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127ac06a-ba79-4711-a81d-750efdbaf155 | To this end it has always been the practice, where this could be arranged, to accept undertakings to take out of use lettings on the top floors of three storey houses and so simplify the fire precaution works involved. The introduction of "special grants", at the local authority's discretion for the installation of standard amenities in houses in multiple occupation with a degree of sharing of amenities where conversion into self contained dwellings is not feasible, is particularly welcomed. Difficulty has often been experienced in the past to persuade owners to provide bathrooms in multi-occupied houses when no offer of financial assistance could be given in respect of the improvements. In October 1965 the Council adopted comprehensive standards in respect of facilities and amenities to be applied in houses in multiple occupation. |
d495609a-4ca5-445b-8bc0-efc22180bb3c | In the light of the experience gained since that time it is now felt to be appropriate to reconsider these standards in order to see what amendments are needed, and, at the same time, consideration will be given to the desirability or otherwise of introducing a registration scheme having regard to the extensions given to Section 22 of the Housing Act 1961 by the new legislation. There are many multi-occupied houses in the Borough often of the bed-sitting room type providing for the single person which, if well maintained, help to fulfil a housing need not otherwise satisfied. There are some clearly defined and well established sectors, namely in parts of Cricklewood, Childs Hill and Golders Green where relatively high concentrations of multi-occupations are found. There are also many smaller groups and individual houses throughout the Borough which are not so readily identified and which may well conceal some of the most adverse conditions. |
a6a25897-3fd7-49f5-80fa-5990121a40cc | During the year, a Control Order, which had been made by one of the constituent authorities immediately before the formation of the present Borough in April, 1965, was revoked and the property handed back to the owners with vacant possession. 210 houses in multiple occupation were inspected in detail and 53 have been equipped and repaired so as to make them suitable for the number of individuals or families in occupation. One most important matter, namely the need of means of escape from fire, calls for comment and special emphasis. In the houses inspected there had been an almost total neglect to carry out work to provide means of escape from fire, regardless of the number of persons at risk. The hazard from fire in older type properties occupied by several families is much increased by the multiplicity of means of cooking, space heating and the sometimes 51 inexpert additions to electrical circuits. Much can be done to limit the spread of fire by making doors and partitions fire resisting and to check the spread of flame and smoke by fire stops and smoke screens. |
8046f4e5-4644-401d-9b14-41b87e99942d | The code of practice of the Greater London Fire Brigade for means of escape in the case of fire in houses in multiple occupation is applied and 47 houses have been modified to such standards. Leaflets printed both in English and a number or foreign languages are distributed when necessary, drawing attention to the added risk of fire when paraffin heaters are used and when supplies of paraffin are stored inside a house. Rent Control The Rent Acts amongst their numerous provisions permit a controlled tenant to apply for a Certificate of Disrepair when he considers that his accommodation is not being maintained in a satisfactory state of repair having regard to its age, character and locality and thus seek an Abatement of his rent; the provisions continued to be little used, largely it is felt because to most tenants the essential procedure is somewhat lengthy and involved. Four such applications were received. In two cases landlords gave formal undertakings to carry out repairs; in the remaining two cases Certificates of Disrepair were issued. |
33e00857-5df4-4f28-9378-d3d448a14858 | Part III of the Housing Act 1969 introduces an entirely new system governing the rents of privately owned properties enabling controlled tenancies to be converted to regulated tenancies provided specified standards are achieved, the new rents being determined under the Rent Act 1968, the Rent Officer being responsible for fixing a fair rent in each case. The Act provides for two types of case. The first where the dwelling is to be provided with some or all of the standard amenities after the commencement of the Act, and the second where the dwelling is already suitable equipped, the standard amenities being the basic amenities which can be provided for the first time by means of a Standard Grant. In both types of case the qualifying conditions are the same, i.e. that all the standard amenities are available for the exclusive use of the occupants of the dwelling, that it is in good repair, having regard to its age, character and locality, and that it is otherwise fit for human habitation. |
4cab37cd-e80d-49e2-8b47-eed0ee394689 | There is no intention of imposing an immediate and general increase in rent levels, controlled tenancies becoming regulated between 1st January 1971 and 1st January 1972 on a descending scale of rateable values, after which the actual rent increases will be phased over five equal annual stages. In addition the tenants' legitimate interests are safeguarded in the Act at appropriate stages of the procedures laid down. The chief responsibility of local authorities in relation to these rent provisions is 52 to deal with applications for certificates relating to the state of the dwelling where it is let on a controlled tenancy and the Council decided that the Department should deal with those applications made under Section 44 (1) of the Housing Act, 1969 — dwellings already having all the standard amenities at the commencement of the Act. By the end of the year 560 applications had been received for this category of Qualification Certificate and it was quite clear that this was by no means the total number with which it would be necessary to deal at this stage. |
e94525bc-7424-4b63-a100-059faf6847ce | Furthermore, understandably with tenants facing an unknown but appreciable rent increase even though it was not to be immediate, a very large proportion were likely to submit representa tions to the Department on the grounds that their dwellings were not in a satisfactory state of repair. Housing Statistics 1. |
25ca5e6a-5df6-4cc8-8f1d-850892fbc9d6 | Inspection of Dwelling Houses (i) (a) Total number of dwellings inspected for housing defects (under Public Health or Housing Acts) 3,290 (b) Number of inspections made for the purpose 10,476 (ii) Number of dwellings found to be unfit for human habitation 23 (iii) Number of dwellings (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 1,609 (iv) Number of dwellings surveyed in existing Housing Areas and designated under Part V of the Housing Act 1957 in connection with the Council's negotiations for acquisition 26 (v) Number of dwellings inspected in connection with proposed Improvement Areas and Improvement Grants Scheme 284 2. Remedy of defects during the year without service of formal notices: Number of defective dwellings rendered fit in consequence of informal action 219 3. Action under statutory powers during the year (a) Proceedings under Sections 9 and 10 of the Housing Act 1957 |
26bbc15f-3a10-4816-a8cb-4045576b954b | 53 (i) Number of dwellings in respect of which notices were served requiring repairs Nil (ii) Number of dwellings which were rendered fit after service of formal notices: (a) By owners 1 (b) By Local Authority in default of owners Nil (b) Proceedings under Public Health Acts: (i) Number of dwellings in respect of which notices were served requiring defects to be remedied 69 (ii) Number rendered fit (a) By owners (b) By Local Authority in default of owners 26 Nil (c) Proceedings under Sections 16 & 17 of the Housing Act 1957 (i) Number of dwellings in respect of which Demolition Orders were made 9 (ii) Number of dwellings demolished pursuance of Demolition Orders 3 (iii) Number of dwellings in respect of which Closing Orders were made 9 (iv) Number of dwellings closed in pursuance of Closing Orders 13 (v) Number of dwellings in respect of which undertaking accepted under Section |
8d276e06-94e9-4cc2-a51d-6186e276a614 | 16(4) Nil (vi) Number of dwellings in respect of which Closing Orders were determined under Section 27(2) 11 (vii) Number of dwellings in respect of which Demolition Orders were revoked under Section 24(2) 1 54 4. Houses in multiple occupation — Housing Act 1961 (i) Number of properties made suitable for occupation by number of occupants accommodated (Section 15) 53 (ii) Number of properties provided with means of escape from fire (Section 16) 47 5. |
a8faaf97-4398-47ef-9f0f-5904dd202640 | Compulsory improvement — Housing Act 1964 Number of dwellings in improvement areas improved to the full standard 25 Number of dwellings outside improvement areas improved to the full standard —Section 19 Nil CARAVANS There are two sites licensed under the Caravan Sites and Control of the Development Act 1960; one on either side of the Barnet Bye Pass at Stirling Corner for 130 caravans and in general they are well maintained and managed. Having regard to the Caravan Sites Act, 1968 investigation continues into the need for and the possibility of providing a caravan site for gypsies and other travellers. INSPECTIONS AND COMPLAINTS Some 5,243 complaints and requests for services were investigated and where possible, defects and unsatisfactory conditions were remedied. The following table shows the nature and number of inspections made:- Housing Public Health and Housing Acts 7,792 10,499 Multiple Occupation 1,385 Other housing visits 1,322 Clean Air Observations 1, |
0ca8b6d5-654e-465b-abdb-0c8f34e57a3f | 089 8,572 Surveys, proposals and claims 1,775 Other clean air visits 5,708 55 Food Premises Bakehouses and bakers shops 297 Butchers 773 Dairies, Milkshops and Processing Plants 170 Grocers 612 Labelling and Sampling 614 Ice Cream 119 Restaurants, cafes 800 School Meal Kitchens and Canteens 86 Stalls 172 Unsound Food 583 Other Food premises visits 2,263 6,489 Factories Powered/non -powered 744 Sites 40 Outworkers 93 877 Offices, Shops and Railway Premises 1,989 1,989 Drainage Drainage and Plumbing Works 2,396 Cesspools 366 2,762 Infectious Diseases 5,771 5,771 Animals Pet Shops 89 Riding Establishments 22 Boarding Establishments 32 Diseases of Animals Act 168 Others 89 400 Miscellaneous Visits Accommodation roads/passages 227 Noise nuisance 788 Accumulations of rubbish 1, |
aa153214-a1bc-4ca6-a21c-31361fbf4c68 | 661 Hairdressers 65 Caravans 137 Watercourses 311 Not classified 2,017 5,206 42,565 Of the 2,281 informal notices served, 1005 were complied with and 146 statutory notices were required, and of these 84 had been complied with at the end of the year. 56 LOCAL LAND CHARGE ENQUIRIES These refer to enquiries from the Town Clerk concerning outstanding notices, the progress of housing schemes and smoke control areas in relation to all types of property in the Borough, in pursuance of the provisions of the Land Charges Act 1925. The necessary searches were made and information supplied in respect of 8,977 properties. NOISE The Noise Abatement Act 1960 and the Public Health Act 1936 together with byelaws as to street noises, noisy animals etc., provide measures for dealing with noise or vibration which is a nuisance. This does not apply to noise or vibration caused by aircraft or by statutory undertakers in the exercise of their powers. |
b52a8f19-7aea-4c76-906c-ed4f1346ba96 | During the year 81 complaints were received and investigated; the majority relating to noise from business or industrial activity and the remainder from domestic or social causes. Although not all were dealt with to the satisfaction of complainants, occupiers of factories and other business premises were not unco-operative. SHOPS AND OFFICES The Offices, Shops and Railway Premises Act 1963 and a number of Regulations made thereunder regulate working conditions in offices and shops. Public Health Inspectors and Shop Inspectors of the Town Clerk's Department, collaborate in these measures to secure the health, safety and welfare of persons employed in such premises. The Town Clerk is also responsible for the registration procedure and the publication of an Annual Report to the Secretary of State for Employment and Productivity. The total number of registered premises at the end of the year was 3,181, a slight reduction on the previous year although 380 premises were newly registered during the year. |
b731c0bc-7c92-4dff-97fc-8cf94fbf15f8 | At the end of the year there were 1,097 shop premises where the Act is not applicable. In addition to the number of premises registered by the Council there are 281 registered where the Act is enforced by the Factory Inspectorate (by demarcation arrangement) and 11 premises where the Act is enforced by the Greater London Council. The following is an extract from the Report, setting out the number of premises registered, an analysis of persons employed and the number of general inspections made:- 57 Table A — Registrations and General Inspections Class of premises No. |
ff9973d0-784a-448f-a275-ffa5e717eb0b | of premises Total registered premises at end of year Registered premises receiving a general inspection Offices 88 836 155 Retail shops 253 2,049 1,288 Wholesale shops, warehouses 8 59 15 Catering establishments open to the public, canteens 31 233 34 Fuel storage depots - 4 4 TOTALS 380 3,181 1.496 Table B — Number of visits of all kinds by Inspectors to Registered Premises 5,233 Table C — Analysis of persons employed in registered premises by workplace Class of workplace No. |
7a8fb069-25c9-470e-a6f7-4821b1a0bf01 | of persons employed Offices 14,201 Retail Shops 8,504 Wholesale departments, warehouses 1,482 Catering establishments open to the public 1,574 Canteens 216 Fuel Storage Depots 22 TOTAL 25,999 Total males 12,974 Total females 13,025 FACTORIES AND WORKPLACES The Local Authority is responsible for enforcing the provisions of the Factories Act 1961 and associated Regulations, in respect of cleanliness, overcrowding, temperature, ventilation, 58 drainage of floors, and sanitary conveniences in factories where no mechanical power is used, and the provisions as to sanitary conveniences only in factories in which power is used. The following tabulated report in the form specified by the Secretary of State for Employment and Productivity shows the number of factories registered, the number of inspections made and defects found and remedied. |
cb122d9a-49cf-486a-a7a7-cec2fbc2bf6c | Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted (1) (2) (3) (4) (5) (i) Factories in which Section 1, 2, 3, 4 and 6 are to be enforced by Local Authorities 75 82 8 - (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority. 609 662 47 - (iii) Other premises in which Section 7 is enforced by the Local Authority (excluding out-workers' premises) 21 40 - - TOTAL 705 784 55 - Cases in which defects were found: — Particulars Number of cases in which defects were found Number of in which prosecutions were instituted Found Remedied Referred To H.M. Inspector By H.M. Inspector (1) (2) (3) (4) (5) (6) Want of cleanliness (S. |
2d6af274-f531-4160-bda5-eace77c3906e | 1) 5 3 - - - Overcrowding (S.2) 1 1 - - - Unreasonable temperature (S.3) - - - - - Inadequate ventilation (S.4) 1 1 - - - Ineffective drainage of floors (S.6) - - - - - Sanitary Conveniences (S.7) (a) Insufficient 11 1 - - - (b) Unsuitable or defective 77 43 - 6 - (c) Not separate for sexes - - - 3 - Other offences against the Act (not including offences relating to outwork) 12 7 3 - - TOTAL 107 56 3 9 - 59 OUTWORKERS Section 133 of the Factories Act 1961 requires the occupier of a factory to notify to the Local Authority the names and addresses of persons employed in their own homes. |
7634350c-4e95-40ad-9360-0c3f8d537e89 | There are 177 outworkers so notified engaged in the following trades Wearing apparel 130 Curtains and furniture hangings 2 Brass and brass articles 9 Artificial flowers 5 Making of boxes, etc. 21 Stuffed toys 3 Cosaques, Christmas stockings etc. 1 Lamp shades 6 The Public Health Inspectors made 93 visits to such premises. No unsatisfactory conditions were noted, and in no case was it necessary to request employers to cease giving out work. RAG FLOCK AND OTHER FILLING MATERIALS The Rag Flock and Other Filling Materials Act 1951 requires the registration of premises where filling materials are used in the manufacture of bedding, toys, baby carriages and other articles of upholstery and the licensing of premises where rag flock is manufactured or stored for distribution. Regulations made under the Act apply standards of cleanliness for filling materials and prescribe a form of records to be kept by occupiers of registered or licensed premises. |
287d4809-3e7b-40f8-8f79-c61363a06038 | Five premises registered under the Act were inspected and found to be satisfactory. SWIMMING POOLS AND BATHS There are four public swimming establishments provided and maintained at:- Squires Lane, Finchley (Indoor) High Road, North Finchley. Daws Lane, Mill Hill. Goldsmith Avenue, West Hendon. Water treatment to the pools is carried out by filtration and "break point' chlorination method. 60 Public Slipper Baths are available in the Borough at Borthwick Road, West Hendon, Squires Lane, Finchley and Cloister Road, Childs Hill. SANITARY CONVENIENCES There are 69 male and 67 female public conveniences adjoining the highways and within the curtilage of the Council's parks and open spaces. New conveniences have been built at Victoria Park, Finchley and Brent Park, Hendon. |
53f69401-5eb7-409d-bdf2-5ec11303e674 | The sanitary fittings in all the public conveniences were thoroughly descaled and cleaned by a firm of specialist contractors, and it is anticipated that this will now take place annually. The use of washing facilities are free in the Borough and only at a few is a charge made for the toilet. SEWERAGE AND SEWAGE DISPOSAL The system of sewerage in the Barnet area is partially separate and partially combined, whilst the rural areas of Arkley and Totteridge are unsewered. Treatment and disposal is partly at the Greater London Council (East Middlesex) main drainage works, Deephams, Edmonton, and partly at West Hertfordshire main drainage works Rickmansworth, Herts. Apart from isolated cases, the Friern Barnet area is entirely sewered. Only a small area exists where there is a combined drainage sewerage system. Treatment and disposal is at Edmonton. The whole of the Finchley area has a separate sewerage system and is sewered. |
d2ee731b-442f-42ff-84cd-4b19dbcb686b | Treatment and disposal is at Edmonton. In the East Barnet area there is a separate sewerage system except for the older development in Monken Hadley area where it is partly combined. The whole of the district is sewered and treatment and disposal is at Edmonton. The Hendon area has a separate sewerage system except for small areas of old development which are partly combined, and these are being eliminated as housing redevelopment projects progress. The Hendon Wood Lane area is not sewered and there are also a few isolated sites where gravity drainage cannot be provided to sewers. Treatment and disposal is at the Greater London Council ( West Middlesex) works Mogden. In the more rural parts of the Northern area there are some properties which drain to 61 cesspools for which, an emptying service is operated by the Council whereby eight clearances are carried out free of charge. REFUSE COLLECTION AND DISPOSAL The collection of refuse is made by direct labour in various types of specially manufactured vehicles. |
87175488-7ca1-4b3b-8533-c1820013fff5 | The number of collection rounds is 44. Disposal is effected by a destructor at Hendon on the North Circular Road and by transfer station at Summers Lane, Finchley. All disposal is the responsibility of the Greater London Council. Special arrangements are made for the regular clearance of trade refuse as required, whilst a service is available on pre-payment for the collection and disposal of unwanted cars, furniture, garden refuse, rubble etc. ANIMALS The Animal Boarding Establishments Act 1963, with the Pet Animals Act 1951 and the Riding Establishments Act 1964 provide protective legislation to secure the wellbeing of cats and dogs, animals sold for pets and horses hired out for riding. |
0cd118e1-7357-438a-86f1-73831f6fb854 | At the end of the year the following licences were in forcer:- Animal Boarding Establishments Act 1963 3 Pet Animals Act 1951 21 Riding Establishments Act 1964 1 0 The Public Health Inspectors are "authorised officers" for enforcing the provisions of the Diseases of Animals Act 1950 and the numerous orders made thereunder. There is one establishment in the Borough, licensed by the Ministry of Agriculture, Fisheries and Food, for the detention of cats and dogs under quarantine following importation to this country. During the year 110 dogs were received at the premises after being authorised to land. The premises are kept under observation by the police and the Public Health Inspectors to check on the detention of the animals for the required isolation periods. Information was received from a Veterinary Officer of the Ministry of Agriculture, Fisheries and Food that an approximately 8 week old kitten had been illegally imported into the country. |
43113bbf-8333-4699-8571-122490ca736e | On the facts obtained there appeared to be an infringement of the Importation of Dogs and Cats Order 1928, and in view of the Council's duty to enforce the Order, proceedings in respect of the offence were taken against the person responsible. 62 The pers on pleaded guilty and was fined £5 and £2 costs for the Council and £5 costs for the Ministry of Agriculture, Fisheries and Food. Under the Movement (Records) Orders detailed records have to be kept by stockholders of the movement of cattle, sheep, goats and pigs to and from their premises. Farm premises were visited to inspect the record books to ensure that the appropriate entries were made and that the animals were retained. Under the Regulation of Movement of Swine Order 1959, three licences were issued for the movement of pigs to a slaughterhouse from a local farm before the expiration of the 28 days normal detention period after the last movement of the pigs. |
551f3a44-fde1-482c-a91f-2baf44ea6bbf | The Diseases of Animals (Waste Food) Order 1957 requires that all waste foods to be used for the feeding of animals must be boiled to minimise the risk of spread of animal diseases. The boiling plants may only be operated if satisfactory and licensed. 13 licences were in force at the end of the year. Mr. J. R. Stockman, M.R.C.V.S., continued to act on a consultancy basis to assist in the inspection of animals and premises where necessary. RODENT CONTROL The Prevention of Damage by Pests Act 1949 places the onus on the occupier to rid his land and premises of rats and mice, but in practice it is found that the provisions of the Act are best administered by the Council providing a control service. This is carried out by a trained staff of Rodent Operatives and in accordance with the recommendations of the Ministry of Agriculture, Fisheries and Food. |
333b6903-ecb5-4ee8-8554-264da1adb23a | In the case of dwelling houses, treatment is undertaken by the Council free of charge, and on a "time and cost" basis in respect of business premises. Treatment of sewers to reduce the number of rats was again carried out three times during the year. Fluoracetamide, a dangerous poison was used, and the work carried out by a specialist firm under contract. The arrangements for the work and its supervision are made with the co-operation of the Borough Engineer and Surveyor. 63 The records show that the average numbers of stock held were: Cattle 884 Pigs 3,960 Sheep - Goats 1 Poultry 17,843 The following table summarises the work carried out and is in the form required by the Ministry of Agriculture, Fisheries and Food: Properties other than Sewers Type of Property Non-Agricultural Agricultural Number of properties in the district 118,335 41 2. |
c1dfec23-4d67-4fd9-a065-c40668736941 | (a) Total number of properties (including nearby premises) inspected following notification 2,639 4 (b) Number infested by (i) Rats 1,785 4 (ii) Mice 731 - 3. (a) Total number of properties inspected for rats and/or mice for reasons other than notification 482 10 (b) Number infested by (i) Rats 169 - (ii) Mice 13 — The Rodent Operatives made 14,697 visits during the year. DISINFECTION AND DISINFESTATION Facilities for steam disinfection and disinfestation, and for the personal cleansing of verminous persons are provided at the Disinfecting Station, North Circular Road, N.3. Requests for advice and assistance in dealing with insect pests increased in number and range over a wide variety. Many of these insects are of no public health significance, but steps are taken to assist all enquiries. |
03bd4b6b-0634-4feb-b05c-28f0b4c1ed8b | One must again express thanks to the Director of the Department of Entomology of the Natural History Museum for the helpful cooperation of his experts in the identification of numerous insects. Because of complaints from some residents in regard to damage and nuisance caused by the common squirrel, the Council decided to obtain traps and to hire them out on request. During the year some 41 requests were received. "Wild" or "feral" Pigeons are now a widespread pest. A Specialist Contractor has been employed to reduce the number of pigeons at several major centres of infestation in the Borough. Their work however is impaired by the well meant but misplaced kindness of 64 those who regularly provide an ample food supply at all seasons thus enabling birds to maintain a high breeding rate. A charge is made for disinfection and disinfestation, with the exception of terminal disinfection carried out after a notifiable disease, and the cleansing of verminous people. |
2a24236e-e608-465a-a5f9-15ca2dda60fb | The following table shows the work done by the Disinfectors:- Disinfection Rooms 72 Articles 301 Disinfestation Ants 16 Beetles 17 Bugs 16 Cockroaches 13 Crickets 2 Fleas 64 Flies/Fly Maggots 5 Insects 6 Lice — Scabies 18 Mites 3 Moths 1 Drying Processes Premises 4 Articles 4 MORTUARY The public mortuary serving the Borough is situated adjacent to the Disinfecting Station, North Circular Road, N.3; in the course of the year 605 bodies were received. EXHUMATIONS Licences for the removal of human remains under the Burial Act 1857 state, inter alia, "it is considered advisable that the Medical Officer of Health should be notified whenever such a licence is granted in order that he may be in a position to take any action that may be necessary in the interests of public health". |
39eed2d3-e370-4294-851a-5a05a1abc9ff | Thirteen exhumations were carried out during the year and, where appropriate, were observed by a Public Health Inspector, to ensure compliance with the conditions in the Licence. 65 MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES Throughout the year there was again a steady increase in the demand for community services, particularly in the field of mental illness. It is becoming more apparent with the advances in modern methods of treatment that the need for long term hospital care is decreasing and it is expected that the numbers of persons needing help will continue to grow. With this in mind and anticipating the demands which will be made upon the existing services, it is clear that in common with many forward-looking authorities, this borough will need to introduce new ideas to keep abreast of the modern approach to mental health community care. There was also an increase of 5% in new referrals for subnormality and although the Borough services appeared to be good in this respect, it is clear that increased facilities are now urgently required particularly for severely subnormal adults. |
138d6c7e-3d73-494b-8d0f-97eb71924f0b | The most pressing needs will therefore be taken into account in considering plans for future development with high priority being given to services for the adult subnormal and mentally infirm elderly. Mental Illness I mentioned in my last report that because of the increasing complexities of the service it was important the Field Worker should be fully experienced and qualified in Social Work. The practice has therefore continued to second two members of staff per year to appropriate courses to receive training. I am confident the long term value of such training will permit the Mental Welfare Officer to specialise in the fields of social work and to deploy his skills more broadly. Although there was some movement of staff the Department was most fortunate in attracting new staff with good social work qualifications. Allied to staffing generally the service has provided practical placement facilities for four students from professional courses. Three from High Wycombe College and one from Chiswick Polytechnic. |
3567d1b8-32d9-418e-9003-f22708ba7ea5 | Casework At the end of the year the total known caseload of both psychiatric patients and mentally handicapped was 1,255 — 906 psychiatric patients and 349 mentally handicapped over 16 years of age. Social Work with the mentally handicapped under 16 years of age continued, in the main, by the Health Visitor but in close co-operation with the Social Workers, and therefore the overall case load was somewhat in excess of the figures quoted. 69 During the year 5,889 community care visits were made. It is gratifying to note that statutory admissions within the borough's catchment area have dropped by 9% in 1969. However a great deal of social work time is spent on this work as the borough continues to discharge statutory duties in respect of patients from other boroughs in the neighbouring psychiatric hospitals where for various reasons it is not considered practical for the responsible authority to undertake the work. |
dd8cb807-f2bc-4e56-9e72-c14b3b1dee65 | Supervisions and discussion of cases is available for all the Mental Health Social Workers each being responsible for their own case load, and continuing care of the patient. In this way the Social Worker concerned is better able to establish the necessary relationship and provide effective long term support. Day Centres — Elderly Mentally Infirm Day centre facilities for the elderly mentally infirm remained a high priority in the plans for the development of the service and it had been hoped that in addition to extending the Centre at Park House Hostel which commenced as an experiment in 1966, a further 45 place purpose built Day Centre would have been completed by 1969 to supplement the service. Unfortunately there have been setbacks and the new centre is not likely to be functional before 1972. The Borough is therefore grateful to the London Borough of Harrow which continues to allocate vacancies at their Marlborough Day Centre. |
8013aafb-e3bf-43e5-9222-9d1139cb9c99 | Social Clubs The two social clubs for the mentally ill are organised and run by the Department's Officers who are also greatly assisted by the local voluntary organisation dealing with mental health activities. It is felt there is also a considerable need for social clubs for the mentally handicapped and educationally subnormal, but steps have not as yet been taken to extend this area due to the already heavy demands made upon the Department's Officers. However this is a matter which will be receiving active consideration in conjunction with the local voluntary societies. Park House Hostel Applications for admission to the hostel continued at a steady rate throughout the year and the fact that the hostel did not have all 30 places occupied was mainly due to the criteria for admission. |
8313ca95-98db-4118-9e83-f22ef7a5fdef | Potential residents must be ready to return to their previous employment or be ready to seek employment thus the danger of the hostel becoming silted with residents unable to progress to unsupervised accommodation is minimised and more 70 important the residents are at a stage where they can cope with some of the demands which will be made on them in the community. Residents who rehabilitate to a point where they are able to leave the hostel are encouraged to return at intervals and have the occasional meal thereby maintaining a useful link and means of support. Close social work support was given by senior members of the Department's social work staff, and residents who had already had the services of a Social Worker within the hospital or placing Authority were encouraged to maintain such contact. Ideally the next step forward from a hostel or indeed even from a hospital should be a 'group home' and it is hoped the setting up of such an establishment will be included in the Council's long term plans for future development. |
e0a28888-06b8-4e66-8180-40dc6f101795 | Hospital Services Napsbury Hospital remains the sole psychiatric hospital providing cover for the mentally ill in the Borough. The hospital also provides excellent out-patient facilities at the two local General Hospitals, this service being of particular advantiage since Napsbury is situated some considerable distance outside the catchment area which presents difficulties in arranging early referral and maintaining contact with former patients. It is hoped that in time it will be possible to set up localised psychiatric services which will alleviate if not resolve problems of distance, time and transport. The Mental Health Social Workers regularly attended meetings with the consultants at Napsbury and took part in general case conferences. This enables ease of admission work, follow up of patients and thus making for good co-ordination between all the services. Preventative Work On the medical side the Principal Medical Officer conducted seminars for pupil midwives in the district on 'psychiatric problems of pregnancy and puerperium', and gave courses of lectures on mental health to the local detachment of the British Red Cross. |
a66372f2-7c05-40ea-9fa9-e708340e1cce | In the field of addiction, liaison was maintained with other bodies involved with this problem, and the Principal Medical Officer joined the Drug Discussion Group at the King Edward VII Hospital Centre. It will be appreciated that all Mental Health Social Workers are involved with drug dependency in their day to day work and have formal or informal contact with other agencies. Community Care of the Subnormal and Severely Subnormal Each year a great deal of thought is given to the type of community care service which 71 will best meet the different and complex needs of each family with a handicapped child or adult. Every endeavour is made to co-ordinate the services to provide not only 'first aid' but supporting help and encouragement to assist the family to achieve some measure of independence irrespective of the degree of handicap of the person in their care. There is seldom a simple answer when a crisis situation arises but it is only through accepting the challenge of resolving the difficult problems that new ideas are born and become the foundations of future development. |
daf8e0e5-6b81-4608-a732-318ff6e3f5e2 | Training Schools The provisions available in the two junior training schools have been found to be adequate for present needs and therefore there is no immediate proposal to increase the number of schools. One of the most important factors for the handicapped child is establishing social competence and noticeable progress has been observed through expanding outside activities. Fund raising by voluntary bodies enabled the National Society for Mentally Handicapped Children to provide a Touch Tutor—Frostig and Autobates equipment. An experimental programme of one year was commenced during 1969 which involved specially written programmes with some of the more handicapped children including some from the Special Care Unit. A member of the National Society's staff visited regularly in order to test the children and record progress. At the end of the period of one year, there will be sufficient experimental evidence available for a decision to be made about the continued use of Touch Tutors as part of the school's normal activities. |
2f2f3b86-625b-4409-ae64-f55cee6f5b24 | These various forms of special equipment have proved a great value in teaching co-ordination, accelerating reading and language development and stimulating untapped resources within the mentally handicapped child. I am pleased to acknowledge that the success and progress of these schools is attributable to the tireless efforts of the staff to avail themselves of every opportunity to seek new approaches to the work. Special Care Units The provision of more special care unit accommodation remains one of the most urgent priorities particularly for the more severely physically handicapped child and young adult. Discussions are taking place with the North West Metropolitan Regional Hospital Board to ascertain what provisions can be made available in the foreseeable future for those cases whose prime requirement is nursing care. Without these units and the devotion of the staff who run them, it would be impossible for some families to go on caring for the handicapped in their midst. 72 Short Term Care It is recognised that it is an essential part of community care for practical relief to be given to families from the continual care of the handicapped member. |
bcca7fc0-078f-4750-8a2d-2d27915165c9 | It is frequently the short term care rather than the supporting help which enables the family to go on. Voluntary organisations are the main source of short term care vacancies and 46 patients benefited from this service during the year. Residential Care Permanent care grows more difficult to obtain each year and many patients, both children and adults, who require hospital care are unable to receive it either through shortage of staff or lack of accommodation in the hospital. The very heavy burden placed on parents is recognised and the council provides relief where ever possible in the form of permanent care through voluntary organisations and private individuals. It is envisaged that the provision of additional Council own hostels will help to solve the problem of both long and short term care. A small beginning has already been made in the opening of a ten place hostel 'Harwood' on the 5th May for ten mentally handicapped children; despite staffing difficulties a full service was maintained throughout the year. |
5f09c565-c039-4ba8-a97d-1f932983dfa7 | Parents of the children are encouraged to have their child home, where possible, for the occasional weekend and also for holiday periods during the summer months; this is not only beneficial to the child but is effective in releasing a bed for short term care and helps in a small way with the numerous emergency placements constantly required. Adult Training Centres The numbers needing adult training are increasing and although the Council has provision for 40 places at each of the two training centres there is no doubt that the 150 places in the adult training centre planned for completion during 1970/71 will be fully utilised. With the increasing number of places more diverse training can be planned and it may well be that with two or more centres a higher level of up-grading would be possible permitting extension of development so that a greater proportion can be fitted for outside employment. 73 74 Number of persons under Local Health Authority care at 31st December, |
40bec196-f254-49f3-84ec-178d010d87db | 1969 Mentally 111 Elderly Mentally Infirm Psychopathic Subnormal Severely subnormal Total Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over Under age 16 16 and over M F M F M F M F M F M F M F M F M F (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (ID (12) (13) (14) (15) (16) (17) (18) (19) 1 Total number 1 1 97 177 21 49 3 8 8 115 84 61 43 103 89 860 2 Attending workshops, day centres or training centres (including special units) 5 3 12 17 7 7 18 16 51 30 59 52 277 3 Awaiting entry to workshops, |
27d2e317-1509-4133-b18e-fcac699f9544 | day centres or training centres (including special units) 1 1 6 7 4 2 21 4 Receiving home training 5 Awaiting home training 6 Resident in L.A. home/hostel 4 6 1 5 2 18 7 Awaiting residence in L.A. |
52c7a562-8d75-4184-b9fa-e6f888d330c5 | home/hostel 8 Resident in other home/hostel 19 12 1 8 9 8 4 15' 6 82 9 Boarded out in private household 1 1 2 10 Attending day hospital 3 6 9 11 Receiving home visits and not inc in lines 2-10 (a) suitable to attend a training centre 11 14 9 31 1 66 (b) others 1 1 55 136 3 92 62 2 6 28 33 419 cn Cases of Mentally III Persons referred to Mental Welfare Officers during 1969 REFERRED BY MENTALLY ILL TOTAL UNDER AGE 16 16 AND OVER M F M F 1 2 3 4 (a) General Practitioners 2 136 238 376 (b) Hospitals, on discharge from in-patient treatment 1 75 66 142 (c) Hospital, |
87946ad3-4fef-4d5e-bea4-19b39249d1b5 | after or during outpatient or day treatment 49 58 107 (d) Local education authorities (e) Police and courts 40 19 59 (f) Other sources 3 2 138 213 356 (g) Total 6 2 438 594 1040 Persons Under Local Authority Care At 31.12.69 MENTALLY ILL ELDERLY MENTALLY INFIRM SUBNORMAL TOTAL Under 16 years 16 years & over Male Female Male Female Male Female Male Female ##] 1 1 77 159 21 48 191 158 WELFARE SERVICES WELFARE SERVICES The Welfare Services provided by the Council, by virtue of the National Assistance Act, 1948, have been expanded during the year in relation to the care of the aged, the physically handicapped, and the homeless members of the community. |
895e512c-58b1-4c6d-a6c0-e827c8d62dcd | Residential Accommodation The demand for residential accommodation continues to increase, and the number requiring admission at 31st December, 1969 had grown to 227. The number of people accommodated in Council Homes for the elderly at the end of the year was 370, and was made up as follows:— Name of Home No. of Beds Disposition Beach Lodge, 66 Hendon Lane, N.3. 32 Female The Cedars, Richmond Road, New Barnet 38 Mixed The Leys, Barnet Lane, Elstree 47 Mixed Morton Lodge, Ashfield Road, Southgate, N.14. 50 Mixed Redhill House, Burnt Oak Broadway, Edgware 81 Mixed Storth Oaks, 1 Downage, Hendon, N.W.4. 31 Mixed Woodhill House, Kentish Lane, Essendon, Herts. 41 Mixed Meadowside, 58 Holden Road, N.12. |
453eefa8-ddb3-4aa5-933f-1f3dc7f6c796 | 50 Mixed Total 370 During the year the new "Meadowside" Welfare Home in Holden Road, Finchley was opened; it will be recalled that this replaces the former Home of the same name, demolished in 1967. In my 1967 Report I referred to Redhill House the former Poor Law Institution and the programmed closure of these premises in 1972/3 and that the Ministry of Health at that time had given approval to 4 replacement homes. It will be seen from the above table that at the end of the year the number of beds at this home had been reduced to 81 compared to 251 in 1965. The completion at the close of the year of the first replacement Home will further accelerate the closure of Redhill House and in fact it is hoped that this will be achieved during the coming year. The new Home "Merrivale" built within the grounds of Redhill House, will accommodate 60 people. |
a51de04c-da5b-406d-b84e-0cfe5c6979cf | During the year 102 people were admitted to the Council's Homes; 62 residents died, and 46 were transferred to hospital. Short-stay accommodation was provided for 37 persons, to enable relatives who normally care for them to take a holiday. 79 Improvements and maintenance of buildings, furniture and equipment was maintained at a high standard, with due regard to economy. A part-time Handicrafts Instructor attended the Homes to assist those residents willing to accept such instruction. Film shows and outings were provided frequently by the Council and additional outings, lunches, theatre parties, etc., were provided by voluntary organisations. The interest shown and the contribution made by the many voluntary societies in the Borough towards the welfare of the elderly is greatly appreciated. The Council was financially responsible for 52 people accommodated in other local authority Homes, and 8 residents in Barnet Homes were chargeable to other authorities. The Council was financially responsible for 401 persons in the Homes of Voluntary Organisations. |
96f107c3-0c26-4b6d-bdae-5022626d479b | Registered Homes for the Elderly and Handicapped There were 54 Registered Homes for the Elderly and Handicapped in the Borough, providing accommodation for 937 persons; 746 resided in Homes run by Voluntary Organisations and 191 in Private Homes for the elderly. Four additional Homes were registered during the year, and the same number were cancelled. Workroom/Day Centre Facilities The Day Centre for 15 elderly people introduced at Claremont Clinic in 1968 continued to operate during the year. The Centre functioned on Tuesday and Thursday of each week, and proved most successful, enabling housebound elderly people to be collected from their homes and enjoy the facilities at the Centre. The popularity of the Etchingham Park Workroom/Day Centre continued. Day care was provided for 15 elderly housebound persons, enabling the members of their families, who normally care for them, to follow their own occupations. The Work Centre, catering for 40 active elderly persons adds to the value of the service provided. |
7e88e18b-0425-4d8f-aee9-fa9389c7c9be | Finchley Work Centre This Centre is organised by the Finchley Guild of Social Service, and provides a most worthwhile and interesting service for elderly persons in the East Finchley area. Meals on Wheels This service organised by the Women's Royal Voluntary Service, as Agents of the Council, provided 59, 642 meals during the year. Not all parts of the Borough received a 5-day service, but there was a substantial increase in the number of meals 80 provided this year, and the ultimate aim is a daily service in all areas of the Borough. In addition, the Hendon Old People's Welfare Committee, and the Watling Community Centre held a lunch Club for the elderly once each week, and The League of Jewish Women supplied Kosher meals to a number of elderly people in the Finchley area. The Luncheon Clubs operated by all the Organisations mentioned play an important role in caring for the needs of the elderly, and during the year a total of 18,982 meals were served in these Clubs in the Borough. |
2fbb5c5a-62b2-45e4-9d83-cfe08b4a80ca | Homeless Families Provision for homeless families evicted from their homes for a variety of reasons continued to be a serious and increasing problem. This is borne out by the fact that both homeless family.hostels i.e. Kelvedon, 27 Woodside Avenue, Finchley, N.12 (accommodation 12 families) and Redhill Lodge, Burnt Oak, Edgware (accommodation 25 families) were in full occupation throughout the year; in addition, a property at 2 Edward Road, New Barnet was adapted to provide housing for four families and this accommodation was also filled. The Reception unit at Redhill House Welfare Home was in constant occupation and an overflow of up to 10 families were accommodated at various periods in other parts of this Home. The Council again determined that a minimum of 15 families should be rehoused into permanent accommodation from the two homeless family hostels and by 31st December it had been possible to rehouse 33 families in this way. |
ff87b453-8448-4f4f-8445-74954eea74df | The building of The Croft a new homeless family unit was commenced during the year and completion is anticipated in the early part of 1970. Fami lies Persons Number accommodated as at 1.1.69 41 177 Number of applications during 1969 (Family Units) 109 - Number of admissions during 1969 51 188 Number re-housed by the Council's own housing 24 103 Number discharged to other accommodation etc. |
977009cb-8ce4-483d-ad19-dfe7d9dc9b18 | 12 39 Children born to residents during 1969 — 8 Husbands rejoining families during 1969 — 3 Number remaining as at 31.12.69 56 234 81 Number of Men, Women and Children resident at 31st December Men (aged 16 and over) 37 Women (aged 16 and over) 57 Children (aged 5-15) 65 " (aged under 5) 75 Total 234 Services for the partially sighted These are persons substantially and permanently handicapped by congenitally defective vision, or in whose case illness or injury has caused defective vision of a substantial and permanently handicapping character, which brings them within the scope of the welfare services which the local authority are empowered to provide for blind persons. Services Provided Employment of Home Teachers to assist in promoting general welfare, and to give instruction on reading embossed literature if required. Christmas parcels for the lonely and housebound. Talking Book Machines, if surgeon agrees that the person cannot read print. |
825ddb17-c72d-4d70-89d7-8791081d3bcc | Tape Recorders, large print books (Available from local Library). Educational grants for further studies Social Clubs Industrial and Social Rehabilitation for Partially-Sighted persons, whose sight is likely to deteriorate. Handicraft Classes. Financial assistance with holidays. Dancing Classes and Dances (see Blind Services — Page 84) Provision of clothing, furniture and meals, etc. by W.R.V.S. North Middlesex Horticultural Society for the Blind Financial assistance from Middlesex Association for the Blind, if in need, e.g. electric or gas bill, clothing, household repairs and decorations, provision of furniture, etc. Sheltered employment in Workshops or Home Workers. Handicraft Materials Aids 82 170 persons were registered as partially-sighted, an increase of eight over last year. |
8be0512f-eaaf-4581-8bbd-a967a9f9fcf5 | Age Groups 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males — — 9 2 8 10 24 53 Females — — 8 1 15 14 79 117 Total — — 17 3 23 24 103 170 Registered Partially-Sighted Persons other than those near or prospectively blind 16-20 21-49 50-64 65+ Total Mainly Industrially Handicapped Employed: Males 3 6 5 — 14 Females 1 6 3 — 10 Available for and capable of training for work: Males — — — — — Females 1 — — l Requiring observation only: Males — 1 — 13 14 Females 1 5 5 28 39 Children, 16 and over, |
c521511a-e336-485a-918c-d21f18f537bf | still at school: Males — — — — — Females 1 — — — 1 0 7 18 13 41 79 0-5 5-16 Total Chil< iren under 16: Attending special schools: Males — 4 4 Females — 4 4 Attending other schools: Males — 3 3 Females — 2 2 Not at school: Males — 2 2 Females — 2 2 — 17 17 83 Services for the Blind "A person so blind as to be unable to perform any work for which eyesight is essential". Services Provided: Employment of Home Teachers to assist in promoting general welfare and to give instruction on reading embossed literature. Financial assistance from Middlesex Association for the Blind if in need, e.g. electricity or gas bill, repairs, etc. Magazines in Braille and letterpress. |
75dd609a-fc3a-45ee-9821-61cfa8ca5281 | Christmas Parcels from Middlesex Association for the Blind Talking Book Machines Library Service of literature in Braille Wireless Set from Wireless for the Blind Fund Wireless Licence Exemption Certificate from London Borough of Barnet Bus Passes from London Transport Educational Grants for further studies, tape recorders, etc., from Voluntary Organisations Pensions for the assistance of Blind People from charities. 5 Social Clubs — (4 afternoon, 1 evening) 3 Handicraft Classes and yearly exhibition Industrial and Social Rehabilitation Financial assistance for holidays Dancing classes and dances: Hendon Dancing Class for the Blind (Education Department, Transport by Welfare) Tottenham Deaf/Blind Class (Transport by Welfare) Provision of clothes, furniture, meals, etc. by W.R.V.S. North Middlesex Horticultural Society for the Blind: Spring and Summer Shows. Free Bulbs Guide dogs for totally blind Sheltered employment in Workshops or Home Workers. Financial assistance by London Borough of Barnet Cinema Passes for blind (Rank Organisation) Handicraft Materials, incl. |
6e6984f6-0e86-47b3-b253-0ff9e9deb5d8 | card games, etc. (Paid at cost price) Aids Loan of typewriters and tape recorders Escort duties by B.R.C.S. and League of Jewish Women Various house and garden jobs by Task Force Home Helps Industrial Rehabilitation (organised by R.N.I.B.) 84 Number of Registered Blind Persons at 31.12.69 Age Groups 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males 1 - 7 4 41 47 153 253 Females 1 - 3 5 35 50 358 452 Total 2 - 10 9 76 97 511 705 During the year 124 persons were added to the Register, |
bda36a40-4273-4ec2-aac3-31c8fbff993a | in the following Age Groups:— Age Groups 0-1 2-4 5-15 16-20 21-49 50-64 65+ Total Males 1 — 1 1 1 6 36 46 Females 1 — — — 4 9 64 78 Total 2 — 1 1 5 15 100 124 Employment 90 registered Blind persons were in employment at the end of the year; 7 in special Workshops, 8 in Home Workers Schemes and 75 in open employment. The occupations of the 90 Blind persons in employment were as follows Masseurs & Physiotherapists 9 Lecturers, Teachers, Instructors 3 Barristers & Solicitors 2 Musicians 3 Social, Welfare and related workers 3 Proprietors, Managers & Executive Workers 4 Typists, |
46e3c8a8-d4ac-4933-b14f-e575c981b799 | Shorthand Typists & Secretaries 8 Braille Copyists 1 Clerical Workers 1 Telephone Operators 12 Working Proprietors & Shop Managers 2 Sales Representatives, Agents & Collectors 1 Machine Tool Operators 5 Fitters & Assemblers 3 Viewers, Inspectors & Testers 1 Packers 1 Carpenters & Joiners 1 Knitters (Hand & Machine) 3 Upholsterers 1 85 Basket Makers 3 Chair Seaters 1 Wireworkers 1 Piano Tuners 1 Craftsmen and Production Process Workers 9 Labourers 2 Domestic/Canteen Workers 4 Miscellaneous Workers 5 90 Services for the Deaf and Hard of Hearing Deaf (a) Without speech: "Those who have no useful hearing, and whose normal method of communication is by signs, finger spelling, or writing". |
2fdaeb63-c6a1-45eb-b233-c9068b5d6297 | (b) With speech: "Those who (even with a hearing aid) have little or no useful hearing, but whose normal method of communication is by speech and lip-reading". Hard of Hearing: "Those who (with or without a hearing aid) have some useful hearing, and whose normal method of communication is by speech, listening and lip-reading". Services Provided Employment of Welfare Officer for the Deaf, to give advice and guidance on problems relating to the deaf and act as interpreter. Assistance with holidays Aids: Mountcastle Silent Bell Hearing Aids — outside National Health Service Liaison with Disablement Resettlement Officer Clubs, lip-reading classes, etc. Grants to "Hard of Hearing" Groups in Hendon and Chipping Barnet. |
328e26ee-5298-4e62-91bb-23925a358b38 | The number of persons on the Register at 31st December, 1969 was 111, in the following age groups Age Group Deaf with speech Deaf without speech Hard of hearing Total Under 16 1 1 — 2 16-64 years 21 24 10 55 65 years or over 12 12 30 54 Total 34 37 40 111 86 The "Hard of Hearing" Groups at Chipping Barnet and Hendon continued to flourish under active leadership, and provided valuable assistance to my Department and to the individuals concerned. Services for the Physically Handicapped "Persons who are substantially and permanently handicapped by illness, injury or congenital deformity, or such other disabilities as may be prescribed by the Minister." Services Provided Social Welfare Officers assist in overcoming effects of disabilities and give help on personal problems. Necessary aids are available on free loan Adaptations to property — up to £25 free of charge to client; assessed if estimate is above this amount. |
7dee0225-d7a9-433d-92d7-1da554e8e407 | No charge if Borough Council property . Financial assistance with holidays Transport to Centres and to special functions Rehabilitation Centre (Deansbrook Road, Edgware) Home Helps Clubs and Handicraft Classes — some in co-operation with the British Red Cross Society Functional Assessment Unit — arrangements made for attendance at hospital Various house and garden jobs by Task Force Liaison with Disablement Resettlement Officer Financial Assistance for employment in Work Centres of other Authorities and Organisations This Group includes spastics, epileptics, sufferers from multiple sclerosis, muscular dystrophy, arthritis, poliomyelitis, cardiac disease and other permanent disabilities. The number registered at the end of the year was 1657, in the following age groups:- under 16 years of age 15 16 years to 64 years 609 over 65 years 1033 Total 1657 The daily Work Centre at Heriot Road continued to operate successfully, attendance of an average of 30 persons daily was maintained. |
42271393-aa31-4a7e-b048-fbeec9680341 | The Rehabilitation Centre at Deansbrook Road, Edgware, provided a useful service 87 for the physically handicapped and the blind. The number of persons attending daily varied between 20 and 40, most of whom were conveyed by Council transport. The British Red Cross Society continued to operate weekly Handicraft Classes at Edgware, Hendon, Finchley and High Barnet. During school term, a choral class was held in North Finchley. Transport to these classes was provided by means of the Council's specially-adapted vehicles. During the year 134 persons availed themselves of the Council's Assisted Holiday Scheme for the physically-handicapped. Five families enjoyed a holiday of up to 14 days each in the Caravan at Monkton, Kent, given to the Council by the students of Orange Hill School, but greater use of this will be made in the coming year. |
f0e1fa7e-6503-405c-97e2-29f52926f609 | Adaptations to the homes of physically-handicapped persons were carried out in 122 cases, at a total cost of £1575. 2. 0; 437 aids to daily living were issued at a cost of £1483. 8. 7. and 84 second-hand aids were supplied from stock; all these aids were loaned free of charge. 88 PERSONAL HEALTH SERVICES PERSONAL HEALTH SERVICES Existing Clinic Provision Full information in respect of the Council's clinics and the key to the services provided, is set out in a table to be found on page 108. Co-ordination and Co-operation with Hospital and General Practitioner Services Meetings took place between the staff of Edgware General Hospital, General Practitioners and the Authority's staff with a view to commencing, early in 1970, an early discharge plan for cold surgery cases. |
f10b9f7e-136d-4ee5-adb5-b3905abafb0f | The liaison between the Authority's home nursing staff and hospital nursing staff was further improved by the commencement of regular visits by the Authority's staff to local hospitals to discuss those cases for discharge that were to be nursed in the community, and to provide information on the social aspects of cases being admitted to hospital. Home nurses now attend General Practitioners' surgeries during surgery hours and are able to give injections and other treatment requested by the doctor on the spot instead of, as previously, attending the patient's home after receiving a request from Central Control. This conservation of time means that the nurse can carry out more treatment for house-bound patients unable to attend the doctor's surgery. General Practitioners appreciate the role and skills of the home nurse and are able to use her services very effectively. She is dealing with the important social aspects of treatment to a greater extent than previously. |
0baddc36-31b0-4b20-a965-6b625fa85c40 | Owing to the changing midwifery pattern, domiciliary midwives have been able to form a closer liaison with the local hospital maternity units by attendance in the wards and in ante-natal Out-patients Departments. Some midwives have the opportunity of delivering their patients who are booked for early discharge from the hospital, thereby providing a continuity of patient care. By the end of the year, all health visitors had changed from working in a geographical area to working in a group practice or with two or more independent Practitioners. Where practicable, the health visitor is allotted accommodation in the General Practitioner's premises in order that she may see patients when they need her. Health Visiting It has been a year of great change for the health visiting service. Although spending a total of 2955 hours during the year in attendance at General 91 Practitioners' surgeries, health visitors remain centred in Local Authority Clinics and are encouraged to maintain an active interest in all clinic activities. |
f27319b9-889d-409c-98e3-5368acb092c9 | Health Education is now being given by health visitors in both General Practitioners' surgeries and local authority premises. Home Visiting Cases First Effective Total Effective No.Access Visits at request of G.P. |
9c107366-6e63-4333-adeb-9a65842de59f | or Hospital Expectant Mothers 1025 1486 342 — Children born in: 1969 4665 8753 2056 — 1968 3589 6749 2054 — 1964-67 5839 10650 2348 — Persons aged 65 or over 2319 5354 716 1235 Mentally disordered 210 701 126 159 Persons discharged from hospital (other than mental hospitals) 236 298 60 210 Households — Tuberculous 453 662 280 — Households — other infectious diseases 156 212 40 — Other visits as Health Visitors 1370 2140 489 — Total as Health Visitor — 37005 8511 1604 Cases seen as School Nurse — 2146 485 — Prevention of Homiessness (Problem Families) Intensive case work with problem families has continued by family case workers, and the Department's social workers played their part in reducing the risk of homelessness in the Borough. |
ba1f3299-e499-4873-914e-5bdb490620a6 | Families re-housed from temporary accommodation during the year were given all possible support. Care of Mothers and Young Children Notification of Births Number of births in the London Borough of Barnet during 1969 as adjusted by inward and outward transfers.- 92 (i) Live Births (a) Domiciliary 254 (b) Institutional 3940 4194 (ii) Still Births (a) Domiciliary 2 (b) Institutional 49 51 4245 Ante-Natal and Post-Natal Clinics There was an appreciable fall in attendances at ante-natal and post-natal sessions in the early part of the year, and the holding of these sessions could no longer be justified. Ante-natal and post-natal patients could be seen after infant welfare sessions or at any other conveniently arranged time, and with the exception of Sutton Road Clinic, ante-natal and post-natal sessions at clinics were therefore discontinued with effect from 1st April. |
ccd9ca77-4828-41bd-b02f-e1c79501f5b6 | Ante-Natal Clinics (Combined with Post-Natal) Clinics No. of sessions held Total No. of Attendances Ante-Natal Post-Natal Oak Lane 12 42 (61) 2 (-) Torrington 12 67 (56) 3 (2) Central Hendon 6 21 (71) - (2) Childs Hill 12 36 (53) - (2) Mill Hill 11 64 (122) - (7) West Hendon 15 147 (105) 3 (-) Holly Park 12 9 (9) - (6) Oakleigh Road 12 - (-) - (-) Edgware 11 22 (21) - (-) Sutton Road 39 190 (-) - (-) TOTALS 142 598 (498) 8 (19) Note: - Figures in brackets denote the number of attendances of ante-natal and post-natal patients at infant welfare sessions. |
6b2c1475-a461-4ed8-9d97-5dc1459a459c | A total of 260 women attended clinics in the Borough for ante-natal examination and 13 for post-natal. 93 Attendance at combined Mothercraft and Relaxation Clinics Combined Mothercraft and Relaxation No of Sessions Total Attendances Average attendance per Session Central 24 162 6.8 Childs Hill 25 73 2.9 East Barnet 33 197 6.0 Edgware 42 194 4.6 Mill Hill 29 179 6.2 Oak Lane 21 48 2.3 Oakleigh Road 45 183 4.1 Sutton Road 30 101 3.4 Torrington 74 468 6.3 Vale Drive 31 241 7.8 Watling 6 15 2.5 West Hendon 38 129 3.4 TOTALS 398 1990 5.0 Congenital Malformations Information about congenital defects has been collected and recorded. |
4180432b-0b53-45bb-b58a-28e156150201 | During the year 74 cases were notified to the Department by Hospitals, General Practitioners and Domiciliary Midwives and details of these were passed to the Registrar General Names of the children affected have been added to the Observation Register, so that they can be examined at the appropriate time and treatment given where required. Mothers' Discussion Groups Discussion groups were in operation at the end of the year at the following clinics:- Vale Drive Torrington Brunswick Park (Osidge) Mill Hill Childs Hill Oakleigh Road Oak Lane Holly Park Sutton Road Child Welfare Centres The following table shows the sessions held and attendance at each of the Child Welfare clinics: CLINICS No. of Sessions Total Attendance Average Attendances No.of cases seen by A.M.O. No.of cases referred elsewhere Infant Welfare Sessions Broadf ields 52 2024 38.9 762 — Central 87 3196 36.7 1703 23 Childs Hill 101 4144 41. |
f7a0abd8-82ba-4652-bfee-230ab3a21d71 | 0 1872 53 Claremont 31 708 22.8 381 18 Colindale 50 1856 37.1 833 2 Dollisfield 23 346 15.0 223 5 East Barnet 95 2807 29.6 1420 2 Edgware 65 1529 23.5 689 13 Etchingham Park 103 2377 23.1 1242 — Holders Hill 24 494 20.6 248 1 Holly Park 52 1236 23.8 759 — Mill Hill 96 2762 26.7 1408 — Oak Lane 115 2608 22.7 1555 18 Oakleigh Road 52 1157 22.3 601 — Osidge 117 3690 31.5 1532 2 St. Barnabas 52 2514 48.3 852 21 St. |
88fee933-d163-48a8-9b44-8bef90636f62 | Marks 12 162 13.5 104 1 St. Stephens 22 451 20.5 248 2 Sanders Lane 26 594 22.8 270 — Sutton Road 50 1232 24.6 693 — Torrington 102 2692 26.4 1168 — Vale Drive 29 691 23.8 423 8 Watling 21 202 9.6 113 West Hendon 98 2095 21.3 857 8 766 Finchley Road 48 921 19.2 518 3 Watling G.P. |
b8670d66-fb52-4510-b15a-a8f08fab5920 | attachment 51 796 15.6 524 _ 108, Watling Avenue 29 872 30.1 542 — Sessions without a doctor Broadfields 1 38 38.0 _ _ Central 40 529 13.2 Claremont 19 311 16.4 — Dollisfield 3 14 4.7 — East Barnet 4 86 21.5 Edgware 36 414 11.5 Holders Hill 25 326 13.6 Mill Hill 7 107 15.3 St. Marks 12 109 9.1 St. |
8144be75-683b-4bc3-807a-e6920c3d1b68 | Stephens 2 32 16.0 Sanders Lane 22 243 11.0 — Vale Drive 1 17 17.0 Inglis Barracks 43 607 14.1 — — Developmental Clinics Broadfields 7 46 6.6 46 — Central 11 59 5.4 59 — Claremont 6 45 7.5 45 — East Barnet 12 43 3.6 12 — Garth Road 6 31 5.2 6 — Holly Park 5 44 8.8 5 — Mill Hill 7 60 8.6 7 — Oak Lane 24 310 12.1 24 — Oakleigh Road 6 47 7.8 6 — Osidge 7 78 11.1 7 — St. |
a00554cd-c852-435a-81a2-496aa4f2457f | Barnabas 15 192 12.8 15 — Sutton Road 6 46 7.7 6 — Vale Drive 3 5 1.7 3 — TOTALS 1933 47995 24.8 21781 180 95 Number of children who attended during 1969: Born 1969 Born 1968 Born 1964-67 3738 2839 3147 9724 Midwifery There has been a continued reduction in the number of home deliveries by domiciliary midwives, 254 deliveries taking place during the year, (316 in 1968) with medical aid being summoned in 30 cases (22 in 1968). 724 cases were attended by domiciliary midwives following hospital confinement although, due to the greater bed availability in hospital maternity units, the number of cases discharged early from hospital was considerably smaller than the number planned. |
05d3a6cc-fa3d-45f3-b2b8-6510380d1998 | During the year it was recommended that the phenistix method of screen testing infants for phenylketonuria should be replaced by the Guthrie blood test method and arrangements were made with Barnet General Hospital for all staff who would be concerned with this to receive instruction regarding the collection of blood specimens. Home Nursing A full establishment of home nurses and nursing auxiliaries was maintained throughout the year. Senior home nurses advised on nursing matters in welfare homes and played a large part in the assessment of the health requirements of residents in Redhill House Old People's Home prior to its anticipated closure in 1970. No. of cases nursed 4025 No. of patients under 5 at first visit 151 No. of patients 65 or over at first visit 2752 Marit Curie Memorial Foundation The Authority continues to act as agent for this society and during the year 17 patients were provided with day and/or night nursing to assist relatives in caring for them. |
60d9305b-f1d0-46c6-b6f1-8e07f77bf4f8 | Loan of Nursing Equipment The British Red Cross Society continued to act as agent of the Authority in providing for the loan of nursing equipment, apart from large items. Items such as ripple mattreses, hoists and special beds, are hired or purchased by the Authority. A small loan charge is collected by the Society towards the replacement of equipment, except in hardship cases, when the charge is paid by the Council. Incontinence Pads and Clothing Incontinence pads and clothing are provided free for suitable cases recommended by General Practitioners or home nurses and are available at all main clinics, 98,000 pads and 480 pairs of waterproof pants and linings were issued during the year. Home Help Service The following shows the type of assistance given during the year. |
3a423166-4b13-436f-9d01-e986c8d3b79e | Aged 65 or over in 1969 Age under 65 in 1969 Chronic sick or Tubercular Mentally disordered Maternity Others Total Number of Cases 1419 131 16 124 543 2233 Neighbourly Help Service 60 Neighbourly helps were employed at the end of the year and were providing assistance to 60 households. Day Nurseries During the year the number of places available at the Council day nurseries remained at 165 and these were filled mainly by children coming from one parent families. There was, however, an increasing number from families where the mother or both parents were psychiatrically disturbed and as these children — together with a small number of children in each nursery admitted because of a physical or mental handicap — were not always regular attenders, the total attendances at the nurseries were not as high as they were in the previous year. 97 A reasonable staffing ratio was maintained during the year. Day Nursery No. |
8c4221e4-b885-4493-b617-bf3b90b39c26 | of approved places Children on Register at 31st December 1969 Attendances for the year Average daily attendances 0-2 2-5 0-2 2-5 Lakeview 60 15 42 2476 8948 45 Kingswood 50 13 39 1622 8117 38 Wood Street 55 6 43 1537 7888 37 TOTALS 165 34 124 5635 24953 120 Private Day Nurseries and Registered Child Minders 98 During the year a large number of applications for registration under the Health Services and Public Health Act 1968 were received, particularly from prospective child minders wishing to receive one or 2 children, and visits were made to these applicants by the nursing officers who submitted reports on the home conditions and suitability of the person concerned. The number of private day nurseries and play groups remained at the level of the previc year. |
c41dd097-6bf0-4900-bae6-adf4fb4a130c | A new course was mounted by Barnet College of Further Education in January, which provides training for potential play group supervisors, and some of the supervisors of well established play groups have also benefited from attendance at the course. It operate on a one day a week basis during the full academic year and is held at Holly Park School. A nursing officer has attended on several occasions to talk about registration procedures. At the end of the year there were 43 registered child minders and 70 private day nurseries. Clinics for the Elderly A total of 54 sessions were held at West Hendon and Watling (Edgware) clinics and 1118 attendances made. Chiropody The number of persons treated continued to increase. Treatment is provided througn a directly operated domiciliary and clinic scheme in the former Middlesex part of the Borough and the Hertfordshire County Council's scheme of treatment by chiropodists in private practice continued. |
3c8163aa-8e67-484a-b5c7-5a38a912f4a5 | The service was supplemented by work undertaken on behalr or the Authority by voluntary bodies. Category Persons provided with Treatment Directly by the Authority (including those treated by private chiropodists on behalf of the Authority) Through arrangements with Voluntary Organisations Elderly persons 1766 693 Physically handicapped 12 — Expectant and nursing mothers 3 — Schoolchildren 18 — Children under 5 years 2 — Name and Address Arkley Lawn Nursing Home, Arkley, Barnet, Herts. Ellern Mede Nursing Home, Totteridge Common, N.20. Preston Lodge Nursing Home, 38 Station Road, New Barnet, Herts. Braeside House Nursing Home, 76 Park Road, New Barnet, Herts. Highwood House Nursing Home, Highwood Hill, Mill Hill, N.W.7. Jay-Jay Nursing Home, 2 Queens Road, Barnet, Herts. |
9f3664e9-ee15-40ca-bbd4-cddca1d20a9b | Bedford House, Hammers Lane, Mill Hill, N.W.7. Convent of St. Mary at the Cross, Hale Lane, Edgware. Manor House Hospital, (The Industrial Orthopaedic Society) North End Road, N.W.ll. Stuart House, 66 West Heath Road, N.W.3. The National Kidney Centre, 1 Fairholme Gardens, N.3. Northumberland House Mental Nursing Home, 237 Ballards Lane, N.3. No. |
1c235f41-f8fc-4a87-9c93-f57d0c05cffc | of Beds 26 Medical/Chronic 34 Chronic 12 Medical/Chronic 12 Medical/Chronic 21 Medical/Chronic 4 Medical/Chronic 23 Chronic 48 Incurable Orthopaedic (Female) 139 Medical/Chronic 8 Chronic 3 30 Mental Nurses Agencies The three nurses' agencies: The Hertford Nurses Bureau, 45 Manor Road, Barnet The Finchley Nurses Co-operation, 24 Eton Avenue, N.12. 100 Nul-Sal Agency, 335 Long Lane, N.2. were inspected during the year and their licences renewed. The agency at Rupert House, Stonegrove, Edgware, was tranferred to premises at 84 Edgware Way, Edgware and, after inspection of the new premises, the licence was renewed. A licence was issued during the year for the Mill Hill Agency to be established at 2 Beechwood Close, N.W.7. |
334f9f8e-177f-47bf-a95b-b6498831759e | Priority Dental Services The number of expectant and nursing mothers and children under 5 years of age receiving dental treatment at clinics, continued to decline and it is assumed that this is attributable to the fact that a greater number of patients are seeking free treatment from their own private dental practitioner. Attendances and Treatment Children under 5 Expectant and Nursing Mothers First Visit 559 91 Subsequent Visits 562 191 Total Visits 1121 282 Number of additional courses of treatment commenced 41 4 Treatment Provided: Number of fillings 768 185 Teeth filled 741 170 Teeth extracted 177 59 General Anaesthetics 74 2 Emergency visits 25 3 Patients X-rayed 1 29 Patients treated by scaling, etc. |
fb31e7f3-f928-4acf-b9b1-45ad076fc471 | 35 93 Teeth otherwise conserved 259 - Teeth root filled - - Inlays/Crowns - 3 Number of courses of treatment completed during the year 275 38 Prosthetics Patients supplied with full upper or full lower (first time) 20 Patients supplied with other dentures 19 Number of dentures supplied 39 101 Anaesthetics General anaesthetics administered by dental officers 3 Inspections Children under 5 Expectant and Nursing Mothers Number of patients given first inspections 341 42 Number of patients who required treatment 186 31 Number of patients who were offered treatment 186 31 Number of Dental Officers sessior maternity and child welfare pat is devoted to lents 176 T uberculosis The Borough is served by two chest clinics, viz. Edgware Chest Clinic (attached to Edgware General Hospital) Chest Physician — Dr. H.J. Trenchard, and Barnet Chest Clinic (attached to Barnet General Hospital) Chest Physician — Dr. J.G. Hounslow. |
75e2b06f-adcc-408f-993b-85828693499d | The Department's health visitors and T.B. visitors continued to carry out social visiting and act as liaison between the patients and the Chest Physicians. 1. Number of cases of tuberculosis under treatment or supervision at 31st December, 1969. Respiratory Non-Respiratory Men Women Children Total Men Women Children Total 1695 1250 179 3124 56 66 4 126 2. |
6d70b43a-a227-4daa-b833-3b392c21ca6c | Number of cases of respiratory tuberculosis (whether notified or not) included under Section 1 above which were new to the clinics (but excluding transfers from other clinics) during the year ended 31st December 1969: 102 *C!assification Non-Bacteriologically Confirmed Bacteriologically Confirmed Men Women Children Total Men Women Children Total Group I 19 21 87 0 127 6 7 - 13 Group II 6 2 - 8 10 4 - 14 Group III 4 2 1 7 8 6 - 14 Totals 29 25 88 142 24 17 - 41 0 Includes 82 school children found tuberculin positive under school scheme and who had not previously received B.C.G. * The three sub-divisions of new respiratory cases are estimated as follows from the standard P.A. film. |
5a510b7f-686b-46a0-9863-74c5b423daaa | Group I Total area of disease not exceeding one third of one lung in aggregate Group II Total area of disease not exceeding two thirds of one lung in aggregate Group III Total area of disease exceeding (including miliary disease) two thirds of one lung in aggregate Tuberculosis pleural effusions, pleural thickening without obvious lung involvement and enlarged hilar glands are placed in Group I 3. Number of cases of non-respiratory tuberculosis included in 1 above, new to the clinics (but excluding transfers from other clinics) during the year ended 31st December 1969:- Men Women Children Total 8 14 2 24 4. Number of cases included in 1 above whose broncho-pulmonary secretion was positive during the year — 42 The Care of the Unsupported Mother The Authority has one Mother and Baby Home, Guilford House, and this provides 14 ante-natal beds and 14 post-natal beds with 14 cots. No deliveries take place in the home. |
4775e05e-9873-405f-89da-e83a586fb1a8 | A revision of the establishment of this home and the introduction of trained nursery nurses to replace attendants was effected this year and this led to an improvement in the standard of care the babies received. The nursery nurses were also helpful in teaching the mothers the general principles of mothercraft and infant care and showed an interest in the general running of the home. Of the 96 referrals to the department, 68 were admitted to Guilford House, 20 were admitted to other Local Authority Homes and 8 were not admitted. In addition, 84 cases were admitted to Guilford House from other Authorities. 103 Family Planning From August, a comprehensive Family Planning Service, including a domiciliary service, was provided through the medium of the Family Planning Association acting as the Council's full agent. The service was available at the following centres:- Family Planning Association, Barnet and District Clinic, 133 Wood Street, Barnet. Watling (Edgware) Clinic, Approach Road, Station Road, Edgware. |
ea56bfc7-5b8e-4237-ba9b-6ca551038895 | West Hendon Clinic, 215 The Broadway, N.^' 9. Oak Lane Clinic, East Finchley, N.2. Cervical Cytology This service continued during the year at the following clinics: Torrington, Childs Hill, East Barnet, Watling, Vale Drive, West Hendon, Oak Lane and Edgware. Fortnightly sessions were held at the clinics and all women who attended had a full examination of the breasts, abdomen and pelvis. 1282 patients attended for the first time during the year and in every case the patient and her doctor were notified of the result of the test. There were 4 positive results and these patients were referred, through their general practitioners, to gynaecologists for further investigation. Clinic No. |
7ad869b9-ecba-4ad7-814e-efa56013adaa | of Sessions New Cases Total Attendances Average attendances per session Childs Hill 23 238 253 11.0 East Barnet 21 167 198 9.4 Oak Lane 20 96 119 6.0 Torrington 39 291 343 7.0 Vale Drive 22 152 171 7.8 Watling 17 177 183 10.8 West Hendon 22 137 149 6.8 Edgware 2 24 24 12.0 TOTALS 166 1282 1440 8.7 104 Vaccination and Immunisation Proposed Surveillance of Pertussis Vaccines I was informed in April by the Public Health Laboratory Service that the survey of pertussis vaccines, in which the Department had taken part, had shown that the preparations in use in recent years conferred an unsatisfactory degree of protection and that the M.R.C. |
59d9107c-6635-44a9-9775-8dae3c6e25cf | Committee on the Development of Vaccines and Immunological Procedures had recommended that, in future, the efficacy of pertussis vaccines should be kept under surveillance. It was proposed that this should continue along the lines of the P.H.L.S. Survey involving the observations of attack rate in vaccinated children exposed to a notified case of pertussis in the home, and I agreed to participate. Measles Vaccine The Department of Health and Social Security notified me in March that one manufacturer had advised immediate suspension of the use of their attenuated measles vaccine because 3 children, all in the second year of life, had been reported as suffering from a condition clinically diagnosed as encephalitis, the onset of which had occurred about a week after vaccination. Vaccine continued to be made available by other manufacturers and, as the demand for vaccine fell short of what had been expected, no distribution difficulties were experienced by the Department. Statistical tables of the immunisation of persons under the age of 16 are given below:- Table 1. |
93b89d62-fe41-45e3-ab42-49508e88059a | Completed Primary Course Type of Vaccine or Dose Year of Birth Others under age 16 TOTAL 1969 1968 1967 1966 1962-65 1. Quadruple DTPP _ — _ _ _ _ 2. Triple DTP 182 1735 279 21 55 13 2285 3. Diphtheria/Pertussis — 5 2 2 1 — 10 4. Diphtheria/Tetanus 7 123 46 11 80 35 302 5. Diphtheria - 1 — 1 3 3 8 6. Pertussis — — — — — — _ 7. Tetanus — 4 — 3 32 464 503 8. Salk — — — — — — _ 9. |
551c341e-c149-44c3-80dd-5baecca3442f | Sabin 203 1824 355 55 124 104 2665 10. Measles 1 164 423 284 361 43 1276 11. Total immunised against Diphtheria (Lines 1-2-3-4-5) 189 1864 327 35 139 51 2605 12. Total immunised against Whooping Cough/Pertussis (Lines 1-2-3-6) 182 1740 281 23 56 13 2295 13. Total immunised against Tetanus (Lines 1-2-4-7) 189 1862 325 35 167 512 3090 14. Total immunised against Polio (Lines 1-8-9) 203 1824 355 55 124 104 2665 105 Table 2. |
b264366e-6193-429b-bce2-872254077000 | Re-inforcing Doses Type of Vaccine or Dose Year of Birth Others under age 16 TOTAL 1969 1968 1967 1966 1962-65 1. Quadruple D.T.P.P. _ _ _ 2. Triple D.T.P. 1 255 887 88 641 70 1942 3. Diphtheria/Pertussis - 1 1 - 10 - 12 4. Diphtheria/Tetanus - 45 154 46 1585 311 2141 5. Diphtheria - 1 2 - 12 9 24 6. Pertussis - — — — — - — 7. Tetanus - 3 7 11 60 1030 1111 8. Salk - — - — — - — 9. |
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