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9df1bb53-73d6-4de1-a655-8fe7406e999d | BOROUGH OF BARNES Annual Report Medical Officer of Health For the Year 1948 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1948 R. HILL, M.B., B.CH., B.A.O., D.P.H. Medical Officer of Health. 2 BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health. R. Hill, M.B., B.Ch., B.A.O., D.P.H. Chief Sanitary Inspector. W. L. Leach, D.P.A., Cert.S.I.B., Cert. Meat and Food Insp. Deputy Chief Sanitary Inspector. P. J. Shannon, Cert.S.I.B., Cert. Meat and Food Insp. Additional Sanitary Inspectors. F. A. Sadler E J Silvfster Cert.S.I.B., Cert. Meat and Food Insp. * Health Visitors. |
a9d0f92b-61f1-416f-b1e8-180001fd1abc | 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. * Miss A. A. Morrell. Mrs. P. M. Oakley. *Miss J. Campbell. Temporary Clerks. Miss J. Dupille. f Matron of the hifectious Diseases Hospital. Miss M. McPhee, S.R.N., R.F.N., S.C.M. * Matrons, Day Nurseries. |
5d5b0cf0-a3db-46d9-a0bf-f6490d1c848f | 47 Castelnau, Barnes— Miss D. L. Rhodes, S.R.N. 2 and 4Sheen Gate Gardens—Miss J. M. Cleghorn, S.R.N., R.F.N. † Transferred to Regional Hospital Board from 5th July, 1948. * Transferred to S.C.C. from 5th July, 1948. 3 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 first Annual Report as Medical Officer of Health of the Borough of Barnes on the health of the Borough during 1948. Throughout 1948 I continued as Acting Medical Officer of Health, pending a decision between the County and the Borough Councils as to the best arrangement for the fulfilment of both County and Borough Councils' work. |
9b8f908c-a680-4e35-9157-b094ecec67f4 | Eventually it was decided I be appointed Medical Officer to the Barnes Borough Council while remaining a County Officer, being seconded to the Borough Council for my duties to that authority as Medical Officer of Health. I have now, therefore, a dual personality, 40 per cent. of my time being available as Medical Officer of Health for the Borough, the remaining 60 per cent. as an Assistant County Medical Officer for personal health and school medical work. From 5th July, the administration of the maternity and child welfare services was taken over by the Surrey County Council, so that Barnes Borough Council was responsible only for these services until that date. Nevertheless, for comparative purposes, it seemed better to include annual figures where possible, and, with the permission of the County Council, I have been enabled to provide annual statistics in respect of most of the maternity and child welfare and allied services. The tables in which this has been done have been marked throughout the report with an asterisk (*). |
ec429d2a-2e7e-4f41-b0ae-d11d07b28631 | With the introduction of the National Health Service Act, the Barnes Infectious Diseases Hospital was taken over by the Regional Hospital Board, and the Ambulance Service by the Surrey County Council, so that information in connection with these services relates solely to the period 1st January until 4th July, 1948. May I take this opportunity of expressing my thanks to the Council for the confidence placed in me by appointing me their Medical Officer of Health, and my appreciation of their keen interest in all matters relating to public health. I should like to pay tribute to all the members of the staff of the Public Health Department, including those who have been 4 ferred to the Surrey County Council, and to the Matron and staff of the Infectious Diseases Hospital, for their good work and loyal co-operation. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, ROSETTA HILL, July, 1949. Medical Officer of Health. |
a4dd4948-5d65-4364-a979-48634b8bc8d3 | 5 BOROUGH OF BARNES. REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1948. PREFACE. In accordance with Ministry of Health Circular 3/1949, the Annual Report for 1948 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. STAFF. Mr. C. S. Perchard's period of office as Chief Sanitary Inspector and Housing Manager having been extended for a period of one year from the date of his retirement in 1947, he relinquished his appointment as Chief Sanitary Inspector on the 20th September, 1948, although, the Housing Section of the Department then having been made into a separate department, he continued in his capacity of Housing Manager until the 31st December, 1948. Mr. |
90d51a71-06f4-4b43-a555-2f6c5a5a04be | W. L. Leach, who had been Deputy Chief Sanitary Inspector, was appointed Chief Sanitary Inspector as from the 21st September, and in October Mr. P. J. Shannon was promoted to the vacancy of Deputy Chief Sanitary Inspector, which had resulted from Mr. Leach's appointment. The vacancy in the ranks of the District Sanitary Inspectors this caused has not been filled, and the question of whether or not to do so has been postponed sine die. As from the 5th July, 1948, the Matron of the Infectious Diseases Hospital and the staff of that Hospital were transferred to the Regional Hospital Board; the three Health Visitors, the Social Welfare Worker, the Matrons of the Day Nurseries and their staffs, the Ambulance Service staff, and the Home Helps were transferred to the County Council, together with the following members of the Administrative and Clerical section of the Health Department:- the Chief Clerk, Mr. |
da33c10a-d902-4e10-adb2-2867aee885d8 | Forrest, Miss Fairclough, Miss Morrell (who had been appointed in April for duties in connection with the School Medical Services), and Miss Campbell. Other alterations in the staff were as follows:—Mrs. S. O. Brown, Matron of the Sheen Day Nursery, resigned and left the 6 service on the 30th June; Miss J. Cleghorn was appointed Matron in her place and commenced duties on the 28th June. Miss D. L. Rhodes resigned her appointment as Matron of Castelnau Day Nursery, but did not actually cease duties until after the 4th July, and was still among the staff transferred to the County on that date. Miss J. Dupille, a temporary clerk, resigned and left on the 26th December. Mr. D. Rundle, a temporary clerk, did not elect to resume his employment in the Department after his period of National Service expired. |
9d64bc92-b5ae-4323-b06e-0ca0da87a7f8 | PREVALENCE OF, AND CONTROL OVER INFECTIOUS DISEASES. The incidence of infectious disease in the Borough during 1948 was once again very low, and it is pleasing to be able to record that, with the exception of one from acute infectious encephalitis, no death occurred from any of the major notifiable infectious diseases. Poliomyelitis. In the autumn there were four cases of poliomyelitis in the Borough—two adults and two children. Two of the cases occurred, in one family—a child of six years developed the disease, and his mother later becoming infected. The two children affected both attended the same school. Three of the cases were severe, and one was slight; all the patients were treated in hospital, and all recovered with varying degrees of residual paralysis. This outbreak, in view of its apparently completely isolated nature from cases in any other area, was not only investigated by this Department, but also by special investigators of the Ministry of Health. |
86564bbe-fe9a-4b21-ae30-45fab103a9d5 | Despite the most intensive inquiries, no source of infection could be ascertained. Tuberculosis. The number of new cases of pulmonary tuberculosis notified during 1948 was smaller by more than a third of the total of the previous year, which had been unusually high. At the end of the year, and continuing into 1949, the Barnes Borough Council arranged for the Mass Radiography Unit of the South-West Metropolitan Regional Hospital Board to visit the district to afford free facilities for x-ray to residents of the Borough and staffs of business houses and commercial undertakings. Besides sessions for the general public, special sessions were held for school children, for staffs of business houses and large finms. Publicity was given through the media of posters, 7 wide distribution of handbills, cinema slides, the local newspaper, and by personal visiting. The attendance was very satisfactory, and the following is a summary of the results :— Attendances Males. Females. Total. |
c54ba6fe-9e11-4e2e-9961-8a1faa4594ec | of general public 587 582 1,169 of staffs of business houses 360 125 485 of school children 319 162 481 Totals 1,266 869 2,135 Number recalled for large film X-ray 58 41 69 *Abnormalities discovered 97 67 164 (* Diagnosed from both miniature and large films.) Of the 164 persons showing abnormalities, five only (three men and two women) were discovered to be suffering from active pulmonary tuberculosis. The other conditions detected were mainly old cases of tuberculosis now recovered, some other less serious chronic chest conditions, and a few congenital abnormalities of the chest. DIPHTHERIA AND WHOOPING COUGH IMMUNISATION. These are services which have been transferred to the County Council. |
a80d4d2b-50dd-46ed-a839-d00662ce29cc | With the consent of the County Council, figures for the whole year have been included, and reference to Tables 11 and 12 shows that there was no diminution in the number of parents availing themselves of the facilities. During the year the use of a combined diphtheria-whooping cough prophylactic was introduced, thus enabling protection against both diseases to be given in one series of injections. Schick-testing three months after the initial series of injections as a check upon immunity, and at two-yearly intervals subsequently, was abandoned, and, instead, a scheme for giving a boosting dose just prior to admission to nursery or primary school, five years afterwards and at schoolleaving age, was introduced. In addition, arrangements are now in force for private doctors within the National Health Service to give the necessary injections wherever parents so prefer it, the material for the injections being obtained (hrough the local Health Department. |
16f32d91-c016-471d-872c-762f4a094291 | In practice, it would appear that the great bulk of the children continue to receive the injections through the Health Centres. 8 INFANT MORTALITY RATE. The number of deaths of infants under one year during 1948 was 12, and the death rate per 1,000 live births 20.8—by far the lowest rate ever recorded in the area. The rate for England and Wales for 1948 was 34. The previous lowest rate for the Borough had been 32.9 in 1943. It is unwise to stress too much a very low rate for one year only, but as a matter of interest the average for Barnes for the six years prior to the war (1934-1939) was 53 per 1,000 live births; for the six war years (1940-1945), 45 ; and for the three post-war years (1946-1948), 31. |
05907fe2-a9f0-46d2-861c-2f19818fa73a | There can be little doubt but that the increased supervision of the expectant mother, the greater use of ante-natal clinics, and the specialist obstetric services, the growth of consciousness of the importance of a wise and well-balanced diet for expectant mothers, have all contributed lo the general lowering of infantile mortality throughout the country-—a result in which the work of the Maternity and Child Welfare Service has played no little part. REMOVAL OF PERSONS IN NEED OF CARE AND ATTENTION. Section 47 of the National Assistance Act, 1948, makes special provision for securing the necessary care and attention for persons who are suffering from grave chronic disease, or, being aged, infirm or physically incapacitated, are living in insanitary conditions, and are unable to devote to themselves, and are not receiving from other persons, proper care and attention. Previously, only a few local authorities had powers under private Acts to require the removal of such persons to a place where they can receive proper attention. |
90edfd05-1c7d-44b5-92cd-aefcc6d1280e | Under the powers conferred by this Section, application may be made, if necessary, to the Magistrates for the compulsory removal of these unfortunate people. Difficulty, however, in dealing with these cases is not the refusal of the person to be removed, but the problem of finding a suitable hospital or residential accommodation to which they can be transferred. Although no applications to the Magistrates were necessary, there have been several cases where action has been taken by the Department in cases where sick and elderly persons living alone needed care and attention. In these cases the closest liaison is maintained with the Social Welfare Officers of the County Council, and I am pleased to say that arrangements have been made for direct approach to the local hospital organisation. Unfortunately, the demand for accommodation for the elderly infirm is greatly in excess of the supply, and it is to be hoped that this position will be remedied at an early date. The conditions found on investigating these cases revealed an appalling state of affairs. Aged persons. |
51e0f0a0-7ba8-4093-ac8a-974a95824d77 | 9 often without relatives and with very few friends, eke out a miserable existence, often in neglected and cramped accommodation. When sickness and infirmity overtake them, they become dependent on the charity of neighbours for such attention and sustenance as they require. Whilst medical and nursing care are available to them, and in certain cases domestic help also, facilities are lacking for the preparation of early and late meals and for someone to keep an eye on them at all times. SANITARY INSPECTION OF THE DISTRICT. Housing maintenance and the control of food preparation premises has taken up most of the time of the sanitary inspectors during the year. The enforced neglect of property repairs, together with the accumulated effects of war damage, results in a continuous flow of complaints by householders. Good progress has been made, however, and arrears of work are being steadily overcome. |
0a6a69fe-6e53-4b0d-89ce-1dcdb8225c60 | There is less difficulty in obtaining labour and materials for essential repairs, and it has not been found necessary to resort to formal proceedings in as many cases as in the last few years. The inspection of premises where food is prepared, handled and sold has received more attention, and it is gratifying to note that improved standards of hygiene in catering establishments are being maintained. It has been possible to pay more attention to conditions in the factories and workplaces in the Borough, and the miscellaneous types of premises which come under the control of this Department have received attention in proportion to their importance from the public health aspect. It has not been found possible to carry out much work in connection with the provisions of the Shops Acts, 1912-1936. The health and comfort provisions of these Acts, however, have usually been dealt with, when opportunity afforded, in conjunction with action taken with shops under the Food and Drugs Act, 1938. FOOD HYGIENE CAMPAIGN. |
138be380-b26c-4b47-a0ae-5787891d9830 | During May a modest attempt to excite public interest in food hygiene was undertaken. Through the kindness of a local firm of food distributors, suitable displays were arranged in shops' windows in Barnes and East Sheen respectively. Posters and exhibits were displayed, giving good and bad examples of food hygiene. By the co-operation of the firm mentioned, photographs relating to clean milk production were also exhibited. These displays attracted a good deal of attention from passers-by. Two public lectures were arranged and advertised, both in the local papers and by poster throughout the district. The public response 10 was very poor indeed, only a few people attending each lecture. Those who did attend heard a very interesting' discourse on food and drink infections, but it would appear that it was a case of preaching to the converted." As in many other trades, the personnel engaged in food distribution are insufficiently educated as to the consequences of lax standards. |
7d00047f-efe9-4e71-bd94-b2fa8925a79e | It would appear from our experience in this realm of publicity that the best results are to be obtained by individual approach to the workers at their places ol employment. WATER SUPPLY. The water supply of the area has been satisfactory, both in quality and quantity. The few complaints that were received were found to be due to conditions of storage and distribution on the occupiers' premises, and appropriate action was taken to have these conditions remedied. Water is supplied by the Metropolitan Water Board ; a piped supply is provided to every house in the district, and control samples are taken regularly and frequently by the Board's officers. RODENT CONTROL. Apart from one major infestation at the Kew Meadows Path Piggeries and Refuse Destructor, no great difficulty was experienced in dealing with rat infestation during 1948. |
d15e6905-cc83-4695-9f66-59f0204d85e1 | It is satisfactory to note that the degree of infestation in the sewers, although not serious to start with, is now very slight, and routine maintenance treatments at six-monthly intervals are all that is necessary. The majority of infestations on private property were small ones, involving chicken-houses, etc., and were usually disposed of in one treatment. The treatments on private property have been carried out free of charge, and a grant of 50 per cent. towards the cost of rodent control measures has been made by the Ministry of Agriculture and Fisheries. A few infestations involving business premises were satisfactorily dealt with and the costs recovered. BOROUGH OF BARNES APPENDIX to the annual report of the Medical Officer of health 1948. 12 STATISTICS AND TABLES BOROUGH OF BARNES. VITAL STATISTICS. |
f3755596-9818-4b9f-949b-40bb03c6b496 | 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, 1948. Population :— Census, 1921 34,281 Census, 1931 42,440 Estimated—Mid-year, 1948 (Reg. Gen.) 40,560 Births :— Birth-rate (per 1,000 of population) 14.2 Live Births :— Total. M. F. Legitimate 547 283 264 Illegitimate 29 15 14 Total 576 298 278 Still Birth-rate (per 1,000 total births) 12.0 Total . M. F. Still Births (Legit. 5; Illegit. |
0634b31a-c4ad-402d-a4ee-1b372797f75c | 2) 7 5 2 Deaths:— Death-rate, all causes (per 1,000 of population) 11.0 Total. M. F. Deaths (all causes) 445 215 230 Death-rate from Cancer (per 1,000 of population), 87 deaths 2.1 Death-rate from Zymotic Diseases (per 1,000 of population) - Death-rate from Maternal Causes (per 1,000 total births) Deaths from Puerperal Sepsis 1.7 ,, ,, Other Puerperal causes Death-rate of infants under one year (per 1,000 live births) 20.8 Death-rate for Legitimate infants (11 deaths) 201 Illegitimate infants (1 death) 34.5 Table 2.—Vital Statistics of the Borough of Barnes during 1948 and previous 5 Years Year. Registered Births Total Deaths Registered in the District. Transferable Deaths. Nett Deaths belonging to the District. |
8504902c-1a78-4531-93b8-ccc9fdaddc7a | Uncorrected Number. Nett. Number. Rate. Of nonresidents registered in the District. Of residents registered out saide 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 5 6 7 8 9 10 11 12 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 13.6 1946 629 726 18.3 301 7. |
1a812c59-4f0e-4f5b-b0e9-8e426b1698c6 | 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 1948 460 576 14.2 252 6.2 23 216 12 20.8 445 11.0 13 Table 3.—Birth-rate, Death-rate, and Analysis of Mortality during the Year 1948, with corresponding rates for england and wales, 126 great towns, 148 smaller towns, and for the County of London for comparison. Birthrate per1.000 total Population. Annual Death-rate per 1.000 Population. Death-rate per 1000 Births Maternal Mortality rate per 1,000 Total Births All Causes Typhoid & Paratyphoid Whooping Cough. Diphthrea. Tuberculosis Influenza. |
d790d878-ae35-4605-aa02-88ae9433368c | Small-pox Poliomyelitis or Enceph. Pneumonia Diarrhæa and Enteritis (under 2 years). Total Deaths under One Year All Causes Puerperal Infection. Other Causes. England and Wales 17.9 10.8 0.00 0.02 0.00 0.51 0.03 - 0.01 0.41 3.3 34 1.02 0.24 0.78 126 County Boroughs and Great Towns, including London 20.0 11.6 0.00 0.02 0.00 0.59 0.03 - 0.01 0.38 4.5 39 Not avail able 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 Census, 1931) 19.2 10.7 0.00 0.02 0. |
29bbd771-6d2c-4cd8-83cd-9114ce98ecc3 | 00 0.46 0.04 - 0.01 0.36 2.1 32 London 20.1 11.6 0.00 0.01 001 0.63 0.02 - 0.00 0.54 2.4 31 Barnes Borough 14.2 11.0 - - - 0.47 0.05 — 0.02 0.39 - 22 0.02 - 0.02 14 15 Table 4.—Causes of Death during the Year 1948. 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. . |
8ce24cbe-0ad1-4169-a53b-771493a51a29 | 17 12 5 7 Other forms of tuberculosis 2 1 1 8 Syphilitic diseases 4 2 2 9 Influenza 2 — 2 10 Measles — — — 11 Acute poliomyelitis and polioencephalitis — — — 12 Acute infectious encephalitis 1 1 — 13 Cancer of buccal cavity and oesoph. (m); uterus (f) 4 2 2 14 „ stomach and duodenum 17 8 9 15 „ breast 7 — 7 16 „ all other sites 59 30 29 17 Diabetes 5 1 4 18 Intra-cranial vascular lesions 62 23 39 19 Heart Disease 130 61 69 20 Other diseases of circulatory system 12 4 8 21 Bronchitis 21 15 6 22 Pneumonia 16 7 9 |
c09bab53-9629-445e-b972-b7a53c12b61e | 23 Other respiratory diseases 7 2 5 24 Ulceration of stomach or duodenum 8 5 3 25 Diarrhoea under 2 years — — — 26 Appendicitis 3 3 — 27 Other digestive diseases 7 2 5 28 Nephritis 13 9 4 29 Puerperal and post-abortive sepsis — — — 30 Other maternal causes 1 — 1 31 Premature birth 2 2 — 32 Congenital malformations, birth injury, infintile diseases 6 4 2 33 Suicide 7 2 5 34 Road traffic accidents 1 1 — 35 Other violent causes 8 4 4 36 All other causes 23 14 9 All Causes 445 215 230 16 Table 5.—Infant Mortality during the Year 1948. |
b0c0515b-da65-441d-b5d9-ffc52b957a40 | Causes of death, at various ages, of infants under one year. Caiikh of Death Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 tteeks. Total under 4W'ks J-3 Months 3-6 Months 6-9 Months. 9-12 Months. Total under 1 Year Deaths in the Brough Deaths outside the Borough. |
0a01ceef-256a-4252-9b48-bd1c7224ce14 | Deaths in Institu'ns Premature Birth 3 ... ... ... 3 ... ... ... ... 3 ... 3 2 Congenital Malformations ... ... ... ... ... ... 1 ... ... 1 l ... ... Injury at Birth 1 ... ... ... 1 ... ... ... ... 1 ... 1 1 Atelectasis 1 1 ... ... 2 ... ... ... ... 2 ... 2 2 Marasmus 1 ... ... ... 1 ... ... ... ... 1 1 ... ... Broncho-pneumonia ... ... ... ... ... l ... 1 ... 2 l 1 1 Violence 1 ... ... ... 1 ... 1 ... ... 2 2 ... ... All causes 7 1 ... ... 8 1 2 1 ... 12 5 7 6 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. Incidence of Notifiable Infectious Diseases. |
9a15beb7-0cde-4802-88ef-8f70d3ff7bca | Comparison between the incidence of certain of the notifiable infectious diseases in Barnes, and in London and England and Wales, is shown below:— Table 6.—Infectious Diseases: Incidence per 1,000 of the Population in 1948. Disease. Barnes. London. England and Wales. |
7137f9bd-4f60-4cb0-b1a1-c5d303e0114d | Typhoid Fever - 0.00 0.01 Paratyphoid Fever — 0.01 0.01 Cerebro-spinal Fever — 003 0.03 Scarlet Fever 0.74 1.37 1.73 Whooping Cough 1.38 3.13 3.42 Diphtheria 0.07 0.10 0.08 Erysipelas 0.25 0.22 0.21 Small-pox — — — Measles 3.89 9.17 9.34 Pneumonia 0.50 0.57 0.73 Acute Poliomyelitis 0.10 0.04 0.04 Acute Polioencephalitis — 0.00 0.00 17 †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. |
ada0581b-c915-49bd-81e6-c047ee01a9eb | Table 8.—Notifiable Infectious Diseases, 1938 to 1948. Year. 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 Diphtheria 1 4 5 13 6 3 15 12 5 2 3 Scarlet Fever 52 36 39 21 34 184 50 36 43 27 30 Typhoid Fever 1 — 1 — — 2 — — — — Paratyphoid Fever 1 1 1 1 — 1 — — 1 — — Puerperal Pyrexia 4 3 2 1 4 1 — 3 1 — — Erysipelas 6 10 4 5 6 5 10 3 5 10 10 Continued Fever — — — — — — — — — — Relapsing Fever - - - |
49c0de44-8ac5-4f7f-965e-a2f3e42b380e | - - - - - - - - Typhus Fever - - - - - - - - - - - Small-pox - - - - - - - - - - - Cholera - - - - - - - - - - - Plague — — — — — — — — — — - Tuberculosis. P. 25 35 32 39 42 43 50 39 35 62 40 ,, Non-P. 8 3 4 4 7 7 1 6 5 9 5 Cerebro-spinal Fever. . 2 1 5 4 3 2 — — 2 1 - Poliomyelitis 1 — — — 1 — — — 1 4 4 Ophthalmia Neonatorum 1 — 2 1 — 1 1 1 2 2 1 Measles 387 8 79 63 712 111 68 358 177 |
ab796b51-365e-4b6d-a99b-9bba0de24d1f | 437 158 Encephalitis Lethargica — — — — — — — — — — — Polioencephalitis - - - - - - - - - 1 — Malaria - - - - - 1 - - - - - Dysentery 1 — — 1 1 2 1 9 71 — 4 Pneumonia 18 14 14 21 16 20 18 20 19 16 20 Whooping Cough * 5 2 151 73 82 108 71 66 94 56 • Not notifiable. Table 7.—Notifiable Infectious Diseases, 1948. Diseases. Total Cases Notified. Ages, In years. Parish Removed to Hospital. Total Deaths of Residents† Under 1 year' l to 2. 2 to 3 3 to 4. 4 to 5. |
25c2d440-a0b3-4eb7-9a43-ac0841fc6f25 | 5 to 10 10 to 15. 15 to 20. 20 to 25. 25 to 35. 35 to 45. 45 to 65. 65 and over. Barnes. Mortlake. |
94165232-360b-4bcd-a8f0-159e2234f92f | Diphtheria 3 - - 1 - - 1 - 1 - - - - - 3 3 - Scarlet Fever 30 - 1 — 1 1 11 5 4 1 3 2 1 - 11 19 19 - Poliomyelitis 4 - — — — - 1 — 1 — 1 1 — — 2 2 4 - Dysentery 4 — — — — — — 2 1 — — 1 — — - 4 - — Measles 158 3 17 19 16 21 69 5 1 2 4 — 1 — 105 53 5 - Whooping Cough 56 3 4 6 13 3 26 1 — — - - - — 33 23 4 - Pul. |
f7231f8a-e450-4bf3-ac3a-845c6b0afe2b | Tuberculosis 40 — — — — 1 1 — 7 7 10 4 7 3 18 22 39 17 Non-Pul. |
fc1de00a-33fe-4042-ae66-184d07e8344a | Tuberculosis 5 — - - - - - - - 1 1 1 2 — 3 2 4 2 Pneumonia 20 2 — — 2 — 2 — 2 2 — 8 2 12 8 7 16 Erysipelas 10 — - - - - - - - - - - 6 4 4 6 4 - Ophthalmia neonatorum 1 1 — — — — - - - - - - - - — 1 — — All Diseases 331 9 22 26 32 26 110 14 14 14 21 9 25 9 188 143 89 35 18 Table 9.—Showing the Notifications of Infectious Diseases Received during 1948 arranged in Four-Weekly Periods. Fourweekly period ending Diphtheria. Scarlet Fever. Measles. |
842e629a-5852-49d8-bcf2-58b72d7b6743 | Whooping Cough Pneumonia Erysipelas Ophthalmia Neonatorum. , Poliomyelitis Dysentery Jan. 24 - 3 5 4 5 4 - - - Feb. 21 — 3 1 14 2 1 1 — 1 Mar. 20 1 8 9 3 1 — — — — April 17 — 3 37 5 3 2 — — — May 15 — 4 44 10 2 1 — — — June 12 1 2 33 5 — — — — — July 10 — — 15 2 - - - - - Aug. 7 — — 8 5 1 — — — 3 Sept. 4 - — 2 4 1 — — — — Oct. 2 — 2 1 2 1 2 — 1 — Oct. |
78efdba8-ad91-4e10-a160-195f0531a262 | 30 — — 1 1 2 — — 1 — Nov. 27 1 2 — — 1 — — 2 — Dec. 25 — 3 2 1 4 — — — — Totals 3 30 158 56 20 10 1 4 4 Table 10.—Schools. Number in Borough Number of scholars who suffered from:— Scarlet Fever Diphtheria County Primary Schools:— 7 Railway Street—Infants — — Lowther—J. Mixed and Infants 2 — East Sheen—J. M. and Infants 1 — Mortlake—J. M. and Infants 4 — Mortlake C. of E.—Mixed 1 — „ ,, ,, —Infants — — „ R.C.—J. |
8fbb7ed9-8d94-49c3-975a-3f1b79dd1fd5 | M. and Infants — — County Secondary Schools:— 4 Barnes—Boys — 1 „ —Girls 1 — Mortlake—Boys — — „ —Girls — — County Grammar School :— 1 East Sheen and Richmond Boys — — Private Schools 7 1 — Total 19 10 1 19 * Table 11.— Diphtheria Immunisation Clinic. The Following Table Shows the Position on 31st December, 19 4-8, in Respect of the 837 Children who Attended the Clinic during 1948. Position on 31 Dec., 1948 1. |
4dc6f59a-6f18-4808-9cca-6bc8d7228d63 | TOTAL CASES dealt with during 1948 662 (A) Continued in Attendance:— 641 (a) Post-Schick Negative (Certificate) 419 (6) Completed injections, awaiting Post-Schick test *198 (c) Receiving injections at end of year 24 (B) Discontinued Attendance:— 21 (a) Completed injections — failed to attend for PostSchick test *2 (b) Did not complete injections 11 (c) Left district—completed injections— no Post-Schick test *1 (d) Left district before completion of injections 7 2. |
5a9d8e4e-56ed-4529-bd09-9e3b4b5d9c64 | CHILDREN attending for Re-Schick Test two years after immunisation :— 175 (a) Re-Schick test negative—immunisation confirmed 164 (6) Re-Schick test positive—further injections given 4 (c) Attended for Re-Schick test— did not attend for reading 7 TOTAL CHILDREN attending Clinic during year 837 Children invited but did not attend 12 Note.— In addition to the 419 children in respect of whom certificates were given, 201* additional children completed courses of immunising injections during the year, making in all 620 children immunised during the year. *Table 12.— Clinic for Inoculation against Whooping Cough. |
874dfb4c-e76a-439b-86a6-a989b2303da0 | Number of children attending :— Position on 31 Dec., 1948 (a) Completed course of injections 392 (b) Receiving injections at end of year 44 (c) Discontinued injections—left district 3 —ceased attending 14 Total attending clinic during year 453 Children invited but did not attend 11 20 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, 1948 are as under:— Table 13.— Tuberculosis Notification Register. Form of Disease. On Register 1st jan., 1948 Cases Added. Removed from Register. Remaining on Register 31st Dec.. 1948 Primary Motif ns Otherwise. Restored Total NonTub. |
83dacbb5-34c2-4f51-8dff-c57d7df204d5 | Cured Left District Dead Total Pulmonary 320 40 19 5 384 3 11 40 20 74 310 Non-Pulm'y 63 5 3 - 8 1 2 10 4 17 54 All Forms 383 45 22 5 392 4 13 50 24 91 364 Table 14.— Tuberculosis: New Cases and Mortality, 1948. Age-Periods. New Cases.* Deaths. Pulmonary. NonPulmonarv. Pulmonary. NonPulmonary. Male Fem'le Male Fem'le Male Fem'le Male Fem'le 0-1 years - - - - - - - - 1-5 „ 2 - - - - - 1 — 5-10 „ 1 1 - - - - - - 10-15 „ — 1 - - - - - - 15-20 „ |
beee6dae-e198-41c1-b8d8-6566e4be9eef | 5 1 — — — 2 — — 20-25 „ 5 8 1 1 — — — — 25-35 „ 14 2 — 2 1 1 — — 35-45 „ 3 2 — 2 2 — — 1 45-55 „ 4 1 1 — 3 1 — — 55-65 „ 6 1 — 1 3 1 — — 65 „ and over 2 — — - 3 — — — All ages 42 17 2 6 12 5 1 1 * In addition to primary notifications, all other new cases coming to the knowledge of the Medical Officer of Health are included in these figures. |
c8640f99-2d4e-428d-99f2-a66a986e49a1 | Incidence-rate Pulmonary 099 A][ forms 1.11Non-pulmonary 0.12 Death-rate —Pulmonary 0.42 A11 forms 0.47 Non-pulmonary 0.05 21 Table 15.— Tuberculosis: Institutional Treatment. Admissions during 1948 were as under:— Form of Disease. Surrey County Council Other Sanatoria General Hospitals s. Sanatoria Hospitals Pulmonary 6 17 4 12 39 Non-Pulmonary — 2 — 2 4 Totals 6 19 4 14 43 Number of patients admitted : Pulmonary 39 Non-pulmonary 4 INFECTIOUS DISEASES HOSPITAL. Table 16.— Admissions— 1st January to 4th July, 1948. |
b849e7a8-f307-4298-be76-04cb827c3032 | Residents Nonresidents Total Diohtheria 2 - 2 Vincent's Angina sent in as Diphtheria 1 — 1 Tonsillitis 3 — 3 Broncho-pneumonia 1 — 1 No appreciable disease, sent in as diphtheria contact 1 - 1 Scarlet Fever 11 — 11 Measles, sent in as Scarlet Fever 1 — 1 Measles 2 — 2 Whooping Cough 2 1 3 Erysipelas 4 — 4 Broncho-pneumonia 2 — 2 Bronchitis, sent in as pneumonia 2 — 2 Pulmonary Tuberculosis 1 — 1 Gastro-Enteritis 1 — 1 Gastro-Enteritis. |
ed690704-dadd-4f18-85c5-6e84879ca500 | sent in as Chickenpox 1 - 1 Gastro-Enteritis Tonsillitis sent in as — 1 1 Meningitis 2 — 2 37 2 39 Notes.—There was neither death nor instance of cross or mixed infection during the period 1st January to 4th July, 1948. Complications occurred in only two patients during this period; in each case the patient was suffering from Whooping Cough and Broncho-Pneumonia developed. 22 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Table 17.— Laboratory Facilities. Specimens examined during the year were as follows:— Sputa 20 Swabs— Throat 110 „ —Nose 69 — Vagina 1 Blood— Widal 1 „ — Culture 1 Cerebro-spinal fluid 2 Faeces 47 Urine 11 Total 262 *Table 18.— Domestic Help Scheme. |
a3a24273-bdad-4890-bc25-ca8581463436 | Illness Chronic Invalidity Aged & Infirm AliscelJan. Reasons Total Sudden Em'cy Serious Tub. Number of 1947 cases still being attended on the 1st Jan., 1948 - 2 5 5 14 6 32 Number of NEW applications received during 1948 19 23 4 7 14 8 75 TOTAL cases dealt with during 1948 19 25 9 12 28 14 107 Cases attended during 1948 18 25 9 12 27 14 105 Not Attended Application withdrawn— other arrangements made 1 - - - 1 - 2 Domestic help not available — - - - - - - Not within scope of scheme - - - - - - - Totals 1 — — — 1 — 2 43 Table 19.— Borough Accident and General Purposes Ambulance Service: Period 1st January to 4th July, 1949. |
1a546fa4-dd30-4cab-8dcf-9cfea7d23442 | Number of Cases Mileage Accidents 133 579 Removals after accident 25 127 Maternity 136 1,295 Other purposes 437 3,318 Totals 731 5,319 Table 20.— Cleansing and Disinfestation of Verminous Persons. Treated at Borough Cleansing Station. For Verminous Head For Verminous Body For Scabies Totals No. of Persons Attendances No, of Persons Attendances No, of Persons Attendances No. of Persons Attendances Children under school-age - - - - 6 12 6 12 Schoolchildren 24 29 — — 10 19 34 48 Adults 3 12 1 2 27 51 31 65 Totals 27 41 1 2 43 82 71 125 Table 21.— Infected and Infested Rooms and Articles (dealt with by the Council). |
478ae751-137d-4240-aab7-5ee70de83f07 | Premises disinfected 74 Rooms disinfected 87 Lots of bedding disinfected 122 ,, „ destroyed 10 „ „ disinfested — Council houses disinfested by liquid insecticides 2 Other houses disinfested (hydrogen cyanide —, by liquid insecticides 5) 5 Table 22.— Rats and Mice Destruction. Number of complaints received 322 Visits to (a) Enclosed premises 1154 (b) Open spaces 107 Number of occasions on which (a) Poison bait was laid 164 (b) Gas was used 3 34 HOUSING. Table 23.— HOUSING STATISTICS FOR THE YEAR 1948. 1. Number of Dwellings Owned by the Local Authority:— Number of houses 241 Total 487 ,, ,, flats 246 2. Unfit Houses. |
b6d4390c-bae8-4c4c-af23-27fcfc7bbbad | (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) 1339 (b) Number of inspections made for the purpose 4051 (ii) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 . |
4873e7d7-1700-41f5-9436-19843e773eb7 | Nil (b) Number of re-inspections made under the Regulations Nil (Hi) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 1 (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 363 (II) Remedy of Defects during the Year without service of formal notices :— Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers (including 62 cases outstanding from the previous year) 322 25 (III) Action under Statutory Powers during the Year :— A. Proceedings under sections 9, 10 and 16 of the Housing Act, |
aad1bf48-fe5c-4a80-bd5c-3104e4707282 | 1936 (i) Number of dwelling-houses in respect of which notices were served requiring repairs 52 (ii) Number of dwelling-houses which were rendered fit after service of formal notices :— (a) By owners 40 (b) By Local Authority in default of owner9 4 B. Proceedings under Public Health Acts :— (i) Number of dwelling-houses in respect of which notices were served, requiring defects to be remedied 11 (ii) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) By owners 9 (b) By Local Authority in default of owners (Hi) Number of dwelling-houses in respect of which abatement orders were made by Magistrates 1 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 Nil (it) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil D. |
4b5e7ed4-3b75-434d-93f9-5cce779ac03d | Proceedings under section 12 of the Housing Act, 1936:— (») Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil («) 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 positon with regard to statutory overcrowding has improved somewhat, owing to the special consideration which such cases receive when the allocation of Corporation dwellings is being made. (i) Number of inspections made to cases of alleged overcrowding 58 (ii) Number of revisits 1 (iii) Number of overcrowded families rehoused 43 26 SANITARY CIRCUMSTANCES OF THE AREA. Table 24.—The following Special Types of Premises were Inspected from time to time, and Appropriate Action was taken where Conditions warranted it. |
38668bf6-a7ec-468e-8721-b9915fd692d0 | Nature of inspection Number of premises Number of visits Notices issued and complied with Schools 21 70 4 Public Halls and Cinemas 4 25 1 Piggeries and Stable Yards 17 103 4 Public Conveniences 40 77 — Note.—In addition to the inspections especially mentioned above, and in other tables included in this section of the report, 102 visits were made by sanitary inspectors to premises in connection with the control of rats and mice, 7 to verminous premises and 31 to premises respecting infectious disease. Altogether 271 non-effective visits were made to premises of all types where no access was gained. 263 drain tests were applied during the year. Table 25.—Factories. No. of Premises on Register. Inspection. Number Written Notices Served Factories with mechanical power 125 169 19 „ without „ „ 36 27 2 Other premises in which Sect. |
ed7a447f-5e78-45e4-88cb-101f9bf2f7e1 | 7 is enforced by local authorities 3 6 — Total 164 202 21 Contraventions :— Want of cleanliness Discovered. Remedied. 2 2 San. Accom.—Unsuitable/Defective 19 19 Total 21 21 Matters referred to H.M. Inspector of Factories 1 Notifications received from H.M. Inspector of Factories 6 I .egal proceedings :— No legal proceedings were necessary during 1948 17 Table 26.—Home Workers. Work undertaken. No. on Register. Wearing Apparel 26 Lamp Shades 25 Curtain Makers 2 Household Linen 5 Instrument Cases 1 Total 59 INSPECTION AND SUPERVISION OF FOOD. Table 27.—Food Premises. |
8d0a6f59-95a6-462e-bb00-69331ea2d33d | The following inspections were made in respect of premises where food is prepared, handled and distributed:— Nature of inspection Number of premises Number of visits Notices issued and complied with Bakehouses 11 101 6 Food preparation premises 87 35 12 Restaurants, etc. 39 295 19 Butchers' shops 30 148 8 Grocers' shops 77 234 — Fishmongers 15 88 5 Greengrocers 38 85 5 Ice Cream :— Manufacturers 2 8 - Retailers 59 174 — Fried Fish shops 4 25 — Dairies 3 56 — Milkshops 14 53 3 Milk Sampling. 73 Samples of milk were taken and submitted to the Public Analyst for chemical analysis. Milk is not produced in the area, and samples were not taken for phosphatase test or for bacteriological examination. In 1949 the sampling of milk supplies to schools will be carried out for bacteriological examination. |
5650f911-d95c-47f4-b310-0ebfed3a336e | This has previously been undertaken by the County Council. Several complaints about dirty milk bottles, and the souring of milk, were investigated, and representations made to the distributors concerned. A sequence of complaints relating to bottles delivered by a large firm of milk distributors resulted in a report being made to the Council. After careful consideration of the circumstances proceedings were commenced against the firm for depositing for sale milk which was unfit for human consumption. The milk in question was a bottle of Tuberculin Tested (Pasteurised), and contained a quantity of dirt in suspension and as a deposit on the bottom. 28 The case was heard at the Mortlake Magistrates' Court and at the first hearing the summons was dismissed on a point of law, costs being awarded against the Council. An appeal was lodged, however, and heard in the Court of Appeal. This was successful and the case was sent back to the Magistrates, costs being awarded to the Council. At the continued hearing the Magistrates found the case proved. |
9c7d04bf-ec0f-4096-afa4-6962ae45743c | The defendant firm were fined five pounds, with forty guineas costs in respect of both hearings. Table 28.—Sampling of other Foods and Drugs. In addition to milk samples already mentioned, the following articles were purchased for the purpose of analysis by the Public Analyst. Foods. Coffee Essence Confectionery Flavourings Gelatine (powdered) Ground Ginger Gin (dry) Horseradish Honey Jam (red plum) Lemon Barley Crystals Milk (condensed) Olive Oil Picallili Pickalato Pastes, Fish and Meat Relish Rum Sausages Sausage Meat Soup Sauce, Worcester *Sauce, Tomato Soya Flour Semolina Vinegar Whisky Drugs. Lung Syrup *Peppermint Tablets Phospherine Vapour Rub Samples marked * were found to be below standard. Medicated Peppermint Tablets. The Public Analyst reported that these tablets were "of very poor quality, many being in a chipped, broken or crumbly condition. |
9f8f6ed8-a694-4bf6-9301-f3bb028fa005 | Moreover, all the tablets were contaminated throughout with numerous particles of dirt including particles of wood and other vegetable detritis." After due consideration by the Council a summons was issued against the manufacturers as being the actual offenders. The case was heard by the Mortlake Magistrates on the 1st June, 1948, and the summons was dismissed on the submission that the statement of evidence did not refer to Section 83 of the Food and Drugs Act, 1938. An application by the defendants for costs was not allowed on the grounds that the defence had not chosen to argue the case on its merits. Tomato Sauce. This product was found to contain an excess amount of preservative. On investigations being carried out by the Public Health Department of the Battersea Borough Council, in whose area the tomato sauce was produced, it was discovered that a quantity of "apple pulp," destined for use in jam making, had been utilised in the manufacture of the sauce instead. |
d7b1f5db-f0b1-4b3c-b2f7-3061f50e39ba | On representation being made to the manufacturers all stocks were withdrawn and measures taken to ensure that new consignments were in conformity with the regulations. Food Poisoning. No cases of food poisoning were reported during the year. A few cases of alleged food poisoning were investigated but were not substantiated. 29 Slaughterhouses. The only licensed slaughter house in the district was discontinued during the year, and has since been demolished. Thirteen pigs were slaughtered in the district. These belonged to pig clubs, and were slaughtered under hygienic conditions. All carcases were inspected. Table 29.—Unsound Food. The following articles were voluntarily surrendered and destroyed as being unfit for human consumption. Meat. Vegetables. Beef lbs. 164 Canned vegetables tins 254 Bacon lbs. 10½ Dried Peas tins 15 Mutton lbs. |
044ad4a1-3ad6-4e1f-8d52-fb099fa73df5 | 3 Haricot Beans tins 14½ Pork carcase 1 Potatoes tins 7 head 1 Rabbits lbs. 70 Others Fnoils Sausages lbs. 4 Black Puddings (whole) 16 Tinned Meat tins 84 Poultry. Biscuits lbs 126 Chickens lbs. 6½ Bread quartns. 73½ Geese whole 6½ Butter tins 2 Fish. Cake lbs. 38½ Cereals lbs. 298 Canned Fish tins 166 Cheese lbs. 20 Kippers . . lbs. 28 Confectionery lbs. 18 Ling lbs. 154 Dried Egg tins 3 Plaice lbs. 490 Jam tins 10 Skate lbs. 428 Macaroni lbs. 6 Sprats lbs. 84 Marmalade tins 37 Whiting lbs. 224 Milk tins 137 Fruit. |
5fa782a2-a978-426a-a9b0-1b4efdcc1a2c | Paste, Fish & Meat jars 25 Pickled Onions bottles 69 Currants lbs. 50 Sauce bottles 12 Cherries lbs. 64 Soup tins 44 Dates lbs. 165½ Plums/Prunes lbs. 62 30 MATERNITY AND CHILD WELFARE. * Table 30.—Home-Visiting. A summary of the work performed by the three Health Visitors during the year is given below :— Visits to expectant mothers 869 First visits to newly-born infants 811 Revisits to infants under 1 year 2,074 Visits to children aged 1 to 5 years 2,052 Still-birth inquiries 3 Special visits to cases of measles 154 „ „ „ whooping cough 69 Visits to foster children 64 Visits in connection with infectious diseases other than those above specified 542 Total visits 6,638 *Table 31.— Social Welfare Worker. Care of Unmarried Mothers and their Children. |
0cea132f-a655-4bc8-ab80-ba0ff1b442f4 | Number of cases brought to the notice of the department during the year:— through local authority records, clinics, health visitors 27 by nursing homes, hospitals, police, clergy, etc. 14 bymothers themselves 20 Total 61 Number of cases visited for the first time during the year 61 „ ,, home-visits and revisits to all known cases 643 ,, „ visits to employers, relatives, institutions, hostels, etc. in connection with cases 472 1,182 Number of mothers :— (a) admitted to :— ante-natal or post-natal homes 14 long-stay training homes — short-stay shelters 25 special homes for confinements 8 (b) for whom :— residential employment was found 21 non-residential employment was found 16 housing accommodation was found 2 arrangements were made for return to native land 2 Number of mothers concerned who were, |
4ea6a924-ce99-4fc9-9555-831b0172fdbb | at the end of the year living:— with child without child Total as married 11 1 12 in own homes with husbands (extra-marital) — 1 1 with parents or relatives 13 8 21 at homes of employers (residential employment) 15 - 15 in lodgings — 9 9 in institutions or hostels 3 - 3 31 Affiliations:— Number obtained through court procedure 6 „ arranged voluntarily 12 „ of mothers who refused to make application 10 Number of children for whom arrangements were made:— for adoption 12 for admission to homes, institutions or residential nurseries 2 to be cared for by foster-mothers 5 to remain with mothers, or relatives (69%) 42 * Table 32.— Notification of Births. (a) Registered in Borough:— Live Births. Still Births. Totals. |
37976248-bf18-4d6e-81bd-ca6e16c0db12 | Number of births registered during 1948 as occurring in the Borough 460 4 464 Number of such births not notified in accordance with the Public Health Act, 1936, Part VII 3 1 4 (b) Notified. Number of births, live and still, notified during the year— Residents. Outwarc Transfers 1 i. Total by medical practitioners 2 1 3 by midwives 242 198 440 by other persons — — — Total notified . 244 199 443 Number of still-births notified during the year — 2 2 Percentage of still-births to total births occurring in the Borough - 1.0 0.4 (c) Premature Infants. Number of births notified during the year as occurring in the Borough where the baby weighed less than 5½ lbs. at birth:— Place of birth. |
9ebb95c9-2bac-47e8-8cf8-02d079c63088 | Number Notified Nursed entirely at place of birth Transferred to Hospital Who died during first 24 hours Who survived one month At home 1 1 - - 1 At private mat. home 10 10 — - 10 Totals 11 11 - — 11 32 *Table 33.— Institutional Confinements. In institutions within the Borough 79 In registered maternity homes 79 In institutions outside the Borough 334 In general hospitals 38 In maternity hospitals 92 In Kingston Hospital 136 In Richmond Hospital 38 In maternity homes 30 Total 413 Number of above institutional confinements arranged through the Borough Ante-natal Clinic 176 MATERNITY AND CHILD WELFARE CENTRES. *Table 34.— Ante-Natal Clinic. |
61943891-e559-4528-b512-ce3affc0d014 | Year 1947 Year 1948 Total number of expectant mothers attending Borough Ante-natal Clinic during the year 511 514 Number of new cases attending for first time and included in total number 458 381 Number of attendances made by all mothers 2,017 1,778 Percentage of expectant mothers of total notified births attending Borough Clinic 76.3 85.6 * Table 35.—Infant-Welfare Clinics.— Attendances. Year 1947. Year 1948. New Cases:— - - Infants under 1 year 600 501 Children 1 to 5 years 69 133 Total 669 634 Number of Children attending duting the year Infants under 1 year 879 826 Children 1 to 5 years 522 583 Total 1,401 1,409 Number of attendances made by:— Infants under 1 year 7,899 7,400 Children 1 to 5 years 3, |
b1e21b15-853f-4e56-9970-fa45660bc6df | 021 3,396 Total 10,920 10,796 Mothers 10,018 10,250 Number of consultations with Medical Officer 3,216 3,602 33 Average attendance per week: Infants under 1 year 154.1 145.1 Children 1 to 5 years 58.9 66.6 Total, all children 213.0 211.7 Number of children attending Centre for first time during the year : Percentage of total births assigned to the Borough represented by this figure 85.6 86.9 *Table 36.— Home Help Service. |
65ee3b46-1d88-40a3-8cbb-5f602a5958c8 | Confinements Other Maternity reasons Totals Cases booked in 1947 for attendance during 1948 19 - 19 Applications received during 1948 59 20 79 Cases attended during 1*948 54 18 72 Cases booked but not yet attended 18 — 18 Cases booked but not attended— mother admitted to hospital in emergency 4 - 4 Applications received but cases not attended because :— (a) Home Helps already booked and not available - - - (6) Applicants withdrew applications 2 2 4 * Table 37.— Child Life Protection. |
0a409736-4ca4-4692-9046-097d2851259d | The following is a summary of the cases on the Register during 1948:— Foster-mothers on the Register at the beginning of the year 6 ,, „ added to the Register 6 ,, ,, removed from the Register, having ceascd to have care of children 7 ,, ,, on the Register at the end of 1948 5 Foster-children on the Register at the beginning of the year 6 ,, ,, in respect of whom Notice of Reception was received 6 ,, ,, removed from the Register during the year :— returned to care of parents 7 „ „ on the Register at the end of 1948 5 Number of visits of inspection made by Health Visitors during the year 64 *Table 39.— Council Day Nurseries. |
d745a231-9af8-4fa6-a9e1-cc4526fa2783 | BARNES NURSERY MORTLAKE NURSERY BOTH NURSERIES Age-groups 0—1 1—2 2—S 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, |
a5184094-e2a9-46eb-bf46-70d0fdec70b3 | 1947 4 12 35 51 2 8 38 48 6 20 73 99 Children admitted during 1948 8 6 17 31 12 16 19 47 20 22 36 78 Total children attending 12 18 52 82 14 24 57 95 26 42 109 177 „ ceased attending 1 2 28 31 3 11 34 48 4 13 62 69 Still in attendance 31 Dec. 1948 7 10 34 51 2 8 37 47 9 18 71 98 (* The final figures have been adjusted to show age-grouping at end of year.) |
1530aff5-42dc-438a-a182-cdc327e7c23a | 1947 1948 1947 1948 1947 1948 Total attendances made by children 10,164 12,147 10,870 11,569 21,034 23,716 Average daily attendance 33 44 36 42 70 85 14 35 * Table 38.— Adoption of Children. Number of Notices of Reception received during 1947 still on Register at 1st January, 1948 4 Number of Notices of Reception received during 1948 7 Number of children adopted during year 8 ,, „ removed from Register for other reasons 1 Number of children still on Register awaiting adoption at 3lst December, 1948 2 *Table 40.— Barnes and Mortlake Voluntary Day Nursery. Accommodation :— 0-2 yrs. 2-5 yrs. Total. |
1b289748-201d-4e79-96e8-b940c029173f | Places available 6 20* 26 Children in attendance 31st Dec., 1946 4 21 25 Total attendances of children 5,685 Average daily attendance 22 (*During the winter months the number of places available in the 2-5 year age-group is 19.) R. W. Simpson & Co., Ltd., Printers. 70, Sheen Road. Richmond, and Barnes High Street. |
08d0f386-dc2c-4198-a07a-27b4c1c91d6d | Barn 17 BOROUGH OF BARNES Annual Report OF thf medical Officer of health For the Year 1949 BOROUGH OF BARNES the Annual Report of the Medical Officer of Health for the year 1949 R. HILL, M.B., B.CH., B.A.O., D.P.H. Medical Officer of Health. 3 BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT Medical Officer of Health :— R. Hill, M.B., B.Ch., BA.O., D.P.H. Chief Sanitary Inspector :— W. L. Leach, D.P.A.(Lond-), Cert S.I.B., Cert. Meat and Food Inspector. Deputy Chief Sanitary Inspector :— P. J. Shannon, Cert. S.I.B., Cert. Meat and Food Inspector. Additional Sanitary Inspectors :— F. A. Sadler, Cert. S.I.B., Cert Meat and Food Inspector. |
6ac141a9-c8ea-4e87-a684-1ab763885176 | E. J. Silvester, Cert. S.I.B. Clerical Staff H. W. Giles. Mrs. P. M. Oaki.ey. J. M. Read. 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 for the year 1949. As 1949 was the first complete year of the National Health Service it was thus the first year in which the Maternity and Child Welfare Services did not come under the Borough Council. However, for the greater part of the year many of the members of the staff, transferred to Surrey County Council in July, 1948, still remained in this department pending reorganisation of these services. |
d291c23c-26de-45fa-8578-1a374cdb68cb | During the year under review the health of the Borough has been good, but Housing remains a terrifying problem and our list of cases requiring housing on medical grounds still grows. It is obvious that bad housing is a serious danger to health, mental as well as physical, and people living under such conditions derive little benefit from the medical services. I should like to express my thanks to the Council for their continued help and keen interest in matters relating to public health. Also I must pay tribute to all the members of the staff for their good work and loyal co-operation. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient servant, ROSETTA HILL, September, 1949. Medical Officer of Health. 5 BOROUGH OF BARNES. |
1bf24316-5454-4913-a919-6221000065bf | REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1949 PREFACE In accordance with Ministry of Health Circular 2/50, the Annual Report for 1949 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. STAFF With the exception of the appointment of Mr. J. M. Read to fill a clerical vacancy, there was no alteration in the staff of the department during 1949. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES Generally During 1949 there was the usual two-yearly epidemic of Measles ; also a number of cases of Poliomyelitis. Apart from this, the incidence of infectious disease was low, and there were no deaths of an infectious origin. No cases of diphtheria were notified during the year. |
6861bf1f-3b43-419a-976d-7fb45673ec81 | Poliomyelitis In the epidemic of Poliomyelitis during the year Barnes had ten cases. Of these, six recovered completely with no residual paralysis. Paralysis resulted in the other four cases ; three only slightly and one more extensive. Tuberculosis The number of new cases of pulmonary tuberculosis again shows a reduction, this time by a fifth of the previous year's figures. The number of deaths from tuberculosis was twenty-one compared with nineteen the previous year. The figures for non-pulmonary tuberculosis cases were also very similar in number as for 1948. MATERNAL MORTALITY RATE There were no maternal deaths during the year. 6 INFANT MORTALITY RATE The number of deaths of infants under one year of age during 1949 was seven, the death rate per 1,000 live births being 13.5 This is a substantial decrease over the previous year when the death rate was 20.8, up to then the lowest ever recorded in the area. |
522ce4ac-74c0-4820-b022-d0f56ca4364d | The rates for England and Wales were:— 1948 34 1949 32 As a matter of interest, the average for Barnes for the six years prior to the war (1934-1939) was 53 per 1,000 live births; for the six war years (1940-1945) 45; and for the three post war years (1946-1948) 31. This year's Infant Mortality Rate therefore not only shows a marked reduction on previous years but is the lowest ever recorded in this borough. REMOVAL OF PERSONS IN NEED OF CARE AND ATTENTION Section 47 of the National Assistance Act, 1948, makes special provision for securing the necessary care and attention for persons who are suffering from grave chronic disease, or, being aged, infirm or physically incapacitated are living in insanitary conditions, and are unable to devote to themselves, or are not receiving from other persons, proper care and attention. |
c16d503a-e4f3-4c43-9ee0-6ed57cd86320 | In only one case during the year was it found necessary to apply to the magistrates, but before the order was granted the patient agreed to go voluntarily to hospital. Seven cases were reported of elderly persons who were not receiving proper care and attention, and through co-operation with the County Council Welfare Department and the Regional Hospital Board arrangements were made for admission to hospital or other residential accommodation. SANITARY INSPECTION OF THE DISTRICT The investigation of complaints lodged by members of the public, and the resultant action, takes up a large proportion of the time of the Sanitary Inspectors. The majority of these complaints are concerned with the lack of repair of dwelling houses. There is now no great difficulty in obtaining sufficient labour and materials to carry out essential repairs, but the main cause of the reluctance of landlords to carry out works is the high cost of repairs. The maintenance of old properties, which are usually let at comparatively low rents, is likely to prove a burden which owners will find impossible to carry unless other funds are forthcoming. |
8dc48bc2-460e-4cda-bed9-76ca07a4c471 | The economic conditions of the past 7 ten years discouraged owners from incurring expenditure on repairs. In some cases the cost of proper reconditioning is now more than the houses are worth for investment purposes. There is obvious need for a complete revision of the financial arrangements relating to rents and repairs in respect of dwellings of low rateable value. EXHUMATIONS Three exhumations were carried out within the borough during the year, and all were attended by a Sanitary Inspector. The exhumations were carried out in the early hours of the morning and were conducted with due solemnity, every consideration being paid to matters of hygiene and decency. FOOD The supervision of premises where food is handled and distributed has continued to receive a considerable amount of attention. It can be stated that there has been a steady improvement in the standard of cleanliness and the conduct of these establishments. |
b95913c7-8c65-488c-9143-17e294215e94 | There are still a considerable number of employees in the food trade who are not sufficiently aware of the potential danger of illness and possible death which may follow the consumption of food which has been contaminated. Closer control of conditions in food premises will be possible when the proposed byelaws of the Ministry of Food are brought into operation. It is satisfactory to state, however, that only one case of suspected food poisoning, involving only one person, was reported during the year. Investigations made failed to reveal the source of infection. Statistics show that the greatest risk of contamination exists in the larger canteens and kitchens of industrial concerns and institutions. The main danger of contamination occurs where food is handled, mixed and heated and allowed to cool slowly, and then not consumed for many hours. If food cannot be consumed immediately after preparation it should be rapidly cooled, and stored in a cool position. Ice Cream Ice cream is manufactured at two premises in the area. |
a677cab4-a17f-4945-9fbb-c3cf69127482 | Conditions have been found to be generally satisfactory, and regular samples are taken for bacteriological examination and chemical analysis. In addition, frequent sampling is carried out of ice cream from distribution points in shops, etc. FACTORIES The table No. 21 in the statistical section gives details of visits made to factories in the area. It is perhaps not generally realised that 8 in factories where mechanical power is used (that is, of course, the majority of factories), these visits relate only to the condition of the sanitary conveniences, the supervision of the health and welfare arrangements for employees coming under the control of H.M. Factory Inspector. It is a matter for regret that the powers of the local authority should not be more extensive in this direction, or alternatively that the whole of the provisions of the Factories Act should be enforced by H.M. Inspectors. |
c711dd59-689a-4508-b3c2-fbb0b878e0cb | RODENT CONTROL There have been no major infestations by rats in the district, the 300 odd complaints being mainly in respect of rats seen in back gardens, especially near chicken sheds. It is not generally realised that there is an obligation on occupiers of property not only to notify the local authority of the presence of rats, but also to take every practical step themselves to get rid of the rats, and to discourage their return. This applies especially to poultry keepers, and to those premises where food is stored. The council have continued to operate a Pest Destruction Service, this being free of charge to householders, except where negligence is proved. The main sewers have been treated twice during the year by baiting and poisoning against rats. WATER SUPPLY The water supply of the area has been satisfactory, both in quality and quantity. The very few complaints that were received were found to be due to conditions of storage and distribution on the occupiers' premises, and appropriate action was taken to have these conditions remedied. |
1a9bf566-3da7-43c3-946a-5cac4f2df70e | Water is supplied by the Metropolitan Water Board; a piped supply is provided to every house in the district, and control samples are taken regularly and frequently by the Board's officers. BOROUGH OF BARNES APPENDIX to the annual report of the medical officer of health 1949. 10 STATISTICS AND TABLES BOROUGH OF BARNES. VITAL STATISTICS. The following statistical information relating to the Borough has been completed on receipt of the Local and National Statistics issued by the Registrar-General in connection with Population, Birth-rate, Death-rates, Maternal Mortality, Infantile Mortality, and Incidence of Notifiable Infectious Diseases. TABLE 1.— STATISTICAL SUMMARY, 1949. Population:— Census, 1921 34,281 Census, 1931 42,440 Estimated—Mid-year, 1949 (Reg. Gen.) |
41fa46aa-f7a0-4f1e-8cf7-d1b511310863 | Civilian (Total 41.070) 40,960 Births :— Birth-rate (per 1,000 of population) 12.6 Live Births :— Total. M. F. Legitimate 492 252 240 Illegitimate 24 11 13 Total 516 263 253 Still Birth-rate (per 1,000 total births) 7.7 Total. M. F. Still Births (Legit. 4; Illegit. —) 4 3 1 Deaths :— Death-rate, all causes (per 1,000 of population) 10 0 (Registrar General's Comparability Factor .87) Total M. F. Deaths (all causes) . . |
e82c8cff-518e-4f4c-b5b3-5f240482efa4 | 471 232 239 Death-rate from Cancer (per 1,000 of population), 93 deaths 2.2 Death-rate from Zymotic Diseases (per 1,000 of population) — Death-rate from Maternal Causes (per 1,000 total births) — Deaths from Puerperal Sepsis — ,, ,, Other Puerperal causes — Death-rate of infants under one year (per 1,000 live births) 13.5 Death-fate legimate infants(7deaths) illegimate infants (- deaths) 14.2 li Table 2.— Vital Statistics of the Borough of Barnes during 1949 and previous 5 Years Year. Registered Births Total Deaths Registered in the District. Transferable Deaths. Nett Deaths belonging to the District. Uncorrected Number. Nett. Number. Rate. Of nonresidents registered in the District. Of residents registered outside the District. Under 1 year of age At all ages. |
3bf1c0aa-8fbc-48fb-ba23-a7afc9513722 | Number Rate per 1,000 nett births Number Rate Number. Kate. I 2 3 4 5 6 7 8 9 10 11 12 1944 415 594 180 260 7.9 18 352 26 43.8 458 13.9 1945 408 537 15.5 245 8.1 22 257 19 35.4 470 13.6 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 1948 460 576 142 252 62 23 216 12 20.8 445 11.0 1949 247 516 12.6 326 7. |
edd554fe-ca6d-4965-a701-c56a0e5560f1 | 9 60 20.5 7 13.5 471 10.0 12 Table 3.— Birth.rate, Death.rate, and Analysis of Mortality during the Year 1949, with corresponding rates for england and wales, 126 great towns, 148 smaller towns, and for the County of London for comparison. Birthrate PERl,000 Total Population. Annual Death.rate per 1,000 Population. Death rate per 1.000 Births. Maternal Mortality Kate per 1,000 Total Births All Causes. Typhoid & Paratyphoid Whooping Cough. Diphtheria. Tuberculosis Influenza. Small.pox Poliomyelitis orj Enceph. Pneumonia Diarrhoea and Enteritis (under 2 years). Total Deaths under One Year. All Causes. Puerperal Infection. Other Causes. England and Wales 16. |
a2c2e9f1-4d2a-4c71-a26e-5c589545f9c7 | 7 11.7 0.00 0.01 0.00 0.45 0.15 — 0.01 0.51 3.0 32 .98 0.11 0.87 126 County Boroughs and Great Towns, including London 18.7 12.5 0.00 0.02 0.00 0.52 0.15 - 0.02 0.56 3.8 37 Not available 148 Smaller Towns (Estimated Resident Populations 25,000 to 50,000 at Census, 1931) 18.0 11.6 0.00 0.01 0.01 0.42 0.14 - 0.02 0.49 2.4 30 London 18.5 12.2 0.00 0.01 0.00 0.52 0.11 — 0.01 0. |
94b45d08-e070-4bc4-9114-3ce00d33d71b | 59 1.7 29 Barnes Borough 12.6 10.0 - - - 0.51 0.07 — 0.00 0.31 — 13 — — — 13 Table 4.— Causes of Death during the Year 1949. Causes of Death (Registrar-General's short list of causes). |
4a42ee1f-69d7-4956-a5c7-989a5a59aa06 | 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 20 14 6 7 Other forms of tuberculosis 1 1 — 8 Syphilitic diseases 1 1 — 9 Influenza 3 1 2 10 Measles — — — 11 Acute poliomyelitis and polioencephalitis — — — 12 Acute infectious encephalitis — — — 13 Cancer of buccal cavity and oesoph. |
7b98fe9e-bd9f-46e4-a68d-d7914566cddb | (m) ; uterus (f) 10 2 8 14 ,, stomach and duodenum 14 8 6 15 „ breast 5 — 5 16 „ all other sites 64 35 29 17 Diabetes 2 — 2 18 Intra-cranial vascular lesions 57 22 35 19 Heart Disease 154 74 80 20 Other diseases of circulatory system 25 11 14. |
07de0ece-b856-437e-9ce6-1ca54fa2bba7 | 21 Bronchitis 20 13 7 22 Pneumonia 13 5 8 23 Other respiratory diseases 4 4 — 24 Ulceration of stomach or duodenum 8 6 2 25 Diarrhoea under 2 years — — — 26 Appendicitis 1 — 1 27 Other digestive diseases 5 3 2 28 Nephritis 5 2 3 29 Puerperal and post-abortive sepsis — — — 30 Other maternal causes — — — A Premature birth 2 1 1 32 Congenital malformations, birth injury, infantile diseases 9 3 6 33 Suicide 5 2 3 34 Road traffic accidents — — — 35 Other violent causes 6 4 2 36 All other causes 37 20 17 All Causes 471 232 239 14 Table 5.— Infant Mortality during the Year 1949. |
b527d925-f1e0-4070-b78a-150a97cc6955 | 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 T'tal under 4 w'ks 1-3 Months 3-6 Months 6-9 Months 9-12 Months Total uuder 1 year Deaths in the Borough Deaths outside the Borough Neuroblastoma ... ... ... ... ... ... ... ... 1 1 ... 1 Broncho-pneumonia ... ... ... ... ... 1 ... ... ... 1 ... 1 Haemolytic disease (with Kernicterus) ... 1 ... ... ... ... ... ... ... 1 ... 1 Prematurity ... 1 ... ... ... ... ... ... ... 1 ... 1 Intra Cranial Haem. |
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