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9b5379c3-bf1d-4ed5-812c-55869ca6b5c2	3 3 Puerperal Sepsis 4 – – – – – 4 – – 1 – – 3 Other Accidents and Diseases of Pregnancy and Parturition 1 – – – – 1 – – – – – – 1 Congenital Debility and Malformation Premature Birth 39 39 – – – – – – – 16 6 5 12 Suicide 7 – – – – 1 1 4 1 2 1 2 2 Other Deaths from Violence 13 1 – – 2 1 2 3 4 2 1 4 6 Other Defined Diseases 138 8 1 2 4 2 13 22 86 44 39 20 35 Causes ill-defined or unknown 1 1 – – – – – – – – – 1 – 669 80 11 13 15 29 69 176 276 190 135 137 207 69 TABLE
76cf6c5c-3af2-401f-8949-f670cd1d0707	4. INFANTILE MORTALITY, 1925. Causes of Death. Ages. Wards. Total Under 1 week 1—2 weeks 2—3 weeks 3-4 weeks 1-3 months 3—6 months 6-9 months 9—12 months North East North West South East South West Whooping Cough 2 – – – – – 1 1 – 2 – – – Tuberculous Peritonitis 1 – – – – 1 – – – – – 1 – Tuberculous Meningitis 1 – – – – – – 1 – – – – 1 Bronchitis 4 – – – – 1 1 – 2 – 1 – 3 Pneumonia 13 – – – – 4 3 4 2 – 4 1 8 Acute Tonsillitis 1 – – – – – – – 1 1 – – – Convulsions
b03da5e0-f2de-48e8-a21d-464c26101db1	1 1 – – – – – – – – – – 1 Meningitis 2 – – – – – 1 1 – – 1 – 1 Diarrhoea 10 – 1 – – 2 3 3 1 2 – 4 4 Congenital Debility and Atrophy 5 2 – – – 2 – – 1 2 – 2 1 Congenital Malformation 5 – – – – 4 1 – – 1 1 – 3 Injury at Birth 5 5 – – – – – – – 4 – 1 – Marasmus 5 – – – – 2 2 1 – – 1 – 4 Premature Birth 19 12 2 1 – 4 – – – 9 3 2 5 Congenital Syphilis 1 – – – – – – 1 – – – – 1 Infantile Scurvy 1 – – – – – – –
722d8875-99b3-4983-b916-d7ab1efc17e2	1 – – 1 – Intussusception 1 – – – – – – – 1 – – – 1 Found Dead 1 1 – – – – – – – – – – – Other Causes 2 – – – – – 1 — 1 1 — – 1 80 21 3 1 — 20 13 12 10 22 11 13 34 70 TABLE 5. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1925. Notifiable Disease Cases notified in whole District. At Ages—Years. Total cases notified in Wards 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 Scarlet Fever 83 — 22 54 4 3 — — 24 14 16 29 Diphtheria 63 — 10 48
2af86f88-4305-405e-a980-dcdcd3d6a220	3 2 — — 19 5 10 29 Enteric Fever 5 — — 2 — 2 1 — 1 2 2 — Pneumonia 44 4 15 6 3 10 4 2 11 3 11 19 Puerperal Fever 4 — — — — 4 — — 2 — 1 1 Cerebro Spinal Fever 1 — — — — — 1 — 1 — — — Acute Poliomyelitis 1 — — 1 — — — — — — — 1 Encephalitis Lethargica 2 — — — — 2 — — — — 2 — Ophthalmia Neonatorum 5 5 — — — — — — 1 2 2 — Erysipelas 15 — 1 — 1 5 6 2 1 6 3 5 Tuberculosis (Resp.)
8d536f76-9019-4764-934b-ed4e3b0ee4e0	70 — 3 1 26 29 11 — 21 8 15 26 Tuberculosis (Other) 13 1 1 5 2 4 — — 5 1 2 5 306 10 52 117 39 61 23 4 86 41 64 115 71 TABLE VI. CASES REMOVED TO HOSPITAL, 1925.
e60df60d-033b-45a8-bca0-0c91cff929de	N. East N. West S. East S. West Total Scarlet Fever 15 10 13 27 65 Diphtheria 18 5 10 29 62 Enteric 1 1 1 1 4 Pneumonia 2 2 2 11 17 Puerperal Fever 2 — 1 1 4 Cerebro Spinal Fever 1 — — — 1 Acute Poliomyelitis — — — 1 1 Encephalitis Lethargica — — 1 — 1 Erysipelas 1 1 1 2 5 Tuberculosis (Resp.) 13 7 9 23 52 Tuberculosis (Other) 5 1 2 3 11 58 27 40 98 223 TABLE VII. NOTIFICATIONS OF INFECTIOUS DISEASES IN LAST 10 YEARS. 1925 1924 1923 1922 1921 1920 1919
131885ff-f680-440f-81e4-a2079f37ae07	1918 1917 1916 Scarlet Fever 83 105 160 305 630 176 95 38 45 64 Diphtheria 63 45 61 223 205 147 54 46 67 81 Enteric Fever 5 0 3 1 1 — 5 3 4 5 Pneumonia 44 54 28 30 13 20 26 Puerperal Fever 4 5 3 2 1 4 6 — 1 4 Cerebro-Spinal Fever 1 1 2 1 — 2 — 1 — 2 Acute Poliomyelitis 1 1 2 — — — — 2 — 2 Encephalitis Lethargica 2 6 1 1 1 2 1 Ophthalmia Neonatorum 5 4 4 4 2 15 11 7 6 6 Erysipelas
0de56826-b6bd-4b0f-82e5-73adb3fb8390	15 22 16 14 18 17 17 11 20 30 Malaria — — — — — 4 31 Tuberculosis (Resp.) 70 85 73 87 96 103 128 128 139 139 Tuberculosis (Other) 13 9 24 11 13 15 14 21 29 26 Dysentery — — — 1 — 1 Measles 365 417 1455 1059 72 TABLE VIII. BIRTHS. Males Females Total Births 539 508 Legitimate 522 487 Illegitimate 17 21 Notified Births in District. N. East N. West. S. East S. West Total 242 144 158 338 882 Still Births 17 Births Registered, but not Notified.
295ede96-8069-462d-be95-288e413bbaf7	Males 15 Females 12 N. East N. West S. East S. West Total 10 5 8 4 27 Notifications were received from— Doctors 481 Midwives 360 Nurses 104 Parents 13 Outside Births Males 55 Females 42 Total 97. N. East N. West S. East S. West Total 36 19 22 20 97 Still Births (Outside) 5 73 TABLE IX. INFANT WELFARE CENTRES, 1925.
6f9a0e2a-f88a-4a1b-80e4-fdda4189cd26	Health Visitors' Attendances 200 Number of Children who attended 1,539 Number of Attendances by Children 11,231 Number of Children under 1 year of age 629 Number of Children over 1 year of age 910 Children who attended the Clinic for the first time 640 Children Treated at Dental Clinic 73 Children Treated at Ophthalmic Clinic 9 Children Treated for Enlarged Tonsils and Adenoids 11 ANTE-NATAL CLINIC. Number of Attendances by Dr. Bell 25 Number of Expectant Mothers who attended 82 Number of Attendances made by Expectant Mothers 137 Number of Cases admitted to Acton Hospital 3 Mothers referred for Dental Treatment at Clinic 35 Mothers supplied with Dentures 7 Midwives Fees paid 5 Expectant Mothers to whom Dried Milk was supplied 43 Number of Packets of Dried Milk supplied 444 TABLE X. INQUESTS—44.
9b9e3b8e-2d1d-41c4-9632-d1264852196d	Heart Disease 8 Run over by Motor Vehicle 7 Pneumonia 2 Cerebral Haemorrhage 2 Suicide 7 Bronchitis 2 Want of Attention at Birth 4 Arterio-Sclerosis 1 Ruptured Aneurism 1 Accidental Fall 1 Pancreatic Abscess 1 Found Drowned 1 Too decomposed to Ascertain Cause 1 Septicaemia after Abortion 1 Premature Birth 1 Accidental Burns 1 Accidental Scalds 1 Accidentally Suffocated 1 Taking Lysol 1 74 staff to whose salary contribution is made under the public health acts or by exchequer grants. There has been no change in the staff; Mr. Matthews during year obtained the meat certificate of the Sanitary Institute. D. J. Thomas. m.r.c.s., l.r.c.p., d.p.h., Medical Officer of Health (Medical Superintendent of the Isolation Hospital and School Medical Officer). M. W. Kinch.
db320791-a830-4348-8381-7f01a548c161	Member of the Royal Sanitary Institute, holds Meat Certificate; Senior Sanitary Inspector. (Inspector under Diseases of Animal Acts, and the Rag Flock Act). J. J. Jenkins. Cert. Sanitary Institute; holds Meat Certificate. Sanitary Inspector. (Inspector under Fabrics Mis-description Act). E. W. Brooks. Cert. San. Inst. Sanitary Inspector. J. J. Matthews. Cert. San. Inst. Sanitary Inspector; holds Meat Certificate. Miss A. Cooksey. Cert. San. Inst. Health Visitor. Miss. J. Welsh Cert. San. Inst. C.M.B., Health Visitor. Mrs. Light Clerk. I have again to thank all the members of the Public Health Department for ungrudging assistance during the year. I am, Your obedient servant, d. J. thomas.
c24b37a0-7363-4644-8fd8-c7be23587345	ACT 29 1926 BOROUGH OF ACTON ANNUAL REPORT OF THE Medical Officer of Health FOR THE YEAR 1926 1926 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1926. Municipal Offices, Acton, W.3. july, 1927. To the Mayor, Aldermen and Councillors of the Borough of Acton. Ladies and Gentlemen, I beg to submit the Annual Report for the year 1926 on the health of the Borough, together with the work of the Public Health Department. The vital statistics for the year are satisfactory. The death-rate is low; there has been a fall in the infantile mortality ratr and the district has been comparatively free from infectious disease. With the exception of an outbreak of Measles which burred in the early part of the year, the incidence of infectious disease has been remarkably low.
8ff8fd1c-899e-4791-800a-3eae6ef3f80a	So far, Acton, in common other London districts, has been free from the mild type of small-pox which has been so prevalent in the Midlands and northern towns. As regards general sanitary work, it cannot be said that very satisfactory results have been obtained with Meat Regulations. An attempt has been made here to enforce theRegulations, but their interpretation is difficult and the Court of Quarter Sessions allowed the appeal of the butchers against the decision of the local magistrates. The chief complaint, though, arises out of the want of uniformity in the enforcement of the Regulations. Immediately outside the district, it is possible to see meat and other foodstuffs coming under the Regulations. exposed on the street pavements. If some uniformity could be arrived at, a good deal of the difficulty which is expeienced by authorities that take an interest in clean food might be obviated. 4 The following table is a summary of the vital and other statistics for the year 1926.
8df4418c-a91e-4395-b6ac-4fb69805b609	Population (Census 1921) 61,299 Population (estimated 1926) 63,040 Area of Borough .... 2,305 acres. Assessable Value (district rate) £516,616. Net produce of a Penny Rate £2,192. Birth-rate 17.4 per 1,000 inhabitants. Death-rate (all causes) 10.4 ,, ,, ,, Tubercular Death-rate 1.04 ,, ,, ,, Death-rate from Pulmonary Tuberculosis 9 ,, ,, ,, Cancer death-rate 1.25 ,, ,, ,, Infantile Mortality 55 per 1000 births. POPULATION. The Registrar General estimates the population at the end of June 1926 to be 63„040, a decrease of 70 on the population of 1925. At the Census which was taken on June 19th, 1921, the actual number enumerated was 61,299.
14fc08a4-9709-4528-9a5e-8faf0584133a	Owing to the abnormally fine weather in the summer of that year, some holiday movement was already in progress, and the Registrar General, from figures at his disposal, made certain adjustments in the population of certain districts. The adjusted figure for Acton was 62,000. The estimated increase in the population since the Census is 1,040. In a memorandum, the Registrar General states that the estimate of population as at June 30th, 1926 is supplied for use in connection with the vital statistics of 1926. It has been derived from the 1921 Census population (corrected where necessary to give a closer approximation to the resident population of the year as described in the Registrar General's Statistical Review for 1921) after allowance for the births, deaths and migration which occurred between the census date and June 30th, 1926. In the absence of definite information regarding migration between localities, the allowance made for this element of the movement is necessarily an approximate one.
7758e59b-5097-40e6-89c1-b9526783b978	The method adopted has been applied impartially to all areas in the country and it is believed that for the majority of areas the resulting populations may be accepted as sufficiently accurate for the purposes they are intended to serve. It is to be observed, however, that the basis of estimation has been modified from time to time in the light of accumulated 5 evidence regarding the effect of the migration factor and in some areas there may accordingly appear to be a lack of continuity between the estimates of successive post-censal years. The estimate of population is believed to provide as true a measure of the position in June last as the data permit, but the difference between the figure and the corresponding estimate for 1925 is not necessarily representative of the births, deaths and migration which occurred between the 30th June, 1925 and the 30th June, 1926. As the Registrar General has explained in his memorandum, the method has been applied impartially by him to all areas in the country.
e0c15438-840d-4637-baae-8cbed84834e7	Of the large towns in the outer ring of London, in six instances only does he estimate that an increase has occurred and these are, Croydon, Ealing, Hendon, Hornsey, Edmonton and Ilford. In the other 11, including Acton, he estimates that there has been a decrease in the population. In former reports, I have given my reasons for believing that the estimate of the Registrar. General is too low, and I shall now simply give certain figures which are available. Between October 1st, 1925 and June 30th, 1926, 277 new separate dwelling houses were occupied, 6 flats, 2 tenements and 8 shops with houses attached—a total of 293. Between April 1st, 1921, and June 30th,, 1926, 1,146 new buildings have been erected and occupied. Between the Census of 1911 and that of 1921, the increase in the number of inhabited houses was 810.
99ad05fd-3034-4ab4-8802-3bfe81b9f95e	The following table shows the increases which have taken place in the number of Parliamentary electors since 1921:— 1921 30,350. 1922 30,425. 1923 31,394. 1924 31,999. 1925 32,776. 1926 33,424. Between the autumn of 1921 and the autumn of 1926 there has been an increase of 3074 in the number of Parliamentary electors. GENERAL AND SOCIAL CONDITIONS. In last year's Survey Report an account of the general and sanitary conditions was given, and no noteworthy change has taken place in this respect. It was then stated that the district is partly industrial and partly residential. If any change has occurred, it has been a tendency towards industrialism. 6 Dwelling houses have been erected in the north-eastern and northwestern portions of the district, but factories have been erected in the northern part. POOR RELIEF. I am indebted to Mr.
a83adb5b-27ec-4f4c-b739-1a305c6ba433	Harmsworth, the Clerk of the Guardians, for the figures relating to Poor Law Relief. The amount of out-of-door relief given by the Guardians for the parish of Acton in the year ended December 31st, 1926 was:— £ s. d. Ordinary Relief 6127 14 3 Relief to Unemployed 1578 0 6 £7705 14 9 There has been a considerable decrease in the amount of ordinary relief granted, but a rise in the amount of unemployment relief. The increase in the latter was due to the General Strike last year. HOSPITAL PROVISION. General.—The Acton Hospital, Gunnersbury Lane, provides for the treatment of Medical and Surgical cases of both sexes. It is maintained chiefly by voluntary subscriptions, and the number of beds is 50. Last year 1163 in-patients and 5590 outpatients were treated at the Hospital.
4b85da45-9b9d-4539-8c36-5dce7396bee6	Thirty-three deaths of Acton residents occurred in the Acton Hospital last year, compared with 37 deaths in the voluntary hospitals of London. Fever.—The Council has its own fever hospital, which has accommodation for 80 patients. Smalt-pox.—The Borough is one of the constituent bodies which form the Middlesex Joint Small-pox Board. The Board owns Clare Hall Sanatorium which can be utilized in case of epidemics. The Joint Board has an arrangement with the Metropolitan Asylums Board for the treatment of occasional cases of Small-pox. Tuberculosis.-—The tuberculosis scheme is administered by the Middlesex County Council, which has Sanatoria at South Minims and Harefield. 7 Poor Law.—The district is in the Brentford Poor Law Union, and the Infirmary is at Isleworth. Clinics and Treatment Centres.— Child Welfare Consultation Centres—(a) Church Road. (b) Palmerston Road. Every Monday and Wednesday afternoon at 2.
17ac6ca7-9307-4898-8c22-45299400206b	Ante-Natal Consultation Centre—School Clinic every other Wednesday morning at 11. Day Nursery—Bollo Bridge Road. School Clinic—Adjoining Municipal Offices. The above are provided and maintained by the Borough Council. Tuberculosis Dispensary—School Clinic on Tuesday and Thursday. Treatment Centres for Venereal Diseases—Various hospitals in London. The two latter are provided by the Middlesex County Council. PROFESSIONAL NURSING IN THE HOME. General.—There are two district nurses employed by the Acton Hospital. One of them is primarily engaged in district nursing and during the year 91 persons availed themselves of her services. The other is engaged to nurse patients who have been discharged from the hospital, and 117 patients were nursed. Midwives.—There are 13 midwives practising in the district. The Council pays the fees of the midwives in certain necessitous cases, and last year £2 10s. Od.
833697f9-16c6-480a-af55-14c0c37b9b37	was paid in fees to midwives. LEGISLATION IN FORCE. The following local acts, special local orders, general adoptive acts and bye-laws relating to Public Health are in force in the district:- Adopted. Infectious Diseases (Notification) Act, 1889 1889 Public Health Amendment Act, 1890 1890 Infectious Diseases Prevention Act, 1890 1893 Notification of Births Act, 1907 1907 Public Health Act, 1907 (Clause 50) 1921 Public Health Act, 1925 (Parts 2, 3, 4 and 5) 1926 8 The Acton Improvement Act, 1904 New Streets and Buildings 1925 Removal of House Refuse 1899 Common Lodging Houses 1898 Slaughter Houses 1898 Nuisances, etc.
69b3c965-27e2-4991-a618-5ed0423ea26a	1924 Offensive Trades 1903 Tents, Vans and Sheds 1906 Removal of Offensive or Noxious Matters 1908 Houses let in Lodgings 1925 Cleansing of Cisterns 1912 Employment of Children 1920 SANITARY CIRCUMSTANCES OF THE AREA. Water.—All the inhabited houses are supplied with water from the mains of the Metropolitan Water Board. There are a few deep wells in the district, but the water from these is used entirely for industrial and similar purposes. For instance, the Public Swimming Baths are supplied with water from an artesian well, and the supply seems to be practically inexhaustible. Even in the driest summer the level of the water is not affected. Drainage and Sewerage.—Under the Acton Sewage Act the sewage is discharged into the sewers of the London County Council. In cases of storm the overflow is filtered and emptied into the Thames.
a8134cd2-0ba3-4335-b2f3-711de2702c5a	Closet Accommodation.—There are no privy or earth closets in the district. All the water closcts are connected with the Council's drainage system and there are no cess-pools. Scavenging.—The collection of the House Refuse is carried out directly by the Council, and the whole of the house refuse is burnt in the Council's Refuse Destructor. Last year 15,888 tons of house refuse were collected. AMBULANCE FACILITIES. (a) For Infectious Cases.—The Council has a Motor in which cases of infectious disease are removed to hospital. The ambulance is housed in a garage at the Fever Hospital. (b) For Non-Infectious and Accident Cases.—The Council has a separate ambulance for non-infectious and accident cases. The ambulance is housed in a garage at the Fire Station, and is available at all hours. The ambulance is provided primarily for street accidents, and this service is free. The ambulance was called out to 218 street accidents in the year.
a620f4db-acff-494f-ae77-35f5d7a90d26	9 The ambulance is also available for the removal of cases of illness to or from Hospitals, Nursing Homes, etc. ; a charge is made for the hire of the ambulance, the amount varying with the distance of the Institutions. The ambulance was hired on 226 occasions by private persons, and the fees paid amounted to £79 12s. HOUSING. This question was dealt with fully in last year's report, and the conditions cannot be said to have changed materially since last year. At the present time many buildings are being erected, and last year, probably over 300 new dwelling houses were erected. But the class of dwelling house which is now being erected is for sale only, and is quite beyond the means of artisans and unskilled labourers. For a certain type of house, the demand is greater than the supply. Since the war, many new industries have been started in the district, but very few houses have been built which are suitable for those and their families whose wages are under £3 per week.
2a0a668c-25cb-4df7-a076-f401c62c8cd2	The Council's houses are occupied by clerks and skilled artisans, and even these in some instances find the rents higher than they can afford to pay, and as a consequence permission has been given in certain cases to sublet. Apart from the Council's houses, and those erected on the Great Western land, and some rected by a few private firms for their own employees, all the houses erected have been for sale only. Many of the new industries which have been established have many expert employees, and the labour employed in these industries is drawn from all parts of London and other industrial areas. These people are naturally anxious to get rooms or houses near the works, and there is competition for any houses which may become vacant. The difficulties which we encounter vary, and cannot be classified. Usually the question of overcrowding is the most pressing one. In the course of our inspections, we find a family occupying one room. The family consists of husband, wife and a number of children, in some instances as many as six children.
fc5fabf2-88d9-4ca6-b511-8fde8bd1d6e1	Based on the standard adopted in the Council's bye-laws relating to Houses-let-in-lodgings, the tenement is overcrowded. Occasionally there are one or two children over 12 years of age, and of opposite sexes. 10 In nearly all cases the tenant has been in occupation of the room for some years at the comparatively low rental of 4/6 per week, and frequently this sum is as much as the tenant can afford to pay. In other cases, it is found that originally the one-roomed tenement became occupied by a son or daughter of the tenant of the house. The son or daughter wishes to get married, and being unable to obtain a flat or rooms, one of the parents' rooms is allotted them as a temporary measure. The room becomes their permanent abode, as the supply of suitable and adequate accommodation does not tend to increase in any appreciable degree.
e00ebdcd-2784-4bc2-957e-1264443e638e	Where illegal overcrowding is found to exist, a notice to abate the nuisance is served upon the occupier of the room, and the only practicable way to comply with the Council's requirements, is for him to arrange with friends or relations for the lodging of one or more of the children. If this cannot be done, the tenant has to search for other accommodation. If he is successful, he has to pay an increased rent, which often he can ill afford. Some of the older types of three and four storey houses with a couple of rooms in each floor are let by the landlord as two-roomed tenements at an average rent of about 8/6 a week. The difficulty encountered in these is due to the unsultability of the premises for subletting. There is usually one, or at most two W.C.'s in this type of house, and the scullery or wash-house on the ground floors is used in common.
eff748db-76ba-434a-bee5-fe42ff17d6bf	Occasionally, a small sink is fixed on one of the landings, or in the back rooms of the upper floors. In the south-east and south-west parts of the district there are a number of streets mainly comprised of six-roomed houses which are let to two families as flats at rents from 9/9 to 12/6 per week. These flats although having a front entrance door common to both, have usually a separate scullery and W.C. to each flat. Similar in housing capacity to this class of house, there are also mariy six-roomed houses which have but one scullery and W.C. used in common by the two families to whom they are let. The rent is usually slightly less than for the former class of "flat"; although frequently let by the landlord to two families, it is quite common for the whole house to be rented by one tenant, who sublets two or three of the rooms.
67c7acc2-f841-4f56-9b64-95762911a151	The smaller house of four or five rooms and a scullery is usually let by the landlord to one family at an average rent of about 14/- a week. 11 Subletting is more or less usual in the foregoing types of houses; even among the tenants of the three-roomed flats mentioned above, it is frequently found that one of the rooms is let to an old couple or a widow with one or perhaps two children. The object is apparently to lessen the burden of the rent. As previously stated, actual overcrowding of sleeping rooms or combined living and sleeping rooms is found from time to time in varying degrees of seriousness, and the tenants find great difficulty to obtain larger and better accommodation, at a rent which he can afford to pay. Such accommodation is scarce, and there is an unwillingness on the part of many landlords to let their houses to tenants who have large families.
116bc6bb-05fc-4589-9b62-17751f11b4c4	Another difficulty arises from the fact that a higher rent is usually asked for a fresh flat even of the same accommodation where the house has become decontrolled under the Rent Restriction Acts. The abatement of overcrowding by the mere service of statutory notice has been difficult and frequently futile. There is a reshuffling of the accommodation, but the old conditions frequently recur. There is no doubt that there is a greater demand for all the above types of houses than that which is met by the supply, but it is difficult to see by whom such accommodation will be provided, as in addition to the fact that such an enterprise would show a financial deficit, the land in the borough is practically all built upon. The average wage of a skilled artisan is about £3 5s. to £4 weekly, while the unskilled man seems to receive anything from £2 5s. to £2 15s. per week.
82dcd5db-f959-42ba-88b7-4f68705d1177	These classes of the population, occupying pre-war constructed flats and half-houses under the protection of the rent restriction Acts are just able to pay the present rents where they have been adjusted so as to include only the legal increases under the Acts. I am informed that artisans' houses which are let at pre-war rents, notwithstanding the additional 40% allowed by the Rent Restriction Acts, are not a paying proposition, and private enterprise is not likely to provide under present conditions, additional accommodation of the type mentioned above. Although the Rent Restriction Acts are not in the strict sense of the word, Public Health Acts, they have a very close bearing upon our work. It is obvious that many people will not be able to pav more rent, and the only alternative, if an increased demand be made, will be to reduce the amount of the accommodation with resultant overcrowding. 12 It has been stated that the rents of houses for the working classes would not be increased if the Rent Restriction Acts were repealed.
d7d9781d-86a7-4cb6-a296-c9b992595384	From the experience of the few premises which have become decontrolled, there is every reason to believe that a general and substantial increase in the rents will result from a repeal of the Acts. TABULAR STATEMENT OF INSPECTIONS AND DETAIL OF WORK CARRIED OUT BY THE SANITARY INSPECTORS. Number of Inspections and Action Taken. Total number of dwelling houses inspected for housing defects (Under Public Health or Housing Acts) 1137 (1) Dealt with by service of Informal Notice 414 (2) Dealt with by service of Statutory Notice under Section 3, Housing Acts 162 (3) Dealt with by service of Statutory Notice under Public Health Acts 561 Premises (other than defective dwelling houses) inspected for nuisances and miscellaneous defects 807 (1) Dealt with by service of Informal Notice 667 (2) Dealt with by service of Statutory Notice under Public Health Act, &-c.
a454a068-063b-4eb4-808e-39399109feed	140 Reinspections subsequent to service of Notice 7908 Enquiry visits on notification of Infectious Disease 244 Number of Premises under Periodical Inspection. Workshops and Workplaces 163 Slaughterhouses 2 Public Health Urinals 37 Common Lodging Houses 1 Houses-let-in-lodgings 26 Butchers' Shops 39 Fish Shops 28 Premises where food is manufactured or prepared 33 Milk Purveyors 73 Cowsheds Nil Piggeries 1 Rag and Bone Dealers 6 Mews 4 Schools 11 Show Grounds 1 425 13 Rent Restriction Acts. Number of Certificates granted 13 Number of Certificates refused — Detail of Work carried out.
9e95752e-c361-4341-81ea-88ab3939c53f	Sanitary Dustbins provided 530 Yards paved or yard paving repaired 157 Insanitary forecourts remedied 92 Defective drains repaired or reconstructed 74 Defective soil pipes and ventilating shafts repaired or renewed 83 Defective fresh air inlets repaired or renewed 64 Defective gullies removed and replaced by new 68 Rain water downpipes disconnected from drain 27 Dishing and curb to gullies repaired and new gratings fixed 161 Defective W.C. pan and traps removed and replaced by new 95 Defective W.C. flushing apparatus repaired or new fixed 332 Defective W.C.
8e319279-90c5-48d2-94a2-622dc41afe4a	seats repaired or new fixed 174 Defective flush pipe connections repaired 81 Insanitary sinks removed or new fixed 33 Sink waste pipes repaired or trapped 214 Insanitary wall surface over sinks remedied 129 Ventilated food cupboards provided 6 Drinking water cisterns cleansed 203 Defective covers to drinking water cisterns repaired or new fixed 38 Insanitary sites beneath floors concreted 3 Spaces beneath floors ventilated 95 Dampness in walls from defective damp-proof course remedied 108 Dampness from defective roof, rain water gutterings, etc., remedied 693 Defective plastering repaired (number of rooms) 754 Rooms where dirty walls and ceilings have been cleansed and redecorated 3127 Defective floors repaired 171 Defective or dangerous stairs repaired 42 Defective doors and windows repaired 315 Defective kitchen ranges and fire grates repaired 316 Defective washing coppers repaired 124 Coal cupboards provided and repaired 33 New W.C.
2fdb4dc7-d2ba-4701-b13e-d5ba9f2b997c	apartments provided 9 Accumulations of offensive matter removed 18 Drains unstopped and cleansed 205 Overcrowding nuisances abated 12 14 Drains tested, exposed for examination, etc 107 Smoke observations taken 133 Smoke nuisances abated on service of notice 10 Nuisances from pigs and other animals abated Nil Notifications of waste of water sent to Metropolitan Water Board 358 BIRTHS. Table 7 gives particulars of the births registered and notified in the district, and the births registered outside the district; certain explanations are necessary to explain what appear to be discrepancies in the figures. The total numbrrs of births are those registered during the calendar year (i.e. January 1st—December 31st inclusive) and are corrected for inward and outward transfers. These figures are received from the Registrar General, and differ, therefore, from uncorrected figures compiled locally either for the calendar year or for a period of fifty-two or fifty-three weeks.
e593f130-ea6a-4680-b842-7d32d5246277	The total figure—1098 births—is the one received from the Registrar General, but it differs very little from the figures compiled locally. 935 births were notified inside the district, and 139 names were received from outside authorities. In addition 30 were registered in the district, which had not previously been notified. These figures give a total of 1,104, compiled locally, compared with 1,098 received from the Registrar General. The number of births corresponds to an annual birth rate of 17.4 per 1,000 inhabitants, compared with 16.5 per 1,000 in 1925. Both the total number of births and the birth rate are higher than those of 1925, but there is reason to believe that the birth rate is not higher, and only appears so, for reasons which have been stated in the paragraph on the population of the district.
73d7f625-f52c-4108-a4d0-be5cb4ea16e2	The birth-rate for England and Wales was 17.4 per 1,000 inhabitants, for London 17.1 and for the 105 County Boroughs and large towns including London 18.2 per 1,000. In last year's report, the birth-rate was dealt with fully, and the conditions have not materially changed since the issue of that report. The birth-rates per 1,000 population in the different wards were as follows :— North-East. North-West. South-East. South-West. 16.8 14.7 12.3 24. 15 46 children were born out of wedlock. This number corresponds to an illegitimate birth-rate of 3.82 per cent of the total births. This rate is lower than the illegitimate birth-rate of the whole of England and Wales, but it is the highest illegitimate birth-rate in this district since 1921.
6751a8b5-a334-46e7-a265-5987b79c3558	Throughout the country the illegitimate birth-rate has been steadily falling since 1918, when it was 6.26 per cent of the total births. In 1925, the rate had fallen to 4.07 per cent. It is still higher than the minimum rate of 3.95 per cent in 1901—1905. DEATHS. 422 deaths were registered in the district; of these 15 were of non-residents. 250 deaths of residents occurred outside the district. The total number of deaths belonging to the district is 657, which corresponds to a death-rate of 10.4 per 1,000 inhabitants. The death-rate for England and Wales was 11.6 per 1,000, for the 105 County Boroughs and great towns it was 11.6 and for London it was 11.6, per 1,000 inhabitants. The death-rate was slightly lower than that of 1925 and of the rate in 1924.
a23c3466-99fe-450c-ba6b-98ad30924eee	The number of deaths at each age-period was lower than that of 1925 with the exception of the age-periods 15-25 years and 25-45 years. Ward Distribution.— North-East. North-West. South-East. South-West. 207 124 125 201 Compared with 1925, the number is higher in the NorthEast Ward, but lower in the other three Wards. Death-rate of each Ward. North-East. North-West. South-East. South-West. 12.5 9.4 8.2 11.5 Causes of and aires at death. Table 3 gives the causes of and ages at death. There is a considerable increase in the number of deaths from Cancer as compared with 1925, but in 1925, the number of deaths was less than in 1924. The number in 1926—92—was the same as that of 1924.
65697570-555f-4151-b928-14a20b3c4f75	16 There is also an increase in the number of deaths from Pulmonary Tuberculosis, but the number of deaths from this disease was abnormally low in 1925. Heart disease still looms as an important cause of death, and though the number was slightly lower than that of 1925, Cancer and Heart Disease are the two diseases which account for the highest number of deaths. Deaths in Public Institutions. One of the most marked changes taking place in the social life not only in this district but also in most districts of Greater London is the increasing use made of the facilities for Institutional treatment. Most of. the new houses which have recently been occupied have only the bare accommodation for the family, and when a case of serious illness occurs in the house, there is not sufficient accommodation for the efficient nursing of the patient.' In very many instances, the patient has to be treated either in a Hospital or a Nursing Home. Last year 260 deaths, or nearly 40 per cent of the total deaths, occurred in public institutions.
64661bba-b9c4-416f-b5e8-89dc73028e8d	In addition 18 deaths occurred in nursing homes. INFANTILE MORTALITY. 60 deaths occurred of children under one year of age. The infantile mortality is usually calculated as a proportion of the deaths of babies to the total births, and is stated as the number of deaths of infants under one year of age per 1000 births which occurred in the same year. The number of births in 1926 was 1098 and the infantile mortality was therefore 55 per 1000 births. This is the lowest infantile mortality recorded in the district; the next lowest being that of 1924, when it was 56 per 1000 births. The infantile mortality in the different wards was as follows :— North-East. North-West. South-East. South-West. 66 15 72 54 So far as causation is concerned conditions vary very little in ordinary years. The chief causes were Premature Birth and Pneumonia with 16 deaths and 12 deaths respectively.
16b28c13-132e-4436-a1b7-2747b3e05b0b	In a very hot summer deaths from diarrhœl diseases may figure largely in the returns, but usually this cause has been brought very 17 largely under control. Last year only 5 deaths were due to Diarrhoea. The improved methods of feeding and the cleaner conditions under which milk is produced and distributed have contributed to the lessened mortality from diarrhceal diseases. 3 babies were found dead in the district, two in the North-East Ward and one in the South-East. 52 of the babies were legitimate ones; this number gives a legitimate infantile mortality of 49 per 1000 legitimate births. 8 babies born out of wedlock died before the age of 12 months, giving an illegitimate infantile mortality of 174 per 1000. The number of illegitimate deaths includes the three babies found dead in the district and whose parentage was not traced. Notification of Births Act. 30 births were registered, which had not been previously notified.
e955f157-eec3-4444-921a-25be04706586	Of the notifications received, 714 were from doctors and parents and 385 from midwives. MATERNITY AND CHILD WELFARE. There is no material change to record in the arrangements which are made by the Council to conserve maternal and infant life. The Council has made every effort to obtain premises in East Acton to hold a child welfare centre, but so far its endeavours have been unsuccessful. Negotiations were made between the Council and a voluntary society which carries out work in East Acton but on the Hammersmith side of the border. Eventually the voluntary society decided that it could not extend its operations into Acton. Proposals were then made for the renting of rooms in connection with the Wesleyan Church, but the Trustees could not see their way clear to rent the rooms to the Council for the purpose of an Infant Welfare Centre. Their premises were insufficient for the activities of the Church. The Council is still hoping to find suitable premises for the purpose.
c52cf7c9-0c74-4c0a-be9a-64b259d0463e	In other parts of the district the work was carried out on the lines set out in former years. It was feared that the general strike in the summer would have prejudicially affected the nutrition of the babies. Out-of-work pay was not paid in 18 many instances until a fortnight had elapsed. We were considerably helped by a gift of twenty guineas which was placed at the disposal of the Health Visitors by Sir Sydney and Lady Skinner. Without waiting for any special enquiries to be made and forms to be filled in the Health Visitors were enabled to relieve any necessitious cases, and tide over the difficult period at the commencement of the Strike. Day Nursery. The total number of whole day attendances made at the Day Nursery by children were 3814. In addition there were 242 half-day attendances. INFECTIOUS DISEASES. Measles. In the autumn of 1925, an extensive epidemic of Measles commenced in the district.
c353b847-f70c-421a-afe3-8eeb546e287c	There were no deaths from the disease in 1925, but the epidemic continued into 1926, and 12 deaths occurred during the year. Scarlet Fever. 103 cases of Scarlet Fever were notified, and there was no death from the disease. The age-incidence and the ward-distribution of the disease are given on Table 5. In the majority of cases the disease was of a mild type, but during the year, some cases occurred which illustrated unusual features in the disease. One case occurred in which the disease was in all Probability spread through infected linen. It is now usually recognised that Scarlet Fever is spread by infected persons and not through inrected things, and some people are even sceptical of the importance of the latter in the spread of infection. It is Probably true that in the vast majority of instances, infection does arise from persons actually suffering from the disease, or from a convalescent patient who may remain intermittently infectious for a prolonged period.
bdb27d4e-78fe-4ab4-96ac-e0b8e925744b	Where the evidence points to infected articles of clothing, toys, books, etc., it is usual to subject such evidence to very strict examination. 1926 19 E. N. aged 30 years was notified on March 16th, and removed to Hospital on the same day. On admission she had a characteristic rash on the trunk and limbs together with sore throat and an injected soft palate. The temperature was raised for some days. On March 22nd, the skin on the body and hands began to peel; the peeling was profuse and characteristic. The case was a typical one of Scarlet Fever in every respect. She was employed as a packer and sorter at a laundry, and on March 10th, she was sorting the linen, etc. which had been sent from a house in Hampstead. On March 4th, two cases of Scarlet Fever were notified from the Hampstead residence, and the clothes were sent to the laundry on March 8th. The soiled linen, etc.
2b8e991a-00bc-4eab-a165-e5ee9f2d113f	was supposed to have been disinfected by a trained nurse and a doctor, but the patient and another girl stated that all the articles were quite dry and there was no suspicion of any smell resembling the smell of the ordinary disinfectants in use. I saw the clothes which were sent to the laundry on March 15th. The articles were stated to have been "carbonized," which term probably meant "carbolized." When I saw the articles on March 18th, they were absolutely dry and certainly, neither carbolic acid nor any of the coal-tar derivants had been used. Nowadays, in Acton, it is very difficult to state definitely that an adult patient has not been in contact with some person who might be in an infectious state, but though strict enquiries were made E. N. does not seem to have been near an infectious person. There was no infection among the other workers in the laundry, in the patient's home, or in the street she lived in.
859206cf-308e-4214-bdf4-b0886fd3548b	The district was comparatively free of Scarlet Fever at the time, and no notification had been received in the first fortnight of March from any house within a quarter of a mile of the patient's home. The essential dates were : March 4th, two cases in Hampstead; March 8th, laundry collected; March 10th, linen sorted by E. N.; March 12th, initial symptoms of Scarlet Fever in E. N.; March 14th, rash ; and March 16th„ notification. As far as could be ascertained, the linen was the only source of infection. In Scarlet Fever, inquiries are made concerning the movements not only of recent cases of Scarlet Fever, but also of persons who have recovered from the acute attack. Cases of Scarlet Fever occur, and the only sources of infection which can be traced are persons who have previously suffered from Scarlet Fever and have remained intermittently infectious lor a prolonged period.
2f7ff9a2-489d-4e09-aaa4-de7d0d5b78bd	This condition is not very uncommon, and the cases are too numerous for us to regard them merely as coincidences. I gave instances in a former Annual Report of cases which pointed to a prolonged period of intermittent infection. 1926 20 A few cases occurred last year. In most instances the cases are those of young school children. The condition is uncommon in very young children and in adults. D. R. aged 5 years was notified of Scarlet Fever on December 7th, 1926. His sister aged 6 years suffered from Scarlet Fever in the previous year. She was admitted into Hospital in October, 1925 and discharged on December 4th, 1925. She had no complications, and made a perfect recovery, but in the first week of December, 1926, she had what her mother called a " cold in the head." K. G. aged 12½ years w.as notified on May 17th, 192G.
3d50b49e-da55-4363-820f-ee86f1de69ef	She was living in the same house as N. J. aged 10 years. The latter had had Scarlet Fever in 1923, and just before K. G. was notified of Scarlet Fever, N. J. had had considerable nasal and post-nasal catarrh. A case occurred in 1925, which suggested that the infection might possibly last even longer than this. R. N. aged 11 years was notified of Scarlet Fever in July, 1925. The source of infection was not traced, but her sister M. N. aged 10 years had had Scarlet Fever 5 years previously. In all these cases, the suspected carrier of the infection suffered from a Nasal and Post-nasal catarrh, at the time the infection is supposed to have occurred. It is not suggested that the patients remain infectious during the whole period, but that under some conditions, a small percentage of children who have suffered from Scarlet Fever become intermittently infectious.
3c29a7c0-bc2b-44c8-b10a-adb153246a4d	The most common factor present at the time they are suspected to be infectious is an abnormal condition of the mucous membrane of the nose and nasopharynx giving rise to a catarrh. Tuberculosis. 101 new cases of Pulmonary Tuberculosis, and 17 cases of other forms of Tuberculosis, were notified during the year. The age-iricidence and ward distribution are given on Table V. At the end of the year, the number of cases on the Register was:— Pulmonary. Non-Pulmonary. Total. Male Female Male Female 117 105 25 30 277 192 21 Isolation Hospital. During the year, 200 cases were admitted into the Hospital compared with 183 in 1925. On January 1st, 1926 there were 28 cases under treatment, and on January 1st, 1927, 25. 195 cases were discharged and there were 8 deaths.
656fd9ff-99b6-49a7-aaad-886d895ba050	The following is a list of cases admitted:— Acton Wembley Kingsbury Total Scarlet Fever 82 16 4 102 Diphtheria 41 17 — 58 Measles 34 3 — 37 Others 3 — — 3 160 36 4 200 Scarlet Fever. 102 cases of Scarlet Fever were admitted, with no death. Diphtheria. 58 cases of Diphtheria were admitted, and four deaths occurred. Measles. During the early part of the year, an extensive epidemic of Measles occurred in the district, whenever the Doctor deemed the home conditions unsatisfactory, or the case was a severe one, the patient was admitted into the Hospital. Of the 37 cases admitted, four died. Others. One of these was an abscess of the jaw; one was a case of Mumps and the third was a baby admitted with his mother. BACTERIOLOGICAL EXAMINATIONS, 1926.
d97d1fe4-8064-42b6-8dbb-d6976bba1c7d	(a) For Diphtheria. Positive. Negative. Total Examinations—627 81 546 Sent by Medical Practitioners 19 212 Sent from Isolation Hospital 32 154 Convalescents — 42 Contacts 22 86 1926 22 Of these Positive Contacts:— 15 were positive on the 1st occasion. 4 „ „ „ „ „ 2nd „ 3 „ „ „ „ „ 3rd „ Positive. Negative. School Sore Throats 8 52 Six of the positive sore throats had sufficient clinical symptoms to warrant removal to Hospital. (b) For Ringworm. Positive. Negative. Total examinations—7 3 4 (c) For Tubercle. Positive. Negative. Total examinations—159 35 124 MEAT INSPECTION. In last year's report a full account was given of the precautions taken to ensure a healthy meat supply in the district.
0a845b1b-b5cc-4b3f-9a95-96110bf44e2e	As far as the inspection of meat is concerned in the particular slaughterhouse referred to in last year's report, the conditions have not changed. Towards the end of 1920, the slaughterhouse in Hanbury Road was purchased by a firm that used to slaughter in Aldgate. In former years the number of cattle slaughtered in this building was small, but since the reopening in the end of last year, a large amount of slaughtering has taken place there. iMEAT AND FOOD INSPECTION. Of the following tables: No. 1 gives particulars of food surrendered, No. 2 of the number of pigs' carcases inspected and weights of surrenders, and No. 3 is a table showing the Counties of origin of the pigs slaughtered and the percentage found diseased. 1926 23 TABLE I. UNSOUND FOODS SURRENDERED DURING THE YEAR 1926. Tuberculosis. Beef. Nil. Veal. 2 Calves Livers.
9c9b148f-5ed8-4b0b-9906-e0efcc26a6e9	1 set Calves Lungs. Mutton. 1 Breast of Mutton. 5 Sheeps Livers. 7 Sheeps Plucks. 20 sets Sheeps Lungs. Pork. 15 Pigs' Carcases. 1 Collar of Pork. 379 Pigs' Heads. 135 lbs. of Pork. 11 Forequarters of Pork 207 Pigs' Plucks. 2 Hindquarters of Pork 1 Pig's Liver. 2 Legs of Pork. 2,651 lbs. Pigs' Chitlings. 2 Necks of Pork. Died in Transit. Beef. Veal. Mutton. Pork. Nil. Nil. Nil. 1 Pig's Carcase. Meat Unsound. 48 Pigs' Heads with Tongues (Irish). 6 lbs. of Pork. Fish Unsound. 6 Stone Roker Wings. 1 Box Haddock Roes.
8e0cc673-c808-4f64-becd-c2858e2cec0d	2 doz. Scollops. Fruit and Vegetables Unsound. 1 Barrel of Apples. 4 Packages of Tomatoes. 1 crate of Strawberries. 80 Brocoli. 24 6 TABLE II. NUMBER OK PIGS' CARCASES INSPECTED FROM 1st JANUARY TO 31st DECEMBER, 1926, WITH ANALYSIS OF SURRENDERS ON ACCOUNT OK DISEASE (TUBERCULOSIS). 1926 No. of Carcases Inspected. No. of Heads Diseased. No. of Carcases Diseased. No. of Sides Diseased. No. of Fore Quarters Diseased. No. of Hind Quarters Diseased. No. of Legs Diseased. No. of Shoulders Diseased. Plucks. (Lungs, Livers and Hearts).
79cd0fc2-8104-45d0-bb9c-6ec5a147afb1	Mesenteries, Stomachs and Intestines Weights Tons Cwts Qrs Lbs. January 777 29 1 — — — — — 19 160 lbs. 8 1 26 February 828 42 1 - - - - - 31 328 „ 11 0 26 March 848 51 1 - 3 — 2 — 17 248 „ 16 1 27 April 590 37 3 - — — — — 15 136 , 14 2 26 May 506 25 2 - - - - - 10 156 „ 6 0 0 June 602 23 2 — — — — — 12 168 „ 1 3 21 July 627 38 1 — 2 — — — 25 280 „ 6 1 6 August 813 17 — — — 1 — — 12 280 „ 2 3 2 September 907 28
891a7749-696d-435a-abc4-bd1a84a4d42e	— — 2 — 1 — 11 190 „ 5 1 21 October 1109 39 1 — — — — — 20 264 „ 6 2 11 November 995 45 1 — — — — — 19 330 „ 16 3 15 December 1024 45 - — — 1 — - 18 264 „ 6 2 11 Total 9626 419 13 — 7 2 3 — 209 2804 „ 5 3 1 24 1926 25 TABLE III. Counties from which animals were consigned, and percentage diseased (1st Jan.—31st Dec. 1926 ) County No. of Towns from which Animals were consigned No. of Carcases Inspected No. of Animals Diseased Percentage of Animals Diseased Bedfordshire 2 121 5 4.13% Berkshire 1 31 0 — Bucks.
e18fab28-5f13-4ba2-8333-d4f43f17fa4c	5 113 2 1.77% Cambridgeshire 2 145 12 8.28% Derbyshire 1 27 0 — Devon. 3 86 1 1.16% Dorset.
5e8f40bd-a84f-4338-a989-34b00a08e621	8 1817 113 6.22% Essex 8 586 26 4.44% Gloucester 1 169 14 8.28% Hampshire 19 1076 46 4.28% Ireland (Waterford) 1 453 13 2.87% Leicestershire 1 80 11 13.75% London 1 193 1 0.52% Middlesex 15 1466 41 2.80% Norfolk 2 125 8 6.4% Somersetshire 8 356 40 11.21% Suffolk 9 1381 51 3.69% Surrey 7 455 16 3.52% Sussex 5 727 25 3.44% Warwickshire 1 191 8 4.19% Wiltshire 2 28 0 — Total 100 9626 433 4.50% MILK SUPPLY.
232ab674-578e-462b-9023-69d3e6f3f1e6	There arc 74 Dairies and Milkshops on the register, this number is 11 less than in 1925. 18 of the registered purveyors have shops and rounds, 10 have rounds only, and 46 have shops without rounds. 26 TABLE I. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR, 1926. (Provisional figures. The rates for England and Wales have been calculated on a population estimated to the middle of 1926, while those for the towns have been calculated on populations estimated to the middle of 1925. The mortality rates refer to the whole population as regards England and Wales, but only to civilians as regards London and the groups of towns). Birht-rate per 1,000 Total Population Annual Death-rate per 1,000 Population Rate per 1,000 Births Percentage of Total Deaths.
c802f99f-262d-4f0e-9ba1-c1bbf0d781b1	All Causes Enteric Fever Small Pox Measles Scarlet Fever Whooping Cough Diphtheria Influenza Violence Diarrhœa and Enteritis under 2 yrs. Total deaths under 1 year Causes of Death certified by Registered Medical Practitioners Inquest Cases Uncertified Causes of Death England and Wales 17.8 11.6 0.01 0.00 0.09 0.02 0.10 0.07 0.22 0.47 8.7 70 91.8 7.2 1.0 105 County Boroughs and Great Towns, including London 18.2 11.6 0.01 0.00 0.12 0.02 0.10 0.10 0.22 0.43 11.8 73 92.0 7.5 0.5 158 Smaller Towns (1921 Adjusted Populations, 20,000—50,
73aa85ee-d673-4438-a2c1-421d06c1f3bf	000) 17.6 10.6 0.01 0.00 0.07 0.02 0.11 0.06 0.23 0.40 6.6 67 92.6 6.3 1.1 London 17.1 11.6 0.01 0.00 0.20 0.02 0.05 0.12 0.17 0.48 11.8 64 90.6 9.4 0.0 Acton 17.4 10.4 0.00 0.00 0.20 0.00 0.06 0.03 0.17 0.25 4.5 55 94.7 5.3 0.0 27 TABLE II. VITAL STATISTICS FOR THE WHOLE DISTRICT DURING 1926 AND PREVIOUS YEARS.
69456c6e-ee63-49be-93d7-0fb32ad22ccc	Year Population estimated to Middle of each Year Births Total Deaths Registered in the District Transferable Deaths Nett Deaths belonging to the District Nett Under 1 year of Age At all Ages Number Rate Number Rate of Non-Residents Registered in the District of Residents Registered outside Dist. Number Rate per 1,000 Births Number Rate per 1,000 inhabitants 1921 62,000 1314 21.1 445 7.1 — 205 92 70 658 10.4 1922 62,390 1203 19.3 404 6.5 14 214 75 62 632 10.1 1923 62,720 1171 18.6 368 5.8 11 243 77 65 599 9.5 1924 62,980 1158 18.4 488 7.7 8 235 65 56 715 11.2 1925 63,
1bad8c6b-e3f9-46f6-810c-e15e8dcbd133	110 1047 16.5 446 6.8 18 241 80 76 669 10.6 1926 63,040 1098 17.4 422 6.7 15 250 60 55 657 10.4 1926 28 TABLE III. AGES AT DEATH, AND WARD DISTRIBUTION OF DEATHS IN 1926. Causes of Death. Ages. Wards. All ages Under 1 year 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards North East North West South East South West Measles 12 4 4 2 2 — — — — 1 1 1 9 Whooping Cough 4 1 3 — — — — — — 2 - - 2 Diphtheria 2 — — — 1
172ae599-0589-45ff-b339-37c2a0b76200	— 1 — —- 1 - - 1 Influenza 11 — — — — 3 1 4 3 4 1 2 4 Sprue 1 — — — — — — — 1 — 1 — Encephalitis Lethargica 1 — — — — 1 — — — — — — 1 Pulmonary Tuberculosis 57 — — — — 15 26 16 — 15 11 7 24 Other Tuberculous Diseases 9 1 - 1 4 1 2 — — 3 3 2 1 Cancer 92 — — — — — 7 42 43 25 17 21 29 Rheumatic Fever 1 —- — — — - 1 — — - 1 - - Diabetes 5 — — — — 1 2 — 2 3 1 1 - Cerebral Hæmorrhage 35 - - - - - 2 9 24
0503fddf-3f26-4738-8e6e-f82a128289eb	16 8 7 4 Heart Disease 81 — — — — 2 14 27 38 26 16 19 20 Arterio-Sclerosis 14 1 4 9 1 4 7 2 Bronchitis 47 1 1 — — 1 3 13 28 14 8 8 17 Pneumonia 66 12 7 3 3 1 8 14 18 14 14 14 24 Other Respiratory Diseases 7 — — — 1 — 2 2 2 3 1 — 3 Ulcer of Stomach or Duodenum 4 1 3 — — 2 1 1 Diarrhœa (under 2 years) 5 4 1 — — — — — — 1 — — 4 Appendicitis and Typhilitis 3 — — — — 3 — — — — — 1 2 Cirrhosis of
76a68277-0ab0-4b4c-a939-bb1bf3ba9f99	Liver 3 - - - - - 2 1 — 1 1 — 1 Nephritis 12 — — — — 1 2 6 3 3 3 3 3 Puerperal Sepsis 2 — — — — 1 1 — — 1 1 — — Other Accidents and Diseases of Pregnancy and Parturition 3 - - - - - 3 - - - - - 3 Congenital Debility Malformation and Premature Birth 23 23 - - - - - - - 8 2 6 7 Suicide 4 - - - - - 2 — 2 3 1 - - Other deaths from Violence 12 — — - — 6 2 — 4 6 - 2 4 Other Defined Diseases 141 14 2 1 4 5 11 31 73 56 27 23 35 657 60 18 7 15 41 94 172 250
1b0af9f6-fec6-472f-b680-e0257481d3d5	207 124 125 201 1926 29 TABLE IV. INFANTILE MORTALITY, 1926. Causes of Death. Ages. Wards. Total Under 1 week 1—2 weeks 2—3 weeks 3—4 weeks 1—3 months 3—6 months 6—9 months 9—12 months North East North West South East South West Measles 4 - - - - - - 2 2 - - 1 3 Whooping Cough 1 - - - - - 1 - - 1 - - - Tuberculous Meningitis 1 — — — — — — 1 — — — 1 — Bronchitis 1 — — — — 1 — — — — — — 1 Pneumonia 12 1 1 — — 2 2 3 3 2 — 4 6 Meningitis 1 - - - - - 1 — — 1
114106e0-c69c-4b59-ae5e-58472060ccee	- - - Convulsions 1 — — — — — — — 1 — — — 1 Diarrhœa 4 — — — 1 — 1 — 2 1 — — 3 Inguinal Hernia 2 — — — — 1 1 — — 2 — — — Congenital Debility and Atrophy 1 — 1 — — — — — — 1 — — — Congenital Malformation 4 1 — — — 2 — - 1 2 1 1 — Marasmus 2 — — — — 2 — — — — 1 1 — Premature Birth 16 11 1 — — 1 3 — — 3 1 5 7 Congenital Syphilis 1 — — — — — — — 1 — — — 1 Injury at Birth 7 7 - - - - - - - 5 — 1 1 Other Causes 2 - - - - - 1 -
e634daa5-942d-415c-9a22-0b3e22fec761	1 1 - - 1 60 20 3 — 1 9 10 6 11 19 3 14 24 1926 30 TABLE V. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1926. Notifiable Disease. Cases notified in whole District. At Ages—Years. Total cases notified in Wards. 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 Scarlet Fever 103 1 23 68 5 6 - - 27 20 24 32 Diphtheria 42 — 7 29 4 2 - - 9 5 8 20 Enteric Fever 2 — 1 — 1 — — — 1 - - 1 Pneumonia 24 3 5 4 — 4 4
49a725bb-33df-42f8-920b-f67a63f5a62d	4 4 2 8 10 Puerperal Fever 2 — — — — 2 - - - 1 - 1 Puerperal Pyrexia 1 — — — 1 — - - 1 - - - Encephalitis Lethargica 3 — — - 3 - - - - - 1 2 Ophthalmia Neonatorum 4 4 — — — — — — 1 - 1 2 Erysipelas 23 1 — — 4 7 8 3 6 7 3 7 Tuberculosis (Resp.) 101 1 - 6 30 49 14 1 32 19 16 34 Tuberculosis (Other) 17 — 3 7 2 4 1 - 3 4 3 7 322 10 39 114 50 74 27 8 84 58 64 116 1926 31 TABLE VI.
b2a3d358-f3ad-471a-b39f-5612447efa5c	CASES REMOVED TO HOSPITAL, 1926. N. East. N. West. S. East. S. West. Total. Scarlet Fever 20 16 21 26 83 Diphtheria 9 5 8 20 42 Enteric Fever — — — 1 1 Pneumonia 1 — — — 1 Puerperal Fever 1 1 — — 2 Encephalitis Lethargica — — — 2 2 Erysipelas 3 1 1 1 6 Tuberculosis (Resp.) 15 6 6 23 50 Tuberculosis (Other) 2 3 2 6 13 51 32 38 79 200 TABLE VII. BIRTHS. Males. Females. Total Births 570 528 Legitimate 546 506 Illegitimate 24 22 Notified Births in Wards.
1b1f10e8-8db5-492f-b7e2-be274b1e3a29	N. East. N. West. S. East. S. West Total. 291 192 177 414 1,074 Still Births 25. Births Registered, but not Notified. Males 16. Females 14. N. East. N. West. S. East. S. West. Total. 12 2 106 30 Outside Births. Males 81. Females 58. Still Births 4. N. East. N. West. S. East. S. West. Total. 45 30 17 47 39 Notifications were received from:— Doctors and Parents 714. Midwives 385 In some instances both Doctor and Father or Doctor and Midwife have notified the same case. 1926 32 TABLE VIII. INFANT WELFARE CENTRES, 1926.
7e1d0f3b-9bd6-4da7-a3dd-0a4e522461cc	Health Visitors' Attendances 194 Number of Children who attended 1,584 Number of attendances by Children 11,826 Number of Children under one year of age 684 Number of Children over one year of age 900 Children who attended the Clinic for the first time 710 Children treated at Dental Clinic 100 Children treated at Ophthalmic Clinic 11 Children treated for Enlarged Tonsils and Adenoids 7 ANTE-NATAL CLINIC. Number of Attendances by Dr. Bell 24 Number of Expectant Mothers who attended 66 Number of Attendances made by Expectant Mothers 115 Mothers referred for Dental Treatment at Clinic 33 Mothers supplied with Dentures 14 Midwives fees paid 2 Expectant Mothers to whom Dried Milk was supplied 37 Number of packets of Dried Milk supplied 431 1926 33 TABLE IX. FACTORIES, WORKSHOPS AND WORKPLACES. 1.—Inspection of Factories, Workshops and Workplaces.
d1f9d78c-3e0d-4d3e-a723-595b109565bd	Including Inspections made by Sanitary Inspectors. Premises. (1). Number of Inspections. (2). Written Notices. (3). Factories (Including Factory Laundries). 92 32 Workshops (Including Workshop Laundries). 347 9 Workplaces (Other than Outworkers' premises). 6 — Total 445 41 2.—Defects found in Factories, Workshops and Workplaces. Particulars. (1). Found. (2). Remedied. (3).
bd218fe8-8b5e-45f7-a079-843a9891cda6	Nuisances under the Public Health Acts:— Want of clearliness 22 22 Want of Ventilation Nil Nil Overcrowding Nil Nil Want of drainage of floors Nil Nil Other nuisances 8 8 Sanitary accommodation— Insufficient 3 3 Unsuitable or defective 7 7 Not separate for sexes 1 1 Offences under the Factory and Workshop Acts:— Illegal occupation of under ground bakehouse Nil Nil Other offences Nil Nil Total 41 41 1926 34 Outwork in unwholesome premises, Section 108, Nil HOUSING. Number of new houses erected during the year:— (a) Total (including numbers given separately under (b) 431 (b) With State assistance under the Housing Acts:- Note Exact figures not yet available, see Population Report (i) By the Local Authority Nil (ii) By other bodies or persons 181 1.—Unfit Dwelling-Houses. Inspection.
31f52342-2041-4013-b976-e747b050a3a5	(1) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1137 (2) Number of dwelling-houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910, or the Housing Consolidated Regulations, 1925 373 (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-head) found not to be in all respects reasonably fit for human habitation 348 2.—Remedy of Defects without Service of formal Notices. Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their Officers 414 3.—Action under Statutory Powers. A.—Proceedings under Section 3 of the Housing Act, 1923.
8418ac7e-ffcb-4ce6-a661-e81bf6ce493c	(1) Number of dwelling-houses in respect of which notices were served requiring repairs 162 1926 35 (2) Number of dwelling-houses which were rendered fit after service of formal notices:— (a) by owners 162 (b) by local authority in default of owners Nil (3) Number of dwelling-houses in respect of which Closing Orders became operative in pursuance of declarations by owners of intention to close Nil B.—Proceedings under Public Health Acts. (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 561 (2) Number of dwelling-houses in which defects were remedied after service of formal notices:— (a) by owners 561 (b) by local authority in default of owners Nil C.—Proceedings under Sections 11, 14 and 15 of the Housing Act, 1925.
ab5f8711-4069-4d62-9536-42a6aca9c91c	(1) Number of representations made with a view to 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 dwellinghouses having been rendered fit Nil (4) Number of dwelling-houses in respect of which Demolition Orders were made Nil (5) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil 1926 36 STAFF TO WHOSE SALARY CONTRIBUTION IS MADE UNDER THE PUBLIC HEALTH ACTS OR BY EXCHEQUER GRANTS. There has been no change in the staff. D. J. Thomas, M.R.C.S., L.R.C.P., D.P.H., Medical Officer of Health (Medical Superintendent of the Isolation Hospital and School Medical Officer). M. W. Kinch. Member of the Royal Sanitary Institute, holds Meat Certificate; Senior Sanitary Inspector.
634ee093-880c-4252-8d1d-179612787043	(Inspector under Diseases of Animal Acts, and the Rag Flock Act). J. J. Jenkins. Cert. Sanitary Institute; holds Meat Certificate. Sanitary Inspector. (Inspector under Fabrics Mis-description Act). E. W. Brooks. Cert. San. Inst. Sanitary Inspector. J. J. Matthews. Cert. San. Inst. Sanitary Inspector; holds Meat Certificate. Miss A. Cooksey. Cert. San. Inst. Health Visitor. Miss J. Welsh. Cert. San. Inst., c.m.b., Health Visitor. Mrs. Light. Clerk. I have again to thank all the members of the Public Health Department for ungrudging assistance during the year. I am, Your obedient servant, D. J. THOMAS.
2be911e9-0a0f-4ddd-88bd-b9148d0e2e28	ACT 30 1927 BOROUGH OF ACTON ANNUAL REPORT OF THE Medical Officer of Health FOR THE YEAR 1927. 1927 ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1927. Municipal Offices, Acton, W.3. July, 1928. To the Mayor, Aldermen and Councillors of the Borough of Acton. Ladies and Gentlemen, I beg to submit the Annual Report for the year 1927 on the health of the Borough, together with the work of the Public Health Department. The Report is submitted in accordance with Circular 834 of the Ministry of Health, which requires the Medical Officer of Health to make an Annual Report up to the end of December on the sanitary circumstances, the sanitary administration, and the vital statistics of the district, and shall furnish the Minister with as many copies of such report as may be required.
1ba79234-91e0-4b27-aa8f-d930636c2745	The Circular also indicates the lines on which the Report is to be drawn and the minimum information which it shall contain. On the surface the vital statistics do not appear so satisfactory as those of 1926. The death-rate and the infantile mortality are higher, but both are lower than those of England and Wales, and the death-rate is lower than that of London as well. The higher death-rate is probably due partly to an altered age-incidence of the population, and on a subsequent page figures are given to show that the average age at death has been very considerably raised during the past twenty years. The district fortunately was free of Small-Pox during the year, but the unvaccinated condition of a large portion of the population is a matter of serious and anxious import. In 1926, 10,146 cases of Small-Pox were notified in England and Wales and in 1927, 14,769 cases were notified.
76da80e4-4345-4d7b-9148-955c38a7c1bd	It is true that most of the cases have occurred in the North of England and that the disease has been of a very mild type, but 1927 4 recently the disease has made its appearance in and around London. The possibilities of the spread of the disease in a district like ours are considerable; large numbers of persons come in and go out of Acton to work every day, and it is impossible for anyone to know whether he has been in contact or not with a person actually suffering from the disease. The only prophylatic measure is vaccination. Sir George Newman stated recently, "The experience of a century in all parts of the world shows that the best practicable method yet available for stamping out Small-Fox is vaccination." Although the notifications of Scarlet Fever and Diphtheria were higher than those of 1926, neither disease assumed formidable proportions. One death occurred from each of the diseases. The question of active immunization against these diseases cannot therefore be said to be an urgent matter.
1dc406fb-37fd-45e7-9892-d229832f09b7	In some districts in and around London, Diphtheria has recently been prevalent in a very virulent form, and the Schick method of immunization has been in use in Holborn, Deptford, Westminster and Battersea. The number of deaths from Tuberculosis is lower, but the number of deaths from Cancer was' higher. The following table is a summary of the vital and other statistics for the year 1927. Area of Borough 2,305 acres. Population (Census 1921) 61,299 Population (Estimated 1927) 63,750 Number of inhabited houses (Census 1921) 11,820 Number of families or separate occupiers. (Census 1921) 14,941 Rateable Value £572,863 Net produce of a penny rate £2,386 18s. 7d.
390b282b-e9a5-4e1f-b689-8a86f2fadfe1	Total number of Births registered 1,026 Legitimate 987 Illegitimate 39 Birth-rate per 1,000 inhabitants 16.09 Number of Deaths 704 Death rate per 1,000 inhabitants 11.04 Number of Women dying in or in consequence of childbirth— Sepsis 3 Other causes 1 Maternal Mortality per 1,000 births 3.9 Deaths of Infants under 1 year of age:— Legitimate 57; Illegitimate 5 Total 62 Infant Mortality per 1,000 births 60 1927 5 Deaths from:— Measles (all ages) 0 Whooping Cough (all ages) 2 Diarrhoea (under 2 years) 7 POPULATION. The Registrar General estimates the population at the end of June 1927 to be 63,750, an increase of 710 on the estimated population of 1926.
3bd2041d-8843-4604-a7d7-9d6585174044	The estimate of 1926 was 70 less than that of 1925; so that the population of 1927 is estimated to be 640 more than that of 1925. At the Census of 1921 the population of the district was 61,299. The Census of 1921 was not taken as usual in April, but was postponed to June 19th. Owing to the abnormally fine weather of that year, some holiday movement was already in progress in June, and the Registrar General made certain adjustments in the population of certain districts. The adjusted figure for Acton was 62,000. The estimated increase in the population since the Census is therefore 1750. The longer the interval which has elapsed since the Census was taken, the less reliable, of course, are the estimates of a population. As a rule the estimates of the Registrar General are more correct than the local estimates. This may seem surprising.
71b341c6-825b-4a17-a64e-f05297f06e80	The intimate knowledge of local facts should make the local estimates more correct than those of the Registrar General, but the general tendancy of all local estimates of population is towards an over-estimation of the number. Between the autumn of 1921 and the autumn of 1927 there was an increase of 3,684 in the number of Parliamentary electors. On the former date there were 30,350, and on the latter, 34,034. The number of new dwelling houses erected and occupied between June 30th 1926 and June 30th 1927 is not available, but in that period 476 new houses were brought into rating as well as 22 flats and 9 houses with shops. POOR RELIEF. I am indebted to Mr. Harmsworth, the clerk of the Guardians, for the figures relating to Poor Law Relief.
5ee17239-6ad4-437e-9e11-587cd8677784	The amount of out-door relief distributed in the Parish of Acton by the Guardians during the year ended December 31st, 1927 was as follows:— Ordinary Relief £5,962 14 0½d. Relief to Unemployed £444 6 3d. £6407 0 3½d. 1927 6 There is a decrease of £1,300 as compared with 1926, and over £2,000 as compared with 1925. The most marked drop was in the relief to unemployed, but 1926 was probably abnormal, on account of the general strike. SOCIAL CONDITIONS OF THE DISTRICT. In the Survey Report of 1925 an account of the general and social conditions was given, and no noteworthy change has taken place. As stated in last year's report, if any change has occurred, it has been a tendency towards industrialism.
e5ccb130-87d0-46ee-b087-17945126ecd7	In the north west ward between North Acton and West Acton Stations on the Central London Railway, dwelling houses have been erected, and also in the north-east ward in East Acton. In the extreme north of the district factories have been erected. Most of the dwelling houses which have recently been erected consist of two reception rooms and three bedrooms. Some houses are smaller, and consist of a kitchen, living-room and three bedrooms. The size of the rooms vary, but the usual area of the bedrooms ranges from 100 to 180 square feet. In most instances, the houses arc for sale and not for letting purposes. HOSPITAL PROVISION. General.—Acton Hospital, Gunnersbury Lane—50 beds. Fever.—Acton Council Fever Hospital—80 beds. Small-Pox.—Acton is one of the constituent bodies which form the Middlesex Joint Small-Pox Board. Tuberculosis.—The Tuberculosis scheme is administered by the Middlesex County Council.
04e97398-9019-442a-b1e4-b7a582ee35bb	Sanatoria at Clare Hall and Hare field. Poor Law.—The Parish is part of the Brentford Poor Law Union. The Union Infirmary, named the West Middlesex Hospital is situated in Isleworth. Child Welfare Consultation Centres.— (a)—Church Road. (b)—Palmerston Road. Every Monday and Wednesday afternoon at 2 p.m. Ante-Natal Consultation Centre.—School Clinic 2nd and 4th Wednesday. Day Nursery.—169 Bollo Bridge Road. School Clinic.—Adjoining Municipal Offices. The above are provided and maintained by the Borough Council, 7 Tuberculosis Dispensary.—School Clinic on Tuesday at 5 p.m. and Thursday at 10.30 a.m. Treatment Centres for Venereal Diseases.—Various Hospitals in London. The two. latter are provided by the Middlesex County Council. AMBULANCE FACILITIES.
a35c3d79-09ec-4c20-b4a2-20db747fde6d	(a)—For Infectious Cases.—A motor ambulance is housed at the Fever Hospital for the conveyance of cases of infectious disease to the Hospital. (b)—For Accident and non-infectious Cases.—The Council owns a separate ambulance for accident cases and for the removal of cases of ordinary illness. The ambulance is housed in a garage at the Fire Station and is available at all hours. During the year the ambulance was called out to 279 street accidents. Although the ambulance was provided primarily for street accidents, there is a considerable demand for its use in the removal of cases of illness to or from hospitals, nursing homes, etc. A charge is made for the hire of the ambulance in private cases,, and last year fees amounting to £92 5s. were paid for the use of the ambulance on 275 occasions. SANITARY CIRCUMSTANCES OF THE AREA. Water.—All the inhabited houses are supplied from the mains of the Metropolitan Water Board.
4985eb40-1414-4597-9373-351cbc7ca875	There are a few deep wells in the district, but the water from these are used almost entirely for industrial and similar purposes. Drainage and Sewerage.—By arrangement with the County Council the sewage ultimately discharges into the London sewers and is treated at the London outfalls. Storm water is filtered and emptied into the Thames at Chiswick. Closet Accommodation.—There are no privy or earth closets in the district, and all the water closets are connected with the Council's drainage system. Scavenging.—The collection of House Refuse is carried out direct by the Council, and the whole of the refuse is burnt in the Council's Refuse Destructor. Last year, 16,663 tons of refuse were burnt. PROFESSIONAL NURSING IN THE HOME.
5a7681f9-9723-4580-900c-b27073942213	General.—There are two district nurses employed by the Acton Hospital, one of these is primarily engaged in district 1927 1927 8 nursing, and the other is engaged to nurse patients who have been discharged from the hospital. Midwives.—There are 14 midwives practising in the district. Unfortunately, there are a few other women, who are not registered, but who do attend confinements. It is illegal for these women to attend confinements habitually and for gain, except under the supervision of a doctor, but it is very difficult to stop the practice. LEGISLATION IN FORCE. The following local acts, special local orders, general adoptive acts and bye-laws relating to Public Health are in force in the district:— Adopted.
82587a94-5469-4c14-ba98-b422a139eaca	Infectious Diseases (Notification) Act, 1889 1889 Public Health (Amendment Act, 1890 1890 Infectious Diseases Preventoin Act, 1890 1893 Notification of Births Act, 1907 1907 Public Health Act, 1907 (Clause 50) 1921 Public Health Act, 1925 (Parts 2, 3, 4 and 5) 1926 The Acton Improvement Act, 1904 New Streets and Buildings 1925 Removal of House Refuse 1899 Common Lodging Houses 1898 Slaughter Houses 1924 Nuisances, etc. 1924 Offensive Trades 1903 Tents, Vans and Sheds 1906 Removal of Offensive or Noxious Matters 1908 Houses let in Lodgings 1925 Cleansing of Cisterns 1912 Employment of Children 1920 HOUSING.
76c07bfb-87e0-42d0-b249-6858126efe87	This question has been dealt with fully in the reports of previous years, and in the main, the conditions cannot be said to have changed. Since the war, many new industries have been started in the district, and there must necessarily be competition for a certain class of house. The people employed in the new industries which have been established naturally wish to live as near as possible to the place of their employment. They are willing to undergo some inconvenience if by that means tedious journeys night and morning can be avoided. 1927 9 For economic reasons, the tenants of some of the houses are willing to sublet, even when the accommodation is not satisfactory. To this extent the difficulties of the housing question is peculiar to Acton. Otherwise the problem of housing is very similar in most districts in and around London. The supply is insufficient to allow of any free interchange of houses. Usually the requests for more housing accommodation come from the employees. But the employers are also handicapped.

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