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It appears that, provided members of the public can see what is happening and can assess for themselves the likely short duration of the nuisance, they are prepared to tolerate such an interference with their normal comfort especially when it is realised that improved technique for quietening the operation are likely to increase the cost of the operation to public funds, without materially affecting the efficiency or speed of completion of the job. Another large scale reconditioning scheme involving sewage brought forth many complaints. This was the reconstruction of the sludge digestion tanks at the Richmond Main Sewerage Works, made necessary as a result of the structural failure of the tanks. The proper funtioning of the plant was seriously interfered with and emergency measures were taken to deal with the problem of drying the sludge in open lagoons.
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All possible practical steps were taken to minimise the nuisance, but these failed to prevent objectionable smells, causing acute distress to residents, particularly those living in the Hartington Road area of Chiswick, due to the fact that they were in the path of the prevailing wind. Constructional work has proceeded as rapidly as possible and the new tanks are now well established, although at the close of the year there was still some nuisance from effluvia. Experience in other areas shows that, however well designed and conducted, a sewage disposal plant should be in as isolated a position as possible. It is regrettable that new occupiers of property in the vicinity cannot be warned in advance that they are moving to an area where a certain amount of nuisance is almost inevitable. VERMINOUS PREMISES ETC. Rodent Control. Complaints of rats and mice continued at a satisfactory low level and no major infestations were met with.
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Infestation in the sewers is now confined to one small area where the sewer system connects with Richmond. This is a small pocket of residual infestation, on a minor scale, and no undue difficulty is expected in dealing with it by means of routine treatments. Other Pests. The destruction of wasps nests again predominated in the treatment of pests other than rodents. There was a slight increase in the 11 number of infestations by bugs dealt with but these were of no particular significance and eradication was effective and final. ATMOSPHERIC POLLUTION. The Clean Air Programme passed the halfway mark with the coming into operation of the No. 4 Smoke Control Area on 1st September, 1964 and the No. 5 Area on 1st December, 1964.
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Bearing in mind the rather drastic change in policy which occurred just as the last area was confirmed, in connection with the type of smokeless appliances being advocated for smoke control areas, the conversions were carried out with relatively little trouble. Fortunately nothing succeeds like success and the performance of the new types of room heater is such that they are usually well recommended by their users. There is now a comprehensive range of appliances burning all types of fuel, which should suit all tastes and conditions. At the close of the year the Ministry announced that, in future, grants will not be payable on direct acting electric heating appliances because the use of such appliances could create an undue strain of power resources during peak periods. Fortunately this announcement came at a time when the majority of approvals had already been issued for the No. 5 Smoke Control Area and householders in the new areas can be warned in good time of this change in policy. The Council made the No.
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6 Smoke Control Order in December and it is expected that this area will come into operation on 1st December, 1965. It is worthy of note that relatively few people are now desirous of retaining an open fire, given freedom of choice, and this should lead to a better position as far as the availability of fuel supplies is concerned. Considerable difficulty was again experienced in agreeing the estimates of local builders for conversion works, and the Department was sometimes placed in the regrettable position of having to refer applicants to building firms outside the district for more reasonable estimates. The results of observations carried out by the apparatus for measuring atmospheric pollution in East Sheen indicate that no further improvement in the cleanliness of the atmosphere of this part of the Borough can be expected until the adjacent residential areas are brought under smoke control orders. Even so the weight of smoke has been halved since the passing of the Clean Air Act, 1956. The weight of sulphur dioxide has been reduced by almost one-third in the same period.
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SECTION 'D' β€” HOUSING. The most notable trend in housing conditions in the area was the accelerated modernisation of obsolescent properties. As each house becomes vacant, by the death of the statutory tenant or other circumstances, the property is promptly sold and reconditioned. The 12 standard of reconditioning depends on whether it is being carried out by the new owner/occupier, or whether it is to be resold by developers . Certainly the number of houses available for ordinary letting is becoming smaller and smaller each year. With impending amalgamation it was not considered desirable to embark on any redevelopment area schemes, although there are certain areas where the results would probably justify the enormous amount of work which would need to be put into the schemes. It seems clear that owners themselves cannot be relied on to take the initiative in these matters and it will be for the local authority to make detailed surveys and prepare outline schemes with a view to compulsory improvement powers being invoked in the event of non-cooperation by owners.
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The new Housing Act powers provide for ample time and opportunity being given to owners to think things over before the local authority can actually step in to commence works and provision is made for improvement works to be delayed for a few years if the occupying tenant objects to the proposed works. SECTION 'E'β€” INSPECTION AND SUPERVISION OF FOOD. The standard of food premises generally was maintained at a reasonably satisfactory level and there were only a few cases where conditions were bad enough to require warning of possible proceedings. The cost and difficulty of arranging for the removal of trade refuse from food premises, especially grocery and greengrocery businesses, is a factor which mitigates against the maintenance of high standards of cleanliness, and unfortunately the local authority is itself well aware of the difficulty of engaging labour for this type of work. One of the defects of the 'self-service' trend in the sale of foodstuffs is the failure by retailers to keep an adequate check on the soundness and freshness of perishable goods.
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It is not sufficient for the shop assistant to stack the oldest packs at the front because housewives are expert at picking out the best. Unless stocks are completely cleared daily there is always a danger of the odd pack being passed over day after day. In spite of frequent requests to maintain an adequate "coding" system complaints are received of unfit food being sold through lack of care in this respect. The only effective deterrent appears to be to publicise these complaints by means of Court proceedings where the result may be out of all proportion to the actual damage sustained by the purchaser. A comprehensive range of foodstuffs was sampled for adulteration or incorrect labelling, but little of any importance was noted, the infringements being minor omissions in the statements as to contents, which is required by the Labelling of Food Regulations, due rather to misinterpretation of the requirements than to any attempt to mislead the customer.
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13 BOROUGH OF BARNES APPENDIX TO THE ANNUAL REPORT OF THE Medical Officer of Health 1964 SECTION 'A' β€” 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. β€”STATISTICAL SUMMARY, 1964. Area 2,650 acres. Population:β€” Census, 1951 40,593 Census, 1961 39,057 Registrar-General's estimate, mid-1964 38,820 Rating:β€” Number of inhabited houses 12,851 Rateable Value Β£2,445,627 Mortality:β€” Males Females Total Number of Deaths 219 251 470 Death Rate per 1,000 population:β€” Uncorrected 12.
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1 Corrected (Comparability Factor 0.82) 9.9 Deaths from Cancer (all ages) 113 Deaths from Measles (all ages) NIL Deaths from Whooping Cough (all ages) NIL Deaths from Diarrhoea (under 2 years of age) NIL Live Births:β€” Legitimate Illegitimate Total Number 525 34 559 Rate per 1,000 population 14.4 Illegitimate Live Births (per cent of total live births) 6.1 Stillbirths:β€” Number 7 Rate per 1,000 total live and stillbirths 12.4 Total Live and Stillbirths 566 Infant Deaths (deaths under 1 year) 7 17 Infant Mortality Rates:β€” Total infant deaths per 1,000 total live births.
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12.5 Legitimate infant deaths per 1,000 legitimate live births 13.3 Illegitimate infant deaths per 1,000 illegitimate live births NIL Neo-natal Mortality Rate (deaths under 4 weeks per 1,000 total live births) 11.7 Early Neo-Natal Mortality Rate (deaths under 1 week per 1,000 total live births) 10.7 Perinatal Mortality Rate (stillbirths and deaths under 1 week combined per 1,000 total live and stillbirths) 24.7 Maternal Mortality (including abortion):β€” Number of deaths NIL Rate per 1,000 total live and stillbirths NIL 18 19 Table 2. β€” Vital Statistics of the Borough of Barnes during 1964 and previous 5 Years. Year Registered Births Total Deaths Registered in the District.
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Transferable Deaths Nett Deaths belonging to the District Total Live Births Of nonresidents registered in the District Of residents registered outside the District Under 1 year of age At all ages Number Rate per 1,000 Population Number Rate per 1,000 Population Number Rate per 1,000 live births Number Rate per 1,000 Population 1 2 3 4 5 6 7 8 9 10 11 12 1959 476 468 12.0 333 8.6 47 249 8 17.1 535 13.8 1960 468 458 11.8 271 7.0 43 247 12 26.2 475 12.2 1961 522 518 13.3 268 6.9 40 222 6 11.6 490 12.6 1962 573 564 14.5 264 6.
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8 73 259 13 23.0 523 13.4 1963 570 567 14.6 262 6.8 87 279 13 22.9 541 13.9 1964 566 559 14.4 230 5.9 78 240 7 12.5 470 12.1 Table 3. β€” Causes of Death during the Year 1964. Causes of Death (Registrar-General's short list of causes) Total Deaths Male Female 1. Tuberculosis, respiratory 2 1 1 2. Tuberculosis, other β€” _ _ 3. Syphilitic diseases 4 2 2 4. Diphtheria _ β€” _ 5. Whooping Cough _ - - 6. Meningococcal infections - β€” - 7. Acute poliomyelitis - - - 8.
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Measles - - - 9. Other infective and parasitic diseases 1 - 1 10. Malignant neoplasm, stomach 11 7 4 11. Malignant neoplasm, lung, bronchus 26 21 5 12. Malignant neoplasm, breast 17 - 17 13. Malignant neoplasm, uterus - - - 14. Other malignant and lymphatic neoplasms 59 36 23 15. Leukaemia, aleukaemia 3 1 2 16. Diabetes 3 3 - 17. Vascular lesions of nervous system 63 20 43 18. Coronary disease, angina 85 45 40 19. Hypertension with heart disease 7 4 3 20. Other heart disease 43 8 35 21.
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Other circulatory diseases 22 4 18 22. Influenza 1 - 1 23. Pneumonia 23 8 15 24. Bronchitis 13 10 3 25. Other diseases of respiratory system 6 4 2 26. Ulcer of stomach and duodenum 3 2 1 27. Gastritis, enteritis and diarrhoea - - - 28. Nephritis and nephrosis 6 2 4 29. Hyperplasia of prostate 2 2 - 30. Pregnancy, childbirth abortion 1 - 1 31. Congenital malformations 4 3 1 32. Other defined and ill-defined diseases 43 23 20 3 3. Motor vehicle accidents 6 2 4 34. All other accidents 10 6 4 35.
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Suicide 6 5 1 36. Homicide and operations of war - - - All causes 470 219 251 20 Table 4.β€” Premature Live Births. Weight at Birth Born in Hospital Born at Home or in a Nursing Home Premature Still births Nursed entirely at Home or in a Nursing Home Transferred to Hospital on or before 28th day Died Died Died Born Total Births Within 24 hrs. of Birth In 1 and under 7 days In 7 and under 28 days Total Births Within 24 hrs. of Birth In 1 and under 7 days In 7 and under 28 days Total Births Within 24 hrs. of Birth In 1 and under 7 days In 7 and under 28 days In Hospital At home or in a Nursing Home 1 2 3 4 5 6 7 8 9 10 11 12 13 14 l. 2 lb.
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3 ozs. or less - - - - - - - - 1 - 1 - 1 - 2. Over 2 lb. 3 ozs. up to and inc. 3 lb. 4 ozs 4 1 2 - - - - - - - - - - - 3. Over 3 lb. 4 ozs. up to and inc. 4 1b. 6 ozs 4 1 1 - - - - - - - - - - - 4. Over 4 lb. 6 ozs. up to and inc. 4 lb. 15 ozs. 6 - - - 1 - - - - - - - - - 5. Over 4 lb. 15 ozs. up to and inc. 5 lb. 8 ozs. 17 - - - 4 - - - - - - - - - 6.
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Total 31 2 3 - 5 - - - 1 - 1 - 1 - ENVIRONMENT OF BIRTHS. Dwelling Houses (177) 31.90% Institutional (378) 68.10% 21 Table 5.β€” Infant Mortality during the Year 1964. 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 9-12 Months Total under 1 Yr.
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Deaths in the Borough Deaths outside 1 Borough Aspiration Pneumonia 1 - - - 1 - - - 1 - 1 Acute Suppurative Bronchitis - - - - - - 1 - 1 1 - Circulation Failure 1 - - - 1 - - - 1 - 1 Prematurity 4 - - - 4 - - - 4 - 4 6 - - - 6 - 1 - 7 1 6 Note: The six deaths 'Under 1 Week' were all premature live births. Table 6.β€” Comparative Statistics, 1964. Live Births Rate per thousand population Still Births Rate per thousand Total live and Still Deaths Rate per thousand population (All ages) Deaths Rate per thousand live births (Under 1 year) Neonatal Mortality Rate per thousand live births (Under 4 wks.)
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England and Wales 18.4 16.4 11.3 20.0 13.8 Barnes 14.4 12.4 9.9 12.5 11.7 22 SECTION β€˜F’— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. Table 7.β€” Notifiable Infectious Diseases, 1954 to 1964. Year 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 Anthrax - - - - - - - - - - - Cholera - - - - - - - - - - - Diphtheria - - - - - - - - - - - Dysentery 75 - 4 - 3 5 6 15 115 43 3 Encephalitis Acute - - - - - - - - - - - Enteric (Typhoid or
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Paratyphoid Fever) 1 2 - 1 - 1 - 1 1 - - Erysipelas 2 7 2 1 1 - 1 2 - - - Food Poisoning 5 10 - 11 5 1 2 7 12 3 4 Malaria β€” 1 1 β€” 2 2 β€” 1 β€” β€” β€” Measles 5 489 16 606 136 433 8 654 14 385 9 Membranous Group - - - - - - - - - - - Meningococcal Infect'n 2 - - - - - - - - - - Ophthalmia Neonatorum - - 1 - - - - - - - - Plague - - - - - - - - - - - Pneumonia 11 31 25 28 47 61 11 29 15 14 3 Poliomyelitis,
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Paralytic 1 7 4 1 1 - - - - - - Non-Paralytic - 1 2 - - 1 - 1 - - - Puerperal Pyrexia - 3 3 1 - - - 2 - - - Relapsing Fever - - - - - - - - - - - Scarlet Fever 29 7 8 5 10 9 24 10 15 1 1 Small-pox - - - - - - - - - - - Tuberculosis, Pul. 27 23 18 19 28 19 19 17 20 21 12 Non-Pul.
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3 3 3 4 - 1 1 1 1 3 1 Typhus Fever - - - - - - - - - - - Whooping Cough 25 42 17 37 6 2 16 8 - 7 3 23 Table 8.β€” Certain Infectious Diseases: Incidence per 1,000 of the Population in 1964. Disease Barnes London (a.c.) England and Wales Scarlet Fever 0.03 0.50 0.42 Diphtheria - 0.00 0.00 Enteric Fever - 0.01 0.03 Acute Pneumonia 0.08 0.17 0.19 Dysentery 0.08 0.71 0.45 Acute Poliomyelitisβ€” Paralytic - 0.
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00 0.00 Non-Paralytic - 0.00 0.00 Food Poisoning 0.10 0.17 0.11 Tuberculosisβ€” Respiratory 0.31 0.43 0.34 Others 0.03 0.05 0.05 Table 9.β€” Infectious Diseases Notified during the Year 1964. 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 9 10 to 14 15 to 19 20 to 24 25 to 34 35 to 44 45 to 64 65 & over Barnes Mortlake Dysentery 3 - - - - 1 1 1 - - - - - - - 3 - Erysipelas - - - - - - - - - - - - - - - - - Food Poisoning 4 -
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- - - - - - 1 1 - 1 - 1 1 3 - malaria - - - - - - - - - - - - - - - - - measles 9 - 3 - - - 5 - - - - 1 - - 4 5 - Paratyphoid Fever - - - - - - - - - - - - - - - - - Pneumonia (Acute) 3 - - - - - - 1 - - - - - 2 2 1 - Poliomyelitis, Non-Para. - - - - - - - - - - - - - - - - - Puerperal Pyrexia - - - - - - - - - - - - - - - - - Scarlet Fever 1 - - - - 1 - - - - - - - - 1 - - Tuberculosis, Pul.
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12 - - - - - - - - 2 1 3 4 2 8 4 5 Tuberculosis, Non-Pul. 1 - - - - 1 - - - - - - - - - 1 1 Whooping Cough 3 - - - - 1 1 1 - - - - - - - 3 - 36 - 3 - - 4 7 3 1 3 1 5 4 5 16 20 6 24 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, 1964 are as under:β€” Table 10.β€” Tuberculosis Register.
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Form of Disease On Register 1st Jan., 1964 Cases Added Removed from Register Remaining on Register 31st Dec. 1964 Primary Notif’ns Otherwise Restored Total Cured Left District Dead Total Pulmonary 157 12 8 - 177 12 12 7 31 146 Non-Pulm'y 9 1 - - 10 - - - 10 10 Totals 166 13 8 - 187 12 12 7 41 156 Table 11.β€” New Cases and Mortality, 1964. Age-Periods New Cases* Deaths Pulmonary NonPulmonary Pulmonary NonPulmonary Male Fem'le Male Fem'le Male Fem'le Male Fem'le 1- 5 years - - 1 - - - - - 5-14 β€ž β€” β€” - - β€” .
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- - - 15-24 β€ž 1 1 - - - 1 - - - 25-44 β€ž 1 3 - - - - - - 45-64 β€ž 4 - - - 2 1 - - 65 β€ž and over 1 1 - - 4 - - - All ages 7 5 1 - 6 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. * Incidence-rateβ€”Pulmonary 0.52 (per 1,000 population) Non-Pulmonary 0.03 Death-rateβ€”Pulmonary 0.18 (per 1,000 population) Non-Pulmonary β€” All form 0.55 25 Table 12.β€” IMMUNISATION and VACCINATION. Diphtheria Immunisation.
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Number of children immunised during 1964:β€” Under 5 years 453 Between 5 and 15 years 13 Number of children re-immunised during 1964:β€” Under 5 years 356 Between 5 and 15 years 474 Total number of children immunised during last 5 years at 31st December. 1964:β€” Under 5 years 2019 Between 5 and 15 years 2837 Whooping Cough Immunisation. Number of children immunised by primary course 413 Tetanus Immunisation. Number of children who have completed a primary course of three injections 673 Number of children who have received a reinforcing dose 584 Vaccination against Smallpox. Number of Vaccinations carried out during 1964:β€” Children Primary Vaccination 285 Re-vaccination 11 27 Table 13.β€” POLIOMYELITIS VACCINATION. Northern Divisionβ€” Barnes and Richmond. Age Group. Year of Birth, Primary Course.
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Number of Persons who completed a Primary Course of Treatment in 1964: 1964 137 1963 696 1962 188 1961 62 1943-60 235 1933-42 57 Others 66 1441 In addition 1232 reinforcing doses were given during the year. 28 Table 14. β€” Mass Radiography Service. General Practitioner's Chest X-Ray Service. Men Women Total Patients referred by their Doctors 389 338 727 Abnormalities detected:β€” Pulmonary tuberculosis 1 1 2 Lung Cancer 6 1 7 Barnes Borough Council employees referred by the Medical Officer of Health 23 Normal Mass Radiography Service. Men Women Total Number of persons examined 373 241 614 Abnormalities detected:β€” Pulmonary tuberculosis 1 - 1 Lung Cancer - - - SECTION 'C' β€” SANITARY CIRCUMSTANCES OF THE AREA. Table 15. β€” Water Supply β€” Bacteriological Sampling.
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Type of Test. WATER PASSING INTO PUBLIC SUPPLY β€” Hampton Works. Plate Count per milli'litre on agar 20/24hrs. at 37Β°C Average Results 13.4 Coliform Test (Percentage of samples negative in 100 ml.) 100.0% negative. Escherichia Coli Test (Percentage of samples negative in 100 ml.) 100.0% negative. SWIMMING POOL. Table 16.β€” Summary of Bacteriological Examination. Standards. Agar count 1ml. 37Β°C. 24 hours. Samples Satisfactory Samples Unsatisfactory 0-10 11-100 Over 100 Number of Samples. 7 β€” β€” 7 β€” 29 Table 17. β€” Laundry Service for Incontinent Patients.
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Number of patients using the service as at 31.12.64 4 Number of patients admitted to hospital and the service discontinued 2 Number of patients who died and the service discontinued 6 Number of sheets laundered and issued 462 Table 18. β€” Infected Rooms and Articles (dealt with by the Council). Premises disinfected 4 Lots of bedding disinfected 4 Table 19. β€” Pest Control Disinfestations (dealt with by the Council). Disinfestation by spraying or fumigation was carried out at various premises for the following infestations:β€” Fleas 8 Bugs 11 Wasps 120 Ants 2 Bees 5 Cockroaches 1 Insects 4 Silver fish 1 Beetles 1 Table 20. β€” Rodent Control.
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Summary of work carried out:β€” Premises visited 113 Inspections made 412 Treatment visits 104 Premises treated 102 Minor infestation of Rats 102 Minor infestation of Mice 2 Table 21. β€” Atmospheric Pollution. Volumetric Apparatus. 1957. 1958. 1959. 1960. 1961. 1962. 1963. 1964. Average Smoke (Microgrammes per cu. metre) 202 149 140 103 90 66 73 100 Average Sulphur Dioxide (Microgrammes per cu. metre) 130 129 150 124 107 135 92 119 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. 30 Table 22. β€” Factories.
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Premises Number on Register Number of Inspections Written notices Occupiers prosecuted (1) (2) (3) (4) (5) (i) Factories in which Sections 1, 2, 3, 4 and 6 are to be enforced by Local Authorities 27 10 - - (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority 137 48 2 - (iii) Other Premises in which Section 7 is enforced by the Local Authority (excluding out-workers' premises) 12 - - - Total 176 58 2 β€” Cases in which DEFECTS were found:β€” Particulars Number of cases in which defects were found. Number of cases in which prosecutions were instituted Found Remedied Referred To H.M. Inspector By H.M.
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Inspector (1) (2) (3) (4) (5) (6) Want of cleanliness (S.l) β€” β€” β€” β€” β€” Overcrowding (S.2) β€” β€” β€” β€” β€” Unreasonable temperature (S.3) β€” β€” β€” β€” β€” Inadequate ventilation (S.4) β€” β€” β€” β€” β€” Ineffective drainage of floors (S.6) β€” β€” β€” β€” β€” Sanitary Conveniences (S.7): (a) Insufficient β€” β€” β€” β€” β€” (b) Unsuitable or defective 1 1 β€” β€” β€” (c) Not separate for sexea 1 1 β€” β€” β€” Other offences againstthe Act (not including offences relating to Outwork) β€” β€” β€” β€” β€” Total 2 2 β€” β€” β€” 31 Table 23.β€”Outworkers. Work Undertaken No.
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on Register Notices Served Wearing apparel 10 β€” Lamp Shades 1 β€” Artificial Flowers 1 β€” Total 12 β€” Legal proceedings under Factories Act:β€” No legal action was necessary during 1964. Table 24.β€” Other Premises. Nature of inspection Number of premises Numbers of visits Notices issued and complied with Schools 20 - - Public Houses, Public Halls, and Public Conveniences 38 68 - Stable Yards 4 - - In addition to the above, 162 visits were made by Public Health Inspectors to premises in connection with infectious diseases and 540 visits in connection with offensive accumulations β€” 4 exhumations were attended. Altogether 635 non-effective visits were made to premises of all types where no access was gained. SECTION 'D' β€” HOUSING. Table 25.β€” Housing Inspections.
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Number of houses inspected in respect of defective conditions 872 Number of re-inspections 752 Number of houses inspected in respect of unsatisfactory living conditions, but where no repairs were required 233 Number of re-inspections 24 Number of Informal Notices served 107 Number of Informal Notices complied with 121 32 Table 26.β€” Rent Act, 1957. Applications for Certificates of Disrepair. Period ended:β€” Dec. 1958. Dec. 1959. Dec. 1960. Dec. 1961. Dec. 1962. Dec. 1963. Dec. 1964. 1 No. of applications for Certificates 31 16 8 1 2 2 3 2. No. of decisions not to issue Certificates - - - - - - - 3. No.
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of decisions to issue Certificates 31 16 8 1 2 - - (a) in respect of some but not all defects 26 8 5 - - - - (b) in respect of all defects 5 8 3 1 2 2 3 4. No. of undertakings given by landlords under para. 5 of the First Schedule 21 9 5 2 1 2 3 5. No. of undertakings refused by local authority under proviso to para. 5 of the First Schedule - - - - - - - 6. No. of Certificates issued 18 8 1 1 1 - - Applications for Cancellation of Certificates. Period ended:β€” Dec. 1958. Dec. 1959. Dec. 1960. Dec. 1961. Dec. 1962. Dec. 963. Dec.
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1964. 7. Applications by landlords to local authority for cancellation of Certificates 14 9 4 5 4 1 1 8. Objections by tenants to cancellation of Certificates 6 5 - 3 1 - - 9. Decisions by local authority to cancel in spite of tenant's objection - 2 - - - - - 10. Certificates cancelled by local authority 8 6 1 5 3 1 1 33 SECTION 'E' β€” INSPECTION AND SUPERVISION OF FOOD Table 27. β€” Food Premises. The following inspections were made in respect of premises where food is handled and distributed:β€” Nature of Inspection. Number of Premises Number of visits Notices issued and complied with Bakehouses 5 141 1 Bread and Cakes 74 8 1 Butchers 25 77 4 Cafes, Restaurants, etc. 20 108 - Canteens, etc.
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9 1 - Cooked Meats 54 43 β€” Dairies and Milk Shops 23 - - Fishmongers 9 54 - Fried Fish Shops 2 1 - Greengrocers 27 101 1 Grocers 61 224 - Ice Cream:β€” Retailers 70 58 - Public Houses 28 25 _ Street Traders β€” β€” β€” Sweets, Confectionery 58 57 β€” Table 28. β€” Sampling of Other Food and Drugs. (a) Chemical Analysis.
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β€” Sixtyone samples procured under the provisions of the Food and Drugs Act, 1955 included:β€” Apple puree Marmalade Beef sausage Milk Biscuits Minced Beef Brawn Mincemeat Butter Orange Juice Cake Pudding Mix Cheese Spread Paste Cheese Snack Pickles Chicken Pork Sausage Condensed Milk Potted Salmon Cornflour Peanut Butter Corned Meat Loaf Ravioli Cream Rice Crispbread Salmon Spread Figs Sausage Fish Cakes Soup French Mustard Sugar Crystals Gravy Browning Spaghetti Groundnut Oil Stuffing Mix Honey Table Jelly Hotpeppers Tomato Juice Jam Treacle Jelly Turkey Lard Vegetables Margarine Vinegar 34 (b) Hereunder I give the Public Analyst's report on three samples submitted to him: Sample No. 472 β€” Pork Sausages.
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'Pork sausages must not contain the added preservative, sulphur dioxide, unless labelled or notified in the manner prescribed by Regulation 5(1) of the Preservatives in Food Regulations, 1962. The Manufacturers of the product were informed of the Analyst's report and that the labelling of their product contravened the Preservatives in Food Regulations, 1962. No further action was taken in respect of this sample. Sample No. 476 β€” Pickles. 'The ingredients of this article were not specified on the label as is required by the Labelling of Food Order, 1953. The manufacturers and retailer of this product were informed of the Analyst's Report and that the labelling of the product contravened the Label' ing of Food Order, 1953. Sample No. 482 β€” Apple Puree. The ingredients of this article are not specified on the label as required by the Labelling of Food Order, 1953.
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No action was taken in respect of this sample. Table 29. β€” 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 Transfer Station and subsequently buried on a controlled tip. jars. pkts. 1bs. tins. Beef 78 Cake Mixture 8 Cheese 4 Chicken 37Β½ Chips 10 Creamola 53 Fish 8 Livers 60 Luncheon Meat 2 Macaroni 30 Peel 2 Pork 10 Pickles 60 Potato Salad 1 Rice 14 Sago 7 Soup 12 Spaghetti 14 Tapioca 4 Tomato Juice 1 Tongue 1 Vegetables 160 Wheat Flakes 10 35 Printed by J. H. Broad & Co. Ltd., 8, King Street, Richmond, Surrey.
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UBAR 001 SECOND ANNUAL REPORT OF THE Medical Officer of Health TO THE Barnet Urban District Council, BY CHARLES F. HARDIE, M.A., M.S., B.C. (Cantab.) medical Officer of health. 2 members of the Council. Chairman: Mr. Councillor A. G. MALINS, J.P. Vice-Chairman: Vacant. members: Mr. Councillor W. H. Abercrombie. β€ž β€ž H. C. Braun. β€ž β€ž T. W. Cole. β€ž β€ž J. T. Chapman. β€ž β€ž H. Eames. β€ž β€ž F. W. Hackforth-Jones, J.P. β€ž β€ž F. Lamb. β€ž β€ž J. F. Mainland. β€ž β€ž H. W. Milnes. β€ž β€ž J. W. Pearson. β€ž β€ž The Rev. Father Spink. β€ž β€ž J. L. Thomas.
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β€ž β€ž A. J. Wills. INDEX. Acreage 4 Abolition of Earth and Pail Closets 46, 47 Bakehouses 48 Births, Birth Rate, etc. 6, 17, 23 Bye-laws 41, 42 Caravans 33, 34 Causes of Death 20, 22 Collection of Refuse 10 Common Lodging Houses 34 Cowsheds and Dairies 35, 36 Deaths, Death Rate, etc. 6, 7, 17, 20, 23 Density of Population 6 Disinfection 39, 40 Drainage 42, 43, 44 Drainage of Schools 45, 46 Factories and Workshops 25, 26, 27, 47, 48 Fish and Ice Cream Shops 47 Fire Escape 49 Food Inspection 34, 35 Housing of the Working Classes Act 15, 16,
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49 Housing and Town Planning Act 15 Housing Scheme 52, 53 Infantile Mortality 7, 8, 22, 23 Infectious Diseases 19, 36, 37 Insanitary Property 49, 50, 51, 52 Inspection of District 32 Joint Isolation Hospital 10, 11 Legal Proceedings 41 Local Government Board Inquiry 53 Members of Council 2 Notes to Tables 21 Notification of Infectious Diseases 8, 9 Nuisances 32, 33 Notes upon Sanitary Work 14 Offensive Trades 38 Outworkers 48 Public Institutions 18 Phthisis 4, 8 Population 4, 5, 17, 23 Private Slaughter Houses 10, 37, 38 Public Elementary Schools 11 Paving of Yards 46 Provision of Sinks 41 Public Health (Tuberculosis) Regulations 11, 12, 13, 56 Rag Flock Act,
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1911 55 Sewerage and Drainage 10 Statistical Summary 4 Sanitary Legislation 55, 56 Sanitary Conveniences 49 Sanitary Notes 14 Sale of Food and Drugs Acts 37 Summary of Sanitary Work 57, 58, 59 Shop Hours Act, 1911 56 Tuberculosis Regulations 24 Town Planning 53, 54 Vaccination 14 Vital Statistics 8 Water Supply 9 Zymotic Diseases 8, 9, 19, 36, 37 4 STATISTICAL SUMMARY For the Year 1911. Area in Acres 1,509 Population (1901 census) 8,359 Population (1911 census) 10,440 Population per Acre 6.9 Number of Inhabited Houses (1901 census) 1,578 Number of Inhabited Houses (1911 census) 2,202 Rateable Value Β£64,105 Crude Birth Rate per 1,000 living 22.
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9 Nett Birth Rate per 1,000 living 21.3 Crude Death Rate per 1,000 living 17.3 Nett Death Rate per 1,000 living 10.6 Infantile Mortality per 1,000 Births 98 Phthisis Death Rate per 1,000 living .66 Infectious Cases notified 54 Infectious Cases admitted to Hospital 43 Percentage of Notified Cases Isolated at Hospital 79 Number of Inhabitants per house (1901 census) 5.2 Number of Inhabitants per house (1911 census) 4.7 5 Barnet Urban District Council. MEDICAL OFFICER'S REPORT. HEALTH DEPARTMENT, 40, High Street, Barnet. January, 1912. To the Chairman and Members of the Barnet Urban District Council. Gentlemen, I beg to present my second Annual Report on the Health of the District for the year 1911.
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The District is in the Barnet Union, and includes the parishes of Chipping Barnet, Hadley, South Mimms, and Arkley, and has an area of 1,509 acres. The Town, locally known as High Barnet, stands upon a hill at an altitude of 430 feet above sea level. The geological formation consists of gravel overlying beds of London clay upon the hill, while in the valleys the clay comes to the surface. The Town is situated about 10 miles from Charing Cross on what may be termed the crowning summit of the Northern Heights. The District is bracing and healthy, and is becoming an increasingly popular residential area. POPULATION. The census taken during the year gives the population as 10,440. This is lower than was estimated owing to the fact that the increase in the decennial period 1901 to 1911 has been at a lower rate than during the period 1891 to 1901, due to a decrease in the Birth Rate.
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The average number of persons per house in 1911 was 4'7, as compared with 5'2 in 1901. 6 The following table shows the number of inhabited houses, together with the population for each parish at the census. Parish No. of Occupied Houses. Population. Arkley 137 494 Chipping Barnet 800 3,954 Hadley 93 439 South Mimms 1172 5,553 DENSITY OF POPULATION. The District has an area of 1,509 acres. The census of 1911 showed the average number of persons to the acre to be 6'9, as compared with 5'5 in 1901. The following is the density of population of each parish in the District:β€” Parish. Area in Acres. Population. Density per Acre.
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Arkley 830 494 0.6 Chipping Barnet 379 3,954 10.4 Hadley 27 439 16.2 South Mimms 272 5,553 205 BIRTH RATE. The nett number of births registered in the District during the year was 224, as compared with 217 in 1910, and 214 in 1909. Of these births, 120 were male and 104 female. The Birth Rate, calculated as the rate per 1,000 of the population, is 21 "3, as compared with 19'4 in the previous year. The nett illegitimate births registered give a proportion of 31 per 1,000 of the total births. The following table shows the number of births recorded and the Birth Rate for each parish in the District:β€” Parish. No. of Births. Birth Rate.
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Arkley 8 160 Chipping Barnet 78 19'5 Hadley 11 250 South Mimms 127 22'9 DEATH RATE. 182 Deaths were registered in the District during the past year, as compared with 128 in 1910, and 166 in 1909. 7 This gives a crude Death Rate of 17.3 per 1,000 of the population living at all ages, based upon the census returns for the District. Two deaths of residents belonging to the District occurred in Public Institutions outside the District, while 71 deaths not belonging to the District occurred in Public Institutions within the District. After making allowance for these deaths a nett Death Rate of 10.6 per 1,000 is obtained. Number of deaths of persons not belonging to the District occurring in Public Institutions inside the District:β€” The Workhouse 60 Victoria Cottage Hospital 9 Isolation Hospital 2 Other Nil.
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Total 71 Number of deaths of persons belonging to the District occurring in Public Institutions outside the District:β€” Herts County Asylum 1 Middlesex County Asylum Nil. Other 1 Total 2 The following table gives the gross and nett Death Rates for each parish within the District:β€” Parish. Gross Death Rate. Corrected Death Rate. Arkley 80 8.0 Chipping Barnet 35.5* 12.7 Hadley 11.3 11.3 South Mimms 8.7 10.1 *Union Workhouse in this parish. INFANTILE MORTALITY. The rate of Infantile Mortality for the past year was 98 per 1,000, as compared with 60 during 1910, and 140 during 1909. The average for the past 10 years has been 101 per 1,000. It is calculated upon the ratio of infant deaths to births per 1,000.
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8 The notification of Births Act, 1907, has not been adopted in this District, Infantile Mortality is due to a number of causes, the chief of which are:β€” Alcoholism; impure food supplies and contamination of infants' food by dust, flies, &c.; improper feeding; impure milk; insanitary environment and overcrowding ; and ante-natal causes. The housing of the working classes is intimately associated with the question of Infantile Mortality, owing to the fact that young infants are peculiarly susceptible to overcrowded and insanitary conditions. The hot dry summer of the past year has been associated with an unusual prevalence of infantile diarrhoea throughout the whole country. This District was not excepted, and a large number of young children were affected. There were only 3 deaths directly due to this cause. The improvement in the housing conditions is no doubt partly responsible for this, and the further provision of suitable cottages will tend to reduce still more the number of deaths.
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VITAL STATISTICS FOR 10 YEARS. 1901 β€” 1911. Appended is given in tabulated form the lates for births, deaths, etc., in Barnet for the past year as compared with the mean average for Barnet for the 10 years 1901-11, and also the mean average for Urban districts in the County during the same period. Barnet, Mean average, Barnet, Mean average of whole of Urban Districts in County, 1911. 1901-11 1901-11. Population 10,440 9,330 176,888 Birth Rate 22.9 23.27 23.57 Death Rate 10.6 11.0 11.8 Ratio of Infant Deaths to Births per 1,000 98 99.5 90.1 Epidemic Death Rate .19 .63 .77 Diarrhoea do. .23 .28 .26 Phthisis do.
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.66 .83 .83 Cancer do. 1.04 .72 .92 It will be noticed that the rates are less with regard to the General, Epidemic, Phthisis and Diarrhoea deaths, and higher in the case of the Infantile and Cancer deaths. ZYMOTIC DISEASES. The number of deaths from diseases of this class was 6, as compared with 3 in the previous year. 9 Of this number two deaths (Diphtheria) do not belong to the district. The number of cases of Infectious Diseases notified during 1911 was 54, being an increase of 23 over 1910. After an exceptional freedom from Zymotic Disease during the spring and summer, Scarlet Fever was prevalent in the early autumn. This appears to have been the experience of surrounding districts.
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The following table shows the number of notifications to the Sanitary Authority during the year of each disease specified in the Infectious Diseases (Notification) Act, and the number removed to Hospital:β€” Nature of Infectious Disease. Notified. Removed to Hospital. Small-pox .. .. Diphtheria and Membranous Croup 12 10 Erysipelas 5 1* Scarlet Fever 37 32 Typhoid or Enteric Fever .. .. Typhus Fever .. .. Relapsing Fever .. .. Continued Fever .. .. Puerperal Fever .. .. Total 51 43 *Removed to London Hospital. WATER SUPPLY. The District is supplied with water from the mains of the Barnet Water Company. The water is derived from deep wells sunk into the chalk, situateβ€”1 at East Barnet, 3 at New Barnet, 1 at Potters Bar, and 1 at Tyttenhanger, Colney Heath.
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The buildings and machinery in connection with the latter well were completed during the year, and the well has been in use since the summer. The water supply of Barnet is improving, and it may now be said to be practically constant. Cisterns supplying houses still continue to receive attention, in order to secure their protection from contamination. 10 DISPOSAL OF HOUSE REFUSE. The House Refuse is collected weekly by the Council's own staff. There being no refuse destructor in the District the refuse is conveyed to the Farm. SEWERAGE AND DRAINAGE. The town is sewered and drained on the separate system. The sewage is conveyed to an Irrigation Farm of 56 acres. The scheme of sewage disposal adopted by the Council for the better treatment of the sewage is not yet begun, but the contract is let, and the work will shortly be in hand.
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The method of treatment adopted arranges for the use of mechanical sprinklers; the effluent to be turned on to the land before being discharged into the brook. Mr. Fairley, Victoria Street, Westminster, is the engineer for the scheme. SLAUGHTER HOUSES. The Slaughter Houses continue to receive attention by the Sanitary Inspector, who possesses the special qualification as Inspector of Meat and Other Foods, issued by the Royal Sanitary Institute. This qualification is now urged by the Local Government Board in their memorandum as to Annual Reports, who require information upon the subject. JOINT ISOLATION HOSPITAL. This Hospital is controlled by a Joint Committee of the Barnet, East Barnet Valley Urban, and Barnet Rural District Councils. The accommodation is for 8 cases of Scarlet Fever, 4 of Diphtheria, and 4 of Enteric Fever. The percentage of cases notified which have been removed to Hospital is 79 per cent., as compared with 80 per cent.
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last year. Owing to the prevalence of Scarlet Fever in the Hospital area, there has been in some cases delay in obtaining admission to the Hospital. The Hospital still urgently needs discharge, observation, and convalescent wards. The provision of these wards, together with the advisability of making all new additions of a permanent character, is receiving the earnest consideration of the Hospital Committee. 11 Antitoxin is provided free to all practitioners in the District. The Council have also made arrangements to examine and report, through the Clinical Research Association, on all suspected cases of Diphtheria and Typhoid Fever. The Equifex Steam Disinfector is available for all hospital and private patients' bedding. PUBLIC ELEMENTARY SCHOOLS. There are six schools in the district, viz.:β€”Arkley C.E. Infants' School; Barnet C.E., with Boys', Girls' and Infants' Departments; Barnet C.C.
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School, with Boys' and Girls' Departments; Christ Church School, with Boys', Girls' and Infants' Departments ; Hadley Infants' School; Moxon St. Infants' School. The following schools have been closed on account of outbreaks of Infectious Disease:β€” School. Period of Closure. Nature of Disease. Byng Road C.C. Schools 2 weeks Scarlet Fever Christ Church Boys', Girls' and Infants' 2 weeks Scarlet Fever Arkley Infants' 3 weeks Measles Christ Church Infants' 2 weeks Measles PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS. The extension of compulsory notification to all cases of Pulmonary Tuberculosis should prove a very valuable means of controlling the spread of the disease, and of obtaining reliable data as to its prevalence, duration and course. Appliances are provided for the use of any poor person affected, and leaflets of instruction and advice given.
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Twenty-nine notifications have been received under the provisions of the Public Health (Tuberculosis) Regulations, 1908, of which number 22 were from the Medical Officer of the Poor Law Infirmary and 7 from the Poor Law District Officer. In 5 instances the same patient was notified twice. It is difficult to see how this repeated notification can be avoided, as a patient may be discharged from an Institution one week and return the next. Therefore instead of 29 cases, as at first appears, the true number of cases is 24. The following gives particulars with regard to the cases. 12 13 PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1908. Tabulated Statement showing particulars of Cases notified during 1911 and action taken. Number. Sex. Age. Notified from Poor-Law Institution. Name of Poor-Law Union. Did the patient leave Poor-Law Institution before death ? Did the patient go to own residence or another Institution?
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Changed Residence. i.e., persons who did not enter Poor-Law Institution. Visits undertaken by Health Department. Other action taken by Health Department. Result at end of 1911. Years. 1 Male 35 No Barnet ... ... Yes Present address unknown Visited by Medical Officer and Sanitary Inspector History of case obtained and advice left Not known 2 Male 13 No ... ... ... ... Do. Printed instructions left. Living 3 Female 68 No ... ... ... No Do. Disease 3 years' duration Printed advice given. Dead 4 Male 19 No ... ... ... ... Visited by Sanitary Inspector Visited by Medical Officer and Sanitary Inspector Not visited Disease 7 years' standing Advice given. Had disease 5 months Advice left. Length of disease not known Living 5 Female 22 No . . . . Living 6 Male 44 Yes . No . . Notification transferred to Friern Barnet Transferred to Finchley Dead 7 Female 35 Yes .
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Yes Went to own residence . . Not known *8 Male not known Yes . Yes Went to own residence . . Transferred to Friern Barnet Not known 9 Male 50 Yes . No No . . Transferred to Southgate Dead *10 Male 50 Yes . Yes No fixed abode . . No further trace of patient Not known *11 Male 31 Yes . Yes Went to own residence, Southgate . . Transferred to Southgate Not known *12 Male 33 Yes . Yes Went to own residence, East Barnet . . Transferred to East Barnet Not known 13 Female 30 Yes . No No . . Transferred to Finchley Dead 14 M ale 48 Yes . No No . . Transferred to Southgate Dead *15 Male 26 Yes . Yes Went to own residence, Finchley . . Transferred to Finchley Unknown 16 Male 46 Yes . No No . . Transferred to Hackney Dead 17 Female 10 Yes . Yes Went to own residence . .
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Transferred to Southgate Unknown *18 Male 26 Yes . Yes Changed residence to New Barnet . . *See case No. 15 Unknown *19 Male 31 Yes ... Yes Went to own residence ... ... Transferred to Southgate See case No. 11 Unknown *20 Male 45 Yes ... Yes Went to own residence ... ... Transferred to Friern Barnet. See case No. 8 Not known 21 Male 61 Yes ... Yes Went to own residence ... ... Transferred to Southgate Returned later to Workhouse Living 22 Male 58 Yes ... Yes Went to own residence ... ... Transferred to Finchley Not known 23 Male 39 Yes ... No No ... ... Transferred to Southgate Dead *24 Male 33 Yes ... Yes Went to own residence ... ... Transferred to East Barnet. See case No. 12 Not known *25 Male 50 Yes ... Yes Went to own residence ... ... Transferred to Finchley, See case No.
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10 Not known 26 Female 33 Yes ... Yes Went to own residence ... ... Transferred to Southgate Not known 27 Male 44 Yes ... Yes Went to own residence ... ... Transferred to Southgate Not known 28 Female 41 No ... ... Visited by Sanitary Inspector Disease several years' duration. Instructions left Living 29 Female 38 No ... No Went to Barnet Union ... Room disinfected after removal 18 years' duration Living 14 VACCINATION. The following information regarding Vaccination in the district has been supplied by the Vaccination Officer :β€” Return of Vaccinations and Statutory Declarations of objection to Vaccination in the Barnet Urban District, received by the Vaccination Officer during the year ended 31st December, 1911 :β€” No. of Cases. 1911. 1910.
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Certificates of successful vaccination of Children under the age of 14 years 126 103 Statutory Declaration of Conscientious Objection to Vaccination 67 67 The above return does not include re-vaccinations or primary vaccinations of persons above the age of 14 years, no reliable figures relating thereto being available. The increasing number of children, particularly amongst the poorer classes, who are unprotected by vaccination constitute a serious danger. NOTES UPON SANITARY WORK. Twenty-four houses have been condemned as unfit for human habitation during the year. The Council has erected 30 cottages to provide housing accommodation for the working classes of the district. These cottages were let as soon as they were completed, and it is proved that a necessity for them existed in the district. An additional number of slightly larger houses are to be immediately erected, to be followed by a number of smaller ones, letting at about 4/- to 5/- per week.
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A fuller report upon the scheme vvill be found in the report of the Sanitary Inspector. A number of drains have been reconstructed, and the work has been well supervised. All cases of infectious disease have been thoroughly investigated, and the houses disinfected. Workshops, slaughterhouses, cowsheds, dairies, and bakehouses have also been inspected during the year, and steps taken to secure compliance with the Acts in force referring to them. 15 HOUSING OF THE WORKING CLASSES ACT, 1890. HOUSING AND TOWN PLANNING ACT, 1909. Report in pursuance of Sec. 44 of the Housing of the Working Classes Act, 1890, in respect of houses dealt with up to the end of the year. Buildings Unfit for Human Habitation. 1. Number of dwelling-houses in respect of which complaints were made by householders during the year (Sec.
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31 (1) of the Act of 1890) Nil 2. Number of dwelling-houses in respect of which representations were made to the Local Authority during the year :β€” (a) By the Medical Officer of Health (Sec. 30 of the Act of 1890) (b) By the Sanitary Inspector (Sec. 32 (l) of the Act of 1890, or Sec. 17 of the Act of 1909) Jointly 24 3. Number (if any) of the dwelling-houses above referred to in respect of which the Local Authority decided not to take action under Part II. of the Act Nil 4. Number of dwelling-houses respecting which action had been taken under Part II. of the Act which were satisfactorily dealt with by the owner during the year without a closing order being obtained, viz.:β€” (a) Number made fit for habitation 12 (b) Number closed or demolished 5 5.
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Number of dwelling-houses in respect of which closing orders were made during the year :β€” (a) By Justices (Sec. 32 of the Act of 1890) Nil (b) By the Local Authority (Sec. 17 of the Act of 1909) 24 6. Number of dwelling-houses in respect of which closing orders were determined :β€” 16 (a) By Justices Nil (b) By Local Authority Nil 7. Number of dwelling-houses in respect of which orders for demolition were made during the year :β€” (a) Under Sec. 33 of the Act of 1890 Nil (b) Under Sec. 18 of the Act of 1909 3 In submitting this report I have to acknowledge with much appreciation the great assistance given me by Mr. Hill, the Sanitary Inspector. I am, Yours faithfully, CHAS. F. HARDIE, Medical Officer of Health. 17 Table I. BARNET URBAN DISTRICT.
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Fob Whole District. Year. Population estimated to middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths Nett Deaths belonging to the District. of Non.Residents registered in the District. of Residents not registered in the District. Under 1 year of age. At all Ages. Uncorrected Number. Nett Number. Kate. Number. Rate per 1,000 Nett Births. Number. Rate. Number. Crude Rate. 1 2 3 4 5 6 7 8 9 10 11 12 13 1906 9,370 249 β€” 26.4 142 15.1 41 3 43 172 104 11.0 1907 9,582 251 26.1 140 14.6 45 0 17 67 95 9.9 1908 9,
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802 212 β€” 21.6 127 12.9 37 2 12 56 92 9.3 1909 11,015 214 β€” 19.4 166 15.0 51 3 30 140 115 10.4 1910 11,208 217 β€” 19.4 128 11.4 51 4 13 60 81 7.2 Nett 1911 10,440 240 224 21.3 182 17.3 71 2 22 98 113 10.6 Area of District in acres (exclusive of area 5 1,509. covered by water) ) Total population at all ages 10,440 Number of inhabited houses 2,202 Average number of persons per house 4.7 At Census of 1911. 18 I. II. III. Institutions within the district receiving sick and infirm persons from outside the district.
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Institutions outside the district receiving sick and infirm persons from the District. Other Institutions the deaths in which have been distributed among the several localities in the district. Union Workhouse Infirmary Cripple Children's Home Barnet Cottage Hospital Herts County Asylum None. Isolation Hospital Middlesex County Asylum 19 Table II. BARNET URBAN DISTRICT. Cases of Infectious Disease Notified during the Year 1911. Notifiable Disease. No. of Cases Notified. Total Cases Notified in Each Locality. Total Cases Removed to Hospital. At all ages. At Agesβ€”Years. 1 2 3 4 5 6 7 Under 1. 1 to 5. 6 to 15. 15 to 25. 25 to 45. 45 to 65. 65 & upvrards. Arkley. Chipping Barnet Hadley, part of. South Minims.
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Small-pox . . . . . . . . . . . . . . . . Cholera . . . . . . . . . . . . . . . . Diphtheria (including Membranous Croup) 12 . 3 7 1 1 . . . 7 . 5 . . . 10 Erysipelas 5 . . 1 2 1 1 . . 1 . 4 . . . 1* Scarlet Fever 37 . 9 23 4 1 . . 2 6 . 29 . . . 32 Typhus Fever . . . . . . . . . . . . . . . . Enteric Fever . . . . . . . . . . . . . . . . Relapsing Fever . . . . . . . . . . . . . . . . Continued Fever . . . . . . . . . . . . . . . . Puerperal Fever . . .
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. . . . . . . . . . . . . Plague . . . . . . . . . . . . . . . . Phthisis Under Tuberculosis Regulations, 1908 7 . . 1 2 3 . 1 . 2 2 3 . . . . Under Tuberculosis Regulations, 1911 4 . . . 3 1 . . . 2 . 2 . . . . Others . . . . . . . . . . . . . . . . Totals 65 . 12 32 12 7 1 1 2 18 2 43 . . . 43 Isolation Hospital provided by Barnet Joint Hospital Board, and situate in this District. Total available beds, 16. No. of Diseases that can be concurrently treated, 3. *Removed to London Hospital. Does not include cases notified from Poor Law Infirmary not belonging to district (17 cases). 20 Table III.
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BARNET URBAN DISTRICT. Causes of, and Ages at, Death, during the Year 1911. Causes of Death. Nett Deaths at the subjoined ages of "Residents" whether occurring within or without the District. Total Deaths whether of "Residents" or "NonResidents" in Institutions in the District. Deaths in Localities. Chiping Barnet. Arkley. Hadley (part of). S. Mimms Urbn. All ages. Under 1 year. 1 & under 2 years. 2 & under 5 years. 5 & under 15 years. 15 & under 25 years. 25 & under 45 years. 45 under 65 years. 65 and up-1 wards.
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 All causes Certified 111 22 5 4 1 3 10 26 40 71 . . . . Uncertified . . . . . . . . . . . . . . Enteric Fever . . . . . . . . . . . . . . Smallpox . . . . . . . . . . . . . . Measles . . . . . . . . . . . . . . Scarlet Fever . . . . . . . . . . . . . . Whooping Cough 1 1 . . . . . . . 1 1 . . . Diphtheria and Croup . . . . . . . . . 2 . . . . Influenza 1 . . . . . . 1 . 1 . . . . Erysipelas . . . . . . .
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. . . . . . . Cerebro-Spinal Fever . . . . . . . . . . . . . . Phthisis (Pulmonary Tuberculosis) 7 . . . . . 4 2 1 3 3 . 1 3 Tuberculous Meningitis . . . . . . . . . . . . . . Other Tuberculous Disease 1 . . 1 . . . . . . 1 . . . Rheumatic Fever . . . . . . . . . . . . . . Cancer (malignant disease) 11 . . . . . . 8 3 6 3 . 1 7 Bronchitis 7 . 2 . . . . 2 3 4 2 1 1 3 Broncho-Pneumonia 8 5 3 . . . . . . 2 5 1 . 3 Pneumonia (all other forms 3 . . . . .
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1 . 2 1 3 . . . Other Diseases of Respiratory Organs 1 . . . . . . 1 . . . . . 1 Diarrhoea and Enteritis 4 3 . . . . . . 1 4 2 1 . 1 Appendicitis and Typhlitis 2 . . . 1 1 . . . 1 . . . 2 Alcoholism 1 . . . . . 1 . . 1 1 . . . Cirrhosis of Liver . . . . . . . . . . . . . . Nephritis & Bright's Disease 2 . . . . . 1 1 . 2 1 . . 1 Puerperal Fever . . . . . . . . . . . . . . Other accidents and diseases of Pregnancy & Parturition 1 . . . . . 1 . . . 1 . . . Congenital Debility and Malformation,
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including Premature Birth 8 8 . . . . . . . 6 5 . . 3 Violent Deaths, excluding Suicide 3 3 . . . . . . . 1 3 . . . Suicides 2 2 1 1 Heart Disease 19 . . 1 . . 9 5 11 5 11 . . 8 Senile Decay 11 . . . . . . . 11 15 5 . . 6 Other defined Diseases 20 2 . 2 . 2 . 5 9 16 12 1 7 Diseases ill-defined or unknown . . . . . . . . . . . . . . 113 22 5 4 1 3 10 27 41 71 59 4 5 15 21 NOTES TO TABLE III.
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(Π°) All " Transferable Deaths " of residents, i.e., of persons resident iu the District who have died outside it are included with the deaths in columns 2β€”10. Transferable deaths of non-residents who have died iu the District are excluded from these columns. (Π±) All deaths in public institutions, whether of residents or non-residents, are entered iu column 11. (c) Under Diphtheria all deaths from Croup are included, except those due to "spasmodic," " stridulous," "catarrhal," or " false " croup. (d) Under Tuberculous Meningitis are included any deaths from Acute Hydrocephalus. (e) Under Cancer are included deaths from Carcinoma, Scirrhus, Epithelioma, Rodent Ulcer, Sarcoma, Cancer, and Malignant Disease.
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(f) Under DiarrrhΕ“a are included Epidemic Diarrhoea, Epidemic Enteritis, Infective Enteritis, Zymotic Enteritis, Summer Diarrhoea, Catarrh, Muco-Enteritis, aud Colitis. (g) Under Congenital Debility are included Atrophy, Marasmus, and Want of Breast Milk ; but not Atelectasis. NOTES TO TABLE IV. (a) The total in the last column of Table IV. equals the total iu column 10 of Table I., aud in column 3 of Table III. (b) Under Abdominal Tuberculosis are included deaths from Tuberculous Peritonitis and Enteritis and from Tabes Mesenterica. (c) The total deaths from Congenital Malformations, Premature Birth, Atrophy, Debility aud Marasmus equals the total in Table III. under the heading Congenital Debility and Malformation, including Premature Birth.
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Want of Breast Milk is included under Atrophy and Debility. 22 TABLE IV. BARNET URBAN DISTRICT. Infantile Mortality. 1911. Nett Deaths from Stated Causes at various Ages under One Year of Age. CAUSE OF DEATH. Under 1 Week. 1β€”2 Weeks. 2β€”3 Weeks. 3β€”4 Weeks. Total under 1 Month. 1β€”3 Months. 3β€”6 Months. 6β€”9 Months. 9β€”12 Months. Total Deaths under 1 Year. All causes Certified 7 3 1 1 12 1 5 2 2 22 Uncertified . . . . . . . . . . Small-pox . . . . . . . . . . Chicken-pox . . . . . . . . . . Measles . . . . . . . . . . Scarlet Fever . . . . . . . . . .
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Diphtheria and Croup . . . . . . . . . . Whooping Cough . . . . . . 1 . . 1 Diarrhoea . . . . . . . 1 . 1 Enteritis . . . . . . 2 . . 2 Tuberculous Meningitis . . . . . . . . . . Abdominal Tuberculosis(b) . . . . . . . . . . Other Tuberculous Diseases . . . . . . . . . . Congenital Malformations (c) . 1 . . 1 . . . . 1 Premature Birth 4 2 . . 6 . . . . 6 Atrophy, Debility, and Marasmus . . 1 . 1 . . . . 1 Atelectasis . . . . . . . . . . Injury at Birth . . . . . . . . . . Erysipelas . . . . . . . . . .
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Syphilis . . . . . . . . . . Rickets . . . . . . . . . . Meningitis (not Tuberculous) . . . . . . . . . . Convulsions 1 . . 1 2 . . . . 2 Gastritis . . . . . . . . . . Laryngitis . . . . . . . . . . Bronchitis . . . . . . . . . . Pneumonia (all forms) . . . . . 1 1 1 2 5 Suffocation, overlying 2 . . . 2 . 1 . . 3 Other Causes . . . . . . . . . . 7 3 1 1 12 1 5 2 2 22 Nett Births in the year legitimate 217 illegitimate 7 Nett Death in the year of legitimate infants 21 illegitimate infants 1 23 Table V.
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BARNET URBAN DISTRICT. Names of Localities. 1. ARKLEY. 2. CHIPPING BARNET. 3. HADLEY (Part of). 4. SOUTH MIMMS. Year. Population estimated to middle of each year. Births registered. Deaths at all Ages. Deaths under 1 year. Population estimated to middle of each year. Births registered. Deaths at all Ages. Deaths under 1 year. Population estimated to middle of each year. Births registered. Deaths at all Ages. Deaths under 1 year. Population estimated to middle of each year. Births registered. Deaths at all Ages. Deaths uuder 1 year. 1901 483 12 8 1 2893 46 50 7 486 8 6 1 4497 114 45 11 1902 484 9 4 0 2921
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60 31 5 486 8 8 0 4838 139 81 18 1903 485 7 4 1 2928 59 35 3 486 15 16 3 4871 73 54 11 1904 487 15 6 2 2943 76 45 8 486 14 13 2 5037 113 49 6 1905 488 11 11 1 2958 89 33 5 486 18 9 5 5230 123 56 14 1906 489 13 4 1 2974 84 39 13 486 11 3 1 5421 141 58 21 1907 490 12 5 1 2990 85 34 5 486 12 7 4 5616 142 49 7 1908 491 6
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2 9 3005 77 35 4 486 14 5 0 5820 115 50 12 1909 523 9 5 3 3626 74 50 7 512 12 5 2 6354 119 55 18 1910 545 13 4 2 3764 91 42 7 527 8 3 1 6372 105 32 3 Averages of years 1901 to l910 496 10 5 2 3100 74 39 6 492 7 2 5405 118 52 11 1911 494 8 4 1 3954 78 57 13 439 11 5 0 5553 127 45 8 24 PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS. BARNET URBAN DISTRICT.
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Phthisis : Sanatorium and Hospital Accommodation. No provision is made by the Sanitary Authority for either (a) Early Cases. (a) Early cases ; (b) mediate cases; or(c) Advanced cases of Phthisis. A Phthisis Ward exists at the (b) Intermediate cases. Barnet Union for inmates of this Institution suffering from Pulmonary Tuberculosis. (c) Advanced cases. No other accommodation for Phthisis patients is provided for the district. 25 FACTORIES, WORKSHOPS, WORKPLACES, AND HOMEWORK. I.β€”Inspection of Factories, Workshops, and Workplaces. Premises. Number of Inspections. Written Notices. Prosecutions.
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Factories (Including Factory Laundries) 19 3 β€’β€’ Workshops ( ,, Workshop Laundries) 74 18 β€’β€’ Workplaces (Other than Outworkers' premises included in Part 3 of this Report) 2 β€’β€’ β€’β€’ Total 95 21 Nil. 26 II.β€”Defects Found. Particulars. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. (1) (2) (3) (4) (5) NUISANCES UNDER THE PUBLIC HEALTH Acts:β€” Want of Cleanliness 3 3 .. .. Want of Ventilation .. .. .. .. Overcrowding 2 2 .. .. Want of Drainage of Floors . . .. .. Other Nuisances .. 6 .. .. Sec. 22 Public Health Acts Amendment Act adopted.
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Sanitary Accommodationβ€” .. .. .. .. Insufficient .. .. .. .. Unsuitable or Defective 2 2 .. .. Not separate for sexes .. .. β€’ β€’ .. Offences under Factory and Workshop Act :β€” Illegal occupation of Underground Bakehouse (s. 101) .. .. .. .. Breach of special sanitary requirements for bakehouses (ss. 97 to 100) .. 5 4 .. .. Other Offences (Excluding offences relating to outwork which are included in Part 3 of this Report.) 3 2 .. .. Total 21 19 Nil. Nil. 27 III.β€”Home Work. Nature of Work. Outworkers' Lists, Section 107. Lists received from Employers. Lists. Outworkers. Addresses of Outwork's received from other Councils. Inspection of Outwork's Premises. Contractors. Workmen.
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Wearing Apparelβ€” (1) Making, &c 10 1 22 5 11 (2) Cleaning and Washing β€’β€’ β€’β€’ β€’β€’ β€’β€’ β€’β€’ Total 10 1 22 5 11 IV.β€”Registered Workshops. Workshops on the Register (Sec. 131) at end op Year. Number. (1) (2) Important Classes of Workshops, Shop as Workshop, Bakehouses may be enumerated here Workshops 57 Bakehouses 9 Total Number of Workshops on Register 66 V.β€”Other Matters. Class. Number. (1) (2) Matters notified to H.M. Inspector of Factories :β€” Failure to affix Abstract of Factory and Workshops Act (sec. 133) 4 Action taken in matters referred by H.M. Inspectors as remediable under Public Health Act, but not under Factory and Workshop Act (sec. 5) Noticed by H.M. Inspector. Nil. .
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Reports on action taken, sent to H.M. Inspector 2 Other Underground Bakehouses (sec. 101):β€” Certificates granted during year Nil. In use at end of year .. Certified, but not in use 1 BARNET Urban District Council. THIRD ANNUAL REPORT of the SANITARY INSPECTOR, for the Year ending 31st December, 1911. 30 Barnet Urban District Council. SANITARY INSPECTOR'S REPORT. HEALTH DEPARTMENT. 40, High Street, Barnet. January, 1912. To the Chairman and Members of the Barnet Urban District Council. Gentlemen, I have the honour of presenting to you my Third Annual Report, giving particulars of the works carried out in my Department during the year 1911, in administering the numerous Health Acts and Bye-laws in force within the district.
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The innumerable extra duties continually devolving upon the Health Department of the Local Authority, more especially during the past two years, both in regard to the Medical and Sanitary work, including as they do the carrying out of the provisions of a number of Acts of Parliament and Orders of the Local Government Board dealing with fresh branches of sanitary science, which it is incumbent upon the Local Authority to administer compulsorily, combined with progressive changes embracing more extensive and rigid general health conditions than in the past, have rendered it imperative that if the benefits to be derived from these measures are to be substantial, a proper system must be evolved whereby each branch of the work can be dealt with at more regular intervals. The increased Inspectorial work must of necessity carry with it increased clerical work, which, together with the ever increasing statistical requirements of the Local Government Board, takes up a considerable amount of time.
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31 However, attempt will be made to carry out the requirements of these numerous Acts upon a system which will have for its object the specialising in each branch of the work at regular intervals. If the investigations of general sanitary conditions, which are of an urgent character, allow of such a system to be attained, no doubt it will be productive of a higher standard of sanitation. It is with pleasure I have to record that the policy of the Council during the past year has been one of progress in all matters relating to public health, although certain of the schemes embarked upon in the previous year for the improvement of the health of the District are as yet only in a transitional stage. While the coming year will no doubt see the consummation of some of them, in matters of Housing this work will necessarily be carried out in instalments according to the requirements of the district, and will possibly be spread over the next five years. Progress in this direction is set out in detail in the portion of the report dealing with Housing matters.
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Publication of the Medical and Sanitary Reports giving details of Public Health conditions and activity in a District is becoming yearly more important and necessary, for the following reasons:β€”Firstly, they are required by an Order of Local Government Board which has the effect of a statutory enactment. They enable the Board to gauge the general health conditions of the country, and so bring defaulting authorities who are a menace to surrounding Districts into line, and to co-ordinate the work.
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Secondly, they have an educational value to the public, while the exchange of reports between officers in similar districts enables experiences to be compared ; and thirdly, the officers' duties being prescribed by the Local Government Board, it follows that many of them are performed upon the officers' own initiative and not at the instigation of the Council, and lying as they do with the individual rather than with the Council, it is imposible and in some cases undesirable to report in detail upon many subjects at the time, as this would entail undeserved hardship in certain cases, therefore, a great deal of discretion must perforce be left in the hands of the Public Health officials. This being the case, the annual report preserves a record of the year's achievements, and brings to the knowledge of the Council in a more intimate manner than is otherwise possible, the wide range 32 and quality of the officer's work. It likewise serves to enlist the sympathies of many outside the ranks of the Council, who are concerned in the amelioration of social conditions.
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PUBLIC HEALTH ACT, 1875. INSPECTION OF DISTRICT AND REMOVAL OF NUISANCES. The general inspection of the District continues to be carried out periodically, and all complaints investigated, such nuisances as are discovered being dealt with under the provisions of the Health Acts and Bye-laws in force relating to them. The course of serving a preliminary notice upon the person in default, specifying the works necessary to abate the nuisance, has been followed. Should such person, however, fail to comply with this preliminary notice, the matter is brought before the Council and the usual statutory notice is served, which is followed up if necessary by legal proceedings.
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The policy of serving an intimation notice is a good one, inasmuch as an owner will often readily fall into line and comply with it with a better grace than if the subject matter of the notice were brought before the Council in the first instance, and realising that the Inspector wishes the abatement of the nuisance with as little friction as possible, he will often listen to and carry out suggestions for improvements such as cannot be legally enforced. There is always a tendency to resent compulsion, and therefore, any method which will secure the maximum standard of work with a minimum of friction, is obviously the proper one to pursue. When nuisances are caused by tenants and are not of a structural character, very often verbal intimation is all that is necessary to be given for their abatement. In only one instance has it been necessary to advise the Council to institute Police Court proceedings to secure compliance with a notice to abate a nuisance.
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The following table shows the number and nature of the nuisances dealt with during the year:β€” 33 nature of nuisance. no. Choked condition of drains 8 Defective drains 5 Dilapidated paving of yards 5 Absence of paving to yards 12 Accumulations of manure and other refuse 17 Fowls improperly kept 4 Offensive and defective gullies 2 Defective and obsolete water-closet cisterns 18 Insufficient water closet accommodation 5 Insufficient gully accommodation 3 Defective roofs of houses 4 Defective eaves and down-spouting 29 Defective and unventilated soil pipes 2 Nuisances caused by defective urinals 1 Overcrowded houses 4 Defective walls, ceilings,