small-pox - β€” 0.00 Typhoid & Paratyphoid β€” 0.00 0.00 Measles β€” 0.01 0.01 Scarlet Fever β€” 0.00 0.00 Whooping Cough β€” 0.02 0.02 Diphtheria β€” 0.01 0.01 Diarrhoea (under 2 years) 0.07 0.09 0.12 Zymotic Death Rate 0.07 0.13 0.16 17 Table 7.β€”Zymotic Death-rate for 1947, contrasted with the Rates for the previous Five Years. Year. Barnes. London. England & Wales.
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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 1947 0.07 0.13 0.16 Table 9.β€”Whooping Cough: Death-Rate per 1,000 of the Population. Year. Barnes. London. England & Wales.
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1943 β€” 0.03 0.03 1944 β€” 0.04 0.03 1945 β€” 0.02 0.02 1946 β€” 0.02 0.02 1947 β€” 0.02 0.02 Average Rate 1943-1947 β€” 0.03 0.02 Table 8.β€”Measles : Death-Rate per 1,000 of Population. Year. Barnes. London. England & Wales. 1943 - 0.02 0.02 1944 β€” 0.00 0.01 1945 β€” 0.01 0.02 1946 β€” 0.01 0.00 1947 β€” 0.01 0.01 Average Rate 1943-1947 β€” 0.01 0.02 18 HOUSING. Table 10.β€”HOUSING STATISTICS FOR THE YEAR 1947.
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1. Number of Dwellings Owned by the Local Authority:β€” Number of houses 241 β€ž β€ž 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) 1381 (b) Number of inspections made for the purpose 3924 (ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations,
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1925 and 1932 Nil (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 397 (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 (including 32 cases outstanding from the previous year) 285 19 (III) Action under Statutory Powers during the Year:β€” A. Proceedings under sections 9, 10 and 16 of the Housing Act,
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1936:- (i) Number of dwelling-houses in respect of which notices were served requiring repairs 76 (a) Number of dwelling-houses which were rendered fit after service of formal notices:β€” (a) By owners 58 (b) By Local Authority in default of owners 3 B. Proceedings under Public Health Acts:β€” (i) Number of dwelling-houses in respect of which notices were served, requiring defects to be remedied 16 (a) Number of dwelling-houses in which defects were remedied after service of formal notices:β€” (a) By owners 12 (b) By Local Authority in default of owners 2 C. Proceedings under sections 11 and 13 of the Housing Act, 1936:β€” (i) Number of dwelling-houses in respect of which Demolition Orders were made Nil (ii) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil D. Proceedings under section 12 of the Housing Act,
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1936:β€” (i) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil (a) 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 is the same as reported last year. Twenty-five overcrowded families were rehoused during 1947. 20 SANITARY CIRCUMSTANCES OF THE AREA. Table 11.β€”Showing the Number and Nature of the Inspections made by the sanitary inspectors during 1947, the number of Notices Served in Respect of Defects found in the Course of Inspection, and the Number of Notices complied with. Nature of Inspections. Number of Premises on Register. Number of Visits of Inspection and Reinspection Action taken in respect of defective conditions Informal Notices. Statutory Notices. Number issued. Complied with. Number issued.
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Complied with. Executed in default Dairies 3 15 β€” - β€” - - Milkshops 14 19 β€” β€” β€” β€” - Butchers' Shops 30 56 β€” β€” β€” β€” - Fishmongers and Poulterers 14 25 1 1 - - - Greengrocers 38 19 β€” β€” β€” β€” - Fried Fish Shops 4 18 β€” β€” β€” β€” - Restaurants 39 62 1 1 β€” β€” - Ice Cream:β€” (a) Manufact'rs 2 8 β€” β€” β€” β€” - (b) Retailers 57 49 β€” β€” β€” β€” - Other Food Premises 51 205 1 1 - - - Slaughterhouses 1 12 β€” β€” β€” β€” - Bakehouses 11 22 β€” β€” β€” β€” - Factories:β€” Mechanical 142 66 4 4 β€” β€” - Non-mechanic'l 46 15 β€” β€” β€” β€” - Home-workers 53 β€” β€” β€” β€” β€” - Schools
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21 5 1 1 β€” β€” - Public Halls and Cinemas 4 5 - - - - - Piggeries and Stable Yards 17 48 - - - - - Public Conveniences 40 55 β€” - - - - Total 587 Dwelling-houses (including houses let in lodgings) No. of Premises Visited. (1) House - toHouse Inspection - (2) Inspected on complaint 984 (3) Inspected in course of other work:β€” 2573 397 285 92 70 5 (a) Housing work, etc 432 (b) For infectious diseases 5 Totals 1421 3277 405 293 92 70 5 21 Table 12.β€” Factories. No. of Premises on Register. Inspection. Number Written Notices Served.
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Factories with mechanical power 142 66 4 Factories without mechanical power 46 15 β€” Total 188 81 4 Discovered. Remedied. Contraventions :β€” Want of cleanliness β€” San. Accom.β€”Unsuitable/Defective 4 4 Total 4 4 Matters referred to H.M. Inspector of Factories Nil Notifications received from H.M. Inspector of Factories 2 Legal proceedings:β€” No legal proceedings were necessary during 1947. Table 13.β€” Home Workers. Work undertaken. No. on Register. Wearing Apparel 25 Lamp Shades 24 Curtain Makers 2 Household Linen 2 Total 53 INSPECTION AND SUPERVISION OF FOOD Table 14.β€” Dairies and Milkshops.
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Number of purveyors of milk:β€” 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:β€” (a) Premises within Borough 12 (b) ,, outside β€ž 4 16 22 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 necessan to institute Court proceedings. Table 15.β€” Return of Samples Analysed during the Year ending 31st December, 1947. articles. ANALYSED. BELOW STANDARD. Prosecutions tions Formal Informal Total Formal Informal Total Milk 63 8 71 - - - - - Other Foods. Arrowroot β€” 2 2 - - - - - Baking Powder β€” 2 2 - - - - - Barley Pudding
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Mixture β€” 1 1 - - - - - Coffee Extract β€” 1 1 - - - - - Curry Powder β€” 1 1 - - - - - Egg (Dried) β€”- 1 1 - - - - - Flavourings β€” 2 2 - - - - - Gelatine (Powdered) β€” 1 1 - - - - - Gravy Powder β€” 1 1 - - - - - Ground Cinnamon β€” 1 1 - - - - - Horseradish Cream β€” 1 1 - - - - - Junket Powder β€” 1 1 β€” β€” β€” β€” β€” Lemonade Crystals β€” 1 1 β€” β€” β€” β€” β€” Malted Milk Tablets β€” 2 2 - - - - - Mixed Spice β€” 1 1 - - - - - Margarine β€” 1 1 - - - - - Mustard Powder β€” 1 1 - - - - - Meat (Cooked) β€” 1 1 -
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- - - - Onions (Pickled) β€” 1 1 β€” β€” β€” β€” β€” Pastes (Fish, Meat, etc.) β€” 2 2 - - - - - Spreads (So-Taistee Extract) - 1 1 - - - - - Sauce Powder β€” 1 1 - - - - - Soup β€” 2 2 - - - - - Tomato Juice β€” 1 1 β€” β€” β€” - - Tomato Sauce β€” 1 1 β€” 1 1 β€” β€” Vinegar β€” 1 1 - - - - - White Pepper β€” 2 2 - - - - - Drugs.
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Aspirin β€” 2 2 β€” 1 1 β€” β€” Boracic Ointment β€” 1 1 - - - - - Boracic Acid Powder β€” 1 1 - - - - - Bronchitis Mixture β€” 1 1 β€” β€” β€” β€” β€” Cough Syrup (Honey) β€” 1 1 - - - - - Epsom Salts β€” 1 1 - - - - - Glaubers Salts β€” 2 2 β€” 2 2 β€” β€” Sulphur Blood Tablets β€” 1 1 - - - - - Syrup of Figs β€” 1 1 - - - - - Saccharin β€” 1 1 - - - - - Seven Rubbing Oils β€” 1 1 - - - - - Zinc Ointment β€” 1 1 β€” - - - - Totals 63 56 119 β€” 4 4 β€” β€” 23 Note.
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β€” 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. Table 16.β€” Slaughterhouses. Private. Public. Total. No. of licensed slaughterhouses 1 β€” 1 No. of notices received of intention to slaughter during the year 10 β€” 10 No. of animals slaughtered :β€” Swine 59 β€” 59 Cattle β€” β€” β€” Sheep β€” β€” β€” Total 59 - 59 Table 17.β€” Unsound Food. The following articles were voluntarily surrendered and destroyed as being unfit for human consumption:β€” Meat:β€” Fruit:β€” Beef lbs.
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110Β½ Dates lbs. 47 Mutton lbs. 10Β½ Raisins lbs. 30 Meat and Vegetables tins 43 Prunes lbs. 150 Canned Meat tins 128 Sultanas lbs. 137 Sausages lbs. 52Β½ Fruit Puddings lbs. 27 β€ž tins 16 Canned Fruit lbs. 174 Vegetables:β€” Poultry:β€” Canned Vegetables tins 313 Chickens lbs. 43 Other Foods:β€” Rabbits lbs. 240 Bread Quartns. 45 Fish :β€” Biscuits Packet 1 Cake lbs. 27Β½ Cereals lbs. 22 Cod lbs. 84 Cheese lbs. 117 Haddock lbs. 420 Coffee Extract Bottles 5 Plaice lbs. 70 Dried Egg Packets 6 Skate lbs. 238 Dessert Powder Packets 3 Kippers lbs. 56 Ground Ginger ozs. 4 Shrimps galls.
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6 Jelly Packet 1 Herring Roes lbs. 85 Jam tins/jars 76 Bream lbs. 84 Marmalade tins 10 Herring lbs. 64 Milk tins 346 Soles lbs. 64 Meat Cubes 90 Whiting lbs. 252 Pickles/Pickled Onions Bottles 17 Prawns box 1 Pastes, Fish and Meat jars 9 Canned Fish tins 219 Sandwich Spread tin 1 Soups, etc. tins 43 Sauces Bottles 5 24 Legal Proceedings. It was found necessary to institute legal proceedings in two instances where food was being sold which was unfit for human consumption. In the first instance, pineapples were being sold and exposed for sale in an unfit condition. Proceedings were taken before the Magistrates at Mortlake, and the defendant was fined Β£2 on each of two counts, and ordered to pay costs.
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In the second instance, ice cream was sold, on unregistered premises, which was unfit for human consumption by reason of weevil infestation. In addition considerable quantities of cereals were found to be infested on examination. The ice cream and the cereals were seized, and condemned by a Justice of the Peace. The defendant was brought before the Mortlake Magistrates and fined total of Β£40, with six guineas cost. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Table 18.β€” Domestic Help Scheme. Illness Chronic i Invalidity Aged & Infirm MiscelJan. Reasons Total Sudden Em'cy Serious Tub.
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Number of 1946 cases still being attended on the 1st Jan., 1947 1 1 β€” 2 6 1 11 Number of NEW applications received during 1947 3 9 5 8 17 7 49 TOTAL cases dealt with during 1947 4 10 5 10 23 8 60 Cases attended during 1947 4 10 5 10 22 8 59 Not Attended Application withdrawnβ€”other arrangements made - - - - 1 - - Domestic help not available - - - - - - - Not within scope of scheme - - - - - - - Totals - - - - 1 β€” β€” Table 19.β€” Borough Accident and General Purposes Ambulance Service.
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Number of Cases Mileage Accidents 216 937 Removals after accident 37 197 Maternity 295 3,240 Other purposes 896 6,442 Totals 1,444 10,815 25 Table 20.β€” Cleansing and Disinfestation of Verminous Persons. Treated at Borough Cleansing Station. For Verminous Head For Verminous Body f or Scabies Totals No. of Persons Attendances No. of Persons Attendances No. of Persons Attendances No. of Persons Attendances Children under school-age - - - - 14 21 14 21 Schoolchildren 32 34 β€” β€” 29 55 61 89 Adults β€” β€” β€” β€” 54 89 54 89 Totals 32 34 β€” β€” 97 165 129 199 Table 21.β€” Infected and Infested Rooms and Articles (dealt with by the council).
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Premises disinfected 90 Rooms disinfected 104 Lots of bedding disinfected 120 ,, β€ž destroyed 5 β€ž ,, disinfested 2 Council houses disinfested by liquid insecticides 10 Other houses disinfested (hydrogen cyanide β€”, by liquid insecticides 10) 10 Table 22.β€” Rats and Mice Destruction. Number of complaints received 286 Visits to (a) Enclosed premises 1032 (b) Open spaces 33 Number of occasions on which (a) Poison bait was laid 203 (b) Gas was used 14 26 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 23.β€” Infectious Diseases: Incidence per 1,000 of the Population in 1947. Disease.
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Barnes. London. England and Wales. Typhoid Fever - 0.01 0.01 Paratyphoid Fever β€” 0.01 0.01 Cerebro-spinal Fever 0.02 0.05 0.05 Scarlet Fever 0.66 1.31 1.37 Whooping Cough 2.30 2.80 2.22 Diphtheria 0.05 0.14 0.13 Erysipelas 0.24 0.22 0.19 Small-pox β€” 0.00 0.00 Measles 10.68 5.29 9.41 Pneumonia 0.39 0.64 0.79 Table 24.β€” Notifiable Infectious Diseases, 1947. Diseases. Total Cases Notified. Unce l year Ages, in years. Parish Removed to Hospital.
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Total Deaths of Residents.† 1 to 2. 2 to T 3 to 4. 4 to 5. 5 to 0 10 to 15 5 to 20 20 to 25. 25 to 35. 35 o 45. 45 to 65. 65 and over. Barnes. Mortlake. Diphtheria 2 - l - - - - - - - 1 - - - - 2 2 - Scarlet Fever 27 β€” β€” 2 3 β€” 8 4 3 l 3 2 1 β€” 12 15 24 - Polio-encephalitis 1 - - - - - - 1 - - - - - - - 1 1 1 Poliomyelitis 4 β€” 1 β€” β€” l β€” β€” β€” β€” 1 1 β€” - 3 1 3 β€” Cerebro-spinal Fever 1 β€” β€” β€” β€”
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β€” 1 - - - - - - - - 1 1 1 Measles 437 15 32 49 63 54 195 10 3 5 5 4 2 - 180 257 20 β€” Whooping Cough 94 9 7 9 10 17 39 1 β€” β€” 2 β€” β€” - 45 49 6 β€” Pul. Tuberculosis 62 β€” 1 β€” β€” β€” 3 2 8 7 14 10 11 6 25 37 45 16 Non-Pul.
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Tuberculosis 9 β€” β€” - - - 2 1 1 2 - 1 - - 2 7 10 2 Pneumonia 16 β€” β€” β€” 1 2 2 β€” 1 β€” 1 2 6 1 8 8 7 16 Erysipelas 10 β€” - - - - - - - - - 2 5 3 1 9 5 β€” Ophthalmia neonator'm 2 2 - - - - - - - - - - - - β€” 2 1 β€” All Diseases 665 26 42 62 77 74 250 19 16 15 27 22 25 10 276 389 125 36 †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.
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27 Table 25.β€” Notifiable Infectious Diseases, 1937 to 1947. Year. 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 Diphtheria 3 1 4 5 13 6 3 15 12 5 2 Scarlet Fever 84 52 36 39 21 34 184 50 36 43 27 Typhoid Fever 2 1 β€” 1 β€” β€” 2 β€” β€” β€” β€” Paratyphoid Fever 1 1 1 1 1 β€” 1 β€” β€” 1 β€” Puerperal Fever β€” * * * * * * * * * * β€ž Pyrexia 1 4 3 2 1 4 1 β€” 3 1 β€” Erysipelas 12 6 10 4 5 6 5 10 3 5 10
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Continued Fever β€” β€” β€” - β€” β€” β€” β€” β€” β€” β€” Relapsing Fever - - - - - - - - - - - Typhus Fever - - - - - - - - - - - Small-pox - - - - - - - - - - - Cholera - - - - - - - - - - - Plague - β€” - - β€” β€” β€” β€” β€” β€” β€” Tuberculosis. P. 28 25 35 32 39 42 43 50 39 35 62 Non-P. 10 8 3 4 4 7 7 1 6 5 9 Cerebro-spinal Fever. β€” 2 1 5 4 3 2 β€” β€” 2 1 Poliomyelitis 2 1 β€” β€” β€” 1 β€” β€” β€” 1 4 Ophthalmia Neonatorum 1 1 - 2 1 - 1 1 1 2 2
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Measles 101 387 8 79 63 712 111 68 358 177 437 Rubella 9 439 22 * * * * * * * * Encephalitis Lethargica β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Polioencephalitis - - - - - - - - - - 1 Malaria - - - - - - 1 - - - - Dysentery β€” 1 β€” β€” 1 1 2 1 9 71 β€” Pneumonia 34 18 14 14 21 16 20 18 20 19 16 Anthrax β€” β€” - β€” β€” β€” β€” β€” β€” β€” - Whooping Cough Not Notifiable 5 2 151 73 82 108 71 66 94 * No longer notifiable. Table 26.β€” Showing the Notifications of Infectious Diseases Received during 1947 arranged in Four-Weekly Periods.
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Four weekly period ending Diphtheria. Scarlet Fever. Measles. Whooping Cough Pneumonia Eiysipelas. Ophthalmia Neonatorum Polioencephalitis Poliomyelitis Cerebrospinal Fever Jan. 25 - 4 33 - 3 - - - - - Feb. 22 β€” β€” 99 3 4 1 β€” β€” β€” β€” Mar. 22 1 2 90 9 β€” l β€” β€” β€” β€” April 19 1 4 95 9 2 3 β€” β€” β€” β€” May 17 β€” 5 28 8 1 β€” β€” β€” β€” β€” June 14 - 2 24 3 β€” β€” β€” β€” - β€” July 12 β€” β€” 31 17 1 2 β€” β€” β€” - Aug. 9 β€” 1 26 16 β€” 1 1 β€” 2 β€” Sept.
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6 β€” 1 7 8 β€” 1 β€” β€” 2 β€” Oct. 4 β€” 2 2 3 β€” β€” 1 1 β€” β€” Nov. 1 β€” 3 1 2 2 β€” β€” β€” β€” β€” Nov. 29 β€” 1 1 7 1 β€” β€” β€” β€” 1 Dec. 27 β€” 2 β€” 9 2 1 β€” β€” β€” β€” T otals 2 27 437 94 16 10 2 1 4 1 28 Table 27.β€” Diphtheria Immunisation Clinic. The Following Table Shows the Position on 3 1st December, 1947, in Respect of the 721 Children who Attended the Clinic during 1947. Position on 31 Dec., 1947 1.
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TOTAL CASES dealt with during 1947 487 (A) Continued in Attendance:β€” 477 (a) Post-Schick Negative (Certificate) 247 (6) Completed injections, awaiting Post-Schick test *199 (c) Receiving injections at end of year 31 (B) Discontinued Attendance:β€” 10 (a) Completed injections β€” failed to attend for PostSchick test - (b) Did not complete injections 8 (c) Left districtβ€”completed injectionsβ€” no Post-Schick test - (d) Left district before completion of injections 2 2.
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CHILDREN attending for Re-Schick Test two years after immunisation:β€” 234 (a) Re-Schick test negativeβ€” immunisation confirmed 200 (b) Re-Schick test positiveβ€”further injections given 17 (c) Attended for Re-Schick testβ€”did not attend for reading 13 TOTAL CHILDREN attending Clinic during year 721 Children invited but did not attend 16 Note.β€” In addition to the 247 children in respect of whom certificates were given, 199* additional children completed courses of immunising injections during the year, making in all 446 children immunised during the year. Table 28.β€” Clinic for Inoculation against Whooping Cough. Position on 31 Dec., 1947 Number of children attending:β€” (a) Completed course of injections .
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378 (b) Receiving injections at end of year 23 (c) Discontinued injectionsβ€”left district 2 β€”ceased attending 14 Total attending clinic during year 417 Children invited but did not attend 9 29 Table 29.β€” Schools. Number in Borough Number of who suffered Scarlet Fever scholars from:β€” Diphtheria County Primary Schools :β€” 7 - Railway Streetβ€”Infants 1 - Lowtherβ€”J. Mixed and Infants 2 - East Sheenβ€”J. M. and Infants β€” - Mortlakeβ€”J. M. and Infants 2 - Mortlake C. of E.β€”Mixed β€” - β€ž β€ž β€ž β€”Infants 1 - ,, R.C.β€”J.
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M. and Infants β€” - County Secondary Schools :β€” 4 - Bame sβ€”Boys 1 - ,, β€”Girls β€” - Mortlakeβ€”Boys β€” ,, β€”Girls 1 - County School :β€” 1 - East Sheen and Richmond Boys - - Private Schools 7 1 - Total 19 9 - 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, 1947 are as under:β€” Table 30.β€” Tuberculosis Notification Register. Form of Disease. On Register lst jan . 1947 C-?es Addrit Removed from Register Remaining 011 Register 3 1st Dec 1947 Primary Notif'ns Otherwise. Restored Total NonTub.
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Cured Left District Dead Total Pulmonary 287 62 27 4 93 - 2 32 26 60 320 Non-Pulm'y 56 9 1 1 11 β€” β€” 2 2 4 63 All Forms 343 71 28 5 104 β€” 2 34 28 64 383 30 Table 31.β€” Tuberculosis : New Cases and Mortality, 1947. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonary. Pulmonary. NonPulmonary. Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 β€ž β€” 2 1 1 β€” β€” β€” β€” 5-10 β€ž 3 1 β€” 2 β€” β€” β€” 1 10-15 β€ž β€” 2 1 - - - - - 15-20
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β€ž 7 1 β€” 1 β€” β€” β€” β€” 20-25 β€ž 6 5 β€” 2 β€” β€” β€” β€” 25-35 β€ž 10 14 β€” - 2 1 β€” β€” 35-45 β€ž 9 3 β€” 1 1 β€” β€” β€” 45-55 β€ž 6 2 β€” β€” 3 1 β€” β€” 55-65 β€ž 5 3 β€” 1 3 2 β€” 1 65 β€ž and over 10 β€” β€” β€” 3 - β€” β€” All ages 56 33 2 8 12 4 β€” 2 * 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 .. 151 All forms 1.73 Non-pulmonary 0.22 Death-rate farn. 0-44 Table 32.β€” Tuberculosis: Institutional Treatment.
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Admissions during 1947 were as under :β€” Form of Disease. Surrey County Council Other Sanatoria General Hospitals Totals. Sanatoria Hospitals Pulmonary - 11 10 29 50 Non-Pulmonary β€” β€” β€” 10 10 Totals β€” 11 10 39 60 Number of patients admitte 1: Pulmonary 45 Non-pulmonary 10 31 INFECTIOUS DISEASES HOSPITAL. Table 33.β€” Admissions and Deaths. Residents Nonresidents Noncivilians Totals Ad. Died Ad. Died Ad. Died Ad. Died Diphtheria 3 - - - - - 3 - Cerebrospinal Fever Sent in as Diphtheria 1 - - - - - 1 Tonsillitis β€” β€” 1 β€” β€” β€” 1 β€” Laryngitis 1 - - - - - 1 β€” Bronchitis 1 - - - - -
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1 β€” Scarlet Fever 25 β€” 2 β€” β€” β€” 27 β€” Staphylococcal Septicaemia Sent in as Scarlet Fever - - 1 - - - 1 - Rubella 1 β€” 1 - β€” β€” - β€” Poliomyelitis 3 β€” 2 1 β€” β€” 5 1 Tuberculosis Meningitis 1 1 β€” β€” β€” 1 1 Meningism Sent in as Poliomyelitis 1 - - - - - 1 β€” Vincent's Angina 1 - - - - - 1 β€” No appreciable disease 1 - - - - - 1 β€” Encephalitis lethargica β€” β€” 1 - β€” β€” 1 β€” Measles 16 β€” 3 - β€” β€” 19 β€” Vulva vaginitis sent in as Measles 1 - - - - - 1 β€” Rubella β€” β€” β€” - 1 β€” 1 β€” Measles sent in as Rubella 2 - - - -
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- - β€” Influenza 1 - - - - - 1 β€” Whooping Cough 5 - - - - - 5 β€” Bronchitis, sent in as Whooping Cough 1 - - - - - 1 β€” Pneumonia 5 - - - - - 5 β€” Measles sent in as Pneumonia β€” β€” 1 - β€” β€” 1 β€” Bronchitis 1 - - - - - 1 β€” Pulmonary tuberculosis 1 1 - - β€” β€” 1 1 Broncho-pneumonia 1 - - - - - 1 β€” Pulmonary tuberculosis 1 - - - - - 1 β€” Erysipelas 6 - - - - - - - Paratyphoid Fever β€” β€” 1 - β€” β€” 1 - Gastro-enteritis, sent in as Paratyphoid Fever 1 - - - - - 1 - Gastritis,
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sent in as Typhoid Fever 1 - - - - - 1 β€” Gastro-enteritis 2 - - - - - - β€” Measles sent in as Enteritis 1 - - - - - 1 - Tonsillitis 1 - - - - - 1 - Bronchitis 1 - - - - - 1 β€” Catarrhal Taundice 1 - - - - - 1 β€” Tonsillitis Sent in as Meningitis 2 - - - - - - - Enteritis 2 - - - - - - β€” Pneumonia 1 - - - - - 1 β€” Napkin Rash 1 - - - - - 1 β€” Pyelitis, sent in as Food Poisoning 1 - - - - - 1 β€” Peritonitis, sent in as Diarrhoea and Vomiting 1 - - - - - 1 β€” 96 2 13 1 1 β€” 110 3 32 Deaths.
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(i) Acute anterior poliomyelitisβ€” aged 3 yearsβ€”not a Barnes case, admitted in March from another area under reciprocal arrangementsβ€”severe attackβ€” died four days after admission. (ii) Acute pulmonary tuberculosisβ€” aged 41 yearsβ€”admitted 17th February as pneumoniaβ€”died 20th April. Arrangements had been made for admission to sanatorium but patient died before vacancy occurred. (iii) Tuberculosis meningitisβ€” aged 6 yearsβ€”admitted 26th July as suspected poliomyelitisβ€”died 12th August. Cross Infection. There was no instance of cross infection during the year. Miexd Infections. Two patients were admitted with two concurrent infections during 1947 β€”one with measles and dysentery and the other with scarlet fever and chickenpox. Complications. (1) Scarlet Fever. (4) Pneumonia. Peritonsilar Abscess.
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Toxic Encephalitis. Cervical Adenitis, 3. Furunculosis, 2. (2) Measles. (5) Herpes Zosta. Catarrhal Laryngitis. Erysipelas. Stomatitis. (3) Whooping Cough. (6) Staphylococcal Septicaemia. Perionychia. Erythema Nodosum. Table 34.β€” Laboratory Facilities. Specimens examined during the year were as follows:β€” Sputa 52 Swabsβ€”Throat 99 ,, β€”Nose 43 ,, β€”Eye 2 ,, β€”Vagina 1 Bloodβ€”Widal 2 β€ž β€”Culture 11 β€ž β€”Counts 2 Cerebro-spinal fluid 6 Faeces 51 Urine 32 Total 301 33 maternity and child welfare. Table 35.β€” Home-Visiting.
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A summary of the work performed by the three Health Visitors during the year is given below:β€” Visits to expectant mothers 760 First visits to newly-born infants 1,088 Revisits to infants under 1 year 1,321 Visits to children aged 1 to 5 years 1,653 Still-birth inquiries 10 Special visits to cases of measles 556 ,, ,, ,, ,, whooping cough 109 ,, ,, ,, ,, ,, pneumonia 14 Visits to foster children 68 Visits in connection with infectious diseases other than those above specified 637 Total visits 6,316 Table 36.β€” Social Welfare Worker. Care of Unmarried Mothers and their Children. Number of cases brought to the notice of the department during the year:β€” through local authority records, clinics, health visitors 34 by nursing homes, hospitals, police, clergy, etc.
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12 by mothers themselves 10 Total 56 Number of cases visited for the first time during the year 56 ,, ,, home-visits and revisits to all known cases 575 ,, ,, visits to employers, relatives, institutions, hostels, etc. in connection with cases 307 938 Number of mothers:β€” (a) admitted to:β€” ante-natal or post-natal homes 12 long-stay training homes β€” short-stay shelters 10 special homes for confinements 4 (b) for whom:β€” residential employment was found 15 non-residential employment was found 10 housing accommodation was found 2 arrangements were made for return to native land β€” Number of mothers concerned who were,
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at the end of the year living :β€” with without child child Total as married 10 β€” 10 in own homes with husbands (extra-marital) β€” β€” β€” with parents or relatives 8 8 16 at homes of employers (residential employment) 10 3 13 in lodgings 5 9 14 in institutions or hostels 3 β€” 3 34 Affiliations :β€” Number obtained through court procedure 3 , arranged voluntarily 8 , of mothers who refused to make application 4 Number of children for whom arrangements were made:β€” for adoption 12 for admission to homes, institutions or residential nurseries 3 to be cared for by foster-mothers 5 to remain with mothers, or relatives (64%) 36 Table 37.β€” Notification of Births. (a) Registered in Borough :β€” Live Births. Still Births. T'otals.
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Number of births registered during 1947 as occurring in the Borough 648 10 658 Number of such births not notified in accordance with the Public Health Act 1936, Part VII 1 1 2 (b) Notified. Number of births, live and still, notified during the yearβ€” Residents. Outward Transfers. Total by medical practitioners 4 1 S by midwives 336 329 665 by other persons β€” β€” β€” Total notified 340 330 670 Number of still-births notified during the year Percentage of still-births to total births occurring in the Borough 7 2'1 3 0-9 10 1-5 (c) Premature Infants. Number of births notified during the year as occurring in the Borough where the baby weighed less than 5Β½ lbs. at birth :β€” Place of birth.
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Number Notified Nursed entirely at place of birth Transferred to Hospital Who died during first 24 hours Who survived one month At home 3 3 β€” β€” 3 At private mat. home 8 8 β€” 2 4 Totals 11 11 β€” 2 7 35 Table 38.β€” Institutional Confinements. In institutions within the Borough 175 In registered maternity homes 175 In institutions outside the Borough 370 In general hospitals 29 In maternity hospitals 89 In Public Health County hospitals 195 In Public Assistance institutions 26 In maternity homes 31 Total 545 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 217 MATERNITY AND CHILD WELFARE CENTRES. Table 39.β€” Ante-Natal Clinic.
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Year 1946 Year 1947 Total number of expectant mothers attending Borough ante-natal Clinic during the year 486 511 Number of new cases attending for first time and included in total number 404 458 Number of attendances made by all mothers Percentage of expectant mothers of total notified 1,863 2,017 births attending Borough Clinic 78-1 76-3 Table 40.β€”Infant-Welfare Clinics.β€”Attendances. Year 1946. Year 1947. New Cases Infants under 1 year 532 600 Children 1 to 5 years 98 69 Total 630 669 Number of Children attending during the year :β€” Infants under 1 year 744 879 Children 1 to 5 years 545 522 Total 1,289 1,401 Number of attendances made by:β€” Infants under 1 year 6,873 7,899 Children 1 to 5 years 3,135 3,
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021 Total 10,008 10,920 Mothers 9,048 10,018 Number of consultations with Medical Officer 3,061 3,216 36 Average attendance per week : Infants under 1 year 134.8 l54.1 Children 1 to 5 years 61.5 58.9 Total, all children 196.3 213.0 Number of children attending Centre for first time during the year : Percentage of total births assigned to the Borough represented by this figure 73.3 85.6 Table 41β€”Home Help Service.
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Confinements Other Maternity reasons Totals Cases booked in 1946 for attendance during 1947 12 - 12 Applications received during 1947 58 16 74 Cases attended during 1947 47 14 61 Cases booked but not yet attended 18 β€” 18 Cases booked but not attendedβ€” mother admitted to hospital in emergency 3 β€” 3 Applications received but cases not attended because :β€” (a) Home Helps already booked and not available - - - (b) Applicants withdrew applications 2 2 4 Table 42.β€” Child Life Protection.
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The following is a summary of the cases on the Register during 1947:β€” Foster.mothers on the Register at the beginning of the year 5 ,, β€ž added to the Register 4 ,, ,, removed from the Register, having ceased to have care of children 3 ,, β€ž on the Register at the end of 1947 6 Foster.children on the Register at the beginning of the year 5 ,, ,, in respect of whom Notice of Reception was received 4 ,, ,, removed from the Register during the year :β€” returned to care of parents 3 ,, ,, on the Register at the end of 1947 6 Number of visits of inspection made by Health Visitors during the year 68 37 Table 43.β€” War Time Day Nurseries.
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BARNES NURSERY MORTLAKE NURSERY BOTH NURSERIES Age-groups 0β€”1 1β€”2 2β€”5 Total 0β€”1 1β€”2 2β€”5 Total 0β€”1 1β€”2 2β€”5 Total Places available in Nursery 5 15 25 45 5 15 30 50 10 30 55 95 Children in attendance 31st December,
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1946 3 7 37 47 5 9 33 47 8 16 70 94 Children admitted during 1947 8 15 23 46 5 12 27 44 13 27 50 90 Total children attending 11 22 60 93 10 21 60 91 21 43 120 184 β€ž ceased attending 2 4 36 42 3 4 36 43 5 18 72 85 β€’Still in attendance 31 Dec. 1947 4 12 35 51 2 8 38 48 6 20 73 99 (* The final figures have been adjusted to show age-grouping at end of year.)
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1946 1947 1946 1947 1946 1947 Total attendances made by children 10,566 10,164 10,486 10,870 21,052 21,034 Average daily attendance 35 33 35 36 69 70 38 Table 44.β€” Adoption of Children. Number of Notices of Reception received during 1946 still on Register at 1st January, 1947 6 Number of Notices of Reception received during 1947 10 Number of children adopted during year 12 β€ž β€ž removed from Register for other reasons β€” Number of children still on Register awaiting adoption at 31st December, 1947 4 Table 45.β€” Voluntary Associations. (1) Nursing Associations.
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Barnes District Nursing Association Mortlake District Nursing Association Totals Home-visits in connection with maternity and child welfare 29 29 58 ,, β€ž to cases of pneumonia 27 59 86 β€ž β€ž β€ž β€ž β€”influenza 3 49 52 β€ž β€ž to other general and surgical cases 8,907 12,971 21,878 8,966 13,108 22,074 R. W. Simpson & Co., Ltd., Printers. 70, Sheen Road, Richmond, and Barnes High Street. (2) Barnes and Mortlake Day Nursery. Accomodation :β€” 0-2 yrs. 2-5 yrs. Total.
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Places available 6 20* 26 Children in attendance 31st Dec., 1946 4 18 22 Attendances :β€” Whole-day 4,249 Half-day 1,392 (*During the winter months the number of places available in the 2-5 year age-group is 19).