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3cd0a056-1e3d-4b4d-b472-041488b6f284 | Street 1 Graham Road 1 Grove Road 1 Hanbury Road 2 Holland Terrace 8 Junction Road 8 Kent Road 5 Kingswood Road 4 Leythe Road 3 Stanley Gardens 1 Steele Road 1 Stirling Road 16 Strafford Road 1 Temple Road 1 Willesden Lane 1 Wolselev Road 1 Packington Road 4 Palmerston Road 4 Park Road North 4 Petersfield Road 15 Princess Terrace 3 Priory Road 2 Ramsey Road 1 Richard's Cottages 2 Roslin Road 1 Roslin Terrace 1 Rothschild Road 3 St. |
718cc08e-e80a-4e8d-a28e-0de66ff0d836 | Alban's Avenue 1 Saville Road 2 Seymour Road 10 Shaftesbury Road 4 Somerset Road 8 Southfield Road 5 Spencer Road 1 Stanley Road 11 The Steyne (including Steyne Road, East Row Narrow Street and Nelson Place 9 Valetta Road 2 Winchester Street 3 York Road 2 The distribution of the overcrowding amongst the different classes of houses was as follows:— 2 roomed houses 2 over-crowded. 3 roomed houses 27 over-crowded. 4 roomed houses 42 over-crowded 5 roomed houses 24 over-crowded. 6 roomed houses 117 over-crowded. 7 roomed houses 11 over-crowded. 8 roomed houses 11 over-crowded. 9 roomed houses 1 over-crowded. 10 roomed houses 3 over-crowded. |
352bace8-8bbe-49af-8419-591b073570fb | The extent of the overcrowding in the different houses is shown in the following table:— 48 19 19 Rooms in Houses. Persons per House. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27 2 . . 2 . . . . . . . . . . . . . . . . . 3 5 8 8 3 2 . . 1 . . . . . . . . . . . . 4 . . 2 7 10 3 . . . . . . . . . . . . . . 5 . . . . 8 3 4 3 1 4 1 . . . . . . . . . 6 . . . . . . 38 35 22 14 5 8 8 1 . 1 1 . . . |
10c670d5-f114-47b4-8d45-d553042ffa3d | 7 . . . . . . . . 5 . 3 2 . . 1 . . . . . 8 . . . . . . . . . . 3 2 2 . 1 . 1 . 1 1 9 . . . . . . . . . . . . . . 1 . . . . . 10 . . . . . . . . . . . . . . . . 2 1 . . It is unnecessary to explain the table in detail. If the second line be taken as an example, the table will be made clear. |
de653ac1-8f37-40f0-b2da-ad18a233d690 | This line refers to 3 roomed houses and it will be seen that 27 3-roomed houses were overcrowded; in 5 of these there were 7 persons to each house, in 8 there were 8 persons each, in 8 there were 9 each, in 3 there were 10 persons in each house, and in 1 there were 14 persons living in it. In one of the six roomed houses there were 22 persons living there, and in another 6-roomed house there were 23 persons living in it. Causes of and Measures taken or contemplated to deal with overcrowding. The primary and immediate cause of the overcrowding undoubtedly is the shortage of houses, and the measures contemplated to meet that shortage will alleviate the difficulty experienced in dealing with overcrowding. The Surveyor has very kindly supplied me with the following particulars of the Acton Housing Schemes. |
2f3a449e-f795-4ed0-a15c-11129adcc761 | The estimated number of new houses required to meet the immediate needs of the District, is 1,700. 49 1919 Two sites have been purchased for the erection of houses viz.: Acton Wells (6o acres) and land around North Acton Public Playing Fields (18 acres). These sites have already been developed and a about three miles of new roads and sewers constructed. To meet very urgent cases, Army Huts have been purchased and erected as houses at Acton Wells, eight of which have been occupied for some time, one is nearly completed and two others will be erected shortly. These houses comprise a large living room, scullery, three bedrooms, bathroom. W.C., coalstore and larder. Hot and cold water is laid on to both Bath, Lavatory Basin and Sink. Contracts have been placed for the erection at Acton Wells of 320 houses. |
c2511d77-9380-474f-bceb-b4f42f4bfbdc | At the end of May, 60 had been commenced the contract time for completion being six months from date of commencement for each unit of 20 houses, and the first 20 houses should be ready for occupation by the end of August, the remainder following at short intervals. Twenty houses are being erected by direct labour at Acton Wells, the first 8 of which should be ready for occupation by the end of July. A further 44 houses are to be erected immediately at Acton Wells for the Ministry of Health to demonstrate the various new types of construction which have recently been evolved. All these houses contain Parlour, Living Room, Scullery, three bedrooms, bathroom, W.C., larder and Coal Cellar. Hot and Cold water is laid on to bath, lavatory basin and sink. Around the Playing Fields at North Acton, the Victory Construction Co., Ltd., are erecting 70 bungalows for Mr. |
292da4a3-dfe0-408f-83c8-4eddde31546d | Selfridge, 20 of these should be ready by July, and Acton residents are to be given the option to purchase at £700 per bungalow. The accommodation is a living room, kitchen and scullery combined, three bedrooms, bath room and W.C. Forty-nine bungalows of a somewhat similar, though improved type, will be commenced either by Direct Labour or Contract. The Council made an application to the Ministry of Health for the conversion of 11 old houses into 33 flats. The Ministry however, only sanctioned those at 144 Bollo Bridge Road. The work 50 1919 is in hand, and three flats should be ready for occupation about the middle of July. From the above it will be seen that, providing the necessary materials and labour are available, 514 houses should be completed this year. |
5acbc61f-4d8a-4997-a8bb-ea207e4e5c97 | Arrangements are being made for the purchase of additional sites for both houses and flats in various parts of the district, and providing the necessary money is forthcoming, the work will be pushed forward without delay. Five houses were represented as unfit for human habitation during the year. Section 28 of the Housing Act, 1919, was not put into operation last year. Your obedient servant, D. J. THOMAS. TABLE 1. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1919. (Provisional Figures. Populations estimated to the middle of 1919 have been used for the purposes of this Table). Birth Rate per 1,000 Total Population. Annual Death Rate per 1,000 Civilian Population. Rate per 1,000 Births. Percentage of Total Deaths.* All Causes. Enteric Fever. Small Pox. Measles. |
d6219902-7946-45f1-b6cf-322ac8493cd0 | Scarlet Fever. Whooping Cough. Diphtheria. Violence. Diarrhoea and Enteritis under 2 years. Total Deaths under 1 year. Deaths in Public Institutions. Certified Causes. Inquest Cases. Uncertified Causes of Death. England and Wales 18.5 13.8 0.01 0.00 0.10 0.03 0.07 0.13 0.47 9.59 89 23.9 92.5 6.2 1.3 90 Great Towns, including London (Census Populations exceeding 50,000) 19.0 13.8 0.01 0.00 0.13 0.04 0.07 0.14 0.45 12.24 93 29.2 92.3 6.9 0. |
d96f92b6-db44-4bd7-abef-56e5d61ace60 | 8 148 Smaller Towns (Census Populations 20,000—50,000) 18.3 12.6 0.01 0.00 0.10 0.03 0.08 0.12 0.39 8.67 90 16.6 93.6 4.9 1.5 London 18.3 13.4 0.01 0.00 0.08 0.03 0.05 0.13 0.47 16.22 85 44.7 £1.2 8.6 0.2 Acton 17.0 10.4 0.016 0.00 0.00 0.00 0.03 0.03 0.18 13.6 65 30.3 94.4 5.6 0.0 51 1919 52 1919 TABLE 2. |
b06020d1-d4dd-437e-b6b5-1594761e80ab | VITAL STATISTICS FOR WHOLE DISTRICT DURING 1919 AND PREVIOUS YEARS. Year. Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths. Nett Deaths belonging to the District. Uncorrected Number. Nett. Under 1 year of Age. At all Ages. Number Rate of Non-Residents Registered in the District. of Residents Registered outside District Number Rate Number Kate per 1,000 Births. Number Kate per 1,000 Inhabitant. 1914 61,000 1474 1504 24.6 513 8.5 16 191 128 91 693 11.3 1915 62,000 for b'th rate. 58,238 for d'th rate. |
c222ba6d-02e7-48ea-98ed-5671587b7c5a | 1390 1414 22.8 587 9.6 11 204 148 104 780 13.3 1916 63,010 for b'th rate. 57,913 for d'th rate. 1288 1324 21.0 504 8.7 21 204 102 77 687 11.8 1917 65,219 for b'th rate. 58,507 for d'th rate. 936 97.2 14.9 460 8.2 13 225 94 96 697 11.7 1918 66,000 for b'th rate. 59,000 for d'th rate. 923 954 14 5 611 10.3 16 277 76 78 872 14.7 1919 64,306 for b'th rate. 61,732 for d'th rate. |
de0d92fd-a03d-4f68-a672-24f5d0dcabdf | 950 1096 17.1 436 7 12 222 72 65 616 10.4 TABLE 3. BIRTHS. Births Notified during Year:—1,035. Males 525 Females 510 WARDS. North East. North West. South East. South West. Total. 281 154 199 401 1,035 Births Registered but not Notified:— 116. Males 64 Females 52 WARDS. North East. North West. South East. South West, Total. 33 13 55 15 116 Still Births:—33. WARDS. North East. North West. South East. South West. Total. 5 10 9 9 33 53 1919 TABLE 4. REGISTERED BIRTHS. Male. Female. |
62f5687f-3e46-46bb-b054-e937441ee56c | Legjmate 515 517 Illegitimate 32 32 Total 547 519 Rate per 1,000 Inhabitants ... 17.1. TABLE 5. CAUSES OF. AND AGES AT, DEATH DURING YEAR. 1919. Causes of Death. Causes of and Ages at Death, 1919. Public Institutions in District, Resident and NonResident All Ages Under 1 year 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and 1 under 45 45 and under 65 65 and upwards Measles . . . . . . . . . . Whooping Cough 2 1 1 . . . . . . . Scarlet Fever . . . . . . . . . 2 Diphtheria 2 . . . 2 . . . . 3 Enteric Fever i . . . 1 . . . . . |
62171ecc-f886-49ee-bba9-9b33455770fc | Influenza 41 l 2 1 1 10 15 7 4 . Phthisis (Pulmonary Tuberculosis) 58 . . . 5 10 22 19 2 . Tuberculous Meningitis 9 . . 1 4 3 1 . . 1 Other Tuberculous Diseases 5 . . 1 1 1 . 2 . . Cancer, Malignant Disease 61 . . . 1 1 4 29 26 2 Rheumatic Fever 2 . . . . . 2 . . 2 Meningitis 1 . . . 1 . . . . . Organic Heart Disease 77 . . 1 2 1 14 33 26 6 Bronchitis 55 2 3 . . . 1 14 35 . |
92eae5fa-e370-4e66-ba92-36ac7aaeb5bd | Pneumonia (all forms) 51 9 3 7 1 3 8 11 9 2 Other Respiratory Diseases 9 1 . . . . 1 4 3 . Diarrhoea and Enteritis 15 15 . . . . . . . . Appendicitis and Typhlitis 1 . . . . . 1 . . . Cirrhosis of Liver 3 . . . . . 1 2 . . Nephritis and Bright's Disease 17 . . . 1 1 1 10 4 . Syphilis 1 1 . . . . . . . . Puerperal Fever 4 . . . . 2 2 . . . Other Accidents and Diseases of Pregnancy and Parturition 3 . . . . . 3 . . 3 Congenital Debility and Malformation, including Premature Birth 33 23 . . . . . . . . Violent Deaths, |
941b2e96-57c5-4d94-b954-ff877a381353 | excluding Suicide 11 . 1 2 . . . 3 5 3 Suicide 4 . . . . . 2 1 1 . Other Defined Diseases 190 9 5 . 2 3 17 40 104 8 Totals 646 72 15 13 22 35 95 175 219 32 51 1919 TABLE 6. TOTAL DEATHS—WARD DISTRIBUTION. 1919. Causes of Death. North East North West South East South West Total. Measles . • •• . . . Whooping Cough . 1 . 1 2 Diphtheria 1 . . 1 2 Enteric Fever 1 . . . |
5cf9c48b-8f61-4ae1-9379-253bc3a72fd0 | 1 Influenza 14 5 14 8 41 Phthisis (Pulmonary Tuberculosis 9 15 16 18 58 Tuberculous Meningitis 1 1 2 5 9 Other Tuberculous Diseases 1 . 1 3 5 Cancer (Malignant Disease) 23 14 15 9 61 Rheumatic Fever 1 . . 1 2 Meningitis 1 . . . 1 Organic Heart Disease 23 16 19 19 17 Bronchitis 14 9 12 20 55 Pneumonia (All forms) 12 9 15 15 51 Other Respiratory Diseases 3 1 3 2 9 Diarrhoea and Enteritis 4 1 5 5 15 Appendicitis and Typhilitis 1 . . . 1 Cirrhosis of Liver 1 1 1 . |
5fc5784e-54f3-4a8a-80d1-e3f28f6b23ff | 3 Nephritis and Bright's Disease 3 2 8 4 17 Syphilis . 1 . . 1 Puerperal Fever 1 1 . 2 4 Other Accidents and Diseases of Pregnancy and Parturition 1 1 1 3 Congenital Debility and Malformation, including Premature Birth 4 4 12 13 33 Violent Deaths (excluding Suicide) 4 1 2 4 11 Suicide . 2 2 . 4 Other Defined Diseases 55 46 30 49 180 Totals 178 130 158 190 646 55 TABLE 7. INFANTILE MORTALITY DURING THE YEAR, 1919. Deaths from stated causes in Weeks and Months under One Year of Age. Causes of Death. Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 4 weeks. |
ccd09016-bf8d-4645-a0bf-8b4b5c137591 | 1-3 months 3-6 months 6-9 months 9-12 mnths Total deaths under 1 year. Whooping Cough . . . . . . . . 1 1 Tuberculous Meningitis . . . . . . . . . . Other Tuberculous Diseases . . . . . . . . . . Meningitis (not Tuberculous) . . . . . . . . . . Convulsions . . 1 . 3 . 1 1 . 5 Influenza . . . . . . . 1 . 1 Bronchitis . . . . . . 1 1 . 2 Pneumonia (All forms) . . 1 1 2 1 . 2 . 9 Diarrhoea . . . . . 3 3 1 . 7 Enteritis . . 3 . 5 2 . 1 . 8 Overlaying, Suffocation . . . . . |
5d3a4a8b-fee4-46b6-8aac-b9ec8c4a78d8 | . . . . . Syphillis . . . . . . . 1 . 1 Injury at Birth . . . . . . . . . . Congenital Malformation 1 . . . 1 . . . . 1 Premature Birth 20 . . 1 21 . ••• . . 21 Atrophy,Debility and Marasmus 4 1 . 3 8 1 2 . . 11 Other Causes 2 . . . 2 2 1 . . 5 Totals 29 3 5 5 42 9 8 8 5 72 56 1919 TABLE 8. INFANTILE MORTALITY—WARD DISTRIBUTION, 1919. Causes of Death. North East. North West. South East. South West. Total. Whooping Cough . . . 1 1 Tuberculous Meningitis . . . . . |
756c3f6f-5c0a-414e-b307-6071111e73b5 | Other Tuberculous Diseases . . . . . Meningitis (not Tuberculous) . . . . . Convulsions 1 . . . 5 Influenza . . 1 . 1 Bronchitis . . . 2 2 Pneumonia (alt forms) . . 4 5 9 Diarrhœa 1 1 2 3 7 Enteritis 2 1 4 1 8 Suffocation, Overlaying . . . . . Syphillis . 1 . . 1 Injury at Birth . . . . . Congenital Malformations . . 1 . 1 Premature Birth 2 . 6 13 21 Atrophy, Debility and Marasmus 2 4 2 3 11 Other Causes 1 1 1 2 5 Total 9 8 21 34 72 57 1919 TABLE 9. |
7f98c637-2fda-4e1b-9439-773283847357 | CASES OF INFECTIOUS DISEASES NOTIFIED DURING THE YEAR, 1919. Notifiable Disease. Cases notified in whole District. At Ages—Years. Total cases notified in each ward. At all Ages. Under 1. 1 to 5. 5 to 15 15 to 25 25 to 45 45 to 65 65 and upwards. North-East. North-West South-East. South-West Measles and German Measles 365 4 96 231 16 17 1 . 110 93 65 97 Scarlet Fever 95 2 16 64 8 5 . . 31 13 23 28 Diphtheria 54 . 9 30 6 9 . . 27 8 6 13 Enteric Fever 5 . . 2 2 . 1 . 1 1 1 2 Puerperal Fever 6 . . |
3c9a6872-519b-42bc-bcbd-00424e7af34a | . 1 5 . . 2 2 1 1 Encephalitis Lethargica 1 . . . 1 . . . . . . 1 Erysipelas 17 . 2 2 2 3 7 1 6 1 4 7 Ophthalmia Neonatorum 11 11 . . . . . . 2 . 4 5 Tuberculosis, Pulmonary 128 . . 11 27 63 25 2 28 28 38 34 Tuberculosis, (Other Forms) 14 . 1 6 3 1 3 . 6 2 2 4 Pneumonia 26 1 1 2 1 11 6 4 6 5 5 10 Malaria 31 . . . 5 25 1 . |
7f7508f4-ae5b-4baf-a1e2-0c8bb44ac3c7 | 8 8 6 9 Totals 753 18 125 348 72 139 44 7 226 161 155 211 58 1919 TABLE 10. CASES OF NOTIFIABLE DISEASES REMOVED TO HOSPITAL DURING 1919. Measles and German Measles 1 Scarlet Fever 78 Diphtheria 43 Enteric Fever 3 Puerperal Fever 5 Erysipelas 4 Ophthalmia Neonatorum 1 Tuberculosis (Pulmonary) 72 Tuberclosis (Other) 10 Pneumonia 2 Malaria 2 TABLE 11. OUTSIDE DEATHS AND PLACES OF OCCURRENCE. isleworth Infirmary 106 General Hospitals. West London Hospital 11 Queen Charlotte's 4 St. George's 3 St. Columbus 2 Gt Ormond Street 2 St. |
074b3cb2-5183-4ee8-a85b-0936126e96f3 | Mary's 1 Middlesex 1 Paddington Green 1 German 1 Royal Free 1 Westminster 1 Homeopathic 1 Ducane Road Military 1 National. Queen's Square 1 Dollis Hill House 1 St. Monica's 1 St. Thomas' 1 Consumptive Hospitals. Clare Hall 3 St. George's Home 2 Mount Vernon 1 Northern Hospital 1 Mental Hospitals. Springfield 26 Cambewell House 2 Hanwell 1 Dareath 1 Bethnal House 1 Leavesden 1 Private 2 Infirmaries. Kensington 1 Stepney Sick Asylum 1 Lambeth 1 Marylebone 1 Nursing Homes 14 Private Hooses 15 Miscellaneous 8 59 1919 INQUESTS. Held in the District 26 Causes of Death. |
efc20841-7fa3-4cd2-ae5f-42d135d62610 | Fracturred Skul 2 Fractured Ribbs 1 Accidental Burns 1 Accidental Drowning 1 Knocked down by Cyclist 1 Fall from Ladder 1 Knocked down by Motor Lorry 1 Struck by Aeroplane Propeller 1 Suicide 1 Toxæmia following Inhalation of Poison Gas 1 Heart Disease 1 Cerebral Hæmorrage 2 Pneumonia 2 Congestion of Lungs 1 Cancer 1 Enlarged Thymus 1 Chronic Gastritis 1 Deaths outside the District 13. Causes of Death. Suicide 3 Knocked down by Steam Waggon 1 Knocked down by Motor Lorry 1 Knocked down by Cycle 1 Accidental Fall 1 Fall from Ladder 1 Electrocuted on Railway 1 Heart Disease 2 Ruptured Ameurysm 1 Tuberculous Meningitis 1 TABLE 12. |
60420e3d-bc57-48ce-88ff-ca7d50da0fad | NOTIFICATIONS OF TUBERCULOSIS. Pulmonary 128 Other forms of Tuberculosis 14 The Notifications received were from the following:— Infirmaries 35 Private Doctors 46 Sanatoria 49 Hospitals 32 Military Authorities 4 Other Institutions 10 Insured Cases 74 Non-Insured Cases 54 Insured. Non-Insured. Sanatoria 22 8 Hospital 12 7 Infirmary 13 12 Applying for Sanatorium 4 2 Discharged from Sanatorium 4 — Nursed at Home 17 21 Removed from District 2 2 Remoxed to County Asylum — 2 60 1919 Occupations Prior to Illness. Males. |
e024683e-1809-421e-bade-84000b18c34e | Discharged Soldiers 26 Labourer 10 School Boy 4 Railwaymen 2 Errand Boy 2 Munitions 2 Caretaker 1 Musician 1 Printer 1 Compositor 1 Fencing Master 1 Manager 1 Tailor 1 Boot Repairer 1 Potman 1 Accountant 1 Engineer's Apprentice 1 Ebonite Worker 1 Gardener 1 Photographer 1 Engineer 2 Traveller 1 Coal Porter 1 Motor Mechanic 1 Stage Hand 1 Not Known 2 Females. Household Duties 24 School Girl 5 Clerk 1 Factory Girl 3 Domestic Servant 4 Laundress 2 Munitions 1 Upholsterer 1 Telephonist 1 Porter 1 Shop Assistant 1 Dispenser 1 Tailoress 1 Not Known 1 TABLE 13. Priory Schools. Palmerston Mission. |
fbb3acae-eaee-44f7-bf2a-d1605a9ae2ed | Health Visitors Attendances 100 100 Number of Children who attended 458 369 Number of attendances by children 3,643 3,026 Children under 1 year of age 213 186 Children over 1 year of age 245 183 Age of Children who commenced attendance in 1919 Priory Schools Palmerston Mission Under 3 months 132 100 Between 3 and 6 months 47 30 „ 6 and 9 months 19 17 „ 9 and 12 months 15 9 „ 1 and 2 years 25 19 „ 2 and 3 years 19 17 „ 3 and 4 years 22 17 „ 4 and 5 years 6 19 Of the above Children 2 had attended for the first time in 1914. 16 „ „ 1915. 51 „ „ 1916. 95 „ „ 1917. 138 „ „ 1918. 505 „ „ 1919. |
e71cb8de-0c49-4991-b76a-604c5ccf22e1 | 61 1919 ANTE-NATAL CLINIC. Number of times the Clinic was held 24 Number of expectant mothers who attended 57 Number of attendances made by expectant mothers 103 Number of cases admitted to Acton Hospital 4 Ante-Natal Visits. Number of mothers visited 153 Number of visits paid to mothers 447 Notifications were received from:— Doctors 489 Nurses 32 Midwives 473 Parents 36 Number of Births visited 733 Number of visits paid to houses of Infants 4,493 TABLE 14. ISOLATION HOSPITAL. Remaining in Hospital. January 1st. 1919 12 Remaining in Hospital, January 1st, 1920 50 Admitted during Year:— Residents. Non-Residents. Total. |
eefef682-d423-427e-94d9-969703b60a18 | Scarlet Fever 79 51 130 Diphtheria 43 34 77 Measles 4 — 4 Influenza 1 — 1 Totals 127 85 212 Deaths. Scarlet Fever 2 Diphtheria 3 52 1919 ACTON URBAN DISTRICT. COUNTY OF MIDDLESEX.—SANITARY WORK, 1919. TABLE XV. Inspections:— Number of Premises Inspected on Complaint 998 Number of Premises Inspected in connection with Infectious Disease 139 Number of Premises under Periodical Inspection 398 Houses inspected from House-to-House (H. and T.P. Act, Sec. 17) 239 Total Number of Inspections and Re-Inspections made 9,847 Dwelling Houses and Action under H. and T.P. Act, 1909:— Number of Houses dealt with under Sec. 15 nil. |
ba7c7ffc-b731-44b2-a396-50b0002af13a | Number of Houses found to be in a state Dangerous or Injurious to Health (Sec. 17) 5 Number of Representations made to the local authority by M.O.H. with a view to the making of Closing Orders (Sec. 17) 5 Number of Closing Orders made by L.A. (Sec. 17) 5 Number of Houses made Habitable without closing Orders nil. Number of Houses closed Voluntarily nil. Number of Closing Orders determined after Repairs (Sec. 17) nil. Number of Houses Demolished (a) by order of L.A. (Sec. 17) nil. (6) Voluntarily nil. Illegal Underground Rooms Vacated nil. Action Taken (Other than under H. and T.P. Act):— Cautionary or Intimation Notices given 1,270 Statutory Orders Issued 892 Summonses Served nil. Convictions Obtained nil. |
121275ea-bf9d-46af-91d3-d5fe8b8e7677 | Houses Let in Lodgings (Tenement Houses):— Number Registered under Bye-Laws 83 Number of Contraventions 39 Common Lodging Houses:— Number Registered under Bye-Laws 1 Accommodation : Male 126 Female nil. Children nil. Number of Inspections Made 47 Number of Contraventions nil. Canal Boats used as Dwellings:— Number Registered under the Acts nil. Number of Contraventions of Regulations nil. Movable Dwellings Caravans, Tents, &c. Number observed during the Year 11 Number of Nuisances therefrom Abated 2 Number Removed from District 3 Bakehouses:— Number in District 25 Contraventions of Factory Acts 11 Slaughter Houses:— Number on Register 3 Number of Inspections made 72 Frequency of Inspection Fortnightly. Contraventions of Bye-Laws nil. 63 1919 Cowsheds:— Number on Register nil. |
954bd986-22c8-40ef-bc0c-4a5baa3c7e9e | Number of Inspections made — Frequency of Inspection — Contraventions of Regulations — Number of Milch Cows in District — Dairies and Milkshops:— Number on Register (includes small'■ General Shops " 75 Number of Inspections made (of Dairy Shops only) 346 Frequency of Inspection Quarterly. Contraventions of Regulations 3 *Unsound Food:— Meat (including organs) seized and surrendered. Approximate weight in pounds) 2,650 Poultry and Game seized and surrendered. Approximate weight in pounds) nil. Fish seized and surrendered. (Approximate weight in pounds 473 Fruit and Vegetables seized and surrendered. (Approximate weight in pounds) 3,457 Other Articles seized and surrendered. Approximate weight in pounds 486 *All voluntarily surrendered. Method of disposal: Part destroyed and part disposed of so as not to be used for human food. Offensive Trades:— Number of Premises in District 1 Nature of Trades Fat Extractor. |
50c67cb5-dac5-41ed-8659-79621a97d672 | Number of Inspections made 10 Contraventions of Bye-Laws — Water Supply and Water Service:— Wells:— New Sunk nil. Cleansed, Repaired, &c. nil. Closed as Polluted nil. Percentage of Houses supplied from Public Water Service 100% Cisterns:— New Provided 8 Cleansed, Repaired, Covered, &c. 54 Draw-Taps placed on Mains 28 Percentage of Houses supplied on Constant System 100% Number of Samples obtained for Analysis:— From Local Wells nil. From Public Supply nil Drainage and Sewerage of Existing Buildings:— Water Closets: Numberof Water Closets substituted for Dry Receptacles nil. Repaired, Supplied with Water, or otherwise Improved 301 Percentage of Houses provided with Water Closets 100% Drains: Examined, Tested, Exposed, &c. 26 Unstopped, Repaired, Trapped, &c. |
02be7919-11a2-4cb1-bad4-2023a8d39293 | 270 Waste Pipes, Rain Water Pipes Disconnected, Repaired, &c. 268 New Soil Pipes or Ventilating Shafts fixed 11 Existing Soil Pipes or Ventilating Shafts repaired 109 Disconnecting Traps or Chambers Inserted 37 Reconstructed 8 64 1919 Cesspools: Rendered Impervious, Emptied, Cleansed, &c. nil. Abolished, and Drain connected to Sewer nil. Percentage of Houses Draining into Sewers 100% Disinfection:— Rooms Disinfected: Ordinarvylnfectious Diseases 239 Phthisis 47 Rooms Stripped and Cleansed 780 Articles Disinfected or Destroyed: Ordinary Infectious Diseases 86 Phthisis No separate record kept for Phthisis. Dust.:— New Bins provided 318 How frequently is dust removed from each house Weekly. Number of Complaints of Non-Removal received nil. Method of Disposal: Destructor all. |
030283a3-497b-4c24-b4e3-a3cac7470920 | By Tipping nil. Other, state method nil. Sundry Nuisances Abated: Overcrowding 14 Smoke 3 Accumulation of Refuse 7 Foul Ditches, Ponds, &c., and Stagnant,\Vater nil. Foul Pigs and other Animals 1 Dampness 981 Yards repaved or repaired 96 Other Nuisances 456 Woodgates & Sons (t.u.) Printers, South Acton. |
79164928-3b2a-4794-bbae-f7dbf3c17786 | ACT 23 1920 URBAN DISTRICT OF ACTON. ANNUAL REPORT OF THE Medical Officer of Health FOR THE YEAR 1920. ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1920. Council Offices, Acton, W.3. April, 1921. To the Chairman and. Members of the Urban District Council of Acton. Ladies and Gentlemen, I beg to submit the Annual Report on the work carried out by the Public Health Department, together with the Vital Statistics for the year 1920. The Report has been arranged as to contents and arrangements in accordance with the Memorandum of the Ministry of Health. Some of the sections which were dealt with fully in last year's Report are only lightly dealt with this year, unless the conditions have materially changed. Vital Statistics. The most marked feature of the Vital Statistics has been the increase in the birth-rate. |
67a76f34-cf04-454b-a713-af0364224038 | The birth-rate for the year was 24 per 1,000 compared with 17.1 in 1919, and 14.5 per 1,000 in 1918. The birth-rate for England and Wales was 25.4 per 1,000 and for the 96 Great Towns 26.2 per 1,000. The death-rate—10.4 per 1,000—was exactly the same as that of 1919. In 1919 it was stated that the death-rate was the lowest on record for the district. The death-rate for England and Wales was 12.4 per 1,000 and for the 96 Great Towns 12.5 per 1,000. The Infantile Mortality was 64 per 1,000 births, which is the lowest Infantile Mortality on record for the district. |
1c2d6dd7-198a-4a10-a84c-63051435f5eb | The Infantile Mortality for England and Wales was 80 per 1,000 births and for the 96 Great Towns 85. 4 There was a great increase in the number of deaths from Diphtheria. The virulent outbreak of this disease which occurred in the autumn is dealt with in another paragraph. For the fifth year in succession there has been no death from Scarlet Fever ; there has been no death from this disease since 1915. There was an increase in the number of cases notified. There was no death also from Enteric Fever. This disease is becoming more and more rare, and with increasing knowledge, it is not too much to hope for its complete extermination. There was an outbreak of Measles in the Spring and Summer, which is dealt with in a separate paragraph. Nine deaths occurred from this disease. General Character of the District, Social Conditions, Including Occupations, etc. |
185a21a1-382f-4fd3-9c47-1487ade0a33b | A full description of the district was given in last year's Report, and it is unnecessary to repeat fully the information then given. The district is divided municipally into four Wards:— North East, North West, South East, and South West. The most important industries are Laundry and Engineering, and the most important change that has occurred has been the depression and slackness of business in the engineering works in the district. It was stated last year that the three engineering works in the Vale employed between 5,000 and 6,000 persons. It is probable that in the whole district there are about 5,000 people out of employment. Unemployment made its appearance in the summer, and it became very acute in the autumn and winter. Unemployment affected the number of persons supplied with free milk under the Council's Maternity and Child Welfare Scheme, and this matter will be referred to under Infant Mortality. Extent to which Hospital and other Forms of Gratuitous Medical Relief are Utilised. |
cb67ed1d-8f36-4f23-a535-7541a978dc41 | The only voluntary Hospital in the district is the Acton Hospital, which was opened in 1898. The Hospital has 35 beds, and it is for the treatment of Acton residents and of any persons injured in the district. Only a very small proportion of those who died in public institutions received treatment in the Acton Hospital. 5 215 deaths of residents occurred in Hospitals and Public Institutions, and of these only 10 deaths occurred in the Acton Hospital. 15 deaths of residents occurred in the Fever Hospital. The Infirmary of the Union is situated in Isleworth, and 90 deaths of residents occurred there. These Institutions do not represent the extent to which hospital treatment is utilised. Our proximity to London enables the residents to resort to the large General Hospitals for treatment. It is impossible to estimate the number of persons who are treated in the large General Hospitals. Table 11 gives the number of deaths which occurred in hospitals outside the district. |
7996fe85-e5f0-4b8b-8ab0-754c37b95e11 | The total number of deaths which occurred in hospitals and public institutions was 215; in addition, six deaths occurred in Nursing Homes. Amount of Poor Relief. The amount of poor relief increased considerably during the year. No unemployment relief was granted in 1920, and the following figures simply show the ordinary outdoor relief given in the district:— Quarter ending Money Kind £ s. d. £ s. d. March 31st 417 2 0 129 0 7 June 30th 429 0 9 118 7 5 Sept. 30th 447 13 2 137 17 1 Dec. 31st 517 10 0 107 11 6 £1,811 5 11£492 16 7 To wives of interned aliens for March quarter only 26 19 6 Nil. £1,838 5 5£492 16 7 (These figures do not include the Acton Green area.) |
20dbe504-bc03-4346-a4ac-b0766ec6026a | Food and Drugs Act. The following table has been kindly supplied by Mr. R. Robinson, Chief Officer of the Control Department, County Council of Middlesex, showing the number of samples taken and the number adulterated:— Article Taken Adulterated Milk 208 17 Separated Milk 1 — Cream 2 2 Preserved Cream 3 — 6 Butter 11 — Lard 2 — Coffee 2 Fish Paste 2 1 Egg Powde 1 — Egg Substitute Powder 1 — Lime Juice Cordial 1 1 Saccharin Tablets 1 — 235 21 Number of Prosecutions 4 Number of Convictions 3 Fines imposed £17 The figures given for adulterated samples include some adulterated informal samples in respect of which no proceedings could be taken. Population. In the Annual Reports for the five years 1915—1919 inclusive, two estimates were made of the population, one for deathrate purposes and the other for the birth-rate. |
c5f52b99-6e84-4885-b40a-a333caede250 | The former was an estimate of the civil population only, whilst the latter included the men on military service. In 1920 demobilisation had reached a stage at which it is felt that the distinction between "Birth-rate populations" and "Death-rate populations," made during a period when a large part of the male population was under arms, might in general be discontinued. A single estimate of the population has therefore been made, and this is applicable to both births and deaths. The Registrar-General has estimated the population in June, 1920, at 64,192. This estimate is based upon the number of ration-cards issued in November, 1919. In last year's Report I gave certain facts from which it could be reasonably assumed that the Registrar-General's figures were an under-estimate of the population of the district. For the year 1919, the RegistrarGeneral estimated the population at 64.306; and he therefore assumes that there was a decrease of 114 in the year. |
2295c918-c939-4e16-8ee9-76047b705eda | I believe that the Registrar-General's estimate is too low by nearly 3,000 inhabitants, but in view of the interesting figures given by the Registrar-General in his recently published Annual Report for 1919, I have deemed it expedient to accept his figures. The following paragraphs may be quoted, as they bear, not only upon the estimate of the population, but also as to the housing needs as affected by the growth of the population. 7 The difficulty of framing reasonably accurate estimates of population towards the close of an intercensal period has always been found very great—so great, in fact, that each new census, when taken, has revealed serious errors in the Registrar-General's estimates of local populations. The difficulty is greatly increased at the present time by the disturbing effects of the war ; and until the results of the 1921 census are available, all that can be claimed for the estimates is that they are the best which the means at his disposal has enabled the Registrar-General to prepare. |
bb970857-8618-421c-ae1a-180d2c932dec | At the same time, while the war has rendered the methods relied upon for estimating local populations in normal times quite useless for this purpose now, it has fortunately brought in its train new sources of information in the shape of the National Register and Rationing Statistics, which have greatly mitigated the difficulty. The mid-1919 estimates (also mid-1920) of local populations have been mainly based upon the returns of the distribution of rationing cards in November, 1919. It may be mentioned that the general tendency is for local estimates to rule higher than those prepared in the General Register Office. In fact, the impression is left that if the sum of local estimates could be ascertained, it would be found much in excess of any reasonable estimate of the population of the country as a whole. The local estimates are very largely based upon comparison of the numbers of occupied houses in 1919 and 1911, and upon the fact that the margin of unoccupied houses then existing has since disappeared. |
4d379209-b186-4067-83e2-2ae4abca592e | This method of estimation generally assumes that the number of persons per house has remained at least as large as at the last census. But the acuteness of the housing problem, and the frequency of cases in which two families now occupy one house because of the failure to obtain a second, invites the assumption that an increase has taken place in the average number of persons per house. Were this the case, the method of estimation would understate the increase of the population. But in a comparison between conditions in 1911 and 1920, other factors must be set off against the more recent effects of the housing shortage, which are so much under public notice. Many households in 1920 were without one or more members, killed in the war; many were without young children, who would have been added to their number under peace conditions. Lastly, the fall in the birth-rate, even apart from the war, has to be taken into consideration. |
507d58bf-c4a4-4302-86d6-cf418575c3f3 | Probably this was a main factor in causing the decrease in average numbers recorded up to 1911; and the decrease in the birth-rate has continued since. There is no doubt that the size of the average family has been on the decline for many years; 8 and so far - the rule of one family one house prevails—as it still must largely do—the fall in the birth-rate would, other things being equal, have reduced the average number of persons per house. As the estimated population for 1919 was 700,000 in excess of that of the last census, it would only require (apart for replacement of defective houses) a net addition of 140,000 houses for the whole period 1911-1919 to maintain the standard of 1911 —that is, if the new census shows the present population estimate to be fairly correct. If we reverse the process, and accept the estimated population for Acton of the Registrar-General as correct, we may endeavour to calculate the deficiency in the number of houses in the district. |
1197723d-3ae8-42af-b11d-af6b9d594672 | At the 1911 census there were 9,445 inhabited and occupied houses in the district and 490 unoccupied houses. Between April 1st, 1911, and July, 1914, 442 new dwelling houses were erected and occupied. Most of the 490 houses empty in 1911 are now occupied; so that roughly accommodation for an additional 5,500 persons has been provided. This would leave 1,200 persons unaccommodated, or a shortage of about 200 houses. The houses that are being erected under the Council's Housing Scheme are not comparable to the older houses in the district. As far as accommodation is concerned, they are more comparable to tenements. At the census in 1911, there were 12,965 tenements, with an average number of 4.5 persons, compared with 6 per house. |
f9da952b-77ca-4402-8706-9648ce0467db | In last year's Report it was stated the Surveyor estimated that 1,700 new houses were required to meet the immediate needs of the district. The discrepancy between this latter figure and the Registrar-General's estimate of the population is not so great as it appears on the surface. Conditions have changed since the Surveyor's estimate was made. The depression in the engineering trade has had an effect upon the demands for housing in the district. In the Surveyor's estimate, provision was made for the developments which were about to take place within the area. In view of all these circumstances, it is fortunate that a census is due, but the preliminary figures of the census will not be published in time to be utilised in this Report. In the Memorandum of the Ministry of Health it is urged that the preparation of the Annual Report should be undertaken immediately after the conclusion of the year to which it relates. Births. |
ef988169-b5b3-4a2c-a4cf-355344c24c23 | The birth-rate is higher than that of the previous year, and is the highest birth-rate recorded since 1914. As far as the 9 actual number of births is concerned, the number is the highest recorded since 1908. The number appears lower than that of 1913, but that is accounted for by the fact that births of nonresidents are now deducted and credited to other districts. Throughout the kingdom since the Armistice and the return home of the men from the Forces, there has been a substantial recover}- in the birth-rate. In England and Wales the birth-rate was 25:4 per 1,000 inhabitants in 1920, as compared with 18.5 in 1919 and 17.7 in 1918. It is probably only a temporary phenomenon, and as far as Acton is concerned, the birth-rate is again declining. |
89908990-d7c9-4985-8c67-d1453285b44f | The births registered in the district in the four quarters were as follows :— First quarter 423 Second quarter 399 Third quarter 337 Fourth quarter 283 The sharp rise in the first half of 1920 is not likely to affect permanently the general tendency towards a reduced birth-rate, which has been such an outstanding feature of our Vital Statistics during the past 40 years. No question has been the subject of more discussion in recent years than the birth-rate, and the views held as to the declining birth-rate are as divergent as the poles. On the one hand we have persons who assert that those who seek to restore the birth-rate of half a century ago are engaged in a task which would be criminal if it were not based on ignorance, and which is in any case fatuous. On the other hand, there are people who regard the falling birth-rate as nothing less than race suicide. On one point, though, all are agreed. All admit that the reduction in the birth-rate is deplorable in its differential distribution. |
5845cd98-2619-449b-936b-3347a744ece8 | From the eugenic point of view, the reduced birth-rate operates chiefly amongst those classes which, humanly speaking, are the best fitted to be parents; whilst it operates little, if at all, amongst those classes which are least fitted. Although the question of the birth-rate is discussed quite freely nowadays, candidly, one must admit that the question of over-pouplation is not faced fairly and squarely. The following extract from a review in the Medical Officer of the Registrar-General's Annual Report for 1919, places the matter fairly, if somewhat strongly:— "Has anyone, since the days of Malthus, ever faced, fairly and squarely, the consequences of all the facts that are summarised in these reports which come from the Registrar-General every year? These islands are not distensible: already they are in parts stretched almost to the limit of their capacity. |
fd54ff1f-9ead-4b6c-b9a3-23d49e9bdd6c | How long can they continue to accommodate and support a population 10 which has already in these few short months, not only made good the losses of war and epidemic disease, but is threatened at the same time with an overflowing increase in numbers, based on the principle of ' To him that hath shall be given,' and is merely a question of elementary arithmetic ? "Look at a not too distant future, when the death-rate, particularly the infant death-rate, will be negligible, when venereal disease will only be remembered for the horrid pictures that were wont to embellish the text-books; when tuberculosis is dead or dying ! What is going to happen then? "Perchance an occasional outburst of influenza or measles or some ridiculously inadequate epidemic to relieve the everaccumulating pressure. "Something is bound to burst—but what ? |
239e6f28-619b-490f-861e-9bc8ddf2f6f3 | We can only hope that the law which holds sway in so many biological processes —that after a period of acceleration, there shall follow a period of deceleration, due to exhaustion of the substrate or to the inhibitory effect of re-action—products— may not fail us ere it be too late. It is a wonderful stride that medicine has taken along the path of prevention and mastery of disease, but by its side there stalks a shadow—is it of pestilence or is it of war ? *- There is a slight discrepancy between the numbers given on Table 3 and the figures published by the Registrar-General. The numbers of births included in the Registrar-General's figures are those registered during the calendar year, and are corrected, for inward and outward transfers. Table 3 includes the births notified during the year and those registered in the district, but not notified, together with the births belonging to the district, but registered outside. The Registrar-General's figures are those of births belonging to the district that were registered during the year. |
7bcbf4a6-2a50-489a-846d-4d63c57035d6 | The figures in Table 3 are based mainly upon the notifications received during the year. The number of births registered in the district was 1,442— 740 males and 702 females. In addition 99 births belonging to the district occurred outside the area. The total number of registered births belonging to the district was 1,541—792 males and 749 females. Of these 34 males and 26 females were born out of wedlock. 11 There was a great reduction in the illegitimate birth-rate —39 per 1,000 births, compared with 58 in 1919 and 57 in 1918. The total number of illegitimate births was higher than that of 1918, and only 4 lower than that of 1919. During the year 1,356 live births were notified and 35 still births. 112 births were registered in the district, but not notified. 58 live births and 1 still birth belonging to the district were notified by outside authorities. |
5cef8066-fb64-4e17-bdfb-8b0eb853b91f | The Ward distribution is given on Table No. 3. Cinemas. There are two Cinema Houses in the district, and a third is in course of erection. During the year a circular was received from the Ministry of Health dealing with the lavatory and closet accommodation in picture theatres. In both cinemas the closet accommodation was considered insufficient, and as a result of the inspection and report, additional accommodation is being provided. The sanitary accommodation in cinemas is only a minor part of the question compared with the want of means of ventilation and lack of arrangements to prevent harm to the eyesight of children. In view of the undoubted fact that cinema hcvses play an important part in the spread of infectious diseases, regulations should be adopted with respect to the ventilation of and sanitary accommodation. The subject is complicated in Acton by the fact that the Council is not the licensing authority, and the only power it possesses is in respect of any new buildings which may be erected or adapted. |
2a84a52e-0409-42f3-842a-39de179176b3 | The inlets for fresh air are usually insufficient, and where outlets for foul air are provided, they are insufficient and not always in working order. The unsatisfactory state of the atmosphere in some cinemas is indicated by the analyses which have been made in some towns, where as much as 40 to 50 volumes per 10,000 of carbon acid gas are found, compared with 4 in the outside air. Many authorities have also drawn attention to the increasing prevalence of defective vision amongst children. In Eastbourne, regulations are made whereby the seats for children are placed in a line with the centre of the screen at a distance of thrice its full height. Sanitary Inspection of the District. At the end of the Report will be found a Table giving a classified statement of the premises visisted, the number and nature of the inspections, etc. 12 I am obliged to Mr. M. W. Kinch, the Chief Sanitary Inspector, for the following report upon this section:— Houses Let in Lodgings. |
ed349bbe-c325-478f-8f48-36427a712c35 | The present bye-laws dealing with these premises are made under Section 90 of the Public Health Act, 1875, and contain the following exemption clauses:— (a) Where the rent or charge payable by each lodger, and exclusive of any charge for the use by the lodger of any furniture is at the rate of not less than 10s. per week : (b) Where the rent or charge payable by each lodger, and inclusive of any charge for the use by the lodger of any furniture is at the rate of not less than 15s. per week. We find the amounts stated in such clauses sufficiently high to enable us to deal with the class of houses for which these bye-laws were intended, although further extensions of these byelaws would be beneficial. |
d91d1cd3-d27b-44bd-85e6-dcffe857eaf8 | Under Section 26 of the Housing and Town Planning Act, 1919, further power is given to the Local Authority to extend the provisions of these bye-laws, but only in such cases where such houses are intended or used for occupation by the working classes. In the case of the bye-laws made under the Public Health Act, it is left to the discretion of the Council whether a house shall be registered or not, and in the case of the bye-laws made under the extended powers given by the Housing Acts, there is the difficulty of deciding whether or not a house is intended for occupation of the working classes. In my opinion, the provisions contained in both these sets of bye-laws would be of far more service if they applied to all houses let in lodgings within the rentals named, without the formality of registration. |
572a7ec2-66f2-4c84-a7a5-d7a69ce11fe3 | The Council has already considered a draft of these later bye-laws, and is waiting until the bye-laws submitted to the Ministry of Health by the London County Council have been approved before deciding on the adoption of the series under consideration. Underground Rooms. There are no underground rooms in the district which come within the provisions of Section 17 (7) of the Housing and Town Planning Act, etc., 1909. The Council has, however, made regulations as empowered by the said Section on the lines of the model series of the Ministry of Health. Seizures of Meat and Particulars re Same. There were no seizures under the Unsound Food Sections of the Public Health Act, but during the year 495 lbs. of meat (including bacon) were voluntarily surrendered, but none was affected with tuberculosis. In all cases it was unsound, due to decomposition—principally, bone-taint. 13 Slaughterhouses. No. in 1914 No. |
1abeb77a-54ce-4fcb-9b20-82f54c462f14 | in June, 1920 No. in Dec., 1920 Registered 1 1 1 Licensed 2 2 2 Bye-laws for the regulation of these premises were adopted by the Council on the 19th June, 1899. Tents, Vans, Sheds, etc. The district is not much frequented by gipsies, and there are no persons occupying tents and sheds. There is a more or less permanent encampment of van dwellers (showmen) opposite Acton Green, and the average number of such vans during the year is 9. Bye-laws were made by the Council on the 29th October, 1906, and are found to be quite adequate for the purpose of dealing with this class of dwelling. Bakehouses. Of these, there are 7 underground and 18 aboveground. In 18 cases slight sanitary defects were found to exist, which were remedied by request. |
05a4bafa-4d51-4e9b-bca7-339702d6a914 | These defects were principally:— Want of lime-washing. Defective plastering. Defective floors. Defective drainage (in one case only). Unsound Foods. The following amounts of unsound foods (other than meat and bacon) were surrendered:— 450 lbs. rabbits. 201 lbs. fish. 192 lbs. fruit and vegetables. 129 lbs. other articles, such as tinned milk, butter, etc. No unsound foods were seized under Section 116 of the Public Health Act, 1875. The following is a list of the number of premises where foods are prepared, manufactured or sold:— 29 butchers' shops. 22 fishmongers. 47 greengrocers. 16 provision shops. 32 restaurants, food shops, and sausage makers. 83 dairies and milk purveyors' premises. 14 Section 28 of the Housing Acts, 1919. |
5c9cc544-503c-45e5-9970-805010fdece1 | The Public Health Committee, at its Meeting held on January 27th, 1920, approved the proposal to serve all Notices in future under Section 28 of the Housing and Town Flanning Act, 1919. where such Section was applicable. As it was considered probable that such a course would entail a considerable amount of work in the Surveyor's Department (the Council being empowered in default of compliance with the Notices to have the work carried out), the Works Committee was informed of the matter and asked to prepare itself to carry out the works as expeditiously as possible. The first Notices under this Section were served in February, and to the 31st December totalled 621. In 528 cases the owners carried out the necessary work, but in 93 cases the Council did so in default, the total cost of which amounted to £4,820. The procedure in serving the Notices is as follows:— After the inspection of the premises has been made, the details are recorded on a specially prepared form. |
dc8309a4-7960-44d4-912e-e10723924c2f | These forms are submitted to the Committee at each meeting, and authority obtained for the service of the Notice. The Notices are then typed out, specifying in detail what is required to remedy the defects, and four carbon copies are made. The Notices, after being signed by the Clerk, are served by hand upon the premises, addressed to "The Owner, c/o the Occupier," and at the same time a letter is sent to the person believed to be the owner, informing him of such service, together with one of the carbon copies above mentioned. A carbon copy is also attached to the office record form, and the other two are kept in reserve to send to the Surveyor in the event of the Owner failing to carry out the work. One of these copies the Surveyor retains for office use, and the other is handed to the Works' Foreman for the purpose of carrying out the work. This saves the Surveyor a considerable amount of typing in his department. In no instance has the Council received notice of appeal. |
2820b525-823c-4f5a-b844-4b094c114c81 | The proviso in the Section refers only to cases where, in the opinion of the landlord, the works required to be carried out by the Council involve the reconstruction of the house. In many of the houses the number of defects found were very numerous and extensive, such, for instance, as the absence of efficient damp-proof courses and the defective and insanitary floors, due to the absence of concrete over the site and the inefficiently ventilated space under the wooden floors. In one or two. cases of defective roofs, it was found impossible to satisfactorily remedy the defects other than by completely stripping the roofs and reslating, and in the case of flats zinc roofs where the zinc had perished, it was necessary to cover the roofs with one of the approved preparations, such as "Ruberoid." |
3cb58caa-a3aa-4fcc-81fd-5afae4bcc080 | 15 Towards the end of the year the number of Notices receiving attention by the Surveyor showed a marked drop, which, in my opinion, was due to the fact that owners realised that the Council were determined to have all insanitary conditions remedied, and they found it would be much cheaper to get the work done themselves than through the Surveyor's Department. During the war there was very little work done in the way of repairs and re-decorations to houses, and upon a house-to-house inspection the defects found were usually fairly extensive, as will be seen from the following list, which enumerates the principal defects:— Defective and insufficient yard paving. Insanitary conditions of forecourt. Defective drains. Defective soil pipe and ventilating shaft. Defective W.C. pan and trap, flushing apparatus and seat. Insanitary sink, or want of sink and water supply to same. Defective or untrapped sink waste pipe. Want of a sufficient food cupboard. |
bf5dd23e-636b-481e-97e5-128224aac022 | Defective, or want of, cover to drinking water cistern. Insanitary condition of ground beneath floors. Insufficient ventilation under ground floors. Dampness, caused by defective roofs, rain water pipes and guttering, and want of damp-proof courses. Defective plastering. Dirty walls and ceilings. Defective flooring. Defective kitchen range or fire grate. Defective washing copper. Under this Section, which requires any house suitable for occupation by persons of the working classes to be in all respects reasonably fit for human habitation, the Council decided to adhere to the standard of fitness, as laid down in the Manual of Unfit Houses, Volume 1, issued by the Ministry of Health, and in all cases of houses or tenements which were not provided with sinks and food cupboards, such were required, and in addition, suitable coal storage cupboards were asked for. |
3d9a6e44-08c5-4fae-9f42-718095915158 | In one or two instances, owners have objected to the provision of these, but after talking the matter over with them, they have agreed to the Council's demands. 16 Classified Statement of the Number of Premises Visited during the Year. Number. Premises. 2,237 Dwelling houses. 259 Workshops. 3 Slaughterhouses. 37 Public House Urinals. 1 Common Lodging House. 97 Houses Let in Lodgings. 29 Butchers. 22 Fishshops. 37 Premises where food is manufactured. 89 Milk Purveyors. 2 Cowsheds. 9 Piggeries. 1 Offensive Trade. 4 Rag and Bone. 22 Mews and Stables. 11 Schools. 2 Show Grounds. 2,862 Number and Nature of Inspections Made. 405 House to House Inspections. .317 After infectious disease. 976 On Complaint. 539 Not on Complaint. 615 Premises under periodical inspection. |
70af1c17-a897-4a2f-b943-0c07cf74c25b | 7,708 Re-inspections of premises. Number of Notices Served. 1,582 Statutory. 323 Preliminary, etc. Houses Let in Lodgings. Number registered 97 Tabular Statement of Inspections and Detail of Work Carried Out under the Public Health Department. 323 Preliminary Notices served. 1,582 Statutory Notices served. 12 Notices received from H.M. Inspector of Factories. 17 154 Notifications of waste of water sent to Metropolitan Water Board. 976 Complaints received. 976 Inspection of Premises on Complaint. 539 „ without complaint. 317 ,, after Infectious Disease. 405 „ House to House. 615 Premises under Periodical Inspection 7,708 Re-inspections of Premises. 621 Houses dealt with under Section 28. 97 Houses let in Lodgings registered under Bye-laws. 34 Contravention of Bye-laws. 17 Overcrowding nuisances abated. |
a79f7db6-37e5-43d9-894b-c407b8136c61 | 86 Drains examined, tested, exposed, etc. 22 Smoke observations taken. 6 Smoke nuisances abated. 11 Nuisances abated from foul pigs and other animals. 63 Visits to Common Lodging Houses (1 registered) 483 „ Houses let in lodgings. 64 „ Van dwellings. 4 „ Cowsheds. 96 „ Piggeries. 12 „ Offensive Trades (1 tered) 26 „ Rag and Bone Dealers. 42 „ Mews and Stables. 148 „ Public House Urinals. 7 „ Schools. 12 „ Showgrounds. 863 Sanitary dustbins provided. 254 Yards paved or existing yard paving repaired. 56 Insanitary Forecourts remedied. 83 Defective drains repaired or reconstructed. 62 Defective soil pipes and ventilating shafts repaired or new fixed. 48 Defective fresh air inlets repaired, or new fixed. 132 Defective gullies removed and replaced by new. |
ef8f8c01-1ee9-425c-ac60-63fadb23da0f | 10 Rain water down.pipes disconnected from drain. 211 Dishing and curb to gullies repaired, and new gratings fixed. 18 156 Defective W.C. pans and traps removed and replaced by new. 223 Defective W.C. flushing apparatus or new fixed. 65 Defective W.C. seats repaired or new fixed. 51 Defective flush-pipe connections paired. 22 Insanitary sinks removed or new sinks fixed. 322 Sink waste pipes repaired or trapped. 64 Insanitary wall surfaces over sinks remedied. 35 Ventilated food cupboards provided. 53 Drinking water cisterns cleansed. 65 Defective covers to drinking water cisterns repaired, or new fixed. 17 Insanitary sites beneath floors concreted. 183 Spaces beneath floors ventilated. 265 Dampness in walls from defective damp-proof courses remedied. 655 Dampness from defective roofs, rain water guttering, etc., remedied. |
8c618dd1-3299-4690-813f-1be0b05ac425 | 409 Defective plastering repaired (number of rooms). 1,861 Rooms where dirty walls and ceilings have been cleansed and repapered or distempered. 137 Defective floors repaired. 15 Defective or dangerous stairs repaired 39 Defective door and window fastenings renewed. 57 Defective window frames, sashes, or sills repaired. 123 Broken glass to windows renewed. 19 Defective hearths repaired. 64 Defective kitchen ranges and fire grates repaired. 57 Defective washing coppers repaired. 15 Coal cupboards provided. 6 New W.C. apartments provided. 56 Dirty yards cleansed. 48 Dirty W.C. pans cleansed. 47 Accumulations of offensive matter removed. 219 Drains unstopped and cleansed. 5 Manure receptacles provided. |
3d21b6d7-cc91-4357-8139-6404eee3c84f | 19 ANNUAL REPORT ON THE ADMINISTRATION OF THE FACTORY AND WORKSHOP ACT, 1901, IN CONNECTION WITH FACTORIES, WORKSHOPS, WORKPLACES AND HOMEWORK. 1.—Inspection of Factories, Workshops, and Workplaces, including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. Premises. (1) Number of Inspections (2) Written Notices (3) Prosecutions. (4) Factories (including Factory Laundries) 12 5 - Workshops (including Workshop Laundries) 321 64 - Workplaces (other than Outworkers' premises included in Part III. of this Report) 16 3 — Total 349 72 — 2.—Defects found in Factories, Workshops and Workplaces. Particulars. (1) Number of Defects. Number of Prosecutions. (5) Found. (2) Remedied. |
90797f6a-406d-4c21-88d2-5dfb9ebf324a | (3) Referred to H.M. Inspector. (4) Nuisances under the Public Health Acts:— Want of cleanliness 26 26 - - Want of ventilation — - - - Overcrowding — — - - Want of drainage of floors 6 6 - - Other nuisances 39 39 - - Sanitary accommodation— Insufficient 1 1 - - Unsuitable or defective 37 37 - - Not separate for sexes — - - - Offences under the Factory and Workshop Acts:— Illegal occupation of underground bakehouse (s. 101) - - - - Breach of special sanitary requirements for bakehouses (ss. 97 to 100) Other offences (excluding offences relating to outwork which are included in Part 3 of this Report) 18 18 - — Total 127 127 — 20 3.—HOME WORK. Nature or Work. Outworkers' Lists, Section 107. Outwork in Unwholesome Premises, Section 108. |
0d3cd5fa-2beb-4236-8296-fc9804544d16 | Outwork in Infected Premises, Sections 109, 110. Lists received from Employers. Notices served on Occupiers as to keeping or sending lists. Prosecutions. Instan ces Notices served. Prosecu tions. Instan ces Orders made (s. 110) Prosecutions (Sections 109, 110) Sending twice in y'r Sending once in y'r Failing to keep or permit inspection of lists. Failing to send lists. Lists. Outworkers Outworkers Contrac tors. Workmen. Lists Contrac tors. Workmen. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) Wearing Apparel— Making, etc. . . . . . . . . . . . . . Cleaning & Washing . . . 2 . 14 . . . . . . |
8b8ec2ae-4232-477a-909c-a7852672c591 | . . . Household linen . . . . . . . . . . . . . . . Lace, lace curtains and nets . . . . . . . . . . . . . . . Curtains and furniture hangings . . . . . . . . . . . . . . . Furniture and upholstery . . . . . . . . . . . . . . . Electro-plate . . . . . . . . . . . . . . . File-making . . . . . . . . . . . . . . . Brass & brass articles . . . . . . . . . . . . . . . Fur pulling . . . . . . . . . . . . . . . 21 Cables and chains . . . . . . . . . . . . . . . Anchors and grapnels . . . . . . . . . . . . . . . Cart gear . . . . . . . . . . . . . . . Locks, |
f74e28a0-656e-4586-8631-5996e1b8b2ba | latches & keys . . . . . . . . . . . . . . . Umbrellas, etc. |
474f0ec5-f093-4d79-8bb5-39596cdf4b38 | ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Artificial flowers ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Nets, other than wire nets ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Tents ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Sacks ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Racquets and tennis balls ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Paper, etc., boxes, paper bags ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Brush making 2 ... 18 ... ... ... ... ... ... ... ... ... ... ... ... Pea picking ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Feather sorting ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Carding, etc., of buttons, etc. |
d2603d83-0bfc-4899-bec4-02f2ccf414ca | ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Stuffed toys ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Basket making ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Chocolates and sweetmeats ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Cosaques, Christmas crackers, Christmas stockings, etc. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Textile weaving ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Total 2 ... 18 2 ... 14 ... ... ... ... ... ... ... ... ... 22 1920 4.—Registered Workshops. Workshops on the Register (s. 131) at the end of the year Number. (1) (2) Important classes of workshops such as workshop bakehouses may be enumerated here. |
adf2cbb7-bf93-4e46-9a2f-070cb185f4fb | Laundries 105 Dressmakers 32 Millinery 5 Tailoring 9 Bakehouses 25 Bootmakers 26 Others 57 Total Number of Workshops on Register 259 5.—Other Matters. Class. Number. (1) (2) Matters Notified to H.M. Inspector of Factories:— Failure to affix Abstract of the Factors and Workshop Acts (s. 133, 1901) Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Acts (s. 5, 1901):— Notified by H.M. Inspector 12 Reports (of action taken) sent to H.M. Inspector 12 Other — Underground Bakehouses (s. 101) in use at the end of the year 7 Refuse Removed, etc. |
97e8f180-7ad3-4e1a-851a-a74fb4f340ff | Amount of house refuse collected 12,098 tons Amount of slop, etc., removed 5,599 loads Watering of roads 10,262 loads Shingle, etc. 70 loads Number of Houses Completed. Containing Living Room, Parlour, Scullery and three Bedrooms 84 Bungalows at North Acton, containing Living Room, Parlour, Scullery, and three Bedrooms 76 Built by a Private Builder 8 Huts converted into D w ellings ellin 9 Houses in Course of Construction 124 The position with regard to the construction of the Northern Relief Sewer is that the whole of the works have been commenced, and approximately two-thirds of the entire length of the Sewer has been completed. The work is still proceeding satisfactorily. 23 1920 Appendix No. 1. 1. Estimated population 64,192 2. General Death-rate 10.4 3. Death-rate from Tuberculosis 1.2 4. |
2f3d84b5-88c1-4b6f-a32c-3f7c64af4dd6 | Infantile mortality 65 5. Number of Dwelling Houses of all Classes 9,935 6. Number of Working Class Dwelling Houses 6,428 7. Number of New Working Class Houses erected 162 Unfit Dwelling Houses. Appendix No. 2. 1.—Inspection. 1. Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 2,337 2. Number of dwelling houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910 621 3. Number of dwelling houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil 4. Number of dwelling houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 621 2.—Remedy of Defects without Services of Formal Notices. |
8bd666ad-2454-4a45-8230-b95d4e05e4ac | Number of defective dwelling houses rendered fit in consequence of informal action by the Local Authority or their officers 17 3.—Action under Statutory Powers. (a) Proceedings under Section 28 of the Housing, Town Planning, etc., Act, 1919. 1. Number of dwelling houses in respect of which Notices were served requiring repairs 621 2. Number of dwelling houses which were rendered fit:— (a) By Owners 528 (b) By Local Authority in default of Owners 93 3. Number of dwelling houses in respect of which Closing Orders became operative in pursuance of declarations by owners of intention to close Nil. 24 1920 (b) Proceedings under the Public Health Acts. 1. Number of dwelling houses in respect of which Notices were served requiring defects to be remedied 961 2. |
1046af03-2899-4765-b43e-f8b386d83429 | Number of dwelling houses in which defects were remedied:— (a) By Owners 666 (b) By Local Authority in default of Owners 295 (c) Proceedings under Section 17 and 18 of the Housing, Town Planning, etc., Act, 1909. 1. Number of representations made with a view to the making of Closing Orders Nil. 2. Number of dwelling houses in respect of which Closing Orders were made Nil. 3. Number of dwelling houses in respect of which Closing Orders were determined, the dwelling houses having been rendered fit 3 4. Number of dwelling houses in respect of which molition Orders were made Nil. 5. Number of dwelling houses demolished in suance of Demolition Orders Nil. Measles. Few questions confront Medical Officers of Health more regularly or more persistently than the control of Measles; and, I might add, that on no other subject is there such a lack of uniformity displayed in the measures adopted to deal with it. |
97c8db28-1fc1-46e1-8f6f-7797d8006523 | There is a seasonal periodicity of measles, and in large centres of population epidemics of measles occur with almost mathematical regularity every second year. It might be assumed that the seasonal and biennial periodicities of measles would be of value in that they enable a sanitary authority to be prepared for an epidemic outbreak of measles, but there is no situation which appears so hopeless to the Medical Officer of Health of an Urban Area as that in which he is face to face with an epidemic of measles on a large scale. Some authorities assert that the control of measles is non-existent. Until a vaccine has been discovered it would seem that measles must play its time-honoured role and visit in continually recurring epidemics the successive generations of men, who in this natural but sacrificial manner, acquire the protective immunity which enables the greater mass of the population to withstand the otherwise ever present presage of a pandemic disease. |
6d139b6d-0168-4087-ba40-1e1adee0da1d | As a natural corollary of this fatalistic non-possumus attitude, we have some authorities who doubt, not only the pos- 25 1920 sibility of controlling the spread of measles, but even the desirability of doing so, were it possible. These persons regard all efforts at control to result at best only in a short postponement of the epidemic, and this postponement means a future bigger epidemic. It may be mentioned that these are the views of Medical Officers of Schools (not School Medical Officers). Very few Medical Officers of Health will admit that some amount of control is not possible, and they certainly will not admit that very little is gained by attempting to control the spread of measles. Even if the Medical Officer of Health fails with one method, he must devise another, and not fold his hands because he has failed. |
41600631-0983-4c83-818c-55c29a09751c | The different views held by Medical Officers of Schools and Medical Officers of Health may be partially explained by the fact that the subject is viewed from a different angle, and sometimes it is an advantage for the same person to hold the dual post of School Medical Officer and Medical Officer of Health. The School Medical Officer is concerned chiefly with the spread of the disease in schools, and he is apt to measure his success or his failure by the number of cases which occur. The Medical Officer of Health is apt to base his view of success or failure on the number of deaths which may result, and it is possible that under certain conditions the number of cases which occur may be high, but the number of deaths may be comparatively low, though as a general rule the bigger the epidemic the higher the fatality. It is well known that the main stress of measles falls upon the child population, and in particular upon children between the ages of 1 and 3 years. Ninety per cent. |
7394deb2-d08b-4ae5-a2d3-9a3695a0fb38 | of the total deaths from measles occur among children under 5 years, and nearly one-half of the total deaths from the disease occur in the second year. In a report to the Local Government Board the importance of postponing an epidemic, even for a short time, was emphasised. It was pointed out that a short postponement would carry a certain number of children over the most susceptible period, and thus a certain number of lives would be saved. The case mortality at the age period 5-10 years has been found to be only one-ninth of that in the third year of life. In the fourth year of life the case mortality is less than one half that in the third year of life. In a discussion which took place at a meeting of the Medical Officers of Schools Association, it was argued that a postponement of the attack for more than six months could not be obtained, and such a postponement was not worth while. |
87ddf670-543f-4a1e-818a-c884a5cd9a02 | Against the slight postponement of attack is to be placed the fact that when 1920 26 closure occurs all knowledge of secondary cases is lost, and it is not until the school re-opens that the extent to which measles has spread in the interval can be ascertained. While in those schools which remain open absentees can be visited, and skilled help given, in cases where the school is closed the only knowledge that comes to hand in the interval is in the death returns. It is admitted that all children over 6 months of age, with a few rare exceptions, are exceedingly susceptible to measles. Although no complete explanation has been furnished, the low proportion of deaths among infants under 6 months of age is an interesting feature in measles. Whether the exemption is due to a natural immunity or to the comparative isolation of "cradle life," the evidence is not conclusive. In an enquiry into the medical history of 14,000 children in one district, 47 per cent. |
22b11115-6aa6-44a3-8255-12d5b3339fec | of those between 5 and 6 years of age had suffered from measles, whereas of those from 10 to 15 years of age 90 per cent. had had the disease. Similar inquiries have been made in other districts, and the figures bear out the contention that the disease is so universal in this country, few children escape it. On the face of it, it seems that very little benefit can accrue from the postponement of an epidemic. But there are other factors which govern, not so much the extent of an epidemic as its fatality. It is a general experience that an epidemic is not so fatal in the warm months of the year as it is in the colder months. When we consider the cause of deaths from measles, this phenomenon is easily explainable. In the Registrar-General's Annual Report for 1911, the causes of death in measles are given of the 13,128 deaths from measles in that year. |
e5441edb-2331-4543-a0fc-038188e2c9b3 | 1,066 were stated to have died from measles (unqualified), 6,449 from broncho-pneumonia complicatory measles, 1,670 from pneumonia, and 1,109 from bronchitis. Over 90 per cent. of the deaths from measles were due to complications, and the most serious complications were due to respiratory diseases. The prevention of these respiratory complications is far more difficult in the winter months than it is in the summer months. If an outbreak makes its appearance in the early part of the year, it is undoubtedly an advantage to postpone, if possible, its epidemic appearance until the summer months. If, on the other hand, measles makes its appearance in the early summer, it is doubtful if any advantage can accrue from its postponement. Under present 27 920 conditions it is probably better to let the outbreak run its course in the summer months rather than postpone its appearance until the late autumn. The percentage mortality of those attacked is difficult to ascertain. |
3602ab7a-12c8-46c2-aa8a-f02214572961 | Of course, it varies according to the age of the patient, and under present conditions the action of sanitary authorities, and more especially school authorities, will not alter much the age incidence. The case mortality is probably in the neighbourhood of 4 per cent. The point I wish to emphasise is that this case mortality is much higher in a winter epidemic than in a summer one, and every effort should be made to postpone, if possible, a winter epidemic into a summer one. The figures for Acton are too small to be of much use, but they are significant, and probably an index of those throughout the kingdom. The last occasion on which, we experienced a winter epidemic was in 1917. At that time compulsory notification was in force, and 1,485 cases were notified and 39 deaths occurred. In 1920, 950 cases were reported and 9 deaths occurred. |
d60aaaa5-ab91-4a66-9665-fc4965dd490d | The most notable difference between the two epidemics was, that the 1917 epidemic occurred in the winter and the 1920 occurred in the late spring and summer. Opinions differ as to the term of the postponement of an epidemic. Most authorities now admit that a certain amount of postponement of attacks can be brought about by a class closure in a school, or by the closure of a department, provided that closure took place before any secondary cases occurred or, as it was expressed, before the occurrence of the first crop. In some instances, it is possible to postpone an epidemic after the occurrence of the first crop. One of the objections to the postponement of an epidemic is that a postponement means a bigger epidemic at a later period, and it is a common experience that under ordinary conditions the bigger the epidemic the higher the case fatality. It is claimed that the symptoms are more severe if the infection is massive. There is very little ground for this obection. |
d571d8d1-5281-4bd5-a59f-8a7f5945b230 | The postponement cannot be sufficiently delaved to modify the dimensions of the epidemic. Moreover, when the postponement of an epidemic can be successfully achieved, it is found that this takes place around the school holidays, and the infection is rendered less massive. If we take the 1920 epidemic as an example, we find that the disease made its appearance in two of the schools before the Easter holidays. These two departments were closed for a fortnight before the Easter holidays and re-opened after the Easter vacation. 28 1920 These departments were not closed sufficiently early to postpone the epidemic to any considerable extent, but measles did not affect the other schools to any appreciable extent until the beginning of May. Probably the closure of the departments and the intervention of the Easter holidays resulted in a slight postponement of the epidemic, and I am of opinion that this slight postponement, together with the splitting up of the epidemic, as it were, was instrumental in contributing towards a milder epidemic than if it had occurred as an explosion during the colder months. |
52003066-2a66-4e41-83b0-d4568b48cd03 | The history of the outbreak presented nothing of outstand ing interest; the outbreak followed the usual course observed in a mild epidemic of measles. A doubtful case was notified from Beaumont Park School in the early part of March, but in this instance it was probably a case of mistaken diagnosis. Undoubted cases were reported in March from the Southfield Road Infants' and Acton Infants'. The dates of the onset of symptoms in these cases were between March 8th and March 11th. These departments were closed on March 22nd and March 24th respectively, and re-opened after the Easter holidays, on April 12th. The Montessori Class at Southfield Road was again closed from April 13th to May 3rd. A case occurred in the Priory Infants' Department before the Easter holidays. The initial symptoms occurred on March 23rd, and the first crop fell during the Easter holidays. |
e172007a-ef5d-49ad-a5ee-33dcf347df6d | Cases occurred amongst the children attending Rothschild Road, South Acton, and Acton Wells Infants' Departments during the Easter Holidays, but there was no spread of the disease until the earl}7 part of May. Towards the end of April cases occurred in other schools, and the following Table gives approximately the dates on which the first and last cases occurred in these schools. School. First Case. Last Case. |
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