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e72d51c4-f267-4147-b762-6a4f55f2a663 | 42 80 — Cooked Meats 65 37 — Dairies and Milk Shops 24 10 — Fishmongers 14 46 — Greengrocers 26 43 — Grocers 75 173 4 Ice Cream:— Note: No Ice Cream pro' duced during year. Manufacturers 2 — Retailers 79 32 Public Houses 30 28 — Street Traders 8 10 — Sweets, Confectionery 56 26 — School Kitchens 6 2 — 2S Table 15.—Milk Sampling. Chemical Analysis. 15 samples of milk were taken and submitted to the Public Analyst for chemical analysis. These samples, taken from milk roundsmen and local retailers, proved to be quite satisfactory. Table 16.— Sampling of Other Food and Drugs. (a) Chemical Analysis.—53 Samples procured under the provisions of the Food and Drugs Act, 1938, included:— Foods. |
ffa1e18a-779b-4dac-9e60-b0c5a1b3e5a2 | Best Butter Drops Lemon Cheese Bread Roll Lemon Squash Buttered Assortment Malt Vinegar Butter Toffee Meat Pudding Cheese Spread Mint Jelly Chocolate Crunch contg. pure butter. Mint in Vinegar Coffee Nut Oil Crab Fish Paste Orange Squash Cream of Mushroom Soup Peanut Butter Creamed Rice Peas—Early Garden Sugar Cremola Foam Crystals Pineapple Flavouring Devonshire Biscuits with real butter. Real Minced Chicken Egg Scramble Soup Mix Salmon Spread Escoffier Sauce—Alexandra Smoked Rainbow Trout Savoury Ground Ginger Strawberry Flavouring Ground Nutmeg Summer County Margarine contg. Hens Eggs 10% butter. Ice Cream—ready mix Sym Gravv Ice Cream with Extra Cream Synthetic Cream Powder Instant Pudding Table Cream Jam—Apricot Tomato Juice Raspberry Tomato Puree Red Plum Treacle Toffee Junket Powders White Pepper Hereunder I give the Public Analyst's reports on the samples examined which were found to be irregular or substandard. |
ce7ab840-d2a2-48e4-ab79-46b50af9cb82 | Whilst no legal proceedings were instituted the matters complained of were taken up with the manufacturers concerned with satisfactory results:— Sample No. 2.—Tomato Juice. This article had the characteristics of a tomato drink prepared by dilution from tomato concentrate or puree and flavoured with lemon and salt. It contained no vitamin C. In my opinion an article described as tomato juice should consist of the product expressed from the tomato, and consisting of the liquid juice and some of the pulp, with or without added salt, and which has been subjected to no intermediate concentration. Such an article differs from the one analysed in possessing a superior flavour, more attractive physical characteristics, and vitamin C content comparable with that of tomatoes. Sample No. 15.—Coffee. Consisted of dried coffee extract. 29 Sample No. 29.—Sun Pat Peanut Butter. Contained several tufts of mineral fibres having the characteristics of asbestos. The specimen as received consisted of a jar from which some of the contents had been removed. |
74c1c764-13cb-4730-8343-a4ab887a24de | The fibres which were slightly bluish-green in colour were present at or near the top of the article. Sample No. 41.—Butter Toffee. Contained only 2.9% of butter-fat instead of a minimum of 4%. Sample No. 52.—Treacle Toffee. This article was described as "Home-Made Treacle Toffee made with Best Butter", but it contained only 2.2% of butter-fat and 11.0% of other fat. In my opinion where toffees are described as "made with butter" the whole of the fat present should consist of butter-fat. Sample No. 54.—Bread Roll. Contained a small dark object embedded on the inside surface. This object consisted of partly burnt dough or other flour mixture. Sample No. 60.—Cream of Mushroom Soup. |
ffdb2dc5-6b75-4e16-b4b7-84fc3e8a5a80 | This article contained only 2.7% of edible oil or fat and no butter-fat, whereas such a product should contain not less than 3½% of edible oil or fat. Table 17.— Unsound Food. The following articles were voluntarily surrendered and destroyed as being unfit for human consumption:— Where quantities are insufficient for salvage all unsound food is collected and disposed of at the Council's Refuse Destructor, by incineration. Meat. Fruit. Bacon lbs. 14 Canned Fruit lbs. 129¾ Beef lbs. 988 Vegetables. Beef Steak with Gravy lbs. 1 Baked Beans—Canned lb. 1 Canned Tomatoes lbs. 441/8 Canned Meat lbs. 1077/8 Canned Vegetables lbs. 123/8 Ham, Bacon and Corned Beef lbs. 13 Other Foods. Lamb lbs. 34 Butter lbs. l½ Ox Tongues lbs. 24 Cheese lbs. |
a100682c-e74f-48ac-9822-986f3316bdeb | 38½ Poultry. Jam lbs. 3 Marmalade lbs. 2 Chicken (Canned) lbs. 5 Mashed Potato Powder lbs. 40 Fish. Milk pints 121/8 Canned Fish lbs. 8¾ Milk (Condensed) lbs. 31/8 Pathfinder Crab lb. ½ Nestles Milo lb. ¼ Roker stones 14 Sifta Salt lbs. 1½ Skate (Wings) stones 3 Soup lbs. 25/8 Table 18.—Slaughter-houses. The district does not now possess a slaughter-house. No animals were slaughtered for food in this district during 1956 30 ROUTINE INSPECTIONS. The following premises are subject to inspection from time to time as a routine measure. Registers are maintained of these premises and appropriate action taken where conditions warrant it. Table 19.—Factories. No. of Premises on Register. Inspection. |
176f7eff-f6b1-4eb3-a556-eac005d746f0 | Number Written Notices Served Factories with mechanical power 149 51 1 „ without „ „ 21 — — Other premises in which Sect. 7 is enforced by local authorities 2 — — Total 172 51 1 Discovered Remedied Inadequate Ventilation 1 1 Sanitary Conveniences (s.7):— (a) Insufficient 1 1 (b) Unsuitable or defective 1 I Other offences against the Act (not including offences relating to Outwork) 1 1 Total 4 4 Matters referred to H.M. Inspector of Factories — Notifications received from H.M. Inspector of Factories 1 Legal proceedings:— No legal proceedings were necessary during 1956. Table 20.—Home Workers. Work Undertaken No. |
91f0bbde-03fe-4b76-b5d9-993c31fe54a7 | on Register Wearing apparel 60 Lamp Shades 11 Curtain makers and upholstery 2 Household linen 1 Stuffed Toys and Nursery Articles 3 Xmas Crackers 2 Artificial Flowers 1 Carding of button 1 Total 81 31 Table 21.—Other Premises. Nature of inspection Number of premises Number of visits Notices issued and complied with Schools 21 2 - Public Halls, Cinemas and Public Conveniences 41 15 - Stable Yards 5 12 - In addition to the above, 40 visits were made by Public Health Inspectors to premises in connection with infectious disease. Altogether, 238 non-effective visits were made to premises of all types where no access was gained. j. h. broad f# co. ltd., printers, richmond, |
d998f66b-a8ce-43dc-98a0-6efc22c9e331 | BARN 25 BOROUGH OF BARNES ANNUAL REPORT of the Medical Office of Health For the Year 1957 BOROUGH OF BARNES the ANNUAL REPORT of the Medical Officer of Health for the year 1957 ROSETTA HILL, M.B., B.'Ch., D.P.H. Medical Officer of Health. 3 BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT Medical Officer of Health:— Rosetta Hill, M.B., B.Ch., D.P.H. Chief Public Health Inspector:— William L. Leach, D.P.A. (London), MA.P.H.I.*†‡ Deputy Chief Public Health Inspector:— P. J. Shannon, M.A.P.H.I. *† District Public Health Inspectors:— F. A. Sadler, MA.P.H.I. *†‡ C. E. Mallett, M.A.P.H.I. |
034ea0e5-8867-4204-9d16-f296df51b642 | *† * Certificate of Public Health Inspectors' Board (formerly R.S.I. and J.S.I.B.). † Certificate of Royal Society of Health as an Inspector of Meat and Other Foods. ‡ Certificate of Sanitary Science as applied to Buildings and Public Works. Clerical Staff:— Miss L. M. Fairclough. (G. W. Nickolls). Mrs. J. D. Wallis. J. M. Shearer. (Miss D. R. Day). Public Analyst:— D. D. Moir, Esq., M.Sc., F.R.I.C. PUBLIC HEALTH COMMITTEE 1957-1958. Councillor F. R. Cooper (Chairman) Alderman E. S. Stevens (Deputy Chairman) The Mayor (Councillor W. R. Adams). The Deputy Mayor (Councillor F. A. W. Counter). |
4d0c665e-eefd-457d-a2a4-8ed398984bc9 | Alderman H. Thomas Councillor A. Beilby Councillor E. S. Bolton Councillor Miss E. P. Clarke Councillor F. A. Coldman Councillor G. T. Craker Councillor W. A. Hornshaw Councillor Mrs. M. E. Hull Councillor A. G. Lawrance Councillor D. Lee Councillor F. W. Moore 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 1957. The report 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, regard being given to the Ministry of Health Circular 1/58. |
a46b5d02-a445-43a4-9a4f-48e51ce7ac57 | I should like to express my thanks to the Council for their continued help and support in public health matters, and record my appreciation of the good work done by the staff during the year. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, ROSETTA HILL, Medical Officer of Health. July, 1958. 5 PREFACE STAFF AND DUTIES Miss L. M. Fairclough retired from the position of Senior Clerk in the Public Health Department in May, 1957. She first entered the department as a temporary clerk in November, 1943 and was appointed to the permanent staff in 1946. With the introduction of the National Health Service Act, she was transferred to the staff of the Surrey County Council in 1948, but in 1950 returned to take up the appointment of Senior Clerk in the Public Health Department, a position which she held until her retirement. |
7809c856-b518-45ab-b253-5dad803ec18c | During these years Miss Fairclough gave invaluable service to this Council and I should like to pay tribute to her excellent work and unfailing loyalty. The vacancy was filled by Mr. G. W. Nickolls, who commenced duty on the 13 th May. Mr. J. M. Shearer resigned from his appointment of Junior Clerk on 15 th July. He was succeeded by Miss Diane Day who started work on 26th August. There were no other changes in the staff of the department during the year. SECTION 'A' — STATISTICS AND SOCIAL CONDITIONS OF THE AREA The Registrar General supplies local authorities with "Comparability Factors" in respect of births and deaths, and you will see that these have been used in the compilation of the various statistics. I would explain that the use of the factors supplied by the Registrar General gives corrected figures to the local rates, enabling truer comparisons to be made with the remainder of the country—i.e. |
2522ae7b-6b3f-4aee-ad93-4840379fbaab | as though the ages and sexes of the local population were in the same proportion as those for the whole country. The Borough of Barnes, in the County of Surrey, is situated on the South Bank of the River Thames between Richmond and Putney. One of the great advantages of the Borough is the fact that open spaces comprise almost half of its area, including Richmond Park, the River Thames, Barnes Common, Sheen Common, and other parks and recreation grounds. The Borough is mainly residential in character with some light industry. 6 SECTION 'B' — GENERAL PROVISION OF HEALTH SERVICES IN THE AREA (a) Laboratory Facilities Public Health Laboratory, Epsom — accepts all pathological specimens and the staff are very helpful in advising in outbreaks of dysentery, food poisoning etc. Colindale, Central Public Health Laboratory — carries out special investigations. Richmond Royal Hospital Laboratory — deals with pathological specimens from the general practitioners. |
5a00dbfe-a703-4f82-9910-3f68566ee5cb | (b) Ambulance Facilities The Ambulance Service is based at Kings Road, Richmond, and comes under direction of the Control Station at Maiden. It is administered by Surrey County Council. (c) Nursing in the Home There are two midwives and eight district nurses working in the area. They are based at 31/32, Ranelagh Avenue, Barnes. There are four health visitors in the district, two based at each clinic. (d) Treatment Centres and Clinics There are two clinics in which infant welfare, ante-natal and school medical services are provided:— (i) Essex House, Barnes. (ii) Health Centre, North Worple Way, Mortlake. These services come under Surrey County Council and are administered by the Divisional Medical Officer, Barnes and Richmond forming a division. The Chest Clinic is held also at the Health Centre, Mortlake. (e) Hospitals The only hospital in the area is the Barnes Hospital, which is now used solely for the treatment of chronic sick patients. |
46de6c14-970d-4cf2-8a87-c70d7cc81a44 | It was previously the Barnes Isolation Hospital. The principal general Hospitals serving the area are: — West London Hospital, Hammersmith, Richmond Royal Hospital, Kingston Hospital. The hospital for infectious diseases is:— Tolworth Hospital, Surbiton. Occasionally, cases are sent to the London Hospitals. Maternity cases are booked through the clinics for admission to the Kingston Hospital and in addition a number of patients book at the following London Hospitals:— St. Mary Abbots Hospital, Kensington, Hammersmith Hospital, Ducane Road. |
dda4be8d-5289-402d-9e44-5b74e7ad46c9 | 7 REMOVAL OF PERSONS IN NEED OF CARE AND ATTENTION, Section 47, National Assistance Act, 1948 Under the above Section, the Council has power to apply to the Courts for an order for the removal of persons to hospitals or other suitable accommodation where they are:— (a) suffering from grave chronic disease, or being aged, infirm or physically incapacitated are living in insanitary conditions, and (b) are unable to devote to themselves and are not receiving from other persons proper care and attention. Twenty cases of old people in need of care and attention were investigated during the year. In one case it was necessary to take action under Section 47 but in the remaining cases the old people either agreed to go into hospital or other arrangements were made at home for their care. The case in which action became imperative was one of an old lady aged 89 years living alone in a flat. She was very deaf, but very independent and determined to manage her own place. |
92cdc076-7225-4faa-bebc-bdd027d2643f | Her daughter, who lived quite near, came in each day to provide food. The emergency arose by the old lady collapsing one night and being unable to get back to her bed herself. Her daughter found her on the floor the next morning and called in her own doctor, who advised immediate admission to hospital. The patient was adamant in her refusal to enter hospital. As the situation was now urgent, I submitted a certificate jointly with her own doctor applying for an Order under the National Assistance (Amendment) Act. This was granted and she was removed unwillingly to Barnes Hospital. As the Order was for a period of three weeks only, I visited the patient in hospital to consider applying for an extension. I found that she had settled down happily and was well liked by the staff. She agreed to remain in hospital voluntarily and has, in fact, done so. The last report, at the time of writing, stated she was well and happy. Co-operation with Kingston Hospital remains good. |
ae25ecb8-773c-4a38-b651-300548ddb9c7 | The situation as regards admission of urgent cases has improved, although the position was very difficult in the autumn and winter months on account of the epidemic of influenza. The appointment of the Geriatrician, who visits patients in their own homes to assess their need for admission, has done much to ease the situation. The County Welfare Department is always very helpful in arranging for admission of old people to other accommodation. 8 SECTION ‘F’— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES Generally The incidence of infectious disease during the year was relatively low, apart from the epidemic of Measles. There were 5 cases of Scarlet Fever notified during the year as compared with 8 in 1956. There was an increase in the number of cases of Whooping Cough — 37 being notified as compared with 17 in the previous year. Most of the cases were mild. 1957 was the epidemic year for Measles and 606 cases occurred. |
38a55b45-40d8-4202-b218-e9965ab4348f | In the epidemic of 1955 there were 489 cases notified. There were no cases of Diphtheria during the year; the last case notified in this Borough was in 1948. Poliomyelitis There was one case of Paralytic Poliomyelitis notified during the year. The patient, a girl of 15 years, developed the disease about two weeks after returning home from holiday in August. She had severe paralysis of the legs, and was treated in the Western Hospital, Fulham, in the acute stage of the disease, and later transferred to Queen Mary's Hospital, Carshalton, for further treatment. At the end of the year she was still in hospital and reported to be making some progress. There was one death due to Poliomyelitis assigned to this area, although the case was not previously notified. The patient was a young man, aged 21 years, in the Merchant Navy, whose home was in this district. |
ebdc6de2-b1eb-4db5-81e1-c0963cb0a7fc | He was admitted to the Isolation Hospital in Dover, where he died, the cause of death being Acute Fulminating Poliomyelitis (Paralytic). Tuberculosis The number of new cases of Pulmonary Tuberculosis was 19 as compared with 18 for the previous year. The number of cases of Non-Pulmonary Tuberculosis was 4 as compared with 3 in 1956. There were 3 deaths from Pulmonary Tuberculosis during 1957. Four persons who had been notified as suffering from the disease died during the year — of these three died from that cause and the remaining one was due to other causes. Mass Radiography Unit The last visit of this unit was in April, 1956 and it is not anticipated that a further session will be held before August, 1958. 9 Influenza During the Autumn and Winter months there was an outbreak of Asian Influenza. |
29b4d576-dd36-4613-ad60-b850fb268dab | As the condition was not notifiable it is not possible to say accurately the number of people who suffered from it, but judging by absences from school and places of work, it seemed that there was a very high incidence among school children and young people, although the illness was not severe. There was a very marked increase in the death rate among older people however, there being 7 deaths from influenzal pneumonia during the year as compared with 1 death for the previous year. Smallpox In July there was an outbreak of smallpox in Tottenham. The disease was thought to be brought into the country by a man returning from West Africa. He developed a slight illness and infected his brother who later died of smallpox in a Tottenham hospital. A cleaner working in the laboratory in which a post-mortem was carried out on this patient developed the disease and infected her grandson, who subsequently died from smallpox. |
a6b9c3f0-dcbc-4409-9648-59e701800b14 | A suspected case was notified in this area, the patient being a pathologist who had been present at the post-mortem on the patient who died of smallpox in the Tottenham hospial. He had been well vaccinated and was not ill, but as it was thought possible that he might have a modified form of smallpox, he was removed to Longreach Hospital, Dartford. His home contacts were strictly isolated and vaccinated and all other contacts followed up and vaccinated. Neighbouring local authorities were notified and informed of contacts in their area and the local general practitioners were alerted. Fortunately, after full investigations in hospital it was proved that the patient was not suffering from smallpox and he was discharged at the end of three days. Food Poisoning There were 11 cases of food poisoning notified during the year and of these 8 were from two outbreaks at industrial canteens, whilst the other 3 cases were isolated ones and no cause was found. |
6c20abac-88f1-4ae6-8cfd-46c6ab4c7c88 | The details of the two outbreaks were:— (i) 25 people became ill about four hours after lunch at the work's canteen. The main symptoms were vomiting, diarrhoea and abdominal pain. In most cases the illness was slight and of short duration. All of the people affected had eaten canned processed peas, which were served at lunch. On investigation it was found that food samples 10 (remains of the meal) yielded a growth of Staph. Aureus coagulase positive and the same organism was recovered from the four opened tins from which the peas had been served. This organism was also isolated from one of the patients. Although 25 people were affected only 8 cases were notified as many of the others had a slight illness and did not report to their doctors. (ii) The second outbreak occurred in a work's canteen about three months after the first. |
8809f63d-7b12-44a8-bbf7-7d4f949fae90 | About 24 to 30 people were affected, but in all cases the illness was very slight and of short duration. None of the people reported for medical advice and as all of the cases became ill after leaving work it was not notified to the doctor of the staff until the following morning. No cases were, therefore, notified. No specimen meal was available, but a portion of the meat cooked for the meal and a tin of peas of a similar brand to those served, were sent for laboratory examination but yielded negative results. It was not possible to prove the cause of the outbreak, but it is probable that it was caused by processed peas, as the brand used was similar to that which caused the previous outbreak. Maternal Mortality There were no maternal deaths recorded during the year. Infant Mortality Rate The number of deaths of infants under one year was 9 as compared with 5 for the previous year. |
3a2c06d3-86bc-4fcd-8550-c017d53c0ce1 | The infant mortality rate for this area is 20.4 per 1,000 live births as compared with 23.1 for England and Wales. IMMUNISATION AND VACCINATION Diphtheria and Whooping Cough — Immunisation was continued throughout the year. The combined vaccine was used during the winter months, but during the summer months the separate whooping cough and diphtheria vaccines were used. This followed a recommendation from the Ministry of Health that the separate vaccines were less likely to provoke paralytic poliomyelitis. The immunisation in each case is started when the child is three months old. Smallpox — Vaccination was continued throughout the year, usually following immunisation against diphtheria and whooping cough at the age of six months. 11 Poliomyelitis — Vaccination began to gain momentum during the year, as the scheme had only been started on a very restricted scale the previous year. |
c4dddbef-24a8-4583-8a00-180cbb21b0f5 | Children born between January, 1947 and December, 1954, who had been registered were eligible for vaccination, but as the British Vaccine was in short supply progress was slow. The scheme is operated by the County Council under the direction of the Divisional Medical Officer. Tuberculosis — B.C.G. vaccination is offered to every child between the age of 13 and 14. The scheme is carried out by the County Council. Lung Cancer The incidence of lung cancer in this area is higher than the rate for England and Wales, and there is a continued increase in the number of cases. Although the deaths in men is rather less than last year there is a marked increase in the number of women dying from this condition. There is now very strong evidence that smoking plays a large part in causing lung cancer and it has been shown that the incidence is much reduced in people who have previously smoked and given it up. |
ffd62f42-df46-4fd5-8c75-fe73a54b17d1 | It cannot be too strongly emphasised that the first step in the prevention of lung cancer is for smokers to stop smoking. This is often very difficult and underlines the importance of teaching young people the dangers of smoking and so prevent them taking up the habit. 12 THE REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR, Mr. W. L. LEACH, IS CONTAINED IN SECTIONS ‘C’, ‘D’ and ‘E’ SECTION ‘C’ — SANITARY CIRCUMSTANCES OF THE AREA Water Supply The domestic water supply has been of satisfactory hygienic quality and adequate in quantity during the year 1957. The water is derived from the non-tidal portion of the River Thames, stored in the Metropolitan Water Board reservoirs at Staines, Littleton and Walton, and filtered and chlorinated at the Hampton Works. The Board's waters are not plumbo-solvent. Samples are collected at each stage of purification and in the distribution system daily. |
d3385516-f082-47c0-bfee-57856ead30e5 | Immediate action is taken in respect of any form of contamination or of any variation in quality. All repaired mains are disinfected with chlorine before being returned to service. I am indebted to Dr. Windle Taylor, Director of Water Examination to the Board, for the following information on bacteriological sampling of water supplies:— Type of Test RAW WATER River Thames at Walton WATER PASSING INTO PUBLIC SUPPLY — Hampton Works. No. of samples taken 50 801 Plate Count per millilitre on agar 20/24 hrs. at 37°C. Average Result 1912 Average Result 3.7 Coliform Test (Count per 100 ml) 8465 99.50% Negative Escherichia Coli Test (Count per 100 ml) 4173 99.75% Negative 13 The average consumption of water in the Board's area during 1957 was 327 million gallons daily. |
28e217d5-b9b7-4e87-90ff-0cbd051f32ee | Daily consumption per head:— Unmetered 38 gallons Metered 14 gallons Total daily consumption 52 gallons per head SEWERAGE AND SEWAGE DISPOSAL Although the work of redesigning and modernising the Sewage Disposal Works has not yet been fully completed, the operation of the plant has been carried out in an exemplary manner and a satisfactory effluent has been achieved. Some difficulty was encountered through the unauthorised discharge of certain trade wastes which can have a very detrimental effect on the purification process. As sewage is brought from all sections of the Boroughs of both Barnes and Richmond it is a difficult matter to trace the offenders. The position is being kept under observation and more drastic steps will need to be taken should this trouble recur. There are still too many cases coming to notice where wash basins, baths and sinks have been fitted in premises where the waste pipes have been made to discharge to the surface water drainage system instead of to the foul system. This causes pollution of the River Thames and is an offence. |
bc89587d-3386-423c-b31d-24bd3c927517 | The Council can order such connections to be cut off. Persons carrying out alterations and conversions should realise that proper notification is required by the local authority before such work is commenced. The condition of certain main sewers in the area is causing concern and the Council have accepted a scheme for renewal and improvement over a period of years. VERMINOUS PREMISES ETC. Rodent Control In the Mortlake and East Sheen parts of the Borough the foul sewers have always been infested with rats. The infestation is heavy in the older parts and relatively light where the sewers are more modern and in better condition. These infested sewers are usually treated twice a year with poison bait but, owing to staff difficulties, these had to be curtailed to one treatment only in 1956 and 1957. |
0d35b2f9-350e-4b64-af47-3bec3a384099 | The following table shows the results of sewer treatments since they were commenced:— 14 SEWER TREATMENTS Total Number of Manholes on Foul System 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 Number Treated 543 779 680 489 584 398 418 402 275 309 Complete Takes 230 177 121 126 80 96 98 127 32 111 Partial Takes 141 72 103 70 30 19 13 65 63 79 Percentage of Total Treated 68.3 32.0 33.0 40.0 18.8 28.9 26.5 47.7 34.5 51.5 It will be seen from the above Table that steady progress has been made to reduce the rat population in the sewers, over a period of years. |
c43b41ad-976f-4cec-89b0-7a736671b22b | The gap in treatments in 1956/57 meant that a corresponding increase in labour and materials was necessary when treatments were resumed, but it is felt that the increase was directly proportional and that little was either gained or lost on account of the gap. We have however reached a stage in these treatments where little further reduction in infestation can be expected unless an intensive, and correspondingly expensive, drive was to be made to eliminate entirely the infestation in the bad areas. The rats occasionally break out of the sewers and trouble residents. They are then dealt with by surface treatments and by the tracing and repair of defective drains and sewers. The free treatment of domestic premises against rats, and in a few bad cases, against mice, has continued at a satisfactory level. Improved methods of treatment have resulted in a diminution in the number and degree of infestations. Residents readily avail themselves of this service but it should be realised that it is relatively more difficult to trace and deal with an odd rat than to treat a large infestation. |
c4205b5a-541b-480b-9236-3a43c4bd2a10 | The following is a summary of work carried out:— Premises visited 436 Inspections made 458 Treatment visits 485 Premises treated 148 Minor Infestations of Rats 140 Minor Infestations of Mice 12 15 Other Pests The number of complaints of vermin have again been few. With modern insecticides most casual infestations can be readily dealt with by householders. The identification of insects, with advice on treatment, is a service much appreciated by housewives who are often unduly worried as to the nature of the infestations. No trouble was experienced with the midges in the Castelnau area, which have been the subject of complaints in previous years. This is no doubt due to the energetic measures taken by the Metropolitan Water Board in the vicinity of their reservoirs. The areas where mosquitoes, midges, etc., are likely to be a public nuisance were again treated early in the season. |
cea54961-ba95-4a41-ace3-ebfc93884334 | With so much public open space in the Borough however there is not a great deal that can be done in this direction, except at greatly increased cost. ATMOSPHERIC POLLUTION The Clean Air Act, 1956 is now in force. It brings up to date and improves the old law relating to nuisance from smoke and other forms of atmospheric pollution. For many years it has been an offence to emit black smoke from an industrial chimney. From 1st June, 1958 it will be an offence to emit dark smoke from any chimney for more than two minutes in any one half hour. Dark smoke is smoke of a density which most people would object to on sight. It is rare however for domestic chimneys to emit smoke so dense as to be ‘dark’ smoke and thereby commit an offence. However, the new Clean Air Act encourages the creation of Smoke Control Areas. In these areas only such fuel as will produce little, if any, smoke is allowed to be burnt. |
2083eb4e-11e1-45be-ad54-33186961eb39 | This means that all those fireplaces in regular use in the area would need to be adapted to burn a smokeless fuel. In the majority of cases this means the substitution of a modern open fire grate for the old fire grate. It need not mean a new surround also. A gas poker or similar device is, however, needed to start a fire burning smokeless fuel. Electric or gas fires, of course, are already smokeless. The cost of adaption is to be shared by the Government (40%), the local Council (30%), and the owner (30%). The actual cost to the average household is likely to be in the region of £3 per fireplace in regular use. If the householder is a tenant this may mean an addition to the rent of about 1d. per week per grate. (Bedrooms will not usually be considered for grant). In return the householder will get a modern grate with more efficient and cheaper heating. |
381181ab-9cd3-4495-9821-ddf0604f8e44 | He may lose the sight of leaping flames but will eventually enjoy a longer and healthier life with the satisfaction of knowing that he is getting more value from the same weight of fuel than ever before. 16 It should be remembered that in the London Smog incident of 1952 it is estimated that an extra 4,000 people in the Greater London area died on account of fog associated with atmospheric pollution. Again in early December, 1957, three days of fog and atmospheric pollution combined to cause an estimated 800 to 1,000 extra deaths in Greater London. It is reliably estimated that the cost to the nation through damage to buildings, plant life, fabrics and materials, increased laundry costs, road, rail and air traffic delays, etc., amounts to £300 million per year. This smoke control measure is long overdue and it is hoped that it will be welcomed by all thinking residents. An objection which is sometimes voiced is founded on the widely held belief that coke fires emit poisonous sulphur fumes. |
78446a82-f591-485f-a7c1-177597090cbc | When it is remembered that coke is produced from coal only and that nothing is added it will be clear that coal must also contain at least the same proportion of sulphur. However, when raw coal is burned the smell of the sulphur fumes is masked by the smoke. If such fumes are present in a room when coke is burned they must also be present when coal is burned and will do as much or more damage when combined with smoke. The moral is that all flues must be efficient and properly maintained whether coal or coke is burned. At the time of writing this report the Council had adopted in principle the creation of Smoke Control Areas throughout the whole of the District over a period of ten years. Whilst progress must necessarily be slow and the overall cost seem large, smoke control is both a sound economic and social proposition and an insurance against a repetition of the tragic circumstances of the smogs of past years, when the causes and effects were not clearly understood. |
66d2a0e7-689d-4b09-894d-2ba89c12e59c | The results so far obtained, in those progressive areas where private Acts of Parliament enabled smoke control schemes to be established, fully justify the expense and trouble involved in the change over. Needless to say, no schemes of conversion will be put into effect until all problems of supply and adequacy of appropriate fuels have been met. Where the cost of the tenants share would bear harshly on people of limited means, such as old age pensioners, the Council may consider enlarging the proportion of the grant payable in such cases. There will be ample provision for discussion and explanation of the details of the scheme when the programme has been settled. SECTION ‘D’ — HOUSING Action to secure the Closing or Demolition of unfit properties has proceeded slowly. One house which was closed as not being repairable at a ‘reasonable’ expense, having regard to the rent being paid under the controlled tenancy, was sold as soon as the tenants 17 had been rehoused by the Council, was reconditioned and resold at a high figure. |
069e719a-d158-4100-9571-74d15998b77f | This illustrates that the key to the problem of housing repairs and reconditioning lies in the obtaining of vacant possession by the owner. It is still too early to attempt to assess the success or otherwise of the Government's rent reform policy, so far as it is intended to secure the better repair of rented property. A few of the houses marked down for closing or, demolition have been given a new lease of life by the carrying out of extensive repairs. The task of dealing with those remaining on the list was held up by rehousing difficulties. Although schemes to meet this need were finally approved by the Council, the Governments economic policy resulted in a curtailment, and slowing down, of clearance action. The suspension of Improvement Grants and loans for purchase did not help matters but it must be admitted that the Improvement Grants Scheme has never had any success in this area as far as rented property is concerned. A noticeable feature of complaints in recent years has been an increase in complaints of dampness due to excessive condensation. |
3e2d68ed-6a8b-4125-ba0a-4397b435d18c | This may be due to the fact that many older properties are reaching an age and condition where internal plaster and wall surfaces have lost much of their absorptive properties. Another reason is the use of impervious and hard surfaced plastic materials for both surface lining and decoration and in the manufacture of household furnishings and equipment. An abundance of this type of covering material, coupled with solid floors, lino or plastic tiling and lack of ventilation, due to draught proofing devices, all lead to excessive condensation. The remedies are many and varied and involve considerations of temperature, humidity and the absorptive properties of both the atmosphere and furnishings in a home. Whether the dampness of condensation is any better or worse than dampness in the structure is a matter for conjecture and perhaps further research. When it was confined to the kitchen and bathroom it was tolerable and usually manageable, but the living rooms and bedrooms appear to be increasingly affected in both modern as well as old homes. |
de264ba3-525a-40ce-87d1-162230f66694 | Excessive condensation clearly has an adverse effect on the comfort and convenience of householders, if not on their health, and it would be beneficial if the causes and effects of condensation were more widely understood by the general public. The service of Notices of Increase in Rent following on the passing of the Rent Act, 1957, inevitably led to a substantial number of applications for Certificates of Disrepair. The slow and laborious procedure which must be followed to secure an abatement of rent, on account of disrepair, has caused much irritation and criticism from both tenants and landlords. The necessity 18 for the proper completion and service of the numerous forms has resulted in many informal and irregular procedures between landlord and tenant. Now that the initial rush of rent increases and repair jobs is over it would be appropriate to consider whether the tortuous procedure involved in the issue of Certificates of Disrepair could be streamlined to the benefit of all concerned. |
bd352e65-09c4-4910-84d0-699f0700a5eb | It is already obvious that, when once the initial manoeuvres concerned with rent increases are completed, there is very little recourse to Certificates of Disrepair. As these have never carried any provision relating to the enforcement of repairs the tenants will revert to the procedure of formal complaint and will expect action to be taken under the Housing and Public Health Acts. It was not found possible, nor particularly desirable, to conduct house to house surveys but action was taken to enforce repairs to houses where the landlord had failed to give a satisfactory undertaking and where essential and urgent items needed attention. Caravan Dwellings A caravan site was established in the Castelnau area where there has already been undesirable development through the erection of small factories and workshops on land being formerly the large gardens of old residential property. The site owner and occupiers would have been able to comply with the requirements of the Public Health Act, 1936 and the Byelaws but as permanent Town Planning consent was not granted proper sanitary facilities were not provided. |
a0ab25c8-cc8e-4043-a3a1-8c0006ae8884 | After protracted legal action the caravans left the site in June, 1956, the last remaining caravan being removed onto the highway where it remained, occupied by man, wife and children, until finally towed away to the Council Depot, in June 1957. This experience showed that, whilst caravans may prove useful for certain types of dwelling accommodation, the establishment of sites in an already crowded area of mixed development is not a satisfactory solution to the housing problem. The very compactness of a caravan leads to the difficulty of finding adequate storage space when the van is occupied as a permanent family dwelling. Inevitably, household belongings and equipment come to be stored under and around the van and makeshift sheds and shelters of various kinds soon bring conditions of squalor and depression. OVERCROWDING The position with regard to statutory overcrowding continues to improve, owing to the special consideration which such cases receive when allocations of Corporation dwellings are made. The number of overcrowded families rehoused during the year was ten. |
e3e17eb0-c47f-47e9-8c09-d32b175f3de5 | 19 SECTION ‘E’ — INSPECTION AND SUPERVISION OF FOOD The implementation of the higher standards of food handling, imposed by the Food Hygiene Regulations, 1955, has proceeded relatively smoothly with the exception of two main features. These were, firstly, the amount of protection from contamination which 'open food' should receive and secondly, the availability of suitable hand-washing facilities where ‘open food’ is handled. On the question of protection from contamination, attention was focussed on the custom of those shopkeepers who display meat, fish, cream cakes, cooked meats, etc., in positions where other persons may cough or sneeze over, or touch the food with hands and shopping bags, or where dust, dirt, and flies can settle on the food. Most traders agree to afford more protection to the food when requested to do so, but invariably the practice of open display is resumed after a little while. It is obvious that customers in general will buy more if commodities are pushed under their noses. |
46cc275a-4d0f-4c5f-ab3a-199c8047b29a | It is only when they don't feel so well, after eating them, that they think to complain ! The Food Hygiene Regulations were designed to ensure the safety of food for human consumption. The Food Byelaws also require that food for sale shall not be placed in such a position that 'contamination' may occur. There has always been doubt as to what 'contamination' means. Dust and dirt, smuts, foreign bodies, such as bits of stone, wood, nails, etc., may all be ,most objectionable when found in or on food, but the question which needs to be settled is whether or not such contamination is actually injurious to health. The fact is that rarely can these 'contaminants' be said to carry those germs which would cause illness or disease. |
48d62134-b2d5-47e2-9205-b3d1fcc067cd | To test this matter a case was taken against a local firm of fish merchants who persistently exhibited open food in such a position that street dust settled on it and where it was occasionally touched by customers, small children, passers-by, flies, etc. Bacteriological tests failed to reveal the presence of any organisms likely to cause illness. The Byelaws appeared to require food to be protected from contamination by dust, etc. The local Magistrates, however, decided that, in the absence of any positive proof that the health of the consumer was endangered, there was no offence. Costs were awarded against the Council. From this it is obvious that the primary objective is 'Safe Food' and physical cleanliness of food is merely incidental. To be certain of the safety of food when handled it is obvious that facilities for proper washing of hands shall be readily and conveniently available. |
f675502e-0767-4523-b266-a832bfe32e23 | A special survey, involving some 80 food shops, revealed that only about one quarter had the use of a separate washhand basin, the remainder using a sink which was also in use for other cleaning purposes. 20 More than half of the food handlers had to go more than 20 feet away from where the food was handled to wash their hands. In virtually all cases this means leaving the shop. In only 13 cases out of 81 did food handling staff have the use of a proper and separate wash' hand basin after using the toilet, and not all of these had hot water throughout the year. It is obvious that in the majority of small food shops the only facility for hand washing is the domestic sink at the rear of the building. Whether this is a proper 'wash-basin', reasonably accessible, is a matter which the Public Health Committee will no doubt be debating during the coming months, when a more detailed report will be presented. |
5eac1e2e-a135-4604-90be-8a831e754bba | Whilst the vast majority of workers in the food distributive trades are naturally clean and careful workers, there were a few cases where illness and financial or domestic worries led to unsatisfactory conditions, but no formal proceedings were necessary on account of dirty conditions. Experience over many years, however, shows that constant vigilance is imperative. The employees whose job it is to maintain cleanliness in food premises are generally the poorest paid. They do not understand fully the principles of food hygiene and are not prepared to devote time and study to the subject. However, the rule of scrupulous cleanliness in every detail would be sufficient to ensure safe food but, as explained earlier, it is a rule that cannot be enforced. It has been noted that there is a marked difference between the very high standards set by the School Meals Service, the Hospital kitchens, the large non-profit making Works’ canteens, and the conditions applying in those commercial kitchens where large profits and small expenses are the first considerations. |
c26d77da-10ec-4e17-a1d1-ce7c93ef4b8e | BOROUGH OF BARNES APPENDIX to the ANNUAL REPORT of the Medical Officer of Health 1957 25 SECTION TV — STATISTICS AND TABLES 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 Disease. TABLE 1. —STATISTICAL SUMMARY, 1957 Area 2,650 acres Population:— Census, 1931 42,44C Census, 1951 40,558 Registrar Generals estimate, mid-1957 39,51C Number of inhabited houses 12,11C Rateable Value £849,067 Product of a penny rate £3,40C Number of Live Births:— Males Females Total Legitimate 204 207 411 Illegitimate 14 16 30 Totals 218 223 441 Birth Rate per 1, |
c268cd7d-db95-4d8c-8ce5-bb8b9ab2bf53 | 000 population:— Uncorrected 11.2 Corrected (Comparability Factor 1.0) 11.2 Males Females Total Number of Stillbirths 3 2 5 Stillbirth rate per 1,000 total births 11.2 Males Females Total Number of Deaths 238 278 516 Death Rate per 1,000 population: Uncorrected 13.1 Corrected (Comparability Factor 0.75) 9.8 Deaths from Puerperal Causes NIL Death Rate of Infants under one year of age:— All Infants per 1,000 live births 20.4 Legitimate infants per 1,000 legitimate live births 21.9 Illegitimate infants per 1, |
fb348f99-67a8-4f82-a2ec-f69fbdb41340 | 000 illegitimate live births NIL Deaths from Cancer (all ages) 97 Deaths from Measles (all ages) NIL Deaths from Whooping Cough (all ages) NIL Deaths from Diarrhoea (under 2 years of age) NIL There has been no unusual or excessive mortality during the year. 26 COMPARATIVE BIRTH C DEATH RATES 27 Table 2.—Vital Statistics of the Borough of 'Barnes during 1957 and previous 5 Years Year Registered Births Total Deaths Registered in the District. Transferable Deaths Nett Deaths belonging to the District Uncorrected Number Nett Of nonresidents registered in the District Of residents registered outside the District Under 1 year of age At all ages Number Rate Number Rate Number Rate per 1,000 nett births Number Rate 1 2 3 4 5 6 7 8 9 10 11 12 1952 443 419 10.4 350 8.7 59 218 13 31. |
95bc6d4a-f575-4d46-817d-5889537c0de7 | 0 508 12.6 1953 453 434 10.8 387 9.6 17 194 10 23.0 564 14.1 1954 423 407 10.1 344 8.6 30 207 9 22.1 521 13.0 1955 455 430 10.7 334 8.3 20 218 5 11.6 532 13.2 1956 492 475 11.8 345 8.6 29 208 5 10.5 524 13.05 1957 456 441 11.2 313 7.9 17 220 9 20.4 516 13.1 28 Table 3.—Birth-rate, Death-rate, and Analysis of Mortality during the Year 1957, with corresponding rates for England and wales, 160 great towns, 160 smaller towns, |
091f1618-388d-4619-9c2b-16d8c09e2057 | and for the County of London for comparison. Live Births Deaths (excluding Stillbirths) DEATHS FROM Stillbirths Deaths of Infants under 1 year of age Malignent neoplasm lung, bronchus Whooping cough Diphtheria Tuberculosis (all forms) Influenza Acute Poliomyelitis Pneumonia Coronary and arteriosclerotic heart disease England and Wales (44,907,000) 16.1 11.5 0.43 0.00 0.00 0.11 0.15 0.01 0.52 1.70 22.5 23.1 Great Towns (23,126,310) 16.1 11.5 0.50 0.00 0.00 0.12 0.15 0.00 0.58 1.72 22.5 23.5 Smaller Towns (5,974,870) 16. |
2e4b4874-6072-47cb-a2e2-c1cf1fef7820 | 0 11.4 0.40 0.00 — 0.10 0.15 0.00 0.47 1.72 23.2 23.5 London (3,254,000) 16.2 11.4 0.61 0.00 0.00 0.13 0.12 0.00 0.65 1.70 20.0 21.9 Barnes Borough (39,510) 11.2 9.8 0.61 — — 0.08 0.18 0.02 0.58 2.1 11.2 20.4 Live birth and death rates per 1,000 population. Stillbirth rates per 1,000 total (live and still) births. Infantile mortality rates per 1,000 live births. 29 Table 4.—Causes of Death during the Year 1957. |
b466762d-67d5-474c-a099-37f1252dfb19 | Causes of Death (Registrar-General's short list of causes) Total Deaths Male Female 1 Tuberculosis, respiratory 3 2 1 2 Tuberculosis, other - - - 3 Syphilitic diseases - - - 4 Diphtheria - - - 5 Whooping Cough - - - 6 Meningococcal infections 1 - 1 7 Acute poliomyelitis 1 1 - 8 Measles - - - 9 Other infective and parasitic diseases - - - 10 Malignant neoplasm, stomach 10 4 6 11 Malignant neoplasm, lung, bronchus 24 17 7 12 Malignant neoplasm, breast 6 - 6 13 Malignant neoplasm, uterus 4 - 4 14 Other malignant and lymphatic neoplasms 53 27 26 15 Leukaemia, |
0fba7ae7-61d2-4d8c-a4c2-9198c9386022 | aleukæmia 3 1 2 16 Diabetes 2 1 1 17 Vascular lesions of nervous system 99 30 69 18 Coronary disease, angina 82 44 38 19 Hypertension with heart disease 6 1 5 20 Other heart disease 53 24 29 21 Other circulatory diseases 33 14 19 22 Influenza 7 5 2 23 Pneumonia 23 7 16 24 Bronchitis 18 12 6 25 Other diseases of respiratory system 6 3 3 26 Ulcer of stomach and duodenum 4 3 1 27 Gastritis, enteritis and diarrhoea - - - 28 Nephritis and nephrosis 2 2 - 29 Hyperplasia of prostate 6 6 - 30 Pregnancy, |
dad7350a-4538-4b62-95a8-92d64a0fb6dd | childbirth abortion - - - 31 Congenital malformations 3 1 2 32 Other defined and ill-defined diseases 52 22 30 33 Motor vehicle accidents 1 1 - 34 All other accidents 11 8 3 35 Suicide 3 2 1 36 Homicide and operations of war - - - All Causes 516 238 278 30 Table 5.—Infant Mortality during the Year 1957. Causes of death, at various ages, of infants under one year. Cause of Death Under 1 Week 1-2 Weeks 2-3 Weeks 3-4 Weeks Total under 4 W'ks 1-3 Months 3-6 Months 6-9 Months 9-12 Months Total under 1 year Deaths in the Borough Deaths outside Borough Birth Trauma 1 - - - 1 - - - - 1 - 1 Cerebral Anoxia 1 - - - 1 - - - - 1 |
7f66d25f-1290-4f86-9101-2041a5db5a13 | - 1 Cerebral Haemorrhage 1 - - - 1 - - - - 1 - 1 Exomphalos 1 - - - 1 - - - - 1 - 1 Immaturity 2 - - - 2 - - - - 2 - 2 Influenzal Pneumonitis 1 - - - 1 - - - - 1 - 1 Sclerema 1 - - - 1 - - - - 1 - 1 Subdural Haemorrhage - - - 1 1 - - - - 1 - 1 8 - - 1 9 - - - - 9 - 9 SECTION 'F — PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. Table 6. — Certain Infectious Diseases: Incidence per 1,000 of the Population in 1957. Disease Barnes London (a.c.) |
e34b7ffc-aecb-4dd9-958a-40f5a513963e | England and Wales Scarlet Fever 0.13 0.67 0.65 Diphtheria - 0.00 0.00 Enteric Fever 0.03 0.01 0.01 Acute Pneumonia 0.71 0.67 0.73 Dysentery - 0.72 0.64 Acute Poliomyelitis— Paralytic 0.03 0.06 0.07 Non-Paralytic - 0.04 0.04 Food Poisoning 0.28 0.36 0.20 Tuberculosis— Respiratory 0.48 1.06 0.65 Others 0.10 0.09 0.08 31 Table 7.—Notifiable Infectious Diseases, 1957. |
9b0ff844-a5e9-4ee6-9a50-17b1acb07a72 | Diseases Total Cases Notified Ages, in years Parish Removed to Hospital Under 1 year 1 to 2 2 to 3 3 to 4 4 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 35 to 45 45 to 65 65 and over Barnes Mortlake Scarlet Fever 5 3 2 4 1 Whooping Cough 37 1 2 4 4 2 20 2 2 17 20 Measles 606 9 36 59 66 51 362 18 4 1 771 335 4 Poliomyelitis—Paralytic 1 1 1 - 1 „ Non-Paralytic Pul. Tuberculosis 19 - - - - - - - - 4 4 4 6 1 9 10 - Non-Pul. Tuberculosis 4 - - - - |
16b5bd70-a1df-4584-92fc-326d0c30a71d | - - 1 - 2 - - 1 - 1 3 - Diphtheria - - - - - - - - - - - - - - - - - Smallpox - - - - - - - - - - - - - - - - - Cholera - - - - - - - - - - - - - - - - - Plague - - - - - - - - - - - - - - - - - Tuberculosis other f'rms - - - - - - - - - - - - - - - - - Meningococcal Infect'n - - - - - - - - - - - - - - - - - Typhus Fever - - - - - - - - - - - - - - - - - Relapsing Fever - - - - - - - - - - - - - - - - - Dysentery - - - - - - - - - - - - - - - - - Ophthalmia - - - - - - - - |
cd744b6b-1843-49ae-ab2a-6c9a16345a85 | - - - - - - - - - Neonatorum Puerperal Pyrexia 1 1 - 1 Acute Pneumonia 28 2 1 1 1 10 13 7.1 7 1 Paratyphoid Fever 1 1 1 - 1 Typhoid Fever Food Poisoning 11 1 2 2 4 1 1 - 11 8 713 10 40 63 70 56 384 22 9 8 9 9 18 15 325 388 15 32 Table 8.— Notifiable Infectious 'Diseases, 1947 to 1957. Year 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 Diphtheria 2 3 - - - - - - - - - Scarlet Fever 27 30 38 27 17 |
fd54200e-4a70-4a57-8616-99a8c9264188 | 42 21 29 7 8 5 Typhoid Fever - - 1 - 2 - - 1 - - - Paratyphoid Fever - - - 1 - 1 - - 2 - 1 Puerperal Pyrexia - - 1 1 - 4 1 - 3 3 1 Erysipelas 10 10 8 4 2 8 7 2 7 2 1 Continued Fever - - - - - - - - - - - Relapsing Fever - - - - - - - - - - - Typhus Fever - - - - - - - - - - - Small-pox - - - - - - - - - - - Cholera - - - - - - - - - - - Plague - - - - - - - - - - - Tuberculosis, Pul. |
7d0f5a83-3cf8-4e21-9eb4-4acf40f9737f | 62 40 32 37 38 39 37 27 23 18 19 „ Non-Pul. 9 5 6 2 1 7 3 3 3 3 4 Ac. Encephalitis (Post Infections) 1 - - - - - - - - - - Poliomyelitis, Paralytic 4 4 10 1 _ 8 3 1 7 4 1 „ Non-Paralytic - - - - - - - - 1 2 - Ophthalmia Neonatorum 2 1 - - - - - - - 1 - Meningococcal Infect'n - - - - 2 - - 2 - - - Measles 437 158 588 124 541 249 306 5 489 16 606 Encephalitis Lethargica - - - - - - - - - - - Polioencephalitis 1 - - - - |
cd758ba4-3002-4d66-bfab-05cebb78a3ee | - - - - - - Malaria - - - - - - 2 - 1 1 - Dysentery - 4 - 3 4 11 25 75 - 4 - Pneumonia 16 20 21 13 29 21 27 11 31 25 28 Whooping Cough 94 56 15 58 82 19 136 25 42 17 37 Food Poisoning - - - - - 1 11 5 10 - 11 33 TUBERCULOSIS. Notification Register. The Register of Notifications has been kept revised in accordance with the requirements of the Public Health (Tuberculosis) Regulations, 1952. The number of cases added to or removed from the Register during the year and the number remaining on the Register on December 31st, 1957 are as under:— Table 9. — Tuberculosis Register. |
64eee60e-08b0-4da4-9c30-aaaf0e5280b8 | Form of Disease On Register, 1st Jan., 1957 Cases Added Removed from Register Remaining on Regisler, 31st Dec., 1957 Primary Notif'ns Otherwise Restored Total NonTub. Cured Left District Dead Total Pulmonary 242 19 18 5 284 - 23 41 4 68 216 Non-Pulm'y 39 4 1 - 44 - 2 21 1 24 20 Totals 281 23 19 5 328 - 25 62 5 92 236 Table 10.— Tuberculosis: New Cases and Mortality, 1957. |
19eaa6fa-b314-43b6-8949-e8e570c79731 | Age-Periods New Cases* Deaths Pulmonary NonPulnionary Pulmonary NonPulmonary Male Fem'le Male Fem'le Male Fem'le Male Fem'le 1- 5 years - - - 1 - - - - 5-14 „ - - - 1 - - - - 15-24 „ 4 2 2 - - - - - 25-44 „ 12 11 - 1 1 - - - 45-64 „ 9 2 - 1 1 - - - 65 „ and over - 2 - - 1 1 - 1 All ages 25 17 2 3 3 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. |
71a84746-f2b5-4b4a-a33c-1d9165105dc1 | Incidence-rate Pulmonary 1.06 Non-Pulmonary 0.13 All forms 1.19 Death-rate Pulmonary 0.101 Non-Pulmonary 0.025 All forms 0.126 34 PULMONARY TUBERCULOSIS 35 Table 11.—IMMUNISATION and VACCINATION. Diphtheria Immunisation. The following Table shows the state of Diphtheria Immunisation of the Children of Barnes:— Infants 0-4 inclusive School Children 5-14 inclusive Estimated Child population 2,337 4,415 Number immunised during 1957 357 35 Number re-immunised during 1957 51 464 Total number immunised at 31st December, 1957 1,231 4,297 Percentage immunised at 31st December, 1957 52.7% 97.3% Whooping Cough Immunisation. |
97195dbe-e361-4052-b7de-4522a5c9a46d | Number of children immunised by primary course 367 Number of children who had a reinforcing injection 47 Vaccination against Smallpox. Number of Vaccinations carried out during 1957:— Children Adults Primary Vaccination 334 42 Re-vaccination 37 213 Number of Vaccinations carried out at Clinics 215 28 Number of Vaccinations done by private doctors 156 165 Figures showing percentage of children under 1 year vaccinated during 1957:— Number Vaccinated under 1 year 267 Estimated Mid-year population under 1 year, 1957 469 Percentage Vaccinated 56.9% 36 SECTION 'C' — SANITARY CIRCUMSTANCES OF THE AREA Table 12. — Infected Rooms and Articles (dealt with by the Council). Premises disinfected 2 Lots of bedding disinfected 2 „ „ destroyed 9 Table 13. |
55d2adf4-2700-4774-9381-b28725c4bc90 | — Disinfestations (Dealt with by the Council) Disinfestarion by spraying or fumigation was carried out at various premises for the following infestations:— Flies 2 Bugs 3 Bees 3 Wasps 27 Ants 1 Fleas 1 In addition as a general precaution, Beverley Brook and parts of the Common were sprayed on three occasions at various points where mosquitoes were troublesome. All school kitchens were treated for flies by arrangement with the Education authority. ROUTINE INSPECTIONS. The following premises are subject to inspection from time to time as a routine measure. Registers are maintained of these premises and appropriate action taken where conditions warrant it. Table 14. — Factories. No. of Premises on Register. Inspection. Number Written Notices Served Factories with mechanical power 154 54 - „ without „ „ 22 8 - Other premises in which Sect. |
97490b1c-547d-4d33-8503-c087a8dbb512 | 7 is enforced by local authorities 4 — — Total 180 62 — Legal proceedings:— No legal proceedings were necessary during 1957. 37 Table 15. — Home Workers. Work Undertaken No. on Register Wearing apparel 62 Lamp Shades 12 Curtain makers and upholstery 3 Household linen 1 Stuffed Toys and Nursery Articles 3 Xmas Crackers 2 Artificial Flowers 2 Carding of buttons 1 Total 86 Table 16.—Other Premises. Nature of inspection Number of premises Number of visits Notices issued and complied with Schools 21 1 - Public Halls, Cinemas and Public Conveniences 41 31 - Stable Yards 5 11 — In addition to the above, 37 visits were made by Public Health Inspectors to premises in connection with infectious disease. Altogether, 248 non-effective visits were made to premises of all types where no access was gained. SECTION 'D'— HOUSING Table 17.— Housing Inspections. |
be547865-d587-4fdf-9115-b04b0c4e1393 | Total number of inspections (including re-inspections) made in respect of unsatisfactory housing conditions 1,562 Number of houses inspected in respect of unsatisfactory living conditions, but where no repairs were required 114 Number of Informal Notices served 109 Number of Informal Notices complied with 85 38 SECTION 'E'— INSPECTION AND SUPERVISION OF FOOD Table 18.—food Premises. The following inspections were made in respect of premises where food is handled and distributed:— Nature of inspection Number of premises Number of visits Notices issued and complied with Bakehouses 8 45 2 Bread and Cakes 16 37 3 Butchers 29 155 10 Cafes, Restaurants, etc. 43 125 1 Cooked Meats 70 38 - Dairies and Milk Shops 24 14 1 Fishmongers 15 97 2 Greengrocers 41 95 4 Grocers 78 280 12 Ice Cream:— Note: No Ice Cream produced during year. |
9b13e37d-7928-4419-b7fe-b3cb4760b2d3 | Manufacturers 2 - Retailers 83 119 Public Houses 30 34 - Street Traders 8 5 - Sweets, Confectionery 60 74 1 School Kitchens 6 2 1 Table 19.—Milk Sampling. Chemical Analysis. 7 samples of milk were taken and submitted to the Public Analyst for chemical analysis. These samples, taken from milk roundsmen and local retailers, proved to be quite satisfactory. Table 20.— Sampling of Other Food and Drugs. (a) Chemical Analysis.— 54 Samples procured under the provisions of the Food and Drugs Act, 1938, included:— Foods. Bread Sweets Cakes and Confectionery Sauces Fruit Drinks Soups Jams Tinned Meat Medicines „ Fish Packaged Food Mixes ,, Fruit Pastes 39 Hereunder I give the Public Analyst's reports on the samples examined which were found to be irregular or sub-standard. |
5bd26871-e9ed-4147-bb69-46d6e25fea1a | Whilst no legal proceedings were instituted the matters complained of were taken up with the manufacturers concerned with satisfactory results:— Samples Nos. 69 and 70. — Cream of Mushroom Soup. These products, described as cream soup and which contain no butter fat or less than 1½ per cent. by weight of butter fat, should contain not less than 3½ per cent. by weight of edible oil or fat. Samples Nos. 81, 82 and 83.— Eclairs contain Fresh Cream. These samples contained a substance which resembled cream in appearance but which consisted of imitation cream. Sample No. 80.— Macaroon Tarts made with Butter. The unqualified term macaroon is applied to a baked mixture of ground almonds, sugar and egg albumen with or without other ingredients. The term coconut macaroon is sometimes applied to a similar article prepared with desiccated coconut instead of ground almonds. Sample No. 79.— Cream Boats made with Butter and contain Fresh Cream. |
42886e55-5549-4743-b594-25e4c1d61801 | The pastry portion of this article contained a total of 22 per cent. of fat of which one quarter was butter fat. Although the cream was genuine cream, the claim that this article was made with butter implies that the whole of the fat used in the preparation of the pastry was butter. There was insufficient fat in the yellow icing to admit of a determination of the proportion of butter fat, if any. Sample No. 78.— Rum Babas made with Butter and contain Fresh Cream. The sponge portion contained a total of 9 per cent. of fat of which only one seventh was butter fat. Although the cream was genuine cream, the claim that this article was made with butter implies that the whole of the fat used in the preparation of the sponge was butter. Samples Nos. 97 and 100.— Megg. |
032019a8-a657-44a0-ac44-f9df3a8298b8 | The label on the containers in which these articles were sold described the product as Megg and the words 'Meat' and 'Egg' appeared in alternate coloured squares over a substantial part of the labels. It is considered misleading to describe a meat product containing only 65 per cent as meat without qualification. Samples Nos. 101 and 106.— Egg and Milk Loaf. These artides contained non-fatty milk solids to the extent of 2 per cent. and 1.5 per cent. respectively and were probably prepared with skimmed milk powder. This content does not entitle it to the description 'Egg and Milk Loaf'. Egg solids were present as well as a substantial proportion of added fat, but no milk fat was detected. Sample No. 103.— Carltona Frig-Ice. The ingredients of this article as specified on the label were:— Full Cream Milk Powder, Sugar, Dextrose, Vegetable Stabiliser, Flavouring, Colouring. |
41108eba-cfd6-4a37-a599-69116b287a62 | The term 'Vegetable Stabiliser' is a generic and not a specific term and does not indicate the true nature of the stabiliser used. It is not in accordance with the requirement of the Labelling of Food Order, 1953. 40 Table 21.— Unsound Food. The following articles were voluntarily surrendered and destroyed as being unfit for human consumption:— Where quantities are insufficient for salvage all unsound food is collected and disposed of at the Council's Refuse Destructor, by incineration. Meat. Fruit. Bacon lbs. 64 Canned Fruit lbs. 293 Beef lbs. 36 Prunes lbs. ½ Canned Meat lbs. 197 Vegetables. Lamb lbs. 72 Poultry. Baked Beans-Canned lbs. 34 Canned Tomatoes lbs. 79 Canned Vegetables lbs. 209 Chicken (Canned) lbs. 55 Other Foods. Fish. Cereals lbs. 42 Cheese lbs. |
06cd148b-d858-43c4-b9f0-2c3a49a3697a | 67½ Marmalade lbs. 2 Canned Fish lbs. 4 Milk (Condensed) lbs. 44½ Cod lbs. 28 Soup lbs. 2 Roker stones 20 Various lbs. 94 Table 22.— Slaughter-houses. The district does not now possess a slaughter-house. No animals were slaughtered for food in this district during 1957. |
ce0822a1-8a81-4c9b-ace0-e33f31ee0d66 | Library b BARN 26 BOROUGH OF BARNES ANNUAL REPORT OF THE Medical Officer of Health For the Year 1958 BOROUGH OF BARNES the ANNUAL REPORT of the Medical Officer of Health for the year 1958 ROSETTA HILL, M.B., B.Ch., D.P.H. Medical Officer of Health. 3 BOROUGH OF BARNES. STAFF OF THE PUBLIC HEALTH DEPARTMENT Medical Officer of Health:— Rosetta Hill, M.B., B.Ch., D.P.H. Chief Public Health Inspector:— William L. Leach, D.P.A. (London), MA.P.H.I.*†‡ Deputy Chief Public Health Inspector:— P. J. Shannon, M A.P.H.I. *† District Public Health Inspectors:— F. A. Sadler, MA.P.H.I. *†‡ C. E. Mallett, MA.P.H.I. |
c9347dae-006a-4213-9ba0-d15eaeba10d1 | *† * Certificate of Public Health Inspectors' Board (formerly R.S.I, and J.S.I.B.). † Certificate of Royal Society of Health as an Inspector of Meat and Other Foods. ‡ Certificate of Sanitary Science as applied to Buildings and Public Works. Clerical Staff:— G. W. Nickolls. Mrs. J. D. Wallis. Miss D. R. Day. Public Analyst:— D. D. Moir, Esq., M.Sc., F.R.I.C. PUBLIC HEALTH COMMITTEE 1958-1959. Alderman E. S. Stevens (Chairman). Councillor Mrs. M. E. Hull (Deputy Chairman). The Mayor (Councillor C. Gompels). |
e9e9f591-6e5c-4317-9eab-c04c41583849 | Alderman F. W. Moore Alderman H. Thomas Councillor A. Beilby Councillor E. S. Bolton Councillor F. A. Coldman Councillor F. R. Cooper Councillor F. A. W. Counter Councillor M. A. E. Cresswell Councillor W. R. Gosling Councillor A. G. H. Lawrance Councillor D. Lee Councillor Mrs. P. K. M. Lomer Councillor G. B. Naylor 4 Telephone: PROspect 3443. 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 1958. |
d6799169-5e84-40f8-8e15-4580ede67d7d | The Report 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, regard being given to the Ministry of Health Circular, 22/58. The year has been a satisfactory one; the birth rate has remained the same, and there has been a slight decrease in the death rate. The infantile mortality, which is a good index of the health of the community, has fallen to 18.2 as compared with 20.4 last year. This rate was increased by the fact that two of the infant deaths were newly born babies whose bodies were found by the river and whose cause of death was unknown. The rate for England and Wales was 22.6. The incidence of infectious disease during the year was low; there were no epidemics. |
7f0a8c9f-f0b0-44ca-ad2c-42d7b3ec2580 | There was a slight increase in the number of Scarlet Fever Cases, but it is gratifying to report a marked decrease in the number of cases of Whooping Cough. There was an increase in the number of new cases of Pulmonary Tuberculosis, but there were no deaths — a point which emphasizes the value of the modern treatment of the disease. As this will be the last Report which I shall submit as your Medical Officer, I would like to express my thanks to the Council for all the help and support which you have so willing given me during my twelve years of office. At the same time I should like to thank all the officials for their unfailing help and co-operation, and pay tribute to all the members of the staff who have given such loyal and devoted service. I have the honour to be, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, ROSETTA HILL, 23rd July, 1959. Medical Officer of Health. |
7611ae2a-1af6-4235-b5c5-3f45b77869c6 | 5 PREFACE STAFF AND DUTIES There were no changes in the staff of the department during the year. SECTION 'A' — STATISTICS AND SOCIAL CONDITIONS OF THE AREA The Registrar General supplies local authorities with "Comparability Factors" in respect of births and deaths, and you will see that these have been used in the compilation of the various statistics. I would explain that the use of the factors supplied by the Registrar General gives corrected figures to the local rates, enabling truer comparisons to be made with the remainder of the country—i.e. as though the ages and sexes of the local population were in the same proportion as those for the whole country. The Borough of Barnes, in the County of Surrey, is situated on the South Bank of the River Thames between Richmond and Putney. One of the great advantages of the Borough is the fact that open spaces comprise almost half of its area, including Richmond Park, the River Thames, Barnes Common, Sheen Common, and other parks and recreation grounds. |
c8fb702f-5d9b-4087-9aa5-27125f1b6698 | The Borough is mainly residential in character with some light industry. SECTION 'B' — GENERAL PROVISION OF HEALTH SERVICES IN THE AREA (a) Laboratory Facilities Public Health Laboratory, Epsom — accepts all pathological specimens and the staff are very helpful in advising in outbreaks of dysentery, food poisoning etc. Colindale, Central Public Health Laboratory — carries out special investigations. Richmond Royal Hospital Laboratory — deals with pathological specimens from the general practitioners. (b) Ambulance Facilities The Ambulance Service is based at Kings Road, Richmond, and comes under direction of the Control Station at Maiden. It is administered by Surrey County Council. 6 (c) Nursing in the Home There are two midwives and eight district nurses working in the area. They are based at 31/32, Ranelagh Avenue, Barnes. There are four health visitors in the district, two based at each clinic. |
1dc1d170-1fd5-4fc8-a44e-4bf3f185321e | (d) Treatment Centres and Clinics There are two clinics in which infant welfare, ante-natal and school medical services are provided:— (i) Essex House, Barnes. (ii) Health Centre, North Worple Way, Mortlake. These services come under Surrey County Council and are administered by the Divisional Medical Officer, Barnes and Richmond forming a division. The Chest Clinic is held also at the Health Centre, Mortlake. (e) Hospitals The only hospital in the area is the Barnes Hospital, which is now used solely for the treatment of chronic sick patients. It was previously the Barnes Isolation Hospital. The principal general Hospitals serving the area are:— West London Hospital, Hammersmith, Richmond Royal Hospital, Kingston Hospital. The hospital for infectious diseases is:— Tolworth Hospital, Surbiton. Occasionally, cases are sent to the London Hospitals. |
d70d47b1-c55f-4ed6-8f6e-b44cb565bfc5 | Maternity cases are booked through the clinics for admission to the Kingston Hospital and in addition a number of patients book at the following London Hospitals:— St. Mary Abbots Hospital, Kensington, Hammersmith Hospital, Ducane Road. REMOVAL OF PERSONS IN NEED OF CARE AND ATTENTION, Section 47, National Assistance Act, 1948 Under the above Section, the Council has power to apply to the Courts for an order for the removal of persons to hospitals or other suitable accommodation where they are:— (a) suffering from grave chronic disease, or being aged, infirm or physically incapacitated are living in insanitary conditions, and (b) are unable to devote to themselves and are not receiving from other persons proper care and attention. 7 Thirty-three cases of old people in need of care and attention were investigated during the year. |
fe59736a-0f2d-43b1-917a-e15c9f4f8419 | In only one case was it necessary to take action under Section 47, as in the remaining cases the old people either agreed to go into hospital or other arrangements were made at home for their care. The case in which action became imperative was one of an old lady aged 69 living alone in her own house. There had been a tendency for her over the years to hoard and not to dispose of rubbish satisfactorily, and on several occasions the Council had taken action to ensure that the premises were cleansed. On this occasion the conditions were very insanitary, and in addition the owner herself had deteriorated in health, and was in need of medical care. She refused to have her own Doctor, and would not under any circumstances agree to a medical examination. As I considered that she was in urgent need of hospital care, application was made to Court for an Order under Section 47, National Assistance Act 1948. |
4dbd22e4-df43-4d3b-96f2-12f5922c76a1 | This was granted, and she was removed to Grove Road Hospital, Richmond, for a period of three months. At the end of this time she was fit to be discharged home, very much improved in health. Her house had been cleaned in her absence, and when she returned home regular visits were carried out by the District Nurse and Home Help. She also agreed to register with a Doctor, who now visits her at intervals. Co-operation with Kingston Hospital remains good. The Geriatrician who holds a joint appointment with the Hospital Board and the County Council, co-operates very well with this Department, and is always most helpful in arranging for admission of urgent cases. The County Welfare Department is always extremely co-operative in arranging for admission of old people to other accommodation. SECTION 'F' — PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES Generally The incidence of infectious disease during the year was low; there were no epidemics. |
2c550673-d754-49c0-a3ca-a16154765da8 | There were ten cases of Scarlet Fever notified during the year as compared with five in 1957; all the cases were mild and were treated at home, with two exceptions, who were admitted to hospital on account of home conditions. 8 There was a marked decrease in the number of cases of Whooping Cough — 6 being notified as compared with 37 in the previous year. All the cases were mild. The practice of giving Whooping Cough immunisation combined with Diphtheria at an early age — starting at 3 months — has done much to reduce the incidence of Whooping Cough in infancy, at the time when it is a most dangerous and distressing illness. 1958 was the inter-epidemic year for Measles. There were 136 cases notified as compared with 606 in the epidemic of the previous year. There were no cases of Diphtheria during the year; the last case notified in this Borough was in 1948. |
ef0d0e76-28a2-4d69-886a-4a76d1a07180 | Poliomyelitis There was one case of Poliomyelitis notified during the year. The patient was a young man aged 30 years who developed the disease in January. He was very gravely ill, having paralysis of the upper limbs and respiratory muscles, and was treated in the Western Hospital. Later he was transferred to St. Benedict's Hospital where after prolonged treatment he made a complete recovery, and has now resumed his work. Tuberculosis The number of new cases of Pulmonary Tuberculosis has increased —28 being notified as compared with 19 in the previous year. There were no new cases of Non-Pulmonary Tuberculosis during 1958, compared with 4 cases in the previous year. There were no deaths from Pulmonary Tuberculosis during 1958, but four persons, who had been notified as suffering from the disease, died from other causes during the year. |
075fd52d-d47b-4730-8bf9-91f2850e9d26 | Mass Radiography Unit Arrangements were made for the Mass Radiography Unit of the South West Metropolitan Regional Hospital Board to visit the Borough from 6th to 22nd August to afford facilities for X-Ray of the chest for anyone wishing to attend. The unit was based in the Public Health Department, and the visit was widely publicised. The numbers attending were not so good as on the previous visit; it is difficult to persuade people, who consider themselves in good health, of the value of an annual X-Ray of Chest as a check-up on health. |
c2447968-411a-4466-bec3-742a6c6dfcd9 | 9 I give below a brief summary of the findings of the survey:— Total X-Rayed: Men 1,060 Women 1,260 2,320 Pulmonary Tuberculosis : Persons requiring treatment or close observation: Men 2 Women 1 Person requiring occasional supervision only: Men 1 Women 1 Primary Lung Cancer: Men 4 Women 1 At the end of the year a new Mobile Chest Radiography service for general practitioners was organized by the S.W. Metropolitan Hospital Board. Under the scheme a Mobile X-Ray Unit visits this area once weekly; it is based at the Municipal Offices. The unit can examine 40/50 people an hour, and is primarily intended for the use of general practitioners in referring their own patients. |
a2fa0742-c7a0-4805-b806-2da83b5073c9 | It is considered very important to X-Ray all men over the age of 45 who have not had a chest film during the past 12 months, and all young women between the ages of 15 and 25, as these age groups show the highest incidence of chest disease. In addition to examining cases referred by their general practitioners, the Mobile Unit has also agreed to X-Ray any member of the Council Staff referred from this Department, and in this way it is possible to arrange for every Council employee taking up work to have a Chest X-Ray as part of the medical examination. When this service was first introduced it was suggested by the Mass Radiography Service that it would only be continued if the response by the general practitioners was sufficient to justify its use. It is gratifying to report that at the end of four months this area showed the highest attendance in Surrey, so it is hoped that the service may be continued, as it has proved a great boon to this district. |
11fd826c-31e3-4f72-ace0-4777e9358b00 | Influenza During 1958 there was no epidemic of influenza. The epidemic of the previous year had been in the autumn months, and there were only a few isolated cases in the early part of the year. There were three deaths in the year caused by Influenzal Pneumonia — all in elderly people. 10 Food Poisoning There were 5 cases of food poisoning notified during the year. One of the cases was a woman aged 50 who was admitted to the South Middlesex Hospital thought to be suffering from Dysentery, but was found to be infected with Salmonella typhi murium. The infection cleared up quickly with treatment. Another case notified of Salmonella typhi murium infection was in a child aged 9 years. On investigation it was found that although notified in this area, the child had already moved to another area, and it was arranged that he should be followed up there. |
ad2289c6-7672-4ee2-9dc5-603eae085f50 | There were three other isolated cases of Food Poisoning notified, but no infecting organism was isolated and the cause was unknown. Maternal Mortality There were no maternal deaths during the year. Infant Mortality Rate The number of deaths of infants under one year was 8, as compared with 9 of the previous year. The infant mortality rate for this area is 18.2 per 1,000 live births as compared with 22.6 for England and Wales. This rate was increased by the fact that two of the infant deaths were new born babies, whose bodies were found by the river, and where the cause of death was unknown. IMMUNISATION AND VACCINATION Diphtheria and Whooping Cough — Immunisation was continued throughout the year. The combined vaccine was used during the winter months, but during the summer months the separate whooping cough and diphtheria vaccines were used. |
7996829c-c13c-4f56-8278-c9884e8dd079 | This followed a recommendation from the Ministry of Health that the separate vaccines were less likely to provoke paralytic poliomyelitis. The immunisation in each case is started when the child is three months old. Smallpox — Vaccination was continued throughout the year, usually following immunisation against diphtheria and whooping cough at the age of six months. Poliomyelitis — During the year, poliomyelitis vaccination proceeded, and the numbers registering for vaccination greatly increased. At the beginning of the year the scheme approved by the Ministry of Health included children born between the years 1943 and 1957, babies who had reached the age of 6 months and expectant mothers. In the first quarter of the year, vaccine supplies were unequal to the 11 demand, but later the import of American and Canadian vaccine recommenced, and it was possible to vaccinate nearly all those registered during the summer months. |
420f182b-5e67-4b86-9395-9aec6280a6b2 | In September the scheme was extended to include young people born in the years 1933-1942, and to give third or boosting doses to all those vaccinated since the beginning of the scheme. The scheme is operated by the County Council under the direction of the Divisional Medical Officer. Tuberculosis — B.C.G. vaccination is offered to every child between the age of 13 and 14. The scheme is carried out by the County Council. Lung Cancer The incidence of cancer of the lung is increasing rapidly. It is now the most common form of cancer mortality, being responsible for approximately 20,000 deaths a year, predominantly in men in the prime of life. In this area the rate is higher than in England and Wales, but the number of deaths this year is exactly the same as last year. Once again there is an increase in the number of women dying from the condition. |
172bca44-5c50-4ba1-ba9a-cc3382e2c85e | There is now the strongest evidence to show that the more cigarettes are smoked the more liable one is to develop cancer of the lung, and it has been shown that the incidence is much reduced in those who have previously smoked and given it up. It is discouraging to note that in spite of the health education carried out in schools, Youth Clubs and young people's organizations, so many young people continue to take up the habit. 12 THE REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR Mr. W. L. LEACH, IS CONTAINED IN THE FOLLOWING SECTIONS 'C' 'D' and 'E' SECTION 'C' — SANITARY CIRCUMSTANCES OF THE AREA Water Supply The domestic water supply has been of satisfactory hygienic quality and adequate in quantity during the year 1958. |
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