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c4a1474a-0e87-438e-8d86-2a5f5a007d24 | Smallpox Vaccination Persons aged under 16 Age at date of Vaccination Number of persons vaccinated or re-vaccinated Number Vaccinated Number Re-Vaccinated 0— 3 months 11 _ 3— 6 months 20 _ 6— 9 months 29 9—12 months 157 — 1 year 2461 — 2— 4 years 220 17 5—15 years 86 295 TOTALS 2984 312 CLINIC PREMISES Main Clinics Clinic Sessions (see Key Table on Page 115) Brunswick Park Road, N.ll. I.W.C. D OPH SP Town Hall, Hendon, N.W.4. C.S.C. OPH D I.W.C. SP CHIR A/N A/NE-M/C ORT Garth Road, N.W.2. C.S.C. I.W.C. |
ff16b985-9f54-4700-ade9-d2a4fd4b8818 | SP CHIR A/NE-M/C A/N D DV C 149 East Barnet Road, Barnet I.W.C. C.S.C. D SP A/N(M) C Holly Park, N.ll. I.W.C. C.S.C. C.E. SP D CHIR A/N T Hartley Avenue, N.W.7. C.S.C. I.W.C. A/N SP A/NE-M/C CHIR D DV Oak Lane, N.2. C.S.C. I.W.C. T SP D OPH CHIR A/NE-M/C A/N 115 Main Clinics (continued) Oakleigh Road, N.20. I.W.C. A/N A/NE-M/C C.S.C. T Sutton Road, N.10. C.S.C. T DV I.W.C. A/NE-M/C A/N SP Torrington Park, N.12. I.W.C. |
cfebe9fe-7f42-448f-aa9f-fdc2518e3782 | C.S.C. SP CHIR A/N A/NE-M/C C Vale Drive, Barnet I.W.C. S.I.C. D ORT SP OPH A/NE-M/C DV 36 Cressingham Road, Burnt Oak C.S.C. I.W.C. C.E. OPH SP D A/N A/NE-M/C CHIR T C York Road, N.W.9. I.W.C. C.E. C.S.E. D A/N SP CHIR A/NE-M/C T Claremont Way, N W. 2. I.W.C. A/N T Approach Road, Edgware I.W.C. C.S.C. A/N A/NE-M/C SP CHIR Other Premises Etchingham Park Road, N.3. I.W.C CHIR St. Andrew's Church Hall, Lynford Gardens, Edgware I.W.C. |
5fd1faa0-c885-45a6-972a-fb5cc7c8c8e6 | A/NE DV Methodist Church Hall, Essex Park, Finchley, N.3. I.W.C. St. Stephen's Hall. Bells Hill. Barnet I.W.C. Dollisfield, Totteridge Lane, N.20. I.W.C. DV United Free Church Hall. Sanders Lane, N.W.7. I.W.C. St. Barnabas Church Hall, Cranbourne Gardens. N.W.ll. I.W.C. DV Quaker Hall. Waterfall Road, N.ll. I.W.C. St. Mark's Hall, Woodville Road, Barnet I.W.C. Congregational Church Hall, Colin Close, N.W.9. I.W.C. St. Mary Magdalen Church Hall, Holders Hill Road, N.W.4. I.W.C. 116 KEY TABLE I.W.C. Infant. |
be0dbd79-47c8-4c3e-b97a-f5813e83e64f | Welfare Clinic C.S.C. Consultative School Clinic A/N Ante-Natal Clinic C.E. Clinic for Elderly OPH Ophthalmic SP Speech Therapy A/NE Ante-Natal Exercises only M/C Mothercraft only A/NE-M/C Combined Ante-Natal Exercises and Mothercraft ORT Orthoptic A/N(M) Ante-Natal Clinic — Midwife only D Dental CHIR Chiropody DV Development Clinic T Toddlers Clinic C Cervical Cytology S.I.C. Special Investigation Clinic. 117 SCHOOL HEALTH SERVICE SCHOOL HEALTH SERVICE Introduction During the year, every effort has been made administratively by the School Health Service to increase the degree of co-ordination of the services available to handicapped children and other children in the Borough. This co-operation with other services and Departments of the Authority resulting in greater demands on the School Health Service has only been limited by the need to maintain and improve the efficiency of the School Health Services itself. |
d20e2016-1048-4462-abb7-b08ad0a450b6 | In this respect, the Assistant Medical Officers, Health Visitors/School Nurses, Clinic Nurses, Administrative Officers and Clinic Clerks all continue to play their part. School Population Once agam there has been an overall increase in the school population for the Borough and the following table shows the position at 31st December, 1967:- Schools No. of Pupils 90 Primary Schools 23,166 19 Secondary Modern Schools 10,119 14 Grammar Schools 7,745 1 Residential Special School (E.S.N.) 177 2 Day Special Schools (E.S.N.) 243 41,450 Periodic Medical Inspections Under the provisions of the Education Act it is the duty of every local education authority to provide for the medical inspection, at appropriate intervals, of pupils in attendance at schools maintained by them, and the authority may require the parent of any pupil in attendance at any such school, to submit the pupil for medical inspection in accordance with arrangements made by the authority. |
f2b5dc2a-506f-4c27-82ff-46261dc69b67 | Although the Act thus provides a legal obligation on the parent to submit the child for e xamination, the parent has the right, should he so desire, to refuse treatment or obtain such treatment where he so wishes, This Authority's policy for the routine medical inspection of school entrants and leavers together with an intermediate examination during the last year at the primary •school has been continued through 1967. The following table shows the number of children inspected by years of birth and the state of their physical condition:- 121 Year of Birth Number of Pupils Inspected Physical Condition of Pupils Inspected Satisfactory Unsatisfactory 1963 & later 240 240 1962 1,979 1,978 1 1961 1,976 1,973 3 1960 373 370 3 1959 239 236 3 1958 195 194 1 1957 978 978 1956 1,806 1, |
45304a71-f6a5-46f4-b700-a366a5bdbeeb | 803 3 1955 766 765 1 1954 254 254 _ 1953 2,187 2,185 2 1952 & earlier 1,274 1,274 — TOTAL 12,087 12,070 17 Percentage of pupils inspected whose physical condition was found:— Satisfactory 99.86% Unsatisfactory 0.14% Medical Treatment In the Tables of statistics which follow this section of the report, details are given of treatment (excluding uncleanliness and dental disease) of pupils attending maintained primary and secondary schools (including nursery and special schools), whether provided directly by the Council or arranged for through other agencies. Orthopaedic Clinics As had been anticipated the number of attendances at the Orthopaedic Clinic during 1967 decreased and only eleven pupils were treated. Children who required Specialist treatment were able to obtain this at the Royal National Orthopaedic Hospital where treatment is readily available to children of this Borough. |
d6afc443-1716-406e-9245-95fddfd30088 | A Principal Medical Officer of the Department, experienced in orthopaedics, after consultation with specialists at the hospital came to the conclusion that in most instances parents preferred to attend hospital and I could find no good reason therefore, to continue the provision of this facility at an authority clinic, until such time as the demand increased. Adequate arrangements were made for those few cases which had been, and needed to continue, under supervision. Ophthalmic Clinics The five school ophthalmic clinics continue to operate at the following centres throughout 122 the Borough, with ophthalmologists provided by the North West Me tropolitan Regional Hospital Board. Hendon Central Clinic. Watling Clinic. Oak Lane Clinic. Vale Drive Clinic. Brunswick Park Road Clinic. At Central Hendon Clinic and Vale Drive Clinic an orthoptist provides for the eye training of squinting children within the Borough. Audiometry Two Audiometer Operators carry out the routine audiometric testing of school schildren three times in their school life. |
ae76794b-6cba-4f46-8dfa-5d19e3fcfa7b | At other times, children who fail to develop proper speech, or who may require to be considered for special educational treatment or subsequent to investigation by an Assistant Medical Officer be suspected of having some loss of hearing are seen by the Audiometer Operators and dealt with as special cases. The following Table shows the number of pupils whose hearing has been tested:- Sweep tests 11,586 Re-tests 676 Special tests 594 Re-tests 55 Audiology Those children who are considered to need more specialised investigation, after testing by the Audiometer Operator and consideration by the Medical Officer at the clinic, are referred to an audiology unit. Units are established in the London Borough of Haringey and the London Borough of Brent where the staff include a consultant otologist, medical officers, peripatetic teachers of the deaf, educational psychologist and audiometricians, and where if need be, the advice can be obtained of the Head Teacher or staff of a Special School for the Deaf. |
2bfed455-43a5-4f8e-a8b1-34a5ac72d3fa | During the year a total of 25 children were provided with commercial hearing aids. Child Guidance Service Consideration has been given during the course of the year to the operation of a Child Guidance Service by the Authority, and discussions were continuing at 31st December, 1967. In the meantime, arr angements are made for children to be seen at Child Guidance Clinics 123 held in:- The Child Guidance Training Centre The Hampstead Child Therapy Clinic The Tavistock Clinic University College Hospital Speech Therapy The Authority employs the equivalent of five whole-time speech therapists who undertake sessions at various clinics, combining these with sessions in the Day Special Schools and Junior Training Schools in the Borough. During the year, a total of 570 children received treatment and supervision. Handicapped Pupils The Education Act, 1944, gave Local Education Authorities the responsibility of ascertaining handicapped pupils in their areas and of providing special educational treatment for such children. |
7f2c01c5-9f8a-45f7-9aae-bf91a1efa1d1 | It is the duty of a Local Authority to ascertain these children from the age of two years. The School Health Service and Handicapped Pupils Regulations, 1959, defined the various categories of handicapped pupils as follows:- Blind Epileptic Partially Sighted Maladjusted Deaf Physically Handicapped Partially Hearing Delicate Educationally subnormal Children suffering from Speech Defects. Special educational treatment may be provided in an ordinary school, with special conditions applicable to the disability, or in a day or residential special school catering for the particular needs of children with one or more handicap. During 1967 a new Day Special School for educationally sub-normal pupils, Northway School, was established by the authority in addition to Oak Lodge School, the Borough being divided to form new catchment areas for each of these schools. |
f1a15a43-69e2-4f4b-831d-6e10f0216064 | The authority also maintains Swaylands School, Penshurst, Kent, a residential special school for educationally sub-normal boys, and is responsible for Winifred House Convalescent Hospital School, Barnet Gate. Future proposals for special education in the Borough as outlined in the Educational Development Plan include two Day Special Schools for Maladjusted Children and a Day Special School for Delicate/Physically Handicapped Children. Also envisaged in the plan is provision for a Residential Special School for Maladjusted Boys by means of extensions to Swaylands School. The following Table shows the number of handicapped pupils as at 31st December 1967:- 124 Special Day Schools Special Residential Schools Maintained Primary & Secondary Schools Independent Schools Not at School Total b. g. b. g. b. g. b. g. b. g. b. g. Blind 1 2 5 2 – – – – – – 6 4 Partially Sighted 2 4 – – – 1 – – |
df24e954-78b1-4fb2-9fde-f56af5dd5ea0 | 1 1 3 6 Deaf 2 4 5 5 – – – – 2 1 9 10 Partially Deaf 8 7 1 – 2 1 – 1 1 2 12 11 Delicate 4 2 3 7 3 1 2 – – – 17 10 Educationally Subnormal 95 71 19 7 2 4 – 1 1 1 117 84 Epileptic – – 4 – – – – – – – 4 – Maladjusted 1 2 49 9 8 2 2 2 1 1 61 16 Physically Handicapped 23 10 8 8 1 1 1 – 6 3 39 22 Speech Defects — — — 1 — — — — 1 — 1 1 Total No. |
32938985-85e0-4d4d-8b68-33632313b00a | Handicapped Pupils 136 102 99 39 16 10 5 4 13 9 269 164 SCHOOL HEALTH SERVICE STATISTICAL TABLES PUPILS FOUND TO REQUIRE TREATMENT AT MEDICAL INSPECTION (excluding dental disease and infestation with vermin) Year of birth For defective vision (excl. |
12eb83f2-43bd-43a3-a83c-90c79d06bf80 | squint) For any of the other conditions recorded Total Individual Pupils 1963 & later 1 21 21 1962 60 154 197 1961 78 142 214 1960 22 39 56 1959 10 22 28 1958 15 17 30 1957 66 75 132 1956 155 159 273 1955 112 56 151 1954 44 24 64 1953 318 154 433 1952 & earlier 244 110 327 TOTALS 1125 973 1926 125 PERIODIC INSPECTIONS Defect Code No. Defect or Disease Entrants Leavers Total incl. all other age groups Special Inspections * T O T O T O T O 4 Skin 28 50 35 21 122 106 4 – 5 Eyes: (a) Vision 152 367 543 137 |
f4abbae7-86c1-44a9-9b11-4c856e1f510c | 1125 703 121 132 (b) Squint 57 27 11 4 84 44 2 2 (c) Other 4 5 5 12 13 31 1 — 6 Ears: (a) Hearing 29 133 15 26 76 216 41 113 (b) Otitis media 21 39 3 5 28 65 4 – (c) Other 6 7 3 – 11 14 8 – 7 Nose and Throat 36 132 12 6 68 166 15 2 8 Speech 59 81 10 3 97 109 57 22 9 Lymphatic Glands 5 25 4 1 11 32 – – 10 Heart 8 49 7 21 16 92 1 4 11 Lungs 18 62 15 15 43 109 6 |
21a38c9f-e316-413c-b9a7-380979e7c0be | 5 12 Developmental: (a) Hernia 9 14 2 1 19 19 2 1 (b) Other 5 89 6 8 28 143 7 14 13 Orthopaedic: (a) Posture 4 14 28 15 96 56 4 4 (b) Feet 20 38 47 46 109 129 7 6 (c) Other 7 24 15 16 32 50 1 3 14 Nervous System: (a) Epilepsy 3 6 8 1 16 14 2 – (b) Other – 3 – 3 1 12 1 2 15 Psychological: (a) Development — 19 1 11 6 40 2 3 (b) Stability 13 81 6 13 36 145 9 20 16 Abdomen 5 10 |
01dc879d-514b-4060-a479-4e3d4112c0e7 | 5 5 16 27 1 – 17 Other 35 50 26 21 105 109 23 13 * T — requiring Treatment 0 — requiring Observation 126 TREATMENT OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS (including Nursery and Special Schools) No. of cases known to have been treated GROUP 1: Eye Diseases (e.g. blepharitis, conjunctivitis), Defective Vision and Squint (a) External & other, excluding errors of refraction & squint 16 (b) Errors of refraction, including squint 2,475 TOTAL 2,491 (c) No. |
eb8b8d6b-bd1a-41c3-8584-cc43361eb6e9 | of pupils for whom spectacles were prescribed 817 GROUP 2: Diseases and Defects of Ear, Nose and Throat Received ope rative treatment for: (a) Diseases of the ear 1 (b) Adenoids and Chronic Tonsilitis 25 (c) Other nose and throat conditions 1 Received other forms of treatment 41 TOTAL 68 Total No. of pupils in schools who are known to have been provided with hearing aids: (a) in 1967 25 (b) in previous years 61 GROUP 3: Orthopaedic & Postural Defects No. of pupils known to have been treated in clinics or at out-patients departments 11 GROUP 4: Diseases of the skin (excluding uncleanliness) Ringworm (i) scalp 2 (ii) body 4 Scabies 7 Impetigo 5 Other skin diseases 1 TOTAL 19 GROUP 5: Child Guidance Treatment No. |
82690790-4ea2-420d-ae54-bb8a0f1b5082 | of pupils treated at Child Guidance Clinics 165 GROUP 6: Speech Therapy No. of pupils treated by speech therapists 570 GROUP 7: Other Treatment given: (excl. B.C.G. vaccination) (a) Minor ailments 22 (b) Convalescent treatment under School Health Service arrangements 24 TOTAL 46 Education Act 1944 — Section 57 Cases dealt with under Section 57, Education Act, 1944 3 Cases de-notified under Section 57(a) Education Act, 1944 Nil 127 SCHOOL DENTAL SERVICE Dental treatment assists in the general wellbeing of the body by removing conditions which assist in the preparation of the ground for new diseases. Also mastication is brought to a higher degree of efficiency at a time of optimum nutrition and so helps in the general health of the expectant and nursing mother. Dentistry, therefore, takes its share of reducing the infant and maternal mortality rate. |
fab07a48-cd47-4281-b1fc-ea2101fe0b7d | During childhood when growth makes great demands upon the body, it is essential that the children should have good teeth to help obtain maximum benefit from their foods. The filling of the teeth greatly assists in keeping the masticatory powers of the body and it is essential to see that the filling:extraction ratio is kept in the proper proportions. Orthodontic treatment, apart from restoring a more pleasing appearance to the patient, also plays a very important role in providing a more regular surface for the cleansing of the teeth. With irregular teeth the gum conditions can soon deteriorate and the focal point of many diseases resides in the pockets produced by such conditions. With this thought in mind it will be appreciated that time spent at the chairside talking to the patients about dental hygiene is time well spent and the result of such talks can save hours of chairside work on the patient later on. |
c391a60d-fe64-4559-bd4a-497f31782e3f | Following an announcement by the British Oxygen Company that they would no longer service the older types of Walten Gas Apparatus, it was decided that four older type gas and oxygen machines would be replaced by more modern apparatus. In 1967 these new machines were placed in the Hendon Central Dental Clinic, Childs Hill Dental Clinic, the Oak Lane Dental and the Watling Dental Clinic. This action means that each dental surgery is equipped with an anaesthetic apparatus of the later type models. One outstanding feature of these machines is that they are supplied with pin index fittings which take the new type of pin index cylinders. As the position of Nitrous Oxide and oxygen pin index locators are entirely different from each other there is absolutely no risk of placing the wrong cylinders to the appropriate part of the machine. A new air motor (high speed drill) was installed at Oak Lane Dental Clinic to replace an obsolete model which had broken down. |
43f47f4f-ebf5-4571-bfa1-efae5873264a | At Childs Hill Clinic a new X-ray unit was installed with a special developing apparatus as there is no dark room. This has resulted in the children of that area being able to have their X-rays done on the premises, instead of travelling to the Hendon Central Dental Clinic. A new spot light was installed in the Orthodonitc Clinic at Hendon Central. This has meant that there is greater illumination inside the mouth to aid in the fixed orthodontic work. At Brunswick Park Road Clinic, Holly Park Clinic and East Barnet Road Clinic modern operating lights have been fitted, resulting in a far lighter field of work. With a school population of some 40,000 children, it is not surprising that a small proportion of them have damaged front teeth of one form or another. If only ½% of these children had a damaged incisor tooth, it would mean about 200 cases per year. |
f62f29ac-6a6a-4e88-9ca4-bc0726b43598 | The need to supply these children with a suitable service to restore as many of these teeth as possible made necessary a surgery devoted exclusively to this work. During 1967 a regular session was devoted to crowns and this will have to be increased to at least two sessions in 1968. The reasons for the incisor teeth needing this treatment are varied, the most common cause being the broken front tooth as a 128 result of an accident; another common cause is that repeated fillings can present an ugly appearance. Deficiency in enamel formation often gives rise to the need for this treatment. Ideally the tooth should be vital but often the operation has to be carried out on dead teeth. It has helped in this work to be able to use the new alluminous porcelain which came on to the market a year ago. It is a very strong form of porcelain and the colour is very true so that colour matching, which has caused trouble previously, is greatly improved. |
80dcfa7e-1103-4a69-a0f7-ebc29897d7d0 | The real worth of this work is seen when the patient, a young girl or boy, looks into the mirror to see the finished result. The expression on their faces tells you that this work is really worth while. 1968 will bring an increase in crown and orthodontic work, two specialities which the Borough can be proud to possess. Ages 5-9 Ages 10-14 Ages 15 & over Total Attendances & Treatment: First visit 3776 3093 650 7519 Subsequent visits 6018 7927 2056 16001 Total visits 9794 11020 2706 23520 Additional courses of treatment commenced 326 189 41 556 Fillings in permanent teeth 2879 6496 2172 11547 Fillings in deciduous teeth 7168 746 — 7914 Permanent teeth filled 2213 5008 1594 8815 Deciduous teeth filled 5414 637 _ 6051 Permanent teeth extracted |
7a65d34d-5fa6-4fa2-a00d-7037e99b8563 | 69 476 155 700 Deciduous teeth extracted 2145 927 — 3072 General anaesthetics 882 453 40 1375 Emergencies 385 194 35 614 Prosthetics: Pupils supplied with full upper or full lower (first time) 1 _ 1 Pupils supplied with other dentures (first time ) 4 8 5 17 Number of dentures supplied 2 10 6 18 Number of pupils X-rayed 468 Prophylaxis 1186 Teeth otherwise conserved 2879 Number of teeth root filled 54 Inlays 19 Crowns 56 Courses of treatment completed 5943 129 Orthodontics: New cases commenced during year 348 Cases completed during year 132 Cases discontinued during year 85 No. of removable appliances fitted 579 No. |
21b65583-0ef7-4aee-afe6-a27a6a79268e | of fixed appliances fitted 42 Patients referred to Hospital Consultant 10 Anaesthetics: General anaesthetics administered by Dental Officers 26 Inspections: a. First inspection at school No. of Pupils 23378 b. First inspection at clinic No. of pupils 2250 No. of a. and b. found to require treatment 11308 No. of a. and b. offered treatment 11308 c. Pupils re-inspected at school or clinic 591 No. of c. found to require treatment 405 Sessions: Sessions devoted to treatment 3568 Sessions devoted to inspection 242 Sessions devoted to Dental Health Education 401 Dental Laboratory The work of the dental laboratory has been greatly appreciated during the year. The benefit in having our own laboratory is that each dental surgeon can, at any time, have the closest cooperation by personal contact with the officers in the laboratory. |
928dc319-0c77-465a-9e34-e8db1baa0070 | In addition to the work undertaken for the London Borough of Barnet prosthetic work for the Boroughs of Enfield and Haringey was continued. During the year the laboratory provided a total of 22,574 units of work. 130 GENERAL SERVICES GENERAL SERVICES Health Education/Home Safety The Health Education/Home Safety Section of the Department continues to progress and to disseminate information by every possible means to secure physical, mental and social health. Health Education requires a maximum of co-operation in all facets of the work of the Department which aim at good health and wellbeing in the community. Health Education in Clinics Health Education supports the classes run for expectant mothers in relaxation and mothercraft and is also featured in programmes arranged for Old People's Clinics and Mothers' Discussion Groups. Health Education in Schools This is an important field of Health Education; most schools have a full year's programme while others require only one or two films or occasional talks, the former being given by Health Visitors, whilst the others are undertaken by the Health Education Section. |
0fe6341b-f66c-4489-9e0c-6f63d311ba43 | Primary Schools: 10-11 year old children Full year's course 9 One or two term courses 1 Short courses 2 Secondary Schools: 13-15 year old children Full year's course 6 One or two term courses — Occasional talks 1 Grammar Schools: 17-18 year olds Occasional talks 2 Special schools 1 A dental campaign was carried out throughout the whole of one primary school, to estimate timing and methods in preparation for a campaign in all schools next year. Health Education in other Organisations Requests for talks on various health topics were received from various groups of people. Where appropriate these were given by staff from other sections, i.e. Health 133 Visitors, Public Health Inspectors and others, the majority however, were undertaken by the Health Education Section. |
90a0ba64-2919-4bba-924c-8a7cead370f6 | Whilst large scale campaigns or big exhibitions have their place in a Health Education programme, it is felt that their impact is short-lived whereas Health Education in small groups with opportunity for discussion is of greater benefit and likely to be longer lasting. It is also more likely to be effective in changing attitudes and inculcating new habits. During the year, talks to a wide variety of organisations were given and a synopsis is given later in the Report. Mental Health Week Full co-operation with the Mental Health Division was given and this is referred to on Page 80. General Publicity The regular monthly programme of health topics for publicity was arranged and posters and leaflets were distributed to Borough Establishments. A number of requests came in for this kind of material from various sections of the community, which is encouraging since it denotes that there is a lively interest in health matters going on unseen. Where Ministry of Health Campaigns were sponsored, these were given every support. |
b54a7e05-858d-4f94-acf7-433bd0b54633 | Home Safety Figures issued by the Royal Society for the Prevention of Accidents, obtained from the Registrar General, show that deaths from accidents in the home remain unchanged; it is still in the region of 8,000 per year; a higher rate than death from roads or any other place of accident. The Health and Welfare Department has been able to obtain from Edgware General and Barnet General Hospitals a monthly list of accidents occurring in homes of people living in the Borough who receive treatment at hospital. The vast number of home accidents which find their way to the general practitioner's surgery and those which are treated at home are, of course, unknown. The number must run into thousands per year in this Borough alone. In an effort to reduce this appalling figure a good deal of education in this field has been carried out, both as a subject in itself and in the teaching of other subjects. Publicity material is regularly distributed following the lines of RoSPA's quarterly campaign. |
79b7e35f-bf1d-4286-8b07-862fe517c235 | Several Youth Organisations asked for training and examination of candidates for the the Duke of Edinburgh's Award in Home Safety and these were undertaken, since training of the young in home safety is considered to be of supreme importance. Finchley Carnival, July, 1967 and Friern Barnet Summer Show, 1967 It was considered that these two events were ideal opportunities for disseminating 134 information regarding home safety and an exhibition was prepared. It was decided to ask outside organisations to contribute towards this and several agreed to present a display. These organisations were:- North Thames Gas Board Safe use of Gas Eastern Electricity Safe use of Electricity Oil Appliance Manufacturers' Association Safe use of Oil Heaters British Pharmaceutical Society Medicines with Care The Health Education Section arranged a display on water safety and outdoor hazards. The total exhibition covered 800 sq. ft. To add interest and draw attention to the need for care at home a children's competition on "Spot the Hazard" was run with a total number of 550 children entering. |
d16c07c0-e0ce-414f-a299-090a7c6fb57a | A further feature was a demonstration of mouth-to-mouth resuscitation, give n by members of the British Red Cross Society and the St. John Ambulance Brigade. Many booklets and leaflets on Home Safety were distributed and it was felt that this had been a successful means of promoting Home Safety. Synopsis of talks arranged by the Health Education Section Youth Organisations, Clubs, uniformed groups 38 Young Wives' Groups, Women's and Mens' organisations 32 Parent/Teacher Associations 3 Old People's Clubs/Organisations 5 Synopsis of Subjects covered Personal Health Services 7 Environmental Health Services 5 Food and Drugs Inspection 6 Work of the Health Visitor 6 Work of the Public Health Inspector 5 Mental Health 1 Child Care and Development 4 Welfare Services 2 Health Hazards of Today 2 Care of the aged 5 Smoking 6 Home Safety 34 135 Synopsis of Subjects covered (continued) First Aid 9 Eye Care 1 Film shows on various health topics have also been arranged and undertaken. |
4222f480-b8d3-4fed-b270-61a3912bcd2b | MASS RADIOGRAPHY During 1967 the Mass Radiography Unit of the North West Metropolitan Regional Hospital Board visited the Borough and 981 persons were X-rayed. During that year the total number of persons X-rayed by the static and mobile Units operating in the whole of the area covered by the North West Metropolitan Regional Hospital Board was 287,380. 340 cases of active pulmonary tuberculosis were discovered, fewer than in 1966, confirming the downward gradual trend observed in the past four years. Of the 340 active cases, 63% were found by routine radiography and 37% in doctors' referrals. In addition 243 cases of lung cancer were diagnosed this bein g 20 more than in 1966. The incidence in men rose sharply from 1.4 per 1000 in age group 45-54 to 4.8 and 12.8 per 1000 in age groups 55-64 and 65 and over respectively. |
b8025043-57c4-4c64-8980-9ed8f7f24681 | SPECIAL INVESTIGATION CLINIC A Special Investigation Clinic was started on June 6th 1967 in the premises of Vale Drive Centre, High Barnet. The clinic is directed by the Deputy Medical Officer of Health, with a supporting staff of Nurse, Social Worker and Clerk. The purpose of the clinic is to investigate, treat, and conduct research into the main conditions of Enuresis and Encopresis and to a minor extent behaviour problems affecting children. Studies of children by various workers have shown that of children at the 5 year old age level, 15% suffer with bed-wetting. At the 10 year old age level the incidence falls to 5%, and at the 15 year old age level the figure is 1%. Although this denotes a tendency for spontaneous remission of enuresis, many years of suffering may pass before the child acquires continence. |
cc68f95b-e739-40ae-add4-b81132ca74a6 | These statistics also indicate the immensity of the problem and additional aggravations are the secondary effects of emotional overlay and inter-family tension which may arise from persistent enuresis. Based on this premise the Special Investigation Clinic became operative, and referrals are accepted from various agencies. No child is accepted without parental approval, and in every case the child's general practitioner is first notified. Any objection from parent or practitioner is respected, and the child not accepted for treatment. There are divergent views on the aetiology of enuresis and encopresis and these involve theoretical considerations resulting in different disciplines of investigation and treatment. This particular clinic is orientated on the lines of Learning Theory Psychology with a practical application involving Behaviour Therapy. This does not signify that the 136 clinic has a particular separatism, on the contrary it enjoys a good relationship with many other disciplines and agencies. A particular emphasis is made on thorough medical examination and battery objective personality investigations. |
7d450ad6-695d-4b31-b06b-476b05fe61a8 | A link exists with Barnet General Hospital who kindly supply pathological services to the clinic. Apart from the regular staff the clinic also has the voluntary services of two postgraduate psychologists, who participate moreso in research and investigation and contribute to the scientific standard of the clinic. Statistics relating to the first six months of the clinic's operation are listed. |
7e723648-f1d7-4014-9a57-32706bf19963 | Statistics from June 6th 1967 to December 31st, 1967 BOYS GIRLS TOTAL Total number of referrals: Under 5 17 10 27 5 — under 10 74 48 122 10 and over 31 11 42 122 69 191 Total number of patients not keeping first appointment: 24 18 42 Total number of patients seen: 63 32 95 Total number of patients discharged: 14 7 21 Total number of discharged patients who relapsed before December 1967: 2 – 2 Total attendances: 380 Total non-attendances: 147 137 ESTABLISHMENTS FOR MASSAGE AND SPECIAL TREATMENT The total number of establishments registered at the end of the year under Part XII of the Middlesex County Council Act, 1944, remained at 33. |
eb36cda3-4502-4705-a0d5-39175a4e1810 | PERSONS IN NEED OF CARE AND ATTENTION Provision is made under Section 47 of the National Assistance Act 1948 as amended by the National Assistance (Amendment) Act 1951 for securing the necessary care and attention in hospital or other place, e.g. residential accommodation provided under Part III of the Act, for persons who are infirm or suffering from a serious chronic disease and who are unable to give themselves sufficient care nor are receiving it from other sources. A number of cases, mainly elderly persons living in poor conditions, were brought to my notice but with the help of the Social and Health Visiting Services and voluntary admission to hospital or home each case resolved itself without application of the statute. |
97dafd05-ad5b-4812-af09-08af83760f2c | BURIAL AND CREMATION It is the duty of the Local Authority under Section 50 of the National Assistance Act 1948 to cause to be buried or cremated the body of any person who has died or been found dead in the area, in any case where it appears to the Authority that no suitable arrangements for the disposal of the body have been or are being otherwise made. The expenses incurred may be recovered from the estate of the deceased person, by death grant subject to the contribution conditions being satisfied, or from any person who for the purposes of the Act was liable to maintain the deceased person immediately before his death. Eight cremations were carried out during the year. CREMATION CERTIFICATES The Medical Officer of Health, Deputy Medical Officer of Health and a Senior Medical Officer are appointed Medical Referees under the Cremation Acts 1902 and 1952. During the year 747 certificates were examined and approved. |
8ebf1ed8-6c4e-4907-b890-3119bc358a8b | DOMICILIARY LAUNDRY SERVICE This is a service to assist in one of the problems which arise in nursing the chronic sick and the aged, viz:- the cleansing and laundering of soiled bed-linen and clothing. 138 A service is provided to collect and launder soiled articles. The work is carried out by the Hendon Group Hospital Management Committee at Colindale Hospital. At the end of the year 23 persons were receiving assistance, and during the year 9,659 articles were laundered. MEDICAL ASSESSMENTS AND EXAMINATIONS Candidates for appointment to the service of the Council are required to complete a medical questionnaire which permits of the necessary assessment in regard to their medical fitness for the post in question. In cases where there is any doubt as to a person's fitness for employment a full medical examination takes place. No. of medical forms assessed 1,803 No. of medical examinations — Barnet 23 other Authorities 12 No. |
370161d3-39e1-46a6-9d3a-b9c0c231f02c | of medical examinations carried out under Ministry of Education Circular 249/52:- (a) Teachers' first appointments 118 (b) Entrants to Training College 311 20 medical assessments were carried out in relation to the ability of staff to undertake the duties of their posts or in relation to early retirement. 5 members of the Council's staff were recommended for premature retirement on the grounds of permanent ill health. DEPARTMENTAL SPECIAL TRANSPORT In connection with the operation of the Health and Welfare services and in respect of the considerable transport which is required for conveying the elderly and physically handicapped and blind persons to Craft and Choral Classes, Day and Work Centres and to a wide range of social and recreational activities for these persons, the Council's fleet was in 1967 increased by two 12 seater vehicles which gave a total of four 12 seater vehicles and two large coaches in operation at the end of the year. All of these special vehicles are fitted with tail lifts. |
265baf78-52fc-4744-9c3a-dc72703b5483 | All vehicles are staffed and maintained by the Borough Engineer and Surveyor's Department and once again I pay tribute to the excellent service the Department has at all times received and acknowledge the helpful and understanding manner in which the drivers of the special vehicles perform their duties. TRAINING COURSES During 1967 a wide variety of training courses, refresher courses, study days, etc. 139 were made available to the staff of the Department. The London Boroughs Training Committee continued to be prominent in arranging courses and study days for midwives, district nurses, school nurses and social workers. |
0e905a66-028c-416a-90ac-7acc54924fa2 | Courses and study days attended by staff inter alia embraced the following subjects: Diploma in Applied Social Studies Diploma in Municipal Administration Diploma in Home Teaching for the Blind Social Work Course leading to the National Certificate Family Casework Management of Hostels for Mentally Disordered Adults District Nurse Training Mental Subnormality Mental Development and Diagnostic Testing of the very young Drug Addiction Home Safety Work of Rodent Operators Applied Entomology Noise Control Living with Disability STUDENT ATTACHMENTS The Department continued to provide facilities for students' practical training in Health and Welfare establishments and students attending were engaged in University and Colleges of Technology studies covering the various disciplines in Health and Social Welfare work. In addition practical training facilities were made available in connection with the Council's Training Scheme, whereby up to 20 trainees a year are engaged and given an opportunity to work in the various Departments of the Council to enable them to decide on the form of Local Government service in which they are most interested and which will lead them to follow a career. |
a8232a94-3c6f-48fb-8e7d-ea5bb78d7693 | EMERGENCY CALL SERVICE The Authority's Emergency Night and Weekend Telephone Service, established at the Town Hall, Hendon, which provides for the benefit of all Departments of the Council has continued to show that such a service is of distinct value insofar as emergency calls for midwives, mental welfare officers, social welfare officers and urgent matters of environmental etc. health need to be dealt with expeditiously. 140 INDEX INDEX PAGE A Abortion 2 Admission and Discharge to Psychiatric Hospitals 76 Adult Training Centres 78 Air Pollution Measurement 49 Animals 68 Ante-Natal Clinics 99 Audiology 123 Audiometry 123 B BCG Vaccination 114 Births and Birth Rates 1,11,17, 20, 21, 99 Blind and Partially Sighted 90, |
8a0b9b7a-7687-4a81-afb7-f102ab2765b7 | 91 British Red Cross Society — loan of equipment 103 Burial and Cremation 138 C Cancer 19 Caravans 60 Care of Mothers and Young Children 99 Care of the Unsupported Mother 111 Catering 88 Cervical Cytology 111 Chest Clinics 109 Child Guidance Service 123 Child Minders 105 Child Welfare Centres 100 Chiropody 106 Clean Air 48 Clearance Areas 54 Clinics for the Elderly 105 Clinic Premises 97,115 Clinic Sessions and Attendances 98 Committee Members 7 Common Lodging Houses 58 Community Care — Mental Health 77 Complaints — Environmental Health 61 Congenital Malformations 100 Contents 5 Cremation Certificates 138 D Day Centres for the Mentally 111 80 Day Nurseries 104 Day Nurseries Private & Registered Child Minders 105 Deaf and Hard of Hearing 90, 91 Deaths and Death Rates 1,12, 13,14,15,16,18, |
2e574efa-ff2f-43da-8aea-cb84383c00b8 | 19 Dental Laboratory 130 Dental Services, Priority 108 Dental Services, School 128 Disinfection and Disinfestation 70 Domiciliary Laundry Service 138 Drug Dependency 80 Dysentery 26 PAGE E Elderly Persons 89, 105 Emergency Call Service 140 Environmental Health Services 31 Establishments for Massage and Special Treatment 138 Exhumations 71 F Factories and Work Places 64 Family Planning 2,111 Finchley Carnival 134 Fluoridation 109 Food 31 Food — Complaints 39 Food and Drugs 31,48 Food Hygiene 43 Food Poisoning 25 Food Samples, |
86937b7e-605f-4020-ab88-eaec2aa268d8 | Formal and Informal 32 Food Unfit for Human Consumption 41 Friern Barnet Summer Show 134 G General Practitioner/Domiciliary Staff Attachments 97 General Services 133 Gift Furniture 93 Guardianship and Informal Foster Care 77 H Handicapped Pupils 124 Hawkers 43 Health Centres 2 Health Committee Members 7 Health Education and Home Safety 133 Health Visitors 97 Holiday Camps — Mental Health 77 Holiday Homes — Recuperative 106 Homes for Elderly and Disabled Persons 87 Home Help Service 103 Home Nursing 102 Home Safety 133,134 Home Visiting 98 Homelessness 2,89,98 Hostels — Mental Health 77, 79 Houses, Assisted Purchase and Improvement 55 Houses — Compulsory Improvement 57 Houses in Multiple Occupation 52 Housing 52 Housing Accommodation 52 Housing Re-development 55 Housing Statistics 59 I Ice Cream 36 Immunisation & Vaccination 27, 112 Improvement Areas 56 Incontinent, |
f846e124-b28b-4b44-a90a-dcb601834b5e | Laundry Service 138 Incontinent Pads and Clothing 103 141 PAGE Individual Unfit Houses 54 Infectious Diseases 25 In-Service Training Course 1 Inspections — Environmental Health 61 International Certificates of Vaccination 27 J Junior Training Schools 77 L Labelling of Food 44,47 Land Charges 62 Laundry Service 138 Legal Proceedings 45 Liquid Egg 37 Loan of Nursing Equipment 103 M Marie Curie Memorial Foundation 103 Markets 43 Mass Radiography 136 Massage and Special Treatment 138 Medical Assessments and Examinations 139 Medical Inspections & Treatment (Schools) 121,122 Mental Health Services 2, 75 Mental Health Week 80 Mental Subnormality 75 Merchandise Marks 45, |
c7b7558f-4565-4210-b9ab-1a51639d1612 | 47 Midwifery 102 Milk — Licensing and Sampling 38 Mortuaries 71 Mother and Baby Home 111 Mothercraft and Relaxation Clinics 100 Mothers' Discussion Groups 102 N Neighbourly Help Service 104 Noise 62 Nursery Nurse Training 105 Nurses Agencies 107 Nursing Homes, Registration 106 O Offices and Shops 63 Ophthalmic Clinics 122 Orthopaedic Clinics 122 Outworkers 65 Overcrowding 57 P Personal Health Services 97 Persons in need of Care and Attention 138 Pesticide Survey 46 Physically Handicapped Persons 90, 92 Post-Natal Clinics 99 Poultry Inspection 44 Prevalence and Control of Infectious & Other Diseases 25 PAGE Prevention of Homelessness — (Problem Families) 2,98 Protection of Property 93 Psychiatric Hospitals 76,78 Public Control 47 R Rag, |
08e78c05-bb0d-472c-acc1-bde13f41c1f8 | Flock and Other Filling Materials 66 Recuperative Holiday Homes 106 Refuse Collection and Disposal 67 Relaxation and Mothercraft Clinics 100 Rent Acts 58 Residential Accommodation 87 Rodent Control 69 S Sanitary Conveniences 66 School Dental Service 128 School Health Service 121 School Medical Inspections and Treatment 121,122 School Population 121 Sewerage and Sewage Disposal 67 Shops and Offices 63 Short Term Care 76 Slaughterhouses 44 Slum Clearance 55 Smallpox Vaccination 115 Smoke Control Areas 48 Social Work — Mental Health 78 Special Care Units 78 Special Investigation Clinic 136 Speech Therapy 124 Staff 8 Staff Training 1,105,139,140 Statistics — Mental Health Service 82,83 School Health Service 125,126,127 Vital 11,19 Student Attachments 140 Swimming Pools 66 T Temporary Accommodation 89 Therapeutic Social Clubs 79 Transport 139 Tuberculosis 19, |
9a780501-206f-4395-8cc1-f7919585ce6a | 109 Tuberculosis BCG Vaccination 114 Typhoid Fever 26 V Vaccination 8s Immunisation 27, 112 Vital Statistics 1,11,19 Voluntary Organizations 81,93 W Water Supply 31,109 Welfare Committee Members 7 Welfare Services 87 Whooping Cough Vaccination 115 142 Printed and Published by Barnet London Borough Council |
5e24906c-5153-44e6-8db3-9d0f6f7ef0e0 | THE HEALTH AND WELFARE OF THE LONDON BOROUGH 1968 MELVILLE WATKINS, M.R.C.S., L.R.C.P., D.P.H. LONDON BOROUGH OF BARNET HEALTH & WELFARE DEPARTMENT With the Compliments of the Medical Officer of Health Gateway House, 322, Regents Park Road, Finchley, N.3. Telephone: 01-349 9121 MG 25 BAR 2 THE LONDON BOROUGH OF BARNET ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH AND PRINCIPAL SCHOOL MEDICAL OFFICER FOR THE YEAR 1968 MELVILLE WATKINS, M.R.C.S., L.R.C.P., D.P.H. Health and Welfare Department, Gateway House, 322 Regents Park Road, Finchley, N.3. To the Mayor, Aldermen and Councillors of the Council of the London Borough of Barnet. |
1431f920-1423-484f-bd72-87c1ce290250 | Mr. Mayor, Ladies and Gentlemen, I have pleasure in presenting my Report on the Health and Welfare services of the Borough for the year 1968. As in previous years the Report covers all the main facets of the Department's work. Progress in the development of establishments continues and during the year a 40-place purpose-built Rehabilitation Centre for the Blind and Physically Handicapped and a purpose-built Adult Training Centre providing 40 places were opened. It was unfortunate that due to staff recruitment difficulties a 10-place Hostel for Mentally Subnormal Children, though completed in 1968, was unable to open as planned and which meant that the earliest date when any cases could be admitted would be in early 1969. These were notable advances in the development of specific services but, whilst economic considerations have to be very much the order of the day, there is bound to be some delay in establishing a number of projects which are necessary to further the progress of the Health and Welfare day and residential services. |
2be55833-4223-45d4-9940-a7b1557dc77d | The Council's plans however for the years ahead are realistic in their conception and whilst only limited advances have so far been made, much has been done to relieve pressures which the Department has experienced in respect of day and residential care generally. The development in 1967 of an In-Service Training Course, mainly for new recruits and covering all disciplines employed within a Health and Welfare Department, was extended so as to provide for two courses being run within a 12 month period and the second course in 1968 was planned for one morning per week spread over nine weeks and which was considered to be the necessary pattern to be adopted in future years. Invitations were extended to other Departments of the Council to nominate persons for attendance who would be particularly interested in certain aspects of the Health and Welfare services. |
f9e89551-7dc8-4bd6-9991-79b7ccd4c22e | The high standard of lectures provided by senior members of the Department's staff was extremely well received and the response from all participants confirmed the value of Local Authority staff participation in courses of this nature and which, in many instances, obviated the necessity of staff having to attend courses run by outside bodies. Another aspect of training was the introduction, in co-operation with the Education Department, of a Nursery Nurse Training Course at the Barnet College of Technology. I am confident that the establishment of such a course will do much to relieve staffing difficulties in the day nursery service and that future years will show the required number of qualified staff being available for employment. |
c8b314fc-a1bc-462c-83c9-59c584b80ded | The downward trend continues in relation to live births, the corrected birth rate for Barnet this year being 13.4 per 1,000 population compared to 14.3 (1967), 14.6 (1966) and 1 15.3 (1965); there were 45 stillbirths representing a rate of 10.4 per 1,000 total live and stillbirths indicating a considerable decrease compared to 13.4 in 1967 — this is consistent with the National figure but not with Greater London which shows a slight increase from 13.3 (1967) to 13.5. Statistics in relation to infant deaths, including neonatal, early neonatal and perinatal deaths show slight increases. There was also an increase in deaths from all causes i.e. |
9c0de9f5-8d7e-4090-ab8a-831e785a207e | 3,732 (a corrected rate of 10.6 per 1,000 population) compared with 3,456 (10.0) for 1967, this being consistent with an increase in the National and Greater London figures. There was no serious outbreak of infectious disease during the year. In my Report for 1967, I referred to the introduction of the National Health Service (Family Planning) Act 1967 and stated that I should be dealing specifically in my next Report with the considerations to be given by the Council in regard to the implications of family planning and the Council's recommendations thereon. These are referred to in detail in the respective sections of my Report for the year under review but I would wish to highlight the fact that the introduction of a comprehensive family planning service should prove to be of immense value to society in general and it should be the means of mitigating a considerable amount of family distress and social difficulty. |
413163ca-9409-4211-8611-c84e90c6047b | During 1968, considerable progress was made in attachment services to general practitioners and this form of service is in my opinion vital to the whole concept of a sound and economic domiciliary health service. General practitioners who were bensfitting by attachment services were enthusiastic in their praise for the help given. The staffing situation in 1968 showed some improvement but the administration service of the Department still needs to be strengthened and this is especially necessary when one considers the Council's forward planning for the development of the services and the responsibilities arising from the establishment of new projects. The staffing requirements of the various sections of the department were constantly under review and the appointment of senior home nurses responsible for groups of nurses and the employment of nursing auxiliaries for the first time to replace home nurses where cases did not require the full skills of a qualified nurse proved to be both economic and advantageous in ensuring that the relative degrees of home nursing were given. |
282e764a-1695-42a7-ba9f-20130eb512c9 | Homelessness as indicated in my Report for 1967 still remains a big problem and undoubtedly plans will need to be considered for providing additional units of accommodation in 1969 since the upward trend in the number of cases needing to be dealt with shows no abatement. The formative years of any virtually new Department are bound to provide periods of pressure and strain but it is with pleasure that I record my thanks once again for the assistance given by all members of the staff and acknowledge the interest and 2 skills displayed. I further acknowledge the valuable services provided by voluntary organisations operating in the Health and Social Welfare fields. Without such a form of dedicated voluntary service the Local Authority's functions would not operate with the same degree of efficiency. |
20ee0296-59f5-4bc0-97e0-b89de40fa45c | I should like to take this opportunity to record with deep sincerity my thanks for the support and encouragement given to me by the Chairmen, Vice-Chairmen and Members of the separate Health and Welfare Committees and, from May 1968, the Chairman, Vice-Chairman and Members of the combined Health and Welfare Committee and to acknowledge the co-operation and assistance of the Chief Officers of other Departments. M. WATKINS Medical Officer of Health 3 CONTENTS Page COMMITTEE MEMBERS, CHIEF AND SENIOR OFFICERS 7 VITAL STATISTICS 11 PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES 27 ENVIRONMENTAL HEALTH SERVICES 33 MENTAL HEALTH SERVICES 69 WELFARE SERVICES 81 PERSONAL HEALTH SERVICES 89 SCHOOL HEALTH SERVICES 113 GENERAL SERVICES 127 INDEX 141 5 HEALTH AND WELFARE COMMITTEE as at 31st December 1968 Councillor (Mrs.) |
b8c6bd00-f0ef-4ee5-a931-855383c02788 | R. A. Freedman (Chairman) Councillor H.R. Brooks (Vice-Chairman) COUNCILLORS: E.A.E. Asker, J.P., F.C.C.S., A.B.A.A. F.J . Collisson R.J. Finigan B.Sc., (Econ.) (Mrs.) B.M.Franklin J.D. Gordon-Lee, J.P. (Mayor) J.E. Park F.C.A. J.S. Payne (Mrs.) C. Riordan B.R. Stewart LL.M. (Mrs.) M.M. Symons (Mrs.) E.R. Gibson W.C. James G.H. Jobbins (Mrs.) Clara Thubrun, M.B.E., J.P. Co-opted Member: Dr. T.J. |
eb697488-4561-4bed-b1d6-ec7ab771b66f | Carter, M.R.C.S., L.R.C.P. 7 STAFF OF THE HEALTH AND WELFARE DEPARTMENT as at 31st December, 1968 M. Watkins, M.R.C.S., L.R.C.P., D.P.H. Medical Officer of Health G.C. Young, M.D., M.B., B.Ch., B.Sc., D.P.H., L.M.S.S.A. Deputy Medical Officer of Health R.C. Greenberg, M.B.B.S., D.P.H. Mary Watson, M.B., Ch.B. Principal Medical Officers Mary K. Astin, M.B., Ch.B., D.P.H. M.L. Graeme, M.A., M.B., B.Chir., D.P.H. |
274b5181-50f9-4e07-93fd-5a2205713dbb | (Resigned 28.4.68) M. McQuaid, L.R.C.P., L.R.C.S., D.P.H., (Appointed 23.9.68) Senior Medical Officers J.T. Benson, D.M.A., F.I.S.W. (Resigned 6.10.68) Chief Welfare Officer Mrs. J.M.A.W. Foulkes, S.R.N., S.C.M., H.V. Principal Nursing Officer R.L. James, L.D.S., R.C.S. Principal Dental Officer Miss E. Johnston, S.R.N., S.C.M., Q.N., H.V. Health Education Officer and Home Safety Organiser C.H. Machin, A.M.R.S.H. Principal Administrative Assistant K.J. Millen, M.R.S.H., F.A.P.H.I. Principal Public Health Inspector W.J .A. Ward, M.S.M.W.O. |
87ab4735-4bfd-4dc1-a024-a3312f08770c | Principal Mental Welfare Officer 8 STATISTICS STATISTICS Area (in acres) 22,124 Population— Registrar-General's estimate Mid 1968 316.240 Number of Inhabited Dwellings, 1st April, 1968:— Houses and flats 99,574 Other properties with living accommodation 755 Rateable Value at 1st April, 1968 £22,402,216 Product of penny rate 1968/9 £89,000 LIVE BIRTHS males females total Legitimate 2,004 1,967 3,971 Illegitimate 163 159 322 2,167 2,126 4,293 Illegitimate live births per cent, of total live births:barnet 7.5 greater london 11.5 inner london 15.5 outer london 8.7 rate per 1,000 population barnet 13.6 area comparability factor 0.99 corrected rate - barnet 13. |
b7faec50-0b8a-4da2-bbfe-d523ea50eeb3 | 4 greater london 15.2 inner london 15.7 outer london 15.0 england and wales (provisional) 16.9 11 STILLBIRTHS MALES FEMALES TOTAL Legitimate 18 17 35 Illegitimate 3 7 10 21 24 45 Total live and stillbirths 2,188 2,150 4,338 RATE PER 1,000 LIVE AND STILLBIRTHS BARNET 10.4 GREATER LONDON 13.5 INNER LONDON 13.1 OUTER LONDON 13.7 ENGLAND AND WALES (PROVISIONAL) 14.3 INFANT DEATHS (under 1 year of age) MALES FEMALES TOTAL Legitimate 34 31 65 Illegitimate 4 1 5 38 32 70 RATE PER 1,000 LIVE BIRTHS BARNET: LEGITIMATE 16. |
b22c026b-046f-4e66-ab81-f8362f39b14c | 4 ILLEGITIMATE 15.5 TOTAL 16.3 GREATER LONDON 18.6 INNER LONDON 19.8 OUTER LONDON 17.7 ENGLAND AND WALES (PROVISIONAL) 18.3 12 NEO-NATAL DEATHS (under 4 weeks of age) males females total legitimate 24 24 48 illegitimate 3 - 3 27 24 51 rate per 1,000 live births barnet: legitimate 12.1 illegitimate 9.3 total 11.9 greater london 12.8 inner london 14.0 outer london 12.1 england and wales (provisional) 12.4 EARLY NEO-NATAL DEATHS (under 1 week of age) males females total legitimate 20 22 42 illegitimate 2 - 2 22 22 44 rate per 1,000 live births barnet: legitimate 10.6 illegitimate 6. |
214ee963-abc8-4497-a98f-d4a10d9b402a | 2 total 10.2 greater london 11.4 inner london 12.4 outer london 10.7 england and wales (provisional) 10.5 13 PERI-NATAL DEATHS (Stillbirths and Deaths under 1 week of age) MALES FEMALES TOTAL LEGITIMATE 38 39 77 ILLEGITIMATE 5 7 12 43 46 89 RATE PER 1,000 LIVE AND STILL BIRTHS BARNET: LEGITIMATE 19.2 ILLEGITIMATE 36.1 TOTAL 20.5 GREATER LONDON 24.7 INNER LONDON 25.3 OUTER LONDON 24.3 ENGLAND AND WALES (PROVISIONAL) 24.7 MATERNAL MORTALITY RATES (including abortion) per 1,000 total live and stillbirths BARNET 0.7 GREATER LONDON 0.4 INNER LONDON 0. |
d4685318-430f-4277-a8f0-a45c8b7b6805 | 6 OUTER LONDON 0.3 ENGLAND AND WALES (PROVISIONAL) 0.2 14 DEATHS FROM ALL CAUSES MALES 1,728 FEMALES 2,004 TOTAL 3,732 RATE PER 1,000 POPULATION BARNET 11.8 AREA COMPARABILITY FACTOR 0.90 CORRECTED RATE - BARNET 10.6 GREATER LONDON 11.7 INNER LONDON 12.0 OUTER LONDON 11.5 ENGLAND AND WALES (PROVISIONAL) 11.8 15 CAUSES OF, AND AGES AT, DEATH No. |
8be269ba-73fe-421e-a587-e0ff0a3782b6 | Cause of Death Total all ages Under 4 weeks 4 weeks and under 1 year Age in years 1 - 5 - 15 - 25 - 35 - 45 - 55 - 65 - 75 and over B3 Bacillary Dysentery, Amoebiasis 1 — — — — — — — — — — 1 B4 Enteritis and Other Diarrhoeal Diseases 4 — — — — — — — — — 2 2 B5 Tuberculosis of Respiratory Systems 7 — — — — — — 2 2 2 — 1 B6 Other Tuberculosis, incl. |
5256ee6c-2a18-4073-b0c7-39fc0e05ea97 | Late Effects 5 — — — — — — — 2 1 1 1 B17 Syphilis and its sequelae 4 — — — — — — — — 1 1 2 B18 Other infective and Parasitic Diseases 8 1 — — — — — 1 1 1 2 2 B19(l) Malignant Neoplasm — Stomach 75 — — — — — 1 2 4 15 23 30 B19(2) Malignant Neoplasm — Lung, |
b6262957-af79-4cec-992f-8a1ccd707636 | Bronchus 201 — — — — — — 6 16 65 74 40 B19(3) Malignant Neoplasm — Breast 85 — — — — — 1 6 11 32 14 21 B19(4) Malignant Neoplasm — Uterus 30 — — — — — — — 3 14 4 9 B19(5) Leukaemia 27 — — — 1 4 1 1 4 8 4 4 B19(6) Other Malignant Neoplasms, etc. |
1d60016e-e19a-47f4-9345-0ebe5b34996a | 402 — — 2 1 2 1 7 38 100 114 137 B20 Benign and Unspecified Neoplasms 9 — — — — — — — — 6 1 2 B21 Diabetes Mellitus 26 — — — — — — 2 — 5 6 13 B46(l) Other Endocrine etc. Diseases 9 — 1 — 1 1 2 — 1 — 1 2 B23 Anaemias 9 — — — — — — — — — 1 5 B46(2) Other Diseases of Blood, etc 1 — — — — — — — — 1 — — B46(3) Mental Disorders 4 — — — — 4 — — — — — 3 B24 Meningitis 4 — 1 1 — — — — — — 1 1 B46(4) Other Diseases of Nervous System, etc. 44 |
9f164c44-b083-47fc-8e9f-153d8d7fbe3c | — — 2 2 2 1 — 6 8 8 15 B26 Chronic Rheumatic Heart Disease 32 — — — — — — 3 4 6 6 13 B27 Hypertensive Disease 84 — — — — — 1 1 2 14 19 47 B28 Ischaemic Heart Disease 927 — — — — — 5 12 52 177 248 433 B29 Other forms of Heart Disease 249 — 1 — 1 — 1 2 2 11 40 191 B30 Cerebrovascular Disease 475 — 1 — — — — 1 9 54 99 311 B46(5) Other Diseases of Circulatory System 170 — — — — 1 — 1 2 15 41 110 B31 Influenza 30 — — — — — — — — 2 5 23 B32 Pneumonia 295 |
da40b996-cdb0-47c6-ac22-da0be19a7cf4 | 1 2 2 — 2 — — 4 15 56 213 B33(l) Bronchitis and Emphysema 137 — — — —— — 1 1 6 25 38 66 B33(2) Asthma 5 — — — — — — — 1 1 1 2 B46(6) Other Diseases of Respiratory System 38 1 5 — — — — — 1 2 9 20 B34 Peptic Ulcer 19 — — — — — — — — 3 3 13 B35 Appendicitis 2 — — — — — — — 1 — — 1 B36 Intestinal Obstruction and Hernia 21 3 — — — — — — — 2 7 9 B37 Cirrhosis of Liver 12 — — — — — — — 1 5 4 2 B46(7) Other Diseases of Digestive System |
3d392bd5-d291-4504-b6d6-7e45d769c428 | 34 — — — — 1 — 2 1 5 8 17 B38 Nephritis and Nephrosis 16 — — — — — — — 4 8 3 1 B39 Hyperplasia of Prostate 10 — — — — — — — — 1 2 7 B46(8) Other Diseases, Genito-Urinary System 34 — — — — — — — 1 4 9 20 B41 Other Complications of Pregnancy, etc. |
cc6eed19-8b50-49de-bd99-53558716158c | 3 — — — — — 2 1 — — — — B46(9) Diseases of Skin, Subcutaneous Tissue 3 — — — — — — — — — 1 2 B46(10) Diseases of Musculo-Skeletal System 18 — — — — 1 2 — 2 2 11 B42 Congenital Anomalies 21 10 7 2 — — — — — 1 — 1 B43 Birth Injury, Difficult Labour etc. |
0e0da4e0-a6e3-43aa-ac7e-79cb9c36aab6 | 18 18 — — — — — — — — — — B44 Other Causes of Perinatal Mortality 17 17 — — — — — — — — — — B45 Symptoms and Ill-defined Conditions 5 — — — — — — — — — 2 3 BE47 Motor Vehicle Accidents 27 — — 1 4 3 1 1 1 7 3 6 BE48 All other Accidents 32 — 1 — — — 4 2 3 3 6 13 BE49 Suicide and Self-inflicted Injuries 29 — — — — 1 6 3 3 10 4 2 BE 50 All other External Causes 14 — — — — — 1 3 4 5 1 — TOTAL ALL CAUSES 3,732 51 19 10 10 19 29 62 190 640 874 1, |
576b2fde-96dd-4fec-80a3-72c1a8c1a9c1 | 828 16 BIRTH RATE (For the areas covered by the five constituent authorities) 17 INFANTILE MORTALITY RATE (For the areas covered by the five constituent authorities) 18 vital statistics for the past twenty years (For the areas covered by the five constituent authorities) YEAR TOTAL LIVE BIRTHS BIRTH RATE (CRUDE) TOTAL INFANT DEATHS INFANTILE MORTALITY RATE 1949 4547 14.1 93 20.5 1950 4486 13.9 78 17.4 1951 4138 13.0 97 23.4 1952 4107 12.8 85 20.7 1953 4048 12.7 78 19.3 1954 4019 12.6 78 19.4 1955 4013 12.6 83 20.7 1956 4137 13. |
b03cbd74-6c0f-42aa-b209-d3393958092d | 0 67 16.2 1957 4032 12.7 80 19.8 1958 4131 13.1 57 13.8 1959 4129 13.0 100 24.2 1960 4285 13.5 74 17.3 1961 4388 13.9 91 20.7 1962 4573 14.4 84 18.4 1963 4656 14.7 82 17.6 1964 4979 15.7 74 14.9 1965 4900 15.5 62 12.7 1966 4679 14.8 62 13.3 1967 4564 14.5 73 16.0 1968 4293 13.6 70 16. |
e366d2c6-9fc2-45dc-bd45-121e6fd56742 | 3 number of deaths and death rates from tuberculosis and cancer NUMBERS RATE PER 1, 000 POPULATION MALE'S FEMALES PERSONS BARNET ENGLAND AND WALES Respiratory Tuberculosis 7 — 7 0.022 0.030 Other Tuberculosis 4 1 5 0.016 0.013 Cancer of lung and bronchus 150 51 201 0.636 0.593 Other Cancer 244 384 628 1.985 1.723 19 20 LIVE BIRTHS BY AGE AND PARITY OF MOTHER AND PLACE OF OCCURRENCE Parity of Mother Place of Delivery All Ages Under 20 Age of Mother 20 - 25 - 30 - 35 - 40 - 45 + 0 1 1,572 (96.6%) 164 (10.1%) 734 45.1%) 462 (28.4%) 145 (8. |
37afb06c-1135-4589-8b72-cfac8d4e439d | 9%) 52 ( 3.2%) 14 (0.9%) 1 (0.0%) 2 43 (2.7%) 3 (0.2%) 19 (1.2%) 11 (0.7%) 9 (0.6%) — — 1 (0.0%) — — 3 12 (0.7%) — — 5 (0.3%) 3 (0.2%) 3 (0.2%) 1 (0.0%) — — — — 4 1 (0.0%) 1 (0.0%) — — — — — — — — — — — — 1,628 1 1 1,110 (84.5%) 30 (2.3%) 313 (23.9%) 464 (35.4%) 210 (16.0%) 77 (5.9%) 16 (1. |
202b2732-52a5-4122-a338-2f300f0a30b8 | 2%) — — 2 63 (4.8%) — — 20 (1.5%) 25 (1.9%) 17 (1.3%) — — 1 (0.0%) — — 3 139 (10.6%) 6 (0.5%) 42 (3.2%) 69 (5.3%) 19 (1.4%) 3 (0.2%) — — — — 4 2 (0.1%) 1 (0.0%) 1 (0.0%) — — — — — — — — — — 1,314 2 1 476 (77.0%) 2 (0.3%) 72 (11.7%) 182 (29.4%) 144 (23.2%) 58 (9.4%) 18 (2.9%) — — 2 33 (5.3%) — — 4 (0. |
ccd46249-62e2-49c2-9773-6db4c2ca8d17 | 6%) 17 (2.8%) 11 (1.8%) 1 (0.2%) — — — — 3 108 (17.5%) 1 (0.2%) 16 (2.6%) 47 (7.6%) 28 (4.5%) 16 (2.6%) — — — — 4 1 (0.2%) — — — — 1 (0.2%) — — — — — — — — 618 3 1 191 (79.9%) 2 (0.8%) 19 (7.9%) 49 (20.5%) 67 (28.1%) 39 (16.3%) 14 (5.9%) 1 (0.4%) 2 7 (2.9%) — — — — 2 (0.8%) 2 (0.8%) 3 (1. |
c63f144d-86a1-4799-aad8-518b3f448fdc | 3%) — — — — 3 41 (17.2%) — — 5 (2.1%) 14 (5.9%) 12 (5.0%) 9 (3.8%) 1 (0.4%) — — 4 — — — — — — — — — — — — — — — — 239 4 1 87 (90.6%) — — — — 15 (15.7%) 37 (38.6%) 21 (21.9%) 13 (13.5%) 1 (1.0%) 2 2 (2.1%) — — — — 1 (1.0%) — — 1 (1.0%) — — — — 3 7 (7.3%) — — — — 1 (1.0%) 4 (4.2%) 2 (2. |
262f3149-3343-49b4-8928-8db266e858be | 1%) — — — — 4 — — — — — — — — — — — — — — — — 96 5-9 1 72 (98.6%) — 12 (16.4%) 27 (37.0%) 24 (32.9%) 7 (9.6%) 2 (2.7%) 2 — — — — — — — — — — — — — — — — 3 1 (1.4%) — — — — — — — — 1 (1.4%) — — — — 4 — — — — — — — — — — — — — — — — 73 21 Live Births by Age and Parity of Mother and Place of Occurrence (continued) Parity of Mother Place of Delivery All Ages Under 20 Age of Mother 20 - 25 - 30 - 35 - 40 - 45+ 10-14 1* 3 (100. |
7541d889-4fb1-487c-a5fd-3d7347eee5b9 | 0%) — — — — — — — 1 (33.3%) 2 (66.7%) — — 2 — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 3 15+ 1 — — — — — — — — — — — — — — — — 2 — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — Illegit 1 299 (92.9%) 87 (27.0%) 110 (34.1%) 45 (14.0%) 27 (8.4%) 23 (7.2%) 7 (2. |
d511a578-5125-44d2-babc-dbfec60c7458 | 2%) — — 2 6 (1.9%) 3 (0.9%) 1 (0.3%) 1 (0. 3%) 1 (0.3%) — — — — — — 3 11 (3.3%) 1 (0.3%) 3 (0.9%) 4 (1.3%) 2 (0.6%) 1 (0.3%) — — — — 4 6 (1.9%) 2 (0.6%) 4 (1.3%) — — — — — — — — — — 322 TOTAL 1 3,810 (88.8%) 285 (6.6%) 1,248 (29.2%) 1,229 (28.7%) 657 (15.3%) 295 (6.9%) 91 (2.1%) 5 (0.1%) 2 154 (3. |
40a34562-f920-406c-b2f3-57ead5b05c8c | 6%) 6 (0.1%) 44 (1.0%) 57 (1.3%) 40 (0.9%) 5 (0.1%) 2 (0.0%) — — 3 319 (7.4%) 8 (0.2%) 71 (1.7%) 138 (3.2%) 68 (1.6%) 33 (0.8%) 1 (0.0%) — — 4 10 (0.2%) 4 (0.1%) 5 (0. 1%) 1 (0.0%) — — — — — — — — 4.293 * Place of Delivery 1. N.H.S. Hospitals 2. Non-N.H.S. Hospitals (Mainly Maternity Homes) 3. At Home 4. |
532bc402-a86b-4520-8066-d3e2e2d8a352 | Other These statistics are registrations corrected for both area of usual residence of mother and date of occurrence within the calendar year as opposed to those supplied by the Registrar General which are corrected for area of residence only. 22 STILLBIRTHS BY AGE AND PARITY OF MOTHER AND PLACE OF OCCURRENCE Parity of Mother Place of Delivery All Ages Under 20 20 - Age of Mother 25 - 30 - 35 - 40 - 45 + 0 1 19 (95.0%) 3 (15.0%) 6 (30.0%) 5 (25.0%) 4 (20.0%) — — 1 (5.0%) — — 2 1 (5.0%) — — 1 (5. |
b4331813-336e-4465-8d14-7e8e92a50231 | 0%) — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 20 1 1 5 (85.3%) — — 1 (16.7%) 2 (33.3%) — — 2 (33.3%) — — — — 2 1 (16.7%) — — 1 (16.7%) — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 6 2 1 7 (87.5%) — — — — 3 (37.5%) — — 4 (50.0%) — — — — 2 1 (12.5%) — — — — 1 (12. |
429e4d4f-f325-473c-a59d-0cd87dfefe81 | 5%) — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 8 3 1 — — — — — — — — — — — — — — — — 2 — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — 4 1 — — — — — — — — — — — — — — — — 2 — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — 5-9 1 1 (100. |
dd996d4a-1338-400a-8986-c71834389b4c | 0%) — — — — 1 (100.0%) — — — — — — — — 2 — — — — — — — — — — — — — — — — 3 — — — — _ — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — 1 23 Stillbirths by Age and Parity of Mother and Place of Occurrence (continued) Parity of Mother Place of Delivery All Ages Under 20 20 - Age of Mother 25 - 30 - 35 - 40 - 45 + 10-14 1 — — — — — — — — — — — — — — — — 2 — — _ — — — — — _ — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — 15+ |
28a40fd6-5b87-48dd-bb4a-d5b11ca8ed4e | 1 — — — — — — — — — — — — — — — — 2 — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — — Illegit 1 10 (100.0%) 2 ( [20.0%) 6 (60.0%) 2 (20.0%) — — — — — — — — 2 — — — — — — — — — — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 10 TOTAL 1 42 (93.3%) 5 (11.1%) 13 (29.0%) 13 (29.0%) 4 (8. |
5d003d75-f83f-43cb-908a-3581cb8d4858 | 8%) 6 (13.3%) 1 (2.2%) _ — 2 3 (6.7%) — — 2 (4.4%) 1 (2.2%) — — — — — — — — 3 — — — — — — — — — — — — — — — — 4 — — — — — — — — — — — — — — — — 45 * Place of Delivery 1. N.H.S. Hospitals 2. Non-N.H.S. Hospitals (Mainly Maternity Homes) 3. At Home 4. Other These statistics are registrations corrected for both area of usual residence of mother and date of occurrence within the calendar year as opposed to those supplied by the Registrar General which are corrected for area of residence only. |
93aa144b-d1c2-44b6-9e30-e433b95103c9 | PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES 27 PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES Legislation The Public Health (Infective Jaundice) Regulations made this disease notifiable from 15th June, 1968. This decision was taken for a number of reasons but mainly as it was believed that infectious hepatitis was increasing in incidence and because of lack of information with regard to its occurrence. From 1st October, 1968 the Public Health (Infectious Diseases) Regulations made under Section 56 of the Health Services and Public Health Act, 1968, came into operation, consolidating with amendments all previous Regulations relating to the notification and prevention of infectious disease, except the Tuberculosis Regulations of 1925. |
430476cf-c8ca-4298-bad6-cb952bcbe278 | The principle changes were to make acute primary pneumonia, acute influenzal pneumonia, acute rheumatism and puerperal pyrexia no longer notifiable, whilst tetanus, yellow fever and leptospirosis became notifiable for the first time. Additionally the powers of a Medical Officer of Health to vaccinate contacts of persons suffering from smallpox have been extended to other diseases and the power of a local authority to require a person to stop work in order to prevent spread of infection are extended to permit action in cases of food poisoning. The Medical Officer of Health has been authorised to serve notices required by these Regulations with regard to measures to be taken by a local authority if and when cases of typhus, food poisoning, relapsing fever, typhoid and paratyphoid fevers occur. |
2b901e0e-f347-4899-a54e-8a295fc2b2a8 | The Regulations also cover measures to be taken against infected rats in preventing the spread of disease and in this respect Local Authorities are empowered to take measures for destroying all rats in the district and for preventing rats from gaining access to buildings. In addition to food poisoning, the infectious diseases now to be notified to the Medical Officer of Health from 1st October, 1968 are — Acute encephalitis Acute meningitis Acute poliomyelitis Anthrax Cholera Diphtheria Dysentery (amoebic or bacillary) Infective jaundice Leprosy Leptospirosis Malaria 28 Measles Ophthalmia neonatorum Paratyphoid fever Plague Relapsing fever Scarlet fever Smallpox Tetanus Tuberculosis Typhus Whooping cough Yellow fever Notifications The fallowing Table shows the total number of corrected notifications received during the year 1968. |
389c02ac-0a6a-402d-8ea8-921d8caaeb20 | Scarlet Fever 23 (74) Whooping cough 53 (136) Measles 334 (2694) Dysentery 71 (39) Meningococcal Infection 4 (1) Acute Poliomyelitis Paralytic — (-) Non Paralytic — (-) Diphtheria — (-) Acute Pneumonia 15 (21) Acute Encephalitis Infective — (-) Post Infectious — (-) Typhoid Fever 1 (5) Paratyphoid — (-) Erysipelas — (5) Food Poisoning 31 (70) Smallpox — (-) Tuberculosis Respiratory 109 (84) Meninges and C.N.S. |
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